Izifo ezithathelwanayo eziphilayo zinezibalo ezihlukile, kuxhomeke kuhlobo lokuguqulwa kwamangqamuzana, indawo yesikhumba, izinga lokukhula, i-metastasis, nokunye okuningi. Zingaki iziguli eziphila ngokuxilongwa komdlavuza wegciwane, futhi ngokuqondile kuxhomeke ezintweni ezihlukahlukene. Phela, isitho esifanayo singathinteka yizinhlobo ezahlukene zomdlavuza.
Izimpawu zesifo somdlavuza we-thyroid futhi kungenzeka ukubikezela
Umdlavuza we-thyroid uvame ukuvela ezigulini ezingaphezu kuka-40 ezihlala ezindaweni ezinezinkinga ezinkulu ze-iodine. Abantu ababhekene nezinye izifo ze-thyroid nezifo ze-endocrinological nabo bawela eqenjini eliyingozi. Ngisho nokungalingani kwe-hormonal emva kokuzalwa kwengane kungabangela ukubukeka kwamagqabhagqabha kanye nezimpawu zomzimba egulini, ekugcineni kungashintsha. Yingakho kubalulekile ukuthi uhlolwe njalo nge-ultrasound bese uphawula impilo yakho.
Ngokujwayelekile, izimpawu zomdlavuza we-thyroid zibonakaliswa ngokushesha ngemva kokuqala kwesifo. Lezi yizi:
- Ukuzwa okungathandeki ngesikhathi sokugwinya, ukuthambekela kwentloko phambili;
- ukulahlekelwa kwesisindo ngokushesha;
- ubuthakathaka obuvamile kanye nomoya wokukhathala njalo;
- ukuzondla njalo, ukucabangela;
- ukunciphisa ukudla;
- Izakhi zamakhansela ezikhulisiwe entanyeni;
- ukuzwakalisa izwi;
- ukuphazamiseka kwenqubo yokuphefumula;
- ubuhlungu entanyeni;
- ukutholakala kwe-densification phezu kwe-palpation.
Lezi zinguquko zivela kancane kancane, kodwa kakade isibonakaliso esisodwa noma ezimbili yisizathu esihle sokuxhumana no-endocrinologist. Ngisho noma ukuxilongwa komdlavuza akuqinisekisiwe, noma yisiphi isifo se-thyroid kufanele siphathwe ngokushesha ukuze sigweme i-oncology esikhathini esizayo. Ngokuvamile, isikhathi sokuphila somdlavuza we-thyroid siphakeme kakhulu, kodwa uhlobo lomdlavuza wesifo somdlavuza lubalulekile.
Izici zenkambo yezinhlobonhlobo zemdlavuza wegciwane kanye nezinga lokusinda
Umdlavuza we-Shchitovidka yisifo esingavamile kakhulu, lesi sifo sibalwa cishe ngo-0.5% wenani eliphelele lomdlavuza. Kunezinhlobo eziningana eziyinhloko zomdlavuza walesi sitho:
- umdlavuza we-papillary ;
- umdlavuza we-follicular;
- umdlavuza we-medullary;
- umdlavuza we-aplastic.
Izidumbu ezingabonakali, i-sarcoma, i-lymphoma ne-epidermoid yesifo somdlavuza we-thyroid ayivamile kakhulu.
Umdlavuza we-papillary we-thyroid unesibikezelo esihle kakhulu. Inani lokusinda lilinganiselwa ku-80%, nge-60% ngemuva kokuba ukwelashwa kuphile iminyaka engaphezu kwengu-10. Ukubuyela kabusha akuvamile. Lolu hlobo lomdlavuza lubalelwa ku-70% kuzo zonke izifo ezingokwemvelo zesiguli se-thyroid.
Isibikezelo somdlavuza we-follicular we-thyroid akude nomvula onjalo, kodwa ngokuvamile akukubi. Njengoba ukwelashwa okufika ngesikhathi, isilinganiso seminyaka emihlanu sokusinda singama-70% wezinombolo eziphelele zeziguli ezinezifo ezifanayo. Kodwa-ke, lolu hlobo lomdlavuza lunamandla futhi lusakazeka ngokushesha, ngakho-ke ukwelashwa kwasekuqaleni kuqalisiwe, kuphakama amathuba okuthola ngokugcwele.
Umdlavuza we-Medullary we-thyroid unesifo esibi kakhulu, njengoba sibonakala ngesisindo esikhulu samagciwane futhi sanda
Ezinye izinhlobo zomdlavuza we-thyroid ziyingozi nakakhulu, kepha amacala okuthuthukiswa kwawo angabhekwa njengongashadile. Kubalulekile ukukhumbula ukuthi uma kutholakala isifo sofuba esibulalayo, ukukhishwa okuphelele kokugcoba kwe-thyroid kuboniswa, ngoba ingxenye enempilo yelungu amathuba okuba nesifo esisha ngemuva kokususwa kwengxenye ewonakele ingu-98%.