Ua haʻi aku ke kauka iā ʻoe ua nui loa ka hana o kou kelepa thyroid (Hyperthyroidism)? A i ʻole ua kamaʻilio ʻo ia e pili ana i ke kanesa thyroid? ʻO kahi lāʻau lapaʻau holomua a nā kauka e ʻōlelo nei i ia mau hihia, ʻo ia ka radioactive iodine therapy. Akā, he mea maʻamau iā mākou ke makaʻu iki i ka wā e lohe ai mākou i ka huaʻōlelo "radioactive," ʻeā? Akā, ʻaʻohe mea e makaʻu ai kēia. He lāʻau lapaʻau palekana loa kēia e kuhikuhi pono ana i nā hunaola thyroid wale nō. No laila, e kamaʻilio kākou e pili ana i nā mea āpau me ka maopopo a me ka maʻalahi i kēia lā.
I ka ʻōlelo maʻalahi, he aha ka lāʻau lapaʻau iodine radioactive (RAI)?
Pono ka ʻōpū thyroid i loko o ko kākou ʻāʻī i kahi meaʻai i kapa ʻia ʻo "iodine" e hana i nā hormones thyroid. Loaʻa pinepine kēia iodine iā kākou mai nā meaʻai a kākou e ʻai ai, ʻoiai ka paʻakai iodized.
Ma kēia lāʻau lapaʻau, hāʻawi mākou i ke kino i ka iodine (i kapa ʻia ʻo Iodine-131 ma ke ʻano lapaʻau) kahi i hoʻohui ʻia ai kahi waiwai radioactive kūikawā. Makemake nui ka ʻōpū thyroid i ka iodine. No laila, ua komo pololei kēia iodine kūikawā. A laila, ma muli o ka radioactivity o kēlā iodine , ʻo nā cell hyperactive a i ʻole nā cell cancer i loko o ka ʻōpū thyroid wale nō i mālama koho ʻia a luku ʻia. ʻAʻohe hopena nui o kēia i nā cell ʻē aʻe i loko o ke kino. Hāʻawi pinepine ʻia kēia ma ke ʻano he capsule a i ʻole he wai.
No nā kūlana hea e ʻōlelo ʻia ai kēia lāʻau lapaʻau?
Hoʻohana nui ʻia kēia lāʻau lapaʻau no ʻelua mau kūlana olakino.
1. Hyperthyroidism
I kekahi manawa, hana nui ka hormone o ke kelepa thyroid holoʻokoʻa. Ua kapa ʻia hoʻi kēia he "maʻi Graves". A i ʻole hiki i ke kelepa ke ulu i nā nodules a lilo i overactive. I kēlā mau hihia:
- Inā ʻaʻole hana nā lāʻau antithyroid a i ʻole ʻaʻole hiki iā ʻoe ke lawe iā lākou.
- Inā he mea pilikia ke ʻoki kino (Thyroidectomy) ma muli o kou kūlana olakino.
- Inā hoʻoholo ke kauka ʻo kēia ke kūpono loa no nā kumu ʻē aʻe.
Ma hope o kēia lāʻau lapaʻau, e hoʻopau mau ʻia kou ʻōpū thyroid, no laila pono ʻoe e lawe i nā pila hormone thyroid (Levothyroxine) i kēlā me kēia lā no ke koena o kou ola. He maʻalahi loa ia a hiki ke hoʻokele ʻia.
2. Kekahi mau ʻano maʻi ʻaʻai thyroid
He kūleʻa loa kēia lāʻau lapaʻau no nā ʻano maʻi kanesa thyroid i kapa ʻia ʻo 'Papillary' a me 'Follicular'.
- E luku i nā hunaola kanesa liʻiliʻi i koe ma hope o ke ʻoki ʻana.
- Inā ua pālahalaha ke kanesa (metastasized) i nā lymph nodes a i ʻole nā ʻāpana ʻē aʻe o ke kino, e luku i kēlā mau cell.
He mea nui: ʻAʻole kūpono kēia lāʻau lapaʻau no nā ʻano maʻi kanesa thyroid i kapa ʻia ʻo 'Anaplastic' a me 'Medullary', no ka mea, ʻaʻole lākou e omo i ka iodine.
