Ukuthabatha iodine

Ukuvavanywa kwe-iodine ye-iodine (RAIU) yokuvavanywa komsebenzi we-thyroid. Ilinganisa ukuba ingakanani iodine enemitha yeathomikhi ethathwa yidlala lengqula ngexesha elithile.

Uvavanyo olufanayo kukuvavanywa kwe-thyroid. Iimvavanyo ezi-2 zihlala zenziwa kunye, kodwa zinokwenziwa ngokwahlukeneyo.

Uvavanyo lwenziwa ngale ndlela:

• Unikwa ipilisi enesixa esincinci se-iodine eqhumayo. Emva kokuyiginya, linda njengoko iodine iqokelela kwi-thyroid.
• Ukuthabatha okokuqala kudla ngokwenziwa iiyure ezi-4 ukuya kwezi-6 emva kokuba uthathe ipilisi ye-iodine. Olunye uthatho luhlala lwenziwa kwiiyure ezingama-24 kamva. Ngexesha lokuthatha, ulele ngomqolo etafileni. Isixhobo esibizwa ngokuba yi-gamma probe sihanjiswa ngapha nangapha kwindawo yentamo yakho apho kukho idlala lengqula.
• Iprojekhthi ibhaqa indawo kunye nobungakanani bemitha ekhutshwe zizinto ezinemitha yeathom. Ikhompyuter ibonakalisa ukuba ingakanani i-tracer ethathwe yi-thyroid gland.

Uvavanyo luthatha ngaphantsi kwemizuzu engama-30.

Landela imiyalelo malunga nokungatyi ngaphambi kovavanyo. Unokuxelelwa ukuba ungatyi emva kobusuku bobusuku ngaphambi kovavanyo lwakho.

Umboneleli wakho wokhathalelo lwempilo uya kukuxelela ukuba ngaba ufuna ukuyeka ukuthatha amayeza phambi kovavanyo olunokuchaphazela iziphumo zakho zovavanyo. SUKUYEKE ukuthatha nawaphi na amayeza ngaphandle kokuqala uthethe nomboneleli wakho.

Xelela umboneleli wakho ukuba unayo:

• Urhudo (lunokunciphisa ukufunxeka kwe-iodine ene-radioactive)
• Ngaba iskena se-CT samva nje besebenzisa ukungafani okanye ngomlomo okwahluka kwe-iodine (kwiiveki ezi-2 ezidlulileyo)
• Incinci kakhulu okanye iodine eninzi ekudleni kwakho

Akukho buhlungu. Unokutya ukuqala malunga neyure enye ukuya kwezi-2 emva kokuginya iodine eqhumayo. Unokubuyela kwisidlo esiqhelekileyo emva kovavanyo.

Olu vavanyo lwenziwa ukujonga umsebenzi we-thyroid. Kuhlala kwenziwa xa kuvavanyo lwegazi lomsebenzi we-thyroid lubonisa ukuba unokuba une-thyroid gland.

Ezi ziziphumo eziqhelekileyo kwi-6 kunye neeyure ezingama-24 emva kokuginya iodine enemitha:

• Kwiiyure ezi-6: 3% ukuya kwi-16%
• Ngeeyure ezingama-24: 8% ukuya kuma-25%

Amanye amaziko okuvavanya alinganisa kuphela iiyure ezingama-24. Ixabiso linokwahluka ngokuxhomekeke kubungakanani be-iodine ekutyeni okutyayo. Amaxabiso esiqhelo ahluka kancinci phakathi kweelebhu ezahlukeneyo. Thetha nomboneleli wakho malunga nentsingiselo yeziphumo zakho zovavanyo.

Ukuthabatha okungaphezulu kokuqhelekileyo kunokuba ngenxa yesifo se-thyroid esingaphezulu. Unobangela oqhelekileyo sisifo seMangcwaba.

Ezinye iimeko zinokubangela ukuba ezinye iindawo zithathe indawo ephezulu kunesiqhelo kwi-thyroid gland. Oku kubandakanya:

• Idlala lengqula elandisiweyo eliqukethe amaqhuqhuva avelisa ihomoni yedlala lengqula eninzi
• I-nodule enye ye-thyroid evelisa i-hormone ye-thyroid (i-toxic adenoma)

Ezi meko zihlala zikhokelela ekuthathweni kwesiqhelo, kodwa ukuthathwa kugxilwe kwiindawo ezimbalwa (ezishushu) ngelixa enye ye-thyroid gland ingathathi nayiphi na iodine (indawo ezibandayo). Oku kunokumiselwa kuphela ukuba ukuskena kwenziwe kunye novavanyo lokuthatha.

Ukuthathwa okungaphantsi kunokweqhelekileyo kunokuba ngenxa:

• Inyaniso yehyperthyroidism (ukuthatha kakhulu amayeza e-thyroid okanye izongezo)
• Iodine ingaphezulu
• I-Subacute thyroiditis (ukudumba okanye ukudumba kwedlala lengqula)
• Ukuthula (okanye ukungabi nantlungu) i-thyroiditis
• I-Amiodarone (iyeza lokunyanga ezinye iintlobo zesifo sentliziyo)

Yonke imitha ineziphumo ebezingalindelekanga ezinokwenzeka. Isixa semitha kolu vavanyo sincinci kakhulu, kwaye akuzange kubekho ziphumo bezingalindelekanga zibhaliweyo.

Abasetyhini abakhulelweyo okanye abancancisayo akufuneki benze olu vavanyo.

Thetha nomboneleli wakho ukuba unenkxalabo malunga nolu vavanyo.

Iodine eqhumayo ishiya umzimba wakho kumchamo wakho. Akufanelekanga ukuba uthathe amanyathelo okhuseleko, njengokugungxula kabini emva kokuchama, kangangeeyure ezingama-24 ukuya kuma-48 emva kovavanyo. Buza umboneleli wakho okanye iradiology / iqela lamayeza enyukliya elenza scan malunga nokuthatha amanyathelo okhuseleko.

Ukuthathwa kwe-thyroid; Uvavanyo lokuthatha i-iodine; IRAIU

• Uvavanyo lokuthatha i-thyroid

UGuber HA, uFarag AF. Uvavanyo lomsebenzi we-endocrine. Ku: McPherson RA, Pincus MR, ii-eds. Ukuchongwa kweKlinikhi kaHenry kunye noLawulo ngeendlela zeLebhu. Umhla we-23. ISt Louis, MO: Elsevier; Ngo-2017: isahluko 24.

IMettler FA, iGuiberteau MJ. I-thyroid, i-parathyroid kunye ne-salivary gland. Ku: Mettler FA, Guiberteau MJ, ii-eds. Izinto ezibalulekileyo kwiNyango yeNyukliya kunye nokuThelekisa iMolekyuli. Umhla wesi-7. IPhiladelphia, PA: Elsevier; I-2019: isahluko 4.

USalvatore D, uCohen R, uKopp PA, uLarsen PR. I-thyroid pathophysiology kunye novavanyo lokuqonda isifo. Ku: UMelmed S, uAuchus RJ, uGoldfine AB, uKoenig RJ, uRosen CJ, ii-eds. Incwadi ebhaliweyo kaWilliam ye-Endocrinology. Umhla we-14. IPhiladelphia, PA: Elsevier; 2020: isahl 11.

I-Weiss RE, Refetoff S. Umsebenzi wovavanyo lwe-thyroid. Ku: Jameson JL, De Groot LJ, de Kretser DM, et al, ii-eds. Endocrinology: Abantu abadala kunye nabantwana. Umhla wesi-7. IPhiladelphia, PA: Elsevier Saunders; Ngo-2016: isahluko 78.