Diagnostifikimi i hersh\u00ebm dhe trajtimi adekuat i karcinomit tiroid jep mund\u00ebsi p\u00ebr trajtim t\u00eb suksessh\u00ebm. Ekzistojn\u00eb kat\u00ebr lloje kryesore t\u00eb kancerit t\u00eb gj\u00ebndr\u00ebs tiroide. Var\u00ebsisht nga lloji i karcinomit caktohet edhe m\u00ebnyra e trajtimit.\u00a0<\/h4>\n\n\n\n

Kanceri tiroid shfaqet at\u00ebher\u00eb kur qelizat tiroide p\u00ebsojn\u00eb ndryshime gjenetike (mutacione). Zakonisht shfaqen nyje, t\u00eb cilat mund t\u00eb ndihen gjat\u00eb prekjes n\u00ebp\u00ebrmjet l\u00ebkur\u00ebs s\u00eb qaf\u00ebs, por mund edhe t\u00eb mos preket n\u00ebse shfaqet n\u00eb dimensione t\u00eb vogla. Madh\u00ebsia e nyj\u00ebs mund t\u00eb ndryshoj\u00eb, ajo \u00ebsht\u00eb e p\u00ebrb\u00ebr\u00eb nga qeliza t\u00eb cilat i ndryshojn\u00eb karakteristikat e tyre.  \u00cbsht\u00eb e nevojshme q\u00eb t\u00eb kryhen diagnostikime t\u00eb tjera, si\u00e7 \u00ebsht\u00eb kontrolli ultrasonografik i gj\u00ebndr\u00ebs tiroide, m\u00eb tej skanimi i gj\u00ebndr\u00ebs tiroide, si dhe biopsia me gjilp\u00ebr\u00eb t\u00eb holl\u00eb n\u00ebn kontrollin e ultratingullit. Nyjet mund t\u00eb klasifikohen n\u00eb t\u00eb nxehta dhe t\u00eb ftohta. M\u00eb seriozisht duhet t\u00eb veprohet ndaj nyjave t\u00eb ftohta pasi 15% e tyre mund t\u00eb jen\u00eb kancerogjene.  Specialist\u00ebt e mjek\u00ebsis\u00eb b\u00ebrthamore Dr. Liljana Muratovska dhe Dr. Biljana Crcareva n\u00eb spitalin klinik \u201cAcibadem Sistina\u201d, me rastin e muajit t\u00eb kancerit t\u00eb gj\u00ebndr\u00ebs tiroide, k\u00ebshillojn\u00eb q\u00eb pacient\u00ebt t\u00eb cil\u00ebt kan\u00eb nyje skenografike t\u00eb ftohta t\u00eb b\u00ebjn\u00eb biopsin\u00eb me an\u00eb t\u00eb gjilp\u00ebr\u00ebs s\u00eb holl\u00eb, me q\u00ebllim p\u00ebr t\u00eb p\u00ebrcaktuar n\u00ebse nyja \u00ebsht\u00eb kancerogjene apo jo.<\/p>\n\n\n\n

