Matenda a thymoma ndi chiyani?

Zamkati

• Mitundu
• Zizindikiro za thymoma
• Chithandizo cha thymoma
• Magawo a thymoma

Thymoma ndi chotupa mu thymus gland, chomwe ndi chimbudzi chomwe chimakhala kuseri kwa fupa la m'mawere, chomwe chimayamba pang'onopang'ono ndipo nthawi zambiri chimadziwika kuti chotupa chosaopsa chomwe sichikufalikira ku ziwalo zina. Matendawa sikuti ndi a thymic carcinoma, chifukwa chake samakhala ngati khansa nthawi zonse.

Kawirikawiri, benign thymoma imapezeka mwa odwala opitirira 50 komanso ali ndi matenda omwe amadzimadzimadzimadzimodzi, makamaka Myasthenia gravis, Lupus kapena nyamakazi ya nyamakazi.

Mitundu

Thymoma ikhoza kugawidwa m'mitundu isanu ndi umodzi:

• Lembani A: kawirikawiri amakhala ndi mwayi wabwino wochira, ndipo ngati sizingatheke, wodwalayo amatha kukhala ndi moyo zaka zoposa 15 atazindikira;
• Lembani AB: monga mtundu wa thymoma, pali mwayi wabwino wochiritsidwa;
• Lembani B1: kupulumuka kwapitirira zaka 20 mutazindikira;
• Lembani B2: pafupifupi theka la odwala amakhala ndi moyo zaka zoposa 20 atazindikira kuti ali ndi vuto;
• Lembani B3: pafupifupi theka la odwala amakhala ndi moyo zaka 20;
• Mtundu C: ndi mtundu woyipa wa thymoma ndipo odwala ambiri amakhala zaka zapakati pa 5 mpaka 10.

Thymoma itha kupezeka potenga X-ray pachifuwa chifukwa cha vuto lina, motero adotolo amatha kuyitanitsa mayeso ena, monga CT scan kapena MRI kuti ayese chotupacho ndikuyamba chithandizo choyenera.

Zizindikiro za thymoma

Nthawi zambiri thymoma, palibe zizindikiro zenizeni, zomwe zimapezeka mukamayesa mayeso pazifukwa zina zilizonse. Komabe, zizindikiro za thymoma zitha kukhala:

• Chifuwa chosatha;
• Kupweteka pachifuwa;
• Kupuma kovuta;
• Kufooka kosalekeza;
• Kutupa kwa nkhope kapena mikono;
• Zovuta kumeza;
• Masomphenya awiri.

Zizindikiro za thymoma ndizosowa, zomwe zimachitika pafupipafupi ngati zilonda zoyipa za thymoma, chifukwa chotupa chofalikira ku ziwalo zina.

Chithandizo cha thymoma

Chithandizo chiyenera kutsogozedwa ndi oncologist, koma nthawi zambiri amachitidwa ndi opaleshoni kuti achotse chotupacho momwe zingathere, chomwe chimathetsa milandu yambiri.

Pazovuta kwambiri, zikafika ku khansa ndipo pali metastases, adokotala amathanso kulangiza radiotherapy. Mu zotupa zosagwira, chithandizo ndi chemotherapy ndichothekanso. Komabe, munthawi imeneyi mwayi wothandizidwa ndi wocheperako ndipo odwala amakhala zaka pafupifupi 10 atapezeka ndi matenda.

Mukalandira chithandizo cha thymoma, wodwalayo ayenera kupita kwa oncologist kamodzi pachaka kuti akapange CT scan, kufunafuna mawonekedwe a chotupa chatsopano.

Magawo a thymoma

Magawo a thymoma amagawika malinga ndi ziwalo zomwe zakhudzidwa, chifukwa chake, zimaphatikizapo:

• Gawo 1: ili kokha mu thymus ndi minofu yomwe imaphimba;
• Gawo 2: chotupacho chafalikira kwa mafuta pafupi ndi thymus kapena ku pleura;
• Gawo 3: zimakhudza mitsempha ndi ziwalo zoyandikana kwambiri ndi thymus, monga mapapu;
• Gawo 4: chotupacho chafalikira ku ziwalo zomwe zili kutali ndi chithokomiro, monga gawo la mtima.

Kukula kwa thymoma ndikotsogola, kumakhala kovuta kwambiri kuchiritsa ndi kupeza mankhwala, chifukwa chake tikulimbikitsidwa kuti odwala omwe ali ndi matenda omwe amadzitchinjiriza nthawi ndi nthawi amayesedwa pafupipafupi kuti azindikire zotupa.