Kutenga kwa ayodini

Kutulutsa kwa iodine iodine (RAIU) kumayesa chithokomiro. Imafufuza kuchuluka kwa ayodini yemwe amatengedwa ndi chithokomiro chanu nthawi inayake.

Chiyeso chofananira ndikutulutsa kwa chithokomiro. Mayeso awiri amachitikira limodzi, koma amatha kuchitika mosiyana.

Kuyesaku kumachitika motere:

• Mumapatsidwa mapiritsi omwe ali ndi ayodini yocheperako pang'ono. Mukamumeza, mumadikira pamene ayodini amatenga chithokomiro.
• Kutenga koyamba kumachitika pambuyo pa maola 4 mpaka 6 mutamwa mapiritsi a ayodini. Kutenganso kwina kumachitika pambuyo pa maola 24 pambuyo pake. Pakutenga, mumagona chagada patebulo. Chida chotchedwa gamma probe chimasunthira mmbuyo ndikutuluka m'khosi mwanu momwe chithokomiro chili.
• Kafukufukuyo amazindikira komwe kuli kukula kwa kunyezimira kwa kuwala komwe kumachokera ndi zinthu zowulutsa radioactive. Kompyutayi imawonetsa kuchuluka kwa zomwe tracer amatenga ndi chithokomiro.

Kuyesaku kumatenga mphindi zosakwana 30.

Tsatirani malangizo osadya musanayezedwe. Mutha kuuzidwa kuti musadye pakati pausiku usiku musanayesedwe.

Wothandizira zaumoyo wanu angakuuzeni ngati mukufunika kusiya kumwa mankhwala musanayesedwe omwe angakhudze zotsatira zanu. Osasiya kumwa mankhwala osalankhula ndi omwe akukuthandizani.

Uzani wothandizira wanu ngati muli:

• Kutsekula m'mimba (kumatha kuchepa kuyamwa kwa ayodini wama radioactive)
• Anali ndi ma CT aposachedwa pogwiritsa ntchito intravenous or oral iodine based based (m'masabata awiri apitawa)
• Kuchuluka kapena ayodini wochuluka mu zakudya zanu

Palibe kusapeza. Mutha kudya kuyambira ola limodzi kapena awiri mutameza ayodini. Mutha kubwereranso ku zakudya zabwino mukayesedwa.

Kuyesaku kumachitika kuti muwone momwe chithokomiro chimagwirira ntchito. Nthawi zambiri zimachitika ngati kuyesa kwa magazi kwa chithokomiro kukuwonetsa kuti mutha kukhala ndi vuto la chithokomiro chopitilira muyeso.

Izi ndi zotsatira zabwinobwino patadutsa maola 6 ndi 24 mutameza ayodini wa radioactive:

• Maola 6: 3% mpaka 16%
• Pa maola 24: 8% mpaka 25%

Malo ena oyesera amayeza kokha maola 24. Makhalidwe amasiyana malinga ndi kuchuluka kwa ayodini pazakudya zanu. Mitengo yamtengo wapatali imatha kusiyanasiyana pakati pama lab. Lankhulani ndi omwe akukuthandizani za tanthauzo la zotsatira zanu zoyeserera.

Kutenga kwapamwamba kuposa kwachibadwa kumatha kukhala chifukwa cha chithokomiro chopitilira muyeso. Chifukwa chofala kwambiri ndi matenda a manda.

Zina zimatha kuyambitsa madera ena apamwamba kwambiri kuposa matenda abwinobwino. Izi zikuphatikiza:

• Chithokomiro chokulitsa chomwe chili ndi timinofu tozungulira tomwe timatulutsa timadzi tambiri ta chithokomiro
• Mutu umodzi wa chithokomiro womwe umapanga mahomoni ambiri a chithokomiro (poizoni adenoma)

Izi nthawi zambiri zimapangitsa kuti anthu azitenga, koma amatenga malo ochepa (otentha) pomwe chithokomiro chonse sichitenga ayodini (malo ozizira). Izi zitha kudziwika ngati kusanthula kwachitika limodzi ndi kuyesa kwake.

Kutenga kotsika kuposa zachilendo kumatha kukhala chifukwa cha:

• Chowopsa cha hyperthyroidism (kumwa mankhwala owonjezera a chithokomiro kapena zowonjezera)
• Iodini yambiri
• Subacute thyroiditis (kutupa kapena kutupa kwa chithokomiro)
• Chete (kapena chopweteka) thyroiditis
• Amiodarone (mankhwala ochizira matenda amtima)

Ma radiation onse ali ndi zotsatirapo zoyipa. Kuchuluka kwa ma radiation pamayesowa ndikochepa kwambiri, ndipo sipanakhale zotsatira zoyipa zomwe zalembedwa.

Amayi omwe ali ndi pakati kapena akuyamwitsa sayenera kuyezetsa.

Lankhulani ndi omwe amakupatsani ngati muli ndi nkhawa ndi mayesowa.

Ayodini wa radioactive amasiya thupi lanu kudzera mumkodzo wanu. Simuyenera kusamala, monga kutsuka kawiri mukakodza, kwa maola 24 mpaka 48 mutayesedwa. Funsani omwe amakupatsani kapena gulu la zamankhwala a radiology / nyukiliya lomwe likuyesa kuchita mosamala.

Kutenga chithokomiro; Mayeso okhudzana ndi ayodini; RAIU

• Kuyesedwa kwa chithokomiro

Guber HA, Farag AF. Kuwunika kwa endocrine ntchito. Mu: McPherson RA, Pincus MR, olemba., Eds. Henry's Clinical Diagnosis and Management by Laboratory Methods. Wachitatu. St Louis, MO: Elsevier; 2017: mutu 24.

Mettler FA, Guiberteau MJ. Chithokomiro, parathyroid, ndi malovu opatsirana. Mu: Mettler FA, Guiberteau MJ, olemba., Eds. Zofunikira pa Nuclear Medicine ndi Imaging Imaging. Wachisanu ndi chiwiri. Philadelphia, PA: Elsevier; 2019: chaputala 4.

Salvatore D, Cohen R, Kopp PA, Larsen PR. Chithokomiro cha pathophysiology ndikuwunika matenda. Mu: Melmed S, Auchus RJ, Goldfine AB, Koenig RJ, Rosen CJ, olemba. Buku la Williams la Endocrinology. Wolemba 14th. Philadelphia, PA: Elsevier; 2020: mutu 11.

Weiss RE, Refetoff S. Kuyesedwa kwa ntchito ya chithokomiro. Mu: Jameson JL, De Groot LJ, de Kretser DM, et al, olemba. Endocrinology: Akuluakulu ndi Ana. Wachisanu ndi chiwiri. Philadelphia, PA: Elsevier Saunders; 2016: chap 78.