Nā ʻano / thyroid / hoʻomanawanui / thyroid-lapaʻau-pdq
Nā ʻikepili i loko
Hoʻomaʻamaʻa thyroid cancer (makua) (®) - mana mana
ʻO ka ʻike ākea e pili ana i ka maʻi ʻaʻai thyroid
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.
- Kūleʻa nā nodule thyroid akā ʻaʻole maʻamau ka maʻi ʻaʻai.
- Aia nā ʻano like ʻole o ka maʻi ʻaʻai thyroid.
- Hiki i ka makahiki, ke kāne, a me ka hōʻike ʻia i ka radiation ke hoʻololi 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 (loaʻa) a ʻike ʻia i ka maʻi ʻaʻai thyroid.
- Kū kekahi mau kumu i ka wānana (kahi o ke ola ʻana) a me nā koho lapaʻau.
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 ke kiko, hoʻohui i nā lobes ʻelua. ʻOi aku ka nui o ka thyroid olakino ma mua o ka hapahā. 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.
Kūleʻa nā nodule thyroid akā ʻaʻole maʻamau ka maʻi ʻaʻai.
ʻIke paha kāu kauka i kahi puʻupuʻu (nodule) i loko o kāu thyroid i ka manawa o kahi hōʻike olakino maʻamau. 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 pinepine ʻia kahi ultrasound o ka thyroid a me kahi biopsy aspiration o ka nila maikaʻi e nānā ai i nā hōʻailona o ka maʻi ʻaʻai. Hiki ke hana ʻia nā hoʻokolohua koko e nānā i nā kiʻekiʻe o ka hormone thyroid a no ka antithyroid antibodies i loko o ke koko e nānā ai no nā ʻano maʻi thyroid.
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. ʻO kahi liʻiliʻi wale nō o nā nodule thyroid i ʻike ʻia he maʻi ʻaʻai.
Aia nā ʻano like ʻole o ka maʻi ʻaʻai thyroid.
Hiki ke wehewehe ʻia ka maʻi ʻaʻai thyroid ma ke ʻano he:
- ʻO ka maʻi ʻaʻai thyroid i hoʻokaʻawale ʻia, kahi e hoʻopili ai i nā tumora like ʻole, nā maʻi ʻokoʻa maikaʻi ʻole, a me nā puʻupuʻu i hoʻokaʻawale ʻole ʻia; a i ʻole
- Ka maʻi ʻaʻai thyroid medullary.
Hiki ke mālama ʻia nā tumors ʻokoʻa (ka papillary thyroid cancer a me follicular thyroid cancer) a hiki ke hoʻōla maʻamau.
ʻO nā tumors ʻokoʻa maikaʻi ʻole a hoʻokaʻawale ʻole (anaplastic thyroid cancer) ʻoi aku ka liʻiliʻi. Ulu a pālahalaha koke kēia mau tumors a loaʻa i kahi manawa ʻilihuna o ke ola ʻana. Pono nā mea maʻi me ka anaplastic thyroid cancer e hoʻāʻo i ka molekole no kahi hoʻololi i ka gen BRAF.
ʻO ke kanulau thyroid medullary kahi tumo neuroendocrine e ulu ana i nā hunaola C o ka thyroid. Hana nā hunaola C i kahi hōmona (calcitonin) e kōkua ai i ka mālama ʻana i kahi pae calcium maikaʻi i ke koko.
E ʻike i ka hōʻuluʻulu e pili ana i ka hoʻomaʻamaʻa ʻana i ka maʻi kamaliʻi thyroid.
Hiki i ka makahiki, ke kāne, a me ka hōʻike ʻia i ka radiation ke hoʻololi 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 ua makaʻu paha ʻoe.
ʻO nā kumu pilikia no ka maʻi ʻaʻai thyroid me kēia mau mea:
- Aia ma waena o 25 a 65 mau makahiki.
- ʻO ka wahine.
- Ke hōʻike ʻia nei i ka radiation i ke poʻo a me ka ʻāʻī ma ke ʻano he pēpē a keiki paha a i ʻole hōʻike ʻia i ka hāʻule radioactive. Hiki ke kū i ka maʻi ʻaʻai ma hope o 5 mau makahiki ma hope o ka hōʻike ʻana.
- Loaʻa ka moʻaukala o ka goiter (hoʻonui ʻia ka thyroid).
- Ke loaʻa nei kahi moʻolelo ʻohana o ka maʻi thyroid a i ʻole ka maʻi ʻaʻai thyroid.
- Ke loaʻa nei kekahi mau ʻano genetical e like me ka maʻi kanesa thyroid medullary (FMTC), nā endocrine neoplasia type 2A syndrome (MEN2A), a i ʻole endocrine neoplasia type 2B syndrome (MEN2B).
- ʻO ʻAsia.
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 piʻi ka nui o ka makaʻu no 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.
