Marka dhakhtarkaaga uu ogaado qanjirka 'nodule' ee kansarka leh, talada daaweynta caadiga ah waa inaad adiga leedahay qalliin si aad uga saarto nuduujka. Badanaa, lafo (nus) ee qanjirkaaga ayaa qalliin lagaa saarayaa, marmarka qaarkoodna, qanjidhka buuxa waa qaliinka laga saaraa. Bukaanjiif badan oo xitaa qayb ka mid ah thyroidectomy ayaa u baahan inay bedelaan hoormoonka tayroodh ee dheeriga ah, iyo qof kasta oo qaatay wadarta guud ee tirootiga ayaa ku tiirsan daawada hoormoonka hoormoonka kadib qalliinka.
Hada, waxoogaa yar, noocyo yar oo khatar ah oo korriin leh oo kansarka thyroid ah , khubarada ayaa bilaabaya inay soo jeediyaan hab cusub: ilaalin firfircoon.
Cilmi-baadhayaasha ayaa ka warramay joornaalka JAMA-Otolaryngology-Qalitaanka Qalitaanka Madaxa iyo Qashinka waxay muujiyeen in ilaalinta firfircoon - oo sidoo kale loo yaqaano sugitaanka sugidda-ee microcarcinomas ayaa laga yaabaa inay noqoto xul wanaagsan oo loogu talagalay bukaannada qalliinka, illaa inta kormeerku uu ka kooban yahay teknoolajiyada sawirada sawirada sida sida ultrasound.
Ururka "Thyroid Association" ayaa sidoo kale taageersan isticmaalka ilaalinta firfircoon sida beddelidda daaweynta cudurka kansarka ee caadiga ah ee bukaannada la soo xulay oo leh kansar qanjirada khatarta yar.
Qoraha hogaamiyaha JAMA , R. Michael Tuttle, MD, ee Xarunta Kansarka Kansarka Kansarka Kansarka, New York City, ayaa u sheegtay Medscape:
Qaar badani uma baahna qalliin sanado ah, marna maya. Waxaan ka wareegaynaa maskaxda in isla marka aad heshid ogaanshaha kansarka qanjirka 'thyroid' waa inaad rusheeyaa oo aad samaysaa qaliinka. Hadda, waa wax ka badan habka isku dheelitir la'aanta, runtiina waxaa jira kooxo bukaan ah oo ku nool Mareykanka taasina waa inay noqotaa mid si fiican loo aqbali karo. Waxaa jira bukaano ku yaala Maraykanka oo aan isla markiiba doonin qaliinka kansarku yar yar ee yar yar.
Cilmi-baadhayaashu waxay kormeereen koox bukaan ah kuwaas oo ay aad u yaryihiin-ka yaraa 1.5 mm oo ah buro-boogo weyn. Mudo sanado ah, cabirka bukaanka ayaa la qiyaasay saddex-cabbir ahaan ultrasound lixdii biloodba hal mar sanadkiiba. Cilmi baadhayaashu waxay ogaadeen in 5 sano kadib, kaliya 12 boqolkiiba bukaannada ayaa arkay caanaha ay koraan 3 mm ama kabadan.
Ma jirto faafin goboleed ama mid fog oo kansarka ah oo lagu sameeyay bukaanada la bartay intii lagu jiray ilaalinta firfircoon.
Dr. Tuttle wuxuu sheegay in cabbiraadda ultrasound ee cabbirka saddex-cabbir ee mugga burqaanku yahay fikrad cusub oo muhim ah oo ilaalisa firfircoonida si firfircoon oo waxtar leh. Sameynta ultrasound lixdii biloodba mar inta labadii sano ee ugu horreysay ee kormeerka ahi waxay u oggolaanaysaa khabiirada in ay sameeyaan heer koritaan. Haddii sicirkan uu dhakhso yahay, ka dibna qalliin ayaa lagula talinayaa. Laakiin, sida laga soo xigtay Dr Tuttle, maaddaama badankood kansarrada ay barteen aysan korin ama soo korin si tartiib tartiib ah, cilmi-baarayaashu waxay ku talinayaan in dhakhaatiirtu ay bixiyaan ilaalo firfircooni ah oo ay u doortaan bukaanka halista ah.
Sida Dr. Tuttle u sheegay Medscape:
Rushidda qaliinka waxay noqon kartaa mid ku habboon bukaan-socodka shakhsiga ah, laakiin ma jirto wax degdeg ah haddii ay rabaan inay daawadaan. Dad badan ayaa qiimeeya qanjirka 'thyroid' mana doonayaan inay ku noolaadaan hoormoonka tayroodhka nolosha, sidaas darteed haddii ay leeyihiin ikhtiyaarka daawashada, waxay u arkaan inay tahay doorasho qiimo leh.
Ereyga
Maskaxda ku hay in ilaalinta firfircoon ee qanjidhada thyroid-ka ee kansarka u baahan tahay koox khibrad leh, xirfad leh, oo khibrad u leh xirfadlayaasha caafimaadka. Waxaad rabtaa xubnaha kooxdaada inay khibrad u yeeshaan habkan cusub ee kansarka tayroodh.
Khubarada ayaa sidoo kale ka digay in natiijada laga yaabo inay waxtar u leedahay dadka bukaanka ah ee helaya daryeel ka baxsan xarumaha caafimaadka ee leh khibrad kansar weyn, ama bixiyeyaasha xanaanada caafimaadka ee ku takhasusay baadhista kansarka iyo daaweynta, iyada oo aqoon u leh qawaaniinta ilaalinta firfircoon. Fariinta guriga ee qaadashada: ilaalinta firfircoon waxay noqon kartaa ikhtiyaar sugan oo ammaan ah oo adiga kugu habboon, laakiin kaliya marka lagu sameeyo khabiirada.
Tilmaamo kale oo muhiim ah ee maskaxda lagu hayo: furaha kormeerka firfircooni waa dabagal joogto ah iyo kormeer. Haddii aad dooratid habkan, hubso inaad leedahay ultrasound joogto ah saddex-cabbir, iyo raaco khabiirada kansarka qanjidh-kaaga.
Baaritaannada joogtada ah ayaa lagama maarmaan u ah ilaalinta firfircoon, waana in ay awoodaan in ay ogaadaan isbeddel muhiim ah oo ku yimaada burooyinka kansarka leh kaas oo bixin doona daaweyn caafimaad iyo daaweyn mustaqbalka.
Ugu dambeyntii, cilmi-baarayaashu waxay soo jeedinayaan in musharrixiyeyaashu ay yihiin kuwa lagu ogaado ka dib da'da 50 sano. Haddii aad ka yar tahay 50 jir, burooyinkaaga ayaa u muuqda inay korayaan, sidaas darteed qaliinka ayaa weli lagula talin doonaa had iyo goor haddii lagaa helo kansar Microcarcinoma papillar .
> Ilo:
> Leboulleux, S. et al. "" Microcarcinoma thyroid thyroid "iyo ilaalin firfircoon." Cudurka Sonkorowga & Endocrinology, Volume 4, Issue 12, 976 - 977. Disembar 2016.
> Tuttle, M MD et. al. "Taariikhda Dabiiciga ah iyo Tumor Volume Kinetics ee Kansarka Qanjidhka Papyllary Kacaanka inta lagu jiro Ilaalinta firfircoon." JAMA Otolaryngol Head Neck Surg. Waxaa lagu soo daabacay internetka Agoosto 31, 2017. http://jamanetwork.com/journals/jamaotolaryngology/article-abstract/2650803