Follicular thyroid mob - yog dab tsi? Soj ntsuam nta thiab cov tsos mob

Cov thyroid caj pas - ib tug me me khoom hauv nrog cev nyob rau hauv lub caj dab ntawm tus neeg. Nws yog yus muaj los ntawm me me qhov ntev thiab nyhav xwb ib ob peb grams, tab sis vim hais tias ntawm tej yam ntawm ntau yam kev phiv yam, cov nuj nqis yuav ua. Cov thyroid caj pas ua peb cov tshuaj hormones hais tias muaj ib feem nyob rau hauv lub chaw ua hauj lwm ntawm ntau nruab nrog cev thiab tshuab. Nws yog tshwj xeeb yog ib qho tseem ceeb hais tias nws yog kom ua tau hauj lwm nyob rau hauv cov me nyuam, raws li nws muaj feem xyuam rau lawv txoj kev loj hlob thiab kev loj hlob.

Nyob rau hauv cov ntaub ntawv ntawm tej ntxaug tshwm sim follicular thyroid qog. Yuav ua li cas yog nws? Cia peb sim kom to taub qhov no.

Cov ua rau tus kab mob

Thyroid pathology yog tsim nyob rau hauv tus ntawm ntau yam tsis zoo yam tseem ceeb uas ua rau cov tsos ntawm cov ntau yam thiab formations. Kab mob ntawm lub cev yog hom. Yeej tsim yog benign, thiab tsuas 5% ntawm cov neeg lawv yog phem cim.

Thyroid pathology tshwm sim rau cov nram qab yog vim li cas:

• tsis muaj iodine los yog, conversely, nws tshaj tus nqi;
• kev tshuaj ntsuam genetic predisposition;
• hormonal tsis txaus uas tshwm sim vim muaj hnub nyoog txog kev hloov, yug menyuam, noj tshuaj nrog cov tshuaj hormones;
• kev siv cov carcinogenic zaub mov los yog teeb meem additives nrog ib tug tsis muaj txiv hmab txiv ntoo thiab zaub;
• kev tsim txom muaj yees;
• phiv tej teebmeem;
• los ntawm lub cev ntawm tej yam tshuaj lom;
• mob ntawm lub endocrine system;
• hluav taws xob kis;
• txais tos ntawm cov tshuaj.

Nws muaj lwm yam yog vim li cas uas ua rau kom txoj kev loj hlob ntawm cov kab mob ntawm lub cev. Qhov no tej zaum yuav nquag txhawj xeeb, txo kev tiv thaiv, tsis txaus lub cev ua si.

Hom ntawm lub qog hlav

Malignancy ntawm lub cev muaj peev xwm muaj ntau hom:

• Papillary hlav yog heev heev thiab yog yus muaj los ntawm qeeb txoj kev loj hlob. Tom qab ib co sij hawm, nws hlob mus rau hauv lub cev ntawm lub tshuaj ntsiav, rau cov hlab ntsha thiab cov qog ntshav los ntawm kev uas pib mus metastasize.
• Follicular (B cell) thyroid mob no kuj heev. Qhov no hom ntawm cancer metastasize los ntawm cov hlab ntsha, thiab cov qog ntshav nyob twj ywm lawm. Localization ntawm ib tug metastasis nyob rau hauv lub siab, lub ntsws thiab txoj skeletal system.
• Medullary (C-cell) carcinoma pub. Nws yog kev loj hlob ntawm ib tug ntsis pace thiab kis tau los ntawm cov qog ntshav.

Follicular thyroid mob: yog dab tsi?

Kev Kawm Ntawv yuav ua tau ib tug follicular adenoma hom (benign qog) los yog adenocarcinoma (kab mob qog hlav). Lawv yog cov heev yooj yim mus paub qhov txawv ntawm txhua lwm yam, yog li thaum lub sij hawm qhov kev xeem ntawm tus neeg mob tus kws kho mob ua ib yam ua ntej kev kuaj mob tsis specifying yog qhov xwm ntawm tus kab mob no. Thaum benign thiab phem tsim tshwm sim capsule uas adenoma hlwb yog tsis muaj peev xwm mus ua txhaum. Tab sis adenocarcinoma lov nws thiab hlob mus rau hauv ib ncig cov ntaub so ntswg.

