Cov kab mob ntawm cov thyroid caj pas, uas yog qhov tshwm sim hauv xyoo tas los no, yog ib qho ntawm cov feem ntau txaus ntshai yog papillary carcinoma. Qhov kev kuaj mob no yuav ua rau tus neeg mob tuag, tab sis qhov tseeb, cov tshuaj tau txais kev kho mob zoo rau cov kab mob no, yog tias tau tshwm sim thaum ntxov.
Papillary carcinoma - nws yog dab tsi?
Papillary carcinoma yog ib hom mob neoplasm uas nyob hauv cov ntaub so ntswg ntawm cov thyroid caj pas hauv daim ntawv ntawm ib lub cyst lossis ib qho nqaij hlav tsis sib luag. Feem ntau yog ib qho ntawm cov khoom hauv lub cev. Feem ntau ntawm cov neeg mob uas muaj tus mob no yog cov poj niam muaj hnub nyoog 40-50 xyoos, tab sis tus kab mob tsis txawm txais tos menyuam. Qhov nce ntawm qhov tshwm sim ntawm daim ntawv no ntawm kev mob kheesxaws zuj zus nyob rau hauv lub teb chaws tsim, tab sis nws muaj feem tias qhov no yog vim yog kev tsim kho cov cuab yeej ua kom paub tias muaj cov kab mob uas tsis tau muaj mob yav dhau los.
Cov thyroid caj pas yog qhov tseem ceeb tshaj plaws ntawm cov kab mob hauv lub cev, uas nyob hauv lub hauv siab ntawm lub caj dab pem hauv ntej, uas tsim cov tshuaj hormones txuam nrog kev tswj kev ua pa, kev mob plawv, hematopoiesis, kev zom zaub mov, tswj lub cev kub thiab zoo li ntawd. Cancer ntawm cov thyroid ua rau cov kev mob ntsig txog lub cev, thiab thaum nws kis tau mus rau lwm cov nruab nrog cev, nws mob hnyav cov kev raug mob rov qab.
Iron-papillary carcinoma
Papillary thyroid carcinoma yog ua rau hauv nruab nrog cev ntawm cov nqaij tawv glandular uas pib nkag mus hauv kev hloov kho tsis tau. Neoplasm yog ntom, dotted nrog ntau me me papillae, nyob rau hauv ib seem ntawm xim av xim. Lub hlwb ntawm xws li ib tug qog yuav luag tsis txawv ntawm noj qab haus huv sawv daws, nyob rau hauv saib ntawm uas nws yog cais li txawv heev. Papillary carcinoma hlob maj mam, tsis tuaj yeem pib ua metastases. Pib, cov qog yog mobile, qhov ua haujlwm tshwm thaum nws hlob zoo rau hauv cov qog ntshav ntawm lub cev.
Papillary carcinoma - ntau yam sib txawv
Qhov no yog hom loj tshaj plaws ntawm papillary carcinoma, suav hais tias txhoj puab heev, tab sis nws yog ntau zaus tsawg dua. Tus qauv ntawm lub qog nyob rau hauv cov ntaub ntawv no muaj cov follicular hlwb uas muaj cov khoom sib nyom thiab cov thyroid hormones, nrog ib qho txawv txav ntawm uas ib lub pob caus ntawd ua. Nyob rau hauv tsos, qhov no yog qhov sib npaug ntawm ib lub fibrous capsule (encapsulated papillary thyroid carcinoma). Cov qog nyhav germinate rau hauv cov qog, cov hlab ntsha ncig cov ntaub so ntswg, feem ntau metastasizes rau tej thaj chaw deb.
Ua rau Thyroid Cancer
Cov kws kho mob pom cov hauv qab no ua tau rau qog nqaij hlav cancer:
- kev cog qoob loo rau kev sib hloov hauv cov nqaij;
- deficiency ntawm iodine hauv lub cev ;
- raug ionizing tawg;
- hluav taws xob nyob rau hauv lub caj dab thiab lub taub hau;
- kev muaj kab mob kev lag luam (qhov tshwm sim ntawm hnyav hlau, kom txias);
- kev nyuaj siab;
- tus cwj pwm phem;
- qee cov mob pathologies (kab mob ntawm tus poj niam tus poj niam tus kheej, hormone-dependent hlav, polyps ntawm lub qhov quav, tus txiav txim multinodular );
- nyob hauv thaj chaw uas tsis muaj kev thaj yeeb nyab xeeb.
Papillary thyroid cancer - cov tsos mob
Lub sijhawm ntev, cov papillary cov thyroid carcinoma tsis tuaj yeem txawv rau txhua txoj kev (txawm tias ob peb xyoos), thiab thaum thawj theem ntawm malignant tumor development ib tug neeg tsis paub dab tsi. Tsuas yog thaum muaj qee qhov qog ntawm lub qog ncav cuag, thaum nws muaj peev xwm soj ntsuam nws, tsis xis nyob li hnov:
- txhaws suab ;
- hnoos;
- qhov kev hnov mob ntawm qhov "pob" hauv lub caj pas, zuj zus thaum nqos thiab zawm lub caj dab;
- compaction thiab mob nyob rau hauv cov thyroid caj pas;
- ib qho kev nce hauv lub ncauj tsev menyuam cov qog ntshav ntawm lub qhov nqaij;
- ua tsis taus pa.
