Ukuthi Yini Umdlavuza We-Hurthle Cell? Izimpawu, Izimbangela, Nokwelashwa

Umdlavuza we-Hurthle cell uhlobo oluyimfihlo lomdlavuza wesitho se-thyroid ovela kumaseli athile esitho sakho se-thyroid abizwa ngama-Hurthle cells. La maseli amakhulu kunamaseli avamile e-thyroid futhi anama-mitochondria amaningi, okuyizindawo ezincane zamandla anika amaseli amandla.

Lo mdlavuza ukhona cishe ku-3-5% yomdlavuza we-thyroid wonke, ngakho-ke nakuba ungavamile, ukuqonda ngawo kungakusiza ukuthi uqaphele izimpawu ezingaba khona ekuqaleni. Izindaba ezinhle ukuthi izimo eziningi zikhula kancane futhi ziphendula kahle ekwelapheni uma zitholakala ngesikhathi.

Ziyini izimpawu zomdlavuza we-Hurthle cell?

Izinyathelo zokuqala zomdlavuza we-Hurthle cell ngokuvamile azibangeli izimpawu eziphawulekayo, kungakho ukubheka njalo kubalulekile. Uma izimpawu zivele, ngokuvamile zihambisana nezinguquko endaweni yomhlathi wakho noma indlela esebenza ngayo i-thyroid yakho.

Nazi izimpawu ezivamile okufanele uzibheke:

• Isibopho noma ukukhula emhlathini wakho ongakwazi ukuzizwa
• Ubunzima bokuginya noma ukuzizwa sengathi kukhona okuvalekile emgqeni wakho
• Ukukhahlela noma ukuguquka kwezwi okungapheli
• Ubuhlungu emhlathini wakho noma emgqeni
• Ama-lymph nodes awokha emhlathini wakho
• Ukukhahlela okuqhubekayo okungahlobene ne-cold

Abanye abantu nabo baye baba nezimpawu ezingavamile njengokulahlekelwa isisindo okungachazeki, ukukhathala, noma ukuzizwa ufudumala kakhulu. Lezi zimpawu zingaba zimbi futhi zingase zikhule kancane kancane ezinyangeni.

Khumbula, lezi zimpawu zingabangelwa ezinye izimo eziningi, ezingathí sina. Ukuba nesimpawu esisodwa noma ngaphezulu akusikho ukuthi une-cancer, kodwa kufanele uxoxe nodokotela wakho.

Yini ebangela umdlavuza we-Hurthle cell?

Imbangela eqondile yomdlavuza we-Hurthle cell ayiqondakali ngokuphelele, kodwa abacwaningi bakholelwa ukuthi ukhula uma ama-Hurthle cells avamile esitho sakho se-thyroid enza izinguquko ze-genetic. Lezi zinguquko zibangela amaseli ukuba akhule futhi azinze ngokungenakulawuleka.

Izici eziningana zingase zisebenze kulezi zinguquko zamaseli:

• Ukukhishwa kwengqondo ngaphambili, ikakhulukazi endaweni yekhanda nasemhlathini
• Izinguquko ezithile ze-genetic ezidluliselwa emindenini
• Ukuba nezinye izimo ze-thyroid njenge-goiter noma ama-thyroid nodules
• Ukungabi khona kwe-iodine noma ukwanda ekudleni kwakho
• Izingoqo zokuguquka kwamaseli ezinxulumene nobudala

Ezimweni ezingavamile, umdlavuza we-Hurthle cell ungaba yingxenye ye-syndromes eziwusizo ze-genetic. Lokhu kuhlanganisa izimo ezinjenge-Cowden syndrome noma i-Carney complex, ezandisa ingozi yokuthuthukisa izinhlobo eziningi ze-tumors.

Abantu abaningi abathuthukisa lo mdlavuza abanazo izici ezaziwayo zengozi, ngakho kubalulekile ukungazisola uma uthola leli bika.

Ziyini izici zengozi zomdlavuza we-Hurthle cell?

Izici ezithile zingandisa amathuba akho okukhula komdlavuza we-Hurthle cell, nakuba ukuba nezici zengozi akusho ukuthi uzothola leli gciwane. Ukuqonda lokhu kungakusiza wena nodokotela wakho ukuba nizenze izinqumo ezilwemi mayelana nokukhetha nokuvimbela.

