Doctor chuan i thyroid gland chu a overactive (Hyperthyroidism) tih a hrilh che em? A nih loh leh thyroid cancer chungchang a sawi em? Chutiang thila doctor-te’n an rawt enkawlna hlawhtling pakhat chu radioactive iodine therapy a ni. Mahse, "radioactive" tih thumal kan hriat hian kan hlauthawng deuh hi thil pangngai a ni lawm ni? Mahse hei hi a takah chuan hlauh tur a ni lo. Hei hi enkawlna him tak a ni a, a bik takin thyroid cells chauh a target a ni. Chuvangin vawiinah hian engkim chiang tak leh awlsam takin sawi ila.
A awlsam zawngin, radioactive iodine (RAI) hmanga enkawlna chu eng nge ni?
Kan kawr chhunga thyroid gland hian thyroid hormone siam nan "iodine" an tih nutrient a mamawh a. He iodine hi kan ei leh in atang hian kan hmu tlangpui a, a bik takin iodized salt atang hian kan hmu tlangpui.
Hetianga enkawlnaah hian taksaah iodine (damdawi lama Iodine-131 an tih) kan pe a, chutah chuan radioactive property bik kan dah a ni. Thyroid gland hian iodine hi a duh em em a. Chuvangin he special iodine hi direct-in a absorb a ni. Tichuan, chu iodine -a radioactivity avang chuan thyroid gland-a hyperactive cell emaw cancer cell emaw chauh chu thlan bik takin chhanchhuah leh tihchhiat a ni. Hei hian taksaa cell dangte chungah nghawng a nei vak lo. Hei hi capsule angin emaw, liquid angin emaw pek thin a ni.
Eng dinhmunte tan nge he enkawlna hi a tha ber?
He enkawlna hi damdawi lam thil pahnih tan hman a ni ber.
1. Thyroid natna (hyperthyroidism) a awm
A chang chuan thyroid gland pumpui hian hormone a siam tam lutuk thin. Hei hi ``Graves' disease'' an ti bawk. A nih loh leh gland hian nodules a nei thei a, overactive a ni thei bawk. Chutiang hunah chuan:
- Antithyroid damdawi hian hna a thawk lo emaw, i ei theih loh emaw chuan.
- I hriselna dinhmun a zirin operation (Thyroidectomy) neih hi a hlauhawm a nih chuan.
- Doctorin hei hi chhan dang vangin a remchang ber tih a rel a nih chuan.
Hetianga enkawl zawh hian i thyroid gland chu a chak lo reng dawn a, chuvangin i dam chhung zawng nitin thyroid hormone pills (Levothyroxine) i ei a ngai dawn a ni. A awlsam hle a, a manageable hle bawk.
2. Thyroid cancer chi thenkhat
He enkawlna hi thyroid cancer chi hrang hrang `Papillary` leh `Follicular` tih te tan chuan a hlawhtling hle.
- Operation hnua cancer cell te tak te la awm zawng zawng tihchhiat nan.
- Cancer chu lymph node emaw taksa peng dang emaw-ah a darh (metastasized) a nih chuan chu cell te chu tichhia rawh.
Pawimawh: He enkawlna hi thyroid cancer chi hrang hrang `Anaplastic` leh `Medullary` an tih te tan chuan a tha lo hle a, iodine an hip loh avangin.
He enkawlna hi a tha lo mi an awm em?
Ni e, mi thenkhat chu he enkawlna hi pek an ni lo.
- Nu naupai tan: Radioactive iodine hian nausen (placenta) a paltlang thei a, nausen pum chhunga naute a nghawng thei a ni.
- Nu hnute pe thinte tan.
- Thyroid mit natna na tak (Graves’ ophthalmopathy) nei tan.
- Thyroid hormone level sang tak nei (thyrotoxicosis na tak) nei tan.
- Luak emaw, luak chhuak emaw nei tan (a chhan chu damdawi hian taksa a chhuahsan thuai thei a ni).
Engtin nge enkawl hmain i inbuatsaih thin?
I doctor chuan hemi chungchang hi a chipchiar zawng zawng a hrilhfiah vek ang. Hetiang thil hi ti turin an hrilh tlangpui ang che:
- Thisen test: Thyroid hormone level enfiah thin.
- Damdawi ei khap: I thyroid control na tur damdawi, Propylthiouracil emaw Methimazole emaw i ei a nih chuan enkawl hma kar khat vel chu ei tawh loh turin an ti ang che.
- Low-iodine diet: Kar khat emaw kar hnih emaw chhung iodine tlem ei a tha. Hei hian iodized salt, seafood, leh dairy products ang chi thil ei tlem tihna a ni.
