Nau'o'in / thyroid / haƙuri / yara-maganin-maganin-maganin-pdq

Kulawa da Ciwon Cutar Thyroid na Yara (®) –Patient Version

Janar Bayani Game da Ciwon Thyroid na Yara

MAGANAN MAGANA

• Ciwon kansa na cuta shine cuta wanda ƙwayoyin cuta masu ɓarna (ciwon daji) ke samuwa a cikin ƙyauren glandar.

• Nodules na thyroid na iya zama adenomas ko carcinomas.

• Ana iya samun nodules na thyroid yayin gwajin likita na yau da kullun kuma yawanci ba ciwon daji bane.

• Kasancewa da radiation ko kuma samun wasu cututtukan kwayoyin halitta na iya shafar haɗarin cutar kansa na thyroid.

• Medullary ciwon daji na thyroid wani lokacin yana haifar da canji a cikin kwayar halittar da ake wucewa daga iyaye zuwa yaro.

• Alamomin cutar sankara sun hada da kumburi ko kumburi a wuya.

• Ana amfani da gwaje-gwajen da ke bincikar maganin karoid, wuya, da jini don tantancewa da kuma kawo ciwan kansa.

• Wasu dalilai suna shafar hangen nesa (damar dawowa).

Ciwon kansa na cuta shine cuta wanda ƙwayoyin cuta masu ɓarna (ciwon daji) ke samuwa a cikin ƙyauren glandar.

Thyroid din gland ne a gindin makogwaro kusa da trachea (windpipe). An fasalta shi kamar malam buɗe ido, tare da ƙwarin dama da na hagu. Isthmus wani yanki ne na sihiri wanda yake haɗa lobes biyu. Yawanci ba za a ji shi ta fata ba.

Anatomy na thyroid da gland. Glandar thyroid tana kwance a gindin maƙogwaro kusa da trachea. An fasalta shi kamar malam buɗe ido, tare da ƙwanƙwasa na dama da na hagu wanda ke da alaƙa da wani ɗan ƙaramin nama da ake kira isthmus. Glandan parathyroid gabobi ne guda huɗu masu girman gaske waɗanda ake samu a wuya a kusa da thyroid. Hanyoyin thyroid da parathyroid gland suna yin hormones.

Thyroid yana amfani da iodine, ma'adinai da ake samu a wasu abinci da kuma cikin gishirin iodized, don taimakawa yin homon da yawa. Hormone na thyroid suna yin haka:

• Gudanar da bugun zuciya, zafin jiki, da yadda da sauri abinci ya canza zuwa makamashi (metabolism).

• Kula da adadin kalsiyam a cikin jini.

Nodules na thyroid na iya zama adenomas ko carcinomas.

Akwai nodules na thyroid iri biyu:

• Adenomas: Adenomas na iya yin girma sosai kuma wani lokacin suna yin homon. Adenomas ba ciwon daji bane amma ƙila ya zama mummunan (ciwon daji) kuma ya yada zuwa huhu ko ƙwayoyin lymph a cikin wuya.

• Carcinomas: Akwai manyan nau'ikan nau'ikan thyroid carcinoma a cikin yara:

• Papillary. Papillary thyroid carcinoma shine mafi yawan nau'in cututtukan thyroid a cikin yara. Yana faruwa mafi sau da yawa a cikin matasa. Papillary thyroid carcinoma yawanci yana dauke da fiye da ɗaya nodule a ɓangarorin biyu na thyroid. Yana yawan yaduwa zuwa lymph nodes a cikin wuyansa kuma yana iya kuma yadawa zuwa huhu. Halin da ake ciki (damar dawowa) ga yawancin marasa lafiya yana da kyau ƙwarai.

• Na al'ada. Magungunan maganin karoid din ka yawanci yawanci yana dauke da nodule daya ne. Sau da yawa yakan bazu zuwa kashi da huhu, amma da wuya ya bazu zuwa ƙwayoyin lymph a cikin wuya. Hannun hangen nesa ga yawancin marasa lafiya yana da kyau ƙwarai.

• Medullary. Medullary thyroid carcinoma ya samo asali daga kwayoyin C a cikin thyroid. Yawancin lokaci ana danganta shi da wani canjin gado da aka samu a cikin kwayar RET da kuma nau'in endoprine neoplasia type 2 (MEN 2). Yana faruwa sau da yawa a cikin yara yan shekaru 4 zuwa ƙarami kuma maiyuwa ya bazu zuwa sauran sassan jiki a lokacin da aka gano shi. Yaran da ke da cutar MEN2 suna iya kasancewa cikin haɗarin ɓarkewar cutar pheochromocytoma ko hyperparathyroidism.

Papillary da follicular thyroid thyroid wani lokaci ana kiransu daban-daban maganin karoid. Medullary da anaplastic thyroid cancer wani lokacin ana kiransu da rashin banbanci daban ko kuma rashin rarrabewar kansa. Anaplastic thyroid cancer yana da matukar wuya ga yara kuma ba a tattauna shi a cikin wannan taƙaitaccen bayani.

