Noj qab haus huv, Tshuaj
Cancer thyroid tshuaj Nyob rau hauv Ixayees
Cancer ntawm lub qog caj pas, uas yog ib qho tseem ceeb link nyob rau hauv lub saw ntawm tus endocrine kabmob, muaj los ntawm nws cov epithelial kletok.Prichinoy mob qog nqaij hlav tej zaum yuav tsis muaj iodine, raug tawg (radiotherapy lub taub hau thiab lub caj dab hlav, cell teeb meem), ib tug tsis ua hauj lwm nyob rau hauv lub hauj lwm ntawm lub cev, degeneration ntawm noninfected adenomas thiab cov hlwv, multinodular goiter, tsev neeg keeb kwm.
Common hom ntawm lub qog cancer:
- follicular - tsim nyob rau hauv cov neeg mob muaj hnub nyoog 50-60 xyoo, loj hlob maj mam, tab sis nws yog ib tug tshwj xeeb txaus ntshai zoo ntawm cancer cov ntaub ntawv thiab qog metastases nyob rau hauv lub caj dab cheeb tsam los yog lwm yam lub cev qhov chaw;
- papillary - feem ntau pom nyob rau hauv hnub nyoog 30-50 xyoo, tab sis yog pom nyob rau hauv cov me nyuam, muaj ib tug qeeb txoj kev loj hlob thiab me ntsis nyob deb metastatic txhab;
- anaplastic - ntau nyob rau hauv cov neeg ntawm nyiaj laus uas muaj hnub nyoog, nrog nodular goiter, tseem ceeb lub loj hlob sai heev thiab txhoj puab heev kawg nrog txoj kev loj hlob ntawm metastatic txhab nyob rau hauv lub qog ntawm lub caj dab thiab lwm yam kabmob;
- medullary - yug nyob rau hauv lub hnub nyoog ntawm 30-60 xyoo vim txhob txiav txim endocrine ntshawv siab. Ib qho tseem ceeb feature ntawm lub qog cancer yog feem ntau paub hais tias cov thyroid o los yog limfauzlov caj dab.
Tom qab ntawd cov tsos mob yuav pom tau hais tias muaj kev hloov ntawm lub suab (txhaws qa), teeb meem nyob rau hauv nqos, cov kev xav ntawm kev mob nyob rau hauv lub caj pas los yog lub caj dab cheeb tsam rau ib ntev lub sij hawm.
Ntawm cov diagnostic txoj kev rau cov nrhiav kom tau ntawm lub qog cancer nyob rau hauv Ixayees yog siv: - lub cev mob;
- laryngoscopy;
- biochemical thiab hormonal tsom xam ntawm kev kuaj ntshav;
- scintigraphy nrog radioiodine (radioisotope PP caj pas);
- ultrasonic soj ntsuam (ultrasonic) thyroid;
- tus tsiaj thiab xoo tomography (PEC-i), lub cev nruab nrog cev.
Cov feem ntau tsim nyog txoj kev lees tias tus mob "thyroid cancer" nyob rau hauv cov neeg Ixayees yuav xam tau tias yog ib tug me nrog tus tsom xam ntawm lub epithelial cancer rau lub xub ntiag ntawm phem hlwb. Laj kab zaub mob cov ntaub so ntswg los ntawm fine koob me nyob rau hauv ultrasound soj xyuas los sis phais me los ntawm tshem ib tug node hearth los yog thyroid lobe.
Kev kho mob ntawm cancer ntawm lub qog caj pas nyob rau hauv Ixayees yuav ib tug ncaj qha tus kheej mus kom ze raws li histological mob xwm, nws twg thiab malignancy, tus neeg mob lub hnub nyoog.
Hom ntawm kev kho mob ntawm lub qog cancer yog phais, tej yodterapiya, hormone thiab tawg txoj kev kho, cov kws khomob, feem ntau siv ua ke.
Nyob rau hauv thaum ntxov ua sawv ntawm lub qog cancer nyob rau hauv Ixayees nqa tawm kev ua hauj lwm uas khaws cia nruab nrog cev rau radical excision ua rau ib tug xov tooj ntawm kev ua txhaum nyob rau hauv lub cev.
Resection los yog tshem tawm ntawm ib tug hloov feem ntau ua muab ib gamma-riam (hlawv beam ntawm X-rays) tsis txhob kov noninfected lub cev nqaij.
Nrog muaj zog Distributing chamber ua tiav qhov kev tshem tawm hloov, feem ntau nrog lub tsev me nyuam limfauzlov complex, thiab cov allergic ntawm lub suab cancer resection txhim khu lub superposition ntawm lub yas ua pa (tracheostoma).
Lug siv rau kev kho mob ntawm lub qog cancer nyob rau hauv Ixayees ntxim rau cov kev mob hlwb nrog tej iodine los ntawm qhov ncauj thawj coj muaj nws npaj. Cov kev siv feem ntau tom qab phais tua seem mob lub cev.
Tej thaj chaw deb kev kho mob ntawm lub qog cancer nyob rau hauv Ixayees laser yog feem ntau siv los kho cov thyroid cancer, metastatic txhab nyob rau hauv lub cov pob txha.
Kws khomob yog feem ntau yog siv thaum lwm txoj kev kho mob yog tsis tau muab kev kho mob effekta.Posle tiav excision ntawm lub qog hormone nyob rau hauv kev txiav txim kom tsis txhob muaj kev cuam tshuam ntawm tus neeg mob yog niaj hormone hloov txoj kev kho.
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