Cilmi-baadhayaasha Qiimeynta Lobektomi ama Wadarta Tirtiridda Tirada Kansarka Papillaha
Sanadka 2017, Ururka Cancer Society wuxuu ku qiyaasay in ku dhawaad 56,870 xaalado cusub oo kansarka thyroid ah lagu ogaan doono: 42,470 dumarka, iyo 14,400 ragga.
Daaweynta caadiga ah ee kansarka thyroid waa qalliin looga saaro kansarka. Caadi ahaan, khubarada ayaa kugula talinaya in qalitaanka uu ka saaro qanjirrada oo dhan. Ka saariddan guud ee qanjidhada thyroid waxaa loo yaqaanaa wadarta tirtiridda (thyroidectomy) .
Ilaa 2017, tilmaamaha American Thyroid Association ee ku saabsan kansarka tayroodh ayaa waxay ku talinayaan in bukaan-socodka uu helo dhammaan tirooyinka kansarka qanjirada . Kaliya marka laga reebo waxaa loo sameeyaa qanjirka thyroid ee ugu yar yar oo ka yar 1 cm dhexroor.
Dalka Mareykanka, qiyaastii boqolkiiba 80 ee dhammaan kansarrada qanjidhada kaadiheysta waa kansarka faafa, kaas oo sidoo kale loo yaqaan 'papillary carcinoma' ama 'adenocarcinoma papillary'. Kansarka neefsashada waxay u badan tahay inuu soo bandhigo hal dhinac oo ka mid ah laf-dhabarka loo yaqaan 'lobe' -waxaana nooca kansarka tayroodhka ah uu caadi ahaan si tartiib ah u koraa. Si kastaba ha ahaatee, kansarka neefsiga ayaa ku faafi kara qanjidhada qoorta. Xitaa marka ay ku faafto qanjidhada nudaha, tirakoobka ayaa muujinaya in kansarka faafa uu yahay mid la daaweyn karo, marmarna ma aha mid dhimasho ah.
Natiijooyinka daraasadda cilmi baarista ee lagu soo bandhigay Congress of Clinical of College College of Surgeons 2016 ayaa soo jeediyay in dad badan oo qaba kansarka qanjirka 'papillar' ay ka faa'iideysan karaan qaali qaali ah, yareyn, iyo qalliinka qalliinka qayb ahaan ka mid ah oo loo yaqaano "lobectomy", oo ka badan total total thyroidectomy.
Dhexdhexaadiyeha, lebbiska laftirkiisa oo kaliya ayaa qaliinka laga saaraa.
Gaar ahaan, baarayaal ka socda Tulane University School of Medicine ee New Orleans iyo Johns Hopkins School of Medicine ee Baltimore ayaa goostay in badi dadka bukaanka qaba cudurka thyroid-ka ee tirakoobka, tirakoobka guud ee qanjirka 'qaaliga' uu yahay mid qaali ah oo sababa tayada nolosha marka la barbardhigo jimicsiga.
Daraasadda hoggaamiyaha cilmi baarista ee Zaid Al-Qurayshi, MD, MPH, oo ka tirsan Isbitaalka Jaamacadda Iowa, ayaa yiri:
Natiijooyinkayagu waxay muujinayaan in laga eego dhinaca dhaqaalaha, hirgelinta jimicsiga halkii lagu dhisi lahaa wadarta thyroidectomy ee bukaanada ka soo shaacbaxay qanjirka 'thyroid karsinomoma' waxaa lala xiriiriyaa qiimo hoose iyo waxtarkooda wanaagsan. Waxaa muhiim ah in la ogaado, natiijadani micnaheedu ma'aha in lafdhabarku uu yahay bedel ku filan; waxaan ugu yeernaa istiraatiijiyad 'kharash-wax-ku-ool ah' marka la barbar dhigo bedelka haddii ay qiimo ka badan tahay, ama isku mid, laakiin waxay la xiriirtaa waxtarka wanaagsan.