Follicular hlav ntawm lub qog caj pas (adenoma) tshwm sim feem ntau nyob rau hauv cov poj niam. Tus txiv neej ntawm tej pathology muaj feem xyuam rau 3 lub sij hawm tsawg.

Txij li thaum lub cev muaj ob qhov chaw - sab laug thiab sab xis ces, raws li statistics, feem ntau muaj feem xyuam rau tsuas yog ib qho ntawm lawv, thiab feem ntau nws yog rau sab xis. Xam tias yog heev txaus ntshai adenoma ntawm lub Isthmus, uas feem ntau dhau mus ua ib tug phem lub xeev.

Follicular mob ntawm txoj cai lobe ntawm lub qog caj pas (adenoma), Yog hais tias yog loj, aesthetically tsis xis nyob rau hauv lub caj dab cheeb tsam. Nyob rau hauv tas li ntawd, nws yuav tsis yooj yim rau nqos.

soj ntsuam nta

Follicular thyroid qog - dab tsi yog nws thiab dab tsi yog qhov kev soj ntsuam nta? Qhov no tsim yog yus muaj los ntawm round los yog dawb rau hauv cov duab nrog ib txig txhais ib thaj tsam. Thaum nws cov tub ntxhais yog ib tug loj tus naj npawb ntawm cov hauv paus, ntawm nyob rau hauv ib tug capsule ntawm connective cov ntaub so ntswg. Qhov no tsim tsis tau yuav ciaj sia nyob rau hauv lwm yam hlab ntsha thiab ntaub so ntswg.

Qhov txaus ntshai ntawm tus kab mob no cov lus dag nyob rau hauv lub fact tias ib tug adenoma yuav los ua ib tug adenocarcinoma, uas yog, ua ib tug malignancy. Yog li ntawd, yog hais tias muaj yog ib tug suspicion ntawm follicular thyroid qog benign daim ntawv no, nws yuav tsum tau tas li cai los ntawm ib tug endocrinologist, leej twg, yog tias tsim nyog, xaiv qhov tseeb kev kho mob.

Cov tsos mob follicular mob hom

Yog hais tias cov thyroid caj pas yog me me, nws yog nyob rau hauv tsis muaj txoj kev txhawj xeeb txiv neej. Nrog ib tug loj npaum li cas ntawm nws yog detectable los ntawm txoj kev palpation. Loj mob loj pib pheev siab rau lub surrounding ntaub so ntswg, uas yog vim li cas tus neeg mob hloov nws lub suab ua hoarse thiab husky. Ib tug neeg muaj teeb meem nyob rau hauv nqos thiab ua tsis taus pa, thiab nyob rau hauv lub caj pas yog ib tug kev xav ntawm ib tug txawv teb chaws yam khoom. Thaum cia li muab lub qab haus huv zoo nkaus li mob. Yog hais tias koj cov hlab ntsha yog raug rau siab lub cev, muaj yog neeg pluag kev.

Adenocarcinoma yuav tsum tau nrog los ntawm cov emergence of metastases. Nyob rau hauv tas li ntawd, lub xub ntiag ntawm ib tug phem daim ntawv ntawm cov nram qab no cov tsos mob qhia:

• qaug zog;
• nkees nkees;
• txob taus;
• lub plawv palpitations;
• nkees;
• ua tsis taus pa;
• ua txoj poob phaus.

Tus neeg mob tej zaum yuav kuj teb tsis zoo mus rau lub tshav kub. Qhov loj tshaj plaws cov tsos mob yog arrhythmia thiab myocardial.

diagnostics

Yog hais tias lub pathological hloov loj, ces koj yuav nrhiav tau nws nyob rau hauv lawv tus kheej. Me thyroid kuaj tau los ntawm ultrasonography. Yuav kom txiav txim seb lub hom thiab qhov xwm ntawm tus kab mob no, nqa tawm kws zoo koob me.

Txoj kev kho mob

Yog hais tias follicular mob twb ntes tau thyroid kev kho mob tshuaj, ntawm cov kauj ruam thiab nws cov localization. Nyob rau hauv tej rooj plaub, ua ib tug ib nrab excision ntawm hlwb thiab lub tsim ntawm nws cov qhia nyob rau hauv lwm yam - tag tshem tawm cov hloov khoom nruab nrog.

