Thyroid bundu zvezvinangwa. Izvo bundu zvechinguvana kunoratidza kenza thyroid?

Kenza - tyava of XXI remakore, kufambira mberi ichifamba, zvikuru nyaya kenza. Mumwe nzira itsva kuti vasabatwa kenza anomera - bundu zvezvinangwa. Chii uye ndinogona kuvimba kuongorora zvakadaro?

Ndezvipi mota zvezvinangwa

Shoko Mucherechedzo rinobva pashoko rechiito Chirungu mucherechedzo, izvo zvinoreva kuti "kutara, kuti tara chinhu." Bundu zvezvinangwa - vanowanzochema zita ropa kana weti kuvapo tichingoda, kana "Tags" kuti kusiya kenza bundu mumuviri pakuzvarwa, inotungamirwa uye kukura.

Saka zvinotevera ndizvo chaizvo mapuroteni kana makemikari dzavo manyowa zvigadzirwa. mapuroteni akadai anobudiswa nomuridzi kenza, kana kuti zvirwere semhinduro kenza pezvakaitwa mumuviri.

Zvichienderana bundu zvingaite mapurotini siyana. Saka, izvi zvinoreva kuti bundu zvezvinangwa anoratidza apo zvichida hapana kenza X-ray. Ndokusaka kuongorora rinoshandiswa sezvo yokuongororwa nzira, pamwe nokuona, akadai Ultrasound uye x-ray.

Varieties uye bundu zvezvinangwa kuti anoratidza

Maererano mureza, vanopfuura 200 mhando bundu zvezvinangwa zvikuru nevanhu vavo ndedzinotevera:

• Psa (yeprostate);
• UBC (dundira);
• SA125 (ovaries);
• SA 15-3 (zamu);
• SA 19-9 (dumbu, ura, rwatata);
• SA 242 (ura, uye rwatata);
• HCG (ovaries, testes, dumbu);
• AFP (hepatic kenza, gallbladder, ovary, etc.);
• B-2-MG (kenza ropa uye node nodes);
• CEA (carcinoembryonic antigen).

Muzvikomberedzo anoratidza localization pamusoro kenza, izvo zvinoratidza chaiyo bundu zvechinguvana. Sezvinogona kuoneka, vamwe pfungwa imwe nzvimbo, apo vamwe vane nzira nechirwere. Naizvozvo, dzinowanzotaura mubatanidzwa zvezvinangwa. Somuenzaniso, mune zviitiko vanofungidzirwa pancreatic kenza raitongwa kamwe SA 242 uye SA 19-9, uye mune ovarian kenza - AFP, SA125 uye hCG. Asi chero zvakadaro, pane yakatsauka kubva ndozvakajairwa zvinoda misoro kuongorora chirwere.

Parinoshandiswa ari kuongorora mota zvezvinangwa

Ipa navo zvinotevera nyaya:

• vanofungidzirwa bundu risingagoni kuonekwa kutarisana rokuongorora;
• nokuti kudzora zvazvo;
• pangozi malignancy;
• pamwe vanofungidzirwa metastasized;
• kuzvidzivirira chipimo, enhaka nezvimwe njodzi;
• sezvo chikamu izere nechirwere;
• vachiongorora kubudirira kurapa uine Zvaizobuda wevasungwa rinotanga kutapudzwa.

Zvakakosha kunzwisisa kuti munhu chete kuongorora kuti bundu zvezvinangwa ose thyroid kunyange muchinjikwa hakuna kukwana kubvisa kana nekusiyana, kuzosimbisa kuvapo bundu.

Thyroid Cancer

Izvi mhando kenza iri dererei, kunyanya pakati pavakadzi uye vakwegura. The thyroid shwanu - imwe nhengo inobereka yakawanda mahormone zvinokosha. Kushaikwa kana zvakawandisa iyo kukanganisa kukura, kukura mupfungwa, muviri uye utano zvavo. Iri pamberi muviri uye anotarisa mutsipa chakafanana shavishavi: lobes maviri zvakabatana ne nhete nekamukwavarara. Nokuda kwayo pedyo asi kakawanda dzakaonekwa vachiri padanho panguva palpation kubudikidza murwere, semuenzaniso, kana kugeza mumwe pemvura nzvimbo.