Aia kekahi poʻe i kūpono ʻole kēia lāʻau lapaʻau no lākou?
ʻAe, ʻaʻole hāʻawi ʻia kēia lāʻau i kekahi poʻe.
- No nā makuahine hāpai: Hiki i ka iodine radioactive ke hele ma waena o ka placenta a hoʻopilikia i ka pēpē i loko o ka ʻōpū.
- No nā makuahine hānai waiū.
- No ka poʻe me ka maʻi maka thyroid koʻikoʻi (Graves' ophthalmopathy).
- No nā poʻe me nā pae hormone thyroid i hoʻokiʻekiʻe nui ʻia (thyrotoxicosis koʻikoʻi).
- No ka poʻe i loaʻa i ka luaʻi a i ʻole ka maʻi pākī (no ka mea hiki i ka lāʻau ke haʻalele koke i ke kino).
Pehea ʻoe e hoʻomākaukau ai ma mua o ka mālama ʻana?
E wehewehe mua kāu kauka i nā kikoʻī āpau e pili ana i kēia. E haʻi pinepine lākou iā ʻoe e hana i nā mea penei:
- Nā hoʻāʻo koko: E nānā i nā pae o ka hormone thyroid.
- Ke hoʻōki ʻana i ka lāʻau lapaʻau: Inā ʻoe e lawe nei i nā lāʻau lapaʻau e kaohi i kou thyroid, e like me Propylthiouracil a i ʻole Methimazole, e noi ʻia ʻoe e hoʻōki i ka lawe ʻana iā lākou ma kahi o hoʻokahi pule ma mua o ka lāʻau lapaʻau.
- ʻAi haʻahaʻa-iodine: Manaʻo ʻia e ʻai i ka ʻai haʻahaʻa-iodine no hoʻokahi a ʻelua paha pule. ʻO ke ʻano kēia o ka hōʻemi ʻana i nā mea e like me ka paʻakai iodized, nā meaʻai kai, a me nā huahana waiū.
- ʻInikini TSH: I kekahi manawa, hiki ke hāʻawi ʻia kahi inikini hormone hoʻoulu thyroid (TSH) e kōkua i ka ʻōpū thyroid e omo maikaʻi i ka iodine.
- Hoʻāʻo hāpai: E hōʻoia kēia ʻaʻole ʻoe hāpai ma mua o ka lāʻau lapaʻau.
Ma hope o ka mālama ʻana... nā mea nui e makaʻala ai!
ʻO kēia ka ʻāpana o ka lāʻau lapaʻau āu e pono ai e makaʻala nui. No kekahi mau lā ma hope o ka lāʻau lapaʻau, e hoʻokuʻu kou kino i kahi liʻiliʻi o ka radioactivity (ʻoi aku hoʻi i loko o kou mimi, ka hou, a me ka lawai). ʻOiai ʻaʻole kēia he mea ʻino iā ʻoe, ʻaʻole ia he mea maikaʻi no nā poʻe ʻē aʻe, ʻoi aku hoʻi nā wahine hāpai a me nā keiki ʻōpio . No laila, pono ʻoe e hahai pono i nā ʻōlelo a ke kauka.