Ana iya samun nodules na thyroid yayin gwajin likita na yau da kullun kuma yawanci ba ciwon daji bane.

Likitan yaronku na iya samun dunƙule (nodule) a cikin ƙwayar ka yayin gwajin likita na yau da kullun, ko kuma ana iya ganin nodule a gwajin hoto ko yayin aikin tiyata don wani yanayin. Nodule na thyroid shine ci gaban mahaukaci na sel a cikin thyroid. Nodules na iya zama cikakke ko cike da ruwa.

Lokacin da aka samo nodule na thyroid, an yi amfani da duban dan tayi na thyroid da lymph nodes a cikin wuyansa. Ila za a iya yin gwajin ƙarancin allura mai kyau don bincika alamun kansar. Hakanan za'a iya yin gwajin jini don bincika matakan hormone na thyroid da na anti-thyroid antibodies a cikin jini. Wannan don bincika wasu nau'in cututtukan thyroid.

Nodules na thyroid ba sa haifar da bayyanar cututtuka ko buƙatar magani. Wasu lokuta nodules na thyroid suna da girma ta yadda da wuya a haɗiye ko numfashi kuma ana buƙatar ƙarin gwaje-gwaje da magani. Kashi daya cikin biyar na nodules na thyroid ya zama kansar.

Kasancewa da radiation ko kuma samun wasu cututtukan kwayoyin halitta na iya shafar haɗarin cutar kansa na thyroid.

Duk wani abu da zai kara maka hadarin kamuwa da cuta to ana kiran sa mai hadari. Samun haɗari ba ya nufin cewa za ku kamu da cutar kansa; ba tare da haɗarin abubuwan haɗari ba yana nufin cewa ba zaku sami cutar kansa ba. Yi magana da likitanka idan kana tunanin ɗanka na iya kasancewa cikin haɗari.

Abubuwan haɗarin haɗarin ƙwayar cutar ta thyroid sun haɗa da masu zuwa:

• Kasancewa da radiation, kamar daga gwaje-gwajen bincike, maganin radiation, ko jujjuya yanayin.

• Samun wasu ƙwayoyin cuta, kamar waɗannan:

• Yawancin cututtukan neoplasia na endocrine 2A (MEN2A).

• Yawancin cututtukan cututtukan endocrine neoplasia 2B (MEN2B).

• Samun tarihin iyali na kansar thyroid, gami da masu zuwa:

• Polyposis mai hade da APC.

• DICER1 ciwo.

• Carney hadaddun.

• PTEN cututtukan ƙwayar hamartoma.

• Ciwon Werner.

Medullary ciwon daji na thyroid wani lokacin yana haifar da canji a cikin kwayar halittar da ake wucewa daga iyaye zuwa yaro.

Kwayoyin halittar da ke cikin kwayoyin halitta suna daukar bayanan gado ne daga iyaye zuwa ga yaro. Wani canji a cikin RET gene wanda aka wuce daga iyaye zuwa yaro (ya gaji) na iya haifar da medullary thyroid cancer.

Akwai gwajin kwayar halitta da ake amfani da ita don bincika canzawar kwayar halitta. An fara gwada mara lafiyar don ganin ko yana da canzawar kwayar halitta. Idan mai haƙuri yana da shi, za a iya gwada sauran dangi don gano ko suna da haɗarin kamuwa da cutar sankara ta thyroid. 'Yan uwa, gami da yara kanana, wadanda suka sami canjin halittar suna iya samun aikin maganin cikin jiki (aikin tiyata don cire thyroid). Wannan na iya rage damar ci gaban medullary thyroid cancer.

Alamomin cutar sankara sun hada da kumburi ko kumburi a wuya.

Wasu lokuta cututtukan thyroid ba sa haifar da alamu ko alamu. Wadannan da sauran alamu da alamomin na iya faruwa ne ta sanadiyyar cutar sankara ko kuma wasu yanayi.

Binciki likitan ɗanka idan ɗanka yana da ɗayan masu zuwa:

• Wani dunkule a wuya.

• Rashin numfashi.

• Matsalar haɗiye.

• Sandarewa ko sauyawar murya.

Wadannan da sauran alamomi da alamomi na iya haifar da cutar sankarar mahaifa ko ta wasu yanayi.

Binciki likitan ɗanka idan ɗanka yana da ɗayan masu zuwa:

• Kumburi akan leɓe, harshe, ko fatar ido wanda baya cutar.

• Matsalar yin hawaye.

• Maƙarƙashiya

• Ciwon Marfan (kasancewa mai tsayi da sirara, tare da dogayen hannaye, ƙafafu, yatsu, da yatsun kafa).