Classic kev kho mob ntawm lub qog follicular hom xws li:

• tag nrho los yog ib nrab tshem tawm ntawm qhov hloov;
• siv ntawm tej iodine los mus tiv thaiv metastasis thiab rov muaj dua ntawm lub qog;
• hormone txoj kev kho;
• postoperative xyuas ntawm cov neeg mob.

phais kho mob

Yog hais tias tus neeg mob mob li "follicular hlav ntawm lub qog caj pas", lub lag luam yuav tsum tau tsuas yog txoj kev cawm tau nws los ntawm tus kab mob no.

Nrog lub yeej ntawm tsuas yog ib qho khoom hauv nrog cev siv hemithyroidectomy qhia, ie tshem tawm nws. Rau nws cov kev siv yuav tsum tau nruj kev nyeem ntawv tau nyob cytologic me. Tom qab lub lag luam no yog ib lub caij nyoog ntawm kev tsim hypothyroidism uas yuav tsum tau yam tshuaj hloov txoj kev kho.

Thyroidectomy yog tsis tshua muaj siv thaum lub cev yog ceeb tag. Thaum nws yog tiav mob tsis tshua mob heev suab tsis tshwm sim. Nyob rau hauv tas li ntawd, iodine txoj kev kho yog kho nrog lub neej hormone hloov txoj kev kho.

Resection ntawm cov thyroid caj pas yog tseem nqa tawm tsis tshua. Nyob rau hauv recurrent mob nyob rau hauv cov kev tshwm sim ntawm rov lag luam kev nyuaj siab vim hais tias ntawm lub resulting caws pliav.

radioiodine kev kho mob

Thyroid tsuas kho tej iodine 131, tab sis, nws yog tshuaj lom rau tej pathogenic hlwb. Tab sis cov tshuaj no yog qhia nyob rau hauv tag nrho cov mob, tiam sis tsuas yog nyob qhov twg:

• lub qog yog loj hlob heev ntseeg tau;
• metastases tshwm sim nrog rau lub allergic ntawm lub qog;
• kev kawm ntawv yog loj hlob ceev ceev txaus;
• ib tug neeg mob mob vascular ntxeem tau.

Tej kev kho mob yuav tsum tau rau cov neeg laus. Tom qab muab hlais tawm lawm, txoj kev kho nrog cov tshuaj no yuav tsum tau ua tsis pub dhau thawj lub hli.

hormone txoj kev kho

Yog hais tias cov thyroid tau raug tshem tawm kiag los yog ib kov, tus neeg mob yog tus kws kho lub neej hloov kho siv cov hormonal complex. Follicular mob teb cov thyroid stimulating lawm uas ua los ntawm lub pituitary caj pas, yog li tus neeg mob feem ntau yog muab exogenous lawm kom tsawg uas thiaj li muaj qhov pheej hmoo ntawm kev rov loj hlob ntawm pathogenic hlwb.

outlook

Yog hais tias paub hais tias follicular thyroid qog, cov raug nyob rau hauv cov nqe lus ntawm nws cov kev kho mob yuav tsis tau dej siab. Yog hais tias tus nqi ntawm cov kev kawm ntawv tsis ntau tshaj ib centimeter, kev twv yuav muaj kev vam meej nyob rau hauv ib nrab ntawm cov neeg mob. Nyob rau hauv lub qhaj ntawv ntawm metastasis nyob rau hauv 80% ntawm cov neeg nws yog guaranteed rau txog nees nkaum xyoo ntawm lub neej tom qab kho kev kho mob.

Yog hais tias lub qog yog tus me me, ib tug dej siab raug tshwm sim nyob rau hauv 95% ntawm cov qhia tus neeg mob. Yog hais tias nws qhov ntev yog heev loj, ib tug ua tiav kev kho yog tau nyob rau hauv 50% ntawm cov neeg mob.

xaus

Yog li ntawd, peb tham txog tus kab mob no li follicular thyroid qog. Yuav ua li cas yog nws, tam sim no koj paub. Qhov no yog ib tug heev loj hloov khoom nruab nrog kev puas tsuaj, uas yuav ua tau yog benign los yog phem. Pathology kho xwb expeditious txoj kev. Nrog raws sij hawm kev kho mob, cov raug yog heev paaj.