| ʻŌlelo aʻoaʻo e hahai ai | Nā mea e makaʻala nui ai |
|---|---|
| Ka noho kaʻawale ʻana mai nā poʻe ʻē aʻe | E mālama i kahi mamao o 3-6 kapuaʻi no nā lā mua. E noho mamao loa mai nā wahine hāpai a me nā keiki ʻōpio. E hiamoe hoʻokahi ma kahi lumi ʻokoʻa. E pale i ka pili pili e like me ka honi ʻana a me ka moekolohe no 3-4 mau lā. |
| Hoʻohana ʻana i ka lua | Inā hiki, e hoʻohana i kahi lua kaʻawale. E noho i lalo i ka wā e mimi ai (i ʻole e ninini ʻia). E holoi mau i ʻelua manawa. |
| Hoʻomaʻemaʻe pilikino | E ʻauʻau i kēlā me kēia lā. E holoi mau i kou mau lima me ke kopa. E inu i ka wai he nui. E kōkua kēia i ka hoʻokuʻu koke ʻia ʻana o nā mea radioactive i loko o ka mimi. |
| Nā lole a me nā waiwai | E holoi ʻokoʻa i kou mau lole, nā moena moe, a me nā kāwele, ʻaʻole me nā mea a haʻi. E holoi ʻokoʻa i kāu mau kīʻaha, nā kīʻaha, a me nā mea ʻokiʻoki. Mai ʻae i nā poʻe ʻē aʻe e hoʻohana iā lākou. |
| Ka hoʻomākaukau ʻana i ka meaʻai a me ka huakaʻi | Mai hoʻopaʻa lima me nā poʻe ʻē aʻe no ka manawa lōʻihi a me ka hoʻomākaukau ʻana i ka meaʻai. Mai hoʻohana i ka halihali lehulehu a me ka hele wāwae lōʻihi me nā poʻe ʻē aʻe no kekahi mau lā. |
ʻO ka lōʻihi o kou hahai ʻana i kēia mau kuhikuhi e loli ma muli o ka nui o ka lāʻau lapaʻau i loaʻa iā ʻoe. E haʻi maopopo aku kāu kauka iā ʻoe i kēia.
He aha nā hopena ʻaoʻao a me nā pilikia?
ʻAʻole ʻike ka hapa nui o ka poʻe i nā hopena ʻaoʻao nui, akā hiki i kekahi poʻe ke ʻike i nā mea e like me:
- Nā hopena ʻaoʻao pōkole:
- ʻEha a me ka pehu ʻana ma ka ʻāʻī.
- Ka pehu ʻana o nā kelepa salivary (e like paha me nā papālina pehu).
- Waha maloʻo.
- Nā loli i ka ʻono.
- Nā maka maloʻo.
- ʻO ka ʻōpū.
- Ka hopena lōʻihi (i manaʻo ʻia):
- ʻOiai ʻo ka pahuhopu o ka lāʻau lapaʻau ka hoʻopau ʻana i ka hana thyroid, pono nā pila hormone thyroid (Levothyroxine) no ke ola holoʻokoʻa. He hopena ʻaoʻao kēia ma mua o ka pono o ka lāʻau lapaʻau.
- ʻO ka radioactive iodine (RAI) therapy kahi lāʻau lapaʻau palekana a maikaʻi loa no ka maʻi thyroid.
- Mai makaʻu i ka huaʻōlelo 'radioactive'. Hoʻopilikia wale kēia i nā hunaola thyroid i kuhikuhi ʻia.
- He mea nui loa e hahai pono i nā ʻōlelo a ke kauka e pale aku i nā poʻe ʻē aʻe i nā lā ma hope o ka lāʻau lapaʻau.
- I ka manawa pinepine, ma hope o kēia lāʻau lapaʻau, pono ʻoe e lawe i nā pila hormone thyroid no ke koena o kou ola. He maʻalahi ke mālama ʻana.
- Inā he mau nīnau kāu, hopohopo, a makaʻu paha e pili ana i kēia, mai kānalua e kamaʻilio me kāu kauka e pili ana.
Hiki i nā mea e like me ka nau ʻana i ka gum a i ʻole ka haehae ʻana i kahi toffee ʻono ke hāʻawi i ka hōʻoluʻolu mai kēia mau hōʻailona.
Aia kekahi mau pilikia kakaikahi loa. ʻOiai aia kahi ʻōlelo no ka emi ʻana o ka helu sperm i nā kāne no kekahi manawa, nā pōʻaiapuni menstrual kūpono ʻole i nā wahine, a me kahi pilikia liʻiliʻi loa o kekahi mau ʻano maʻi kanesa ('Leukemia', maʻi ʻōpū), e hoʻomanaʻo he mea hiki ʻole kēia .
Inā pilikia ʻoe i ka hanu ʻana, e hele koke i ka ʻOihana Pilikia (ETU) o ka haukapila kokoke loa.
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