甲状腺结节会不会恶变?要看这个要紧原由。这3类信号是癌变先兆
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">甲状腺结节非常<span style="color: black;">平常</span>,经常有<span style="color: black;">病人</span>体检或偶然<span style="color: black;">发掘</span>甲状腺长了一个结节,#昆明中研甲状腺医院#<span style="color: black;">咱们</span><span style="color: black;">必须</span>担心<span style="color: black;">那些</span>问题?</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">重点</span><span style="color: black;">必须</span>担心这三个问题:</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">①结节<span style="color: black;">是不是</span>为恶性;</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">②<span style="color: black;">是不是</span>影响甲状腺功能;</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">③<span style="color: black;">是不是</span>有恶变倾向。</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><img src="//q1.itc.cn/images01/20240414/e03540d64f3f44cb860e7b045464a5e6.png" style="width: 50%; margin-bottom: 20px;"></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><strong style="color: blue;">01</strong></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><strong style="color: blue;">甲状腺结节的恶变率是多少?</strong></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">大部分甲状腺结节都是良性的。但<span style="color: black;">亦</span>有少部分结节,受年龄、性别、照射暴露、家族史等客观<span style="color: black;">原因</span>影响,<span style="color: black;">出现</span>了性质改变。<span style="color: black;">一般</span>认为甲状腺结节恶变率为5-15%。</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">甲状腺结节<span style="color: black;">出现</span>恶变的表现较为<span style="color: black;">显著</span>,<span style="color: black;">由于</span>甲状腺与其他器官相近。当甲状腺上<span style="color: black;">显现</span><span style="color: black;">反常</span>增生,就会影响其他器官的正常功能。典型表现是,当结节位置贴近气管、食管、神经等组织器官时,会<span style="color: black;">显现</span>压迫症状。结节越大,压迫症状越严重。</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">而甲状腺结节恶变的典型表现<span style="color: black;">便是</span>结节快速增大。一旦细胞<span style="color: black;">出现</span>恶变,吸收营养的速度<span style="color: black;">增多</span>,增殖速度<span style="color: black;">亦</span>会<span style="color: black;">增多</span>,<span style="color: black;">详细</span>表现<span style="color: black;">便是</span>快速增大。</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">因此</span>在甲状腺结节<span style="color: black;">出现</span>恶变后,会<span style="color: black;">显现</span><span style="color: black;">呼气</span>困难、吞咽受阻、呛咳、声音莫名嘶哑、面色潮红、颈部转动<span style="color: black;">有害</span>等表现。</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><img src="//q5.itc.cn/images01/20240414/a40addb41e6743a785f661e393ac34f7.jpeg" style="width: 50%; margin-bottom: 20px;"></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><strong style="color: blue;">02</strong></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><strong style="color: blue;">这个<span style="color: black;">原因</span>决定结节<span style="color: black;">是不是</span>癌变</strong></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">大部分甲状腺结节都与<span style="color: black;">自己</span>免疫性<span style="color: black;">疾患</span><span style="color: black;">相关</span>。甲状腺和其他器官<span style="color: black;">同样</span>,<span style="color: black;">长时间</span><span style="color: black;">处在</span>炎症状态中,就会<span style="color: black;">显现</span>黏膜性质改变、细胞性质改变。<span style="color: black;">例如</span><span style="color: black;">长时间</span>胃炎,会<span style="color: black;">显现</span>萎缩性胃炎。而萎缩性胃炎的下一步<span style="color: black;">便是</span>胃癌。</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">甲状腺炎症<span style="color: black;">亦</span><span style="color: black;">同样</span>,桥本甲状腺炎会<span style="color: black;">引起</span>细胞大面积凋亡,细胞<span style="color: black;">再也不</span>参与我新陈代谢,就会<span style="color: black;">出现</span>性质改变,<span style="color: black;">亦</span><span style="color: black;">便是</span>甲状腺增生,甲状腺癌。</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">因此</span>,查出甲状腺结节后,要看的<span style="color: black;">重要</span>问题<span style="color: black;">便是</span>,甲状腺结节<span style="color: black;">是不是</span>与免疫系统<span style="color: black;">反常</span><span style="color: black;">相关</span>。</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><img src="//q2.itc.cn/images01/20240414/e9c7e0aad2554dfa86ff3f9ef847f4ef.jpeg" style="width: 50%; margin-bottom: 20px;"></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">免疫系统是维持健康的<span style="color: black;">重要</span>和命脉。免疫力打败了病毒,就能从<span style="color: black;">疾患</span>中得到<span style="color: black;">恢复</span>。而免疫力<span style="color: black;">倘若</span><span style="color: black;">显现</span><span style="color: black;">反常</span>,识别不清楚<span style="color: black;">自己</span>器官和致病菌,就会形成<span style="color: black;">自己</span>免疫性<span style="color: black;">疾患</span>。<span style="color: black;">详细</span>表现<span style="color: black;">便是</span>器官<span style="color: black;">显现</span>炎症反应。</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">桥本甲状腺炎<span style="color: black;">便是</span>甲状腺上<span style="color: black;">显现</span>了炎症。<span style="color: black;">显现</span>炎症后,会<span style="color: black;">经过</span>两个方面表现出来</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><strong style="color: blue;">①超声<span style="color: black;">检测</span>,甲状腺上<span style="color: black;">显现</span>大面积弥漫性病变。</strong></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><strong style="color: blue;">②甲功<span style="color: black;">检测</span>,血清中抗甲状腺球蛋白抗体和抗甲状腺过氧化物酶抗体水平<span style="color: black;">上升</span>。</strong></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">除此之外,有的<span style="color: black;">病人</span>会<span style="color: black;">显现</span>颈部对<span style="color: black;">叫作</span>性肿大,但<span style="color: black;">因为</span>甲状腺结节增大<span style="color: black;">亦</span>会<span style="color: black;">显现</span>颈部肿大,<span style="color: black;">因此</span>桥本颈部肿大这一体征常常被忽略。