Ana amfani da gwaje-gwajen da ke bincikar maganin karoid, wuya, da jini don tantancewa da kuma kawo ciwan kansa.

Ana yin gwaje-gwaje don tantancewa da matakin cutar kansa. Bayan an gano cutar kansa, ana yin karin gwaje-gwaje don gano ko ƙwayoyin kansa sun bazu zuwa yankunan da ke kusa ko zuwa wasu sassan jiki. Ana kiran wannan tsari staging. Gwaje-gwajen da aka yi don gano ko ƙwayoyin kansa sun bazu kafin a cire kumburin ta hanyar tiyata ana kiran sa tiyata. Yana da mahimmanci a san ko cutar daji ta bazu don tsara mafi kyawun magani.

Za a iya amfani da waɗannan gwaje-gwajen da hanyoyin:

• Jarabawa ta jiki da tarihin lafiya: Jarabawa ta jiki don bincika alamomin lafiya gaba ɗaya, gami da bincika alamun cuta, kamar kumburi (nodules) ko kumburi a wuya, akwatin murya, da lymph nodes, da duk wani abu da kamar baƙon abu . Za a kuma ɗauki tarihin al'adun lafiyar marasa lafiya da cututtukan da suka gabata da magunguna.

• Gwajin aikin maganin ka : Ana bincikar jini don matakan mahaukaci na hormone mai motsa jiki (TSH). TSH ana yin sa ne ta sankarar guji a kwakwalwa. Yana kara fitowar kwayar halittar ka da kuma sarrafa saurin yaduwar kwayar cutar. Hakanan za'a iya bincikar jinin don yawan matakan calcitonin (wani sinadarin hormone wanda tayroid yakeyi wanda yake rage adadin kalsiyam a cikin jini).

• Gwajin Thyroglobulin: Ana bincikar jini don adadin thyroglobulin, furotin da glandar thyroid ke yi. Matakan Thyroglobulin sun yi ƙasa ko ba su tare da aikin aikin ka na yau da kullun amma zai iya zama mafi girma tare da cutar sankara ko wasu yanayi.

• RET gene test: Gwajin dakin gwaje-gwaje wanda ake gwajin samfurin jini ko nama don wasu canje-canje a cikin kwayar RET. Ana yin wannan gwajin ne ga yara waɗanda zasu iya samun cutar sankara ta thyroid.

• Gwajin duban dan tayi: Hanya ce wacce ake fitar da igiyar ruwa mai karfi (duban dan tayi) daga kyallen ciki ko gabobin jikin mutum a wuyansa kuma amsa kuwwa. Eararrawa ta haifar da hoton kayan jikin da ake kira sonogram. Ana iya buga hoton don a kalleshi daga baya. Wannan aikin zai iya nuna girman ƙwanƙolin ƙwanƙolin ƙwanƙwasa da kuma shin yana da ƙarfi ko kuma cyst mai cike da ruwa. Ana iya amfani da duban dan tayi don jagorantar kwayar halittar fata mai kyau. Ana yin cikakken binciken duban dan tayi na wuya kafin a yi tiyata.

• Thyroid scan: Ana haɗiye ko allura wani ɗan ƙaramin abu mai tasirin rediyo. Kayan rediyo suna tattarawa a cikin ƙwayoyin glandar thyroid. Wata kyamarar ta musamman wacce aka haɗa ta da kwamfuta tana gano hasken da aka ba da kuma yin hotunan da ke nuna yadda glandar take da kuma ayyukanta ko kuma cutar kansa ta bazu fiye da glandar. Idan adadin TSH a cikin jinin yaron ya yi ƙanƙani, ana iya yin hoto don yin hotunan ƙwanƙolin maganin kafin a yi masa tiyata.

• CT scan (CAT scan): Hanya ce da ke yin jerin hotuna daki-daki na wurare a cikin jiki, kamar wuya, kirji, ciki, da kwakwalwa, waɗanda aka ɗauka daga kusurwa daban-daban. Ana yin hotunan ne ta wata kwamfuta da aka haɗa ta da na'urar da ke ɗauke da x-ray. Ana iya yin allurar fenti a cikin jijiya ko haɗiye don taimakawa gabobin ko kyallen takarda su fito fili karara. Wannan hanya ana kiranta yanayin ƙididdigar lissafi, ƙirar kwamfuta, ko ƙirar ƙwaƙwalwar ajiyar kwamfuta.

Utedididdigar hoto (CT) na kai da wuya. Yaron yana kwance a kan tebur wanda yake zamewa ta cikin na'urar daukar hotan takardu na CT, wanda ke ɗaukar hotunan x-ray na cikin kai da wuya.

