Ukwelashwa kwe-Radioiodine

Ukwelashwa kwe-Radioiodine kusebenzisa iodine enemisebe ukuncipha noma ukubulala amaseli wegilo. Isetshenziselwa ukwelapha izifo ezithile zendlala yegilo.

Indlala yegilo yindlala emise okwevemvane etholakala ngaphambili kwentamo yakho engezansi. Ikhiqiza ama-hormone asiza umzimba wakho ukulawula umzimba wakho.

I-thyroid yakho idinga iodine ukuze isebenze kahle. Leyo iodine ivela ekudleni okudlayo. Azikho ezinye izitho ezisebenzisa noma ezimunca iodine eningi egazini lakho. Iodine eyeqile emzimbeni wakho ikhishwa emchameni.

I-Radioiodine isetshenziselwa ukwelashwa kwezimo ezahlukene ze-thyroid. Inikezwa odokotela abangochwepheshe bezokwelapha zenuzi. Ngokuya ngomthamo we-radioiodine, kungenzeka ungadingi ukuhlala esibhedlela ngale nqubo, kepha uye ekhaya ngalo lolo suku. Ngemithamo ephakeme, udinga ukuhlala egumbini elikhethekile esibhedlela futhi ubhekwe nomchamo wakho ukuthi kukhishwe iodine enemisebe.

• Uzogwinya i-radioiodine ngesimo samaphilisi (amaphilisi) noma uketshezi.
• Indlala yakho yegilo izomunca iningi le-iodine enemisebe.
• Ithimba lezokwelapha zenuzi lingenza ukuskena ngesikhathi sokwelashwa kwakho ukubheka ukuthi iodine isithakwe kuphi.
• Imisebe izobulala indlala yegilo futhi, uma ukwelashwa kungowomdlavuza wegilo, noma yimaphi amangqamuzana omdlavuza wegilo okungenzeka ukuthi ahamba futhi ahlala kwezinye izitho.

Iningi lamanye amangqamuzana alinantshisekelo yokuthatha i-iodine, ngakho-ke ukwelashwa kuphephe kakhulu. Ukweqiwa okuphezulu kakhulu kwesinye isikhathi kunganciphisa ukukhiqizwa kwamathe (amathe) noma kulimaze ikholoni noma umnkantsha.

Ukwelashwa kwe-Radioiodine kusetshenziselwa ukwelapha i-hyperthyroidism nomdlavuza wegilo.

I-Hyperthyroidism yenzeka lapho indlala yakho yegilo yenza ama-hormone amaningi we-thyroid. I-Radioiodine ilapha lesi simo ngokubulala amaseli we-thyroid asebenza ngokweqile noma ngokunciphisa indlala yegilo eyandisiwe. Lokhu kumisa indlala yegilo ekukhiqizeni i-hormone yegilo eningi kakhulu.

Ithimba lemithi yenuzi lizozama ukubala umthamo okushiya nomsebenzi we-thyroid ojwayelekile. Kepha, lokhu kubalwa akuhlali kunembe ngokuphelele ngaso sonke isikhathi. Ngenxa yalokho, ukwelashwa kungaholela ku-hypothyroidism, edinga ukwelashwa nge-supplementation ye-hormone ye-thyroid.

Ukwelashwa kwe-iodine enemisebe kuyasetshenziswa nasekwelapheni eminye imidlavuza yegilo ngemuva kokuhlinzwa sekuvele kuwususile umdlavuza nengxenye enkulu yegilo. Iodine enemisebe ibulala noma yimaphi amangqamuzana omdlavuza wegilo asele angahlala ngemuva kokuhlinzwa. Ungathola le ndlela yokwelashwa amasonto amathathu kuya kwayisithupha ngemuva kokuhlinzwa ukuze ususe i-thyroid yakho. Futhi ingabulala amangqamuzana omdlavuza okungenzeka asabalalele kwezinye izingxenye zomzimba.

