Ko kenza yekerosi inowanzoongororwa sei? Kunyatsosarudzwa uye zvakakwana kuongororwa kwekenza yekenza kunosanganisira nzira dzakawanda uye maitiro.
Overview
Kazhinji, nzira yekuongororwa nekenza yekemikari inotanga nehombodo kana gumbo remuganda. Iwe unogona kuzviwana iwe pachako, kana kukwanisa kuzviona. Mune zvimwe zviitiko, chiremba wako angazviona kana achipa mutsipa wako.
Izvo zvinowanzojairika kune majekesi ehutachiona kuti awanikwe kana une ma-ray emusoro kana mutsipa. Kune dzimwe nharaunda dzevashandi vemaziso vanocherechedza majekesi ejeresi.
Iwe unogona kuita chiyero chemusha kuti ubatsire kuona majekesi. Iyo "Thyroid Neck Check" haina kugadzirisa, uye haitauri kuti iwe unenge uine mazuru, asi kana zviputi zviri pedyo nepamusoro kana zvakakura, zvinogona kuonekwa nemuedzo uyu uri nyore.
Kuongorora Panyama
Chiremba wako anofanira kutungamirira kuongorora kwakakwana mumuviri. Iyi kuongorora inofanira kusanganisira palpation ye thyroid yako, apo chiremba muviri unonzwa nekuda kwekuwedzera nekudzivirira muhutano hwako hwetroroid, uye unoongorora ukuru hweglandu, uye asymmetry, uye kusimba. Chiremba achatarisa chero lymph nodes yakakura mumutsipa wako uye nzvimbo yakakomberedza gland.
Ramba uchiyeuka kuti utachiona hunyanya kuwanda. Vakawanda, zvisinei, vane urombo. Maererano neAmerican Cancer Society, pasi pe1 mu 10 mushure mehutachiona mune kenza.
Iwe unogona kuwana humwe humwe humwe nezvehumwe humwe hunokosha huongororwa munyaya ino pane izvo zvinopinda mune zvakanyanya kuongororwa kwechirwere chetachiona .
Biopsy
Vanachiremba vanowanzotsvaga kushungurudza mishonga yehutano, kuti vaongorore kuti inogona kuve nekenza. Kazhinji hutachiona hwehutachiona hunoshandiswa huchishandisa sora, mune imwe nzira inozivikanwa se " yakanaka inobatsira aspiration biopsy " - dzimwe nguva inopfupiswa FNA.
Vamwe varwere vane chirwere chinopikisa, apo chiremera, kana chirwere chetrojeni pachako, chinobviswa chirwere. Mune zvimwe zviitiko, biopsy inonzi "ultrasound-inotungamirirwa" kuitira kuti dhizha rive rakanyatsonyatsotaridzirwa nachiremba kana chiremba anonyanya kuita bhiopsy.
Iwe unogona kuverenga iyi Q & A pamusoro peHain Needle Aspiration Biopsy yeTroroid kuti uwane mamwe mashoko pamusoro peitiro reFNA biopsy.
Cherechedza: Muedzo mutsva unowanikwa kubva muna 2011, unonzi Veracyte Afirma Thyroid Analysis , unopedza zvigaro zvisingagumi kana zvisinganzwisisiki zvekroidyumu dorosi zvinyorwa.
Kufungidzira Miedzo
Zviratidzo zvakasiyana-siyana zvekufungidzira uye zvikwangwani zvinoshandiswa kuongororodza majekesi ehutachiona nokuda kwekenza yekenza inogoneka. Izvi zvinosanganisira:
- Nyukliya scan, inozivikanwawo seyidine iodine uptake (RAI-U) inoongorora. Muchiedzwa ichi, unopiwa maitiro anonzi radioactive tracer dose, akateverwa nekutsvaga. Nodules iyo inowedzera iodine yakawanda inodhaka, uye naizvozvo inowoneka, inoratidzira pa scan. Aya anozivikanwa se "hot nodules" uye anowanzove ane hanya.
- CT scan, inonzi computed tomography kana kuti "cat scan," inonyanya kushandisa rudzi rwe x-ray iyo dzimwe nguva inoshandiswa kuongorora utachiona. A CT scan haigoni kuona mishonga midiki, asi inogona kubatsira kuona uye kuongororeka goiter, kana kuti majekesi makuru ehutachiona.
- Magnetic resonance imaging (MRI), inogona kubatsira kuona kuwedzerwa muhutano hwetroroid yako, pamwe nemamota, uye chiremara chekukura. MRI inogonawo kubatsira pakuona kupararira kwemakumbo.
- Utachiona ultrasound inogona kutaurira kana chironga chinenge chizere chegidhi kana chimiro chezvimiti zvakasimba, asi hazvigoni kuziva kana dutu kana chipfu chiri chakaipa.
Mamwe mashoko pamusoro pekufungidzira kuongororwa kwetachiona anowanikwa munyaya ino pamusoro peTyroid Imaging Test .
Dambudziko reRopa
Kuyera ropa hakugoni kuongororwa nekenza yekenza pachako, kana kuti kuona kenza yekroidyo yekenza. Utachiona hunokurudzira hormone (TSH) kuongororwa ropa, zvisinei, inogona kushandiswa kuongorora basa rerosiyo uye kuedza kwe hypothyroidism kana hyperthyroidism.
Kana chirwere chetachiona chetachiona chikafungidzirwa, vanachiremba vachawanzoedza kuwedzera mazinga e calcium, sezvo izvi zvinogona kuva chiratidzo. Vanogonawo kuita maitiro ekuongorora mazita kuti vaone gwesi risingawanzoitiki rinosangana nedzimwe mamiriro ekurapa kwetrodhi yekenza.
Laryngosocopy
Zvishoma nezvishoma, kana ganda rechitoriya riri pedo nezwi rako bhokisi, rinozivikanwa senzira yekasi, inonzi laryngoscopy ichaitwa. Uyu muedzo unosanganisira kuisa chiedza chinoshandiswa chinoshandiswa kuti chione kubwinya kwako kuchikwirira.
Zvimwe Zvinyorwa pamusoro peCroroid Cancer
Tsvaga zvakawanda pamusoro pezviitiko zvinokonzerwa nekenza yekenza , uye zviratidzo nezviratidzo zvekenza yekameti .
Sources:
> Braverman, MD, Lewis E., naRobert D. Utiger, MD. Werner uye Ingbar's The Thyroid: Chimwe Chinokosha uye Chirongwa Chekunyora. 9th ed., Philadelphia: Lippincott Williams & Wilkins (LWW), 2005.
> National Cancer Institute - Khwereji yeChropian Page
> Zvaunoda Kuziva NezveKenza yeTroroid, National Cancer Institute
> American Cancer Society: Thyroid Cancer Guide
> Thyroid Cancer vakaponeswa Association (ThyCa)