Mob qog ntshav, tsos mob thiab kho yog dab tsi
Zoo Siab
Thymoma yog cov qog nyob rau hauv cov qog thymus, uas yog ib lub caj pas nyob tom qab ntawm lub pob txha mis, uas lub hlwb qeeb qeeb thiab feem ntau yog pom tias yog cov qog benign tsis kis mus rau lwm yam kabmob. Tus kab mob no tsis yog xyaws hom ntshav thiav, nws thiaj li tsis kho yog mob qog noj ntshav.
Feem ntau, benign thymoma tshwm sim hauv cov neeg mob ntau dua 50 thiab muaj cov kab mob autoimmune, tshwj xeeb tshaj yog Myasthenia gravis, Lupus lossis mob caj dab mob pob txha, piv txwv.
Cov hom
Thymoma tuaj yeem faib ua 6 hom:
- Hom A: feem ntau nws muaj txoj hauv kev zoo los kho, thiab thaum tsis tuaj yeem kho, tus neeg mob tseem tuaj yeem nyob ntau dua 15 xyoos tom qab kuaj pom;
- Hom AB: zoo li hom A thymoma, muaj qhov zoo sij hawm kho;
- Hom B1: tus nqi muaj sia nyob yog tshaj 20 xyoo tom qab kuaj pom;
- Hom B2: txog ib nrab ntawm cov neeg mob nyob ntau dua 20 xyoo tom qab kev kuaj mob ntawm cov teeb meem;
- Hom B3: yuav luag ib nrab ntawm cov neeg mob nyob 20 xyoo;
- Hom C: Nws yog hom phom sij ntawm thymoma thiab feem ntau cov neeg mob nyob ntawm 5 txog 10 xyoo.
Thymoma tuaj yeem nrhiav tau los ntawm kev xoo hluav taws xob ntawm lub hauv siab vim yog lwm qhov teeb meem, yog li tus kws kho mob yuav xaj kom kuaj ntxiv, xws li kuaj CT lossis MRI kom ntsuas cov qog thiab pib kho kom tsim nyog.
Timo qhov chaw nyob
Cov tsos mob ntawm tus mob thymoma
Feem ntau ntawm thymoma, tsis muaj cov tsos mob tshwj xeeb, tau pom thaum ua cov kev sim rau lwm qhov laj thawj. Txawm li cas los xij, cov tsos mob ntawm tus mob thymoma tuaj yeem yog:
- Pheej hnoos;
- Kev mob hauv siab;
- Ua pa nyuaj;
- Lub cev tsis muaj zog tas li;
- O rau lub ntsej muag lossis npab;
- Nyuaj noj nyuaj;
- Ob lub zeem muag.
Cov tsos mob ntawm tus mob thymoma yog muaj tsawg, ua ntau zaus ntawm tus mob thymoma, vim tias cov qog ua kis mus rau lwm yam kabmob.
Kev kho mob qog ntshav
Kev kho yuav tsum tau ua los ntawm kws kho mob, tab sis feem ntau yog ua tiav nrog kev phais kom tshem tawm cov qog ntau li ntau tau, uas daws tau feem ntau.
Hauv qhov muaj mob loj tshaj, thaum hais txog mob qog noj ntshav thiab muaj metastases, tus kws kho mob kuj tseem yuav pom zoo yuav hluav taws xob. Kev mob qog nqaij hlav uas tsis tuaj yeem kho, kev kho mob nrog tshuaj khomob kuj tseem muaj peev xwm ua tau. Txawm li cas los xij, hauv cov xwm txheej no qhov muaj feem yuav kho tau tsawg dua thiab cov neeg mob nyob txog 10 xyoo tom qab kuaj mob.
Tom qab kho tus mob thymoma, tus neeg mob yuav tsum mus rau kws kho mob tsawg kawg ib xyoos ib zaug kom kuaj CT, saib seb puas pom muaj cov qog ntshav tshiab.
Cov theem ntawm thymoma
Cov theem ntawm thymoma tau faib raws li cuam tshuam cov kabmob thiab, yog li ntawd, suav nrog:
- Theem 1: nws tsuas yog nyob hauv qhov thymus thiab hauv cov ntaub so ntswg uas npog nws;
- Theem 2: cov qog tau kis mus rau cov rog nyob ze qhov thymus lossis mus rau pleura;
- Theem 3: cuam tshuam cov hlab ntsha thiab cov plab hnyuv siab raum ze ntawm qhov thymus, xws li lub ntsws;
- Theem 4: cov qog tau kis mus rau cov nruab nrog cev ntxiv mus kom deb ntawm qhov thymus, xws li hauv ob sab phlu hauv lub plawv.
Qhov ntau tshaj theem ntawm lub thymoma yog, qhov nyuaj nws yuav tsum ua txoj kev kho thiab ua tiav kev kho, yog li nws tau pom zoo tias cov neeg mob autoimmune muaj kev tshuaj xyuas ntau zaus kom pom cov tsos mob qog.