I kī atu te tākuta ki a koe he nui rawa te mahi a tō repe tairoiti (hyperthyroidism)? I kōrero rānei ia mō te mate pukupuku tairoiti? Ko tētahi maimoatanga angitu e taunakihia ana e ngā tākuta i roto i ēnei āhuatanga ko te rongoā iodine radioactive. Engari he mea noa kia mataku tātou ina rongo tātou i te kupu "radiative", tika? Engari ehara tēnei i te mea hei wehi. He maimoatanga tino haumaru tēnei e aro ana ki ngā pūtau tairoiti anake. Nō reira, me kōrero tātou mō ngā mea katoa i tēnei rā, kia mārama, kia māmā hoki.
He aha te tikanga o te maimoatanga o te iodine radioactive (RAI)?
Me whai matūkai te repe tairoiti i roto i tō tātou kaki e kīia nei ko te "iodine" hei hanga i ngā homoni tairoiti. Ko te tikanga ka whiwhi tātou i tēnei iodine mai i ngā kai e kainga ana e tātou, inā koa ko te tote iodized.
I roto i tēnei maimoatanga, ka hoatu e mātou ki te tinana te iodine (e kiia ana ko te Iodine-131 i roto i te rongoā) kua tāpirihia he āhuatanga irahiko motuhake. He tino pai ki te repe tairoiti te iodine. Nō reira, ka mimiti tika tēnei iodine motuhake. Kātahi, nā te irahiko o taua iodine , ko ngā pūtau kaha rawa, ko ngā pūtau matepukupuku rānei i roto i te repe tairoiti ka tiakina me te whakangaromia. Kāore he pānga nui o tēnei ki ētahi atu pūtau o te tinana. I te nuinga o te wā ka hoatuhia tēnei hei kāpū, hei wai rānei.
Mō ēhea āhuatanga ka tūtohutia tēnei maimoatanga?
E rua ngā āhuatanga hauora e whakamahia ana i tēnei maimoatanga.
1. Te mate taiaki toto nui
I ētahi wā ka nui rawa te homoni e whakaputaina ana e te repe tairoiti katoa. Ka kiia hoki tēnei ko te "mate a Graves". Tērā pea ka puta he pona i te repe, ā, ka nui rawa te mahi. I roto i ēnei āhuatanga:
- Mena kāore e mahi ngā rongoā antithyroid, kāore rānei e taea e koe te tango.
- Mena he mea mōrearea te pokanga (Thyroidectomy) i runga i tō āhua hauora.
- Mena ka whakatau te tākuta koinei te mea tino tika mō ētahi atu take.
I muri i tēnei maimoatanga, ka kore e mahi tika tō repe tairoi mō ake tonu atu, nō reira me tango e koe ngā pire homoni tairoi (Levothyroxine) i ia rā, mō te toenga o tō oranga. He tino māmā noa iho, ā, he ngāwari hoki te whakahaere.
2. Ētahi momo matepukupuku tairoi
He tino angitu tēnei maimoatanga mō ngā momo matepukupuku tairoi e kiia nei ko te 'Papillary' me te 'Follicular'.
- Hei whakangaro i ngā pūtau matepukupuku iti e toe ana i muri i te pokanga.
- Mena kua horapa te mate pukupuku (kua horapa ki ngā kōpū lymph, ki ētahi atu wāhanga rānei o te tinana, whakangaromia aua pūtau.
He mea nui: Kāore tēnei maimoatanga e whai hua mō ngā momo matepukupuku tairoi e kiia nei ko te 'Anaplastic' me te 'Medullary', nā te mea kāore e mimiti i te iodine.
He hunga kāore e tika ana tēnei maimoatanga mō rātou?
Āe, kāore ētahi tāngata e tukuna ana tēnei maimoatanga.
- Mō ngā whaea hapū: Ka taea e te iodine irahiko te whiti i te whenua whānau me te pā ki te pēpi i roto i te kōpū.
- Mō ngā whaea e whāngai ana i te u.
- Mō te hunga he mate kino tō te kanohi tairoi (Graves' ophthalmopathy).
- Mō te hunga he nui rawa ngā taumata o te homoni tairoi (thyrotoxicosis kino).
- Mō te hunga e ruaki ana, e korere ana rānei (nā te mea ka tere rawa te puta atu o te rongoā i te tinana).
Me pēhea te whakarite i mua i te maimoatanga?