Daraasad kale oo la barbar dhigta qanjidhada kansarka qanjirka 'thyroid' iyo sicir-celinta ee bukaannada ee qabay wadarta guud ee tirtiridda (thyroidectomy) iyo ladaga 'lobaticomy'. Daraasad 10-sano ah ayaa waxaa fuliyay Xarunta Kansarka Kansarka Kansarka ee Memorial Sloan Kettering Center ee New York. Daraasaddan, cilmi-baarayaashu waxay qiimeeyeen bukaanada qaba kansarrada qanjirka 'thyroid' ka yar 4 cm oo cabbirkooda ah oo aan ku faafin dibadda. Cilmi-baadhayaashu ma helin farqi weyn oo ku yimid 10-kii sano ee noolaanshaha ama heerka qanjirka thyroid-ka ee labada kooxood. Baaritaankani wuxuu muujiyay in waqti ka dib, marka laga hadlayo halista kansarka thyroid-ka iyo halista soo noqoshada, lobectomy wuxuu ahaa mid waxtar u leh wadarta tirtiridda (thyroidectomy) ee kansarrada tayroodh yar.
Natiijooyinka Lobectomy
Sida laga soo xigtay cilmi-baarayaasha, oo loogu talagalay koox falanqeynaysa bukaannada qaba kansarka faafa, lobectomy waxay ka fiican tahay wadarta thyroidektomi sababo badan, oo ay ka mid yihiin:
- Lobektomi waa qaliinka gaaban marka loo eego wadarta guud ee thyroidectomy, waxaana badanaa lagu sameeyaa iyadoo lagu saleynayo bukaan-socodka .
- Lobektomi waxay leedahay khatar yar oo ah dhibaatooyinka qalliinka marka la barbar dhigo tirakoobka guud.
- Dib-u-soo-kabashada ka dib dhadhiig-xuubka ayaa si dhakhso ah loo barbar dhigo tirakoobka guud
- Kadib kondomka, ma ubaahnid inaad u baahato bedelka hormoonka tayroodh (ama haddii aad sameysid, qiyaasta daawadu hoos ayay u dhici kartaa). Haddii aad leedahay wadarta guud ee thyroidectomy, waxaad u baahan doontaa dawo beddelaad ah oo aad u dheer oo hormoon ah.
- Bukaanjiifka Lobektomi ayaa tilmaan u ah tayada nolosha ka dib qalliinka markii la barbar dhigo wadarta tirtiridda guud.
Ma waxaad tahay musharixiin labbiska dhejiska ah?
Cilmi-baadhis ayaa muujisay in laf-dhabarku uu noqon karo mid waxtar leh marka kansarka qanjidhka pyrillary uu la kulmo saddex shuruudood oo muhiim ah:
- Kansarka qanjidhka thyroid wuxuu yahay Heerka 1aad ama II keliya
- Buro waxay ku taallaa hal lice oo ka mid ah laf-dhabarka
- Buro waa 4 cm ama ka yar size
Haddii aad qabtid kansarka qanjirka 'pyrillary' ee ku habboon xuduudahan, waxaa laga yaabaa inaad rabto inaad ka hadashid xakameyn idil iyo guud ahaan tirokoobka oo leh dhakhtarkaaga qalliinka.
Macluumaadka Kale ee bukaanka
Arinta qalliinka qanjirka thyroid wuxuu keenaa qodob muhiim ah. Xitaa iyadoo la socdo xajmiga, dhibaatooyinka ayaa u badanaaba haddii dhakhtarkaaga qaliinka uu leeyahay waayo-aragnimo yar oo qaliinka qalliinka lagu sameeyo. Waa muhiim inaad baratid intii aad awooddo oo aad dooranaysid dhakhtar qalliin leh oo khibrad ballaaran ku leh qalliinka tayroodh .
> Ilo:
> Nixon, IJ et al. Rugta qanjirka 'Thyroid Theroid' ee daaweynta habdhiska qanjirka 'intrathyroid' ee kala duwan. Qalliin. 2011. Oktoobar 14, 2011
> Noureldine, S. iyo Kandil, E. "Ka qaadista lobe halkii tirir guud ahaan tirtiri karta ayaa laga yaabaa inay ka faa'iideysato bukaannada kansarka qanjirka 'papylated thyroid'." Jaamacadda American ee Takhaatiirta: 2016 Xogta Klinikada.