Nā ʻano / thyroid / hoʻomanawanui / keiki-thyroid-lapaʻau-pdq
Nā ʻikepili i loko
- 1 ʻO ka mālama ʻana i nā maʻi ʻaʻai kamaliʻi thyroid (®) - Mana Mana Manaʻo
- 1.1 ʻO ka ʻike ākea e pili ana i ka maʻi ʻaʻai kamaliʻi
- 1.2 Nā Papa o ka maʻi ʻaʻai thyroid kamaliʻi
- 1.3 Laulā Manaʻo Option Oponopono
- 1.4 ʻO ka mālama ʻana i ka Papillary Childhood a me ka Follicular thyroid Cancer
- 1.5 Hoʻomaʻamaʻa i ke kamaliʻi medullary thyroid cancer
- 1.6 Ka mālama ʻana i ka maʻi ʻaʻa kamaliʻi thyroid a holomua
- 1.7 E aʻo hou e pili ana i ka maʻi ʻaʻai thyroid
ʻO ka mālama ʻana i nā maʻi ʻaʻai kamaliʻi thyroid (®) - Mana Mana Manaʻo
ʻO ka ʻike ākea e pili ana i ka maʻi ʻaʻai kamaliʻi
NA MANA KUNI
- ʻO ka maʻi ʻaʻai thyroid kahi maʻi kahi e kū ai nā maʻi malignant (cancer) i loko o nā aʻa o ka momona thyroid.
- ʻO nā nodules thyroid he adenomas a carcinomas paha.
- Hiki ke loaʻa nā nodules thyroid i ka wā o ka hoʻokolohua olakino maʻamau a ʻaʻole maʻamau ka maʻi ʻaʻai.
- Ke hōʻike ʻia nei i ka radiation a i ʻole ke loaʻa ʻana i kekahi syndrome genetic hiki ke hopena i ka makaʻu o ka maʻi ʻaʻai thyroid.
- Hoʻokumu ʻia ka maʻi ʻaʻa thyroid medullary i kekahi manawa e ka loli i kahi ʻāpana i hoʻoili ʻia mai ka makua a ke keiki.
- ʻO nā hōʻailona o ka maʻi ʻaʻai thyroid me kahi ʻōhū a i ʻole puʻupuʻu i ka ʻāʻī.
- Hoʻohana ʻia nā hoʻāʻo e nānā ana i ka thyroid, ka ʻāʻī, a me ke koko e ʻike a hōʻike i ka maʻi ʻaʻai thyroid.
- Kū kekahi mau kumu i ka wānana (kahi o ke ola ʻana).
ʻO ka maʻi ʻaʻai thyroid kahi maʻi kahi e kū ai nā maʻi malignant (cancer) i loko o nā aʻa o ka momona thyroid.
ʻO ka thyroid kahi gland ma ke kumu o ka ʻāʻī kokoke i ka trachea (windpipe). Ua like kona ʻano me ka butterfly, me ka ʻulaʻula ʻākau a me ka ʻūpā hema. ʻO ka isthmus kahi ʻāpana lahilahi o ka lole e hoʻopili i nā lobes ʻelua. ʻAʻole hiki ke ʻike ʻia ma o ka ʻili.
Hoʻohana ka thyroid i ka iodine, kahi mineral i loaʻa i kekahi mau meaʻai a i ka paʻakai iodized, e kōkua i ka hana ʻana i kekahi mau hormones. Hana nā homone thyroid i kēia mau mea:
- Kaohi i ka helu o ka naʻau, ka mahana o ke kino, a me ka wikiwiki e hoʻololi ai i ka meaʻai i ka ikehu (metabolism).
- Kaohi i ka nui o ka puna i loko o ke koko.
ʻO nā nodules thyroid he adenomas a carcinomas paha.
ʻElua ʻano o nā nodule thyroid:
- Adenomas: Hiki i ka Adenomas ke ulu nui a hana i kekahi mau homone i kekahi manawa. ʻAʻole maʻi ʻo Adenomas akā hiki ʻole ke lilo i maʻi maʻi (maʻi ʻaʻai) a hohola i nā akemāmā a i ʻole nā lymph node i ka ʻāʻī.
- Carcinomas: ʻEkolu ʻano nui o ka thyroid carcinoma i nā keiki:
- Papillary. ʻO ka carcinoma papillary thyroid ka ʻano maʻamau o ka maʻi ʻaʻai thyroid i nā keiki. Kū pinepine ia i nā ʻōpio. Hana pinepine ʻia ka thyroid carcinoma papillary ma mua o hoʻokahi nodule ma nā ʻaoʻao ʻelua o ka thyroid. Hoʻolahalaha pinepine ia i nā lymph node i ka ʻāʻī a pāhola paha i ka akemāmā. ʻO ka wānana (loaʻa o ke ola) no ka hapanui o nā mea maʻi he maikaʻi loa.
- Follicular. Hana pinepine ʻia ka carcinoma thyroid follicular i hoʻokahi nodule. Hoʻolahalaha pinepine ia i ka iwi a me ka akemāmā, akā ʻaʻole pāhola iki i nā lymph node i ka ʻāʻī. ʻO ka wānana no ka hapa nui o nā mea maʻi he maikaʻi loa.
- Medullary. Hana ʻia nā lāʻau thyroid medullary mai nā parafollicular C i loko o ka pākeke. Hoʻohui pinepine ʻia ia i kahi loli hoʻoilina i ka gen RET a me nā endocrine neoplasia ʻano 2 (MEN 2) maʻi. Kū pinepine ia i nā keiki o ka makahiki 4 a ʻoi paha a ua pāhola paha i nā ʻāpana ʻē aʻe o ke kino i ka manawa o ke kuhi. Hiki paha i nā keiki i loaʻa i ka MEN2 syndrome ke makaʻu i ka hoʻomohala ʻana i ka pheochromocytoma a i ʻole ka hyperparathyroidism.
Kāhea ʻia kekahi manawa i ka maʻi ʻaʻai papillary a me follicular thyroid. Kāhea ʻia ʻoe i kekahi manawa ʻo ka maʻi ʻaʻai thyroid medullary a me anaplastic thyroid. Kākaʻikahi loa ka maʻi ʻaʻai thyroid Anaplastic i nā keiki a ʻaʻole kūkākūkā ʻia i kēia hōʻuluʻulu manaʻo.
