Follicular thyroid Ithumba - ntoni na? iimpawu Clinical kunye neempawu

Ndlala ndlala - ilungu encinane sentanyeni umntu. Lubonakala yi nemilinganiso ezincinane kwaye inobunzima grams kuphela nje ezimbalwa, kodwa ngenxa yeempembelelo yeemeko ezahlukeneyo ezinzima, la manani ukuze nande. Le ndlala lengqula ivelisa iihomoni ezintathu ibe nempembelelo kumsebenzi amalungu kunye neenkqubo ezininzi. Kubaluleke ngokukodwa ukuba isebenza kakuhle abantwana, njengoko kuchaphazela ukukhula nophuhliso zabo.

Kwimeko nakuphi na ukuphazamiseka kwenzeka follicular lengqula ithumba. Yintoni na? Makhe sizame ukuqonda oku.

Ezibangela isifo

Thyroid ngezifo wenziwe phantsi kwempembelelo yeemeko ezimbi ezininzi engabangela imbonakalo amacandelo ahlukeneyo nengxelo. Izifo yomzimba eziqhelekileyo. Ngokomthetho ukubunjwa ingozi, yaye-5 kuphela% yamatyala ukuba umlinganiswa amabi.

Thyroid ngezifo kwenzeka ngenxa yezi zizathu zilandelayo:

• ukungabikho iodine okanye, icala, imali yayo ukuzibhubhisa;
• yofuzo;
• kungalingani hormone leyo kuvela ngenxa utshintsho ezinxulumene-ubudala, ekuzaleni, amayeza kunye hormone;
• ukusetyenziswa ukutya umhlaza okanye ongeziweyo eziyingozi kunye ukunqongophala iziqhamo kunye nemifuno;
• ezake nokuhlukunyezwa;
• iziphumo zendawo ezimbi;
• iziphumo umzimba izinto eziyityhefu;
• ukuphazamiseka kwenkqubo yonyango;
• exposure radiation;
• ulwamkelo iziyobisi.

Kukho ezinye izizathu ukuba negalelo kuphuhliso izifo zomzimba. Oku kungaba neengxaki rhoqo, kunciphise sifo, umsebenzi azanelanga emzimbeni.

Iintlobo yamathumba lengqula

Yobubi umzimba kunokuba iintlobo ezininzi:

• yamathumba Papillary wandile kwaye luphawulwa ukukhula kade. Emva kwexesha elithile, oko ikhula ibe umzimba philisi, echaphazela imithambo yegazi kunye kwiindawo nkovu ngalo oqala iyakhula.
• Follicular (iseli B) lengqula Ithumba nayo yinto exhaphakileyo. Olu hlobo lomhlaza iyakhula ngokusebenzisa imithambo yegazi, neendawo nkovu bunjalo. Kwasendaweni of a Ukudlulela esibindini, imiphunga kunye skeletal system.
• Medullary (C-cell) carcinoma ilifa. Ubukhula ngesantya eliphakathi kwaye isasazeka ngokuthi kwiindawo nkovu.

Follicular thyroid Ithumba: ntoni na?

Imfundo inokuqhubeka uhlobo follicular adenoma (ithumba ingozi) okanye adenocarcinoma (ithumba). Abasakwazi kunzima ukwahlula enye kwenye, ngoko ngethuba loviwo logqirha nomonde yenza unxilongo lokuqala ngaphandle ecacisa uhlobo sifo. Xa ukubunjwa ebubonisayo nesibuhlungu kwenzeka philisi apho iiseli adenoma abakwazi ukwahlukana. Kodwa adenocarcinoma ubaphulelayo kwaye ikhula ibe esikule ejikelezileyo.

yamathumba Follicular ye esinobubovu lengqula (adenoma) yenzeka kakhulu kwabasetyhini. Amadoda zoxilongo enjalo kuchaphazela 3 amaxesha ngaphantsi.

Ekubeni umzimba inamacandelo amabini - asekhohlo nasekunene, ngoko, Ngokwezibalo, amaxesha amaninzi kuchaphazela kuphela kubo, kwaye kaninzi kwicala lasekunene. Izincomo adenoma iyingozi kakhulu zirhuqwe, nto leyo edla iba urhulumente wolusu.

ithumba Follicular ye nomhlehlo lasekunene esinobubovu lengqula (adenoma), ukuba inkulu, ubuhlungu nezamkelekileyo kwindawo entanyeni. Ukongeza, kuba nzima ukuba imginye.

features clinical

Follicular thyroid Ithumba - yintoni na kwaye yintoni na iimpawu onyango? Le ukubunjwa luphawulwa ngeenxa okanye okweqanda imilo kunye nemida echazwe ngokupheleleyo. Xa ezingundoqo walo inani elikhulu zoboya, abhijelwe capsule yethishyu nokuqina. oku kumiswa nako ukuze sikhule kwezinye imikhumbi kunye namalaphu.

Ingozi iphambili yale sifo amanga neqiniso ukuba adenoma ube adenocarcinoma, oko kukuthi, abe yobubi. Ngoko ke, ukuba kukho urhano kwefom elihle follicular lengqula ithumba, kufuneka rhoqo yabonwa ngabantu i endocrinologist, owathi, ukuba kuyimfuneko, khetha unyango oluchanekileyo.

