Umlobi: Gregory Harris
Usuku Lokudalwa: 15 Epreli 2021
Ukuvuselela Usuku: 18 Unovemba 2024
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Ukuthathwa kwe-iodine radioactive (RAIU) kuvivinya ukusebenza kwe-thyroid. Ilinganisa ukuthi ingakanani iodine enemisebe ethathwa yindlala yegiloji esikhathini esithile.

Ukuhlolwa okufanayo ukuskena kwe-thyroid. Ukuhlolwa okungu-2 kuvame ukwenziwa ndawonye, ​​kepha kungenziwa ngokwehlukile.

Ukuhlolwa kwenziwa ngale ndlela:

  • Unikezwa iphilisi eliqukethe inani elincane le-iodine enemisebe. Ngemuva kokuyigwinya, ulinda lapho iodine iqoqa endlaleni yegilo.
  • Ukutholwa kokuqala kuvame ukwenziwa emahoreni amane kuya kwayisithupha ngemuva kokuthatha iphilisi le-iodine. Okunye ukuthathwa kuvame ukwenziwa ngemuva kwamahora angama-24. Ngesikhathi sokuthathwa, ulala ngomhlane etafuleni. Umshini obizwa ngokuthi i-gamma probe ushukunyiswa ubhekiswe ngapha nangapha endaweni yentamo yakho lapho kutholakala khona indlala yegilo.
  • Uphenyo luthola indawo nobukhulu bemisebe ekhishwe yimpahla enemisebe. Ikhompyutha ikhombisa ukuthi ingaki le tracer ethathwa yindlala yegilo.

Ukuhlolwa kuthatha imizuzu engaphansi kwengu-30.


Landela imiyalelo mayelana nokungadli ngaphambi kokuhlolwa. Ungatshelwa ukuthi ungadli ngemuva kwamabili ebusuku ngaphambi kokuhlolwa kwakho.

Umhlinzeki wakho wezokunakekelwa kwempilo uzokutshela uma udinga ukuyeka ukuthatha imithi ngaphambi kokuhlolwa okungathinta imiphumela yakho yokuhlolwa. UNGAYEKISI ukuthatha noma imuphi umuthi ngaphandle kokuqala ukhulume nomhlinzeki wakho.

Tshela umhlinzeki wakho uma une:

  • Uhudo (lunganciphisa ukumuncwa kwe-iodine enemisebe)
  • Ngabe i-CT yakamuva iskena isebenzisa ukungafani okufakwa ngaphakathi noma ngomlomo okususelwa kwi-iodine (emasontweni amabili edlule)
  • Iodine encane kakhulu noma eningi ekudleni kwakho

Akukho ukungakhululeki. Ungadla uqala cishe ngehora elilodwa kuya kwamabili ngemuva kokugwinya iodine enemisebe. Ungabuyela ekudleni okujwayelekile ngemuva kokuhlolwa.

Lokhu kuhlolwa kwenziwa ukuhlola ukusebenza kwe-thyroid. Kuvame ukwenziwa lapho ukuhlolwa kwegazi komsebenzi we-thyroid kukhombisa ukuthi ungaba nendlala yegilo eyeqile.

Le yimiphumela ejwayelekile emahoreni ayisithupha no-24 ngemuva kokugwinya iodine enemisebe:


  • Ngamahora angu-6: 3% kuya ku-16%
  • Ngamahora angu-24: 8% kuya ku-25%

Ezinye izikhungo zokuhlola zikala kuphela emahoreni angama-24. Amanani angahluka ngokuya ngenani le-iodine ekudleni kwakho. Ububanzi bamanani ajwayelekile bungahluka kancane phakathi kwamalebhu ahlukile. Khuluma nomhlinzeki wakho mayelana nencazelo yemiphumela yakho ethile yokuhlolwa.

Ukuthathwa okuphezulu kunokujwayelekile kungadalwa yindlala yegilo eyeqile. Isizathu esivame kakhulu isifo se-Graves.

