Lawe ʻia ka iodine radioactive

Hoʻomaʻo ka radioododo iodine uptake (RAIU) i kāu hana thyroid. Ana ia i ka nui o ka iodine radioactive i lawe ʻia e kāu thyroid gland i loko o kekahi manawa.

ʻO kahi ho'āʻo like ka scanaki thyroid. Hana pinepine ʻia nā hoʻokolohua 2, akā hiki ke hana ʻokoʻa ʻia.

Hana ʻia kēia hōʻike ma kēia ʻano:

• Hāʻawi ʻia ʻoe i kahi pila i loaʻa i kahi iodine radioactive. Ma hope o ka ale ʻana iā ia, kakali ʻoe i ka hōʻuluʻulu ʻana o ka iodine i ka thyroid.
• Hana pinepine ʻia ka hānai mua 4 a 6 mau hola ma hope o kou lawe ʻana i ka lāʻau iodine. Hana pinepine ʻia kahi hana hou i 24 mau hola ma hope. I ka wā o ka lawe ʻana, moe ʻoe ma kou kua i kahi papa. ʻO kahi mea i kapa ʻia he gamma probe e hoʻoneʻe ʻia a hoʻi i luna o ka ʻāʻī o kou ʻāʻī kahi o ka gland thyroid.
• Kuhi ka ʻimi i kahi a me ka ikaika o nā kukuna i hāʻawi ʻia e nā mea radioactive. Hōʻike kahi kamepiula i ka nui o ka tracer i lawe ʻia e ka thyroid gland.

Lawe ka hoʻāʻo ma mua o 30 mau minuke.

E hāhai i nā ʻōkuhi e pili ana i ka ʻai ʻole ma mua o ka hoʻāʻo. ʻ belelo ʻia ʻoe ʻaʻole e ʻai ma hope o ke aumoe i ka pō ma mua o kāu hōʻike.

E haʻi aku kāu mea mālama ola iā ʻoe inā pono ʻoe e hōʻoki i ka lawe ʻana i nā lāʻau i mua o ka hoʻāʻo ʻana e hoʻopili paha i kāu hopena hōʻike. Mai hōʻoki i ka lawe ʻana i nā lāʻau me ka ʻole e kamaʻilio mua i kāu mea hāʻawi.

E haʻi i kāu mea hāʻawi inā loaʻa iā ʻoe:

• Diarrhea (e hoʻoliʻiliʻi paha i ka lawe ʻana o ka iodine radioactive)
• Inā ua nānā ʻo CT i kēia manawa me ka hoʻohana ʻana i ka hoʻohālikelike iodine intravenous a i ʻole oral (i loko o nā 2 mau pule i hala)
• Liʻiliʻi a i ʻole nui loa iodine i kāu papaʻai

ʻAʻohe pilikia. Hiki iā ʻoe ke ʻai e hoʻomaka ma kahi o 1 a 2 mau hola ma hope o ka moni ʻana i ka iodine radioactive. Hiki iā ʻoe ke hoʻi i kahi papaʻai maʻamau ma hope o ka hoʻāʻo.

Hana ʻia kēia ho'āʻo e nānā i kāu hana thyroid. Hana pinepine ia ke hōʻike ʻia nā hoʻokolohua koko o kāu hana thyroid e loaʻa paha iā ʻoe kahi gland thyroid overactive.

ʻO kēia nā hopena maʻamau ma 6 a me 24 mau hola ma hope o ka moni ʻana i ka iodine radioactive:

• Ma nā hola 6: 3% a 16%
• Ma 24 mau hola: 8% a 25%

Ana kekahi mau kikowaena hoʻokolohua ma 24 mau hola wale nō. E loli paha nā waiwai ma muli o ka nui o iodine i kāu papaʻai. Hiki ke loli iki nā pae waiwai maʻamau i waena o nā labs. E kamaʻilio i kāu mea hāʻawi e pili ana i ke ʻano o kāu mau hopena hōʻike.

