Lokacin da likitanku ya sami maganin thyroid nodule, maganin magani na gargajiya shi ne a gare ku da tiyata don cire nodule. Sau da yawa, an cire cire lobe (rabin) na thyroid an cire shi, kuma a wasu lokuta, an cire karoid din gaba daya. Mutane da yawa marasa lafiya da ke da magungunan thyroidectomy suna buƙatar sa maye gurbin juyawa, kuma duk wanda ya ke da ciwon thyroidectomy ya dogara da magani na maganin horroid dinka bayan tiyata.
Yanzu, ga wasu ƙananan, ƙananan haɗari, ƙwayoyin papillary masu raguwa na ciwon maganin thyroid , masana suna farawa don bayar da shawara ga sabon tsarin: kulawar aiki.
Masu bincike sun bayar da rahoto a cikin mujallar JAMA-Otolaryngology-Head & Neck Tragery sun nuna cewa kulawa mai aiki-wanda aka fi sani da jiran jiragen-waɗannan microcarcinomas na iya zama mafi alhẽri ga marasa lafiya fiye da tiyata, muddin sa ido ya kunshi fasahar fasaha uku. kamar yadda duban dan tayi.
Cibiyar Thyroid Association ta Amurka ta amince da amfani da kulawa mai kyau kamar yadda aka saba wa maganin ciwon maganin ciwon maganin thyroid a cikin marasa lafiya marasa lafiya da ciwon daji.
Babbar Jagora ta JAMA , mai suna R. Michael Tuttle, MD, na Ma'aikatar Gunawa ta Memorial Sloan Kettering, ta Birnin New York, ta gaya wa Medscape:
Mutane da yawa ba sa bukatar tiyata don shekaru, kuma watakila ba. Muna motsi daga tunanin cewa da zarar ka samo asali na ciwon maganin thyroid cike da ciwon daji dole ne ka yi sauri kuma ka yi tiyata. Yanzu, yana da ƙari game da kuskure, kuma a gaskiya akwai ƙungiyoyin marasa lafiya a Amurka cewa wannan ya kamata a yarda da shi sosai. Akwai marasa lafiya a Amurka waɗanda ba su so a tilasta aikin tiyata a kowane ƙananan ƙwayar cutar ciwon thyroid.
Masu bincike sun lura da rukuni na marasa lafiya wadanda basu da kananan-kasa da 1.5 mm a cikin ƙananan ciwon maganin karoid. A tsawon shekaru, an auna girman girman tumatir uku tare da duban dan tayi kowane watanni shida zuwa shekara. Masu binciken sun gano cewa bayan shekaru 5, kawai kashi 12 cikin dari na marasa lafiya sun ga ƙwayoyin su na girma zuwa 3 mm ko fiye a girman.
Babu wani yaduwa na yanki ko nesa da cutar ciwon daji da aka bunkasa a cikin marasa lafiya da aka yi nazarin a yayin kulawar aiki.
Dokta Tuttle ya bayyana cewa ƙarfin tarin girma na uku na tarin tumoci shine sabon abu mai mahimmanci wanda ke sa kulawa mai aiki ya fi dacewa da tasiri. Yin tallan dan tayi a kowane watanni shida a cikin shekaru biyu na kulawa zai ba da damar masana su kirkiro girma. Idan wannan azumin ya yi azumi, to, ana gwada tiyata. Amma, a cewar Dr. Tuttle, tun da yawancin cututtukan da suka yi karatu ba su yi girma ba ko kuma sun yi girma sosai, masu bincike sun ba da shawarar cewa likitoci sun ba da kulawa mai kyau a matsayin wani zaɓi ga marasa lafiya marasa lafiya.
Kamar yadda Dr. Tuttle ya fada wa Medscape:
Rushing to tiyata iya zama abin da ke daidai ga mutum mai haƙuri, amma babu sauri idan suna son kallon. Mutane da yawa suna darajar maganin ka kuma ba sa so su kasance a kan karamar karoid don rayuwa, don haka idan suna da zaɓi na kallo, suna ganin cewa a matsayin wani zaɓi mai mahimmanci.
Kalma Daga
Ka tuna cewa kulawa mai kulawa da ƙwayar thyroid nodule yana buƙatar masu ilimi, gwani, da kuma ƙwararren likitoci. Kana son mambobin ku su sami kwarewa a cikin wannan sabuwar hanyar maganin ciwon maganin thyroid.
Masana sunyi la'akari da cewa sakamakon zai iya zama marar kyau ga marasa lafiya wadanda ke kulawa a waje da cibiyoyin kiwon lafiya wanda ke da kwarewar ciwon maganin ciwon daji, ko masu kiwon lafiya waɗanda ke kwarewa a maganin ciwon maganin ciwon daji da ke ciwon thyroid, tare da ilimin ka'idodin kulawa. Saƙon gida-saƙo: kulawa mai aiki zai iya zama wani zaɓi wanda zai iya zama mai dorewa da lafiya, amma idan idan aka yi a hannun masana.
Wani muhimmin mahimmanci don tunawa: mahimmin hanyar kula da aiki shine bin biyan kuɗi da kuma saka idanu. Idan ka zaɓi wannan hanyar, tabbatar da cewa kana da cikakkun nau'i-nau'i na uku, kuma biye da masana masu ciwon daji na thyroid.
Binciken na yau da kullum yana da mahimmanci ga kulawar aiki, kuma ya kamata ya iya gano duk wani canje-canje mai mahimmanci ga ciwon daji wanda zai iya samun magani da magani a nan gaba.
A ƙarshe, masu bincike sun nuna cewa 'yan takara mafi kyau shine waɗanda aka gano bayan shekaru 50. Idan kun kasance a cikin shekarun 50, tumarku za ta yi girma, saboda haka ana tilasta yin aikin tiyata sau da yawa idan an gwada ku da ciwon kwari microcarcinoma papillary .
> Sources:
> Leboulleux, S. et al. "Papillary thyroid microcarcinoma da kuma kula aiki." Rashin ciwon sukari na Lancet & Endocrinology, Volume 4, Issue 12, 976 - 977. Disamba 2016.
> Tuttle, M MD et. al. "Tarihin Tarihi da Harshen Tumor Kinetics na Papillary Thyroid Cancers A Lokacin Sake Sanya Kama." JAMA Otolaryngol Head Neck Surg. An buga shi a ranar 31 ga Agusta, 2017. http://jamanetwork.com/journals/jamaotolaryngology/article-abstract/2650803