Tus kws kho mob puas tau qhia koj tias koj lub qog thyroid ua haujlwm ntau dhau (Hyperthyroidism)? Los yog nws puas tau tham txog mob qog thyroid? Ib qho kev kho mob zoo uas cov kws kho mob pom zoo rau cov xwm txheej zoo li no yog kev kho mob radioactive iodine. Tab sis nws yog ib txwm rau peb kom ntshai me ntsis thaum peb hnov lo lus "radioactive," puas yog? Tab sis qhov no tsis yog dab tsi yuav tsum ntshai. Qhov no yog kev kho mob muaj kev nyab xeeb heev uas tsom mus rau cov hlwb thyroid xwb. Yog li cia peb tham txog txhua yam kom meej thiab yooj yim hnub no.
Hais yooj yim xwb, kev kho mob radioactive iodine (RAI) yog dab tsi?
Cov qog thyroid hauv peb lub caj dab xav tau cov as-ham hu ua "iodine" los ua cov tshuaj hormones thyroid. Feem ntau peb tau txais cov iodine no los ntawm cov khoom noj uas peb noj, tshwj xeeb tshaj yog ntsev iodized.
Hauv kev kho mob no, peb muab cov iodine rau lub cev (hu ua Iodine-131) uas peb tau ntxiv cov khoom tshwj xeeb radioactive. Lub qog thyroid nyiam iodine heev. Yog li ntawd, cov iodine tshwj xeeb no raug nqus ncaj qha. Tom qab ntawd, vim yog cov radioactivity ntawm iodine ntawd , tsuas yog cov hlwb hyperactive lossis cov hlwb mob qog noj ntshav hauv lub qog thyroid thiaj li raug cawm thiab rhuav tshem. Qhov no tsis muaj ntau yam cuam tshuam rau lwm cov hlwb hauv lub cev. Qhov no feem ntau yog muab ua lub tshuaj ntsiav lossis ua kua.
Kev kho mob no pom zoo rau cov xwm txheej twg?
Kev kho mob no feem ntau yog siv rau ob yam mob.
1. Mob thyroid ntau dhau
Qee zaum tag nrho cov qog thyroid tsim cov tshuaj hormones ntau dhau. Qhov no kuj hu ua "Graves' disease". Los yog cov qog nodules tuaj yeem loj hlob thiab ua haujlwm ntau dhau. Hauv cov xwm txheej zoo li no:
- Yog tias cov tshuaj antithyroid tsis ua haujlwm lossis koj noj tsis tau lawv.
- Yog tias kev phais mob (Thyroidectomy) muaj kev pheej hmoo raws li koj tus mob.
- Yog tus kws kho mob txiav txim siab qhov no yog qhov tsim nyog tshaj plaws rau lwm yam laj thawj.
Tom qab kev kho mob no, koj lub qog thyroid yuav tsis ua haujlwm mus tas li, yog li koj yuav tsum tau noj cov tshuaj thyroid hormone (Levothyroxine) txhua hnub rau tas koj lub neej. Nws yooj yim heev thiab tswj tau.
2. Qee hom mob qog nqaij hlav thyroid
Txoj kev kho mob no ua tau zoo heev rau cov hom mob qog noj ntshav thyroid hu ua 'Papillary' thiab 'Follicular'.
- Txhawm rau rhuav tshem cov hlwb me me uas tseem tshuav tom qab phais.
- Yog tias tus mob qog nqaij hlav tau kis mus rau lwm cov qog ntshav lossis lwm qhov ntawm lub cev, rhuav tshem cov hlwb ntawd.
Tseem Ceeb: Kev kho mob no tsis zoo rau cov hom mob qog noj ntshav hu ua 'Anaplastic' thiab 'Medullary', vim tias lawv tsis nqus cov iodine.
Puas muaj cov neeg uas txoj kev kho mob no tsis haum rau?
Yog, qee tus neeg tsis tau txais kev kho mob no.
- Rau cov niam cev xeeb tub: Cov tshuaj iodine uas muaj zog tuaj yeem hla mus rau hauv lub placenta thiab cuam tshuam rau tus menyuam hauv plab.
- Rau cov niam pub niam mis.
- Rau cov neeg uas muaj kab mob qhov muag thyroid hnyav heev (Graves' ophthalmopathy).
- Rau cov neeg uas muaj cov tshuaj hormones thyroid ntau heev (thyrotoxicosis hnyav).
- Rau cov neeg uas ntuav los yog raws plab (vim tias cov tshuaj tuaj yeem tawm hauv lub cev sai dhau).
Koj npaj li cas ua ntej kev kho mob?
Koj tus kws kho mob yuav piav qhia txhua yam txog qhov no ua ntej. Feem ntau lawv yuav qhia koj ua tej yam zoo li no:
- Kev kuaj ntshav: Xyuas cov qib hormone thyroid.
- Tsum tsis txhob noj tshuaj: Yog tias koj noj tshuaj los tswj koj lub thyroid, xws li Propylthiouracil lossis Methimazole, koj yuav raug hais kom tsum tsis txhob noj li ib lub lim tiam ua ntej kev kho mob.
- Kev noj zaub mov uas muaj iodine tsawg: Nws raug pom zoo kom noj zaub mov uas muaj iodine tsawg rau ib lossis ob lub lis piam. Qhov no txhais tau tias txo cov khoom xws li ntsev iodine, cov khoom noj hauv dej hiav txwv, thiab cov khoom noj mis nyuj.
- Kev txhaj tshuaj TSH: Qee zaum, kev txhaj tshuaj thyroid stimulating hormone (TSH) yuav raug muab los pab cov qog thyroid nqus tau iodine zoo dua.
