Dokotala wanu atapeza nthendayi ya khansa ya khansa, njira yabwino yothandizira kuti muchitire opaleshoni kuchotsa nodules. Kawirikawiri, chotupa chanu (theka) cha chithokomiro chanu chimachotsedwa, ndipo nthawi zina, chithokomiro chathunthu chimachotsedwa opaleshoni. Odwala ambiri okhala ndi chithokomiro chofuna kukhala ndi kachilombo kameneka amafunika kukhala ndi mahomoni a moyo wonse, ndipo aliyense amene ali ndi chithokomiro chokwanira amadalira mankhwala a chithokomiro pambuyo pa opaleshoni.
Tsopano, chifukwa chazing'ono, zochepa, pang'onopang'ono kukula kwa mapepala a kansa ya chithokomiro , akatswiri akuyamba kulangiza njira yatsopano: yogwira ntchito.
Ochita kafukufuku amene amalemba mu nyuzipepala ya JAMA-Otolaryngology-Head & Neck Surgery asonyeza kuti kuyang'anitsitsa-kotchedwanso kuti kuyembekezera mwachidwi kwa tizilombo toyambitsa matendayi kungakhale njira yabwino kwa odwala kuposa opaleshoni, malinga ngati kufufuza kumaphatikizapo matekinoloje opanga mafano atatu monga ultrasound.
The American Thyroid Association inavomerezanso kugwiritsa ntchito njira yowonongeka monga njira ina yothandizira khansa yachikhalidwe pa odwala omwe ali ndi khansa ya kanseri yochepa.
Mlembi wotsogolera wa JAMA , R. Michael Tuttle, MD, wa Memorial Sloan Center ya Cancer Cancer, mumzinda wa New York, anauza Medscape kuti:
Ambiri safuna kuchitidwa opaleshoni kwa zaka, ndipo mwinamwake palibe. Tikusunthira kutali ndi maganizo oti mutangoyamba kupeza khansa ya chithokomiro muyenera kuthamanga ndikuchita opaleshoniyi. Tsopano, pali njira yowonjezera, ndipo makamaka pali magulu a odwala ku US kuti izi ziyenera kulandiridwa bwino. Pali odwala ku US omwe samafuna nthawi yomweyo opaleshoni iliyonse ya kansa yaing'ono ya chithokomiro.
Ofufuzawa ankayang'anira gulu la odwala omwe anali ochepa kwambiri kuposa 1.5 mm kukula kwake. Kwa zaka zambiri, chotupachi chinali choyendera katatu ndi miyezi isanu ndi umodzi mpaka chaka. Ofufuzawa adapeza kuti patapita zaka zisanu, odwala 12 peresenti ndi odwala okha omwe adawona kuti zotupa zawo zikukula kufika pa 3 mm kapena kuposerapo.
Palibe kufalikira kwa chigawo kapena kutalika kwa khansa yomwe idapangidwira kwa odwala omwe anaphunzira panthawi yogwira ntchito.
Dokotala Tuttle ananena kuti kuchuluka kwake kwa magawo atatu a chiwombankhanga ndilo lingaliro latsopano ndi lofunika lomwe limapangitsa kuyang'anitsitsa kwambiri kuti likhale lothandiza komanso lothandiza. Kuchita ultrasound miyezi isanu ndi umodzi pazaka ziwiri zoyambirira kufufuza amalola akatswiri kukhazikitsa chiŵerengero cha kukula. Ngati chiwerengero chimenecho chiri mofulumira, ndiye kuti opaleshoni ikulimbikitsidwa. Koma, malinga ndi Dr. Tuttle, popeza ambiri mwa khansa omwe amaphunzira sanagwire kapena kukula pang'onopang'ono, ochita kafukufuku amalimbikitsa kuti madokotala azionetsetsa ngati odwala omwe ali oopsa kwambiri.
Monga Dr. Tuttle anauza Medscape kuti:
Kuthamangira ku opaleshoni kungakhale chinthu choyenera kwa wodwala, koma palibe kuthamanga ngati akufuna kuonerera. Anthu ambiri amayamikira chithokomiro chawo ndipo samafuna kukhala ndi mahomoni a chithokomiro kuti akhale ndi moyo, choncho ngati ali ndi mwayi wosankha, amawona kuti ngati chinthu chofunikira.
Mawu Ochokera
Kumbukirani kuti kuyang'anitsitsa kwa khansa yanu ya khansa ya khansa kumafuna gulu lodziwa bwino, luso komanso lapadera la akatswiri azachipatala. Mukufuna kuti mamembala anu akhale ndi chidziwitso mu njira yatsopanoyi ya khansa ya chithokomiro.
Akatswiri akuchenjezeranso kuti zotsatirazi sizingakhale zabwino kwa odwala omwe akusamalidwa kunja kwachipatala omwe ali ndi khansa yambiri ya chithokomiro, kapena omwe amapereka chithandizo cha zachipatala omwe amadziwika kwambiri pa matenda a khansa ya chithokomiro ndi chithandizo chamankhwala, pogwiritsa ntchito zizindikiro zowonongeka. Uthenga wopita kunyumba: kuyang'anitsitsa kungakhale njira yoyenera ndi yotetezeka kwa inu, koma pokhapokha mutapangidwa m'manja mwa akatswiri.
Chitsogozo china chofunika kukumbukira: Chinsinsi cha kuyang'anitsitsa ndikutsatiridwa ndikutsatila. Ngati musankha njirayi, onetsetsani kuti muli ndi ma-dimensional ultrasound, ndipo tsatirani ndi akatswiri anu a khansa ya chithokomiro.
Kufufuza nthawi zonse n'kofunika kuti uwonetsetse, ndipo ayenera kuzindikira kusintha kwakukulu kwa chithokomiro chanu cha khansa chomwe chingafunikire kuchipatala ndi chithandizo chamtsogolo mtsogolo.
Pomalizira, ofufuza amasonyeza kuti omwe ali opambana ndi omwe amapezeka kuti ali ndi zaka 50. Ngati muli ndi zaka makumi asanu ndi ziwiri (50), chifuwa chanu chidzakula, kotero opaleshoni idzaperekedwa mobwerezabwereza ngati mutapezeka kuti muli ndi khansa papillary microcarcinoma .
> Zotsatira:
> Leboulleux, S. et al. "Tizilombo toyambitsa matenda a papillary komanso tizilombo toyambitsa matenda." Lancet Shuga ndi Endocrinology, Volume 4, Magazini 12, 976 - 977. December 2016.
> Tuttle, M MD ndi. al. "Mbiri Yachilengedwe ndi Kutupa Buku Kinetics ya Khansa ya Papillary Thyroid Posachedwapa." JAMA Otolaryngol Mutu Waukulu. Idasindikizidwa pa intaneti pa August 31, 2017. http://jamanetwork.com/journals/jamaotolaryngology/article-abstract/2650803