Follicular thyroid bundu - chii? Clinical zvinhu uye zviratidzo

The thyroid shwanu - chiduku nhengo yaiva pamitsipa munhu. It kunoratidzwa kukura duku uye anoyera magiramu mashomanana, asi nokuda kwechirwere siyana yaivhuvhuta zvinhu, nhamba idzi zvowedzera. The thyroid shwanu unobereka mahormone zvitatu kuti kuva nezvahunoita basa zhinji nadzo uye hurongwa. Zvinokosha zvikuru kuti zvakakodzera kushanda nevana, sezvo inobata kukura kwavo uye kubudirira.

Kana chipi nyonganyonga kunoitika follicular thyroid bundu. Chii? Ngatiedzei kunzwisisa izvi.

Zvinokonzera chirwere

Thyroid zvokurwara achiumbwa pasi pokudzora dzakawanda dzisina kunaka zvinoita kuti chirwise pakuonekwa siyana zvinoriumba uye idzodzo. Zvirwere muviri hazvizivani. Kumboda inotungamirwa vari benign, uye 5 chete% nyaya vava akaipa hunhu.

Thyroid zvokurwara kunoitika nokuda kwezvikonzero zvinotevera:

• nokushaiwa ayodhini kana, Ukuwo, ayo zvakawandisa mari;
• nemagene kubatwa;
• hormone kusaenzana iyo unovapo nokuda zera-ukama kuchinja, mwana, nemishonga pamwe mahormone;
• kushandisa carcinogenic zvokudya kana zvinokuvadza yokuvirisa nokusava michero nemiriwo;
• kushungurudzwa muropa;
• yaivhuvhuta zvezvakatipoteredza Migumisiro;
• kukuvara mumuviri zvine chepfu;
• zvirwere zviri kwemakemikari anobudiswa hurongwa;
• nemwaranzi ekisiposha;
• negashiro zvinodhaka.

Pane zvimwe zvikonzero kuti pave kukura nezvirwere muviri. Izvi zvingava kakawanda mupfungwa, akaderedza kutapata, kushomeka kurovedza muviri.

Mhando thyroid anomera

Malignancy muviri anogona kuva marudzi akawanda:

• Papillary mapundu iwayo akakurumbira uye kunoratidzwa kunonoka kukura. Kwapera nguva, inokura kupinda mutumbi Kamudzira, bata midziyo ropa uye node nodes kuburikidza iyo anotanga metastasize.
• Follicular (B sero) thyroid bundu iri uyewo zvakajairika mazuva. Izvi mhando kenza metastasize kuburikidza midziyo ropa, uye node nodes kuramba dzakabatana. Localization mumwe metastasis iri chiropa, mapapu uye skeletal gadziriro.
• Medullary (C-sero) carcinoma nhaka. Zvinonzi kukura pakati nepakati uye anoparadzira kuburikidza node nodes.

Follicular thyroid bundu: chii?

Dzidzo kunogona kuva follicular adenoma mhando (benign bundu) kana adenocarcinoma (akaipa bundu). Ndivo zvakaoma chaizvo kusiyanisa kubva mumwe, saka panguva Kuongorora chiremba murwere zvinoita rokutanga chirwere pasina chaiyo yezvakaita chirwere. Kana benign uye akaipa inotungamirwa kunoitika Kamudzira izvo adenoma masero havagoni kuputsa. Asi adenocarcinoma anovamedurira uye inokura munzvimbo dzakapoteredza tishu.

Follicular mapundu ose thyroid shwanu (adenoma) rinowanikwa kunyanya vakadzi. Varume zvokurwara akadaro kunokukanganisa 3 nguva shoma.

Sezvo muviri une nhengo mbiri - rworuboshwe kurudyi, ipapo, maererano nenhamba, kazhinji inobata chete mumwe wavo, uye kazhinji ndiro divi zvakarurama. Vaiona adenoma ngozi chaizvo rokuPacific, izvo kazhinji ichichinja kuita akaipa ezvinhu.

Follicular bundu rworudyi akafukidza thyroid shwanu (adenoma), kana ari guru, nemachira kusagadzikana munharaunda mutsipa. Uyezve, zvinobva zvava zvinonetsa kumedza.

zvekuchipatara zvinhu

Follicular thyroid bundu - chii uye chii zvekuchipatara zvinhu? inotungamirwa ichi kunoratidzwa vakakomba kana denderedzwa iri chimiro ane miganhu zvakakwana kunorondedzerwa. At paro ari vakawanda follicles, akanyudzwa mukati Kamudzira pamusoro connective tishu. inotungamirwa ichi usingagoni imere mune dzimwe midziyo uye munyama.

The chikuru ngozi chirwere ichi iri chokwadi kuti adenoma anogona kuva adenocarcinoma, kureva kuva malignancy. Naizvozvo, kana paine fungidziro pamusoro follicular thyroid bundu benign chimiro, zvinofanira kugara muonekwe ane endocrinologist, uyo, kana zvakakodzera, sarudza yakarurama kurapwa.

