Chithokomiro adenoma: njira ndi mankhwala

Mwatsoka, chithokomiro cha adenoma si matenda omwe sapezeka, makamaka pakati pa amayi a zaka 40. Matendawa, monga lamulo, akuphatikizidwa ndi kuwonjezeka kwa kutsekemera kwa hormone yotchedwa triiodothyronine, ndipo kutsekedwa kwachisamaliro sikutetezedwa ndi mahomoni a chifuwa cha pituitary.

Chiwerengero cha zotupa . Nthaŵi zambiri, adenoma ya chithokomiro ndizosawerengeka . Koma nthawi zambiri, maphunziro ambiri amapezeka. Kuwonjezera pamenepo, chotupacho chingakhale choipa komanso choipa. Mankhwala amakono amagwiritsa ntchito njirayi, yomwe imagawaniza matendawa kuti:

1) Papillary adenoma;

2) Medullary;

3) Osatchulidwa;

4) Zolemba;

5) Zilonda zina (lymphoma, sarcoma, kansa ya epidermoid, metastases);

Pofuna kumvetsa zomwe adenoma ya chithokomiro imatulutsa, choyamba muyenera kudzidziwitsa ndi chidule cha mtundu uliwonse wa khansara.

Kansa ya papillary . Matenda amtundu uwu amaonedwa kuti ndi owopsa ndipo nthawi zambiri zizindikiro za odwala amadzetsa. Mukasanthula kapena kusanthula thupi la gland, mungapeze nthano yomwe imatchedwa "ozizira", yomwe ndi chotupa. Khansara yotereyi imapereka metastases mu 30%. Koma matendawa ndi owopsa kwambiri kwa ana, popeza pakadali pano chiopsezo cha mitsempha m'mapapo ndi mitsempha yamimba yapamimba ndi yaikulu kwambiri.

Follicular adenoma ya chithokomiro . Matenda oterewa amaonedwa kuti ndi owopsa, ngakhale kuti ndi owopsa kwambiri kuposa khansa ya papillary. Chotupa chotero nthawi zambiri chimapereka metastases ku maselo amphongo, nthawi zambiri kwa ziwalo zina, ndipo nthawi zina mafupa. Kuwonjezera apo, chotupacho chimatenga kwambiri ayodini, yomwe, mwa njira, imagwiritsidwa ntchito ndi mankhwala kuchipatala ndi ayodini ya radioactive.

Medullary adenoma ya chithokomiro . Mtundu uwu wa khansa ndi woopsa kwambiri kusiyana ndi zaka ziwiri zapitazi, chifukwa nthawi zambiri zimamera pamtambo ndi minofu yoyandikana nayo. Kuonjezera apo, metastases mu ma lymph nodes amapezeka pafupifupi nthawi zonse. Zizindikiro za matendawa ndikutsegula m'mimba, kosasuntha kwa nkhope. Chifukwa cha ichi ndi kusakanikirana kwa chotupacho ndi serotonin ndi mahomoni ena.

Matenda a chithokomiro osagwiritsidwa ntchito ndi a medics amaonedwa kuti ndi khansa yoopsa kwambiri. Monga lamulo, maselo owopsa, carcinosarcoma, abwere pa malo a nodular goiter, omwe amazunza munthu kwa zaka zambiri. Ndi nthenda yotereyi, chitsulo chimayamba kukula mofulumira kwambiri, kulepheretsa kupuma ndi kumeza, ndipo nthawi zina zimayambitsa kuyambitsa. Nthaŵi zambiri, matendawa amapezeka kwa okalamba. Chotupacho chikukula mofulumira kwambiri ndipo chimamera ku ziwalo zonse ndi zomangamanga zomwe zili pafupi ndi icho. Chitukuko champhamvu choterechi chimakhala pafupifupi chaka chimodzi ndipo chimathera ndi zotsatira zowononga.

Chithokomiro adenoma: mankhwala . M'dziko lamakono lino, pali njira zingapo zothandizira khansa ya mankhwalawa. Kupambana kwa chithandizo kumatengera mtundu wa matenda ndi siteji ya chitukuko chake. Munthu wofulumira wodwala amatembenukira kwa akatswiri, amachepetsa mwayi wake wochira.

Monga tanenera kale, nthawi zina pochiza adenoma amagwiritsira ntchito mavitamini a iodine, omwe amapezeka ndi chotupacho. Mankhwalawa amachititsa kuti phokoso liwonongeke.

Nthawi zina pofuna kugwiritsa ntchito mankhwala opatsirana mwachindunji wa ethyl mowa weniweni, womwe umachepetsa ndi kuuma minofu ya adenoma.

Koma kawirikawiri madokotala amachititsa opaleshoni kuchotsa chotupacho, koma ngati msinkhu wodwalayo umalola (ntchitoyo siinayende pa okalamba), komanso ngati palibe mankhwala aakulu.

Mulimonsemo, chithandizo chiyenera kuchitidwa panthaŵi yake ndipo pokhapokha kuyang'aniridwa ndi katswiri wodziŵa bwino zachipatala.