• MRI (hoton maganadisu ) tare da gadolinium: Hanya ce da ke amfani da maganadisu, raƙuman rediyo, da kwamfuta don yin jerin hotuna dalla-dalla na wurare a cikin jiki, kamar wuya da kirji. Wani sinadari da ake kira gadolinium ne a cikin jijiya. Gadolinium yana tattarawa a kusa da ƙwayoyin cutar kansa don haka sun ƙara haske a hoton. Wannan hanya ana kiranta kuma ana kiranta hoton maganadisu na maganadisu (NMRI).

• Kirjin x-ray: X-ray na gabobin da kasusuwa a cikin kirji. X-ray wani irin katako ne na katako wanda zai iya ratsa jiki zuwa fim, yana yin hoton wurare a cikin jiki.

• Kwayar fata mai ƙyamar allura mai kyau: Cire ƙwanƙwan ƙwayar thyroid ta amfani da siririn siriri An shigar da allurar ta cikin fata a cikin thyroid. Ana cire nau'ikan samfuran nama da yawa daga sassa daban daban na thyroid. Kwararren likitan kwalliya yana kallon samfurin nama a karkashin madubin likita don neman kwayoyin cutar kansa. Saboda irin cutar kanjamau na iya zama da wuya a iya ganowa, marasa lafiya ya kamata su nemi samfurin biopsy ya bincikar su ta hanyar masanin ilimin lissafi wanda ke da ƙwarewar bincikar kansar karoid. Idan ba a san ko cutar daji ta kasance ba, za a iya yin biopsy na tiyata.

• Maniyyar tiyata : Cire ƙwanƙolin ƙwanƙwasa ko ƙwanƙolin ƙwanƙwasa a yayin aikin tiyata don haka ana iya kallon ƙwayoyin da kyallen ɗin a ƙarƙashin madubin likita ta hanyar masanin kimiyya don bincika alamun kansar. Saboda irin cutar kanjamau na iya zama da wuya a iya ganowa, marasa lafiya ya kamata su nemi samfurin biopsy ya bincikar su ta hanyar masanin ilimin lissafi wanda ke da ƙwarewar bincikar kansar karoid.

Wasu dalilai suna shafar hangen nesa (damar dawowa).

Hangen nesa ya dogara da masu zuwa:

• Shekarun yaro a lokacin ganewar asali.

• Nau'in cututtukan thyroid.

• Girman ciwon daji.

• Ko dai kumburin ya bazu zuwa sassanin lymph ko wasu sassan jiki a lokacin da aka gano shi.

• Ko an cire cutar kansa gaba ɗaya ta hanyar tiyata.

• Babban lafiyar yaron.

Matakai na Ciwon Cutar Thyroid na Yara

MAGANAN MAGANA

• Bayan an cire kansar ta hanyar tiyata, ana yin gwaji don gano ko ƙwayoyin kansa suna ci gaba da kasancewa cikin jiki.

• Akwai hanyoyi uku da kansar ke yaduwa a jiki.

• Ciwon daji na iya yaduwa daga inda ya fara zuwa sauran sassan jiki.

• Wani lokaci ciwon sankarar ƙanƙarar ƙuruciya yana ci gaba da girma ko dawowa bayan jiyya.

Ana yin gwaje-gwaje bayan tiyata don gano ko ƙwayoyin kansa suna ci gaba da kuma sanin ko ana bukatar ƙarin magani. Ana kiran wannan aikin bayan fage.

Ana iya yin gwaje-gwaje da hanyoyin da ke tafe kimanin makonni 12 bayan tiyata:

• Gwajin duban dan tayi: Hanya ce wacce ake fitar da igiyar ruwa mai karfi (duban dan tayi) daga kyallen ciki ko gabobin jikin mutum a wuyansa kuma amsa kuwwa. Eararrawa ta haifar da hoton kayan jikin da ake kira sonogram. Ana iya buga hoton don a kalleshi daga baya. Wannan aikin zai iya nuna girman ƙwanƙolin ƙwanƙolin ƙwanƙwasa da kuma shin yana da ƙarfi ko kuma cyst mai cike da ruwa. Ana iya amfani da duban dan tayi don jagorantar kwayar halittar fata mai kyau. Ana yin cikakken binciken duban dan tayi na wuya kafin a yi tiyata.

• Thyroglobulin test: Gwaji ne wanda yake auna adadin thyroglobulin a cikin jini. Thyroglobulin shine furotin da glandon thyroid ke yi. Matakan Thyroglobulin sun yi ƙasa ko ba su tare da aikin aikin ka na yau da kullun amma zai iya zama mafi girma tare da cutar sankara ko wasu yanayi.

• Sashin jikin ka na jikin mutum duka: An hadiye ko allura dan karamin sinadarin rediyo. Kayan aikin rediyo suna tattarawa a cikin kowane ƙwayar thyroid ko ƙwayoyin kansar da suka rage bayan tiyata. Ana amfani da iodine mai radiyo domin kawai kwayoyin halittar dake dauke da iodine. Wata kyamarar ta musamman tana gano radiation ɗin da aka samu ta jikin mahaɗan mahaɗa ko ƙwayoyin kansa, wanda kuma ana kiransa iodine radioactive ko RAI.