kenza Thyroid ane 4 mhando:

1. Papillary - vanenge 75% malignancies vose thyroid shwanu. Asingatani invasive intrusions kuti pedyo nhengo kana node nodes.
2. Follicular - yechipiri Kunyanya mhando kenza thyroid. Chikonzero chikuru - ayodhini kukanganisika. With kwakadai kenza bundu haaiti Kazhinji anosiya thyroid shwanu.
3. Medullary. A pakazvimba ngozi zvikuru naro kushanda asingadi -wedzera radioactive ayodhini, izvo zvinoita kurapwa kuburikidza nawo isashande.
4. Anaplastic. Nokuti ichi mhando kunoratidzwa nokukurumidza uye yakajeka kuitika zviratidzo: hoarseness, vangakosora ropa, wheezing kana kufema, uremu uye kuome kufema. Muduku zvakafanana asi ngozi zvikuru.

Zviratidzo kenza thyroid

Zviratidzo bundu anotevera zviratidzo ndiwo:

• shoshoma izwi;
• unopinza kusiyana-siyana mune uremu;
• pfungwa mwoyo uye nokurasikirwa simba panyama;
• marwadzo kana pakuparadza;
• hazvitaurwi fivhiri;
• awanda goiter.

Kana paine zvinenge imwe chiratidzo, zviri kare kunetseka, uye kana vaviri kubva pamazita ichi, iwe unofanira zvachose uonekwe. Uyewo chirwere dziitwe nguva kune vaya vane nhoroondo pedyo nehama vane kenza thyroid.

nzira nechirwere

Chinonyanya zvakwo chirwere nzira ndeinotevera:

• Thyroid Ultrasound;
• morphological kudzidza (bundu chomudziyo biopsy cytology);
• kuongororwa ropa kuti bundu zvezvinangwa ose thyroid.

Asi oga, hapana pavo nechirwere haushandi. Kana uchifungidzira kuti bundu iri kuongorora kuti bundu zvezvinangwa zvakafanira Ultrassom nokuda kuziva miedzo bundu pacharo wayo chaiwo nzvimbo. Pamusoro kuonekwa kuti zvaida morphological kudzidza kuona ukuru malignancy. Uye chete iyoyo chirwere.

Dzakafanana kukura kuwedzera rinoratidza pathological kwacho shwanu. Kazhinji thyroid shwanu vakadzi hapana anopfuura 19 CC uye 25 CC nevanhu. A kenza dzinoratidzwa gogonera excrescence kuti kunogona kuonekwawo pane Ultrasound.

Early chirwere chirwere chinogona kuponesa upenyu murwere, sezvo uri 1st uye 2nd zvokukura kenza chinogona zvinobudirira kurapwa, uye zviitiko kuporesa nomusi 3rd chete. On the 4th pachikuva, vanachiremba vanogona kuita zvishoma, chete kurebesa upenyu uye vasatambura.

Bundu zvezvinangwa zvakwo nezvekenza thyroid

Saka chii chinoratidza bundu zvechinguvana kenza thyroid? Oncomarkers Ava mahormone kuti anobudiswa simbi pachayo, kana ane bundu kana zvimwe kuchinja chinopedza. It Makemikari akadai calcitonin uye thyroglobulin. Uyezve, bundu kukura kunoratidza pamwero carcinoembryonic antigen CEA kana rakapfupikiswa.

Bundu zvezvinangwa ose thyroid calcitonin zvinoberekwa thyroid C-masero. Anozivisa chirwere pamusoro medullary kenza mhando.

Thyroglobulin rinobudiswa nemasero epithelial. A muedzo thyroglobulin ropa riri anoratidza chete papillary uye follicular kenza. Kana yakatsauka kubva ndozvakajairwa vachaedzwa nokuda padanho thyroxine uye triiodothyronine (T3 uye T4) vari INDICATIVE.

Mumwe nomumwe ane yayo specificity:

1. The pamwero carcinoembryonic antigen kunowedzera panguva dzakasiyana kenza nzvimbo, kusanganisira thyroid shwanu.
2. Thyroglobulin pamwero inokwira yemanyorero panguva kuitazve kenza yacho thyroid shwanu.
3. The kemikari calcitonin kunowedzera medullary kenza thyroid.

