Ma u Baahan Tahay Wadarta Tirtiridda? Maxaa ku saabsan Raadiyaha Raadiyaha (RAI)?
Microcarcinoma Papillar waa nooc ka mid ah kansarka qanjirka thyroid oo ah mid aad u yar. Kansarrooyinka yaryar ee yar yar - microcarcinomas - waxay sameeyaan qiyaastii kala bar dhammaan kansarrada tayroodhka ee lagu ogaado Maraykanka iyo Yurub saddexdii sano ee la soo dhaafay.
Sidee Ay Yar Yihiin Miyir-qabka Microcarcinoma?
Intee in yar ayey yar tahay? Xeerarka ayaa sheegaya in kansarka faafa uu yahay "microcarcinoma" haddii uu ka yar yahay 4 inch (1 sentimitir) oo cabbir ah.
Xaalad iyo Ogaansho
Dhacdooyinka microcarcinoma ayaa sii kordhaya, taasoo ugu wacan ogaanshaha si fiican. Kuwani waxay yar yahiin, burooyin asymptomatic ah ayaa la helaa inta lagu jiro ultrasounds iyo raajada madaxa iyo qoorta.
Dhibaatooyinka Daweynta
Microcarcinoma Papillar waxaa loo tixgeliyaa inay halis ugu jirto dhimashada. Si kastaba ha noqotee, waa wax caadi ah in la soo celiyo, ama la sii wado, sidaas darteed qaliinka ayaa inta badan lagula taliyaa.
Cilmi-baareyaasha ku jira 10aad ee Congresska Endocrinology (ECE) waxay soo tebiyeen daraasad dheer oo dheer oo ku saabsan natiijada Mayo Clinic-da ee leh cudurka macdanta ee "thyroid microcarcinoma". Daraasaddan ayaa lagu ogaaday in:
- Qiyaastii 900 oo bukaan ah oo qaliinka laga soo saarey, lagama helin wax kansar ah 20kii sano ee soo socota
- Heerka 20-sano iyo 40-sanno ee qanjirka thyroid wuxuu ahaa 6% iyo 9%.
- Daraasaddan oo dhan dadka tirada yar, ayaa 3 ka mid ah bukaannada (0.3%) ay u dhinteen cudurka microcarcinoma ee tayroodh
- Heerarka nafaqada iyo dhimashada ee daraasadda ayaa wax weyn ka duwan dadweynaha
Cilmi baadhayaashu waxay soo gabagabeeyeen in natiijooyinkoodu ay xaqiijinayaan waxyaabaha soo socda:
- Microcarcinoma thyroid thyroid waxay leedahay qiyaaso aad u fiican haddii burka koowaad ee gebi ahaanba laga saaro inta lagu jiro qalitaanka.
- In ka badan 99% bukaanka qaba mitrooga microkaska ah ee tirakoobka ah ayaa halis ugu jira in uu ku fido kansar ama dhimashada kansarka thyroid.
- Abnormal removable radioactive oxygen hase yeeshee ma wanaajin halista soo noqoshada ama dhimashada kansarka qanjirka 'thyroid' muddo 40 sano ah.
Talooyinka American Thyroid Association waxay soo jeedinayaan wadarta tirtiridda thyroidektomi ee loogu talagalay microcarca microcarcinoma kaas oo lagu ogaado qaliinka ka hor, iyo burooyinka qanjidhada ama qaangaarka, si loo hubiyo in burooyinka gebi ahaanba laga saaro.
Si kastaba ha ahaatee, Ururka Isku-dhafka ee Yurub (ETA) iyo Ururka Ingiriiska ee Tirakoobka (BTA), ayaa si kastaba ha ahaatee, kugula talinayaan qaybo ka mid ah tayroodh iyo qaybo yar yar oo ka mid ah bukaannada yar-yar ee aan lahayn taariikhda shucaac. Hay'ada Mareykanka ee Clinical Endocrinologists ayaa soo jeedinaysa in xakameynta (ka-qaadista nuska qanjirka thyroid) oo lagu daray iskudhex-dhiska (ka saarida isthmus ee isku xira xuubyada) ayaa lagu talinayaa dadka bukaanka ah ee yar yar ee microcarcinoma.
