Kenza yeHurthle Cell? Zviratidzo, Zvinokonzera, & Kurapwa

Kenza yeHurthle cell rudzi rwakasiyana-siyana rwekenza ye thyroid inobva kumasero chaiwo ari mu gland yako ye thyroid inonzi Hurthle cells. Masero aya makuru kupfuura masero e thyroid akajairika uye ane mitochondria akawanda, iyo ndiyo simba diki rinokupa masero simba.

Kenza iyi inoumba anenge 3-5% yezvose kenza dze thyroid, saka kunyangwe isiri yakajairika, kunzwisisa kunogona kukubatsira kuziva zviratidzo zvinogona kuvapo pakutanga. Mashoko akanaka ndeakuti nyaya dzakawanda dzinokura zvishoma nezvishoma uye dzinopindura zvakanaka pakurapwa kana dzikawanikwa nekukurumidza.

Zviratidzo zveHurthle cell cancer ndeapi?

Matanho ekutanga ekenza yeHurthle cell kazhinji haana zviratidzo zvinonyatsoonekwa, ndosaka kuongororwa nguva dzose kuchikosha. Kana zviratidzo zvikaonekwa, kazhinji zvine chekuita nekuchinja munzvimbo yako yemutsipa kana kuti thyroid yako inoshanda sei.

Aya ndiwo maratidzo akajairika ekutarisa:

• Bumbiro kana kuzvimba mumutsipa wako raunonzwa
• Kuomerwa kukurya kana kunzwa sekunge chimwe chinhu chakamira muhuro rako
• Kuora kwezwi kana kuchinja kwezwi kunongopfuura
• Kurwadziwa mumutsipa wako kana muhuro
• Kuzvimba kwe lymph nodes mumutsipa wako
• Kukosora kunogara kwenguva refu kusina chekuita nechirwere chekufema

Vamwe vanhu vanonzwawo zviratidzo zvisingawanzoitika senge kurasikirwa nehuremu zvisinganzwisisiki, kuneta, kana kunzwa kupisa zvisingawanzoitika. Zviratidzo izvi zvinogona kunge zvisinganzwisisiki uye zvinogona kukura zvishoma nezvishoma kwemwedzi yakawanda.

Yeuka, zviratidzo izvi zvinogona zvakare kukonzerwa nezvimwe zvirwere zvisingakuvadzi. Kuva nezviratidzo chimwe kana kupfuura hazvirevi kuti une kenza, asi zvinokosha kutaura nachiremba wako.

Chii chinokonzera Hurthle cell cancer?

Chikonzero chaicho cheHurthle cell cancer hachizivisike zvizere, asi vatsvakurudzi vanotenda kuti inokura kana Hurthle cells dzakajairika mu thyroid yako dzichiita shanduko dzemajini. Shanduko idzi dzinokonzera kuti masero akure uye awanduke zvisingadzoreki.

Zvinhu zvakati wandei zvinogona kuita kuti shanduko idzi dzemasero dziitike:

• Kuonekwa kwemwaranzi kare, kunyanya kune musoro nemutsipa
• Mamwe majini anochinja anofamba mumhuri
• Kuva nezvimwe zvirwere zve thyroid senge goiter kana thyroid nodules
• Kushomeka kwe iodine kana kuwanda mune zvaunodya
• Kushanduka kwemasero nekukwegura

Mukadiki, Hurthle cell cancer inogona kuva chikamu chemajini anogara achifamba. Izvi zvinosanganisira mamiriro ezvinhu senge Cowden syndrome kana Carney complex, izvo zvinoita kuti pave nekuwanda kwekuwana marudzi akasiyana-siyana etumors.

Vanhu vakawanda vanowana kenza iyi havazi nezvinhu zvinokonzera njodzi, saka zvakakosha kusazvituma kana wakawana chirwere ichi.

Zvinhu zvinokonzera njodzi dzeHurthle cell cancer ndeapi?

Zvinhu zvakati wandei zvinogona kuwedzera mikana yako yekuwana Hurthle cell cancer, kunyangwe kuva nezvinhu zvinokonzera njodzi hazvirevi kuti uchawana chirwere ichi. Kunzwisisa izvi kunogona kukubatsira iwe nechikurapa chako kuita sarudzo dzakachenjera pamusoro pekuongororwa nekudzivirira.