Llojet e kancerit tiroid dhe trajtimi i tyre<\/strong><\/p>\n\n\n\n

Lloji papilar i gj\u00ebndr\u00ebs tiroide \u00ebsht\u00eb lloji m\u00eb i p\u00ebrgjithsh\u00ebm.  80% nga llojet e p\u00ebrgjithshme t\u00eb rasteve t\u00eb diagnostikuara. Zakonisht diagnostikohet tek pacient\u00ebt praj mosh\u00ebs 20 deri n\u00eb 50 vje\u00e7are dhe shfaqet tre her\u00eb m\u00eb shum\u00eb tek grat\u00eb. Kanceri mund t\u00eb mos tregoj\u00eb simptoma p\u00ebr vite (ndonj\u00ebher\u00eb mund t\u00eb kalojn\u00eb edhe 30 vjet) pasi zakonisht mbetet me madh\u00ebsi n\u00ebn 1 cm dhe ndodh q\u00eb t\u00eb mos rritet kurr\u00eb. Mund t\u00eb v\u00ebrehet rast\u00ebsisht gjat\u00eb m\u00ebnjanimit kirurgjikal t\u00eb gj\u00ebndr\u00ebs. P\u00ebrcaktimi i k\u00ebtyre nyjave gjat\u00eb ekzaminimeve parandaluese \u00ebsht\u00eb p\u00ebrmir\u00ebsuar gjat\u00eb viteve t\u00eb fundit fal\u00eb pajisjes ultrasonografike me sensitivet t\u00eb lart\u00eb. Ky lloj kanceri trajtohet n\u00eb m\u00ebnyr\u00eb operative. N\u00ebse b\u00ebhet fjal\u00eb p\u00ebr mikrokancer, m\u00eb t\u00eb vog\u00ebl se 10 mm, pas operacionit, pacienti mund t\u00eb vazhdoj\u00eb vet\u00ebm me marrjen e barnave me hormone tiroide.  Por, n\u00eb rast se kanceri \u00ebsht\u00eb me dimensione m\u00eb t\u00eb m\u00ebdha apo ndoshta \u00ebsht\u00eb p\u00ebrhapur tek nyjat limfatike apo n\u00eb organe t\u00eb tjera, at\u00ebher\u00eb pacienti i n\u00ebnshtrohet trajtimit me jod radioaktiv, zakonisht gjasht\u00eb jav\u00eb pas operacionit.<\/p>\n\n\n\n

Kanceri tiroid folikular<\/strong><\/p>\n\n\n\n

Ky lloj kanceri zakonisht shfaqet tek grat\u00eb e mosh\u00ebs  40 deri n\u00eb mosh\u00ebn 60 vje\u00e7are dhe paraqitet  me 10%  t\u00eb llojeve t\u00eb p\u00ebrgjithshme t\u00eb kancerit.  Nd\u00ebr kanceret tiroide, kanceri tiroid folikular diagnostikohet m\u00eb v\u00ebshtir\u00eb.  P\u00ebr t\u00eb marr\u00eb vendimin n\u00ebse b\u00ebhet fjal\u00eb p\u00ebr s\u00ebmundje malinje, fillimisht \u00ebsht\u00eb e nevojshme q\u00eb t\u00eb v\u00ebzhgohet n\u00ebse qelizat hyjn\u00eb n\u00eb kapsul\u00ebn e cila e rrethon  nyj\u00ebn e p\u00ebrb\u00ebr\u00eb nga qeliza normale.  N\u00eb rastet kur kapsula \u00ebsht\u00eb e shkat\u00ebrruar, b\u00ebhet fjal\u00eb p\u00ebr tumor folikular,  ndryshe diagnostikohet si formacion folikular beninj.  Trajtimi i k\u00ebtij tumori \u00ebsht\u00eb i nj\u00ebjte me trajtimin e tumorit papilar dhe kjo \u00ebsht\u00eb nj\u00eb tiroidektomi e plot\u00eb.  Pavar\u00ebsisht nga madh\u00ebsia e k\u00ebtij lloj kanceri, pas operacionit pacienti trajtohet me jod radioaktiv.<\/p>\n\n\n\n

Tumoret medulare num\u00ebrohen me 5% nga t\u00eb gjitha kanceret tiroide t\u00eb diagnostikuara.  Lloji trash\u00ebgues i tumorit medular zakonisht shfaqet nga mosha 1 deri n\u00eb mosh\u00ebn 20 vje\u00e7are, nd\u00ebrkoh\u00eb q\u00eb lloji jotrash\u00ebgues, zakonisht shfaqet n\u00eb form\u00ebn e metastazave t\u00eb gj\u00ebndrave limfatike.  Trajtimi \u00ebsht\u00eb p\u00ebrs\u00ebri i nj\u00ebjte, dhe kjo \u00ebsht\u00eb tiroidektomia e plot\u00eb me disekcion t\u00eb nyjave limfatike. Pas operacionit, pacienti nuk trajtohet me jod radioaktiv, sepse qeliza e cila \u00ebsht\u00eb e ndryshme nga qelizat e tjera tiroide,  nuk \u00ebsht\u00eb e ndjeshme ndaj jodit radioaktiv.  Pacienti kontrollohet me kontrollin e nivelit t\u00eb kalcitoninit n\u00eb gjak dhe tumor markerit CEA.<\/p>\n\n\n\n