Hiki ke loaʻa nā nodules thyroid i ka wā o ka hoʻokolohua olakino maʻamau a ʻaʻole maʻamau ka maʻi ʻaʻai.
ʻIke paha kāu kauka i kāu puʻupuʻu (nodule) i loko o ka thyroid i ka wā o ka hoʻokolohua lapaʻau maʻamau, a i ʻole e ʻike ʻia kahi nodule ma kahi hōʻike kiʻi a i ʻole i ka wā o ke ʻoki ʻana no kekahi ʻano ʻē aʻe. ʻO kahi thyroid nodule kahi ulu ulu ʻole o nā hunaola thyroid i ka thyroid. Paʻa a hoʻopiha paha paha nā Nodules.
Ke loaʻa kahi nodule thyroid, hana ʻia kahi ultrasound o ka thyroid a me nā lymph node i ka ʻāʻī. Hiki ke hana ʻia kahi biopsy aspiration maikaʻi-nila e nānā ai i nā hōʻailona o ka maʻi ʻaʻai. ʻO nā hoʻāʻo ʻana o ke koko e nānā i nā pae hormonone thyroid a no nā anti-thyroid antibodies i loko o ke koko. E nānā kēia no nā ʻano maʻi thyroid ʻē aʻe.
ʻAʻole kumu ka thyroid nodules i mau hōʻailona a pono i ka lāʻau. I kekahi manawa ua lawa ka nui o nā nodule thyroid i mea paʻakikī e ale a hanu a pono hou nā hoʻokolohua a me ka mālama. Hoʻokahi wale nō i loko o ʻelima noduro thyroid i lilo i maʻi ʻaʻai.
Ke hōʻike ʻia nei i ka radiation a i ʻole ke loaʻa ʻana i kekahi syndrome genetic hiki ke hopena i ka makaʻu o ka maʻi ʻaʻai thyroid.
ʻO nā mea āpau e hoʻonui i kou makaʻu i ka loaʻa ʻana i kahi maʻi i kapa ʻia he kumu weliweli. ʻO ka loaʻa ʻana o kahi mea pilikia ʻaʻole ia he kumu e loaʻa ʻoe i ka maʻi ʻaʻai. ʻaʻohe o nā kumu pilikia ʻaʻole ia he kumu ʻaʻole ʻoe e loaʻa i ka maʻi ʻaʻai. E kamaʻilio me kāu kauka inā manaʻo ʻoe e makaʻu paha kāu keiki.
ʻO nā kumu pilikia no ka maʻi ʻaʻai kamaliʻi kamaliʻi me kēia:
- Ke hōʻike ʻia nei i ka pāhawewe, e like me mai nā hōʻike diagnostic, mālama radiation, a i ʻole radiation i ke kaiapuni.
- Loaʻa i kekahi mau syndrome genetic, e like me kēia:
- ʻO ka neoplasia endocrine ʻano 2A (MEN2A) maʻi āpau.
- ʻO ka neoplasia endocrine ʻano 2B (MEN2B) maʻi ʻino.
- Ke loaʻa nei kahi moʻolelo ʻohana o ka maʻi ʻaʻai thyroid, me kēia mau mea:
- Polyposis pili i ka APC.
- Maʻi DICER1.
- Pākuʻi Carney.
- PTEN hamartoma tumza maʻi maʻi.
- Werner maʻi maʻi.
Hoʻokumu ʻia ka maʻi ʻaʻa thyroid medullary i kekahi manawa e ka loli i kahi ʻāpana i hoʻoili ʻia mai ka makua a ke keiki.
Hāpai nā gen i nā hunaola i ka ʻike hoʻoilina mai ka makua a ke keiki. ʻO kahi loli i ka gen RET i hoʻoili ʻia mai ka makua a ke keiki (hoʻoilina) hiki ke kumu i ka maʻi ʻaʻai thyroid medullary.
Aia kahi hoʻokolohua kūlohelohe e hoʻohana ʻia e nānā no ka ʻāpana i hoʻololi ʻia. Hōʻaia ka mea maʻi ma mua e ʻike inā loaʻa iā ia ka loli loli. Inā loaʻa iā ia ka mea maʻi, hiki paha i nā lālā ʻohana ʻē aʻe ke hoʻāʻo e ʻike inā loaʻa ka nui o ka makaʻu o ka maʻi maʻi thyroid medullary. ʻO nā lālā o ka ʻohana, me nā keiki ʻōpio, ka mea i loaʻa ka ʻāpana loli hiki ke loaʻa kahi thyroidectomy (ʻoki e wehe i ka thyroid). Hiki i kēia ke hoʻohaʻahaʻa i ka manawa o ka hoʻomohala ʻana i ka maʻi ʻaʻai thyroid medullary.
ʻO nā hōʻailona o ka maʻi ʻaʻai thyroid me kahi ʻōhū a i ʻole puʻupuʻu i ka ʻāʻī.
I kekahi manawa ʻaʻole nā tumors thyroid e hana i kekahi hōʻailona a hōʻailona paha. ʻO kēia a me nā ʻōuli a me nā ʻōuli ʻē aʻe i hoʻokumu ʻia e papillary a i ʻole follicular thyroid cancer a i ʻole nā ʻano ʻē aʻe.
E nīnau me ke kauka o kāu keiki inā loaʻa i kāu keiki kekahi o kēia mau mea:
- He puʻupuʻu i ka ʻāʻī.
- Hī pilikia.
- Pilikia i ka ale ʻana.
- Hoarseness a i ʻole kahi hoʻololi i ka leo.
ʻO kēia a me nā ʻōuli a me nā ʻōuli ʻē aʻe i kumu ʻia e ka maʻi ʻaʻai thyroid medullary a i ʻole nā ʻano ʻē aʻe.
E nīnau me ke kauka o kāu keiki inā loaʻa i kāu keiki kekahi o kēia mau mea:
- Nā puʻupuʻu ma ka lehelehe, alelo, a i ʻole nā lihilihi maka ʻole.
- Pilikia i ka waimaka.
- Konipōpō.
- ʻO Marfan Syndrome (ʻo ke kiʻekiʻe a lahilahi, me nā lima lōʻihi, nā wāwae, nā manamana lima, a me nā manamana wāwae).
Hoʻohana ʻia nā hoʻāʻo e nānā ana i ka thyroid, ka ʻāʻī, a me ke koko e ʻike a hōʻike i ka maʻi ʻaʻai thyroid.