Kugadzirira ongororo

Kuti tiwane chakavimbika kupfuura zvabuda Usati wakurukura kuongorora kuti bundu zvezvinangwa ose thyroid tinoratidza zvinotevera zvinodiwa:

1. Analysis kusarenda mangwanani usina chawadya. Regai kudya inokurudzirwa kwemaawa dzinenge 8 risati wakurukura, asi zvishoma mvura unogona kunwa.
2. maawa 48 kurega kutora chero mishonga uye Mishonga zvokuwedzera, doro.
3. Maawa 24 ndiyo yakanakisisa kusadya Spicy, wakawanda uye aisvuta.
4. Hauzivi zvakapfurikidza kana huta zvichibvira hormone kukundikana kuitika pasi mupfungwa.
5. Nokuti vhiki kurega kutora kugadzirira hormone.

Kana zvinodiwa hazvigoni akasangana, zvakakodzera kuudza mukoti, akaita katsamba. Somuenzaniso, kurashwa dzose yaunodya kurapwa chero inobatanidzwa ngozi kuupenyu.

5 maminitsi pamberi chokuendesa ropa kusvikira padanho calcitonin raitongwa murwere nokuda kweiyi pentagastrin.

Rates for vakadzi nevarume

Huwandu thyroglobulin muropa hwakanaka munhu kazhinji haasi pfuura 10 kumar / ML, asi zvishomanana kuwedzera hakusi anotyisa, sezvo mitemo zvishoma kwirirei. Dzemunharaunda mamwe mahormone, akadai calcitonin mune varume nevakadzi zvingasiyana.

Standards havasi yunifomu, ivo dzinosiyana mumarabhoritari siyana. Asi, kunyange kuwana maoko enyu pamusoro kuongorora zvarakasiya kubva ndozvakajairwa, hazvina zvakakodzera kuti tidzikame.

Statistics vanoti vanhu kazhinji kurapwa murabhoritari, pavaigona kutora chikepe chaienda chiremba, kutungamirirwa nemitemo, asi zvakaipa. Pashure pezvose, somunhu chirwere nzira yoga hakubatsiri.

Asi kana zvaitika, ipapo kuongorora anofanira kungoonekwa nechimwe oncologist uyo akaonekwa kana hazviiti nokumutumira mune mamwe kuongorora. Zvinokosha kuyeuka kuti pamberi bundu zviratidzo ndivo vangangoora inflated zvinokosha, 10 kana kunyange ka20. A zvishomanana kuwedzera pfungwa zvikuru dambudziko pamwe thyroid shwanu.

About 10% utano vanhu dzine unongotaura. Panguva pamuviri, nenhamba kungawedzera yekudyidzana uye izvozvo zvakanaka, nekuti pane siyana kuchinja kwemakemikari omuviri. Yapera lactation mahormone vanofanira kudzoka kuna dzose. With zera, uye anogumbura pezvakaitwa mumuviri kunowedzerawo unongotaura.

Pluses onkomarkery munhu akaidza pamusoro dzimwe nzira nechirwere

Unogona kuvimba Kuongororwa kuti bundu zvezvinangwa, kana zvinhu zvakawanda kudaro kunogona kukanganisa ukoshi hwayo? Kungofanana nzira chirwere ine zvakanakira nekuipira, uyewo rakamanikana chikuru.

Nezvayakaipira ziso Diagnostics:

1. Pane mukana kuti bundu haangavi kuonekwa, kunyanya pavanenge vachiri rwakazara.
2. A dose duku nemwaranzi kana remagetsi nemwaranzi.

Negative miedzo nokuti bundu zvezvinangwa chete, asi zvakakomba - inaccuracy ichi.

Kana nzira isina kunzwisisa sezvo sepasi, uye ebetsero, zvose kutaura kuti ichanyangarika, ongororo kuzvigona kwazvo munharaunda yake basa. Sezvo kuzvidzora nokuti resumption ari avabvisa bundu kukura kuongorora hunokosha. Uye zvinobatsira kuongorora kubudirira kurapwa uye chitarisiko dzokororo pashure bundu rokubvisa. Asi nokuda chokudzivirira chirwere Ultrasound zvomuenzaniso. Pane mukana kuti bundu akatanga kutanga, uye bundu zvezvinangwa zviri kunaka.