Hoʻoikaika radioiodine

Hoʻohana ka radioiodine therapy i iodine radioactive e hoʻoliʻiliʻi a pepehi i nā hunaola thyroid. Hoʻohana ʻia ia e mālama i kekahi mau maʻi o ka gland thyroid.

ʻO ka gland thyroid kahi gland butterfly-shaped aia i mua o kou ʻāʻī lalo. Hana ia i nā hormoni e kōkua i kou kino e hoʻoponopono i kāu metabolism.

Pono i kāu thyroid iodine e hana pono. ʻO kēlā iodine mai ka meaʻai āu e ʻai ai. ʻAʻohe o nā ʻohana ʻē aʻe e hoʻohana a omo i iodine nui mai kou koko. Hoʻopau ʻia ka iodine nui i loko o kou kino i ka mimi.

Hoʻohana ʻia ʻo Radioiodine no ka mālama ʻana i nā ʻano thyroid like ʻole. Hāʻawi ʻia ia e nā kauka loea i ka lāʻau nukelea. Kaukaʻi ʻia i ka lāʻau o ka radioiodine, ʻaʻole pono ʻoe e noho i ka haukapila no kēia kaʻina hana, akā hoʻi i ka home i ka lā like. No nā kiʻekiʻena kiʻekiʻe, pono ʻoe e noho i kahi keena kūikawā i ka haukapila a nānā i kou mimi no ka iodine radioactive e hoʻopau ʻia.

• E ale ʻoe i ka radioiodine i ke ʻano o nā capsule (pills) a i ʻole kahi wai.
• E hoʻopili kou thyroid i ka hapa nui o ka iodine radioactive.
• Hiki paha i ka hui lāʻau lapaʻau nukelea ke hana i nā scanner i kāu wā e mālama ai e nānā i kahi i lawe ʻia ai ka iodine.
• Pepehi ka līlū i ka gland thyroid a, inā ʻo ka lapaʻau no ka maʻi ʻaʻai thyroid, nā hunaola maʻi ʻaʻai thyroid i hele a noho paha i nā meaola ʻē aʻe.

ʻAʻole hoihoi ka hapa nui o nā hunaola ʻē aʻe i ka lawe ʻana i iodine, no laila palekana loa ka mālama ʻana. Hiki i nā lāʻau kiʻekiʻe loa ke hoʻoliʻiliʻi i ka hana ʻana o ka lawā (kuha) a i ʻole hōʻeha i ke kolona a i ʻole ka iwi iwi.

Hoʻohana ʻia ʻo Radioiodine therapy e mālama i ka hyperthyroidism a me ka maʻi ʻaʻai thyroid.

Hana ʻia ʻo Hyperthyroidism ke hana ʻo kāu thyroid gland i nā hormone thyroid. Mālama ʻo Radioiodine i kēia ʻano ma ka luku ʻana i nā keaka thyroid overactive a i ʻole ke kuʻi ʻana i kahi gland thyroid hoʻonui. Hoʻopau kēia i ka pākana thyroid mai ka hana ʻana i ka nui o ka hormone thyroid.

E hoʻāʻo ka hui lāʻau hoʻōla nukila e helu i kahi mahele lāʻau e waiho iā ʻoe me ka hana thyroid maʻamau. Akā, ʻaʻole pololei loa kēia helu ʻana. ʻO ka hopena, hiki i ka mālama ʻana ke alakaʻi i ka hypothyroidism, kahi pono e mālama ʻia me ka hoʻōla ʻia o ka hormone thyroid.

Hoʻohana ʻia ka lāʻau iodine radioactive i ka mālama ʻana i kekahi o nā maʻi ʻaʻai thyroid ma hope o ka hemo ʻana o ka ʻoki a me ka hapanui o ka thyroid. Pepehi ka iodine radioactive i nā koena o ka maʻi ʻaʻai thyroid i koe a waiho ʻia paha ma hope o ke kaha ʻana. Hiki iā ʻoe ke loaʻa i kēia lapaʻau 3 a 6 mau pule ma hope o ke kaha ʻana e hoʻoneʻe i kāu thyroid. Hiki iā ia ke pepehi i nā hunaola maʻi ʻaʻai i hoʻolaha ʻia i nā ʻāpana ʻē aʻe o ke kino.