Hana ʻia nā hoʻokolohua e hōʻoia a me ka maʻi ʻaʻai pae. Ma hope o ka ʻike ʻia ʻana o ka maʻi ʻaʻai, hana ʻia nā hōʻike hou aku e ʻike inā ua pāhola nā hunaola maʻi maʻi i nā wahi kokoke a i nā ʻāpana ʻē aʻe o ke kino. Kapa ʻia kēia kaʻina hana ke keʻehi ʻana. Hana ʻia nā hoʻokolohua e ʻike inā ua pālahalaha nā maʻi ʻaʻai ma mua o ka hemo ʻana o ka tumo e ka ʻoki ʻana i kapa ʻia ai ka hoʻonohonoho mua. He mea nui e ʻike inā ua laha ka maʻi ʻaʻai i mea e hoʻolālā ai i ka lāʻau maikaʻi loa.
Hiki ke hoʻohana ʻia nā hoʻāʻo a me nā kaʻina hana aʻe:
- ʻO ka hoʻāʻo kino a me ka mōʻaukala olakino: kahi hōʻike o ke kino e nānā i nā hōʻailona laulā o ke olakino, e like me ka nānā ʻana i nā hōʻailona o ka maʻi, e like me nā puʻupuʻu (nodule) a i ʻole ka pehu ʻana ma ka ʻāʻī, pahu leo, a me nā pūnana lymph, a me nā mea ʻē aʻe e ʻano ʻē. . E lawe ʻia kahi moʻolelo o nā ʻano olakino o ka mea maʻi a me nā maʻi i hala a me nā mālama ʻana.
- ʻO ka hoʻāʻo ʻana o ka hana thyroid: Nānā ʻia ke koko no nā pae maʻamau o ka thyroid-stimulate hormone (TSH). Hana ʻia ʻo TSH e ka pituitary gland i ka lolo. Hoʻonāukiuki ia i ka hoʻokuʻu ʻia ʻana o kāu hormone thyroid a kāohi i ka wikiwiki o ka ulu ʻana o nā fola thyroid. Hiki ke nānā ʻia ke koko no nā pae kiʻekiʻe o ka kalonaona (kahi hormone i hana ʻia e ka thyroid e hoʻemi ana i ka nui o ka puna i loko o ke koko).
- Hōʻike Thyroglobulin: Nānā ʻia ke koko no ka nui o kouroglobulin, kahi protein i hana ʻia e ka thyroid gland. He haʻahaʻa a ʻaʻohe paha nā pae Thyroglobulin me ka hana thyroid maʻamau akā ʻoi aku paha ke kiʻekiʻe me ka maʻi ʻaʻai thyroid a i ʻole nā kūlana ʻē aʻe.
- Hōʻike ʻāpana RET: He hoʻokolohua hoʻokolohua kahi e hoʻāʻo ʻia ai kahi ʻāpana o ke koko a i ʻole nāʻaʻaʻa no kekahi mau loli i ka ʻaoʻao RET. Hana ʻia kēia hōʻike no nā keiki i loaʻa i ka maʻi ʻaʻai thyroid medullary.
- ʻO ka hoʻāʻo ʻana o Ultrasound: kahi kaʻina hana e kipaku ʻia ai nā nalu kani ikaika (ultrasound) mai nā aʻa a i ʻole nā mea ʻona i ka ʻāʻī a hana i nā leo. Hoʻokumu nā leo i kahi kiʻi o nā kino o ke kino i kapa ʻia he sonogram. Hiki ke paʻi ʻia ke kiʻi e nānā ma hope. Hiki i kēia kaʻina hana ke hōʻike i ka nui o ka nodule thyroid a inā paʻa a i ʻole cyst piha i ka wai. Hoʻohana ʻia ʻo Ultrasound e alakaʻi i kahi biopsy aspiration o ka nila maikaʻi. Hana ʻia kahi hōʻike ultrasound piha o ka ʻāʻī ma mua o ke ʻoki ʻana.
- Scanner thyroid: Ua ale ʻia a injected ʻia kahi mea liʻiliʻi o kahi mea radioactive. Hōʻiliʻili ka mea lekiō i nā hunaola thyroid gland. ʻO kahi kāmela kūikawā i hoʻopili ʻia i kahi kamepiula e ʻike i ka radiation i hāʻawi ʻia a hana i nā kiʻi e hōʻike i ka nānā ʻana o ka thyroid a me nā hana a inā ua pāhola ka maʻi ʻaʻai ma ʻō aku o ka pona thyroid. Inā haʻahaʻa ka nui o TSH i ke koko o ke keiki, hiki ke hana ʻia kahi scan e hana i nā kiʻi o ka thyroid ma mua o ke kaha ʻana.
- CT scan (CAT scan): kahi hana e hana ai i kahi o nā kiʻi kikoʻī o nā wahi i loko o ke kino, e like me ka ʻāʻī, ka umauma, ʻōpū, a me ka lolo, i lawe ʻia mai nā ʻaoʻao ʻokoʻa. Hana ʻia nā kiʻi e kahi kamepiula i hoʻopili ʻia i kahi mīkini x-ray. Hoʻokomo ʻia paha ke kala i loko o ke aa a i ʻole ale ʻia e kōkua i nā ʻōpū a i ʻole nā kino i hōʻike hou aku me ka maopopo. Kāhea ʻia kēia kaʻina hana he tomography i helu ʻia, kamepiula tomography, a i ʻole he tomography axial computerized.
- MRI (kiʻi resonance ʻume mākenēki) me gadolinium: kahi hana e hoʻohana ai i ka magnet, nā nalu lekiō, a me kahi kamepiula e hana i kahi o nā kiʻi kikoʻī o nā wahi i loko o ke kino, e like me ka ʻāʻī a me ka umauma. Hoʻokomo ʻia kahi mea i kapa ʻia ʻo gadolinium i kahi aa koko. Hōʻiliʻili ka gadolinium a puni nā hunaola maʻi ʻula i mea e mālamalama ai lākou i ke kiʻi. Kāhea ʻia kēia kaʻina hana he kiʻi nukelea kiʻi resonance (NMRI).