Zvinhu zvikuru zvinokonzera njodzi zvinosanganisira:

• Kuva mukadzi (vakadzi vane mukana wekuwana kanoverengeka kupfuura varume)
• Zera riri pakati pemakore 40-60, kunyangwe zvingaitika pazera ripi zvaro
• Nhoroondo yekuonekwa kwemwaranzi, kunyanya panguva yehudiki
• Nhoroondo yemhuri yekenza ye thyroid kana mamwe majini anochinja
• Kuva nezvirwere zve thyroid zvisingakuvadzi senge multinodular goiter
• Kugara munzvimbo dzine kushomeka kwe iodine

Mamwe mashoma anokonzera njodzi anosanganisira kuva nenhoroondo yekenza yemabwere, kuonekwa kwe volcanic ash, kana mamwe mabasa ekushanda nemakemikari. Nekudaro, vanhu vakawanda vane izvi zvinhu zvinokonzera njodzi havazombovi nekukonzera kenza ye thyroid.

Kana uine zvinhu zvakawanda zvinokonzera njodzi, chiremba wako anogona kukurudzira kuongororwa kwe thyroid kazhinji, asi izvi hazvirevi kuti unofanira kunetseka zvisina basa.

Rini unofanira kuona chiremba nekuda kweHurthle cell cancer?

Unofanira kubata nachiremba wako kana ukaona chero kuchinja kunogara kwenguva refu munzvimbo yako yemutsipa kana izwi rinopfuura mavhiki maviri. Kuonekwa pakutanga kunoita kuti kurapwa kuve kwakanyanya kushanda uye kunokupa iwe mhedzisiro yakanaka.

Zvakanyanya, taura nachiremba wako kana ukaona:

• Bumbiro idzva mumutsipa wako risina kupera
• Kuchinja kwezwi kana kuora kwezwi kunopfuura mavhiki maviri
• Kuomerwa kukurya kunowedzera nekufamba kwenguva
• Kurwadziwa mumutsipa zvisinganzwisisiki
• Kuzvimba kwe lymph nodes kusina kuvanduka

Kana uine nhoroondo yemhuri yekenza ye thyroid kana wakamboonekwa nemwaranzi, taura izvi nachiremba wako kunyangwe usina zviratidzo. Anogona kukurudzira kuongororwa nguva dzose sechigadzirwa chekuchengetedza.

Usamirira kana uine hanya nezve chero kuchinja mumuviri wako. Chiremba wako anogona kuita bvunzo nyore kuti aone kana kuongororwa kuwedzerwa kunodiwa, uye mabumbiro mazhinji e thyroid anova asingakuvadzi.

Hurthle cell cancer inoziviswa sei?

Kuziva Hurthle cell cancer kazhinji kunosanganisira matanho akawanda, kutanga nekuongororwa kwemuviri uye kufamba kuenda kune bvunzo dzakanyanya. Chiremba wako achaita basa zvakarongeka kuti awane mufananidzo wakajeka wezviri kuitika.

Maitiro ekuongorora kazhinji anosanganisira:

1. Kuongororwa kwemuviri kwemutsipa wako nehuro
2. Bvunzo dzeropa kuti uone mazinga ehormone yako ye thyroid
3. Ultrasound ye gland yako ye thyroid
4. Fine needle aspiration biopsy kuongorora masero
5. Kuongororwa kwemifananidzo kuwedzerwa senge CT kana MRI kana zvichidiwa

Fine needle aspiration biopsy ndiyo bvunzo inokosha yekuziva. Panguva yebvunzo iyi, chiremba wako anoshandisa tsono yakasimba kubvisa sampuli diki yemasero kubva munzvimbo inokonzera hanya.

Dzimwe nguva, biopsy yekutanga inogona kuratidza masero “anokonzera hanya” panzvimbo pekupa chirwere chekenza chakajeka. Muzviitiko izvi, chiremba wako anogona kukurudzira kubviswa kwe thyroid nodule kuti aone zvakadzama.

Maitiro ese ekuongorora kazhinji anotora mavhiki mashoma, uye timu yako yekurapa ichakutungamira mune chimwe nechimwe nhanho uchikuraramisa nezvemhedzisiro.

Kurapwa kweHurthle cell cancer ndekupi?