ʻAʻole hiki i ka maʻi ʻaʻai thyroid ke hana i nā hōʻailona a i ʻole nā hōʻailona mua. ʻIke ʻia i kekahi manawa i ka wā o ka hoʻokolohua kino maʻamau. Hiki paha nā hōʻailona a i ʻole nā hōʻailona ke nui aʻe ka tumo. ʻO nā kumu ʻē aʻe paha ke kumu i nā hōʻailona like a i ʻole nā ʻōuli. E hōʻoia me kāu kauka inā loaʻa iā ʻoe kekahi o kēia mau mea:
- He puʻupuʻu (nodule) i ka ʻāʻī.
- Hī pilikia.
- Pilikia i ka ale ʻana.
- ʻEha ke ale ʻana.
- Hoarseness.
Hoʻohana ʻia nā hoʻāʻo e nānā ana i ka thyroid, ka ʻāʻī, a me ke koko e ʻike (loaʻa) a ʻike ʻia i ka maʻi ʻaʻai thyroid.
Hiki ke hoʻohana ʻia nā hoʻāʻo a me nā kaʻina hana aʻe:
- ʻO ka hoʻāʻo kino a me ka mōʻaukala: 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 lymph node, a me nā mea ʻē aʻe he 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.
- Laryngoscopy: kahi hana e nānā ai ke kauka i ka larynx (pahu leo) me ke aniani a i ʻole ka laryngoscope. ʻO kahi laryngoscope kahi mea lahilahi, e like me ka Tube me kahi kukui a me nā aniani no ka nānā ʻana. Hiki paha i kahi tumo thyroid ke kaomi ma nā kaula leo. Hana ʻia ka laryngoscopy e ʻike inā neʻe maʻamau nā kaula leo.
- Nā haʻawina hormonone koko: kahi hana e nānā ʻia ai kahi laʻana koko e ana i ka nui o kekahi mau hormones i hoʻokuʻu ʻia i loko o ke koko e nā mea a me nā mea i loko o ke kino. ʻO kahi mea maʻamau (ʻoi aku a i ʻole haʻahaʻa ma mua o ka maʻamau) o kahi mea i hiki ke lilo i hōʻailona o ka maʻi i loko o ka meaola a i ʻole ke ʻano e hana iā ia. Nānā ʻia ke koko no nā pae maʻamau o ka hormone hoʻoulu stimroid (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 kiʻekiʻe kiʻekiʻe o ka hormone calcitonin a me nā antithyroid antibodies.
- Nā aʻo kemika koko: kahi hana e nānā ʻia ai kahi laʻana koko e ana i ka nui o kekahi mau mea, e like me ka calcium, hoʻokuʻu ʻia i loko o ke koko e nā mea a me nā mea i loko o ke kino. ʻO kahi mea maʻamau (ʻoi aʻe a i ʻole haʻahaʻa ma mua o ka maʻamau) o kahi mea hiki ke lilo i hōʻailona o ka maʻi.
- 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.
- 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, 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.
- ʻO ka biopsy aspiration o ka nila-maikaʻi o ka thyroid: ʻO ka hemo ʻana o nā kikoo thyroid me ka hoʻohana ʻana i kahi 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.
- 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) a me nā koho lapaʻau.
ʻO ka wānana (loaʻa o ke ola) a me nā koho lapaʻau e pili i kēia:
- ʻO ka makahiki o ka mea maʻi i ka manawa o ke kuhi.
- Ke ʻano o ka maʻi ʻaʻai thyroid.
- Ke kahua o ka maʻi ʻaʻai.
- Inā ua hemo loa ka maʻi ʻaʻai e ke ʻoki kino.
- Inā loaʻa i ka mea hoʻomanawanui he mau endopine neoplasia ʻano 2B (MEN 2B).
- ʻO ke olakino olakino o ka mea maʻi.
- Inā ua hōʻoia wale ʻia ka maʻi ʻaʻai a i ʻole ua hoʻi hou (hoʻi.
Nā pae o ka maʻi ʻaʻai thyroid
NA MANA KUNI
- Ma hope o ka ʻike ʻia ʻana o ka maʻi ʻaʻai thyroid, hana ʻia nā hoʻokolohua e ʻike inā ua pāhola nā hunaola maʻi ʻaʻai i loko o ka thyroid a i ʻole nā ʻāpana ʻē aʻe 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.
- Hoʻohana ʻia nā pae e wehewehe i ka maʻi ʻaʻai thyroid ma muli o ke ʻano o ka maʻi ʻaʻai thyroid a me nā makahiki o ka mea maʻi.