- ʻO ke kukui x: kahi x-ray o nā mea a me nā iwi i loko o ka umauma. ʻO ka x-ray kahi ʻano kukuna ikehu e hiki ke hele ma waena o ke kino a ma ke kiʻi ʻoniʻoni, e hana ana i kiʻi o nā wahi i loko o ke kino.
- ʻO ka biopsy aspiration o ka nila-maikaʻi: Ka hemo ʻana o nā kikoo thyroid me ka hoʻohana ʻana i ka nila kuina. Hoʻokomo ʻia ka nila i loko o ka ʻili i loko o ka thyroid. Wehe ʻia kekahi mau laʻana kikoʻī mai nā ʻāpana like ʻole o ka thyroid. ʻIke kahi pathologist i nā mea kiko kiko ma lalo o kahi microscope e nānā no nā hunaola maʻi ʻaʻai. Ma muli o ka paʻakikī o ke ʻano o ka maʻi ʻaʻai thyroid e kuhikuhi, pono i nā mea maʻi e noi e nānā i nā laʻana biopsy e kahi pathologist nāna i ʻike i ke kuhi ʻana i ka maʻi ʻaʻai thyroid. Inā ʻaʻole maopopo inā loaʻa ka maʻi ʻaʻai, e hana ʻia kahi biopsy ʻoki.
- ʻO ke biopsy ʻoki: Ka lawe ʻana i ka nodule thyroid a i ʻole hoʻokahi ʻie o ka thyroid i ka wā o ke ʻoki ʻana i hiki ke ʻike ʻia nā hunaola a me nā aʻa ma lalo o kahi microscope e kahi pathologist e nānā i nā hōʻailona o ka maʻi ʻaʻai. Ma muli o ka paʻakikī o ke ʻano o ka maʻi ʻaʻai thyroid e kuhikuhi, pono i nā mea maʻi e noi e nānā i nā laʻana biopsy e kahi pathologist nāna i ʻike i ke kuhi ʻana i ka maʻi ʻaʻai thyroid.
Kū kekahi mau kumu i ka wānana (kahi o ke ola ʻana).
Aia ka wānana i kēia mau mea:
- ʻO ka makahiki o ke keiki i ka manawa o ke kuhi.
- Ke ʻano o ka maʻi ʻaʻai thyroid.
- Ka nui o ka maʻi ʻaʻai.
- Inā ua palahalaha ka tumo i nā lymph node a i ʻole nā ʻāpana ʻē aʻe o ke kino i ka manawa o ka hōʻoia.
- Inā ua hemo loa ka maʻi ʻaʻai e ke ʻoki kino.
- Ke olakino olakino o ke keiki.
Nā Papa o ka maʻi ʻaʻai thyroid kamaliʻi
NA MANA KUNI
- Ma hope o ka hemo ʻana o ka maʻi ʻaʻai e ka ʻoki kino, hana ʻia nā hoʻokolohua e ʻike inā mau ka maʻi ʻaʻai i loko o ke kino.
- ʻEkolu ala e hoʻolaha ai ka maʻi ʻaʻai i loko o ke kino.
- E laha paha ka maʻi ʻaʻai mai kahi i hoʻomaka ai i nā ʻāpana ʻē aʻe o ke kino.
- I kekahi manawa hoʻomau ka ulu ʻana o ka maʻi ʻaʻai thyroid ma hope o ka mālama ʻana.
Hana ʻia nā hoʻokolohua ma hope o ke kaha ʻana e ʻike inā e koe nā hunaola maʻi ʻaʻai a e hoʻoholo inā makemake ʻia kahi lāʻau hou aʻe. Kāhea ʻia kēia ma hope o ke kau ʻana.
E hana ʻia paha nā hoʻokolohua a me nā kaʻina hana e pili ana i 12 mau pule ma hope o ke kahakaha ʻana:
- ʻO ka hoʻāʻo ʻana o Ultrasound: kahi kaʻina hana e kipaku ʻia ai nā nalu kani ikaika (ultrasound) mai nā aʻa a i ʻole nā mea ʻona i ka ʻāʻī a hana i nā leo. Hoʻokumu nā leo i kahi kiʻi o nā kino o ke kino i kapa ʻia he sonogram. Hiki ke paʻi ʻia ke kiʻi e nānā ma hope. Hiki i kēia kaʻina hana ke hōʻike i ka nui o ka nodule thyroid a inā paʻa a i ʻole cyst piha i ka wai. Hoʻohana ʻia ʻo Ultrasound e alakaʻi i kahi biopsy aspiration o ka nila maikaʻi. Hana ʻia kahi hōʻike ultrasound piha o ka ʻāʻī ma mua o ke ʻoki ʻana.
- ʻO ka hoʻāʻo Thyroglobulin: kahi hōʻike e ana i ka nui o kouroglobulin i loko o ke koko. ʻO Thyroglobulin kahi protein i hana ʻia e ka thyroid gland. He haʻahaʻa a ʻaʻohe paha nā pae Thyroglobulin me ka hana thyroid maʻamau akā ʻoi aku paha ke kiʻekiʻe me ka maʻi ʻaʻai thyroid a i ʻole nā kūlana ʻē aʻe.
- ʻO ke kinona thyroid holoʻokoʻa holoʻokoʻa: Ke ale ʻia a injected ʻia kahi mea liʻiliʻi o ka mea radioactive. Hōʻiliʻili ka mea lekiō i nā kiko kauka thyroid a i ʻole nā pūnaʻi maʻi ʻaʻai i koe ma hope o ke kahakaha ʻana. Hoʻohana ʻia ka iodine radioactive ma muli o ka lawe wale ʻana o nā iodine i nā kime thyroid wale nō. Kuhi kahi pahu paʻi kiʻi kūikawā i ka radiation i hāʻawi ʻia e nā kiko o ka thyroid a i ʻole nā pūnaʻi maʻi ʻaʻai, i kapa ʻia hoʻi ʻo ka iodine radioactive scan a i ʻole RAI scan.
ʻEkolu ala e hoʻolaha ai ka maʻi ʻaʻai i loko o ke kino.
Hiki ke pālahalaha ʻia ka maʻi ʻaʻai ma o nā meaola, ka ʻōnaehana lymph, a me ke koko.
- Kāpena. Hoʻolahalaha ka maʻi ʻaʻai mai kahi i hoʻomaka ai i ka ulu ʻana i nā wahi kokoke.