Kanceri tiroid anaplastik<\/strong><\/p>\n\n\n\n

Ky lloj i kancerit shfaqet  me 5%  nga t\u00eb gjitha kanceret tiroide.  Shfaqja e tij \u00ebsht\u00eb m\u00eb e shpesht\u00eb tek personat m\u00eb t\u00eb moshuar (q\u00eb i p\u00ebrkasin mesatarisht mosh\u00ebs 60 vje\u00e7are). Kanceret papilare apo folikulare t\u00eb cilat prej shum\u00eb vitesh nuk kan\u00eb qen\u00eb trajtuar, n\u00eb m\u00ebnyr\u00eb t\u00eb papritur ndryshojn\u00eb sjelljen e tyre biologjike duke u rritur shpejt\u00eb n\u00eb kancer tiroid anaplastik.  N\u00eb raste t\u00eb tilla operacioni nuk \u00ebsht\u00eb opsion p\u00ebr trajtim.  Megjithat\u00eb,  vazhdon trajtimi me terapi radio-onkologjike  p\u00ebr shkak t\u00eb p\u00ebrmir\u00ebsimit t\u00eb cil\u00ebsis\u00eb s\u00eb jet\u00ebs s\u00eb pacientit.<\/p>\n","protected":false},"excerpt":{"rendered":"

Diagnostifikimi i hersh\u00ebm dhe trajtimi adekuat i karcinomit tiroid jep mund\u00ebsi p\u00ebr trajtim t\u00eb suksessh\u00ebm. Ekzistojn\u00eb kat\u00ebr lloje kryesore t\u00eb kancerit t\u00eb gj\u00ebndr\u00ebs tiroide. Var\u00ebsisht nga lloji i karcinomit caktohet edhe m\u00ebnyra e trajtimit.\u00a0 Kanceri tiroid shfaqet at\u00ebher\u00eb kur qelizat tiroide p\u00ebsojn\u00eb ndryshime gjenetike (mutacione). Zakonisht shfaqen nyje, t\u00eb cilat mund t\u00eb ndihen gjat\u00eb prekjes […]<\/p>\n","protected":false},"author":1,"featured_media":8458,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[367],"tags":[],"doktori":[],"class_list":["post-8473","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-kancer-sq"],"acf":[],"_links":{"self":[{"href":"https:\/\/healthacibadem.unet.mk\/wp-json\/wp\/v2\/posts\/8473","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/healthacibadem.unet.mk\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/healthacibadem.unet.mk\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/healthacibadem.unet.mk\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/healthacibadem.unet.mk\/wp-json\/wp\/v2\/comments?post=8473"}],"version-history":[{"count":0,"href":"https:\/\/healthacibadem.unet.mk\/wp-json\/wp\/v2\/posts\/8473\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/healthacibadem.unet.mk\/wp-json\/wp\/v2\/media\/8458"}],"wp:attachment":[{"href":"https:\/\/healthacibadem.unet.mk\/wp-json\/wp\/v2\/media?parent=8473"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/healthacibadem.unet.mk\/wp-json\/wp\/v2\/categories?post=8473"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/healthacibadem.unet.mk\/wp-json\/wp\/v2\/tags?post=8473"},{"taxonomy":"doktori","embeddable":true,"href":"https:\/\/healthacibadem.unet.mk\/wp-json\/wp\/v2\/doktori?post=8473"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}