Izici eziyinhloko zengozi zihlanganisa:

• Ukuba owesifazane (abesifazane banethuba elingaphezulu kwezi-3-4 lokuthuthukisa)
• Iminyaka phakathi kweminyaka engu-40-60, nakuba ingase ibe khona kunoma iyiphi iminyaka
• Umlando wokukhishwa kwengqondo, ikakhulukazi ngesikhathi sobuntwana
• Umlando womndeni womdlavuza we-thyroid noma izimo ezithile ze-genetic
• Ukuba nezinye izimo ze-thyroid ezinjenge-multinodular goiter
• Ukuphila ezindaweni ezingenayo i-iodine

Ezinye izici zengozi ezingavamile zihlanganisa ukuba nomlando womdlavuza webele, ukukhishwa komlotha wevolcano, noma ukukhishwa okuthile emsebenzini kwezinto ezikhiqizwayo. Noma kunjalo, abantu abaningi abana lezi zici zengozi abakaze bathuthukise umdlavuza we-thyroid.

Uma unezici eziningi zengozi, udokotela wakho angase akukhuthaze ukuhlolwa kwe-thyroid okuvamile, kodwa lokhu akusho ukuthi kufanele ukhathazeke ngokungadingekile.

Nini okufanele ubheke udokotela ngomdlavuza we-Hurthle cell?

Kufanele uxhumane nodokotela wakho uma uqaphela noma yiziphi izinguquko eziqhubekayo endaweni yomhlathi wakho noma izwi ezihlala isikhathi esingaphezu kwamasonto amabili. Ukutholakala ekuqaleni kwenza ukwelashwa kube nomphumela futhi kukunikeza umphumela omuhle kakhulu.

Ngokuqondile, xhumana nomhlinzeki wakho wezempilo uma uhlangabezana nalokhu okulandelayo:

• Isibopho esisha emhlathini wakho esingapheli
• Izingoqo zezwi noma ukukhahlela okuhlala isikhathi esingaphezulu kwamasonto amabili
• Ubunzima bokuginya obukhula ngokuhamba kwesikhathi
• Ubuhlungu emhlathini okungachazeki
• Ama-lymph nodes awokha angathuthuki

Uma unemlando womndeni womdlavuza we-thyroid noma ukhishwe engqondweni, khuluma nodokotela wakho ngisho noma ungenazo izimpawu. Bangase bakhuthaze ukukhetha okuvamile njengendlela yokuphepha.

Ungalindi uma ukhathazekile nganoma yiziphi izinguquko emzimbeni wakho. Udokotela wakho angenza ukuhlolwa okulula ukuze aqonde ukuthi ingabe kufanele kwenziwe ukuhlolwa okwengeziwe, futhi izibopho eziningi ze-thyroid zivela zingenangozi.

Umdlavuza we-Hurthle cell utholakala kanjani?

Ukutholakala komdlavuza we-Hurthle cell ngokuvamile kuhilela izinyathelo eziningana, kuqala ngokuhlolwa komzimba bese uya ekuhlolweni okukhethekile. Udokotela wakho uzosebenza ngendlela ehlelekile ukuze athole isithombe esicacile sokuthi kwenzekani.

Inqubo yokutholakala ngokuvamile ihlanganisa:

1. Ukuhlolwa komzimba womhlathi wakho nomgqeni
2. Ukuhlolwa kwegazi ukuze uhlole amazinga e-thyroid hormone yakho
3. I-ultrasound yesitho sakho se-thyroid
4. I-fine needle aspiration biopsy ukuhlola amaseli
5. Ukuhlolwa kwezithombe ezengeziwe njenge-CT noma i-MRI uma kudingeka

I-fine needle aspiration biopsy yiyona vi yokuhlola ebaluleke kakhulu yokutholakala. Ngalesi senzo, udokotela wakho usebenzisa i-needle encane ukuze asuse isampula encane yamaseli endaweni engathí sina.

Ngezinye izikhathi, i-biopsy yokuqala ingase ibonise amaseli "angathí sina" kunokunikeza ukuxilongwa okuqinisekile komdlavuza. Kulezi zimo, udokotela wakho angase akhuthaze ukususwa kwe-thyroid nodule ngokusebenza ukuze kwenziwe ukuhlolwa okuningiliziwe.

Inqubo yonke yokutholakala ngokuvamile ithatha amasonto ambalwa, futhi iqembu lakho lezempilo lizokuqondisa kuyo yonke inyathelo ngenkathi likugcina ulwazi ngemiphumela.

Iyini ukwelashwa komdlavuza we-Hurthle cell?

Ukwelashwa komdlavuza we-Hurthle cell ngokuvamile kuhilela ukusebenza njengendlela ephambili, ngokuvamile kulandela ukwelashwa okwengeziwe ukuze kuqinisekiswe umphumela omuhle. Uhlelo lwakho lokwelashwa luzokwenziwa ngokwezimo zakho ezithile, kuhlanganise usayizi nesigaba somdlavuza.