Ochwepheshe abaningi be-thyroid manje bakholelwa ukuthi le ndlela yokwelashwa isetshenziswe ngokweqile kwabanye abantu abanomdlavuza we-thyroid ngoba manje sesiyazi ukuthi abanye abantu banengozi ephansi kakhulu yokuphindeka komdlavuza. Khuluma nomhlinzeki wakho mayelana nobungozi nezinzuzo zalokhu kulashwa kuwe.

Izingozi zokwelashwa kwe-radioiodine zifaka:

• Ukubalwa kwesidoda okuphansi nokungabi namuntu emadodeni kuze kube yiminyaka engu-2 ngemuva kokwelashwa (okungajwayelekile)
• Izikhathi ezingajwayelekile kwabesifazane kuze kube unyaka owodwa (ezingavamile)
• Amazinga ama-hormone we-thyroid aphansi kakhulu noma angekho adinga umuthi wokushintshwa kwe-hormone (okuvamile)

Imiphumela emibi ehlala njalo ifaka:

• Ukuthamba kwentamo nokuvuvukala
• Ukuvuvukala kwezindlala zamathe (izindlala ezansi nasemuva emlonyeni lapho kukhiqizwa khona amathe)
• Umlomo owomile
• Isisu
• Nambitha izinguquko
• Amehlo omile

Abesifazane akufanele ngabe bakhulelwe noma bancelisa ngesikhathi sokwelashwa, futhi akufanele bakhulelwe izinyanga eziyisithupha kuya kweziyishumi nambili ngemuva kokwelashwa. Abesilisa kufanele bagweme ukukhulelwa okungenani izinyanga eziyisithupha kulandela ukwelashwa.

Abantu abanesifo se-Graves nabo basengozini yokwanda kwe-hyperthyroidism ngemuva kokwelapha i-radioiodine. Izimpawu zivame ukuphakama cishe ezinsukwini eziyi-10 kuya kwezingu-14 ngemuva kokwelashwa. Izimpawu eziningi zingalawulwa ngemithi ebizwa nge-beta blockers. Ukwelashwa kakhulu kwe-iodine enemisebe kungadala uhlobo olunzima lwe-hyperthyroidism olubizwa ngokuthi isiphepho segilo.

Ungahle uvivinywe ukuhlola amazinga wakho we-hormone yegilo ngaphambi kokwelashwa.

Ungacelwa ukuthi uyeke ukuthatha noma imuphi umuthi wehomoni yegilo ngaphambi kwenqubo.

Uzocelwa ukuthi uyeke noma imiphi imithi ecindezela i-thyroid (propylthiouracil, methimazole) okungenani isonto elilodwa ngaphambi kwenqubo (ebaluleke kakhulu noma ukwelashwa kungasebenzi).

Ungabekwa ekudleni okune-iodine ephansi amasonto amabili kuya kwamathathu ngaphambi kwenqubo. Uzodinga ukugwema:

• Ukudla okuqukethe usawoti one-iodized
• Imikhiqizo yobisi, amaqanda
• Ukudla kwasolwandle nolwandle
• Ubhontshisi weSoybe noma imikhiqizo equkethe u-soy
• Ukudla okunemibala ngombala obomvu

Ungathola imijovo yehomoni ekhuthaza i-thyroid ukukhulisa ukuthathwa kwe-iodine ngamaseli wegilo.

Ngaphambi nje kwenqubo lapho unikezwa umdlavuza wegilo:

• Ungase uskene umzimba ukuze uhlole noma yimaphi amaseli omdlavuza asele adinga ukubhujiswa. Umhlinzeki wakho uzokunikeza umthamo omncane we-radioiodine ongamgwinya.
• Ungathola umuthi wokuvikela isicanucanu nokuhlanza ngesikhathi senqubo.

Ukuhlafuna noma ukumunca uswidi onzima kungasiza ngomlomo owomile. Umhlinzeki wakho wezokunakekelwa kwempilo angaphakamisa ukuthi angagqoki amalensi oxhumana naye izinsuku noma amasonto emva kwalokho.

