Di dɔktɔ tɛl yu se yu tayroyd gland de wok pasmak (Hyperthyroidism)? Ɔ i bin tɔk bɔt tayroyd kansa? Wan tritmɛnt we kin wok fayn we dɔktɔ dɛn kin se fɔ du dɛn kayn tin ya na we dɛn kin yuz redioaktiv ayodin tɛrapi. Bɔt na nɔmal tin fɔ mek wi fred smɔl we wi yɛri di wɔd "radioactive," nɔto so? Bɔt dis na rili natin fɔ fred. Dis na tritmεnt we rili sef we de spεshal tכk to di tayroyd sεl dεm nכmכ. So lɛ wi tɔk bɔt ɔltin klia wan ɛn simpul wan tide.
Fɔ tɔk am simpul wan, wetin na redioaktiv ayodin (RAI) tritmɛnt?
di tayroyd gland na wi nεk nid wan nyutriεnt we dεn kכl "ayodin" fכ mek tayroyd כmon dεm. Wi kin gɛt dis ayodin frɔm di it dɛn we wi de it, mɔ di sɔl we gɛt ayodin.
Insay dis tritmɛnt, wi kin gi di bɔdi ayodin (we dɛn kɔl am Ayodin-131) we wi dɔn ad spɛshal redioaktiv prɔpati to. Di tayroyd gland lɛk ayodin bad bad wan. So, dis spɛshal ayodin de absɔb dairekt wan. Dɔn, bikɔs da ayodin de gɛt redioaktiv , na di aypa aktiv sɛl dɛn ɔ di kansa sɛl dɛn nɔmɔ we de na di tayroyd gland dɛn kin pik ɛn pwɛl. Dis nɔ kin afɛkt ɔda sɛl dɛn na di bɔdi bɛtɛ. Dɛn kin gi dis as kapsul ɔ as wata.
Fɔ us sityueshɔn dɛn dɛn kin advays dis tritmɛnt?
Dɛn kin yuz dis tritmɛnt mɔ fɔ tu mɛrɛsin dɛn.
1. Di sik we dɛn kɔl haypa tayroyd
Sɔntɛnde, di wan ol tayroyd gland kin mek tumɔs ɔmon. Dɛn kin kɔl dis bak ``Graves' sik''. Ɔ di gland kin gɛt nodul ɛn i kin wok pasmak. Insay dɛn kayn kes dɛn de:
- If antitayroyd mɛrɛsin nɔr de woke ɔr yu nɔr kin tek am.
- If fɔ gɛt ɔpreshɔn (Thyroidectomy) na risky bay yu wɛlbɔdi kɔndishɔn.
- If di dɔktɔ disayd se dis na di tin we go fayn fɔ ɔda rizin dɛn.
Afta dis tritmɛnt, yu tayroyd gland go de disable fɔ ɔltɛm, so yu go nid fɔ tek tayroyd ɔmon pils (Levothyroxine) ɛvride fɔ di res ɔf yu layf. I rili simpul ɛn yu kin ebul fɔ manej am.
2. Sɔm kayn tayroyd kansa
dis tritmεnt de rili saksesful fכ di kayn tayroyd kεnsar we dεn kכl `Papillary` εn `Follicular`.
- Fɔ pwɛl ɛni smɔl kansa sɛl we lɛf afta dɛn dɔn du di ɔpreshɔn.
- If di kansa dɔn spre (metastasized) to di limf no dɛm ɔ ɔda pat dɛm na di bɔdi, pwɛl dɛn sɛl dɛm de.
Impɔtant: Dis tritmɛnt nɔ de wok fɔ di kayn tayroyd kansa we dɛn kɔl `Anaplastic` ɛn `Medullary`, bikɔs dɛn nɔ de absɔb ayodin.
Pipul dɛn de we dis tritmɛnt nɔ fayn fɔ?
Yɛs, dɛn nɔ kin gi sɔm pipul dɛn dis tritmɛnt.
- fכ mama dεm we gεt bεlε: Redioaktiv ayodin kin kכros di plasεnta εn afekt di pikin we de insay di bεlε.
- Fɔ mama dɛn we de gi pikin dɛn bɛlɛ.
- Fɔ di wan dɛn we gɛt siriɔs tayroyd ay sik (Graves’ ophthalmopathy).
- Fɔ pipul dɛm wae gɛt bɔrku tayroyd ɔmon lɛvɛl (siriɔs tayrotoksikosis).
- Fɔ di wan dɛn we gɛt vɔmit ɔ dayarɛa (bikɔs di mɛrɛsin kin kɔmɔt na di bɔdi tumɔs kwik).
Aw yu kin pripia bifo yu gɛt tritmɛnt?
Yu dɔktɔ go ɛksplen ɔl di tin dɛn bɔt dis bifo tɛm. Bɔku tɛm, dɛn go tɛl yu fɔ du tin dɛn lɛk dis:
- Blɔd tɛst: Chɛk di tayroyd ɔmon lɛvɛl.
- Stɔp fɔ tek mɛrɛsin: If yu de tek mɛrɛsin fɔ kɔntrol yu tayroyd, lɛk Propylthiouracil ɔ Methimazole, dɛn go aks yu fɔ stɔp fɔ tek am lɛk wan wik bifo di tritmɛnt.
- Di it we nɔ gɛt bɔku ayodin: I fayn fɔ it tin we nɔ gɛt bɔku ayodin fɔ wan ɔ tu wiks. Dis min se yu fɔ kɔt tin dɛn lɛk sɔl we gɛt ayod, sifud, ɛn tin dɛn we dɛn mek wit milk.
