A biopsy of thyroid shwanu: chii, sei chinoitwa? A biopsy of thyroid shwanu: gadziriro, kududzirwa migumisiro Analyses, zvinokonzerwa

In ezvinhu ano mishonga kenza thyroid yamuka kuti panzvimbo yakakwirira yakati sandara. In ichi yasara tinofanira kupindira munyaya dzomunyika nemamiriro muviri, kureva, akaita biopsy pamusoro thyroid shwanu. Chii? - You kubvunza. Mhinduro hakusi refu kuuya, kana thyroid yako nodules kupfuura 1 masendimita kukura, kana kana akawanda remasangano. Chokwadi kuti ari Ultrasound hakuna kukwana. Kuti vazive hunhu dzidzo, unofanira kutora marapiro acho uye funga ayo ezvinhu.

Kuziva nzira zvakafanira

Masayendisiti Most, uyewo World Health Organization vakacherechedza kudiwa muitiro wakadaro. Masayendisiti vanoti dzidzo, kunyange chiduku kukura, kana kupfuura mumwe, vane zvikuru rwakashata sei muviri, saka, kujekesa hunhu waro - ndiwo basa chiremba ose, atarisana nedambudziko chakadaro murwere. Vanhu vakakumbira kubatsirwa dambudziko iri, vari pasi yachiremba cherechedzo. Last unogadza akaedzwa kuti kwevari mahormone akadai thyroid kemikari, triiodothyronine, thyroxine, uye zvichingodaro. nenguva dzirikure Ultrasound bvunzo vari wakagadza, kazhinji matanho aya anoteererwa 3-6 nguva mwedzi, mukuwedzera, varwere vanofanira kudzora yavo mamiriro.

rokutanga kubvunza

In kubvunza chiremba wako achakuudzai mashoko ose, izvo kubatana biopsy pamusoro thyroid shwanu: chii, zvinoitwa, nhanho chii regadziriro vanofanira zvakaitika kuti kuuraya nayo, uye zvichingodaro.

Anoita yokutindivadza?

Chinhu mubvunzo dzinongoitika kuti unomuka neimwe murwere: sei kuita biopsy pamusoro thyroid shwanu? Kunyange zvazvo zita sezvinotyisa, muitiro pachayo haina chaityisa kudaro. Kutaura zvazviri, izvi cellular mashoko kubva ponji nzvimbo ine inokosha mutete chaizvo tsono.

Kugadzirira nzira

Akaita biopsy pamusoro thyroid shwanu, kugadzirira idzo, sezvinei, haina zvaida, mumaminitsi. Yokutindivadza chiremba vasati basa rakanga raitwa nezvikonzero zviviri:

1. Murwere Zvakaitika anongoda hapana marwadzo Runonzwika chete tsono jekiseni.

2. jekiseni chinodhaka anogona kusvika mharidzo samolecular kurema, hazvizovi zvomunhu sei unhu, uye muitiro zvichabviswa kudzokororwa kakawanda.

The nzira chikuru biopsy wakanaka tsono ponji.

Zvinofanira biopsy

Kuziva mamiriro zvipenyu zvinhu zviri nodes anotanga kuita biopsy muitiro. Kunosanganisira Munotatamura chaiwo tsono yomuzvarirwo zvinhu kubva maumbirwo, izvo chakasvitswa pakudzidza. varwere vose vave nechirwere dzidzo yakadaro aifanira muitiro wakadaro. The kunyatsofungisisa kuongororwa panguva biopsy kuva mukuru anosarudza dzidzo.

Pausiku nzira, kana murwere ari kufara chaizvo, anogona kupa kunyaradza. The chaiko nzira kunotanga murwere nzvimbo pamubhedha musoro wake akandwe musana. Jekiseni nzvimbo iri kubatwa doro, zvichiteverwa akawanda kwepfuti munzvimbo Munotatamura kubva nodes zvipenyu zvinhu. Gadzira kwepfuti mashoma unofanira, sezvo rimwe ponji haagoni kupa zvakafanira kuongorora uwandu zvinhu. Zvadaro, zvinhu vakasarudzwa anoiswa pamusoro girazi uye vakatumira histological kuongorora.