Ungase uskene umzimba ukuze uhlole noma yimaphi amaseli omdlavuza we-thyroid asele ngemuva kokunikezwa umthamo we-radioiodine.

Umzimba wakho uzodlulisa iodine enemisebe emchameni nasematheni.

Ukuvimbela ukuvezwa kwabanye ngemuva kokwelashwa, umhlinzeki wakho uzokucela ukuthi ugweme imisebenzi ethile. Buza umhlinzeki wakho ukuthi udinga ukugwema isikhathi esingakanani le misebenzi - kwezinye izimo, kuzoya ngomthamo owunikiwe.

Cishe izinsuku ezintathu ngemuva kokwelashwa, kufanele:

• Nciphisa isikhathi sakho ezindaweni zomphakathi
• Ungahambi ngendiza noma usebenzise izinto zokuhamba zomphakathi (ungasetha imishini yokuthola imisebe ezikhumulweni zezindiza noma ekuweleni komngcele izinsuku ezimbalwa ngemuva kokwelashwa)
• Phuza uketshezi oluningi
• Hhayi ukulungiselela abanye ukudla
• Ungabelani nabanye ngezinto
• Hlala phansi lapho uchama bese ugeza indlu yangasese amahlandla ama-2 kuye kwayi-3 ngemuva kokuyisebenzisa

Cishe izinsuku ezinhlanu noma ngaphezulu ngemuva kokwelashwa, kufanele:

• Hlala okungenani amamitha ayisithupha kude nezingane ezincane nabesifazane abakhulelwe
• Hhayi ukubuyela emsebenzini
• Lala embhedeni ohlukile kumlingani wakho (kuze kube yizinsuku eziyi-11)

Kufanele futhi ulale embhedeni ohlukile kumlingani okhulelwe nasezinganeni noma ezinganeni izinsuku eziyisithupha kuya kwezingama-23, kuya ngomthamo we-radioiodine onikeziwe.

Kuzodingeka ukuthi uhlolwe igazi njalo ezinyangeni eziyisithupha kuya kwezingu-12 ukuze uhlole amazinga ama-hormone e-thyroid. Futhi ungadinga ezinye izivivinyo zokulandelela.

Uma i-thyroid yakho iqala ukusebenza ngemuva kokwelashwa abantu abaningi bazodinga ukuphuza amaphilisi we-thyroid hormone supplement impilo yabo yonke. Lokhu kufaka esikhundleni se-hormone evame ukwenziwa yi-thyroid.

Imiphumela engemihle yesikhashana futhi iyahamba njengoba isikhathi sihamba. Ukweqiwa okuphezulu kunengozi ephansi yezinkinga zesikhathi eside kubandakanya ukulimala kwezindlala zamathe kanye nengozi yokulimala.

Ukwelashwa kwe-iodine enemisebe; Hyperthyroidism - radioiodine; Umdlavuza wegiloza - i-radioiodine; I-papillary carcinoma - i-radioiodine; I-carcinoma elandelayo - i-radioiodine; Ukwelashwa kwe-I-131

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.

Iwebhusayithi yeNational Cancer Institute. Ukwelashwa komdlavuza wegilo (umuntu omdala) (PDQ) - Uhlobo lochwepheshe bezempilo. www.cancer.gov/types/thyroid/hp/thyroid-treatment-pdq#link/_920. Kubuyekezwe ngoFebhuwari 22, 2021. Kufinyelelwe ngoMashi 11, 2021.

URoss DS, uBurch HB, uCooper DS, et al. Imihlahlandlela ye-2016 American Thyroid Association yokuxilongwa nokuphathwa kwe-hyperthyroidism nezinye izimbangela ze-thyrotoxicosis. Indlala yegilo. 2016; 26 (10): 1343-1421. I-PMID: 27521067 www.ncbi.nlm.nih.gov/pubmed/27521067/.