Radioiodine kurapa

Radioiodine therapy inoshandisa radioactive iodine kudzikira kana kuuraya utachiona masero. Iyo inoshandiswa kurapa zvimwe zvirwere zvetachiona gland.

Iyo utachiona gland igland-yakaita gland iri pamberi peyako mutsipa wezasi. Inogadzira mahormone anobatsira muviri wako kugadzirisa metabolism yako.

Utachiona hwako hunoda iodini kuti ishande zvakanaka. Iodine iyoyo inouya kubva pane chikafu chaunodya. Hapana dzimwe nhengo dzinoshandisa kana kutora ayodini yakawanda kubva muropa rako. Iodine yakawandisa mumuviri wako yakanyanyiswa mumuguta.

Radioiodine inoshandiswa pakurapa akasiyana mamiriro ehutachiona. Inopihwa navanachiremba nyanzvi mune zvemishonga yenyukireya. Zvichienderana nedosi redhiyo, iwe haufanire kugara muchipatara nenzira iyi, asi enda kumba musi iwoyo. Kuti uwane madosi epamusoro, iwe unofanirwa kugara mune yakasarudzika kamuri muchipatara uye weti yako ichiongororwa kuti iodhini ine radioactive ibudiswe.

• Iwe uchamedza radioiodine muchimiro chemacapsule (mapiritsi) kana mvura.
• Utachiona hwako hunotora yakawanda yema radio iodine.
• Chikwata chenyukireya chemishonga inogona kuita zviyero panguva yekurapa kwako kuti utarise kuti ayodini yabatwa kupi.
• Iyo radiation inouraya iyo thyroid gland uye, kana kurapwa kuri kwecancer yegomarara, chero maseru ekenza ehutachiona angave akafamba ndokugara mune dzimwe nhengo.

Mazhinji mamwe maseru haafarire kutora iodine, saka kurapwa kwacho kwakachengeteka. Yakakwira kwazvo madhizaini dzimwe nguva inoderedza kugadzirwa kwemate (kupfira) kana kukuvadza iyo colon kana pfupa remongo.

Radioiodine therapy inoshandiswa kurapa hyperthyroidism uye cancer yegomarara.

Hyperthyroidism inoitika kana yako yegland gland ichiita yakawandisa thyroid mahormone. Radioiodine inobata iyi mamiriro nekuuraya yakanyanyisa maseru etachiona kana nekudzora yakawedzera gland yegland. Izvi zvinomisa iyo gland yegland kubva pakuburitsa yakawandisa thyroid hormone.

Chikwata chemishonga yenyukireya chichaedza kuverenga muyero unosiya iwe uine hutano hwehutachiona. Asi, kuverenga uku hakusi kuzere kwakakwana nguva dzose. Nekuda kweizvozvo, kurapwa kwacho kunogona kutungamira kune hypothyroidism, iyo inoda kurapwa nehutachiona hwehomoni yekuwedzera.

Radioactive iodine kurapwa inoshandiswawo pakurapa mamwe maronda ekenza mushure mekuvhiyiwa kwakatobvisa gomarara uye mazhinji ehutachiona. Iodine ine mwaranzi inouraya chero masero ekenza ehutachiona ayo angasara mushure mekuvhiyiwa. Iwe unogona kugamuchira kurapwa uku mavhiki matatu kusvika matanhatu mushure mekuvhiyiwa kubvisa yako utachiona. Iyo zvakare inogona kuuraya cancer maseru ayo anogona kunge akapararira kune mamwe mativi emuviri.

Nyanzvi dzakawanda dzetachiona ikozvino dzinotenda kurapwa uku kwakanyanyo shandiswa mune vamwe vanhu vane gomarara retachiona nekuti isu tave kuziva kuti vamwe vanhu vane njodzi yakaderera kwazvo yekudzoka nekenza. Taura nemupi wako nezve njodzi uye zvakanakira kurapwa uku kwauri.

Njodzi dzeradioiodine therapy dzinosanganisira:

• Low sperm count uye kushaya mbereko muvarume kweanosvika makore maviri mushure mekurapwa (zvisingawanzoitika)
• Nguva dzisina kujairika muvakadzi kwegore rimwe chete (zvisingawanzoitika)
• Yakadzika kwazvo kana isipo yehormone mahormone mazinga anoda mushonga wekutsiva mahormone (zvakajairika)

Ipfupi-inogara mhedzisiro mhedzisiro inosanganisira:

• Mutsipa unyoro uye kuzvimba
• Kuzvimba kwematehwe ane salivary (gland pazasi uye kumashure kwemuromo panogadzirwa mate)
• Muromo wakaoma
• Gastritis
• Edza shanduko
• Maziso akaoma

Vakadzi havafanirwe kuve nepamuviri kana kuyamwisa panguva yekurapwa, uye havafanirwe kuve nepamuviri kwemwedzi mitanhatu kusvika gumi nemiviri zvichitevera kurapwa. Varume vanofanirwa kudzivirira kubata pamuviri kweinenge mwedzi mitanhatu zvichitevera kurapwa.

Vanhu vane Graves chirwere zvakare vane njodzi yekuwedzera hyperthyroidism mushure me radioiodine therapy. Zviratidzo zvinowanzo kwira pamusoro peanenge mazuva gumi kusvika gumi nemana mushure mekurapwa. Zviratidzo zvakawanda zvinogona kudzorwa nemishonga inonzi beta blockers. Kakawanda kashoma radioactive iodine kurapwa kunogona kukonzera fomu yakaoma yehyperthyroidism inonzi thyroid dutu.

