Umdlavuza we-papillary we-thyroid uyingqayizivele kunazo zonke ye-oncology yalesi sitho. Ukwakheka kwe-tumor kuvela emangqamuzaneni avela amahomoni e-thyroid, ekhula kancane kancane futhi ngokuvamile i-metastasis ikhona i-lymphogenically. Ezimweni eziningi, ukuchazwa komdlavuza wegciwane le-papillary kulungile, kodwa ngezinye izikhathi isisu singaba nobudlova.
Izimbangela nezimpawu zomdlavuza wegciwane le-papillary
I-papilloma ibizwa ngokuthi i-papilla, ene-tubercles amaningi noma i-protrusions. Ukwakhiwa kwe-papillae kubhekwa njengecala lomtholampilo, ngoba ukwabelana okukhulu kwamathuba kubonakala ukuthi lezi zakhiwo zizoqala ukwandisa usayizi bese zisakazeka. Izimbangela zezinto ezivela kuzo zingase zibe yizinto ezifuywayo zofuzo noma ukuvezwa kwemisebe yomsakazo (isibonelo, ukwelashwa kwemisebe).
Izimpawu zomdlavuza we-papillary we-thyroid zimbalwa:
- ukushintsha kwezwi;
- ukwanda kwendlala yegciwane;
- ukwephula inqubo yokugwinya;
- ukwakheka kwe-node encane emgodini wegciwane;
- izinzwa ezingathandeki lapho uphefumula.
Ngokuvamile, izimpawu zalesi sifo zibonakaliswa lapho isikhumba sikhula ngaphesheya kwe-capsule ye-gland yegciwane. I-Metastasis ivame ukuthinta ama-lymph nodes, kodwa ingalimaza amaphaphu noma amathambo amathambo. Ama-metastase akude avela nge-papillary umdlavuza we-thyroid.
Ukuxilongwa komdlavuza we-papillary we-thyroid
Ukuxilongwa kwalesi sifo kuyinkimbinkimbi. Into ewukuthi i-tumor ngokuyinhloko ivela ngemuva kwe-goitre (ukwanda ngobukhulu be-gland gland), futhi ikhule ngisho ne-capsule, eguqulwe njengendlela yokwelashwa okungenangqondo.
Ukuhlola umdlavuza we-papillary wegciwane lesigaba sokuqala, kufanele uyenze:
- I-Ultrasound;
- i-biopsy ;
- computed tomography shchitovidki,
- ukuhlolwa kwegazi ukucacisa izinga lamahomoni.
Ngosizo lwe-computed tomography noma i-ultrasound, ungathola ukuthi ubukhona nesimo samanothi, ubukhulu begeni kanye nesimo sezincuzi ezizungezile. Ukuhlolwa kwegazi kuyadingeka ukuze kutholakale ukuthi igciwane le-thyroid liye lagcina ikhono lokuvame ukuthuthukisa ama-hormone, futhi i-biopsy izonikeza lonke ulwazi mayelana nokulimala kwenqubo.
Ukwelashwa komdlavuza we-papillary we-thyroid
Ukuchazwa komdlavuza we-papillary kulungile, futhi izinga lokuphila kweziguli lifinyelela ku-90%, ngoba umuntu angakhetha enye yezindlela eziningi zokwelapha lesi sifo (imisebe, ukuhlinzwa noma i-chemotherapeutic) noma ukuhlanganisa.
Umdlavuza we-papillary we-thyroid awusizo njalo ukwelapha imishanguzo, kodwa ezinyathelweni zokuqala ukwelashwa okunjalo kuzoba kuhle kakhulu. I-Chemotherapy ivame ukusetshenziswa kuphela njengendlela yokwelapha eyengeziwe, kodwa ngosizo lwayo kungenzeka ukuvimbela ukwakheka kwe-metastase nokuphindaphinda kwesifo.
Ezimweni eziningi, i-tumor egunjini le-thyroid isuswa ngokuhlinzwa. Ukuphathwa okunjalo komdlavuza we-papillary we-thyroid kwenziwa uma ubukhulu besakhiwo se-tumor singadluli
Ngokushesha ngemva kokuhlinzwa, isiguli singabona umsebenzi wakhe wangaphambilini, kodwa umonakalo emisipha ephindaphindiwe nokuvuvukala kwezintambo zamagama kungabangela ushintsho lwezwi oluqinile. Ngesikhathi sokuhlinzwa, ungakwazi ukususa isthmus nengxenye yengqungquthela. Ngenxa yalokhu, isiguli emva kokuthola ngokugcwele siyadingeka ukuqashwa kokuphathwa kosuku lonke nokuhlolwa okuvamile.