Masu bincike sunyi nazarin Lobectomy ko Total Thyroidectomy na Papillary Cancer
A shekara ta 2017, Cibiyar Kankara ta Amirka ta kiyasta cewa za a gano kimanin mutane 56,870 na cutar ciwon thyroid: 42,470 cikin mata, da 14,400 a cikin maza.
Tsarin maganin ciwon daji na thyroid shine tiyata don cire ciwon daji. Yawancin lokaci, masana sun ba da shawarar cewa tiyata cire dukan glandan thyroid. Wannan cikakken cirewar glandon thyroid gwargwadon rahoto ne da aka sani da thyroidectomy .
Tun daga shekara ta 2017, Amfanin Thyroid Association na Amurka da ke maganin ciwon maganin thyroid ya ba da shawarar cewa mai haƙuri ya sami cikakkiyar thyroidectomy ga kowane irin ciwon maganin thyroid . Iyakar kawai an sanya shi don ƙananan ciwon ƙwayar karoid din da ke kasa da 1 cm a diamita.
A Amurka, kimanin kashi 80 na dukan ciwon maganin thyroid ne ciwon daji na papillary, wanda kuma ake kira "carcinoma" papillary ko adenocarcinoma na papillary. Magunguna na Papillary zai iya nunawa a gefe ɗaya na thyroid-da aka sani da lobe-kuma irin wannan ciwon maganin thyroid ci gaba yakan girma sosai. Maganin Papillary zai iya, duk da haka, ya yada zuwa ƙananan lymph a wuyansa. Ko da a lokacin da ya yada zuwa ƙananan lymph, kididdigar sun nuna cewa ciwon daji na rubillary yana da kyau sosai, kuma yana da rauni sosai.
Binciken binciken binciken da aka gabatar a Cibiyar Asibitin Clinical na shekara ta 2016 na Kwalejin Kwalejin Kwararru na Amirka ya nuna cewa yawancin marasa lafiya na maganin ciwon dajin daji na likitanci zasu amfana daga rashin tsada, marasa rinjaye, kuma mafi mahimmanci aikin tiyata wanda ake kira "lobectomy", wanda yake da cikakkiyar thyroidectomy.
A cikin lobectomy, kawai an cire cire lobe da aka shafi.
Musamman, masu bincike daga Makarantar Kimiyya na Tulane a New Orleans da Johns Hopkins Makarantar Medicine a Baltimore sun ƙaddara cewa, saboda yawancin marasa lafiya na maganin ciwon maganin thyroid, yawancin ƙwayar thyroidectomy yana da tsada kuma yana haifar da raguwa a rayuwa idan aka kwatanta da lobectomy.
Masanin binciken mai binciken Zaid Al-Qurayshi, MD, MPH na Jami'ar Iowa Hospital ya ce:
Abubuwan da muka gano suna nuna cewa daga yanayin hangen nesa, yin aikin layi maimakon aiki cikakke a cikin marasa lafiyar da ke da kwakwalwa na kwayoyin halitta don ƙwayar maganin maganin thyroid a jikinka. Yana da mahimmanci a lura cewa, wannan binciken ba yana nufin cewa lobectomy kawai ba ne kawai mai saukin kudi; muna kiran hanyar da za ta iya amfani da ita idan an kwatanta da madadin idan yana da farashi, ko kuma irin wannan, amma an haɗa shi da mafi tasiri.
Wani binciken kuma idan aka kwatanta lafiyar ciwon daji na thyroid da kuma sake dawowa a cikin marasa lafiya wanda ke da cikakkiyar yourroidectomy game da lobectomy. An gudanar da nazarin shekaru 10 na tunawa da tunawa da tunawa da Sloan Kettering a birnin New York. A cikin wannan binciken, masu bincike sun gwada marasa lafiya da thyroid cancers kasa da 4 cm cikin girman da ba su yada a waje da lobe. Masu bincike basu sami bambance-bambance a cikin shekaru 10 na rayuwa ba ko kuma ƙwayar maganin ciwon daji na thyroid a cikin kungiyoyi biyu. Wannan bincike ya nuna cewa a tsawon lokaci, dangane da lafiyar ciwon daji na thyroid da kuma sake komawa hadarin, lobectomy yana da tasiri sosai kamar yadda kawancin ka ke yi don ƙananan ciwon canji.
Ayyukan Lobectomy
Bisa ga masu bincike, ga wata ƙungiya mai maƙalli na marasa lafiya na cutar papillary, lobectomy yana da kyau fiye da duka thyroidectomy don dalilai da dama, ciki har da:
- Lobectomy yana da ɗan gajeren tiyata fiye da cikakkiyar kwayar cutarka, kuma ana iya yin amfani da shi a kan asibiti .
- Lobectomy yana da ƙananan haɗari na rikitarwa idan aka kwatanta da duka thyroidectomy.
- Saukarwa bayan lobectomy ya fi sauri idan aka kwatanta da cikakkiyar thyroidectomy
- Bayan lobectomy, mai yiwuwa bazai buƙatar maye gurbin karo na karo (ko kuma idan ka yi, kashi na iya zama ƙasa). Idan kana da cikakkiyar thyroidectomy, zaka buƙaci magani na maye gurbin maganin hormone.
- Magunguna masu kwakwalwa suna nuna kyakkyawar rayuwa bayan yin aiki idan aka kwatanta da cikakkiyar thyroidectomy.
Shin kai ne dan takara na Lobectomy?
Bincike ya nuna cewa lobectomy zai iya zama tasiri lokacin da ciwon maganin thyroid ciwon sukilla ya hadu da ka'idoji guda uku:
- Ciwon maganin thyroid na papillary shine Stage I ko II kawai
- Ciwon yana tsaye ne kawai a cikin lobe na thyroid
- Kwayar yana da 4 cm ko žasa a cikin girman
Idan kana da ciwon maganin thyroid na maganin ciwon maganin da ke daidai da wadannan sigogi, zaka iya so ka yi magana akan labactomy da duka thyroidectomy tare da likitan likitan ka.
Sauran Bayani ga Magunguna
Halin batun likitocin thyroid sun kawo wani muhimmin mahimmanci. Ko da mawuyacin hali, matsalolin sun fi dacewa idan likitan likitanku ba su da kwarewa wajen yin maganin jinƙai. Yana da muhimmanci a koyi yadda za ka iya kuma zaɓar likitan likita wanda yake da kwarewa sosai a tiyata .
> Sources:
> Nixon, IJ et al. Yourroid lobectomy don magance da kyau bambanta intrathyroid malignancy. Tiyata. 2011. Oktoba 14, 2011
> Noureldine, S. da Kandil, E. "Ana cire lobe maimakon nauyin karoid dinka na iya amfani da marasa lafiya na maganin ciwon maganin cutar ta maganin ciwon maganin ka." Cibiyar Kwalejin Jakadancin Amirka: 2016 Taron Kasuwancin Gida.