- ʻŌnaehana Lymph. Hoʻolahalaha ka maʻi ʻaʻai mai kahi i hoʻomaka ai i ke komo ʻana i ka ʻōnaehana lymph. Hele ka maʻi ʻaʻai ma o nā kīʻaha lymph i nā ʻāpana ʻē aʻe o ke kino.
- Koko. Hoʻolahalaha ka maʻi ʻaʻai mai kahi i hoʻomaka ai i ke komo ʻana i ke koko. Hele ka maʻi ʻaʻai ma o nā kīʻaha koko i nā ʻāpana ʻē aʻe o ke kino.
E laha paha ka maʻi ʻaʻai mai kahi i hoʻomaka ai i nā ʻāpana ʻē aʻe o ke kino.
Ke pālahalaha ʻia ka maʻi ʻaʻai i kekahi ʻāpana o ke kino, ua kapa ʻia ia ʻo metastasis. E haki nā hunaola maʻi 'aʻai mai kahi a lākou i hoʻomaka ai (ka tumo mua) a hele i loko o ka ʻōnaehana lymph a i ʻole ke koko.
- ʻŌnaehana Lymph. Komo ka maʻi ʻaʻai i loko o ka ʻōnaehana lymph, hele ma waena o nā kīʻaha lymph, a hana i kahi tumo (tumo metastatic) i kekahi ʻāpana o ke kino.
- Koko. Komo ke kanesa i loko o ke koko, hele ma waena o nā kīʻaha koko, a hana i kahi tumo (tumo metastatic) i kekahi ʻāpana o ke kino.
ʻO ka tumo metastatic ka ʻano like o ke kanesa me ka tumo mua. ʻO kahi laʻana, inā pālahalaha ka maʻi ʻaʻai thyroid i ka hāhā, ʻo nā hunaola maʻi ʻaʻai i loko o ka akemā he mau pūnaʻi maʻi ʻaʻai thyroid. ʻO ka maʻi ʻaʻai thyroid metastatic, ʻaʻole ka maʻi ʻaʻa lung.
I kekahi manawa hoʻomau ka ulu ʻana o ka maʻi ʻaʻai thyroid ma hope o ka mālama ʻana.
ʻO ka maʻi ʻaʻai thyroid holomua ka maʻi ʻaʻai e hoʻomau i ka ulu, pālahalaha, a i ʻole nā mea ʻino. He hōʻailona paha ka maʻi holomua i ka maʻi ʻaʻai i lilo i refactory i ka lāʻau.
ʻO ka maʻi ʻaʻai thyroid hou he maʻi ʻaʻai i hoʻi hou (hoʻi mai) ma hope o ka lapaʻau ʻana. Hiki ke hoʻi mai ka maʻi ʻaʻai i loko o ka thyroid a i ʻole nā ʻāpana ʻē aʻe o ke kino.
Laulā Manaʻo Option Oponopono
NA MANA KUNI
- Aia nā ʻano lapaʻau like ʻole no nā mea maʻi me ka maʻi ʻaʻai thyroid.
- Pono nā keiki me ka maʻi ʻaʻai thyroid e hoʻolālā ʻia e kahi hui o nā kauka he loea i ka mālama ʻana i ka maʻi ʻaʻa kamaliʻi.
- Hoʻohana ʻia nā ʻano ʻehā o ka hoʻoponopono maʻamau:
- ʻOki kino
- Hoʻoikaika iodine radioactive
- Pahuhopu kau ʻia
- Hormone replacement therapy
- Ke hoʻāʻo ʻia nei nā ʻano lapaʻau hou i nā hoʻokolohua hoʻokolohua.
- ʻO ka mālama ʻana no ka maʻi ʻaʻai kamaliʻi ma muli o nā hopena ʻaoʻao.
- Makemake paha nā mea maʻi e noʻonoʻo e pili ana i ka hoʻokolokolo ʻana.
- Hiki i nā mea maʻi ke komo i nā hoʻokolohua hoʻokolohua ma mua, i ka wā, a ma hope paha o ka hoʻomaka ʻana i kā lākou mālama maʻi ʻaʻai.
- Pono paha nā hoʻokolohua ukali.
Aia nā ʻano lapaʻau like ʻole no nā mea maʻi me ka maʻi ʻaʻai thyroid.
Kūlana maʻamau kekahi mau hōʻailona (ʻo ka lāʻau i hoʻohana ʻia i kēia manawa), a ʻo kekahi e hoʻāʻo ʻia nei i nā hoʻokolohua hoʻokolohua. ʻO kahi hoʻokolohua hoʻokolohua lapaʻau kahi noiʻi noiʻi i manaʻo ʻia e kōkua i ka hoʻomaikaʻi ʻana i nā mālama ʻana i kēia manawa a i ʻole loaʻa ka ʻike e pili ana i nā mālama hou no nā maʻi me ka maʻi ʻaʻai. Ke hōʻike nā hoʻokolohua hoʻokolohua ʻoi aku ka maikaʻi o kahi lapaʻau hou ma mua o ka maʻamau maʻamau, lilo paha ka lāʻau hou i ka lapaʻau maʻamau.
Ma muli o ka loaʻa ʻole o ka maʻi ʻaʻai i nā keiki, pono e noʻonoʻo ʻia i ka hoʻokolokolo ʻana. ʻO kekahi mau hoʻokolohua hoʻokolohua e hāmama wale i nā mea maʻi i hoʻomaka ʻole i ka lāʻau.
Pono nā keiki me ka maʻi ʻaʻai thyroid e hoʻolālā ʻia e kahi hui o nā kauka he loea i ka mālama ʻana i ka maʻi ʻaʻa kamaliʻi.
E mālama ʻia ka lapaʻau ʻana e kahi oncologist pediatric, he kauka i loea i ka mālama ʻana i nā keiki me ka maʻi ʻaʻai. Hana ka oncologist pediatric me nā ʻoihana olakino pediatric ʻē aʻe i loea i ka mālama ʻana i nā keiki me ka maʻi ʻaʻai a me ka poʻe loea i kekahi mau wahi o ka lāʻau. Pākuʻi paha kēia i nā loea hou aʻe a me nā mea ʻē aʻe:
- Kahuna Pediatrician.
- Kauka ʻōpio.
- Oncologist uila.
- Pathologist.
- ʻO ka loea kahu maʻi Pediatric.
- Limahana limahana.
- Lapaʻau hoʻōla.
- ʻOlogistlapa psychologist.