Akwai hanyoyi uku da kansar ke yaduwa a jiki.

Ciwon daji na iya yadawa ta hanyar nama, tsarin lymph, da jini:

• Nama. Ciwon daji yana yaduwa daga inda ya fara ta girma zuwa yankuna na kusa.

• Tsarin Lymph. Ciwon daji yana yaduwa daga inda ya faro ta hanyar shiga cikin ƙwayoyin cuta. Ciwon daji yana bi ta cikin jirgin ruwan lymph zuwa wasu sassan jiki.

• Jini. Ciwon daji yana yaduwa daga inda ya fara ta hanyar shiga cikin jini. Ciwon daji yana bi ta hanyoyin jini zuwa wasu sassan jiki.

Ciwon daji na iya yaduwa daga inda ya fara zuwa sauran sassan jiki.

Lokacin da cutar daji ta bazu zuwa wani sashin jiki, akan kira shi metastasis. Kwayoyin sankara suna ɓata daga inda suka fara (asalin ƙwayar cuta) kuma suna tafiya ta cikin tsarin lymph ko jini.

• Tsarin Lymph. Ciwon daji ya shiga cikin tsarin laminin, ya ratsa ta cikin jiragen ruwan lymph, kuma ya samar da ƙari (metastatic tumo) a wani ɓangaren jiki.

• Jini. Ciwon kansa ya shiga cikin jini, ya bi ta hanyoyin jini, ya samar da ƙari (ƙwayar metastatic) a wani ɓangaren jiki.

Ciwon ƙwayar ƙwayar ƙwayar cuta shine irin ciwon daji kamar asalin farko. Misali, idan cutar sankarar thyroid ta bazu zuwa huhu, ƙwayoyin kansa a cikin huhun ainihin ƙwayoyin kansa ne. Cutar cutar ta kamu da cutar kansa, ba ta huhun huhu ba.

Wani lokaci ciwon sankarar ƙanƙarar ƙuruciya yana ci gaba da girma ko dawowa bayan jiyya.

Ci gaba da ciwon sankarar kansa shine ciwon daji wanda ke ci gaba da girma, yaɗuwa, ko kuma ya ƙara muni. Cutar ci gaba na iya zama alama ce cewa ciwon kansa ya ƙi kulawa da magani.

Sake dawo da ciwon sankara shine cutar kansa wanda ya sake dawowa (dawowa) bayan jiyya. Ciwon kansa na iya dawowa cikin jikin ka na thyroid ko kuma a wasu sassan jiki.

Bayanin Zaɓin Jiyya

MAGANAN MAGANA

• Akwai nau'ikan magani iri daban-daban ga marasa lafiya da cutar kansa ta thyroid.

• Yaran da ke fama da cutar sankarau ya kamata ƙungiyar likitoci waɗanda ke da ƙwarewa a kan maganin kansar yara su shirya maganin su.

• Ana amfani da nau'i hudu na daidaitaccen magani:

• Tiyata

• Rediyon iodine na rediyoaktif

• Ciwon da aka yi niyya

• Maganin maye gurbin Hormone

• Ana gwada sababbin nau'ikan magani a gwajin asibiti.

• Jiyya don cutar sanƙarar ƙanƙara na yara na iya haifar da sakamako masu illa.

• Marasa lafiya na iya son yin tunani game da shiga cikin gwaji na asibiti.

• Marasa lafiya na iya shiga gwajin asibiti kafin, lokacin, ko bayan fara maganin cutar kansa.

• Ana iya buƙatar gwaje-gwaje na gaba.

Akwai nau'ikan magani iri daban-daban ga marasa lafiya da cutar kansa ta thyroid.

Wasu jiyya suna daidaito (magani da ake amfani dashi yanzu), kuma wasu ana gwada su a gwajin asibiti. Gwajin gwajin magani shine binciken bincike wanda aka tsara don taimakawa inganta ingantattun jiyya na yanzu ko samun bayanai game da sababbin jiyya ga marasa lafiya da ciwon daji. Lokacin da gwaji na asibiti ya nuna cewa sabon magani ya fi magani na yau da kullun, sabon magani na iya zama daidaitaccen magani.

Saboda cutar kansa a cikin yara ba safai ba, ya kamata a yi la'akari da shiga cikin gwajin asibiti. Wasu gwaji na asibiti ana buɗe su ne kawai ga marasa lafiyar da basu fara magani ba.

Yaran da ke fama da cutar sankarau ya kamata ƙungiyar likitoci waɗanda ke da ƙwarewa a kan maganin kansar yara su shirya maganin su.