Izindlela eziyinhloko zokwelashwa zihlanganisa:

• I-Thyroidectomy (ukususwa ngokusebenza kwengxenye noma yonke isithelo se-thyroid)
• Ukwelashwa kwe-radioactive iodine ukubhubhisa amaseli e-thyroid asaleyo
• Ukwelashwa kokufakwa kwe-thyroid hormone
• Ukwelashwa kwengqondo ngaphandle kwezinye izimo
• Ukwelashwa kwezidakamizwa eziqondiswe ezimweni eziphambili

Abantu abaningi abane-Hurthle cell cancer bazodinga i-total thyroidectomy, okusho ukususwa kwesitho se-thyroid sonke. Lokhu kungenxa yokuthi umdlavuza we-Hurthle cell unethuba elikhulu lokubhebhetheka ngaphakathi kwe-thyroid uma kuqhathaniswa nezinye izinhlobo zomdlavuza we-thyroid.

Ngemva kokusebenza, kuzodingeka uthathe imithi yokufakwa kwe-thyroid hormone ukuphila kwakho konke. Le mithi ithatha izinto eziyimfihlo i-thyroid yakho ebeyizokhiqiza futhi isize ukuvimbela ukubuyela komdlavuza.

Oncologist yakho ingase ikhuthaze ukwelashwa kwe-radioactive iodine, nakuba umdlavuza we-Hurthle cell awuphenduli kahle kule mithi njengezinye izinhlobo zomdlavuza we-thyroid.

Ziyini izinkinga ezingaba khona zomdlavuza we-Hurthle cell?

Nakuba abantu abaningi abane-Hurthle cell cancer benza kahle kakhulu ngokwelashwa, kubalulekile ukuqonda izinkinga ezingaba khona ukuze ukwazi ukusebenza neqembu lakho lezempilo ukuze uqaphele futhi uphathe ngokuphumelelayo.

Izinkinga ezihlobene nokwelashwa zingase zihlanganise:

• Ukukhahlela okwesikhashana noma okungapheli ngenxa yomonakalo wezinzwa ngesikhathi sokusebenza
• Amazinga e-calcium aphansi uma ama-parathyroid glands ethinteka
• Ubunzima bokulawula amazinga e-thyroid hormone
• Ukukhathala ngenkathi ulungisa ukwelashwa kwe-hormone
• Ukwenziwa kwesikhumba sendawo yokusebenza

Izinkinga ezihlobene nomdlavuza azivamile kodwa zingase zihlanganise ukubhebhetheka kuma-lymph nodes aseduze noma, ezimweni ezingavamile, ezitho ezikude njengemiphunga noma amathambo. Lokhu kunethuba elikhulu lokuthi kwenzeke uma umdlavuza utholakala esigabeni esiphambili.

Abanye abantu baye baba nemiphumela ye-psychological njengokukhathazeka ngokubuyela noma ubunzima bokuzilungiselela ukuphila ngemva kokwelashwa komdlavuza. Lezi zimvo zivamile futhi ukwesekwa kukhona.

Iqembu lakho lezokwelapha lizokuqapha eduze nganoma yiziphi izinkinga futhi linikeze ukwelashwa ngokushesha uma kwenzeka. Izinkinga eziningi ziphatheka ngokunakekelwa okufanele kwezokwelapha.

Umdlavuza we-Hurthle cell ungavimbeka kanjani?

Ngeshwa, ayikho indlela eqinisekisiwe yokuvimbela umdlavuza we-Hurthle cell ngoba asiqondi ngokuphelele zonke izici ezibangela. Noma kunjalo, ungathatha izinyathelo zokunciphisa ingozi yakho futhi uthole noma yiziphi izinkinga ekuqaleni.

Nazi ezinye izindlela zokuvimbela ongazicabangela:

• Gwema ukukhishwa kwengqondo okungadingekile, ikakhulukazi ekhanda nasemhlabeni
• Gcina ukudla okuqondile ngokutholakala kwe-iodine
• Thola ukubheka njalo uma unezici zengozi
• Funda ukwenza ukuhlolwa komhlathi ngokwakho
• Ungabhemi, njengoba kungase kukhulise ingozi yomdlavuza we-thyroid

Uma unemlando womndeni womdlavuza we-thyroid noma i-syndromes ye-genetic ezandisa ingozi yakho, ukwelulekwa kwe-genetic kungase kube usizo. Umqondisi we-genetic angakusiza ukuthi uqonde ingozi yakho siqu futhi uxoxe ngezindlela ezifanele zokukhetha.