- Loea loea-ola keiki.
Hoʻohana ʻia nā ʻano ʻehā o ka hoʻoponopono maʻamau:
ʻOki kino
ʻO ke ʻoki lāʻau ka lāʻau maʻamau no ka maʻi ʻaʻai thyroid. E hoʻohana ʻia paha kekahi o nā kaʻina hana i lalo:
- Huina thyroidectomy: Ka hemo ʻana o ka thyroid holoʻokoʻa. Hiki ke hoʻoneʻe ʻia nā Lymph nodes kokoke i ka maʻi ʻaʻai a nānā ʻia ma lalo o kahi microscope no nā ʻōuli o ka maʻi ʻaʻai.
- ʻO kahi kokoke i ka nui o ka thyroidectomy: Ka hemo ʻana o nā mea āpau akā he ʻāpana liʻiliʻi loa o ka thyroid. Hiki ke hoʻoneʻe ʻia nā Lymph nodes kokoke i ka maʻi ʻaʻai a nānā ʻia ma lalo o kahi microscope no nā ʻōuli o ka maʻi ʻaʻai.
I nā keiki, hana maʻamau ka huina thyroidectomy.
Hoʻoikaika iodine radioactive
Hoʻomaʻamaʻa ʻia nā maʻi ʻaʻai follicular a me papillary thyroid me ka radioactive iodine (RAI) therapy. Hāʻawi ʻia ʻo RAI therapy i nā keiki ma hope o ke kaha ʻana e luku i nā hunaola maʻi ʻaʻai thyroid i hoʻoneʻe ʻole ʻia a i nā keiki i hiki ʻole ke lawe ʻia i ko lākou tumʻoma e ke ʻoki. Lawe ʻia ʻo RAI e ka waha a ʻohiʻohi i nā koena thyroid i koe, e komo pū ana me nā hunaola maʻi ʻaʻai thyroid i pāhola ʻia i nā wahi ʻē aʻe o ke kino. Ma muli o ka lawe ʻia ʻana o ka iodine e nā kiko thyroid, hoʻopau ka RAI i nā kiko o ka thyroid a me nā hunaola maʻi ʻaʻai thyroid me ka hōʻeha ʻole i nāʻiʻo ʻē aʻe. Ma mua o ka hāʻawi ʻia ʻana o kahi lāʻau lapaʻau piha o RAI, hāʻawi ʻia kahi lāʻau hoʻokolohua liʻiliʻi e ʻike inā lawe ka tumo i ka iodine.
Pahuhopu kau ʻia
ʻO ka therapy target kahi ʻano lapaʻau e hoʻohana i nā lāʻau a i ʻole nā mea ʻē aʻe e ʻike a hoʻouka aku i nā hunaola maʻi ʻaʻai. Hoʻolālā pinepine nā mea i hoʻomākaukau ʻia i ka hōʻemi ʻana i nā hunaola maʻamau ma mua o ka chemotherapy a i ʻole radiation radiation.
ʻO Tyrosine kinase inhibitor therapy (TKI) kahi ʻano o ka hoʻomōhala hoʻomāke ʻia e ālai ana i nā hōʻailona e pono ai e ulu nā tumors. ʻO Larotrectinib kahi TKI i hoʻohana ʻia e mālama i nā keiki me ka papillary holomua a hoʻi hou paha a me ka maʻi ʻaʻai follicular thyroid. ʻO Vandetanib kahi TKI i hoʻohana ʻia e mālama i nā keiki me ka maʻi maʻi thyroid medullary kiʻekiʻe. ʻO Selpercatinib kahi TKI i hoʻohana ʻia e mālama i nā keiki me ka maʻi maʻi thyroid kiʻekiʻe a metastatic paha.
Ke aʻo ʻia nei ka lāʻau i hoʻomākaukau ʻia no ka mālama ʻana i ka maʻi ʻaʻa kamaliʻi thyroid i hoʻi hou (hoʻi mai).
Hormone replacement therapy
ʻO nā Hormones nā mea i hana ʻia e nā glands i loko o ke kino a hoʻolaha ʻia i ke kahe o ke koko. Ma hope o ka hoʻomaʻamaʻa ʻana no ka maʻi ʻaʻai thyroid, ʻaʻole hiki i ka thyroid ke hana i ka nui o ka nui o ka hōmona. Hāʻawi ʻia nā mea maʻi i nā huaale hoʻoliʻiliʻi hormonone thyroid no ke koena o ko lākou ola.
Ke hoʻāʻo ʻia nei nā ʻano lapaʻau hou i nā hoʻokolohua hoʻokolohua.
Loaʻa nā ʻike e pili ana i nā hoʻokolohua hoʻokolohua mai ka pūnaewele NCI.
ʻO ka mālama ʻana no ka maʻi ʻaʻai kamaliʻi ma muli o nā hopena ʻaoʻao.
No ka ʻike e pili ana i nā hopena i hoʻomaka i ka wā o ka mālama ʻana no ka maʻi ʻaʻai, ʻike i kā mākou ʻaoʻao ʻaoʻao ʻaoʻao.
ʻO nā hopena ʻē aʻe mai ka mālama ʻana i ka maʻi ʻaʻai e hoʻomaka ma hope o ka mālama ʻana a hoʻomau no nā mahina a i ʻole mau makahiki e kapa ʻia nā hopena hopena. ʻO nā hopena hope loa o ka mālama ʻana i ka maʻi ʻaʻai no ka maʻi ʻaʻa kamaliʻi thyroid e komo pū paha:
- Nā pilikia o ke kino, e like me ka hoʻololi ʻana i nā aʻa salivary, ka maʻi, a i ʻole ka hanu pilikia.
- Nā loli i ke ʻano, nā manaʻo, ka noʻonoʻo, ke aʻo ʻana, a me ka hoʻomanaʻo paha.
- Nā maʻi ʻelua (nā ʻano maʻi ʻaʻai hou).
E mālama a kāohi ʻia paha kekahi mau hopena hopena. He mea nui e kamaʻilio pū me nā kauka o kāu keiki e pili ana i nā hopena o ka mālama ʻana i ka maʻi ʻaʻai i kāu keiki. (E ʻike i ka hōʻuluʻulu e pili ana i nā hopena hope o ka mālama ʻana no ka maʻi ʻaʻai kamaliʻi no ka ʻike hou aku.)
