Cancer rongoā thyroid I roto i a Iharaira

Cancer o te repe thyroid, i te mea he hononga nui i roto i te mekameka o te okana endocrine, whanake i ona epithelial kletok.Prichinoy o pukupuku kia te kore o te konutawa, te rongo ki te radiation (matenga iraruke me pukupuku kaki, kino pūtau), he kore i roto i te mahi o te pūnaha ārai mate, tupu o noninfected adenomas me cysts, goiter multinodular, te aamu utuafare.

momo Common o mate pukupuku thyroid:

- follicular - i hanga i roto i te tūroro pakeke 50-60 tau, āta tipu, engari ko te reira i te ahua tino kino o ngā puka mate pukupuku me te metastases waitinana kōpuku i roto i te rohe kaki atu wahi tinana ranei;

- papillary - maha kitea i roto i te 30-50 tau te pakeke, engari kua kitea i roto i ngā tamariki, he tupu puhoi, me te iti pāpaka metastatic tawhiti;

- anaplastic - noa i roto i te iwi o te faatuhaaraa tau, ki te goiter nodular, miramira te tupu tere, me te pukuriri akoranga ki te tupu o pāpaka metastatic i roto i nga taikiri o te kaki, me te tahi atu whēkau;

- medullary - whanau i roto i te tau o 30-60 tau e tika ana ki disorders endocrine whakaritea ira. Kei te maha He āhuatanga nui o te mate pukupuku thyroid pāngia thyroid whakarahi limfauzlov kaki ranei.

E whakaaro tohu i muri ki te waiho i te huringa o te reo (whango), uaua i roto i horomia, te mana'o o te mamae i roto i te rohe korokoro kaki ranei mo te wa roa.

I roto i te tikanga tātaritanga mo te rapunga o pukupuku thyroid i roto ia Iharaira, e whakamahia: - tātaritanga tinana;

- laryngoscopy;

- matüora me te tātaritanga hormonal o whakamātautau toto;

- scintigraphy ki radioiodine (ehu iratuke matawai repe);

- te tirohanga ultrasonic (ultrasonic) thyroid;

- PET me tomography computed (PEC-CT), whekau o te tinana.

whakaaro te tikanga tino tika o te whakau i te tātaritanga "pukupuku thyroid" i roto i te a Iharaira te te unuhanga ki te tātaritanga o te mate pukupuku epithelial mo te aroaro o ngā pūtau mārere. Taiepa hua puku kikokiko i te unuhanga ngira pai i raro i ultrasound kitea unuhanga hāparapara ranei mā te tango i te takuahi o kōpuku thyroid taupa ranei.

Maimoatanga o te mate pukupuku o te repe thyroid i roto ia Iharaira Ko tā te huarahi tino whaiaro e hāngai ana i runga i te natura puku histological, tona whānuitanga me te repara, tau o te manawanui.

Ngā momo o te maimoatanga o te mate pukupuku thyroid he pokanga, yodterapiya iraruke, taiaki me te radiation therapy, hahau, maha whakamahia tahi.

I roto i te tīmatanga o te mate pukupuku thyroid i roto ia Iharaira kawe i ngā mahi e tiaki whēkau hoki arata'i excision tuwhena ki te maha o maumaui i roto i te tinana.

Resection tango o te okana ranei maha te mahi faaite i te gamma-maripi (tahu kurupae o X-hihi) kore ki te pa ki kiko tinana noninfected.

Ki te ruma kaha Whakawhiwhia hua okana tango oti, maha ki te matatini limfauzlov waha, me te kătahi o te resection pukupuku paeoro whakarei te superposition o te ngongo manawa (tracheostoma).

Whānui e whakamahia ana mō te maimoatanga o te mate pukupuku thyroid i roto i te pānga Iharaira i runga i ngā pūtau mate pukupuku ki te iodine iraruke i te whakahaere ā-waha he ona teuteu. Ko te tikanga e whakamahia ana te nuinga o maha i muri i te pokanga ki te whakamate toe tinana puku.

maimoatanga Mamao o te mate pukupuku thyroid i taiaho Iharaira te nuinga whakamahia ki te hamani mate pukupuku thyroid, pāpaka metastatic i roto i te wheua pāngia.

Kei te te tikanga e whakamahia ana hahau ka kore e te tahi atu tikanga o te maimoatanga homai effekta.Posle hauora oti excision o thyroid taiki i roto i te tikanga ki te karo tauwhatinga o te manawanui kei te pangia taiki whakakapinga therapy.