Jiyya za ta kula da likitan ilimin likitan yara, likita wanda ya kware kan kula da yara masu cutar kansa. Masanin ilimin likitancin yara yana aiki tare da wasu ƙwararrun likitocin yara waɗanda ƙwararru ne wajen kula da yara masu cutar kansa kuma waɗanda suka ƙware a wasu fannonin magani. Wannan na iya haɗawa da kwararru masu zuwa da sauransu:

• Likitan yara.

• Likitan likitan yara.

• Radiation oncologist

• Masanin ilimin cututtuka.

• Kwararren likitan yara.

• Ma'aikacin zamantakewa.

• Gwanayen gyarawa.

• Masanin ilimin psychologist.

• Kwararren rayuwar yara.

Ana amfani da nau'i hudu na daidaitaccen magani:

Tiyata

Yin aikin tiyata shine magani mafi mahimmanci don ciwon kansa na thyroid. Ana iya amfani da ɗayan hanyoyin masu zuwa:

• Jimlar maganin kawancen jiki: Cire dukkanin tayroid. Hakanan za'a iya cire ƙwayoyin limfon ɗin kusa da cutar kansa kuma a binciko su a ƙarƙashin microscope don alamun kansar.

• Kusa da jimillar maganin kawanka: Cire dukkansu amma kadan daga cikin sassan jikin ka. Hakanan za'a iya cire ƙwayoyin limfon ɗin kusa da cutar kansa kuma a binciko su a ƙarƙashin microscope don alamun kansar.

A cikin yara, yawanci ana yin aikin gyaran jiki.

Rediyon iodine na rediyoaktif

Ana amfani da cututtukan cututtukan ƙwayar cuta da na papillary a wasu lokuta tare da maganin iodine (RAI) na rediyo. RAI na iya ba yara bayan aikin tiyata don kashe duk ƙwayoyin cutar kansa wanda ba a cire ba ko kuma ga yara waɗanda ba za a iya cire kumburinsu ta hanyar tiyata ba. Ana ɗaukar RAI ta baki kuma tana tattarawa a cikin duk wani abu da ya rage, wanda ya haɗa da ƙwayoyin cutar kansa waɗanda suka bazu zuwa wasu wurare a jiki. Saboda kawai ƙwayar jikinka na ɗaukar iodine, RAI yana lalata ƙwanƙarar ƙwanƙwasa da ƙwayoyin cutar kansa ba tare da cutar da sauran kayan ba. Kafin a ba da cikakken magani na RAI, ana ba da ƙaramin gwaji don a ga ko ƙwayar ta ɗauki iodine.

Ciwon da aka yi niyya

Therapywarewar da aka kera wani nau'in magani ne wanda ke amfani da kwayoyi ko wasu abubuwa don ganowa da afkawa takamaiman ƙwayoyin cutar kansa. Ieswararrun hanyoyin kwantar da hankali yawanci suna haifar da toarancin cutarwa ga kwayoyin al'ada fiye da chemotherapy ko maganin radiation.

Tyrosine kinase inhibitor far (TKI) wani nau'in magani ne da ake niyya wanda yake toshe alamun da ake buƙata don ciwace-ciwacen su girma. Larotrectinib shine TKI da ake amfani dashi don kula da yara tare da ci gaba ko maimaita papillary da follicular thyroid cancer. Vandetanib shine TKI da ake amfani dashi don kula da yara masu fama da cutar sankara mai ƙumbura. Selpercatinib shine TKI da ake amfani dashi don kula da yara masu fama da cututtukan thyroid.

Ana nazarin ilimin da aka yi niyya don maganin cutar sanƙarar yara wanda ya sake dawowa (dawo).

Maganin maye gurbin Hormone

Hormones abubuwa ne da gland ke yi a jiki kuma suna yawo a cikin jini. Bayan jiyya don cutar kansa, thyroid ba zai iya yin isasshen maganin karoid ba. Ana ba marasa lafiya kwayoyi na maye gurbin ka na tsawon rayuwar su.

Ana gwada sababbin nau'ikan magani a gwajin asibiti.

Ana samun bayani game da gwaji na asibiti daga gidan yanar gizon NCI.

Jiyya don cutar sanƙarar ƙanƙara na yara na iya haifar da sakamako masu illa.

Don bayani game da illolin da ke farawa yayin magani don cutar kansa, duba shafin Gurbinmu.

Hanyoyi masu illa daga maganin ciwon daji wanda zai fara bayan jiyya kuma ya ci gaba tsawon watanni ko shekaru ana kiransa sakamako na ƙarshe. Sakamakon sakamako na maganin kansa don ƙuruciya ta ƙuruciya ta yara na iya haɗawa da:

• Matsalolin jiki, kamar canje-canje a gland, ko kamuwa da cuta, ko matsalar numfashi.

• Canje-canje a cikin yanayi, ji, tunani, ilmantarwa, ko ƙwaƙwalwar ajiya.

• Cancer na biyu (sababbin nau'ikan cutar kansa).