- ʻO ka maʻi ʻaʻai papillary a me follicular thyroid i nā mea maʻi ma mua o 55 mau makahiki
- ʻO ka maʻi ʻaʻai papillary a me follicular thyroid i nā maʻi 55 makahiki a ʻoi
- ʻO ka maʻi ʻaʻai thyroid Anaplastic i nā mea maʻi o nā makahiki āpau
- ʻO ka maʻi ʻaʻai thyroid medullary i nā mea maʻi o nā makahiki āpau
Ma hope o ka ʻike ʻia ʻana o ka maʻi ʻaʻai thyroid, hana ʻia nā hoʻokolohua e ʻike inā ua pāhola nā hunaola maʻi ʻaʻai i loko o ka thyroid a i ʻole nā ʻāpana ʻē aʻe o ke kino.
ʻO ke kaʻina hana e ʻike inā ua pālahalaha ka maʻi ʻaʻai i loko o ka thyroid a i ʻole nā ʻāpana ʻē aʻe o ke kino i kapa ʻia he staging. ʻO ka ʻikepili i hōʻiliʻili ʻia mai ke kaʻina hana e hoʻoholo ai i ka pae o ka maʻi. He mea nui ia e ʻike i ka makahiki o ka mea maʻi a me ke kahua o ka maʻi ʻaʻai e hoʻolālā ai i ka lāʻau.
Hiki ke hoʻohana ʻia nā hoʻokolohua aʻe a me nā kaʻina hana i ke kaʻina hoʻonohonoho:
- 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 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.
- 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 ʻola 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.
- 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.
- ʻImi iwi: kahi hana e nānā ai inā aia he wikiwiki e hoʻokaʻawale i nā hunaola, e like me nā hunaola maʻi ʻaʻai, i ka iwi. Hoʻokomo ʻia kahi mea liʻiliʻi loa o nā mea radioactive i loko o ke aa a hele i waena o ke kahe o ke koko. Hōʻiliʻili ka mea lekiō i nā iwi me ka maʻi ʻaʻai a ʻike ʻia e kahi scanner.
- ʻO ka biopsy lymph node Sentinel: ʻO ka lawe ʻana i ka lymph node sentinel i ke kau ʻana. ʻO ka lymph node sentinel ka lua o nā lymph node ma kahi hui o nā lymph node e loaʻa ai ka hoʻoheheʻe lymphatic mai ka tumo mua. ʻO ia ka pūnana lymph mua e laha aku ai ka maʻi ʻaʻai mai a ka tumo mua. Hoʻokomo ʻia kahi mea lekiō a me / a i ʻole ke kala polū ma kahi kokoke i ka tumo. Kahe ka mea a kala paha ma o nā kahena lymph i nā lymph node. Lawe ʻia ka pona lymph mua e loaʻa ai ka waiwai a kala paha. ʻIke kahi pathologist i ke kiko ma lalo o kahi microscope e nānā no nā hunaola maʻi ʻaʻai. Inā ʻaʻole i loaʻa nā hunaola maʻi ʻaʻai, ʻaʻole pono paha e hemo i nā pūnana lymph.
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.
Hoʻohana ʻia nā pae e wehewehe i ka maʻi ʻaʻai thyroid ma muli o ke ʻano o ka maʻi ʻaʻai thyroid a me nā makahiki o ka mea maʻi.
ʻO ka maʻi ʻaʻai papillary a me follicular thyroid i nā mea maʻi ma mua o 55 mau makahiki
- ʻOihana I: Ma ke kahua I papillary a me follicular thyroid cancer, ʻo ka tumo kekahi nui a ua pāhola paha i nā mea kokoke a me nā lymph node. ʻAʻole i pālahalaha ka maʻi ʻaʻai i nā ʻāpana ʻē aʻe o ke kino.
- ʻOihana II: I ka pae II papillary a me follicular thyroid cancer, ʻo ka tumo kekahi nui a ua pāhola paha ka maʻi ʻaʻai i nā aʻa kokoke a me nā lymph node. Ua pālahalaha ka maʻi ʻaʻai mai ka thyroid i nā ʻāpana ʻē aʻe o ke kino, e like me nā akemāmā a me nā iwi.
ʻO ka maʻi ʻaʻai papillary a me follicular thyroid i nā maʻi 55 makahiki a ʻoi
- Kahua I: Ma ke kahua I papillary a me follicular thyroid cancer, loaʻa ka maʻi ʻaʻai ma ka thyroid wale nō a ʻo ka tumometa he 4 kenimika a ʻoi iki paha.
- ʻOihana II: i ka papillary pae II a me ka maʻi ʻaʻai thyroid follicular, loaʻa kekahi o kēia mau mea:
- loaʻa ka maʻi ʻaʻai ma ka thyroid a ʻo ka tumo he 4 kenimika a ʻoi aku paha; ua pālahalaha ka maʻi ʻaʻai i nā lymph node kokoke; a i ʻole
- Loaʻa ka maʻi ʻaʻai i loko o ka thyroid, ʻoi aku ka nui o ka tumo ma mua o 4 kenimika, a ua pāhola paha ka maʻi ʻaʻai i nā lymph node kokoke; a i ʻole
- ʻo ka tumo kekahi nui a ua pālahalaha ʻia ka maʻi ʻaʻai mai ka thyroid i nā mākala kokoke ma ka ʻāʻī a ua pāhola paha i nā lymph node kokoke.
