Follicular yegilo isimila - kuyini? izici Clinical kanye nezimpawu

Indlala yegilo indlala - isitho esincane etholakala entanyeni umuntu. It libhekene Ubukhulu ezincane nesisindo ambalwa nje amagremu, kodwa ngenxa umthelela izici ezihlukahlukene ezingezinhle, lezi zibalo wande. Indlala yegilo amahomoni ezintathu ukuthi sinomthelela nokusebenza kwezitho eziningi izinhlelo. Kubaluleke ngokukhethekile ukuthi nokusebenza ngendlela efanele ezinganeni, njengoba kuthinta ukukhula nokuthuthuka kwazo.

Uma noma yimuphi ukuphazamiseka kwenzeka follicular yegilo lwesimila. Kuyini lokhu? Ake sizame ukuqonda lokhu.

Izimbangela zesifo

kwakhiwa thyroid zokugula is ngaphansi kwethonya izici eziningi ezingezinhle ezibanga ukubukeka yezingxenye ezahlukene kanye okwakheke. Tifo letibangwa umzimba zivamile. Ngokuyinhloko kumiswa awayona ingozi, futhi% 5 kuphela amacala zingabantu uhlamvu ebulalayo.

Thyroid zokugula kwenzeka ngenxa yezizathu ezilandelayo:

• ukuntuleka kwe-iodine noma, Ngakolunye uhlangothi, senani ngokweqile;
• yofuzo;
• ukungalingani hormone okuyinto kuphakama ngenxa yezinguquko ezihlobene nokukhula, bebeletha, imithi nge-hormone;
• ukusetshenziswa ukudla umdlavuza noma izithasiselo ezilimazayo ngenxa yokuntula izithelo nemifino;
• ukuhlukunyezwa eziluthayo;
• imiphumela emibi kwemvelo;
• imiphumela phezu komzimba ezinobuthi;
• iziyaluyalu ohlelweni endocrine;
• njalo yokuchayeka emisebeni ye;
• reception izidakamizwa.

Zikhona nezinye izizathu ezenza ukuthi bafake isandla ekuthuthukiseni izifo zomzimba. Lokhu kungaba izingcindezi njalo, amasosha omzimba encishisiwe, umsebenzi enganele ngokomzimba.

Izinhlobo yegilo izimila

Umdlavuza komzimba ungaba izinhlobo eziningana:

• izimila Papillary kuvamile impela futhi esibonakala ngokuqina ukukhula kancane. Ngemva kwesikhathi esithile, likhula phakathi komzimba capsule, ezithinta imithambo yegazi nemithambo ye-lymph lapho iqala ukuba iyakhula.
• Follicular (B cell) yegilo isimila Kuvamile futhi ngempela. Lolu hlobo lomdlavuza iyakhula ngokusebenzisa emithanjeni yegazi nasemasosheni lymph node bunjalo. Kwasendaweni we Ukudlulela esibindini, amaphaphu kanye nohlaka lwamathambo.
• Medullary (C-cell) carcinoma ngofuzo. It lukhula ngejubane elilingene futhi zisakazekela-lymph.

Follicular yegilo isimila: kuyini?

Ezemfundo kungaba follicular adenoma uhlobo (isimila ingozi) noma adenocarcinoma (isimila esibulalayo). Ziyakwazi nzima ukuhlukanisa komunye nomunye, ngakho ngesikhathi ukuhlolwa udokotela nesineke kwenza ukuxilongwa owandulelayo ngaphandle ecacisa uhlobo lesi sifo. Lapho kumiswa ingozi nesibulalayo kwenzeka capsule okuyinto adenoma amaseli abakwazi zonke ukugqashula kuyo. Kodwa adenocarcinoma iphula futhi liyakhula libe zezicubu ezizungezile.

izimila Follicular we indlala yegilo (adenoma) kwenzeka ikakhulu abesifazane. Abesilisa zokugula enjalo ithinta kancane izikhathi 3.

Njengoba umzimba unezitho ezimbili - kwesokunxele nakwesokudla ke, ngokusho izibalo, avame kuthinta kuphela omunye wabo, futhi ngokuvamile kuba esandleni sokudla. Kubhekwe adenoma esiyingozi kakhulu kulesi siqephu sezwe, lapho zivame kusimo ebulalayo.

isimila Follicular we Lobe kwesokudla indlala yegilo (adenoma), uma inkulu, ukungakhululeki nobuhle obukhona endaweni entanyeni. Ngaphezu kwalokho, kuba nzima ukugwinya.

izici zokwelapha

Follicular yegilo isimila - kuyini futhi yini izici zokwelapha? Lokhu kumiswa libhekene round noma okweqanda nge imingcele kahle echaziwe. Enkabeni yalo inqwaba follicle, ebiyelwe capsule zezicubu zezinzwa. Lokhu kumiswa abakwazi sikhule nezinye izitsha nezicubu.

Ingozi main kwalesi sifo itholakala lokuthi ukuthi adenoma kungaba abe adenocarcinoma, okungukuthi, abe umdlavuza. Ngakho-ke, uma kukhona izinsolo follicular yegilo isimila ifomu kungavamile ukuba ingozi, kufanele njalo okuphawulwe i endocrinology, ngubani, uma kunesidingo, khetha ukwelashwa lesifanele.

