Ciwon daji na thyroid shine na uku mafi yawan ciwon daji a cikin yara. Wannan ciwon dajin na yara ya ba da alamu da yawa tare da tsofaffin ciwon daji na thyroid wadanda ke dauke da su na yau da kullum da suka hada da papillary, follicular da medullary; da kuma mace zuwa kashi namiji ne kamar 6: 1, da sauransu.
Yayin da rayuwa mai dorewa na ciwon daji na thyroid cike take da kyau, akwai wasu ƙananan binciken da ke gano ƙwayoyin asibiti na wannan ƙananan yara.
Yawancin karatu sun hada da dubawa guda daya. An yi nazari da yawa a makarantun amma ana kokarin iyakancewa wajen samar da manyan fayiloli ta hanyar kungiyoyi ko yankuna. Ƙananan iyakokin samfurori a cikin waɗannan binciken, tare da buƙatar dogon lokaci na cututtuka tare da jinkirin jinkiri, sun haifar da matsala wajen tantance sakamakon sakamako masu kyau da kuma mummunar sakamako ga magani.
Magunguna guda biyu da masu wuyan igiya sun bayyana don gano irin wannan sakamako ta hanyar biyan yawan marasa lafiya a tsawon lokaci ya kamata a binciki abin da ke kaucewa kulawa da hukumomi. Sun yi nazari akan manyan manyan bayanai na kasa kan tsawon shekaru 12 a cikin ƙoƙari na fahimtar abin da zai haifar da rashin lafiya na tsawon lokaci, duk da cewa lokuta masu mutuwa, cutar a matakin kasa a cikin yawan yara. Tsawon wannan binciken ya kauce wa abin da ke cikin wannan bincike.
Mawallafin Mawuyacin Ciwon Jama'a ga sakamakon lafiyar yara na Thyroid Carcinoma, Nina L. Shapiro MD ne, Harkokin Sashen Hoto da Cikin Abun Hoto, UCLA School of Medicine, Los Angeles, CA; da Neil Bhattacharyya MD, a Division of Otolaryngology, Asibitin Brigham da Womens, da kuma Ma'aikatar Harkokin Ilmi da Laryngology, Harvard Medical School, Cambridge, MA.
Za a gabatar da binciken su a 19th American Society of Physical Otolaryngology http://www.aspo.us taron da aka gudanar a May 2-3, 2004, a JW Marriott Desert Ridge Resort & Spa a Phoenix, AZ.
Hanyoyin: An sake nazari kan tsarin kulawa da cutar (1988-2000), yana cire dukkan marasa lafiya na likitan yara tare da ciwon maganin karoid kamar yadda ya kamata: (1) Shekaru a ganewar asali daga haihuwa har zuwa shekaru 18; (2) Ƙararren ƙira na ciwon ƙwayar thyroid; (3) Karancin maganin thyroid (papillary ko follicular) da kuma (4) Shekara na ganewar asali tsakanin 1988 zuwa 2000. An cire marasa lafiya da sauran nau'in tumuttuka irin su anafi ko ƙananan carcinoma. Bayanai na asibiti da kuma ƙananan da aka samo asali daga cikin bayanai sun hada da shekaru a ganewar asali, jinsi, tarihin tumo, matsanancin ƙwayar cuta, harkar cutar ta farko, harkar cutar nodal, jiyya da tiyata da / ko iodine rediyo, da kididdigar rayuwa.
An adana bayanai da kuma shigo da su zuwa SPSS version 10.0. Daga cututtukan cututtukan cuta, har yanzu an kafa mummunar cutar ta farko kamar yadda aka ruwaito a baya. Nodal cutar da aka rubuta a matsayin kasancewa ko babu na mahaifa a lokacin da farko ganewar asali.
Har ila yau an ƙaddamar da farfadowa na intanet na asibiti ne kawai, lobectomy, subtotal thyroidectomy, ko total thyroidectomy.