Kurapwa kweHurthle cell cancer kazhinji kunosanganisira kuvhiya se nzira huru, kazhinji inoteverwa nekurapwa kuwedzerwa kuitira kuti uwane mhedzisiro yakanaka. Purogiramu yako yekurapwa ichagadzirwa zvichienderana nemamiriro ako chaiwo, kusanganisira saizi uye nhanho yekenza.

Sarudzo huru dzekurapwa dzinosanganisira:

• Thyroidectomy (kubviswa kwechikamu kana chikamu chose che thyroid gland)
• Radioactive iodine therapy kubvisa masero e thyroid asara
• Thyroid hormone replacement therapy
• External radiation therapy mune dzimwe nguva
• Targeted drug therapy kune zviitiko zvakakomba

Vanhu vakawanda vane Hurthle cell cancer vanoda thyroidectomy yakazara, zvinoreva kubvisa gland yese ye thyroid. Izvi ndizvo nekuti Hurthle cell cancers zvine mukana wakawanda wekupararira mukati me thyroid kana ichienzaniswa nemamwe marudzi ekenza ye thyroid.

Mushure mekuvhiya, uchafanira kutora mushonga we thyroid hormone replacement kweupenyu hwako hwese. Mushonga uyu unotsiva mahomoni aizoita thyroid yako uye unobatsira kudzivirira kudzokera kwekenza.

Oncologist yako inogona zvakare kukurudzira radioactive iodine treatment, kunyangwe Hurthle cell cancers hazvipinduri zvakanaka pakurapwa uku semamwe marudzi ekenza ye thyroid.

Zvinogona kukonzera matambudziko eHurthle cell cancer ndeapi?

Kunyangwe vanhu vakawanda vane Hurthle cell cancer vachiita zvakanaka nekurapwa, zvakakosha kunzwisisa matambudziko anogona kuitika kuitira kuti ugone kushanda nechikurapa chako kuti uongorore uye utonge zvakanyanya.

Matambudziko ane chekuita nekurapwa anogona kusanganisira:

• Kuora kwezwi kwenguva pfupi kana kwenguva refu kubva pakukuvara kwema nerve panguva yekuvhiya
• Mamazinga e calcium ari pasi kana parathyroid glands dzikabatwa
• Kuomerwa kudzora mazinga ehormone ye thyroid
• Kuneta panguva yekugadzirisa thyroid hormone replacement therapy
• Kuumbwa kwetsinga munzvimbo yekuvhiya

Matambudziko ane chekuita nekenza haawanzoitika asi anogona kusanganisira kupararira ku lymph nodes iri pedyo kana, mune dzimwe nguva, kuenda kune dzimwe nhengo senge mapapu kana mapfupa. Izvi zvine mukana wakawanda wekuitika kana kenza ikawanikwa pane nhanho yakakomba.

Vamwe vanhu vanonzwa zvinhu zvepfungwa senge kunetseka nezvekudzokera kana kuomerwa kugadzirisa hupenyu mushure mekurapwa kwekensa. Manzwiro aya akajairika uye rubatsiro ruripo.

Timu yako yekurapa ichakutarisa zvakanyanya chero matambudziko uye ichapa kurapwa nekukurumidza kana akaitika. Matambudziko mazhinji anogona kutongwa nekurapwa kwakakodzera.

Hurthle cell cancer inogona kudzivirirwa sei?

Zvinosuruvarisa, hapana nzira yakavimbika yekudzivirira Hurthle cell cancer sezvo tisinganzwisisi zvizere zvinhu zvose zvinoikonzeresa. Nekudaro, unogona kutora matanho ekuderedza njodzi yako uye kuwana chero matambudziko pakutanga.

Aya ndiwo mamwe matanho ekudzivirira aunogona kufunga nezvawo:

• Dzivisa kuonekwa kwemwaranzi zvisina basa, kunyanya kumusoro nemutsipa
• Chengeta kudya kwakaringana ne iodine yakakwana
• Ita kuongororwa nguva dzose kana uine zvinhu zvinokonzera njodzi
• Dzidza kuzvibvunza mumutsipa
• Usafume, sezvo zvingawedzera njodzi yekenza ye thyroid

Kana uine nhoroondo yemhuri yekenza ye thyroid kana majini anochinja anowedzera njodzi yako, genetic counseling inogona kubatsira. Genetic counselor anogona kukubatsira kunzwisisa njodzi yako pachako uye kukurukura nzira dzakakodzera dzekuongorora.