Iimpawu uhlobo ithumba follicular

Ukuba ndlala lengqula nto incinane, oko akukho mntu bakhathazeka indlela. Xa isixa esikhulu ke ubonwe esebenzisa Ngokucofa. ubukhulu ndandinethumba uqala ukufaka uxinzelelo kwi ancedisana ezingqongileyo, nto leyo esisizathu sokuba isigulane utshintsha ilizwi lakhe ukuba icule kunye husky. Umntu kunzima ligwinya nokuphefumla, kwaye emqaleni kukho yimvakalelo into amazwe. Ngoxa abenze i-luvo kubonakala intlungu. Ukuba imithambo yegazi benithobele umzimba nengcinezelo, kukho kwegazi.

Adenocarcinoma kufuneka sikhatshwe ukuvela metastases. Ukongeza, ubukho uhlobo amabi, ezi mpawu zilandelayo zibonisa:

• nokudinwa;
• ukozela;
• ucaphuka;
• iyangongoza intliziyo;
• silale;
• ukuphelelwa umoya;
• kakhulu umzimba.

Isiguli kwakhona ukuphendula kakuhle ngayo ubushushu. Iimpawu ezininzi kakhulu ezi arrhythmia kunye engabalulekanga.

ekuxilongweni

Ukuba ilungu lwezidumbu mkhulu, ngoko ningawufumana khona ngokwabo. ndlala Small ukubonwa ultrasonography. Ukuze ubone uhlobo nohlobo sifo, ekuqhubeni emiselweyo biopsy entle inaliti.

Iindlela zonyango

Ukuba ithumba follicular ibhaqwe unyango lengqula emiselweyo, ugxininise inyathelo zalapha yayo. Kwezinye iimeko, ukuvelisa Ukusikwa kwenxenye iiseli kwaye ukuyilwa yesabelo yayo enye - ukususa ngokupheleleyo organ.

unyango Classic lohlobo lengqula follicular iquka:

• nokususwa ngokupheleleyo okanye kwinxenye welungu;
• ukusetyenziswa ayodini eqhumayo ukuthintela Ukudlulela kunye ukwenzeka nethumba;
• therapy hormone;
• esweni postoperative kwizigulane.

unyango ngotyando

Ukuba isigulane safunyanwa njenge "yamathumba follicular le nobubovu lengqula", umsebenzi uya kuba kuphela kwendlela amsindise kwesi sifo.

Emva kokoyiswa kuphela elinye ilungu kusetyenziswa hemithyroidectomy share, okt usisuse. Ukuze sibe nokumiliselwa kufuna ukufunda engqongqo ifunyenwe kwi cytologic biopsy. Emva lo msebenzi kukho ithuba yokuphuhlisa hypothyroidism esifuna unyango hormone.

Kwedlala lunqabe kusetyenziswa xa umzimba woma kwaphela. Xa lugqityiwe ithumba ekuphindeni ngokubonakalayo azenzeki. Ukongeza, unyango iodine emiselweyo ubomi therapy hormone.

Resection le ingaba lengqula nayo yenziwa kunqabile. Xa ithumba nezolo xa kuthe kwakho iingxaki zokusebenza ngokuphindaphindiweyo zivele ngenxa kwesiva onesiphumo.

unyango radioiodine

Thyroid esinganyanga kuphela iodine 131, kodwa ke awunatyhefu kwiiseli ezinjalo izifo. Kodwa eli chiza iboniswe kuzo zonke iimeko, kodwa kuphela xa:

• nethumba lukhula kakhulu kunene;
• kungavela kwii-kwiindawo nkovu metastases;
• imfundo lukhula ngokukhawuleza ngokwaneleyo;
• umntu ukuba unesifo ukuhlaselwa nemithambo.

unyango olunjalo kufuneka abantu abadala. Emva kotyando, unyango kunye eli chiza kufuneka lwenziwe phantsi nyanga yokuqala.

therapy hormone

Ukuba ndlala isusiwe ngokupheleleyo okanye ngokuyinxenye, isigulane emiselweyo unyango ebomini replacement usebenzisa isakhiwo hormone. ithumba Follicular isingatha lengqula ekhuthazayo hormone yi ingqondo yebhinqa, ngoko ke isigulane esuke zithe zadala inani hormone leyo lunciphisa ubungozi kwakhona kunyebeleziso iiseli izifo.

Outlook

Ukuba une follicular lengqula ithumba, akayi kuba kakuhle kakhulu lo ALS ngokwemiqathango ngonyango. Ukuba isixa wemfundo ingadluli sentimitha mnye, uqikelelo iya kuba nempumelelo isiqingatha amatyala. Xa engekho Ukudlulela ngo-80% yamatyala kokuba iqinisekisiwe iminyaka malunga amabini yobomi emva unyango ngamayeza nokunyanga.

Ukuba Ithumba omncinane, a ALS entle kwenzeka ngo-95% lamatyala. Ukuba imilinganiso yalo zinkulu kakhulu, unyango olupheleleyo kunokwenzeka ngo-50% yezigulane.

isiphelo

Ngoko ke, sathetha ngalo esi sifo njengoko follicular lengqula ithumba. Yintoni na, ngoku uyazi. Le umonakalo omkhulu kakhulu lungu, leyo isenokuba ingozi okanye amabi. Pathology waphilisa kuphela kwendlela ngokukhawuleza. Unyango ngexesha, i-ALS yinto entle.