Sakamako: Masu bincike sun gano 566 na thyroid carcinomas a cikin shekaru 12. Matsakaicin shekaru a gabatarwa shine shekaru 16.0, tare da kashi 84 cikin dari na mata marasa lafiya. Nau'in tumor sun hada da 378 (66.8 bisa dari) na carcinomas na papillary, 137 (kashi 24.2) na carcinomas na papillary tare da bambancin juyawa, da kuma 51 (9.0 bisa dari) carcinomas. Yawanci, ƙananan ƙwayar tumo a gabatarwa shi ne 2.6 centimeters. Game da cutar ta farko, yawancin marasa lafiya (kashi 74.2) na da cutar ta intrathyroid ne kadai.
Ƙananan rukuni na da ƙananan ƙananan gida (kashi 12.5 cikin 100), kuma 'yan kalilan suna da girma ko karin ƙwarewa (kashi 5.4). Kwayar nodal mai kyau a wuyansa ya kasance a cikin kashi 37.1 cikin dari na marasa lafiya a farkon ganewar asali. Mafi yawan marasa lafiya sun kasance tare da ciwon kuɗin da ke ciki (72.8 bisa dari) sannan kuma kashi kashi 13.4 cikin dari wanda ya biyo baya (sau 7.2). An yi amfani da maganin Idinin radiyo zuwa kashi 51.4 cikin dari na marasa lafiya.
Babban ci gaba ga dukan rukuni shine 153.8 watanni, iyakance ga 155 watanni mafi girma bi-up. Carcinomas na Papillary (ma'anar rayuwa, 155.3 watanni) sun fi kyau fiye da jujjuyarar ƙwayoyin zuciya Tsarin rai, kasancewa da kwakwalwa na ciki, harkar tiyata, da kuma amfani da maganin Idinin rediyowa ba su da tasirin rinjayar rayuwa gaba daya. Hanyoyin jinsi maza, tarihin banza, da kuma farautar cutar ta gida sun sami tasiri mafi mahimmanci akan raguwar rayuwa mai tsawo.
Sakamakon ya dace da binciken daga wasu binciken da ya bayyana cewa ciwon daji na thyroid ciwon ya fi yawanci a cikin shekaru matasa, kuma a cikin mata. Mafi yawan tarihin tarihin rubutu shine papillary, kamar yadda aka gani a cikin yawan adadin mutane. Rarraba cutar cututtukan (kashi 37.1) na kama da abin da aka gani a cikin binciken da ya gabata. Wannan bincike ya nuna cewa yayin da maganin tumɓir na farko ya kasance ne daga sauƙaƙƙen ƙwayar cuta zuwa cikakkiyar ƙaƙƙarfan ƙwayar jikinka, ƙididdigewa ba tare da tasiri ga sakamakon rayuwa ba. Wannan binciken ya bambanta da wasu rahotanni da dama waɗanda suka bayyana sakamakon da ya fi kyau a cikin marasa lafiya da ke jurewa kamfanonin da suka fi karfi irin su kashi-duka ko jimlar ku. Shekaru a bayan ganewar asali, matsayin nodal, da kuma ƙarin magungunan aikin rediyo na yadin rai basu da tasirin tasirin rayuwa. Mace namiji, matsanancin shafin yanar gizon cuta, da kuma duk wani nau'i mai zurfi duk suna da mummunar tasiri akan rayuwa idan aka kwatanta da sauran mabugun ƙwayoyin cuta. Ƙarshe: Hanyoyin jinin dangin kuɗin kwantar da hankulanku yana nuna kyakkyawan sakamakon rayuwa. Magunguna marasa bambanci suna nuna alamun rashin nasara fiye da waɗanda suke da nau'o'in wallafe-wallafe. Ko da yake wannan cutar tafi yawanta a cikin mata fiye da maza, maza da thyroid carcinoma suna da talauci fiye da mata. Cibiyar ta filayen ciwon magungunan cutar ta gida yana ɗauke da rashin lafiyar jiki idan aka kwatanta da cutar intrathyroidal kadai. Duk da yake aikin bincike da kulawa dole ne a mayar da hankali ga kowane mai haɗari, lissafi don ƙananan cututtuka da dadewa, wannan sabon bincike yana ba da bayanin lafiyar yau da kullum game da lafiyar marasa lafiya da ciwon maganin thyroid carcinoma game da rayuwa da kuma matsalolin da ke haifar da sakamako.