Iwe unogona kunge uine bvunzo kuti utarise yako mahormone mahormone usati warapwa.

Iwe unogona kukumbirwa kumira kutora chero utachiona hwehomoni mushonga usati waitwa.

Iwe unozokumbirwa kumisa chero mishonga yehutachiona-inodzvinyirira (propylthiouracil, methimazole) kweinenge vhiki imwe nzira isati yaitwa (yakakosha kana kurapwa kusingashande).

Iwe unogona kuiswa pane yakaderera-iodine kudya kwemavhiki maviri kusvika matatu pamberi pekuita. Iwe unozofanirwa kudzivirira:

• Chikafu chine iodized salt
• Zvigadzirwa zvemukaka, mazai
• Zvokudya zvegungwa uye gungwa
• Soya kana zvigadzirwa zvine soy
• Chikafu chakatsvuka nedhayi tsvuku

Iwe unogona kugamuchira majekiseni ehutachiona-anokurudzira mahormoni kuti uwedzere kutorwa kwe iodine nemasero etachiona.

Nguva pfupi isati yatanga maitiro apo yakapihwa cancer yekenza.

• Unogona kuve nemuviri wekutarisa kuti utarise chero maseru egomarara asara anoda kuparadzwa. Wako mupi achakupa diki diki redhiyo kuti umedze.
• Iwe unogona kugamuchira mushonga wekudzivirira kusvotwa uye kurutsa panguva yekuita.

Kutsenga chingamu kana kuyamwa zviwitsi zvakaoma kunogona kubatsira nemuromo wakaoma. Mutapi wako wezvehutano anogona kupa zano rekuti usapfeke malensi ekutaurirana kwemazuva kana vhiki mushure.

Iwe unogona kuve nemuviri wekutarisa kuti utarise chero akasara ekenza yekenza maseru mushure mekunge radioiodine dose yapiwa.

Muviri wako uchapfuudza iyo radioactive iodine mune yako weti uye mate.

Kudzivirira kusangana nevamwe mushure mekurapwa, mupi wako anokukumbira kuti udzivise zvimwe zviitiko. Kumbira mupiki wako kuti unotora nguva yakareba sei kudzivirira zviitwa izvi - mune zvimwe zviitiko, zvinoenderana nedosi yakapihwa.

Kwemazuva anenge matatu mushure mekurapwa, unofanirwa:

• Deredza nguva yako munzvimbo dzeveruzhinji
• Kwete kufamba nendege kana kushandisa zvifambiso zvevoruzhinji (unogona kuseta michina yekuona mwaranzi munhandare dzendege kana pakuyambuka muganho kwemazuva akati wandei mushure mekurapwa)
• Inwa zvinwiwa zvakawanda
• Kwete kugadzirira vamwe chikafu
• Kwete kugovera midziyo nevamwe
• Gara pasi paunenge uchiita weti uye uchigeza chimbuzi kaviri kana katatu mushure mekushandisa

Kwemazuva mashanu kana anopfuura mushure mekurapwa, unofanirwa:

• Gara dzinosvika matanhatu tsoka kure nevana vadiki uye vakadzi vane nhumbu
• Kwete kudzokera kubasa
• Rara mumubhedha wakasiyana kubva kune mumwe wako (kwemazuva anosvika gumi nerimwe)

Iwe unofanirwawo kurara mumubhedha wakasiyana kubva kune mumwe ane pamuviri uye kubva kuvana kana vacheche kwemazuva matanhatu kusvika makumi maviri nematatu, zvinoenderana nedosi redhiyo yakapihwa.

Iwe ungangoda kuve nekuongororwa kweropa pamwedzi mitanhatu kusvika gumi nemiviri kuti utarise hutachiona hwehomoni. Iwe zvakare ungangoda mimwe yekutevera-bvunzo.

Kana yako utachiona ikava isingashande mushure mekurapwa vanhu vazhinji vanozofanirwa kutora utachiona hwehormone yekuwedzera mapiritsi kwehupenyu hwavo hwese. Izvi zvinotsiva hormone iyo thyroid yaiwanzo gadzira.

Iyo mhedzisiro-mhedzisiro ipfupi uye dzinoenda sezvo nguva inopfuura. Mahombekombe epamusoro ane njodzi yakaderera yezvinetso zvenguva refu zvinosanganisira kukanganisa maseru ematehwe uye njodzi yekukuvara.

Radioactive iodine kurapa; Hyperthyroidism - radioiodine; Kenza yehutachiona - radioiodine; Papillary carcinoma - radioiodine; Inotevera carcinoma - radioiodine; I-131 kurapa

Mettler FA, Guiberteau MJ. Utachiona, parathyroid, uye salivary gland. Mune: Mettler FA, Guiberteau MJ, eds. Zvakakosha zveNuclear Medicine uye Molecular Imaging. 7th ed. Philadelphia, PA: Elsevier; 2019: chits.

National Cancer Institute webhusaiti. Kurapa kenza yehutachiona (mukuru) (PDQ) - Hutano hwehunyanzvi vhezheni. www.cancer.gov/types/thyroid/hp/thyroid-treatment-pdq#link/_920. Yakagadziridzwa Kukadzi 22, 2021. Yakasvika musi waMarch 11, 2021.

Ross DS, Burch HB, Cooper DS, uye al. 2016 American Thyroid Association mirayiridzo yekuongororwa uye manejimendi yehypythyroidism uye zvimwe zvikonzero zve thyrotoxicosis. Utachiona. 2016; 26 (10): 1343-1421. PMID: 27521067 www.ncbi.nlm.nih.gov/pubmed/27521067/.