Kubantu abanezingozi eziphezulu kakhulu ze-genetic, abanye odokotela bangase bakhuthaze ukususwa kwe-thyroid okuvimbelayo, kodwa lokhu kuyisinqumo esiyinkimbinkimbi esidinga ukucabangelwa ngokucophelela kwezinzuzo nezingozi.

Into ebaluleke kakhulu ongayenza iwukuba uqaphele izinguquko emzimbeni wakho futhi ugcine ukuxhumana okuvamile nomhlinzeki wakho wezempilo.

Indlela yokuphatha izimpawu ekhaya ngesikhathi sokwelashwa?

Ukuphatha izimpawu nemiphumela emibi ekhaya kungakusiza uzizwe ukhululekile ngesikhathi sokwelashwa nokubuyela. Izindlela ezilula zingenza umehluko omkhulu ekududuzeni kwakho kwansuku zonke nasempilweni yakho yonke.

Ukunakekelwa ngemva kokusebenza, ungakwazi:

• Gcina isikhumba sakho sihlanzekile futhi siwomile njengoba kuqondiswe
• Faka ama-ice packs ukuze unciphise ukukhula nobuhlungu
• Lala ngekhanda lakho liphezulu ukuze unciphise ukukhula
• Thatha imithi ebuhlungwini eyalwe njengoba kuqondiswe
• Yenza imisebenzi yomhlathi olula njengoba kunconywe udokotela wakho

Uma uhlangabezana nokukhathala ngenxa yokulungiswa kwamazinga e-hormone, zama ukugcina isimiso sokulala esiqondile futhi uhlanganyele emisebenzini yomzimba elula njengoba ubekezelela. Abantu abaningi bathola ukuthi amazinga abo amandla athuthuka uma ukwelashwa kwabo kwe-hormone kufanele kulungiswe.

Ngezingoqo zezwi noma ukukhahlela, phumula izwi lakho uma kungenzeka futhi uhlale uthola amanzi. Ukwelashwa kwezwi kungase kube usizo uma izinkinga zezwi ziqhubeka ngemva kokusebenza.

Xhumana neqembu lakho lezempilo uma uhlangabezana nobuhlungu obukhulu, izimpawu zokutheleleka, ubunzima bokuqeda umoya, noma noma yiziphi ezinye izimpawu ezikukhathazayo.

Kufanele uzilungiselele kanjani i-appointment yakho yodokotela?

Ukulungiselela i-appointment yakho yodokotela kungakusiza uthole okuningi kakhulu ekuhambeni kwakho futhi kuqinisekise ukuthi zonke izinkinga zakho ziqondwe. Ukuthatha imizuzu embalwa ukuhlela imicabango yakho nolwazi ngaphambili kwenza i-appointment ibe nomphumela.

Ngaphambi kwe-appointment yakho, buza le mininingwane:

• Uhlu lwemithi yonke nezinye izinto ezingezona imithi
• Umlando womndeni womdlavuza we-thyroid noma omunye umdlavuza
• Isikhathi sokuqala lapho uqale ukubona izimpawu
• Noma yikuphi ukukhishwa kwengqondo ngaphambili noma izinkinga ze-thyroid
• Ulwazi lwe-insurance nemiphumela yokuhlolwa ngaphambili

Bhala phansi imibuzo yakho ngaphambili ukuze ungakhohlwa ukuyibuza ngesikhathi se-appointment. Imibuzo evamile ihlanganisa ukubuza ngezindlela zokwelashwa, imiphumela emibi, ukubikezelwa, nokuthi yini okufanele uyilinde ngesikhathi sokubuyela.

Cabanga ukuletha umngane othembekile noma ilungu lomndeni nawe, ikakhulukazi ngama-appointments lapho uzoxoxa ngezinhlelo zokwelashwa noma uthole imiphumela yokuhlolwa. Bangakusiza ukuba ukhumbule ulwazi olukhulu futhi banikeze ukwesekwa ngokomzwelo.

Ungangabazi ukubuza udokotela wakho ukuthi achaze noma yini ongayiqondi. Kuyindlela yabo yokukusiza uzizwe ulwazi futhi ukhululekile ngohlelo lwakho lokunakekelwa.

Iyini into ebaluleke kakhulu ngomdlavuza we-Hurthle cell?