Wasu maganganun ƙarshen ana iya magance su ko sarrafa su. Yana da mahimmanci a yi magana da likitocin ɗanka game da illar da cutar kansa za ta iya yi wa ɗanka. (Dubi taƙaitaccen bayanin akan ƙarshen tasirin Jiyya don Ciwon Childhoodan yara don ƙarin bayani.)

Marasa lafiya na iya son yin tunani game da shiga cikin gwaji na asibiti.

Ga wasu marasa lafiya, shiga cikin gwaji na asibiti na iya zama mafi kyawun zaɓin magani. Gwajin gwaji wani bangare ne na aikin binciken cutar kansa. Ana yin gwaje-gwajen asibiti don gano ko sabbin maganin cutar daji suna da lafiya da tasiri ko kuma sun fi magani na yau da kullun.

Yawancin yau da kullun na yau da kullun don cutar kansa sun dogara ne akan gwajin asibiti na farko. Marasa lafiya da ke cikin gwaji na asibiti na iya karɓar daidaitaccen magani ko kuma su kasance cikin farkon waɗanda za su karɓi sabon magani.

Marasa lafiya da ke shiga cikin gwaji na asibiti suma suna taimakawa inganta hanyar da za a bi da kansar a nan gaba. Koda lokacin gwajin asibiti bai haifar da sababbin magunguna ba, sau da yawa sukan amsa mahimman tambayoyi kuma suna taimakawa ci gaba da bincike gaba.

Marasa lafiya na iya shiga gwajin asibiti kafin, lokacin, ko bayan fara maganin cutar kansa.

Wasu gwaji na asibiti kawai sun haɗa da marasa lafiya waɗanda ba su sami magani ba tukuna. Sauran gwaje-gwajen suna gwada jiyya ga marasa lafiya waɗanda cutar kansa ba ta samu sauki ba. Hakanan akwai gwaji na asibiti da ke gwada sabbin hanyoyin dakatar da cutar kansa daga sake dawowa (dawowa) ko rage tasirin maganin kansar.

Gwajin gwaji na gudana a sassa da yawa na ƙasar. Bayani game da gwajin asibiti wanda NCI ke tallafawa ana iya samun shi akan shafin binciken gwaji na NCI. Ana iya samun gwajin gwaji na asibiti wanda wasu kungiyoyi ke tallafawa akan gidan yanar gizon ClinicalTrials.gov.

Ana iya buƙatar gwaje-gwaje na gaba.

Abu ne sananne ga ciwon kansa na thyroid ya sake dawowa (dawowa), musamman ma yara ƙanana shekaru 10 da waɗanda ke fama da cutar kansa a cikin ƙwayoyin lymph. Ana iya yin duban dan tayi, sikan jiki duka, da kuma gwajin thyroglobulin lokaci-lokaci don a bincika ko cutar kansa ta sake faruwa. Ana buƙatar ci gaba na tsawon matakan matakan hormone na cikin jini don tabbatar da yawan adadin maganin maye gurbin hormone (HRT). Yi magana da likitan ɗanka don gano sau nawa ake buƙatar yin waɗannan gwaje-gwajen.

Jiyya na Papillary na Childhoodan yara da Ciwon Cancer na Thyroid

Don bayani game da jiyya da aka jera a ƙasa, duba sashin Kula da Zaɓin Jiyya.

Jiyya na sabon binciken papillary da follicular thyroid carcinoma a cikin yara na iya haɗa da masu zuwa:

• Yin aikin tiyata don cire duka ko mafi yawan glandar thyroid da wani lokacin lymph nodes kusa da glandar thyroid. Hakanan za'a iya ba da maganin iodine mai radiyo idan duk ƙwayoyin kansar thyroid sun kasance bayan tiyata. Ana ba da maganin maye gurbin Hormone (HRT) don cike da ɓarkewar ƙwayar ka.

A tsakanin makonni 12 na tiyata, ana yin gwaje-gwaje don gano ko cutar sankara ta jiki ta kasance cikin jiki. Waɗannan na iya haɗawa da gwaje-gwajen thyroglobulin da sikirin da ke jikinka duka. Ana yin aikin binciken lafiyar jikin mutum don gano wurare a cikin jiki inda ƙwayoyin cututtukan thyroid waɗanda ba a cire su yayin aikin ba na iya rarraba cikin sauri. Ana amfani da iodine mai radiyo domin kawai kwayoyin halittar dake dauke da iodine. Isananan ƙaramin iodine na rediyo yana haɗiye, yana tafiya ta cikin jini, kuma yana tattarawa a cikin ƙwayar thyroid da ƙwayoyin cutar kansa a ko'ina cikin jiki. Idan cutar sankarar ka ta rage, ana ba da babban iodine na rediyo don lalata sauran ƙwayoyin cutar kansa. Za'a iya yin BANGARAN JIKI (hoto mai ɗauke da hoto guda) wanda za'a iya yin kwanaki 4 zuwa 7 bayan jinya don bincika ko dukkan kwayoyin cutar kansa sun lalace.

