Umhlaza wedlala lengqula

Anaplastic thyroid carcinoma luhlobo olunqabileyo nolukrakra lomhlaza wedlala lengqula.

Anaplastic umhlaza we-thyroid luhlobo olungenayo lomhlaza we-thyroid okhula ngokukhawuleza. Kwenzeka rhoqo kubantu abangaphezulu kweminyaka engama-60. Ixhaphake kakhulu kubantu basetyhini kunakubesilisa. Unobangela awaziwa.

I-akhawunti yomhlaza we-Anaplastic i-akhawunti kuphela malunga ne-1% yazo zonke i-cancer ze-thyroid e-United States.

Iimpawu zibandakanya:

• Khohlela
• Ukukhohlela igazi
• Kunzima ukugwinya
• Ukugquma okanye ukutshintsha kwelizwi
• Ukuphefumla okukhulu
• Isigaqa sentamo esezantsi, esivame ukukhula ngokukhawuleza
• Intlungu
• Intambo yeVocal ukukhubazeka
• I-thyroid engasebenzi (hyperthyroidism)

Uvavanyo lomzimba phantse luhlala lubonisa ukukhula kwingingqi yentamo. Ezinye iimviwo zibandakanya:

• Ukuskena i-MRI okanye i-CT entanyeni kunokubonisa ithumba elikhula kwi-thyroid gland.
• I-biopsy ye-thyroid yenza ukuxilongwa. Izicubu zethumba zinokujongwa ukuba zinophawu lwofuzo olunokuthi lubonise unyango, ngakumbi ngaphakathi kuvavanyo lweklinikhi.
• Uvavanyo lwendlela yomoya ene-fiberoptic scope (i-laryngoscopy) inokubonisa intambo yezwi ekhubazekileyo.
• Ukuskena idlala lengqula kubonisa ukuba oku kukhula "kuyabanda," nto leyo ethetha ukuba ayifunxi into enemitha yeathom.

Umsebenzi we-thyroid uvavanyo lwegazi luqhelekileyo kwiimeko ezininzi.

Olu hlobo lomhlaza alunakuphiliswa ngotyando. Ukugqitywa ngokupheleleyo kwedlala lengqula akuloluli ixesha lokuphila kwabantu abanolu hlobo lomhlaza.

Ugqirha oludityaniswe nonyango lwe-radiation kunye ne-chemotherapy lunokuba nesibonelelo esibalulekileyo.

Utyando lokufaka ityhubhu emqaleni ukunceda ngokuphefumla (tracheostomy) okanye esiswini ukunceda ngokutya (gastrostomy) kunokufuneka ngexesha lonyango.

Kwabanye abantu, ukubhalisa kuvavanyo lweklinikhi yonyango lomhlaza we-thyroid ngokusekwe kutshintsho lwemfuza kwi-tumor kunokuba lukhetho.

Unako ukunciphisa uxinzelelo lokugula ngokujoyina iqela lenkxaso labantu ababelana ngamava aqhelekileyo kunye neengxaki.

Imbonakalo yesi sifo ayibi. Uninzi lwabantu aluphili ixesha elingaphezulu kweenyanga ezi-6 ngenxa yokuba esi sifo sinoburharha kwaye kukho ukunqongophala kweendlela zonyango ezifanelekileyo.

Iingxaki zinokubandakanya:

• Ukusasazeka kwesisu ngaphakathi kwentamo
• I-Metastasis (isasazeka) yomhlaza kwezinye izicubu zomzimba okanye amalungu

Shayela umboneleli wakho wezempilo ukuba uyaqaphela:

• Isigaxa esiqhubekayo okanye ubunzima entanyeni
• Ukudakumba okanye utshintsho kwilizwi lakho
• Khohlela okanye ukhohlele igazi

I-Anaplastic carcinoma ye-thyroid

• Umhlaza wegciwane le-thyroid-CT scan
• Idlala lengqula

I-PC ye-Iyer, uDadu R, uFerrarotto R, et al. Amava okwenyani okwenyani kunyango ekujolise kulo kunyango lwe-anaplastic thyroid carcinoma. Idlala lengqula. 2018; 28 (1): 79-87. IINKCUKACHA: 29161986 pubmed.ncbi.nlm.nih.gov/29161986/.

UJonklaas J, Cooper DS. Idlala lengqula. Ku: IGoldman L, iSchafer AI, ii-eds. Amayeza eGoldman-Cecil. Ngomhla wama-26. IPhiladelphia, PA: Elsevier; 2020: isahluko 213.

IZiko leSizwe loMhlaza, iZiko loPhando lwewebhusayithi yoMhlaza. Umhlaza wedlala lengqula. www.cancer.gov/pediatric-adult-rare-tumor/rare-tumors/rare-endocrine-tumor/anaplastic-thyroid-cancer. Ukuhlaziywa ngoFebruwari 27, 2019. Ifikeleleke ngoFebruwari 1, 2020.

Incinci, RC, Ain KB, Asa SL, et al. Izikhokelo zoMbutho weAmerican Thyroid kulawulo lwezigulana ezinomhlaza wedlala lengqula. Idlala lengqula. Ngo-2012; 22 (11): 1104-1139. IINKCUKACHA: 23130564 pubmed.ncbi.nlm.nih.gov/23130564/.

USmith PW, uHanks LR, uSalomone LJ, uHanks JB. Idlala lengqula. Ku: Townsend CM Jr, Beauchamp RD, Evers BM, Mattox KL, ii-eds. Incwadi yeSabiston yoNyango. Umhla we-20. IPhiladelphia, PA: Elsevier Saunders; Ngo-2017: isahluko 36.