Xitaa khilaaf badan ayaa ah in haddii raadiyaha raadiyaha (radioactive iodine) (RAI) - oo sidoo kale loo yaqaano raadiyaha - daaweynta ayaa sidoo kale loo baahan yahay qalliinka ka dib si loo bixiyo natiijada ugu wanaagsan ee suurtogalka ah. Inkastoo daraasadda Mayo aan wax faa'iido ah lahayn, guud ahaan waa la isku raacsan yahay in lagu taliyey in bukaanku uu ku badan yahay cudurka microcarcinoma, ie, kuwa soo noqnoqda, waxay leeyihiin burooyin badan, qanjidhada wanaagsan, iyo / ama wixii kale ee caddayn ah .
Daraasad 2009kii lagu daabacay wargayska Thyroid ayaa natiijooyin la taaban karo oo ka soo horjeeda daraasadda Mayo Clinic. Daraasaddii 2009kii ayaa lagu ogaaday in 43% dadka bukaanka ah ee loo yaqaan 'microcarcinoma' ee la daraasadey ay ku faafinayaan kansarkooda qanjirada nudaha 3 sano ee qaliin iyo in yar yahiin hababka dagaalka ee aan ku jirin iodine radioactive.
Maqaalka 2012 ee Journal of Oncology , si kastaba ha ahaatee, waxaa lagu ogaaday in daaweynta raadiyuhu uusan ahayn mid aan lagama maarmeyn, mana wanaajin natiijooyinka / saadaasha natiijooyinka microcarcinoma ee guud ahaan - waxayna ahayd faa'idada bukaanada halista sare leh oo leh burooyin waaweyn, halkaas oo RAI yaraysay heerarka soo noqoshada.
Saameynta bukaanka
Inta badan bukaannada qaba qanjirka thyroidect part ayaa weli ah inay ubaahdaan daawo beddelaadda hoormoonka tayroodh. Sidaas awgeed waxaa macquul noqon karta, haddii aad u socoto qalliin, oo aad daawo u baahato, si aad ugala hadashid ficillada iyo qasaarooyinka guud ee ka soo horjeeda tayroodhka qayb ka mid ah dhakhtarkaaga.
Ilaa inta RAI, waa inaad kala hadashaa faa'iidooyinka suuragalka ah haddii aad leedahay wax halis ah, oo ay ku jiraan taariikhda qoyska, shucaac, horukaca cudurka kansarka, ama welwelka kale. U hubso in dhakhtarkaaga uu ka warqabo tilmaamaha ugu dambeeyay si uu isagu / iyadu u qiimeeyo arimahaaga khatarta ah, iyo inaad sameyso talooyinka ugu fiican ee ku saabsan arrimaha RAI ee postoperative.
> Ilo:
> Arora, N et. al. "Kansarka thyroid-ka ee kilyaha iyo microcarcinoma: ma jirtaa baahi loo qabo in la kala saaro labadan? Tirakoob 2009; 19: 473-77
> Carballo, Marilee et. al. "Inuu Daweeyo ama aan Lagu Daaweyn: Doorka Daweynta Raadiyaha Raajada ee Rugtaodiinta ee Bukaanka Kansarka Cancer," Journal of Oncology . Sebtember 2012, Online
> Hay, Ian et. al. "Guud ahaan tirade cudurka thyroidectomy ama raadiyaha raadiyeyaasha dibedda ee raadiyeyaashu waxay wanaajisay natiijada muddada fog ee 900 oo bukaan ah oo leh 'microcarcinoma thyroid' oo loo daweeyay mudadii 1945 ilaa 2004," Endocrine Abstracts , (2008) 16 P685 Online
> Noguchi, S. et. al. "Microcarcinoma Papillar." Wargeyska Dunida Qalliinka , Volume 32, Issue 5, bogagga 747-53. May 2008, Abstract
> Pearce, E. iyo Braverman, L. "Natiijooyinka iyo Saameynta Noocyada Qanjidhka 'Thyroid Microcarcinoma' ee Daaweynta, ' Journal of Endocrinology & Metabolism , July 02, 2013 Online
> Roti, Elio (2008) Microcarcinoma Thyroid papillary: Daraasad sharraxeed iyo baaritaan mira-dhafeed. Journal Journal of Endocrinology, (2008) 159 659-673