Manaʻo ka nui o nā loea thyroid i kēia hana i hoʻohana nui ʻia i kekahi poʻe me ka maʻi ʻaʻai thyroid no ka mea ʻike mākou i kēia manawa he haʻahaʻa haʻahaʻa ka loaʻa ʻana o kekahi poʻe no ka hoʻi hou ʻana o ka maʻi ʻaʻai. E kamaʻilio i kāu mea hāʻawi e pili ana i nā pilikia a me nā pōmaikaʻi o kēia lapaʻau iā ʻoe.

Nā pilikia o ka radioiodine therapy pū kekahi:

• Ka helu sperm haʻahaʻa a me ka infertility i loko o nā kāne a hiki i 2 mau makahiki ma hope o ka mālama ʻana (kākaʻikahi)
• Nā wā kūpono ʻole i nā wahine a i hoʻokahi makahiki (kākaʻikahi)
• Haʻahaʻa loa a ʻaole paha nā pae o ka hormone thyroid e koi ai i ka lāʻau no ka hoʻololi ʻana i ka hormone (maʻamau)

Nā hopena ʻaoʻao pōkole e pili pū me:

• Ka palupalu o ka ʻāʻī a me ka pehu
• ʻO ka pehu ʻana o ka momona liʻiliʻi (glands ma ka lalo a me ka hope o ka waha kahi e puka ai ka lawehala)
• Waha maloo
• Gastritis
• Hoʻololi i ka ʻono
• Nā maka maloʻo

ʻAʻole hāpai nā wahine a hānai waiu paha i ka manawa o ka mālama ʻana, a ʻaʻole pono lākou e hāpai no 6 a 12 mau mahina ma hope o ka mālama ʻana. Pono nā kāne e hōʻalo i ka hāpai ʻana no 6 mau mahina ma hope o ka mālama ʻana.

Loaʻa i ka poʻe me ka maʻi Graves ka makaʻu o ka worthening hyperthyroidism ma hope o ka radioiodine therapy. ʻO ka maʻamau ka piko o nā ʻōuli ma kahi o 10 a 14 mau lā ma hope o ka mālama ʻana. Hiki ke kaohi ʻia ka hapa nui o nā ʻōuli me nā lāʻau i kapa ʻia ʻo beta blockers. Kākaʻikahi loa ka mālama ʻana o ka iodine radioactive i hiki ke hana i kahi ʻano koʻikoʻi o hyperthyroidism i kapa ʻia ʻo ka thyroid.

Loaʻa paha iā ʻoe nā hoʻokolohua e nānā i kāu pae hormonone thyroid ma mua o ka hoʻomaʻamaʻa.

E noi ʻia paha ʻoe e haʻalele i ka lawe ʻana i nā lāʻau thyroid hormone ma mua o ke kaʻina hana.

E noi ʻia ʻoe e kāpae i nā lāʻau hoʻomake-thyroid (propylthiouracil, methimazole) ma mua o hoʻokahi pule ma mua o ke kaʻina hana (nui a ʻaʻole e holo ka lāʻau).

Hoʻokomo ʻia ʻoe i ka papaʻai iodine haʻahaʻa no 2 a 3 mau pule ma mua o ke kaʻina hana. Pono ʻoe e hōʻalo:

• Nā meaʻai i loaʻa ka paʻakai iodised
• Nā huahana waiū, nā hua manu
• Mea ʻai kai a me kai limu
• Nā huahana soya a i ʻole nā ​​huahana soy
• Nā meaʻai i kala ʻia me ke kala ʻulaʻula

Hiki paha iā ʻoe ke loaʻa i nā inikōniiki o ka homone stimulate e hoʻonui i ka lawe ʻana o iodine e nā hunaola thyroid.

Ma mua o ke kaʻina hana ke hāʻawi ʻia no ka maʻi ʻaʻai thyroid:

• Loaʻa paha iā ʻoe kahi ʻimi kino e nānā ai i nā hunaola maʻi ʻē i koe e pono e luku ʻia. E hāʻawi kāu mea hāʻawi iā ʻoe i kahi lāʻau liʻiliʻi o radioiodine e ale.
• Hiki paha iā ʻoe ke loaʻa ka lāʻau i mea e pale aku ai i ka nausea a me ka luaʻi i ke kaʻina hana.