- TSH injεkshכn: sכmtεm, dεn kin gi tayroyd stimulating hormone (TSH) injεkshכn fכ εp di tayroyd gland fכ abzכp ayodin bεtεh.
- Tεst fכ bεlε: Dis go kכnfכm se yu nכ bεlε bifo tritmεnt.
Afta tritmɛnt... di tin dɛm wae impɔtant pas ɔl fɔ tek tɛm wit!
Dis na de pat pan de tritmɛnt wae yu nid fɔ pe atɛnshɔn mɔ pan. Fɔ sɔm dez afta di tritmɛnt, yu bɔdi go pul smɔl redioaktiviti (espɛshali na yu urine, swet, ɛn saliva). Pan ɔl we dis nɔ bad fɔ yu, i nɔ fayn fɔ ɔda pipul dɛn, mɔ uman dɛn we gɛt bɛlɛ ɛn yɔŋ pikin dɛn . So, yu fɔ fala wetin di dɔktɔ tɛl yu fɔ du di rayt tin.
| Advays we yu fɔ fala | Tin dɛn we yu fɔ pe spɛshal atɛnshɔn to |
|---|---|
| Fɔ de fa frɔm ɔda pipul dɛn | Kip distans we na 3-6 fit fɔ di fɔs dez. Fɔ tru, yu fɔ de fa frɔm bɛlɛ uman ɛn yɔŋ pikin dɛn. Slip yu wan na wan sɛpret rum. Avɔyd intimate kɔntakt lɛk fɔ kis ɛn du mami ɛn dadi biznɛs fɔ 3-4 dez. |
| Yuz tɔylɛt | If i pɔsibul, yuz ɔda tɔylɛt. Sidɔm we yu de pis (fɔ mek yu nɔ rɔsh). Ɔltɛm yu fɔ flush tu tɛm. |
| Pɔsin in yon klin | Tek shawa ɛvride. Was yu an wit sop ɔltɛm. Drink bɔku wata. Dis go ɛp fɔ mek di redioaktiv tin kɔmɔt kwik kwik wan na di urine. |
| Klos ɛn guds | Wash yu klos, sheet, ɛn tawɛl dɛn wan bay wan, nɔto wit ɔda pipul dɛn yon. Wash yu dish, kɔp, ɛn kɔtlɛri dɛn wan bay wan. Nɔ mek ɔda pipul dɛn yuz dɛn. |
| Fɔ pripia it ɛn travul | Nɔ ol an wit ɔda pipul dɛn fɔ lɔng tɛm ɛn pripia it. Nɔ yuz pɔblik transpɔt ɛn waka fɔ lɔng tɛm wit ɔda pipul dɛn fɔ sɔm dez. |
Aw lɔng yu fɔ fala dɛn instrɔkshɔn ya go difrɛn difrɛn wan bay di doz fɔ di mɛrɛsin we yu bin gɛt. Yu dɔktɔ go tɛl yu dis klia wan.
Wetin na di sayd ɛfɛkt ɛn risk dɛm?
Bɔrku pipul nɔr kin gɛt ɛni big big sayd ɛfɛkt, bɔt sɔm pipul kin gɛt tin lɛk:
- Di sayd ɛfɛkt dɛn we kin apin fɔ shɔt tɛm:
- Pen ɛn swɛlin na di nɛk eria.
- di saliva gland dεm we de swεla (i kin tan lεk di chεk dεm we swel).
- Dray mɔt.
- Di chenj dɛn we de apin na di teist.
- Dray yay.
- Gastritis we gɛt sik.
- Ifekt we go tek lɔng tɛm (we dɛn de ɛkspɛkt): .
- Bikɔs di gol fɔ di tritmɛnt na fɔ mek di tayroyd gland nɔ wok, dɛn nid fɔ yuz tayroyd ɔmon pils (Levothyroxine) fɔ ɔl dɛn layf. Dis na mɔ sayd ɛfɛkt pas di bɛnifit fɔ di tritmɛnt.
- Redioaktiv ayodin (RAI) tritmɛnt na tritmɛnt we rili fayn ɛn we nɔ bad fɔ di sik we dɛn kɔl tayroyd.
- Nɔ fred di wɔd ‘radioactive’. Dis de כnli harm di tayroyd sεl dεm we dεn tכk bכt.
- I rili impɔtant fɔ fala di dɔktɔ in instrɔkshɔn fayn fayn wan fɔ protɛkt ɔda pipul dɛn insay di de dɛn we de afta di tritmɛnt.
- Bɔku tɛm, afta dis tritmɛnt, yu go gɛt fɔ tek tayroyd ɔmon pils fɔ di res ɔf yu layf. I izi fɔ mek pɔsin ebul fɔ kɔntrol am.
- If yu gɛt ɛni kwɛstyɔn, wɔri, ɔr frayd bɔt dis, nɔr ɛva shem fɔ tɔk to yu dɔktɔ bɔt dis.
Tin dɛm lɛk fɔ chewing gam ɔr fɔ tear swit tofi kin gi yu fridɔm frɔm dɛn sik ya.
Sɔm prɔblɛm dɛn de bak we nɔ kin apin so ɔltɛm. pan ɔl we dɛn tɔk bɔt di shɔt tɛm we di swɛt dɛn kin go dɔŋ pan man dɛn, di saykl we uman dɛn kin gɛt we dɛn nɔ kin gɛt mɔnt, ɛn di risk fɔ gɛt sɔm kayn kansa (`Lukemia`, bɛlɛ kansa), mɛmba se dis nɔ kin rili apin .
If yu gɛt ɛni prɔblɛm fɔ blo, go na di ɔspitul we de nia yu in Imejɛnsi Dipatmɛnt (ETU) wantɛm wantɛm.
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