Makemake paha nā mea maʻi e noʻonoʻo e pili ana i ka hoʻokolokolo ʻana.
No kekahi mau mea maʻi, ke komo nei i ka hoʻokolohua hoʻokolohua ke koho lapaʻau maikaʻi loa paha. ʻO nā hoʻokolohua hoʻokolohua kahi ʻāpana o ka noiʻi ʻana o ka maʻi ʻaʻai. Hana ʻia nā hoʻokolohua hoʻokolohua e ʻike inā palekana a maikaʻi a maikaʻi paha nā hoʻomaʻamaʻa maʻi ʻaʻai ma mua o ka maʻamau maʻamau.
ʻO ka hapa nui o nā hana maʻamau no ka maʻi ʻaʻai i kau ʻia ma nā hoʻokolohua hoʻokolohua mua. ʻO nā mea maʻi i komo i ka hoʻokolokolo hoʻokolohua hiki ke loaʻa i ka lāʻau maʻamau a i ʻole i waena o nā mea mua i loaʻa kahi lāʻau hou.
ʻO nā mea maʻi i komo i nā hoʻokolohua hoʻokolohua kōkua pū kekahi i ka hoʻomaikaʻi ʻana i ke ʻano o ka mālama ʻana i ka maʻi ʻaʻai i ka wā e hiki mai ana. ʻOiai ʻaʻole nā alakaʻi hoʻokolohua e alakaʻi i nā hoʻoponopono hou maikaʻi, pane pinepine lākou i nā nīnau nui a kōkua i ka neʻe i mua o ka noiʻi.
Hiki i nā mea maʻi ke komo i nā hoʻokolohua hoʻokolohua ma mua, i ka wā, a ma hope paha o ka hoʻomaka ʻana i kā lākou mālama maʻi ʻaʻai.
Hoʻopili wale kekahi mau hoʻokolohua hoʻokolohua i nā mea maʻi i loaʻa ʻole ka lapaʻau. ʻO nā hoʻokolohua ʻē aʻe e hōʻoia i nā mālama ʻana no ka poʻe maʻi i loaʻa ʻole ka maikaʻi o ka maʻi ʻaʻai. Aia kekahi mau hoʻokolohua hoʻokolohua e hoʻāʻo i nā ala hou e hōʻoki i ka maʻi ʻaʻai mai ka hoʻi hou ʻana (hoʻi ʻana) a hōʻemi paha i nā hopena o ka mālama ʻana i ka maʻi ʻaʻai.
Ke mālama ʻia nei nā hoʻokolohua hoʻokolohua ma nā wahi he nui o ka ʻāina. Hiki ke ʻike ʻia ka ʻike e pili ana i nā hoʻokolohua hoʻokolohua e kākoʻo ʻia e NCI ma ka pūnaewele ʻimi noiʻi hoʻokolohua a NCI. Hiki ke loaʻa nā hoʻokolohua hoʻokolohua i kākoʻo ʻia e nā hui ʻē aʻe ma ka pūnaewele ClinicalTrials.gov.
Pono paha nā hoʻokolohua ukali.
He mea maʻamau ia e hoʻi hou ka maʻi ʻaʻai thyroid (hoʻi hou), keu hoʻi i nā keiki ma mua o 10 mau makahiki a me nā mea me ka maʻi ʻaʻai i nā lymph node. Hiki ke hana ʻia nā ultrasound, ka ʻimi kino holoʻokoʻa, a me nā hoʻokolohua thyroglobulin mai kēlā manawa i kēia manawa e nānā inā ua hoʻi hou ka maʻi ʻaʻai. Pono ka mālama ʻana i nā kiʻekiʻe o ka hormone thyroid i loko o ke koko e ʻike pono e hāʻawi ʻia ka nui kūpono o ka hoʻoliʻiliʻi hormone (HRT). E kamaʻilio me kāu kauka o kāu keiki e ʻike i ka manawa e pono ai e hana i kēia mau hoʻokolohua.
ʻO ka mālama ʻana i ka Papillary Childhood a me ka Follicular thyroid Cancer
No ka ʻike e pili ana i nā lāʻau i helu ʻia ma lalo, e ʻike i ka ʻaoʻao Overtion Option Overview.
ʻO ka mālama ʻana i ka papillary a me ka carcomaid thyroid follicular hou i ʻike ʻia e like me kēia:
- E wehe i kahi ʻoki kino āpau a i ʻole ka hapa nui o ka pākana thyroid a i kekahi manawa kokoke i ka pona thyroid. Hiki ke hāʻawi ʻia i kahi lāʻau iodine radioactive inā e koe kekahi mau maʻi maʻi ʻaʻai thyroid ma hope o ke kaha ʻana. Hāʻawi ʻia ka Hormone replacement therapy (HRT) i mea e pau ai ka ʻaukā thyroid i nalo.
Ma waena o 12 mau pule o ke kaha ʻana, hana ʻia nā hoʻokolohua e ʻike inā mau ka maʻi ʻaʻai thyroid i loko o ke kino. Pākuʻi ʻia paha kēia i nā hoʻokolohua thyroglobulin a me ka scan thyroid holoʻokoʻa kino. Hana ʻia kahi scankano thyroid holoʻokoʻa kino e ʻike i nā wahi i loko o ke kino kahi e wehe koke ʻia ai nā hunaola maʻi ʻaʻai thyroid. Hoʻohana ʻia ka iodine radioactive ma muli o ka lawe wale ʻana o nā iodine i nā kime thyroid wale nō. Hoʻopulu ʻia kahi liʻiliʻi loa o ka iodine radioactive, hele i loko o ke koko, a ʻohiʻohi i nā kikoʻī thyroid a me nā hunaola maʻi ʻaʻai thyroid ma nā wahi āpau o ke kino. Inā mau ka maʻi ʻaʻai thyroid, hāʻawi ʻia kahi lāʻau nui o ka iodine radioactive e luku i nā koena maʻi ʻaʻai thyroid. Hiki ke hana ʻia kahi scanner SPECT o ke kino holoʻokoʻa (hoʻokahi fotona emission compute tomography) ma kahi o 4 a 7 mau lā ma hope o ka mālama ʻana e nānā inā ua luku ʻia nā hunaola maʻi āpau.