E kōkua paha ka nau ʻana i ka gum a i ʻole ka omo ʻana i nā kanakē paʻakikī me ka waha maloʻo. E kuhi paha kāu kauka olakino ʻaʻole e kau ana i nā aniani kuhikihi no nā lā a i ʻole mau pule ma hope.

Loaʻa paha iā ʻoe kahi ʻimi kino e nānā ai i nā hunaola maʻi ʻaʻai thyroid i koe ma hope o ka hāʻawi ʻia ʻana o ka lāʻau radioiodine.

E hele ana kou kino i ka iodine radioactive i kou mimi a me kohu.

I mea e pale ai i ka hōʻike ʻana i nā poʻe ʻē aʻe ma hope o ka hoʻōla, e noi ana kāu mea hāʻawi iā ʻoe e hōʻalo i kekahi mau hana. E noi i kāu mea nāna e hāʻawi i ka lōʻihi e pono ai ʻoe e hōʻalo i kēia mau hana - i kekahi mau manawa, pili ia i ka lāʻau i hāʻawi ʻia.

No 3 mau lā ma hope o ka mālama ʻana, pono ʻoe:

• Palena i kou manawa ma nā wahi lehulehu
• ʻAʻole huakaʻi ma ka mokulele a hoʻohana paha i ka halihali lehulehu (hiki iā ʻoe ke hoʻonohonoho i nā mīkini ʻike radiation i nā kahua mokulele a i ʻole i nā keʻa palena no nā lā he nui ma hope o ka lapaʻau ʻana)
• E inu nui i nā wai
• ʻAʻole hoʻomākaukau i ka meaʻai na haʻi
• Mai kaʻana like i nā lako me nā poʻe ʻē aʻe
• Noho i lalo i ka wā e mimiki a holoi i ka lua i 2 a 3 mau manawa ma hope o ka hoʻohana

No 5 mau lā a ʻoi paha mau lā ma hope o ka mālama ʻana, pono ʻoe:

• Noho ma kahi o 6 mau kapuaʻi mai nā keiki liʻiliʻi a me nā wahine hāpai
• ʻAʻole hoʻi i ka hana
• E hiamoe i kahi moena kaʻawale mai kāu hoa (a hiki i nā lā 11)

Pono ʻoe e hiamoe i kahi moena ʻokoʻa mai kahi hoa hāpai a mai nā keiki a pēpē paha no 6 a 23 mau lā, e pili ana i ka hopena o ka radioiodine i hāʻawi ʻia.

Pono paha ʻoe e hoʻāʻo i ke koko i kēlā me kēia 6 a i ka 12 mau mahina e nānā ai i nā pae o ka hormone thyroid. Pono paha ʻoe i nā hoʻokolohua ukali ʻē aʻe.

Inā lilo kāu thyroid i mea hana ʻole ma hope o ka mālama ʻana e pono i ka hapanui o ka poʻe ke inu i nā huaola hoʻolauleʻa hormonone thyroid no ke koena o ko lākou ola. Hoʻololi kēia i ka hōmona a ka thyroid e hana maʻamau ai.

He pōkole nā ​​hopena a hele i ka hala ʻana o ka manawa. Loaʻa i kahi kaupaona kiʻekiʻe kahi makaʻu haʻahaʻa no nā pilikia lōʻihi e pili ana i ka hōʻino ʻana i nā galani salivary a me ka makaʻu no ka maʻi hōʻino.

Hoʻoikaika iodine radioactive; Hyperthyroidism - radioiodine; Ka maʻi ʻaʻai thyroid - radioiodine; Papillary carcinoma - radioiodine; Carcomaoma Follicular - radioiodine; I-131 kaukaʻi

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

Pūnaewele ʻo National Cancer Institute. Ka mālama ʻana i ka maʻi ʻaʻai thyroid (makua) (PDQ) - mana ʻoihana olakino. www.cancer.gov/types/thyroid/hp/thyroid-treatment-pdq#link/_920. Hoʻohou ʻia Pepeluali 22, 2021. Loaʻa ʻia ma Malaki 11, 2021.

Ross DS, Burch HB, Cooper DS, et al. Nā ʻōkuhi ʻo 2016 American Tyroid Association no ka hōʻoia a me ka hoʻokele o hyperthyroidism a me nā kumu ʻē aʻe o thyrotoxicosis. ʻOhana. 2016; 26 (10): 1343-1421. PMID: 27521067 www.ncbi.nlm.nih.gov/pubmed/27521067/.