- Kahua III: Ma ke kahua ʻekolu papillary a me follicular thyroid cancer, ua nui ka tumo a ua pālahalaha ʻia ka maʻi ʻaʻai mai ka thyroid i nā mea palupalu ma lalo o ka ʻili, ka esophagus, ka trachea, ka larynx, a me ke aʻalolo laryngeal hou (kahi nerve e hele i ka larynx). Ua pālahalaha paha ka maʻi ʻaʻai i nā pūnana lymph.
- ʻOihana IV: Māhele IV papillary a me follicular thyroid cancer ua māhele ʻia i nā pae IVA a me IVB.
- I ke kahua IVA, he nui ka tumo a ua pālahalaha ʻia ka maʻi ʻaʻai i mua o ka iwi kuamoo a i ʻole hoʻopuni i ke aʻa carotid a i ʻole nā kīʻaha koko ma kahi ma waena o nā akemāmā. Ua pālahalaha paha ka maʻi ʻaʻai i nā pūnana lymph.
- I ke kahua IVB, he nui ka tumo a ua pāhola ka maʻi ʻaʻai i nā wahi ʻē aʻe o ke kino, e like me nā akemāmā a iwi paha. Ua pālahalaha paha ka maʻi ʻaʻai i nā pūnana lymph.
ʻO ka maʻi ʻaʻai thyroid Anaplastic i nā mea maʻi o nā makahiki āpau
Ulu koke ka maʻi ʻaʻai thyroid Anaplastic a ua pālahalaha mau i loko o ka ʻāʻī ke loaʻa. Manaʻo ʻia ka maʻi ʻaʻai thyroid Anaplastic i ka maʻi ʻaʻai thyroid pae. ʻO ka maʻi IV anaplastic thyroid cancer ua māhele ʻia i nā pae IVA, IVB, a me IVC.
- I ke kahua IVA, loaʻa ka maʻi ʻaʻai ma ka thyroid wale nō a he nui paha ka tumo.
- I ke kahua IVB, loaʻa kekahi o kēia mau mea:
- Loaʻa ka maʻi ʻaʻai i ka thyroid a he nui paha ka tumo; ua pālahalaha ka maʻi ʻaʻai i nā lymph node kokoke; a i ʻole
- ʻo ka tumo kekahi nui a ua pālahalaha ʻia ka maʻi ʻaʻai mai ka thyroid i nā mākala kokoke ma ka ʻāʻī a ua pāhola paha i nā lymph node kokoke; a i ʻole
- ʻo ka tumo kekahi nui a ua pālahalaha ʻia ka maʻi ʻaʻai mai ka pākiko i nā aʻa palupalu ma lalo o ka ʻili, ka esophagus, ka trachea, ka larynx, ke aʻa laryngeal hou (kahi nerve e hele i ka larynx), a i ʻole ke kino i mua o ka iwi kuamoʻo, a i ʻole hoʻopuni i ke aʻa carotid a i ʻole nā kīʻaha koko ma kahi ma waena o nā akemāmā; ua pālahalaha ʻia ka maʻi ʻaʻai i nā lymph node.
- I ke kahua IVC, he nui ka tumo a ua pāhola ka maʻi ʻaʻai i nā wahi ʻē aʻe o ke kino, e like me nā akemāmā a iwi paha. Ua pālahalaha paha ka maʻi ʻaʻai i nā pūnana lymph.
ʻO ka maʻi ʻaʻai thyroid medullary i nā mea maʻi o nā makahiki āpau
- Kahua I: I ke kahua I medullary thyroid cancer, loaʻa ka maʻi ʻaʻai ma ka thyroid wale nō a ʻo ka tumo he 2 kenimika a ʻoi aku paha.
- Kahua II: I ke kahua II mederary thyroid cancer, loaʻa kekahi o kēia mau mea:
- ʻo ka maʻi ʻaʻai aia i ka thyroid wale nō a ʻoi aku ka nui o ka tumo ma mua o 2 kenimika; a i ʻole
- ʻo ka tumo kekahi nui a ua pālahalaha ʻia ka maʻi ʻaʻai mai ka thyroid i nā mākala kokoke ma ka ʻāʻī.
- Kahua III: I ke kolamu III o ka maʻi ʻaʻai thyroid, he nui ka tumo a ua pāhola ʻia paha ka maʻi ʻaʻai mai ka thyroid i nā mākala kokoke i ka ʻāʻī. Ua pālahalaha ʻia ka maʻi ʻaʻai i nā pūnana lymph ma hoʻokahi a i ʻole ʻelua ʻaoʻao o ka trachea a i ʻole ka larynx.