Patient Kurambidzwa

Nokuti murwere kukamurwa: haikwanise kumedza panguva nzira. Izvi imhaka ndechokuti tsono chitete chaizvo, uye paumbwe diki, saka kuchangotanga kusunda anogona kutuma tsono mugwara risiri uye haangazvidembi kutora kuti zvinhu. The yose nzira rinoitwa kushandisa Ultrasound muchina. It unodiwa kudzora mirayiridzo tsono pasi paganda, anowedzera mukana wokuti panowanikwa yaro njodzi chikwata. The yose nzira anotora vaifanira hafu yeawa, rinogona kuita sechinhu outpatient, uye vari muchipatara.

Kunyatsoongorora migumisiro nzira

Cytological kuongorora ivhu vakawana akatora avhareji vhiki imwe. Kururama zvabuda zvakakwirira chaizvo - 95%, kwete 100, nokuti pane chinhu munhu kuti ndiye mudonzvo kuti anoita ponji, hamuneni ane zvakakwana pamwero zvinodiwa, uye muitiro pacharo rakanyatsojeka. The soro chikamu yakakanganiswa kana uninformative diagnoses weveta zvakabudiswa zviitiko zviri nodes, kukura asingasvavi kusvika imwe sendimita.

Benign mashoko kune imwe nzira yakadaro nodular goiter, nezvose zvakasiyana. Kuchena kana chivavarirwa ndiyo 98% vose nyaya. Mune benign zviri kufunga uye Formulations zvakadai diagnoses sezvo colloids boka follicular epithelium - mukana yokuchena pamwe diagnoses akadaro 95%.

Nyanyisa muna 50% kuti zviitiko chirwere vezvikwata:

• dzikatadza differentiating adenoma;
• raiva pedyo nebundu pamwe atypia zviratidzo;
• kuwanda pamusoro follicular epithelium.

Muzviitiko zvakadaro, akashandiswa ichi - follicular neoplasia.

Kupfuura ngozi uye kazhinji ndivo nyanyisa diagnoses:

• Magwaro ari nechirwere pamusoro carcinoma chinhu malignancy nzvimbo inenge zana muzana;
• vanofungidzirwa carcinoma - vanenge 80-90 muzana mukana;
• muna 70% nyaya zvokuongorora kuti malignancy inoshandiswa pakutsigira havagoni kutonga mumwe akaipa raiva pedyo nebundu.

Rimwezve kuongorora ivhu

Mune zvimwe zviitiko, thyroid biopsy migumisiro vanoda zvimwe kuongorora. Somuenzaniso, kazhinji kuitisa nemiedzo chomumba pamwe tsono pamberi thyroglobulin kana calcitonin. miedzo izvi zvinogona kuvandudza rakarurama tsvakurudzo, kana migumisiro kwakajairika zveBhaibheri zvakanga kururama, saka dzimwe nguva kuzivikanwa adenomas ari parathyroid omumuviri, izvo dziri mukati thyroid shwanu.

Kana vapedza thyroid biopsy migumisiro Analyses vanopiwa murwere chaiyo siyana. Pane zvakanyorwa zvose mashoko rinokosha yakawanikwa mushure bvunzo ivhu: raiva pedyo nebundu mamiriro, nzvimbo, ukuru uye zvichingodaro. Kazhinji, kufadza nguva kumirira zvabuda - ndicho 7 days, dzimwe nguva refu, mune dzimwe nzvimbo, nekusiyana, izwi inoongorora Kukoshesa mazuva 1-2.

Imwe nzira yokuti aone kuti malignancy

Radioisotope kushanda pakuvheneka - ndeimwe nzira kuongorora mamiriro nodes. Haana ushe mumwe biopsy, uye ari rokutanga danho pamberi paro. In zvokurapa mazwi, pane pfungwa mbiri: inopisa uye kutonhora nodes. thyroid masero Sechipanji ayodhini inova chikamu shwanu. Kana raitongwa murwere ane radioactive ayodhini pamusoro thyroid mifananidzo 2 anogona kutsausa mufananidzo. Kana shwanu ungano rine cellular zvinhu, izvo, nokuti chero nezvikonzero, usingatangi tibatsirwe ayodhini, zvinoitika chifananidzo rinokwanisa kucheneruka, uye richava chando nzvimbo. Kana basa ayodhini wefodya, mufananidzo anochinja yakajeka Orange mufananidzo, ichava rinopisa nzvimbo.