- TSH injection: A chang chuan, thyroid gland-in iodine a lakluh that theih nan thyroid stimulating hormone (TSH) injection pek theih a ni.
- Pregnancy test: Hei hian enkawl hmain i naupai lo tih a nemnghet ang.
Enkawl zawhah... fimkhur tur pawimawh ber berte!
Hei hi enkawlna hmuna i ngaihven ber tur a ni. Enkawlna i neih hnu ni engemaw zat chhung chu i taksa chuan radioactivity tlemte (a bik takin i zun, i thawmhnaw leh i hmuiah) a chhuah ang. Hei hian i tan a tichhe lo nain, midang tan a tha lo hle a, a bik takin hmeichhe naupai leh naupang tê tê tân a ṭha lo . Chuvang chuan Doctor thupek dik takin i zawm tur a ni.
| Thurawn zawm tur | Thil ngaihven bik tur |
|---|---|
| Midang laka inthiarfihlim | Ni hmasa berah chuan feet 3-6 inkar hlat tur a ni. Hmeichhe naupai leh naupang tête lakah inthiarfihlim ngei ang che. Room hran ah nangmah chauhin mu rawh. Ni 3-4 chhung chu intimate contact ang chi kissing leh sex hman loh tur. |
| Toilet hman dan tur | A theih chuan toilet hran hmang la. Zun laiin thu la (a luang chhuak lo turin). Vawi hnih flush fo thin ang che. |
| Mimal faina | Nitin inbual thin ang che. Sahbawn hmangin kut sil fo thin ang che. Tui tam tak in thin ang che. Hei hian radioactive material chu zun atanga chhuak rang turin a pui ang. |
| Thawmhnaw leh bungrua | I thawmhnaw, puan leh towel te chu a hranin sil la, midang ta nen ni lovin. I dish, cup leh cutlery te chu a hranin silfai ang che. Midangte hman phal suh. |
| Chaw buatsaih leh zin chhuah | Hun rei tak chhung midang kut inthlak leh ei tur buatsaih chu pumpelh tur a ni. Ni engemaw zat chu vantlang lirthei hman loh tur leh midang nena kea kal thui tak takte chu pumpelh tur a ni. |
Heng thupekte hi eng chen nge i zawm tur tih hi damdawi i dawn dan azirin a danglam ang. I doctor chuan hei hi chiang takin a hrilh ang che.
A side effect leh risk te chu engte nge ni?
Mi tam zawk chuan side effect lian tham an nei lo a, mahse mi thenkhat chuan hetiang hi an nei thei a:
- Hun rei lote chhunga nghawng tha lo awm thei:
- Kawngpui na leh a hring.
- Salivary glands a hring ( hmui hring ang maiin a lang thei).
- Kawng a vawt.
- Taste a inthlak danglam thin.
- Mit a vawt.
- Gastritis natna (Gastritis) a ni.
- Hun rei tak chhunga nghawng a neih (beisei dan):
- Enkawlna tum ber chu thyroid gland tihchak a nih avangin dam chhung zawnga thyroid hormone pills (Levothyroxine) hman a ngai a ni. Hei hi enkawlna hlawkna aiin side effect a ni zawk.
- Radioactive iodine (RAI) therapy hi thyroid natna enkawlna tha tak leh him tak a ni.
- ‘Radioactive’ tih thumal hi hlau suh. Hei hian targeted thyroid cells chauh a tichhe a ni.
- Damdawi inenkawl hnu ni engemaw zatah midangte venhimna atan doctor thupek uluk taka zawm a pawimawh hle.
- Vawi tam tak chu he enkawlna hnu hian i dam chhung zawng thyroid hormone pill i ei a ngai dawn a ni. A awlsam taka enkawl theih a ni.
- Hemi chungchangah hian zawhna, ngaihtuahna, hlauhna i neih chuan i doctor hnenah he thu hi sawi hreh ngai suh.
Chewing gum emaw toffee thlum tak phelh emaw ang chi thilte hian heng natna lanchhuahna atang hian a ti hahdam thei a ni.
Risk tlemte tak tak pawh a awm bawk. Mipa sperm count rei lo te chhunga tlahniam, hmeichhiaah thlasik hun mumal lo, cancer chi thenkhat (`Leukemia`, pum cancer) vei theihna tlemte chauh sawi ni mah se, hei hi a rinawm loh hle tih hre reng ang che
Thâwk harsatna i neih chuan damdawi in hnai ber Emergency Department (ETU)-ah kal nghal rawh.
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