Abaphandi bavavanya iLobectomy okanye i-Total Thyroidectomy yeCapillary Cancer
Ngo-2017, i-American Cancer Society ilinganisela ukuba malunga nama-56,870 amatyala omtsha womhlaza we-thyroid aya kuthiwa: 42,470 kwabasetyhini kunye no-14,400 amadoda.
Ukunyanga okusemgangathweni komhlaza we-thyroid ngumsebenzi wokususa umhlaza. Ngokuqhelekileyo, iingcaphephe zincoma ukuba utyando lususe i-thyroid gland. Ukususwa ngokupheleleyo kwegciwane le-thyroid kuyaziwa njenge- thyroidectomy yakho yonke .
Ukususela ngo-2017, izikhokelo zomdlavuza we-American Thyroid Umdlavuza we-thyroid zikhuthaza ukuba isigulane sithole i-thyroidectomy yakho yonke imithi yomhlaza we- thyroid . Okukuphela kwenzalo eyenzelwe izicubu ezincinci ze-thyroid ezingaphantsi kwe-1 cm ububanzi.
EUnited States, malunga neepesenti ezingama-80 zazo zonke i-cancer ye-thyroid ngumhlaza wempuphu, obizwa ngokuba yi-papillary carcinoma okanye i-adenocarcinoma yamaphepha. Umdlavuza wamapapilisi unakho ukubonakalisa kwicala elinye le-thyroid-elibizwa ngokuba yi-lobe-kwaye olu hlobo lomdlavuza we-thyroid lukhula ngokukhawuleza. Umhlaza wamapapilisi unokwanda kwimilo yeclimph entanyeni. Nangona xa isasazeka kwii-lymph nodes, amanani abonisa ukuba umdlavuza wamapilisi unyanga kakhulu, kwaye akafaneki ukufa.
Iziphumo zophando zophando ezinikezelwa kwiNgqungquthela ye-Clinical yase-American College yase-American College of Surgeons yaphakamisa ukuba izigulane ezininzi zomdlavuza we-thyroid ziza kuxhamla kwi-optics ye-thyroidectomy ebizwa nge-lobectomy, ebizwa ngokuba yi-lobectomy.
Kwi-lobectomy, kuphela i-lobe echaphazelekayo isuswa.
Ngokukodwa, uphando abavela kwiTulane University School of Medicine e-New Orleans naseJohn Hopkins School of Medicine eBaltimore banquma ukuba izigulane zomdlavuza we-thyroid zonyango, i-thyroidectomy yakho iyabiza kwaye ibangela ukunciphisa umgangatho wobomi xa kuthelekiswa ne-lobectomy.
Umphenyi oqhubekileyo wophando uZayid Al-Qurayshi, MD, MPH, weYunivesithi yase-Iowa, wathi:
Iziphumo zethu zibonisa ukuba ukusuka kwimiba yezoqoqosho, ukwenza i-lobectomy esikhundleni se-thyroidectomy esipheleleyo kwizigulane ezinexholongwane eligwenxa nge-papillary thyroid carcinoma inxulumene neendleko eziphantsi kunye nokusebenza kakuhle. Kubalulekile ukuba uqaphele, oku kufunyanweyo akuthethi ukuba i-lobectomy yindlela efanelekileyo yindlela efanelekileyo; sibiza iqhinga 'elibizayo' xa kuthelekiswa nenye indlela ukuba ixabisa enye, okanye enye, kodwa inxulumene nokusebenza okungcono.
Olunye uhlolisiso lufanisa ukuhlala komdlavuza we-thyroid kunye nokuphindaphinda kwamazinga kwizigulane ezine-thyroidectomy ngokupheleleyo kunye ne-lobectomy. Uvavanyo lwe-10 lweminyaka luqhutywe yiSikhumbuzo seSikhumbuzo seSikhumbuzo seSikhumbuzo saseNew York. Kulo cwaningo, abaphandi bavavanya izigulane ezine-cancer ye-thyroid ngaphantsi kwe-4 cm ngobukhulu obungasasazanga ngaphandle kwe-lobe. Abaphandi abafumani nantlukwano ebalulekileyo kwiminyaka eyi-10 yokusinda okanye umlinganiselo wokuphindaphinda umdlavuza we-thyroid kumaqela amabini. Olu phando lubonise ukuba ngokuhamba kwexesha, ngokwempilo yomhlaza we-thyroid kunye nomngcipheko wokuphindaphinda, i-lobectomy yayisebenzisayo njenge-thyroidectomy yakho yonke yeekliniki ezincinci ze-thyroid.
Iziphumo zeLobectomy
Ngokwabaphandi, kwiqela elijoliswe kuyo, izilwanyana zomhlaza, i-lobectomy ingcono kune-thyroidectomy epheleleyo ngezizathu ezininzi, kubandakanywa:
- I-Lobectomy yinto egcinci yokuhlinzwa ngaphezu kwe-thyroidectomy yakho yonke, kwaye isenokuthi yenziwe ngokusesikweni.
- I-Lobectomy inomngcipheko omncinci weengxaki zokugqithisa xa kuthelekiswa ne-thyroidectomy yakho yonke.
- Ukuhlaziya emva kokuba i-lobectomy ikhawuleze ngokuthelekiswa ne-thyroidectomy yakho yonke
- Emva kwe-lobectomy, awuyi kufuna i-hormone ye-thyroid (okanye ukuba uyayenza, le dose mayingaphantsi). Ukuba unayo i-thyroidectomy yakho yonke, uza kufuna i-thyroid ye-hormone yokuguqula imithi.
- Izigulane zeLobectomy zichaza umgangatho ophezulu wobomi emva kokuhlinzwa xa kuthelekiswa ne-thyroidectomy yakho yonke.
Ngaba Ungumviwa weLobectomy?
Uphando luye lwabonisa ukuba i-lobectomy inokusebenza xa umhlaza we-thyroid unyathelana neendlela ezintathu eziphambili:
- Umdlavuza we-thyroid umpapa I-Stage I okanye II kuphela
- I-tumor ikhona kwi-lobe eyodwa kuphela ye-thyroid
- I-tumor i-4 cm okanye ngaphantsi ngobukhulu
Ukuba unomdlavuza we-thyroid ohambelana nale mida, unokufuna ukuxoxa nge-lobectomy ngokubhekiselele kwi-thyroidectomy yakho kunye nodokotela wakho we-thyroid.
Olunye ulwazi olulandelayo lwabaguli
Ingxaki yegciwane le-thyroid ivelisa iphuzu elibalulekileyo. Nangona ne-lobectomy, iingxaki zinokwenzeka ukuba ugqirha wakho unamava angaphantsi owenza uphando lwe-thyroid. Kubalulekile ukuba ufunde ngokusemandleni akho kwaye ukhethe udokotela ogqirha onamava amaninzi kwindlela yokuhlinzwa .
> Imithombo:
> Nixon, IJ et al. I-lobictomy ye-Thyroid yokunyanga ukuhlukumeza okungafani kakuhle. Ukuhlinzwa. Ngo-Oktobha 14, 2011
> Noureldine, S. kunye noKandil, E. "Ukususwa kwe-lobe endaweni ye-thyroid iyonke kunokunceda izigulane zomdlavuza we-thyroid." Ikholeji yase-American of Surgeons: 2016 Iinkqubo zeCellical Congress.