Kune vanhu vane njodzi yakakwira kwazvo yemajini, vamwe vanachiremba vanogona kukurudzira kubviswa kwe thyroid kudzivirira, asi iyi sarudzo yakaoma inoda kufunga zvakanyanya nezvemabhenefiti nenjodzi.

Chinhu chakakosha chaunogona kuita ndechekuchengetedza kuziva nezvekuchinja mumuviri wako uye kuchengetedza kutaurirana kwenguva dzose nechikurapa chako.

Maitiro ekutonga zviratidzo pamba panguva yekurapwa?

Kutonga zviratidzo nemigumisiro pamba kunogona kukubatsira kunzwa zviri nani panguva yekurapwa nekudzoreredzwa. Nzira nyore dzinogona kuita musiyano mukuru mukunyaradza kwako kwezuva nezuva uye hutano hwako hwese.

Kune kuchengetedza mushure mekuvhiya, unogona:

• Chengeta incision yako yakachena uye yakaoma sezvakaratidzwa
• Isa ice packs kuderedza kuzvimba nekuneta
• Rara nemusoro wako wakakwirira kuderedza kuzvimba
• Tora mushonga wekurwadziwa wakanyorwa sezvakaratidzwa
• Ita maekisesaizi emutsipa akajeka sezvakakurudzirwa nachiremba wako

Kana uri kunzwa kuneta kubva pakugadzirisa mazinga ehormone, edza kuchengetedza nguva yekurara yakajairika uye ita mabasa emuviri akajeka sezvinobvumidzwa. Vanhu vakawanda vanowana kuti mazinga avo esimba anovandudza kana thyroid hormone replacement therapy yavo yakaringana.

Kune kuchinja kwezwi kana kuora kwezwi, zorodza izwi rako kana zvichibvira uye chengetedza mvura yakakwana. Speech therapy inogona kubatsira kana matambudziko ezwi achiramba aripo mushure mekuvhiya.

Gara uchibata nechikurapa chako kana ukaona kurwadziwa kwakanyanya, zviratidzo zvehutachiona, kuoma kufema, kana chero zvimwe zviratidzo zvinokunetsa.

Unofanira kugadzirira sei kuenda kuchiremba?

Kugadzirira kuenda kuchiremba kunogona kukubatsira kuti uwane zvakanyanya kubva pakushanya kwako uye kuve nechokwadi chekuti zvinetso zvako zvose zvakagadziriswa. Kutora maminitsi mashoma kuronga pfungwa dzako neruzivo usati waenda kunoita kuti musangano uve unobatsira zvikuru.

Usati waenda kuchiremba,unganidza ruzivo urwu:

• Rondedzero yemishonga yese iripo uye zvinowedzerwa
• Nhoroondo yemhuri yekenza ye thyroid kana mamwe marudzi ekensa
• Nguva yekutanga pawakaona zviratidzo
• Chero kuonekwa kwemwaranzi kare kana matambudziko e thyroid
• Ruzivo rweinshurensi uye mhedzisiro yebvunzo yapfuura

Nyora mibvunzo yako usati waenda kuitira kuti usakanganwe kuibvunza panguva yemusangano. Mibvunzo yakajairika inosanganisira kubvunza nezvesarudzo dzekurapwa, migumisiro, prognosis, uye zvekutarisira panguva yekudzoreredzwa.

Funga kuuya neshamwari yakavimbika kana nhengo yemhuri, kunyanya kune misangano kwaunozvikura nezvemapurogiramu ekurapwa kana kuwana mhedzisiro yebvunzo. Vanogona kukubatsira kuyeuka ruzivo rwakakosha uye kupa rutsigiro rwepfungwa.

Usanetseka kubvunza chiremba wako kuti akutsanangurire chero chinhu chisinganzwisisiki. Ndiyo basa ravo kukubatsira kunzwa wakaziva uye wakasununguka nechirongwa chako chekurapwa.

Chii chinonyanya kukosha nezve Hurthle cell cancer?