• Za a iya ba da maganin iodine na radiyo kai tsaye ga yara waɗanda ba za a iya cire kumburinsu ta hanyar tiyata ba. Ana ba da maganin maye gurbin Hormone (HRT) don cike da ɓarkewar ƙwayar ka.

Dubi taƙaitaccen game da Jiyya na Ciwon Neananan yara na Neoplasia (MEN) don ƙarin bayani.

Yi amfani da binciken bincikenmu na asibiti don nemo NCI na goyan bayan gwajin asibiti wanda ke karɓar marasa lafiya. Kuna iya bincika gwaji dangane da nau'in ciwon daji, shekarun mai haƙuri, da kuma inda ake yin gwajin. Ana samun cikakken bayani game da gwaji na asibiti.

Jiyya na Ciwon ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙananan yara

Don bayani game da jiyya da aka jera a ƙasa, duba sashin Kula da Zaɓin Jiyya.

Jiyya na sabon cututtukan cututtukan maganin karoid a cikin yara na iya haɗa da masu zuwa:

• Tiyata don cire ciwon daji.

• Anyi niyya tare da mai hana yaduwar cutar ta tyrosine kinase (vandetanib ko selpercatinib) don cutar kansa wanda ya ci gaba ko kuma ya bazu zuwa sauran sassan jiki.

Yi amfani da binciken bincikenmu na asibiti don nemo NCI na goyan bayan gwajin asibiti wanda ke karɓar marasa lafiya. Kuna iya bincika gwaji dangane da nau'in ciwon daji, shekarun mai haƙuri, da kuma inda ake yin gwajin. Ana samun cikakken bayani game da gwaji na asibiti.

Jiyya na Ci Gaban Ciwon Cutar Thyroid na Yara

Don bayani game da jiyya da aka jera a ƙasa, duba sashin Kula da Zaɓin Jiyya.

Jiyya na ci gaba ko maimaita papillary da follicular thyroid carcinoma a cikin yara na iya haɗa da masu zuwa:

• Radioactive iodine (RAI) far.

• Neman da aka yi niyya tare da mai hana cin hanci da rashawa (larotrectinib ko selpercatinib).

• Gwajin gwaji wanda ke bincikar samfurin ƙwayar cutar mai haƙuri don wasu canje-canje na asali. Nau'in maganin da aka yiwa niyya wanda za'a baiwa mai haƙuri ya dogara da nau'in canjin halittar mutum.

• Gwajin gwaji na maganin hana maganin tyrosine kinase (vemurafenib ko selpercatinib).

Jiyya na ci gaba ko maimaita medullary thyroid carcinoma a cikin yara na iya haɗa da masu zuwa:

• Gwajin gwaji wanda ke bincikar samfurin ƙwayar cutar mai haƙuri don wasu canje-canje na asali. Nau'in maganin da aka yiwa niyya wanda za'a baiwa mai haƙuri ya dogara da nau'in canjin halittar mutum.

• Gwajin gwaji na maganin hana maganin tyrosine kinase (selpercatinib).

Yi amfani da binciken bincikenmu na asibiti don nemo NCI na goyan bayan gwajin asibiti wanda ke karɓar marasa lafiya. Kuna iya bincika gwaji dangane da nau'in ciwon daji, shekarun mai haƙuri, da kuma inda ake yin gwajin. Ana samun cikakken bayani game da gwaji na asibiti.

Don Moreara Koyo Game da Ciwon Cutar Kanjamau

Don ƙarin bayani daga Cibiyar Ciwon aboutwayar Ciwon aboutasa game da cutar sankara, duba mai zuwa:

• Shafin Gida na Ciwon Canjin Thyroid

• Magungunan Ciwon Cutar da Aka Yi niyya

• Gwajin Halitta don Ciwon Cutar Cancer na Cancer

• MyPART - Cibiyar Sadarwar Yara da Yara

• Tomography Tomography (CT) Scans da Ciwon daji

Don ƙarin bayani game da cutar sankarar yara da sauran albarkatun kansar gaba ɗaya, duba masu zuwa:

• Game da Ciwon daji

• Ciwon Yara

• Binciken Cure don Ciwon Childrenan yara

• Matsayi na Late na Jiyya don Ciwon Yara

• Matasa da Samari da Ciwon daji

• Yara da Ciwon daji: Jagora ga Iyaye

• Ciwon daji a cikin Yara da Matasa

• Tsayawa

• Yin fama da Ciwon daji

• Tambayoyi don Tambayar Doctor game da Ciwon daji

• Don Tsira da Kulawa

Tace ta kwanan wata Tace ta ci

Enable sharhi mai-sabuntawa na atomatik

Yourara tsokaci

love.co tana maraba da duk tsokaci . Idan baku so a san ku, yi rijista ko shiga . Kyauta ne