- Hiki ke hāʻawi ʻia i ka iodine therapy radioactive i nā keiki i hiki ʻole ke hemo ʻia ko lākou tumola e ke ʻoki. Hāʻawi ʻia ka Hormone replacement therapy (HRT) i mea e pau ai ka ʻaukā thyroid i nalo.
E ʻike i ka hōʻuluʻulu e pili ana i ka Childhood Mult End End End Endineine Neoplasia (MEN) Syndromes lapaʻau no ka ʻike hou aku.
E hoʻohana i kā mākou ʻimi hoʻokolohua hoʻokolohua e ʻike i nā hoʻokolohua hoʻokolohua maʻi maʻi i kākoʻo ʻia e NCI e ʻae nei i nā mea maʻi. Hiki iā ʻoe ke ʻimi i nā hoʻāʻo e pili ana i ke ʻano o ka maʻi ʻaʻai, ka makahiki o ka mea hoʻomanawanui, a kahi e hana ʻia ai nā hoʻokolokolo. Loaʻa nā ʻike laulā e pili ana i nā hoʻokolohua hoʻokolohua.
Hoʻomaʻamaʻa i ke kamaliʻi medullary thyroid cancer
No ka ʻike e pili ana i nā lāʻau i helu ʻia ma lalo, e ʻike i ka ʻaoʻao Overtion Option Overview.
ʻO ka mālama ʻana i ka lāʻau lapaʻau thyroid medullary thyroid hou loa i nā keiki e hoʻopili pū ʻia me kēia:
- ʻO ke keʻena hana e wehe i ka maʻi ʻaʻai.
- ʻO ka therapy target me kahi tyrosine kinase inhibitor (vandetanib a i ʻole selpercatinib) no ka maʻi ʻaʻai i holomua a i ʻole ua hoʻolaha ʻia i nā ʻāpana ʻē aʻe o ke kino.
E hoʻohana i kā mākou ʻimi hoʻokolohua hoʻokolohua e ʻike i nā hoʻokolohua hoʻokolohua maʻi maʻi i kākoʻo ʻia e NCI e ʻae nei i nā mea maʻi. Hiki iā ʻoe ke ʻimi i nā hoʻāʻo e pili ana i ke ʻano o ka maʻi ʻaʻai, ka makahiki o ka mea hoʻomanawanui, a kahi e hana ʻia ai nā hoʻokolokolo. Loaʻa nā ʻike laulā e pili ana i nā hoʻokolohua hoʻokolohua.
Ka mālama ʻana i ka maʻi ʻaʻa kamaliʻi thyroid a holomua
No ka ʻike e pili ana i nā lāʻau i helu ʻia ma lalo, e ʻike i ka ʻaoʻao Overtion Option Overview.
ʻO ka mālama ʻana i ka papillary holomua a i ʻole hoʻi hou a me follicular thyroid carcinoma i loko o nā keiki e like me kēia:
- Hoʻolālā iodine radioactive (RAI).
- Hoʻopaʻa kaulike ʻia me kahi mea kāpae tyrosine kinase (larotrectinib a i ʻole selpercatinib).
- ʻO kahi hoʻokolohua hoʻokolohua e nānā i kahi laʻana o ka tumo o ka mea maʻi no kekahi ʻano loli. ʻO ke ʻano o ka hoʻomālama ʻia e hāʻawi ʻia i ka mea maʻi e pili ana i ka ʻano o ka loli.
- ʻO kahi hoʻokolohua hoʻokolohua o ka tyrosine kinase inhibitor therapy (vemurafenib a i ʻole selpercatinib).
ʻO ka mālama ʻana i ka carroidoma thyroid medullary a i ʻole hoʻi hou i nā keiki e like me kēia:
- ʻO kahi hoʻokolohua hoʻokolohua e nānā i kahi laʻana o ka tumo o ka mea maʻi no kekahi ʻano loli. ʻO ke ʻano o ka hoʻomālama ʻia e hāʻawi ʻia i ka mea maʻi e pili ana i ka ʻano o ka loli.
- ʻO kahi hoʻokolohua hoʻokolohua o ka tyrosine kinase inhibitor therapy (selpercatinib).
E hoʻohana i kā mākou ʻimi hoʻokolohua hoʻokolohua e ʻike i nā hoʻokolohua hoʻokolohua maʻi maʻi i kākoʻo ʻia e NCI e ʻae nei i nā mea maʻi. Hiki iā ʻoe ke ʻimi i nā hoʻāʻo e pili ana i ke ʻano o ka maʻi ʻaʻai, ka makahiki o ka mea hoʻomanawanui, a kahi e hana ʻia ai nā hoʻokolokolo. Loaʻa nā ʻike laulā e pili ana i nā hoʻokolohua hoʻokolohua.
E aʻo hou e pili ana i ka maʻi ʻaʻai thyroid
No ka ʻike hou aku mai ka National Cancer Institute e pili ana i ka maʻi ʻaʻai thyroid, e ʻike i kēia:
- ʻO ka ʻaoʻao home cancer cancer
- ʻO nā Therapy Cancer i kau ʻia
- Ke hoʻāʻo genetic no ka hoʻoilina hoʻoilina maʻi maʻi maʻi Syndromes
- MyPART - ʻO kaʻu Pediatric a me nā mākua ʻo ka Launa Tumor Rare
- Computers Tomography (CT) Scans a me ka maʻi ʻaʻai
No ka ʻike hou aku i ka maʻi ʻaʻai kamaliʻi a me nā kumuwaiwai maʻi ʻaʻai ʻē aʻe, e ʻike i ka mea aʻe:
- E pili ana i ka maʻi ʻaʻai
- Nā maʻi ʻōpio
- Huli ʻo Cure no ka hōʻole ʻana i nā maʻi ʻaʻai keiki
- Nā hopena hope loa o ka mālama ʻana no ka maʻi ʻaʻai kamaliʻi
- ʻO nā ʻōpio a me nā ʻōpio me ka maʻi ʻaʻai
- Nā keiki me ka maʻi ʻaʻai: He alakaʻi no nā mākua
- Ka maʻi ʻaʻai ma nā keiki a me nā ʻōpio
- Ke hoʻokū nei
- Ke kāohi nei i ka maʻi ʻaʻai
- Nā nīnau e nīnau ai i kāu kauka e pili ana i ka maʻi ʻaʻai
- No nā mea ola a me nā mea mālama
E hoʻohā i ka ʻōlelo hoʻohou auto-refresher