Cov tsos mob no tsis suav hais meej thiab tej zaum yuav zoo li qhov tshwm sim ntawm cov mob khaub thuas, cov mob tonsillitis. Lawv qhov kev ua tshwj xeeb yog tias cov thawj cim raug cim tseg rau lub sijhawm ntev. Raws li cov qog hlob thiab cov kabmob kheesxaws kis mus rau cov nqaij uas nyob sib ze, lwm cov tsos mob tshwm sim:
- qhov tsis muaj zog;
- tawm hws;
- tsis qab los noj mov;
- poob lub cev hnyav;
- poob plaub hau;
- nce hnoos, mob.
Papillary thyroid carcinoma - theem
Nyob ntawm seb qhov loj me, qhov mob ntawm cov qog, muaj cov kab mob metastases, cov papillary carcinoma ntawm cov thyroid tuaj yeem muab cais ua ib qho ntawm cov theem ntawm txoj kev loj hlob:
- Theem I - qhov loj me tsis muaj ntau tshaj 2 cm, hlwb tsis tawg, metastases tsis tuaj;
- II theem - ntawm txoj kab nruab nrab ntawm lub neoplasm txog 2-4 cm, thaum nws tsis mus tshaj cov kev txwv ntawm lub khoom thiab tsis muab metastases;
- III theem - ib lub qog ntau tshaj 4 cm, mus dhau ntawm cov thyroid caj pas, nyem qhov trachea thiab cov ntaub so ntswg uas nyob ze, hnoos nrog lawv, metastases tshwm hauv lub ncauj tsev menyuam cov qog nqaij hlav;
- IV theem - neoplasm nce mus txog qhov loj qhov ntev, deepens rau cov cheeb tsam uas nyob ib puag ncig, thyroid gland ua immobile, metastases muaj nyob ze ze thiab nyob nrug plab hnyuv siab raum.
Papillary carcinoma - metastases
Kev loj hlob papillary serous carcinoma tuaj yeem ua metastases - qib nrab malign foci uas kis qog los yog nrog cov ntshav khiav. Feem ntau, metastases muaj nyob hauv xws li nruab nrog cev thiab cov ntaub so ntswg:
- lymphonoduses;
- ntsws;
- cov pob txha pob txha ntawm cov tav;
- plias pob vertebrae;
- cov pob txha ntawm pob txha taub hau;
- lub hlwb;
- nplooj siab;
- adrenal qog;
- hnyuv.
Tawm tsam muaj cov metastases muaj peev xwm ua tau los ntawm cov phiajcim xws li:
- mob hauv cov pob txha, hauv qaum;
- hnoos nrog tawm ntawm cov ntshav;
- migraine taub;
- deterioration tsis pom kev;
- ntuav;
- jaundice;
- poob rau hauv cov ntshav siab thiab lwm tus.
Papillary thyroid cancer - mob
Cov thyroid caj pas endocrinologist tuaj yeem qhia palpation, tab sis tsuas yog tias nws tau mus txog ib kab uas muaj 1 cm los yog ntau tshaj thiab tsis dag tob hauv cov nqaij ntawm caj pas. Tsis tas li ntawd, koj tuaj yeem tsim txoj kev loj hlob ntawm tus kab mob los ntawm kev hnov cov qog ntshav qab zib, uas nyob rau hauv cov ntaub ntawv no nce nyob rau hauv loj. Rau kev kuaj mob khees xaws thiab txiav txim siab nws hom, cov txheej txheem hauv qab no yog siv:
- Txoj kev tshawb no nrog cov tshuaj iodine, uas cov ntshav nrog txo kev ua haujlwm ntawm lub caj pas tuaj kuaj xyuas.
- Ultrasonic kuaj - mus ntes formations dag hauv cov cheeb tsam tsis-palpable.
- Khoos phib tawj thiab sib nqus resonance imaging - tsim nyog los ntsuam xyuas lub nplai thiab kev muaj mob cancer.
- Kev ntsuam xyuas cov ntshav ntawm cov tshuaj hormones - tso cai rau kwv yees ua haujlwm ntawm lub qog thawv, los txheeb xyuas cov tshuaj hormonal.