Umdlavuza we-Hurthle cell uhlobo oluyimfihlo kodwa oluphatekayo lomdlavuza we-thyroid oluvame ukuba nomphumela omuhle uma utholakala ekuqaleni. Nakuba ukuthola noma yiluphi ukuxilongwa komdlavuza kungase kuzwakale kukukhathaza, ukuqonda ukuthi ukwelashwa okuphumelelayo kukhona kungase kunikeze ithemba nesiqondiso.

Izinto ezibaluleke kakhulu okufanele uzikhumbule ukuthi izimpawu ezinjengezibopho zomhlathi noma izingoqo zezwi zidinga ukunakekelwa kwezokwelapha ngokushesha, nokuthi amazinga ompumelelo wokwelashwa komdlavuza we-thyroid, kuhlanganise nomdlavuza we-Hurthle cell, ngokuvamile aphezulu kakhulu.

Ukusebenza eduze neqembu lakho lezempilo, uhlale ulwazi ngesimo sakho, nokugcina ukuxhumana okuvulekile ngezinkinga zakho kuzokusiza uqhubeke nale ndlela ngethemba. Khumbula ukuthi awuwedwa kule nqubo.

Abantu abaningi abane-Hurthle cell cancer baqhubeka bephila impilo egcwele, enempilo ngemva kokwelashwa. Gxila ekuthatheni izinto inyathelo ngenyathelo futhi ugubhe izinqoba ezincane endleleni.

Imibuzo evamile ebuzwa ngomdlavuza we-Hurthle cell

Ingabe umdlavuza we-Hurthle cell unamandla kakhulu kunomdlavuza we-thyroid?

Umdlavuza we-Hurthle cell ungaba namandla kakhulu kunomdlavuza we-thyroid, kodwa lokhu kuyahluka kakhulu kumuntu ngamunye. Uvame ukungaphenduli kahle ekwelapheni kwe-radioactive iodine, kodwa ukusebenza kuvame ukuba nomphumela omkhulu. Udokotela wakho uzohlola isimo sakho esithile ukuze anqume indlela yokwelashwa engcono kakhulu kuwe.

Ngingaphila impilo evamile ngemva kokwelashwa komdlavuza we-Hurthle cell?

Yebo, abantu abaningi babuyela emisebenzini yabo evamile ngemva kokwelashwa komdlavuza we-Hurthle cell. Kuzodingeka uthathe imithi yokufakwa kwe-thyroid hormone nsuku zonke futhi ube nama-appointment okuhambela njalo, kodwa lokhu akufanele kukhawulele kakhulu indlela yakho yokuphila. Abantu abaningi babika ukuzizwa behleli kahle noma ngaphezulu kunangaphambi kokutholakala kwabo uma ukwelashwa kwabo kuphelile.

Ngamakhulu mangaki ngizodinga ama-appointment okuhambela njalo ngemva kokwelashwa?

Izinhlelo zokuhambela njalo ziyahluka, kodwa ngokuvamile uzobona udokotela wakho njalo ezinyangeni ezi-3-6 zeminyaka embalwa yokuqala, bese unyaka uma konke kuqondile. Lezi zi-appointments ngokuvamile zihlanganisa ukuhlolwa kwegazi ukuze uhlole amazinga e-thyroid hormone yakho nezimpawu zomdlavuza, kanye nokuhlolwa kwezithombe okuvamile. Udokotela wakho uzolungisa leli skeduli ngokwezimo zakho ezithile.

Ngingazithola kanjani isisindo ngemva kokusebenza kokususwa kwe-thyroid?

Abanye abantu baye baba nezinguquko zesindo ngemva kokusebenza kwe-thyroid, kodwa lokhu akulona iqiniso. Ukukhula kwesisindo kunethuba elikhulu uma ukufakwa kwe-thyroid hormone kungalungiswanga kahle. Ukusebenza nodokotela wakho ukuthola umthamo wemithi ofanele nokugcina ukudla okunempilo nemikhuba yokuzivocavoca kungakusiza ugcine isisindo esiqondile.

Ingabe umdlavuza we-Hurthle cell ungabuya ngemva kokwelashwa?

Nakuba ukubuyela kungenzeka, akuvamile uma umdlavuza utholakala ekuqaleni futhi uphathwa ngokufanele. Ingozi yokubuyela ixhomeke ezintweni ezinjengesigaba somdlavuza wakho ngesikhathi sokutholakala nokuthi ususiwe ngokuphelele kangakanani ngesikhathi sokusebenza. Ukukhathalela okuvamile okuhambela njalo kwenzelwe ukuthola noma yikuphi ukubuyela ekuqaleni, lapho kuphatheka khona kakhulu.