Ofufuza Amafufuza Lobectomy kapena Total Thyroidectomy kwa Papillary Cancer
Mu 2017, American Cancer Society inalingalira kuti pafupifupi 56,870 matenda atsopano a kansa ya chithokomiro adzapezeka: 42,470 mwa akazi, ndi 14,400 mwa amuna.
Chithandizo choyenera cha khansa ya chithokomiro ndi opaleshoni kuchotsa khansa. Kawirikawiri, akatswiri amavomereza kuti opaleshoni imachotsa chithokomiro chonsecho. Kuchotsedwa kwathunthu kwa chithokomiro cha chithokomiro kumadziwika ngati chikhotachi chonse .
Pofika mu 2017, malangizo a American Thyroid Association a khansa ya chithokomiro amalimbikitsa kuti wodwala alandire kachilombo kathunthu ka khansa ya mtundu uliwonse . Chokhacho chimapangidwira matumbo aang'ono kwambiri a chithokomiro omwe ali osachepera 1 masentimita awiri.
Ku United States, pafupifupi 80 peresenti ya khansa yonse ya chithokomiro ndi khansa ya papillary, yomwe imatchedwanso papillary carcinoma kapena papillary adenocarcinoma. Khansara ya papillary imatha kusonyeza mbali imodzi yokha ya chithokomiro-yotchedwa lobe-ndipo khansa ya chithokomiro nthawi zambiri imakula pang'onopang'ono. Koma khansa ya papillary ikhoza kufalikira ku maselo am'mimba m'khosi. Ngakhale pamene imafalikira ku maseŵera am'mimba, ziŵerengero zimasonyeza kuti khansa ya papillary imatha kuchiritsidwa, ndipo sichitha kufa.
Zotsatira za kafukufuku wa kafukufuku woperekedwa pa 2016 Clinical Congress ya American College of Surgeons inati ambiri odwala khansa ya chithokomiro amatha kupindula ndi opaleshoni yotsika mtengo kwambiri, yosawonongeka, komanso yopindulitsa kwambiri yotchedwa lobectomy, poyerekeza ndi chithokomiro chokwanira.
Mu lobectomy, chokhacho chokhudzidwacho chimachotsedwa opaleshoni.
Mwapadera, ofufuza a Tulane University School of Medicine ku New Orleans ndi Johns Hopkins School of Medicine ku Baltimore adatsimikiza kuti ambiri omwe ali ndi khansa ya chithokomiro ya papirisi, mtengo wonse wa chithokomiro ndi wotsika mtengo ndipo umachepetsa moyo wabwino poyerekeza ndi lobectomy.
Wofufuza wofufuza za Zaid Al-Qurayshi, MD, MPH, wa University of Iowa, anati:
Zomwe tapeza zikuwonetsa kuti kuchokera ku malingaliro a zachuma, kuchita chilobectomy m'malo mwa chithokomiro chokwanira kwa odwala omwe ali ndi chidziwitso chokhudzidwa ndi chithokomiro cha chithokomiro cha papilla amathandizidwa ndi mtengo wotsika komanso wopambana. Ndikofunika kuzindikira, kupeza izi sikutanthauza kuti lobectomy ndi njira yokhayokha yokha; timayitanitsa njira 'yopanda malire' poyerekeza ndi njira zina ngati zimakhala zambiri, kapena zofanana, koma zimagwirizanitsidwa bwino.
Kafukufuku winanso anayerekezera matenda a khansa ya chithokomiro ndi chiwerengero cha anthu odwala khansa omwe ali ndi tizilombo totchedwa thyroidectomy ndi lobectomy. Phunziro la zaka 10 linkachitidwa ndi Memorial Sloan Kettering Cancer Center ku New York. Phunzirolo, ofufuza adayeza odwala khansa ya chithokomiro yosachepera 4 masentimita mu kukula komwe sanafalikire kunja kwa lobe. Ofufuzawa sanapeze kusiyana kwakukulu pakati pa zaka 10 zomwe zikupulumuka kansa ya kansa m'magulu awiriwa. Kafukufukuyu adawonetsa kuti patapita nthawi, ponena za kupulumutsidwa kwa khansa ya chithokomiro komanso kuopsa kwa chiwopsezo, lobectomy inali yothandiza kwambiri monga chithokomiro chonse cha khansa yaing'ono ya chithokomiro.
Zotsatira za Lobectomy
Malingana ndi ochita kafukufuku, kuti gulu la odwala khansa la papillary liwonekere, lobectomy imaposa chiŵerengero cha chithokomiro chokwanira pa zifukwa zingapo monga:
- Lobectomy ndi opaleshoni yochepa kwambiri kuposa chithokomiro chonse, ndipo nthawi zambiri imatha kuchitidwa mwamsanga .
- Lobectomy ili ndi vuto lochepa la opaleshoni poyerekeza ndi chithokomiro chonse.
- Kuchotsedwa pambuyo pa lobectomy mofulumira poyerekezera ndi chithokomiro chonse
- Pambuyo pa lobectomy, simungafunike kutulutsa mahomoni (kapena ngati mutero, mlingowo ukhoza kukhala wotsika). Ngati muli ndi chithokomiro chokwanira, mufunikira mankhwala a chithokomiro a moyo wanu wonse.
- Odwala a Lobectomy amapereka moyo wabwino pambuyo pochita opaleshoni poyerekezera ndi chithokomiro chonse.
Kodi Ndiwe Wosankhidwa wa Lobectomy?
Kafukufuku wasonyeza kuti lobectomy ikhoza kukhala yogwira mtima pamene kansa ya kansa ya papilla imakwaniritsa zinthu zitatu zofunika:
- Khansara ya chithokomiro ya papilisi ndi Gawo I kapena II yokha
- Chotupacho chiri mu khungu limodzi lokha la chithokomiro
- Chotupacho ndi masentimita 4 kapena osachepera kukula
Ngati muli ndi khansara ya papilisi yomwe imaphatikizapo izi, mungathe kukambirana za lobectomy ndikuyerekeza ndi chithokomiro chonse ndi dokotala wanu wa chithokomiro.
Zina Zowonjezera Odwala
Nkhani ya opaleshoni ya chithokomiro imabweretsa mfundo yofunikira. Ngakhale ndi lobectomy, mavuto amakhala ovuta ngati dokotala wanu ali ndi zochepa zochitidwa opaleshoni ya chithokomiro. Ndikofunika kuphunzira zambiri momwe mungathere ndikusankha dokotala wochita opaleshoni amene ali ndi chidziwitso chochuluka pa opaleshoni ya chithokomiro .
> Zotsatira:
> Nixon, IJ ndi al. Matenda a chithokomiro ochizira matenda osokoneza bongo. Opaleshoni. 2011. October 14, 2011
> Noureldine, S. ndi Kandil, E. "Kuchotsa lobe mmalo mwa chithokomiro chonse kungapindule odwala khansa ya chithokomiro." American College of Surgeons: 2016 Clinical Congress Proceedings.