Umdlavuza wegilo we-Anaplastic

I-Anaplastic thyroid carcinoma iyindlela engajwayelekile futhi enobudlova yomdlavuza wendlala yegilo.

Umdlavuza wegilo we-Anaplastic uhlobo oluhlaselayo lomdlavuza wegilo okhula ngokushesha okukhulu. Kwenzeka kakhulu kubantu abangaphezu kweminyaka yobudala engama-60. Kuvame kakhulu kwabesifazane kunabesilisa. Imbangela ayaziwa.

Umdlavuza we-Anaplastic ubanga cishe ngaphansi kuka-1% wawo wonke umdlavuza we-thyroid e-United States.

Izimpawu zifaka:

• Khwehlela
• Akhwehlele igazi
• Kunzima ukugwinya
• Ukubola noma ukushintsha kwezwi
• Ukuphefumula okukhulu
• Isigaxa sentamo engezansi, esivame ukukhula ngokushesha
• Ubuhlungu
• Ukukhubazeka kwentambo yomlomo
• Indlala yegilo eyeqile (hyperthyroidism)

Ukuhlolwa komzimba cishe njalo kukhombisa ukukhula esifundeni sentamo. Ezinye izivivinyo zifaka:

• Iskena se-MRI noma se-CT entanyeni singakhombisa isimila esikhula kusuka endlaleni yegilo.
• I-biopsy ye-thyroid yenza ukuxilongwa. Izicubu zesimila zingabhekelwa izimpawu zomfuzo ezingaphakamisa izinhloso zokwelashwa, okungcono ngaphakathi kwesivivinyo somtholampilo.
• Ukuhlolwa kwe-airway nge-fiberoptic scope (i-laryngoscopy) kungakhombisa intambo yezwi ekhubazekile.
• Ukuskena kwe-thyroid kukhombisa ukuthi lokhu kukhula "kubanda," okusho ukuthi akumunci into enemisebe.

Ukuhlolwa kwegazi komsebenzi we-thyroid kujwayelekile ezimweni eziningi.

Lolu hlobo lomdlavuza alungelapheki ngokuhlinzwa. Ukususwa ngokuphelele kwendlala yegilo akukwandisi izimpilo zabantu abanalolu hlobo lomdlavuza.

Ukuhlinzwa okuhlanganiswe nokwelashwa ngemisebe kanye nokwelashwa ngamakhemikhali kungaba nenzuzo enkulu.

Ukuhlinzwa ukufaka ishubhu emphinjeni ukusiza ngokuphefumula (i-tracheostomy) noma esiswini ukusiza ngokudla (i-gastrostomy) kungadingeka ngesikhathi sokwelashwa.

Kwabanye abantu, ukubhalisa esivivinyweni somtholampilo sokwelapha imishanguzo emisha yomdlavuza we-thyroid ngokususelwa kuzinguquko zofuzo kulesimila kungaba yindlela.

Imvamisa unganciphisa ukucindezela kokugula ngokujoyina iqembu lokusekelwa labantu ababelana ngokuhlangenwe nakho okuvamile nezinkinga.

Isimo nalesi sifo asisihle. Iningi labantu aliphili isikhathi eside kunezinyanga eziyisithupha ngoba lesi sifo sinolaka futhi kunokuntuleka kwezindlela zokwelashwa ezisebenzayo.

Izinkinga zingafaka:

• Ukusabalala kwesimila ngaphakathi kwentamo
• I-Metastasis (isakazeka) yomdlavuza kwezinye izicubu zomzimba noma izitho

Shayela umhlinzeki wakho wezempilo uma uqaphela:

• Isigaxa esiphikelelayo noma isisindo entanyeni
• Ukubhonga noma ushintsho ezwini lakho
• Khwehlela noma ukhwehlele igazi

I-Anaplastic carcinoma yegilo

• Umdlavuza wegilo - CT scan
• Indlala yegilo

I-PC ye-Iyer, uDadu R, uFerrarotto R, et al. Isipiliyoni sangempela sokwelashwa okuhlosiwe ekwelashweni kwe-anaplastic thyroid carcinoma. Indlala yegilo. 2018; 28 (1): 79-87. I-PMID: 29161986 pubmed.ncbi.nlm.nih.gov/29161986/.

UJonklaas J, Cooper DS. Indlala yegilo. Ku: IGoldman L, iSchafer AI, ama-eds. Imithi yeGoldman-Cecil. Umhla ka-26. IPhiladelphia, PA: Elsevier; 2020: isahluko 213.

National Cancer Institute, Centre for Cancer Research iwebhusayithi. Umdlavuza wegilo we-Anaplastic. www.cancer.gov/pediatric-adult-rare-tumor/rare-tumors/rare-endocrine-tumor/anaplastic-thyroid-cancer. Kubuyekezwe uFebhuwari 27, 2019. Kufinyelelwe ngoFebhuwari 1, 2020.

ISmallridge RC, Ain KB, Asa SL, et al. Imihlahlandlela ye-American Thyroid Association yokuphathwa kweziguli ezinomdlavuza we-thyroid we-anaplastic. Indlala yegilo. 2012; 22 (11): 1104-1139. I-PMID: 23130564 pubmed.ncbi.nlm.nih.gov/23130564/.

USmith PW, uHanks LR, uSalomone LJ, uHanks JB. Indlala yegilo. Ku: Townsend CM Jr, Beauchamp RD, Evers BM, Mattox KL, eds. ISabiston Incwadi Yokuhlinzwa. Umhla ka-20. IPhiladelphia, PA: Elsevier Saunders; 2017: isahluko 36.