Zviratidzo follicular mota mhando

Kana thyroid shwanu iri diki, zviri pasina nzira ainetseka murume. With yakawanda zviri detectable achishandisa palpation. Large bundu Kukura anotanga angatidzvinyirira akapoteredza munyama, ndokusaka murwere anochinja inzwi rake achiva shoshoma uye husky. Munhu uchinetseka kumedza uye kufema, uye ari huro pane kunzwa yokumwe chinhu. Nepo kudzvinya manzwiro rinowanika marwadzo. Kana midziyo ropa vari pasi kufurirwa muviri, pane murombo kutenderera.

Adenocarcinoma angaperekedzwa kubudikidza kwaita metastases. Mukuwedzera, pamberi akaipa muchimiro zvinotevera zviratidzo kuratidza:

• nekuneta;
• hope;
• kugumbuka;
• mwoyo palpitations;
• lethargy;
• kupfupika mweya;
• zvinoshamisa uremu.

Murwere anogonawo kuita nomazvo kuti kupisa. Wakakura zvikuru zviratidzo zviri arrhythmia uye myocardial.

Diagnostics

Kana pathological nhengo yakakura, zvino iwe angazviziva pachavo. Small thyroid dzakaonekwa ne ultrasonography. Kuziva mhando uye hunhu chirwere, kuita zvaitaurwa yakanaka tsono biopsy.

Nzira kurapwa

Kana follicular bundu akanga dzakaonekwa thyroid kurapwa ushandiswe, kufunga danho rayo localization. Mune zvimwe zviitiko, kubereka zvishomanana excision masero uye paumbwe mugove wayo mune dzimwe - zvachose kubvisa nhengo.

Classic Mabatirwo thyroid follicular mhando zvinosanganisira:

• izere kana rushoma nokubviswa nhengo;
• kushandiswa radioactive ayodhini kudzivirira metastasis uye dzokororo pakati bundu;
• kemikari kurapa;
• postoperative richiona wevarwere.

kuvhiya kurapwa

Kana murwere akaonekwa se "follicular mapundu pamusoro thyroid shwanu", kushanda vachava chete nzira amuponese chirwere ichi.

Kukurirwa kwakaita chete nhengo akashandisa hemithyroidectomy mugove, kureva bvisa nayo. Nokuti kwayo Implementation kunoda muchinyatsongwarira kuverenga yakawanikwa panguva cytologic biopsy. Avhiyiwa ichi pane mukana dzichiri hypothyroidism kunoda kemikari yokutsiva mishonga.

Thyroidectomy haawanzopiwi kushandiswa apo muviri zvachose kwakashamisa. Kana zvakakwana bundu dzokororo kushanda regai kuitika. Uyezve, ayodhini ARV ushandiswe kwoupenyu hwose kemikari yokutsiva mishonga.

Resection of thyroid shwanu vari kuitwa kazhinji. In idzokororo bundu iri chiitiko zvichipi- kushanda zvinetso nokuda zvichiguma vanga.

radioiodine kurapwa

Thyroid anogona chete kubata radioactive ayodhini 131, asi zviri chepfu muzvitokisi pathogenic kwakadaro. Asi mushonga uyu kunoratidzwa muna zvose nguva asi chete apo:

• bundu iri kukura chaizvo zvakasimba;
• metastases inomuka chete kupinda pakati node nodes;
• dzidzo iri kukura yokutsanya zvakakwana;
• murwere nechirwere vascular nechisimba.

kurapwa kwakadaro inodiwa vakwegura. Pashure pokuvhiyiwa, kurapa pamwe zvinodhaka ichi zvinofanira kuitwa mukati pamwedzi wokutanga.

kemikari kurapa

Kana thyroid chabviswa zvachose kana zvishomanana, murwere ushandiswe hwose yokutsiva kurapa vachishandisa hormone kunzwisisa. Follicular bundu anoonawo thyroid anotokonya kemikari zvinoberekwa pituitary shwanu, saka murwere inowanzopiwa chinotarisirwa exogenous kemikari yaunodya iyo kunoderedza ngozi kuzodzosera kuwanda masero pathogenic.

mataridzikiro

Kana chirwere follicular thyroid bundu, kuti fungidziro tichitarisa kurapwa yayo hakuzoitiki wo zvakanaka. Kana yakawanda dzidzo hakuiti kupfuudza rimwe sendimita, kuti anozivisa achava kubudirira nehafu mhosva. Pasina metastasis muna 80% kubva kacho inosimbiswa kwemakore anenge maviri upenyu pashure yokurapwa.

Kana bundu iri zviduku, yakanaka fungidziro kunoitika muna 95% kubva rakashuma zviitiko. Kana miganhu yacho yakakura chaizvo, mushonga kwakakwana kunobvira muna 50% wevarwere.

mhedziso

Saka, takataura pamusoro chirwere ichi sezvo follicular thyroid bundu. Chii, imi ikozvino munoziva. Iyi haisi chaizvo kukuvara nhengo, iyo inogona kunge benign kana akaipa. Zvokurwara arapwa expeditious nzira chete. With nenguva kurapwa, asi fungidziro iwayo zvakanaka.