- Qhov tseeb tshaj plaws yog txoj kev koob tshuaj txhaj koob tshuaj tiv thaiv kabmob (biopsy) . Thaum lub sij hawm cov txheej txheem luv luv no, ib qho me me ntawm qog yog los ntawm kev hnoos. Tsis tas li ntawd, cov biomaterial tau raug rau cov kab cytological thiab cov kev kuaj seb hnub nyoog los kuaj seb hom, theem thiab qhov kawg ntawm cov kab mob pathology. Cov cytological duab ntawm papillary carcinoma ntawm lub thyroid caj pas yog tsiag ntawv los ntawm cov lus hauv qab no:
- cell loj - los ntawm 1 hli mus rau ob peb centimeters;
- Cov qog muaj cov ceg ntoo nrog lub vas sab tawv nqaij;
- cov ceg ntawm cov qog yog them nrog cylindrical thiab cubic epithelium;
- lub nucleus ntawm lub cell yog ntim nrog chromatin;
- nws yog ua tau kom lub cev ntawm basophilic thiab calcified loj;
- hlwb ntawm cov papillary qog muaj hormonally inactive;
- tsis tshua muaj qhov sib txawv ntawm lub hlwb.
Papillary thyroid carcinoma - kev kho mob
Vim tias hom qog no tsis yog rhiab heev rau kev kho hluav taws xob, kev kho papillary cov thyroid cancer yog ua raws li txoj hauv kev ntawm cov hom kev li no:
- kev phais mob, muab qhov kev tshem tawm lossis tshem ib nrab ntawm lub caj pas (thyroidectomy);
- siv cov iodine tom qab tshem tawm ntawm cov thyroid nqaij, uas yog nkag tau rau hauv lub cev (feem ntau ntawm qhov ncauj) thiab selectively ua rau tuag ntawm cov kab mob hlwb ntxiv;
- chemotherapy - kev siv cov tshuaj lom uas muaj teebmeem rau ntawm cov hlwb, uas yog ua rau thaum muaj kev tiv thaiv rau lwm yam kabmob;
- hormone replacement therapy, raws li kev tswj hwm ntawm thyroxine;
- kev siv cov ntxhia ntau thiab cov vitamins;
- noj cov zaub mov raws li kev txo qis ntawm cov khoom noj uas muaj iodine, qab zib, ntsev, vitamin A.
Papillary carcinoma yog ib txoj haujlwm
Kev kho mob ntawm papillary carcinoma los ntawm kev siv txoj hauv kev ua haujlwm yog ua tiav raws li tshuaj loog. Yog tias qhov luaj li cas tsis pub tshaj li ib centimeter, nws muaj peev xwm tshem tawm cov khoom. Hauv lwm tus neeg, nws yuav tsim nyog kom tshem tawm cov caj pas, nyob ze cov nqaij thiab cov qog ntshav. Yog hais tias tus carcinoma sprouted mus rau hauv lub trachea thiab kov cov hlab ntsha ntawm laryngeal, nws tau pom tias yog siv tsis tau, thiab nws yog irradiated. Tsis tas li ntawd, cov kab mob papillary tsis yog raug tshem tawm cov metastases uas nws kim heev thiab nyob rau hauv cov ntaub ntawv ntawm cov pathologies loj los ntawm cov kab mob thiab cov hlab plawv.
Papillary thyroid cancer - kev kho mob nrog kev kho neeg
Yog hais tias muaj tus kab mob glandular los yog follicular variant ntawm cov papillary thyroid carcinoma, tsis muaj kev pab pej xeem tuaj yeem hloov cov kev kho mob. Tsuas yog ib qho ntxiv nrog kev tso cai ntawm tus kws kho mob, qee cov txhais tau tias yuav raug siv. Yog li ntawd, cov neeg kho mob pom zoo kom tshuaj yej, uas muaj ntshav-purifying thiab oncoprotective zog.
Tshuaj txhais tau tias
Cov khoom xyaw:
- linden xim - 1 rooj. diav;
- Elderberry tsos nqaij daim tawv - 1 lub rooj. diav;
- tua ntawm ib tug guelder-Rose - 1 lub rooj. diav;
- tawm wormwood - 1 lub rooj. diav;
- nplooj celandine - 1 lub rooj. diav.
Npaj thiab siv
- Txuas cov tshuaj ntsuab, sib tov.
- Ncuav ib tug teaspoon ntawm sau nrog ib khob ntawm boiling dej, npog nrog ib tug hau.
- Kaum feeb tom qab lim.
- Haus dej ntawm lub plab thaum yav sawv ntxov rau ib nrab ib teev ua ntej noj mov.
Papillary cov thyroid carcinoma - qhov kev mob
Ntawm cov neeg mob uas muaj tus kab mob papillary thyroid carcinoma, tus ciaj sia taus 10 xyoo lossis tshaj rod saud yog li 90%, yuav raug kuaj ntxov thiab kho kom zoo. Yog hais tias pom tus kab mob no nyob rau theem ob, qhov kev tiv thaiv tsib xyoo tom qab kho yog 55%, hauv theem peb - 35%, thiab nyob rau theem plaub - 15%. Qhov zoo ntawm qhov kev kuaj pom, ntxiv nrog rau tus kab mob thiab qhov txaus txhim kho ntawm kev kho mob, yog tus neeg mob lub hnub nyoog, qhov dav dav ntawm lub cev, thiab kev kho ntawm kev noj qab haus huv txoj kev ua neej.