Sarudza kuchena zvinoumba kuti mifananidzo iyi zvakaoma, asi kana tinotaura pamusoro fungidziro, kana inopisa raiva pedyo nebundu, mukana kuti nyanyisa, dererei zvikuru pane kana uri kudzokera zvakashandurwa. Sezvo radioisotope kushanda pakuvheneka haapi mhinduro yakajeka, vanachiremba vachiri vanoguma kushandisa kwokupedzisira zvokuongorora pfungwa muchimiro biopsy pakati thyroid shwanu.

A biopsy of thyroid shwanu: nemigumisiro

Ponji of thyroid shwanu, chokwadi - zviri zvachose isingakuvadzi muitiro. Pashure iye anenge asina kuva chero matambudziko, uye kana zvavanazvo zviri zviduku chaizvo. Saka, rakaipisisa chinhu chinogona kuitika - a ropa ari fundo kana kuzvimba panguva ponji site yematambudziko izvi vabatwe zvokutanga.

Vamwe zvishoma-kuziviswa kana, zvarwo, vasingazivi vanhu vanodavira kuti remuromo node raiva pedyo nebundu pashure achitora mharidzo kubva benign aigona kuva akaipa, asi mhedziso fallacy kuti hazviitiki. Benign mapundu anogona kuva akaipa nokuda tsanangudzo, chete sarudzo - zviri kana chiremba munguva kuongorora ivhu vakarashika chinhu, asi zvinoitika chaizvo kashoma. Kazhinji, regai kuteerera nyaya anotyisa ehupfumi, riri inozivikanwa kuti biopsy pamusoro thyroid shwanu, zvinokonzerwa nayo zvachose asingakoshi.

Inogona kuva kenza kana akanga asiri

Kana kenza raiva pedyo nebundu, chinhu akaipa chirwere uye ikoko pakutanga yakatanga. Kana pakutanga ari kukura muzvikamu izvi havana akavaka hunhu zvokuti pane ngapaonekwe kenza asingagoni. Chokwadi ndechokuti kana mumwe raiva pedyo nebundu anotanga kukura, atova iripo oncology. Nepo raiva pedyo nebundu haina rakatanga kukura, hakuna zvakawanda kuongorora nei WHO rinokurudzira yekuedzwa nodes chete avo kuti kuchakunda kukura 1 masendimita zvichidzika kana maumbirwo, asi migumisiro Ultrasound mariri zvakajeka varipo zviratidzo kenza.

Chokwadi, pane mamiriro ezvinhu apo pashure ponji pashure vaviri makore, kuti raiva pedyo nebundu anotanga kukura, uye pashure kechipiri muitiro zvinoita sokuti pane achine kenza. Kunewo kutaura rokurira zvakadaro "shamwari yangu delalalas biopsy pamusoro thyroid shwanu, wongororo zvakanaka uye pashure nzira mumwedzi mitanhatu fundo oonera, chii dambudziko pano?". Chinonyanya kukosha pano hakusi kuti kenza akazviratidza ipapo chete zvino, chinetso kazhinji haazombotaurwi mu nuances matatu:

• The ponji chokutanga chakaitwa pane chinhu chaizvo diki chikwata hukuru. Ungangove, chiremba, kana kuti kuita muitiro, chete akanhonga isiri zvinhu, mune mamwe mazwi, regai yakarova chikwata.

• Usava zvakabudiswa chidobi. Dzimwe nyanzvi, kunyanya avo vanoshanda mumataundi maduku kana biopsy pamusoro thyroid shwanu, chii chiri havaratidzi kuziviswa, uye sei chinofanira kuita, zvikuru handizivi, kuti migumisiro zvakaipa zviri yapihwa.

• Chiremba-cytologist, apo Decryption vakatakura akabudisa biopsy pakati thyroid shwanu, asingagoni kubatsira achiona zvokurwara. The nzira pachayo kunogona kuitwa zvakakwana uye ivhu kubatwa zvakanaka, asi mumwe ruzivo chiremba-cytologist Zvinokoshawo chaizvo, nokuti anotida kunotsamira kwechokwadi kuongorora chirwere.

Ndizvo zvose pane kuziva sei thyroid biopsy rinoitwa, chii uye nei zvichidikanwa.