Kuna buƙatar Nauyin Thyroidectomy? Menene Game da Radioiodine (RAI)?
Papillary microcarcinoma wani nau'i ne na ciwon ciwon maganin thyroid wanda ke da ƙananan ƙarami. Wadannan kananan cututtuka - microcarcinomas - yi sama da rabi na dukan ciwon maganin thyroid da aka gano a Amurka da Turai a cikin shekaru talatin da suka gabata.
Yaya Ƙananan Matsayi ne na Microcarcinoma Papillary?
Yaya karami ne? Sharuɗɗa sun faɗi cewa ciwon daji na papillary shine "microcarcinoma" idan ya fi ƙasa da .4 inci (1 centimita) a girman.
Dama da Sakamako
Halin da ake ciki na microcarcinoma yana karuwa, musamman saboda ganewa mafi kyau. Wadannan ƙananan ciwon sukari suna samuwa a lokacin sauti da kuma haskoki na X-rayuka da kuma yanki.
Maganin jiyya
Papaminry microcarcinoma yana dauke da mummunar hadari ga mace-mace. Duk da haka, yana da mahimmanci don sake dawowa, ko jurewa, saboda haka ana yin amfani da tiyata sosai.
Masu bincike a taro na 10 na Turai na Endocrinology (ECE) sun ruwaito akan binciken da ake bi na tsawon lokaci wanda yayi la'akari da sakamakon Mayo Clinic marasa lafiya tare da maganin microrocinoma. Wannan binciken ya gano cewa:
- Daga cikin kimanin 900 marasa lafiya da ke da ciwon sukari da aka cirewa, ba wanda ya yadu da cutar a cikin shekaru 20 na biyo baya
- Shekaru 20 da shekaru 40 da haihuwa na ciwon sukari sun kasance 6% da 9%.
- Daga cikin dukan masu karatu, ƙananan marasa lafiya 3 kawai (0.3%) sun mutu ne daga kwayar maganin microbiocinoma na papillary
- Rayuwa da yawan mace-mace ga ƙungiyar binciken ba su bambanta da yawa daga kulawa ba
Masu bincike sun tabbatar cewa binciken su ya tabbatar da haka:
- Paparin maganin ƙwayar maganin microcarcinoma yana da kyakkyawar sanarwa idan an kawar da ciwon farko a lokacin aikin tiyata.
- Fiye da kashi 99 cikin dari na marasa lafiya da kwayoyin maganin ciwon sukari na kwayar cutar ba su da wata mummunan ciwon ciwon daji ko na mutuwa daga ciwon ciwon maganin thyroid.
- Sauran ragowar radiyo na baya-bayan lokaci ba ya inganta hadarin dawowa ko mutuwa daga ciwon maganin ciwon maganin jinin maganin jinya a kan shekaru 40.
Ka'idojin kawancen kawancen Thyroid na Amurka sun ba da cikakken bayani game da thyroidectomy na microcarcinoma na papillary da aka gano kafin a tiyata, da kuma ciwon daji wanda ke da mahimmanci ko haɗari, don tabbatar da cewa an cire tumɓir.
Ƙungiyar Turai Thyroid Association (ETA) da kuma Birtaniya thyroid Association (BTA), duk da haka, ba da shawara sosai thyroidectomy da lobectomy bi da bi a cikin marasa lafiya marasa lafiya da ba su da tarihin radiation bayyana. Kuma Ƙungiyar Ƙwararrun Ƙwararrun Ƙwararrun Ƙwararrun Amirka ta nuna cewa lobectomy (cire rabin rabin glandon giro) tare da isthmectomy (cire cirewar da ke haɗuwa da lobes) an bada shawara ga marasa lafiya na microcarcinoma.
Ko da mafi yawan rikice-rikicen shine koyida mai rediyo (RAI) - wanda aka sani da radioiodine - ana bukatar magunguna bayan aikin tiyata don samar da kyakkyawar sakamako. Yayinda bincike na Mayo bai sami amfana ba, an yarda da shi akan cewa an bada shawara ga marasa lafiya na microcarcinoma, wadanda suke da ciwon koma baya, suna da ciwo masu ciwon zuciya, da magungunan lymph , da / ko wani shaida na yada .
Nazarin binciken da aka buga a cikin jaridar Thyroid na 2009 ya kasance abin mamaki wanda ya saba wa binciken Mayo Clinic. Binciken binciken na 2009 ya gano cewa kashi 43 cikin dari na marasa lafiya na microcarcinoma wadanda suka kamu da cutar sun yada cutar ciwon daji a cikin ƙwayoyin lymph a cikin shekaru 3 na tiyata da kuma cewa hanyoyin da ba su da haɗari da suka hada da maida rediyowa bazai dace ba.
Wani labarin na 2012 a Journal of Oncology , ya gano cewa maganin radiyo bai zama dole ba kuma bai inganta sakamakon / maganin kwayar cutar microcarcinoma a general - kuma ya kasance mai amfani ne kawai a cikin marasa lafiya mafi girma da yawan ciwon sukari, inda RAI ya rage sake dawowa.
Abubuwan da ke faruwa ga marasa lafiya
Mafi yawan marasa lafiya wadanda ke da ƙwayar thyroidectomy har yanzu sun ƙare suna bukatar magani mai maye gurbin thyroid hormone. Saboda haka yana iya zama ma'ana, idan kuna da tiyata, da kuma buƙatar magani bayan haka, don tattaunawa akan wadata da kwarewa na jimlar ku tare da likitan ku.
Dangane da RAI, ya kamata ku tattauna abubuwan da zai yiwu idan kuna da wasu abubuwan haɗari, ciki har da tarihin iyali, bayyanar radiation, ciwon daji na ciwon thyroid, ko sauran damuwa. Kuma tabbatar da cewa likitanka yana sane da sabon jagororin domin ya iya tantance abubuwan da ke damun ku, kuma ya bada shawara mafi kyau game da RAI.
> Sources:
> Arora, N et. al. "Papillary thyroid carcinoma da microcarcinoma: Shin akwai bukatar mu bambanta biyu? Thyroid 2009; 19: 473-77 PDF
> Carballo, Marilee et. al. "Don Biyan ko Ba a Bi da Shi: Matsayi na Adjuvant Radioiodine Far a Thyroid Cancer Patients," Journal of Oncology . Satumba 2012, Online
> Hay, Ian et. al. "Babu cikakkiyar takaddun ganyayyaki ko radiyo din din da ya rage a tsawon shekaru 900 a cikin marasa lafiya 900 tare da maganin microcarcinoma na maganin ƙwayar cuta a lokacin 1945 zuwa 2004," Endocrine Abstracts , (2008) 16 P685 Online
> Noguchi, S. et. al. "Papillary microcarcinoma." Jaridar Duniya ta Tafiya , Volume 32, Isowar 5, shafuffuka 747-53. Mayu 2008, Abstract
> Pearce, E. da Braverman, L. "Papillary Thyroid Microcarcinoma Abubuwa da Abubuwan Kulawa don Jiyya," Jarida na Endocrinology Clinical & Metabolism , Yuli 02, 2013 Online
> Roti, Elio (2008) Ciwon ƙwayar maganin maganin karoid na thyroid: binciken bincike da nazari na meta-bincike. Jaridar Turai ta Endocrinology, (2008) 159 659-673