- Kev kuaj cev xeeb tub: Qhov no yuav lees paub tias koj tsis cev xeeb tub ua ntej kev kho mob.
Tom qab kho mob lawm... tej yam tseem ceeb tshaj plaws uas yuav tsum tau ceev faj!
Qhov no yog ib feem ntawm kev kho mob uas koj yuav tsum tau them sai sai tshaj plaws. Ob peb hnub tom qab kev kho mob, koj lub cev yuav tso tawm me ntsis ntawm cov tshuaj radioactivity (tshwj xeeb tshaj yog hauv koj cov zis, hws, thiab cov qaub ncaug). Txawm hais tias qhov no tsis ua rau koj mob, nws tsis zoo rau lwm tus, tshwj xeeb tshaj yog cov poj niam cev xeeb tub thiab cov menyuam yaus . Yog li ntawd, koj yuav tsum ua raws li cov lus qhia ntawm tus kws kho mob.
| Cov lus qhia kom ua raws | Tej yam yuav tsum tau them sai sai rau |
|---|---|
| Nyob deb ntawm lwm tus | Nyob deb li ntawm 3-6 feet rau ob peb hnub thawj zaug. Nyob deb ntawm cov poj niam cev xeeb tub thiab cov menyuam yaus. Pw ib leeg hauv ib chav sib cais. Tsis txhob sib chwv xws li hnia thiab sib deev rau 3-4 hnub. |
| Siv chav dej | Yog ua tau, siv chav dej sib cais. Zaum thaum tso zis (kom tsis txhob nchuav). Ib txwm tso dej ob zaug. |
| Kev tu cev tus kheej | Da dej txhua hnub. Ntxuav koj txhais tes nrog xab npum tsis tu ncua. Haus dej ntau. Qhov no yuav pab kom cov khoom siv radioactive tawm sai sai hauv cov zis. |
| Khaub ncaws thiab khoom muag | Ntxuav koj cov khaub ncaws, daim pam, thiab phuam da dej sib cais, tsis txhob ntxuav nrog lwm tus neeg li. Ntxuav koj cov tais diav, khob, thiab riam sib cais. Tsis txhob cia lwm tus siv. |
| Kev npaj zaub mov thiab kev mus ncig | Tsis txhob tuav tes nrog lwm tus ntev ntev thiab npaj zaub mov. Tsis txhob siv tsheb thauj neeg pej xeem thiab taug kev ntev nrog lwm tus rau ob peb hnub. |
Koj yuav tsum ua raws li cov lus qhia no ntev npaum li cas yuav txawv nyob ntawm seb koj tau txais tshuaj ntau npaum li cas. Koj tus kws kho mob yuav qhia qhov no rau koj kom meej meej.
Cov kev mob tshwm sim thiab kev pheej hmoo yog dab tsi?
Cov neeg feem coob tsis muaj kev phiv loj, tab sis qee tus neeg yuav muaj tej yam xws li:
- Cov kev mob tshwm sim luv luv:
- Mob thiab o ntawm thaj tsam caj dab.
- Kev o ntawm cov qog salivary (tej zaum yuav zoo li sab plhu o).
- Qhov ncauj qhuav.
- Kev hloov pauv ntawm saj.
- Qhov muag qhuav.
- Mob plab.
- Cov nyhuv mus sij hawm ntev (xav tias yuav muaj):
- Vim tias lub hom phiaj ntawm kev kho mob yog kom ua rau cov qog thyroid tsis ua haujlwm, yuav tsum tau noj cov tshuaj thyroid hormone (Levothyroxine) mus tas li. Qhov no yog ib qho kev phiv ntau dua li qhov txiaj ntsig ntawm kev kho mob.
- Kev kho mob radioactive iodine (RAI) yog ib txoj kev kho mob zoo heev thiab muaj kev nyab xeeb rau cov kab mob thyroid.
- Tsis txhob ntshai lo lus 'radioactive'. Qhov no tsuas yog ua rau cov hlwb thyroid puas tsuaj xwb.
- Nws yog ib qho tseem ceeb heev uas yuav tsum ua raws li tus kws kho mob cov lus qhia kom zoo zoo kom tiv thaiv lwm tus neeg hauv cov hnub tom qab kev kho mob.
- Feem ntau, tom qab kev kho mob no, koj yuav tau noj cov tshuaj thyroid hormone rau tas koj lub neej. Nws yooj yim tswj tau.
- Yog tias koj muaj lus nug, kev txhawj xeeb, lossis kev ntshai txog qhov no, tsis txhob yig nrog koj tus kws kho mob tham txog qhov no.
Tej yam xws li zom cov pos hniav los yog rhuav cov khoom qab zib toffee tuaj yeem pab txo cov tsos mob no.
Kuj tseem muaj qee qhov kev pheej hmoo tsawg heev. Txawm hais tias muaj kev hais txog kev txo qis ntawm cov phev hauv cov txiv neej, kev coj khaub ncaws tsis tu ncua hauv cov poj niam, thiab kev pheej hmoo me me ntawm qee hom mob qog noj ntshav ('Leukemia', mob qog noj ntshav hauv plab), nco ntsoov tias qhov no tsis tshua muaj tshwm sim .
Yog tias koj muaj teeb meem ua pa, mus rau Chav Kho Mob Ceev (ETU) ze tshaj plaws tam sim ntawd.
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Tsis muaj lus teb tau muab tso tawm. Ntxiv koj cov lus tawm ntawm no thawj zaug.
Ntxiv koj cov lus