ʻO ka lawe ʻana i kahi kiʻekiʻe ma mua o ka maʻamau ma muli o kahi gland thyroid overactive. ʻO ke kumu maʻamau ka maʻi Graves.

Hiki i nā kūlana ʻē aʻe ke kumu i kekahi mau wahi o ka piʻi ʻana ma mua o ka maʻamau ma ka gland thyroid. Pākuʻi ʻia kēia mau mea:

• Ua hoʻonui ʻia ka pākana thyroid i loaʻa nā nodule e hana ana i ka nui o ka hormoneoneone (kaona nodular goiter).
• ʻO kahi nodule thyroid hoʻokahi e hana nei i ka nui o ka hormone thyroid (adenoma ʻona)

Hoʻopuka pinepine kēia mau ʻano i ka lawe maʻamau, akā hoʻopili ʻia ka huki i kekahi mau wahi (wela) ʻoiai ʻaʻole e lawe ke koena o ka thyroid i kekahi iodine (nā wahi anuanu). Hiki ke hoʻoholo ʻia kēia inā hana ʻia ka scan me ka hoʻāʻo o ka lawe.

ʻO ka lawe ʻana ma lalo o ka maʻamau ma muli o:

• Hyperthyroidism ʻoiaʻiʻo (e lawe ana i ka lāʻau thyroid hormone he nui a i ʻole nā ​​mea hoʻopili)
• Hoʻonui iodine
• Subacute thyroiditis (hoʻohaunaele a hoʻāhu o ka thyroid gland)
• Thyroiditis hāmau (a ʻeha ʻole)
• Amiodarone (ka lāʻau e mālama ai i kekahi ʻano maʻi maʻi puʻuwai)

Loaʻa nā hopena ʻaoʻao āpau i nā radiation. Heʻuʻuku ka nui o ka radiation i kēia hoʻāʻo, a ʻaʻohe hopena ʻaoʻao i kākau ʻia.

ʻAʻole pono nā wahine hāpai a hānai hānai paha i kēia hōʻike.

E kamaʻilio i kāu mea hāʻawi inā he hopohopo kāu e pili ana i kēia hōʻike.

Haʻalele ka iodine radioactive i kou kino ma o kou mimi. ʻAʻole pono ʻoe e hana i nā akaʻi kūikawā, e like me ke kahe ʻana i ʻelua mau manawa ma hope o ka mimiki ʻana, no 24 a 48 mau hola ma hope o ka hoʻāʻo. E noi i kāu mea lawelawe a i ʻole ka radiology / nukila lapaʻau e hana nei i ka scan e pili ana i ka mālama pono ʻana.

Lawe ʻia ka thyroid; Hōʻaʻike iodine uptake; RAIU

• Hōʻike hoʻāʻo thyroid

ʻO Guber HA, Farag AF. ʻO ka loiloi o ka hana endocrine. I: McPherson RA, Pincus MR, hua. ʻO kā Henry's Clinical Diagnosis a me Management e nā Laboratory Methods. 23rd Ed. St Louis, MO: Elsevier; 2017: chap 24.

Mettler FA, Guiberteau MJ. ʻO ka thyroid, ka parathyroid, a me nā gland salivary. I: Mettler FA, Guiberteau MJ, hua. Nā Pono o ka Lapaʻau Nuclear a me ke kiʻi Molecular. ʻEpekema 7 Piladelapia, PA: Elsevier; 2019: chap 4.

ʻO Salvatore D, Cohen R, Kopp PA, Larsen PR. ʻO ka thyroid pathophysiology a me ka loiloi diagnostic. I: Melmed S, Auchus RJ, Goldfine AB, Koenig RJ, Rosen CJ, eds. ʻO Williams Textbook of Endocrinology. 14th ed. Piladelapia, PA: Elsevier; 2020: chap 11.

Weiss RE, Refetoff S. Ke hoʻāʻo nei kāu hana thyroid. I: Jameson JL, De Groot LJ, de Kretser DM, et al, eds. Endocrinology: Makua a Pediatric. ʻEpekema 7 Piladelapia, PA: Elsevier Saunders; 2016: chap 78.