- ʻOihana IV: Māhele IV ka maʻi kanesa medroidary thyroid i ʻāpana IVA, IVB, a me IVC.
- I ke kahua IVA, loaʻa kekahi o kēia mau mea:
- ʻo ka tumo kekahi nui a ua pālahalaha ʻia ka maʻi ʻaʻai mai ka thyroid i nā mea palupalu ma lalo o ka ʻili, ka esophagus, ka trachea, ka larynx, a me ke aʻalolo laryngeal hou (kahi nerve e hele i ka larynx); ua pālahalaha ʻia ka maʻi ʻaʻai i nā lymph nodes ma hoʻokahi a i ʻole ʻelua ʻaoʻao o ka ʻāʻī; a i ʻole
- ka nui o ka tumo a ua pāhola paha ka maʻi ʻaʻai mai ka thyroid a i nā mākala kokoke ma ka ʻāʻī; ua pālahalaha ʻia ka maʻi ʻaʻai i nā lymph nodes ma hoʻokahi a i ʻole ʻelua ʻaoʻao o ka ʻāʻī.
- I ke kahua IVB, he nui ka tumo a ua pālahalaha ʻia ka maʻi ʻaʻai i mua o ke kuamoʻo a i ʻole ka iwi kuala a i ʻole hoʻopuni i ke aʻa o ka carotid a i ʻole nā kīʻaha koko ma kahi ma waena o nā akemāmā. Ua pālahalaha paha ka maʻi ʻaʻai i nā pūnana lymph.
- I ke kahua IVC, he nui ka tumo a ua pāhola ka maʻi ʻaʻai i nā ʻāpana ʻē aʻe o ke kino, e like me nā akemāmā a me ke akepaʻa. Ua pālahalaha paha ka maʻi ʻaʻai i nā pūnana lymph.
ʻO ka maʻi ʻaʻai thyroid hou
ʻO ka maʻi ʻaʻai thyroid hou he maʻi ʻaʻai i hoʻi hou (hoʻi mai) ma hope o ka mālama ʻia ʻana. Hiki ke hoʻi i ka maʻi ʻaʻai thyroid i 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.
- Hoʻohana ʻia ʻeono ʻano o ka mālama maʻamau.
- ʻOki kino
- ʻO ka radiation radiation, me ka radioactive iodine therapy
- ʻO Chemotherapy
- ʻO ka hoʻōla hormonone thyroid
- Pahuhopu kau ʻia
- Ke kali kiaʻi nei
- Ke hoʻāʻo ʻia nei nā ʻano lapaʻau hou i nā hoʻokolohua hoʻokolohua.
- Immunotherapy
- ʻO ka mālama ʻana no ka maʻi ʻaʻai thyroid e hana i 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.
Loaʻa 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. Makemake paha nā mea maʻi e noʻonoʻo e pili ana i ka hoʻokolokolo ʻana. ʻO kekahi mau hoʻokolohua hoʻokolohua e hāmama wale i nā mea maʻi i hoʻomaka ʻole i ka lāʻau.
Hoʻohana ʻia ʻeono ʻano o ka mālama 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:
- Lobectomy: Ka hemo ʻana o ka ʻula i loaʻa ai ka maʻi ʻaʻai 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.
- 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.
- 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.
- Tracheostomy: ʻoki kino e hana i kahi wehe (stoma) i loko o ka puka makani e kōkua iā ʻoe e hanu. Hiki ke kapa ʻia ka wehe ʻana he tracheostomy.
ʻO ka radiation radiation, me ka radioactive iodine therapy
ʻO ka radiation radiation kahi lāʻau maʻi maʻi maʻi e hoʻohana i nā kukuna x nui ikaika a i ʻole nā ʻano radiation e hoʻomake i nā hunaola maʻi ʻaʻai a mālama ʻole paha i ka ulu ʻana. ʻElua ʻano o radiation radiation:
- Hoʻohana ka radiation radiation kūwaho i kahi mīkini ma waho o ke kino e hoʻouna i ka radiation i ka maʻi ʻaʻai. I kekahi manawa pili pono ka pāhawewe i ka tumelo i ka wā o ke ʻoki kino. Kapa ʻia kēia ʻo intraoperative radiation therapy.
- Hoʻohana ka radiation radiation i loko i kahi lāʻau radioactive i hoʻopaʻa ʻia i nā nila, nā hua, nā uea, a i ʻole nā catheters i kau pololei ʻia i loko a kokoke paha i ka maʻi ʻaʻai.
Hāʻawi ʻia ka radiation radiation ma hope o ke kaha ʻana e luku i nā hunaola maʻi ʻaʻai thyroid i wehe ʻole ʻia. Hoʻomaʻamaʻa ʻia nā maʻi ʻaʻai follicular a me papillary thyroid me ka radioactive iodine (RAI) therapy. 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 o ka 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.