Hurthle cell cancer rudzi rwakasiyana-siyana asi runorapika rwekensa ye thyroid rine prognosis yakanaka kana yakawanikwa pakutanga. Kunyangwe kuwana chero chirwere chekenza kunogona kunzwa kwakanyanya, kunzwisisa kuti kurapwa kwakakodzera kuripo kunogona kupa tariro uye kutungamira.

Zvinhu zvinonyanya kukosha zvekuyeuka ndezvekuti zviratidzo senge mabumbiro emutsipa kana kuchinja kwezwi zvinoda kutarisirwa kwachiremba nekukurumidza, uye kuti mwero wekubudirira kwekenza ye thyroid, kusanganisira Hurthle cell cancer, kazhinji zvakanaka kwazvo.

Kushanda pedyo nechikurapa chako, kuramba uchiudzwa nezvemamiriro ako, uye kuchengetedza kutaurirana kwakazara nezve zvinokunetsa zvichakubatsira kufamba rwendo urwu nechivimbo. Yeuka kuti hausi wega mune ino nzira.

Vanhu vakawanda vane Hurthle cell cancer vanorarama hupenyu hwese, hutano mushure mekurapwa. Tarisa pakutora zvinhu nhanho nhanho uye kupemberera kukunda duku munzira.

Mibvunzo inobvunzwa kazhinji nezve Hurthle cell cancer

Hurthle cell cancer inonyanya kukomba kupfuura mamwe marudzi ekensa ye thyroid here?

Hurthle cell cancer inogona kuva yakanyanya kukomba kupfuura mamwe marudzi ekensa ye thyroid, asi izvi zvinosiyana zvikuru kubva kune munhu kune mumwe. Inowanzoita kuti isapinduri zvakanaka pakurapwa kwe radioactive iodine, asi kuvhiya kazhinji kunoshanda kwazvo. Chiremba wako achaongorora nyaya yako chaiyo kuti aone nzira yakanaka yekurapwa kwauri.

Ndingararama hupenyu hwenguva dzose mushure mekurapwa kweHurthle cell cancer here?

Hungu, vanhu vakawanda vanodzokera kumabasa avo akajairika mushure mekurapwa kweHurthle cell cancer. Uchafanira kutora thyroid hormone replacement mushonga zuva nezuva uye uve nemisangano yekutevera nguva dzose, asi izvi hazvifaniri kukanganisa mararamiro ako zvakanyanya. Vanhu vakawanda vanoti vanonzwa zvakanaka kana zvakanaka kupfuura usati wawana chirwere chavo kana kurapwa kwavo kwapera.

Ndingazova nemisangano yekutevera mangani mushure mekurapwa?

Zvirongwa zvekuongorora zvinosiyana, asi kazhinji uchaona chiremba wako mwedzi yega yega 3-6 kwemakore mashomanana ekutanga, wobva wawana gore rega rega kana zvese zvichitaridzika zvakanaka. Misangano iyi kazhinji inosanganisira bvunzo dzeropa kuti uone mazinga ehormone yako ye thyroid uye zviratidzo zvekensa, pamwe nekuongororwa kwemifananidzo nguva nenguva. Chiremba wako achachinja chirongwa ichi zvichienderana nemamiriro ako chaiwo.

Ndichawanda here mushure mekuvhiya kwekubvisa thyroid?

Vamwe vanhu vanoita kuchinja kwehuremu mushure mekuvhiya kwe thyroid, asi izvi hazvisi zvechokwadi. Kuwanda kwehuremu kunonyanya kuitika kana thyroid hormone replacement yako isina kururama. Kushanda nechikurapa chako kuti uwane dose yakakodzera yemushonga uye kuchengetedza kudya kwakanaka nemaitiro ekurovedza muviri kunogona kukubatsira kuchengetedza huremu hwako.

Hurthle cell cancer inogona kudzokera mushure mekurapwa here?

Kunyangwe kudzokera kunogoneka, hakusi kazhinji kana kenza ikawanikwa pakutanga uye ikarapwa zvakakodzera. Njodzi yekudzokera inotsamira pazvinhu senge nhanho yekenza yako pakuongororwa uye kuti yakabviswa zvakakwana sei panguva yekuvhiya. Kuongororwa nguva dzose kunogadzirirwa kuwana chero kudzokera pakutanga, kana kuri kurapika kwazvo.