Uma udokotela wakho ethola isifo somdlavuza wegciwane, umdlalo ojwayelekile wokwelapha wukuthi uhlinzekwe ukukhipha isicucu. Ngokuvamile, i-lobe (isigamu) se-thyroid yakho isuswa ngokuhlinzwa, futhi kwezinye izimo, igciwane eligcwele lisuswa ngokuhlinzwa. Iziguli eziningi ezinesifo se- thyroidectomy zifuna impilo yakho yonke ye-hormone esikhundleni sakho, futhi wonke umuntu obhekene ne-thyroidectomy esiphelele uthembele emithini ye-hormone yegciwane ngemuva kokuhlinzwa.
Manje, ngezinye ezincane, ezinobungozi obuphansi, izinhlobo ezinama-papillary ezikhula kancane kancane zomdlavuza we- thyroid , ochwepheshe baqala ukuncoma indlela entsha: ukubhekwa okusebenzayo.
Abacwaningi ababika emaphepheni i- JAMA-Otolaryngology-Head & Neck Surgery baye babonisa ukuthi ukubhekwa okusebenzayo-okubizwa nangokulinda okulindile-kwalezi microcarcinomas kungaba yindlela engcono kuneziguli kunokuhlinzwa, uma nje ukuqapha kuhlanganisa ubuchwepheshe bokubona izithombe ezintathu njenge-ultrasound.
I-American Thyroid Association nayo yavuma ukusetshenziswa kokuqapha okusebenzayo njengenye indlela yokwelashwa komdlavuza wendabuko ekhethiwe ezigulini ezikhethwe nomdlavuza we-thyroid owodwa.
Umlobi oholayo we- JAMA , uR. Michael Tuttle, MD, weSikhumbuzo seCattering Cancer Centre, eNew York City, utshele iMedcape:
Abaningi ngeke badinge ukuhlinza iminyaka, futhi mhlawumbe akakaze. Sisuka kude nomqondo wokuthi ngokushesha uma uthola ukuxilongwa komdlavuza wegciwane kufanele uphuthume futhi wenze ukuhlinzwa. Manje, kuyindlela eningi ye-commonsense, futhi eqinisweni kukhona amaqembu eziguli e-US ukuthi lokhu kufanele kube ngokwamukelekile ngokuphelele. Kukhona iziguli zase-US ezingafuni ngokushesha ukuhlinzwa ngenxa yomdlavuza omncane we -roid.
Abacwaningi babeqapha iqembu leziguli ezincane kakhulu-ezingaphansi kuka-1.5 mm ngobukhulu-izicubu ze -roid. Phakathi nesikhathi seminyaka, ubukhulu besisu babuqhathaniswa kathathu-ububanzi nge-ultrasound njalo ezinyangeni eziyisithupha kuya ngonyaka. Abacwaningi bathola ukuthi emva kweminyaka emihlanu, kuphela amaphesenti angu-12 kuphela weziguli abone ukuthi izicubu zabo zikhula zibe ngu-3 mm noma ngaphezulu ngobukhulu.
Akukho ukusakazwa kwesifunda noma okude komdlavuza okwenziwe ngeziguli ezifundwe ngesikhathi sokuqapha okusebenzayo.
UDkt. Tuttle uthe ukulinganisa kwe- ultrasoundal ultrasound yevolumu ivolumu kungumqondo omusha obalulekile owenza ukubhekwa okusebenzayo kusebenze futhi kuphumelele. Ukwenza i-ultrasound njalo ezinyangeni eziyisithupha phakathi neminyaka emibili yokuqapha kuvumela ochwepheshe ukuba bathole izinga lokukhula. Uma lelozinga lisheshayo, khona-ke ukuhlinzwa kunconywa. Kodwa, ngokusho kukaDkt. Tuttle, njengoba iningi lamakhansela abawafundela akuzange likhule noma likhule kancane, abacwaningi basikisela ukuthi odokotela banikeze ukubhekwa ngokucophelela njengendlela yokuzikhethela ezigulini ezinobungozi obuphansi.
Njengoba uDkt. Tuttle etshela iMedscape:
Ukugijimela ekuhlinzekeni kungaba yinto enhle ngesiguli ngasinye, kodwa akukho okusheshayo uma bezimisele ukubuka. Abantu abaningi bayakwazisa i-thyroid yabo futhi abafuni ukuba ne-hormone ye-thyroid yokuphila, ngakho-ke uma benenketho yokubukela, bayakubona lokho njengendlela ewusizo.
Izwi elivela
Khumbula ukuthi ukuqapha okusebenzayo kwe-nodule yakho yegciwane lengculazi kudinga iqembu elinolwazi, elisebenzayo, nelikhethekile labasebenzi bezokwelapha. Ufuna amalungu akho eqembu ukuthi abe nesipiliyoni kule ndlela engcono kakhulu yomdlavuza we-thyroid.
Ochwepheshe nabo baqaphele ukuthi umphumela ungase ube mncane kulabo abagulayo abathola ukunakekelwa ngaphandle kwezikhungo zezokwelapha abanokuhlangenwe nakho komdlavuza wegciwane lengqondo, noma abahlinzeki bezempilo abanomdlavuza wegciwane lengculazi kanye nokwelashwa, abanolwazi lwezinhlelo zokuhlola ezisebenzayo. Umlayezo wokuthatha ekhaya: ukubhekwa okusebenzayo kungaba okukhethwa kukho okuphephile futhi okuphephile kuwe, kodwa kuphela lapho kwenziwa ezandleni zochwepheshe.
Esinye isiqondiso esibalulekile okufanele sihlale sikhumbula: isihluthulelo sokuqapha okusebenzayo kulandela ukulandelela nokuqapha. Uma ukhetha le ndlela, qinisekisa ukuthi unama-ultrasound amathathu ajwayelekile, futhi ulandele ochwepheshe be-cancer yakho ye-thyroid.
Ukuhlola njalo kubalulekile ekuhloleni okusebenzayo, futhi kufanele ukwazi ukubona noma yikuphi ushintsho oluphawulekayo kuhlambalaza lomdlavuza oluzoqinisekisa ukungenelela kwezokwelapha nokwelashwa esikhathini esizayo.
Okokugcina, abacwaningi basikisela ukuthi labo abazokhetha kakhulu yibo abatholakale beneminyaka engama-50 ubudala. Uma uneminyaka engama-50 ubudala, isisu sakho sizovama ukukhula, ngakho-ke ukuhlinzwa kuzobe kunconywa kaningi uma utholakala unomdlavuza i-papillary microcarcinoma .
> Imithombo:
> Leboulleux, S. et al. "I-microcarcinoma ye-papillary ye-thyroid nokubhekwa okusebenzayo." I-Lancet Diabetes & Endocrinology, Umqulu 4, Issue 12, 976 - 977. Disemba 2016.
> Tuttle, M MD kanye. al. "Umlando Wezemvelo Ne-Tumor Volume Volume Kinetics Yamanxeba We-Papillary Thyroid Ngesikhathi Ukuhlola Okusebenzayo." I-JAMA Otolaryngol Head Neck Surg. Ishicilelwe ku-Agasti 31, 2017 ku-inthanethi. Http://jamanetwork.com/journals/jamaotolaryngology/article-abstract/2650803