Hāʻawi ʻia ke ala o ka radiation radiation i ke ʻano a me ke kahua o ka maʻi ʻaʻai e mālama ʻia. Hoʻohana ʻia ka radiation radiation kūwaho a me ka iodine radioactive (RAI) e mālama ai i ka maʻi ʻaʻai thyroid.
ʻO Chemotherapy
ʻO Chemotherapy kahi lāʻau lapaʻau maʻi maʻi e hoʻohana i nā lāʻau e hōʻoki i ka ulu ʻana o nā hunaola maʻi ʻaʻai, ma ka luku ʻana i nā hunaola a i ʻole ke kāpae ʻana iā lākou mai ka hoʻokaʻawale. Ke lawe ʻia ka chemotherapy e ka waha a i ʻole injected i loko o kahi aa koko a i ʻole nā mākala, komo nā lāʻau i ke kahe o ke koko a hiki ke kiʻi i nā hunaola maʻi ʻōpio i loko o ke kino (chemotherapy ʻōnaehana). Ke waiho pololei ʻia ka chemotherapy i loko o ka wai cerebrospinal, kahi hui, a i ʻole ke kino o ke kino e like me ka ʻōpū, ʻo nā lāʻau lapaʻau ka mea nui e hoʻopili i nā hunaola maʻi ʻaʻai i kēlā mau wahi (chemotherapy āpau).
Hāʻawi ʻia ke ala o ka chemotherapy i ka ʻano a me ke kahua o ka maʻi ʻaʻai e mālama ʻia.
E ʻike i nā lāʻau i ʻae ʻia no ka maʻi ʻaʻai thyroid no ka ʻike hou aku.
ʻO ka hoʻōla hormonone thyroid
ʻO ka Hormone therapy kahi lapaʻau maʻi ʻaʻai e hoʻoneʻe i nā homone a i ʻole ālai i kā lākou hana a kāpae i nā hunaola maʻi maʻi mai ka ulu ʻana. 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. I ka mālama ʻana i ka maʻi ʻaʻai thyroid, hāʻawi ʻia paha nā lāʻau i mea e pale aku ai i ke kino mai ka hana ʻana i ka homone stimulate (TSH), kahi hōmona i hiki ke hoʻonui i ka manawa e ulu a ulu hou ai paha ka maʻi ʻaʻai thyroid.
Eia kekahi, no ka mea ʻo ka mālama ʻana i ka maʻi ʻaʻai thyroid e luku ai i nā hunaola thyroid, ʻaʻole hiki i ka thyroid ke hana i ka nui o ka hormone thyroid. Hāʻawi ʻia nā mea maʻi i nā lāʻau pani honeida thyroid.
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 i nā hunaola maʻi ʻaʻai me ka ʻole e hōʻeha i nā hunaola maʻamau. Aia kekahi mau ʻano o ka hoʻomōhala hoʻomāka ʻia.
- ʻO ka mea kāohi ʻo Tyrosine kinase. Pale ka Tyrosine kinase therapy i nā hōʻailona e pono ai no nā tumors e ulu. Hoʻohana ʻia ʻo Sorafenib, lenvatinib, vandetanib, a me cabozantinib e mālama i kekahi ʻano o ka maʻi ʻaʻai thyroid. Ke aʻo ʻia nei nā ʻano mea like ʻole o ka tyrosine kinase inhibitors e mālama i ka maʻi ʻaʻai thyroid kiʻekiʻe.
- ʻO ka mea kāohi protein kinase. Pale ka protein kinase inhibitor i nā protein i pono no ka ulu ʻana o ka cell a make paha i nā hunaola maʻi ʻaʻai. Hoʻohana ʻia ʻo Dabrafenib a me trametinib e mālama i ka maʻi ʻaʻai thyroid anaplastic i nā mea maʻi me kahi ʻano hoʻololi i ka gen BRAF.
E ʻike i nā lāʻau i ʻae ʻia no ka maʻi ʻaʻai thyroid no ka ʻike hou aku.
Ke kali kiaʻi nei
Ke kali nei ke kiaʻi me ka nānā pono ʻana i ke ʻano o ka mea maʻi me ka ʻole o ka hāʻawi ʻana i nā lāʻau a hiki i ka wā e ʻike ʻia ai nā hōʻailona a i ʻole nā loli.
Ke hoʻāʻo ʻia nei nā ʻano lapaʻau hou i nā hoʻokolohua hoʻokolohua.
Immunotherapy
ʻO ka Immunotherapy kahi lapaʻau e hoʻohana i ka ʻōnaehana pale maʻi o ka mea maʻi e hakakā i ka maʻi ʻaʻai. Hoʻohana ʻia nā mea i hana ʻia e ke kino a i hana ʻia paha i kahi keʻena hoʻokolohua e hoʻonui, kuhikuhi, a hoʻihoʻi hou i nā pale kūlohelohe o ke kino i ka maʻi ʻaʻai. Kāhea ʻia kēia ʻano lapaʻau maʻi ʻaʻai a biotherapy a i ʻole biologic therapy. Ke aʻo ʻia nei ʻo Immunotherapy ma ke ʻano he lapaʻau no ka maʻi ʻaʻai thyroid.
