Nyob rau hauv txhua tus neeg, cov thyroid caj pas yog nyob rau hauv lub larynx nyob rau hauv pem hauv ntej ntawm lub caj dab. Ua lub luag haujlwm tseem ceeb ntawm cov kab mob endocrine, nws tsim cov tshuaj hormones iodine, tswj cov metabolism, thiab muaj lub luag haujlwm rau kev loj hlob thiab kev loj hlob ntawm lub cev tag nrho. Cov qog nqaij hlav qog noj ntshav tau nkag siab tias yog mob qog nqaij hlav uas ua rau lub cev puas tsuaj. Feem ntau tus kab mob no nrog rau cov tsos mob hauv qab no: qhov tshwm sim ntawm lub caj dab loj hlob sai, mob, hoarseness, nqos nyuaj, hnoos.
Kev kho mob qog noj ntshav hauv cov neeg Ixayees tso cai rau koj txheeb xyuas cov yam ntxwv ntawm cov kab mob thiab xaiv cov kev kho mob ntawm tus kheej thiab lwm yam kev ntsuas tsim nyog.
Kev kuaj mob qog noj ntshav hauv cov tsev kho mob Israeli suav nrog kev kuaj hauv qab no:
- kuaj los ntawm tus kws kho mob otolaryngologist, oncologist. Kev soj ntsuam ntawm daim duab kho mob;
- Ultrasound - tso cai rau koj txheeb xyuas tus naj npawb ntawm cov nodes thiab lawv qhov loj me. Txawm li cas los xij, nws tsis kuaj seb tus qog puas yog benign lossis malignant;
- isotope scan. Iodine molecules tau nkag mus rau hauv tus neeg mob lub cev thiab sau rau hauv cov thyroid caj pas. Scanning tso cai rau tsis tsuas yog pom kev faib khoom, tab sis kuj qhia cov qauv ntawm lub cev puas. Raws li txoj cai, cov kab mob muaj kab mob sib sau tsawg dua iodine dua li cov neeg noj qab haus huv;
- kho mob qog noj ntshav hauv cov neeg Ixayees tso cai rau koj kuaj mob qog noj ntshav los ntawm kev kuaj ntshav biopsy ua raws li kev tshuaj tiv thaiv kab mob thiab tshuaj histological. Txoj kev no kis tau qhov tseeb tshaj plaws;
- kuaj ntshav. Txoj kev no qhia cov ntaub ntawv hais txog tus nqi ntawm thyroglobulin, ib qho protein uas tsim los ntawm cov thyroid caj pas. Nws qib tom qab tshem tawm ntawm thaj chaw cuam tshuam yuav tsum qis heev. Yog tias qhov tshwm sim no tsis tau pom, ces cov hlwb tsis zoo tseem nyob hauv tib neeg lub cev.
Kev kho mob qog noj ntshav hauv cov neeg Ixayees hauv cov tsev kho mob tshwj xeeb yog ua los ntawm ntau txoj hauv kev: kev phais, raug rau cov xov tooj cua iodine, hormonal thiab chemotherapy, sab nraud irradiation. Niaj hnub no, cov tshuaj siv kev tshem tawm tag nrho lossis ib feem ntawm lub cev muaj kab mob, nrog rau cov qog thiab cov ntaub so ntswg cuam tshuam los ntawm cov qog. Tom qab ua haujlwm, tus neeg mob tau txais kev kho tshuaj tshuaj hormones uas inhibits qhov tso tawm ntawm TRH thiab inhibits ib leeg malignant cells.
Kev kho mob qog nqaij hlav qog noj ntshav hauv lub sijhawm tom qab phais yog siv cov kev kho mob hloov pauv. Tom qab tshem tawm cov thyroid caj pas, lub synthesis ntawm iodine-muaj cov tshuaj hormones nres. Nws tuaj yeem ua rau tsis sib xwsmetabolism. Txhawm rau tiv thaiv qhov no, cov neeg mob tau muab qee yam tshuaj hormonal los them rau qhov tsis muaj iodine hauv lub cev.
Kev kho mob qog noj ntshav hauv cov neeg Ixayees raws li kev tiv thaiv thiab tiv thaiv kev rov tshwm sim lossis metastasis, tso cai rau kev siv RIT txoj kev (xov tooj cua). Qhov ncauj, cov neeg mob yog cov tshuaj kws kho mob, cov khoom tseem ceeb ntawm cov tshuaj iodine. Cov tshuaj no nquag nqus los ntawm cov thyroid hlwb (xws li cov uas puas lawm), muab kev kho mob zoo.
Radiation thiab chemotherapy. Txoj kev kho hluav taws xob yog ua nyob rau hauv ib chav kawm ntawm rau lub lis piam (5 zaug hauv 7 hnub). Nws cuam tshuam qhov cuam tshuam ntawm qhov chaw ionizing ntawm ib cheeb tsam ntawm lub cev. Thaum lub sij hawm tus txheej txheem, tus neeg mob pw motionless, thaum lub cuab yeej txav raws cov ntsiab lus muab, irradiating lawv. Txoj kev no yog siv rau hauv kev kho mob qog noj ntshav nrog cov pob txha metastases. Tshuaj kho mob koom nrog kev noj tshuaj tshwj xeeb uas tiv thaiv kev loj hlob ntawm qog.