Ezinye izimo zingadala ezinye izindawo zokuthathwa okuphezulu kunokujwayelekile egandeni le-thyroid. Lokhu kufaka phakathi:

  • Indlala yegilo ekhulisiwe equkethe amaqhuqhuva akhiqiza i-hormone yegilo eningi kakhulu (i-goiter nodular goiter)
  • Isigaxa esisodwa segilo esikhiqiza i-hormone yegilo eningi kakhulu (i-toxic adenoma)

Lezi zimo zivame ukuholela ekuthathweni okujwayelekile, kepha ukutholwa kugxilwe ezindaweni ezimbalwa (ezishisayo) ngenkathi yonke indlala yegilo ingathathi noma iyiphi iodine (izindawo ezibandayo). Lokhu kunganqunywa kuphela uma ukuskena kwenziwa kanye nokuhlolwa kokutholwa.


Ukuthathwa okungaphansi kokujwayelekile kungahle kube ngenxa:

  • I-hyperthyroidism enesibindi (ukuthatha umuthi omningi we-thyroid noma izithako)
  • Ukugcwala kakhulu kwe-iodine
  • I-Subacute thyroiditis (ukuvuvukala noma ukuvuvukala kwendlala yegilo)
  • Ukuthula (noma okungenabuhlungu) i-thyroiditis
  • I-Amiodarone (umuthi wokwelapha ezinye izinhlobo zesifo senhliziyo)

Yonke imisebe inemiphumela engemihle engaba khona. Inani lemisebe kulokhu kuhlolwa lincane kakhulu, futhi akubanga khona miphumela emibi ebhaliwe.

Abesifazane abakhulelwe noma abancelisayo akufanele babe nalokhu kuhlolwa.

Khuluma nomhlinzeki wakho uma unenkinga ngalokhu kuhlolwa.

Iodine enemisebe ishiya umzimba wakho ngomchamo wakho. Akudingeki ukuthi uthathe izinyathelo ezithile zokuqapha, njengokugeza kabili ngemuva kokuchama, amahora angama-24 kuye kwangama-48 ngemuva kokuhlolwa. Buza umhlinzeki wakho noma ithimba lemithi ye-radiology / yenuzi elenza ukuskena mayelana nokuthatha izinyathelo zokuphepha.

Ukuthathwa kwendlala yegilo; Ukuhlolwa kokutholwa kwe-iodine; RAIU

  • Ukuhlolwa kokutholwa kwendlala yegilo

UGuber HA, uFarag AF. Ukuhlolwa komsebenzi we-endocrine. Ku: McPherson RA, Pincus MR, abahleli. UHenry’s Clinical Diagnosis and Management by Laboratory Methods. Umhla ka-23. ISt Louis, MO: Elsevier; 2017: isahluko 24.

UMettler FA, uGuiberteau MJ. Izindlala ze-thyroid, parathyroid nezamathe. Ku: Mettler FA, Guiberteau MJ, ama-eds. Okubalulekile Komuthi WeNyukliya kanye Nokufanekisa Amangqamuzana. Umhla wesi-7. IPhiladelphia, PA: Elsevier; 2019: isahluko 4.

USalvatore D, uCohen R, uKopp PA, uLarsen PR. I-pathophysiology ye-thyroid nokuhlolwa kokuxilongwa. Ku: Melmed S, Auchus RJ, Goldfine AB, Koenig RJ, Rosen CJ, abahleli. Incwadi kaWilliams ye-Endocrinology. Umhlaka 14. IPhiladelphia, PA: Elsevier; 2020: isahluko 11.

I-Weiss RE, Refetoff S. Ukuhlolwa komsebenzi we-Thyroid. Ku: Jameson JL, De Groot LJ, de Kretser DM, et al, abahleli. I-Endocrinology: Eyabantu Abadala Neyengane. Umhla wesi-7. IPhiladelphia, PA: Elsevier Saunders; 2016: isahluko 78.

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