Loaʻa nā ʻike e pili ana i nā hoʻokolohua hoʻokolohua mai ka pūnaewele NCI.
ʻO ka mālama ʻana no ka maʻi ʻaʻai thyroid e hana i nā hopena ʻaoʻao.
No ka ʻike e pili ana i nā hopena i hopena ʻia e ka lapaʻau ʻana no ka maʻi ʻaʻai, e ʻike i kā mākou ʻaoʻao ʻaoʻao ʻaoʻao.
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.
ʻO kekahi o nā hoʻokolohua i hana ʻia e hōʻoia i ka maʻi ʻaʻai a i ʻole e ʻike i ke kahua o ka maʻi ʻaʻaʻa e hana hou ʻia paha. E hana hou ʻia kekahi mau hōʻike i mea e ʻike ai i ka maikaʻi o ka mālama ʻana. Hoʻoholo ʻia nā hoʻoholo e pili ana inā e hoʻomau, hoʻololi, a kū paha i ka lāʻau ʻana ma nā hopena o kēia mau hoʻāʻo.
E hoʻomau ʻia kekahi o nā hoʻokolohua mai kēlā me kēia manawa ma hope o ka pau ʻana o ka lāʻau. Hiki i nā hopena o kēia mau hoʻāʻo ke hōʻike inā ua loli kou ʻano a i ʻole inā ua hoʻi hou ke kanesa. Kapa ʻia kēia mau hoʻāʻo i kekahi manawa nā hoʻokolohua ukali a i ʻole nā loiloi.
Nā koho lapaʻau e ke kahua
Ma keia Pauku
- Nā pae I, II, a me III Papillary a me Follicular Tyroid Cancer (Localized / Regional)
- ʻO ka pae IV Papillary a me ka Follicular Tyroid Cancer (Metastatic)
- Papillary hou a me ka maʻi ʻaʻai thyroid Follicular
- Ka maʻi ʻaʻai thyroid Medullary
- Ka maʻi ʻaʻai thyroid Anaplastic
No ka ʻike e pili ana i nā lāʻau i helu ʻia ma lalo, e ʻike i ka ʻaoʻao Overtion Option Overview.
Nā pae I, II, a me III Papillary a me Follicular Tyroid Cancer (Localized / Regional)
ʻO ka mālama ʻana i ke kahua I (ʻoi aku ma mua o 55 mau makahiki; 55 mau makahiki a ʻoi aku), pae II (ʻoi aku ma mua o 55 mau makahiki; 55 makahiki a ʻoi aku), a me ka pae III papillary a me follicular thyroid maʻi ʻaʻai e komo pū i kēia mau mea:
- ʻOki kino (thyroidectomy a i ʻole lobectomy).
- Hoʻoikaika iodine radioactive.
- Hormone therapy e pale ai i ke kino mai ka hana ʻana i ka hōmona stimulate stimroid (TSH).
- Hoʻoikaika radiation kūwaho.
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.
ʻO ka pae IV Papillary a me ka Follicular Tyroid Cancer (Metastatic)
Ke pālahalaha ʻia ka maʻi ʻaʻai i nā wahi ʻē aʻe i ke kino, e like me ka akemāmā a me ka iwi, ʻaʻole mālama ka lapaʻau ʻana i ka maʻi ʻaʻai, akā hiki ke hōʻoluʻolu i nā ʻōuli a hoʻomaikaʻi i ka maikaʻi o ke ola. ʻO ka mālama ʻana i ka papillary IV papillary a me ka maʻi ʻaʻai thyroid follicular e hoʻopili pū i kēia mau mea:
No nā tumors e lawe i iodine
- Huina thyroidectomy.
- Hoʻoikaika iodine radioactive.
- Hormone therapy e pale ai i ke kino mai ka hana ʻana i ka hōmona stimulate stimroid (TSH).
No nā tumors i lawe ʻole i iodine
- Huina thyroidectomy.
- Hormone therapy e pale ai i ke kino mai ka hana ʻana i ka hōmona stimulate stimroid (TSH).
- Hoʻopaʻa kaulike ʻia me kahi mea kāpae tyrosine kinase (sorafenib a i ʻole lenvatinib).
- ʻO ke keʻena hana e wehe i ka maʻi ʻaʻai mai nā wahi kahi i pālahalaha ai.
- Hoʻoikaika radiation radiation.
- ʻO kahi hoʻokolohua hoʻokolohua o ka chemotherapy.
- ʻO kahi hoʻokolohua hoʻokolohua o kahi therapy i hoʻomākaukau ʻia.
- ʻO kahi hoʻokolohua hoʻokolohua o ka immunotherapy.