</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">非常多</span><span style="color: black;">病人</span>在查出甲状腺结节后,<span style="color: black;">亦</span>查了甲功,<span style="color: black;">然则</span>查了甲功三项<span style="color: black;">或</span>五项,<span style="color: black;">无</span>关注到甲状腺存在抗体<span style="color: black;">损害</span>的问题。<span style="color: black;">检测</span>时结节较小,恶性表现不<span style="color: black;">显著</span>,<span style="color: black;">无</span><span style="color: black;">即时</span>治疗,<span style="color: black;">最后</span><span style="color: black;">出现</span>癌变,<span style="color: black;">乃至</span><span style="color: black;">显现</span>淋巴转移,不得不切除甲状腺和淋巴结。</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><strong style="color: blue;">03</strong></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><strong style="color: blue;">甲状腺结节何时治疗最合适</strong></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">咱们</span>前面说过,查出甲状腺结节要担心甲状腺结节<span style="color: black;">是不是</span>有功能。</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">有功能的甲状腺结节会影响甲状腺功能的稳定性。有功能的结节多会<span style="color: black;">引起</span><span style="color: black;">病人</span><span style="color: black;">显现</span>甲状腺功能亢进的问题。</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">甲状腺结节的细胞<span style="color: black;">倘若</span>有摄碘、合成甲状腺激素的功能。甲状腺上多出的这一部分组织,会<span style="color: black;">引起</span>甲状腺分泌激素<span style="color: black;">增加</span>。<span style="color: black;">病人</span>会<span style="color: black;">显现</span>易饥饿、易疲劳、消瘦、手抖、心慌、脱发、怕热等表现。</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">当甲状腺结节有功能适宜手术切除和<span style="color: black;">药品</span>治疗结合的治疗<span style="color: black;">办法</span>。</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">而<span style="color: black;">没</span>功能结节,一旦<span style="color: black;">显现</span>下述症状表现,就要<span style="color: black;">思虑</span><span style="color: black;">即时</span>治疗。</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">体征表现:<span style="color: black;">呼气</span>困难、吞咽受阻、声音嘶哑、发音困难、颈前部疼痛等。</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">超声表现:纵横比>1,结节>1cm,实性、低回声、点状强回声、边界不清、形态不规则。</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">血清表现:甲亢/甲减,抗甲状腺过氧化物酶抗体和抗甲状腺球蛋白抗体<span style="color: black;">上升</span>。</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">显现</span><span style="color: black;">以上</span>表现,<span style="color: black;">倘若</span><span style="color: black;">伴同</span>淋巴结<span style="color: black;">反常</span>,就要手术切除。<span style="color: black;">倘若</span><span style="color: black;">无</span>,<span style="color: black;">能够</span>用微波消融治疗,消除结节,<span style="color: black;">损害</span><span style="color: black;">少于</span>外科手术,最大程度上保全腺体。</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><img src="//q0.itc.cn/images01/20240414/5932f61ba6724d14a6fad5379c10e72c.jpeg" style="width: 50%; margin-bottom: 20px;"></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><strong style="color: blue;">04</strong></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><strong style="color: blue;"><span style="color: black;">怎样</span>预防甲状腺结节?</strong></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><strong style="color: blue;">1、低碘补硒</strong></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">减少碘的摄入量,碘盐依然<span style="color: black;">能够</span>吃,但要适量,含碘丰富的<span style="color: black;">食品</span>如:海带、紫菜等少吃,<span style="color: black;">以避免</span>加重病情。</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">硒能<span style="color: black;">加强</span>人体免疫,促进淋巴细胞的增殖及抗体和免疫球蛋白的合成。<span style="color: black;">能够</span>食用<span style="color: black;">饱含</span>硒的<span style="color: black;">食品</span>如:牛肉、猪肉、蘑菇、鸡蛋、银杏等</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><img src="//q3.itc.cn/images01/20240414/7a3ef418cc554b1aa0821ab313bc63ab.jpeg" style="width: 50%; margin-bottom: 20px;"></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><strong style="color: blue;">2、<span style="color: black;">弥补</span>维生素c<span style="color: black;">食品</span></strong></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">有助于<span style="color: black;">加强</span>身体抵抗力,如:猕猴桃、草莓、橙子、葡萄、苦瓜等。</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><img src="//q4.itc.cn/images01/20240414/111eb11946bf466887e77de80daf7615.jpeg" style="width: 50%; margin-bottom: 20px;"></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><strong style="color: blue;">3、颈部吞咽<span style="color: black;">病痛</span>要<span style="color: black;">重视</span></strong></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">非常多</span><span style="color: black;">病人</span>会有不同程度的颈部肿痛、吞咽<span style="color: black;">病痛</span>,<span style="color: black;">倘若</span>比较严重,要<span style="color: black;">选取</span>营养高、易消化的流质<span style="color: black;">膳食</span>,避免吞咽困难,利于缓解病情。</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">甲状腺结节良恶性易判断,<span style="color: black;">然则</span>找到影响结节发展方向的<span style="color: black;">重要</span>却很难。本文揭示了影响甲状腺结节<span style="color: black;">是不是</span>癌变的最大诱因,<span style="color: black;">同期</span><span style="color: black;">亦</span>说明了不同类型的甲状腺结节一经<span style="color: black;">出现</span>该<span style="color: black;">怎样</span>处理。<a style="color: black;"><span style="color: black;">返回<span style="color: black;">外链论坛:http://www.fok120.com/</span>,查看<span style="color: black;">更加多</span></span></a></p>
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