Izimpawu follicular isimila hlobo

Uma indlala yegilo iyisitho esincane, it is ngaphakathi hhayi ayinandaba indlela indoda. Nge semali kuba selitholakala esebenzisa palpation. Elikhulu usayizi isimila iqala asicindezele kwezicubu ezizungezile, yingakho isiguli eshintsha izwi lakhe ekubeni hoshozela futhi Husky. Umuntu ukuthola kunzima ukugwinya nokuphefumula kanzima, futhi emphinjeni kukhona umuzwa into angaphandle. Nakuba ecindezela izinzwa livela ubuhlungu. Uma imithambo yegazi babhekana ingcindezi emzimbeni, kukhona kwegazi ompofu.

Adenocarcinoma kungase kuhambisane ukuvela metastases. Ngaphezu kwalokho, ukuba khona ifomu abulalayo izimpawu ezilandelayo zibonisa:

• ukukhathala;
• ukozela;
• ukucasuka;
• palpitations inhliziyo;
• ukucobeka;
• iphika;
• okukhulu kwesisindo.

Isiguli ingase futhi aphendule kahle ukushisa. Izimpawu olunzima kukhona arrhythmia futhi esivimba amanzi.

ukuhlola

Uma isitho sokugembula likhulu ke ungakuthola bebodwa. yegilo Small ukutholwa ultrasonography. Ukuze ubone ukuthi uhlobo uhlobo isifo, enifeza enqunyiwe esihle inaliti biopsy.

Izindlela yokwelashwa

Uma isimila follicular itholiwe ukwelashwa yegilo enqunyiwe, ukugxila sinyathelo futhi kwasendaweni yayo. Kwezinye izimo, ukukhiqiza excision olungaphelele amaseli bese kumiswa isabelo yayo ezinye - ukususa ngokuphelele isitho.

ukuphathwa Classic yendlala follicular uhlobo kuhlanganisa:

• ukususwa ngokugcwele noma kancane isitho;
• ukusetshenziswa kwe-iodine enemisebe ukuvimbela Ukudlulela futhi Ukuphinda yesimila;
• Ukwelapha i-hormone;
• ukuqapha nasezinkingeni ezilandela ngemva kokuhlinzwa kweziguli.

ukwelashwa kuhlinzwa

Uma isiguli kwatholakala ukuthi "izimila follicular we indlala yegilo", ukusebenza kuyoba indlela kuphela ukuze amsindise lesi sifo.

Lapho kunqotshwa eyodwa isitho esetshenziswa hemithyroidectomy share kuphela, okusho uyisuse. Ukuze nokuqaliswa kwalo kudinga nokuba kufundwe esiqinile atholakala e cytologic biopsy. Ngemva lo msebenzi kukhona amathuba wokuthuthukisa i-hypothyroidism edinga ukwelashwa kwama-hormone.

Yegilo kuyaqabukela esetshenziswa nalapho umzimba washaqeka ngokuphelele. Uma kuqedile isimila Ukuphinda cishe akwenzeki. Ngaphezu kwalokho, ukwelashwa iodine ezinqunyiwe nge impilo yonke ukwelashwa kwama-hormone.

Resection we indlala yegilo nazo eyenziwa akuvamile. Ngo isimila yansukuzonke uma kwenzeka ngokuphindaphindiwe ukusebenza nobunzima ziphakame ngoba yesibazi okuholela.

ukwelashwa radioiodine

Wegilo kuphela aphathe iodine enemisebe 131, kodwa anobuthi ukuba amaseli anjalo abangela izifo. Kodwa lokhu izidakamizwa kuvezwa zonke izimo, kodwa kuphela lapho:

• isimila ukhula kakhulu kakhulu;
• kuphakama metastases ne Ukungena-lymph;
• imfundo kukhula ngokushesha ngokwanele;
• isiguli sekutholakele ukuthi sine- ayehlasela semithambo.

Ukuphathwa kanjalo liyadingeka asebekhulile. Ngemva kokuhlinzwa, ukwelashwa ngalo muthi kufanele iqhutshwe ngaphakathi ngenyanga yokuqala.

Ukwelapha i-hormone

Uma yegilo isusiwe ngokuphelele noma ingxenye yaso, isiguli ezinqunyiwe ukwelashwa esaphila esikhundleni usebenzisa eziyinkimbinkimbi hormone. isimila Follicular aphendvule yegilo inkanuko hormone ekhiqizwa yi-ndlala pituitary ngakho isiguli ngokuvamile iqondiswa exogenous-hormone okuthiwa i eyanele okuyinto kunciphisa ingozi kabusha ekwandeni amaseli pathogenic.

ukuba nombono ongafani ngeke

Uma sisheshe follicular yegilo isimila, onalesi sifo ngokuya nokwelashwa kwayo ngeke evumayo kakhulu. Uma inani imfundo ingeqi eyodwa isentimitha, isibikezelo ayophumelela kwesigamu amacala. In the ukungabikho Ukudlulela e-80% izimo Siyaqiniseka cishe amabili neminyaka yokuphila ngemva yokwelapha.

Uma isimila incane, i Izibikezelo evumayo kwenzeka e-95% izigameko. Uma Ubukhulu bayo zinkulu kakhulu, ikhambi eliphelele kungenzeka 50% eziguli.

isiphetho

Ngakho, sakhuluma ngalesi sifo njengoba follicular yegilo lwesimila. Kuyini, manje wazi. Lena umonakalo isitho esinzulu, okungaba noma ingozi noma abulalayo. Pathology belashwa ngendlela samukelekile kuphela. Nge ukwelashwa esifike ngesikhathi, onalesi sifo kuyinto ngempela evumayo.