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.
Papillary hou a me ka maʻi ʻaʻai thyroid Follicular
ʻO ka mālama ʻana i ka papillary hou a me ka maʻi ʻaʻai follicular thyroid e komo pū paha me kēia:
- Hoʻopau ke ʻoki e wehe i ka puʻupu me me ka ʻole a i ʻole radioactive iodine therapy.
- ʻO ka radioactive iodine therapy ke hiki ke loaʻa ka maʻi ʻaʻai e ka scan thyroid a ʻaʻole hiki ke ʻike ʻia i ka wā o ka hoʻokolohua kino.
- Hoʻopaʻa kaulike ʻia me kahi mea kāpae tyrosine kinase (sorafenib a i ʻole lenvatinib).
- ʻO ka radiation radiation kūwaho a i ʻole ka intraoperative radiation therapy ma ke ʻano he palliative therapy e hōʻoluʻolu i nā hōʻailona a hoʻomaikaʻi i ka maikaʻi o ke ola.
- ʻO Chemotherapy.
- ʻO kahi hoʻokolohua hoʻokolohua o kahi therapy i hoʻomākaukau ʻia.
- ʻO kahi hoʻokolohua hoʻokolohua o ka immunotherapy.
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 maʻi ʻaʻai thyroid Medullary
ʻO ka maʻi ʻaʻai thyroid medullary i loko o ka thyroid wale nō a ua pāhola paha i nā mākala kokoke ma ka ʻāʻī. Ua pālahalaha ka maʻi ʻaʻai thyroid kiʻekiʻe a metastatic i nā ʻāpana ʻē aʻe o ka ʻāʻī a i ʻole nā ʻāpana ʻē aʻe o ke kino.
ʻO ka mālama ʻana i nā maʻi maʻi thyroid medullary kūloko paha e hoʻopili i kēia mau mea:
- ʻO ka nui o kāu thyroidectomy inā ʻaʻole i pālahalaha ka maʻi ʻaʻai i nā ʻāpana ʻē aʻe o ke kino. Lawe ʻia nā lymph nodes kokoke i ka maʻi ʻaʻai.
- ʻO ka radiation radiation kūwaho no nā mea maʻi i hoʻi hou ka maʻi ʻaʻai i loko o ka thyroid.
ʻO ka mālama ʻana i ka maʻi ʻaʻaiid thyroid medullary medally advanced / metastatic i loko o kēia mau mea:
- ʻO ka therapy target me kahi tyrosine kinase inhibitor (vandetanib a i ʻole cabozantinib) no ka maʻi ʻaʻai i pāhola ʻia i nā ʻāpana ʻē aʻe o ke kino.
- ʻO Chemotherapy ma ke ʻano he palliative therapy e hōʻoluʻolu i nā ʻōuli a hoʻomaikaʻi i ke ola o nā mea maʻi i hoʻolaha ʻia ka maʻi ʻaʻai i nā ʻāpana ʻē aʻe o ke kino.
ʻAʻole hoʻohana ʻia ʻo Radioactive iodine therapy e mālama ai i ka maʻi ʻaʻai thyroid medullary.
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 maʻi ʻaʻai thyroid Anaplastic
Hoʻomaopopo ʻia ka hana penei:
- ʻO ka nui o ka thyroidectomy ma ke ʻano he palliative therapy e hōʻoluʻolu i nā ʻōuli a hoʻomaikaʻi i ke ola o nā mea maʻi ʻo ka maʻi ʻaʻai i loko a kokoke paha i ka thyroid.
- ʻO Tracheostomy ma ke ʻano he palliative therapy e hōʻoluʻolu i nā hōʻailona a hoʻomaikaʻi i ke ʻano o ke ola.
- Hoʻoikaika radiation kūwaho.
- ʻO Chemotherapy.
- Hoʻopaʻa kaulike ʻia me nā mea hoʻopale kinase protein (dabrafenib a me trametinib) no nā mea maʻi me kahi ʻano hoʻololi i ka gen BRAF.
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 ka mālama ʻana i ka maʻi ʻaʻai kamepiula thyroid
- Ua ʻae ʻia nā lāʻau no ka maʻi ʻaʻai thyroid
- ʻO nā Therapy Cancer i kau ʻia
- Ke hoʻāʻo genetic no ka hoʻoilina hoʻoilina maʻi maʻi maʻi Syndromes
No ka ʻike ākea maʻi ʻaʻai a me nā kumuwaiwai ʻē aʻe mai ka National Cancer Institute, e ʻike i ka mea aʻe:
- E pili ana i ka maʻi ʻaʻai
- Ke hoʻokū nei
- ʻO Chemotherapy a ʻo ʻoe: Kākoʻo no ka poʻe me ka maʻi ʻaʻai
- Radiation Therapy a ʻo ʻoe: Kākoʻo no ka poʻe me ka maʻi ʻaʻai
- 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