Mā tō tākuta koe e whakamārama i ngā kōrero katoa mō tēnei i mua i te wā. Ko te tikanga, ka kī atu rātou kia pēnei koe:
- Ngā whakamātautau toto: Tirohia ngā taumata o ngā homoni tairoi.
- Te whakamutu i te rongoā: Mena kei te tango koe i ngā rongoā hei whakahaere i tō tairoi, pērā i te Propylthiouracil, te Methimazole rānei, me mutu te tango i aua rongoā i te wiki i mua i te maimoatanga.
- Kai iti-iodine: He mea pai kia kai i te kai iti-iodine mō te kotahi, e rua rānei wiki. Ko te tikanga me whakaiti i ngā kai pēnei i te tote iodized, ngā kai moana, me ngā hua miraka.
- Werohanga TSH: I ētahi wā, ka hoatu pea he werohanga homoni whakaoho tairoi (TSH) hei āwhina i te repe tairoi kia pai ake te mimiti i te iodine.
- Whakamātautau hapūtanga: Mā tēnei ka whakaū kāore koe e hapū i mua i te maimoatanga.
I muri i te maimoatanga... ko ngā mea tino nui hei tūpato!
Koinei te wāhanga o te maimoatanga me aro nui koe ki tēnā. Mō ētahi rā i muri i te maimoatanga, ka tukuna e tō tinana he iti noa te kaha o te irahiko (ina koa i roto i tō mimi, tō werawera, me tō huware). Ahakoa kāore tēnei e kino ki a koe, kāore e pai mō ētahi atu, ina koa ko ngā wāhine hapu me ngā tamariki nohinohi . Nō reira, me whai koe i ngā tohutohu a te tākuta.
| Ngā tohutohu hei whai | Ngā mea hei aro nui atu |
|---|---|
| Te noho tawhiti atu i ētahi atu | Kia mau te tawhiti o te 3-6 putu mō ngā rā tuatahi. Kia tino matara atu i ngā wāhine hāpu me ngā tamariki nohinohi. Moe ko koe anake i roto i tētahi rūma motuhake. Āta karohia ngā whakapā tata pērā i te kihi me te moe tāne mō ngā rā 3-4. |
| Te whakamahinga o te wharepaku | Ki te taea, whakamahia he wharepaku motuhake. Nohoia ina mimi (kia kore ai e maringi). Horoia kia rua ngā wā. |
| Te akuaku whaiaro | Kaukau i ia rā. Horoia ō ringaringa ki te hopi i ngā wā katoa. Inuhia he nui te wai. Mā tēnei ka tere te puta o ngā matū irahiko i roto i te mimi. |
| Ngā kākahu me ngā taonga | Horoia ō kākahu, ō whāriki me ō tauera kia motuhake, kaua e horoia ki ō ētahi atu. Horoia ō rihi, kapu me ō taputapu kai kia motuhake. Kaua e tukua kia whakamahia e ētahi atu. |
| Te whakarite kai me te haereere | Kaua e pupuri ringa ki ētahi atu mō te wā roa, me te taka kai hoki. Kaua e whakamahi i ngā waka a te iwi, kaua hoki e hikoi roa me ētahi atu mō ētahi rā. |
Ka rerekē te roa o te wā e tika ana kia whai koe i ēnei tohutohu i runga i te horopeta o te rongoā i riro i a koe. Mā tō tākuta tēnei e whakamārama mārama atu ki a koe.
He aha ngā pānga taha me ngā mōrearea?
Ko te nuinga o te tangata kāore e pāngia e ngā pānga taha nui, engari ko ētahi ka pāngia pea e ēnei āhuatanga:
- Ngā pānga taha mō te wā poto:
- Te mamae me te pupuhi i te rohe kaki.
- Te pupuhi o ngā repe huware (tērā pea he rite ki ngā paparinga pupuhi).
- Waha maroke.
- Ngā panonitanga o te reka.
- Ngā kanohi maroke.
- Te mate puku.
- Pānga mō te wā roa (e tumanakohia ana):
- I te mea ko te whāinga matua o te maimoatanga he whakakore i te mahi a te repe tairoi, me tango tonu ngā pire homoni tairoi (Levothyroxine) mō te wā roa. He pānga taha nui atu tēnei, ehara i te painga o te maimoatanga.
- He tino whai hua, he tino haumaru hoki te rongoā iodine radioactive (RAI) mō te mate tairoi.
- Kaua e wehi i te kupu 'radiation'. Ka pā kino noa iho tēnei ki ngā pūtau tairoi kua tohua.
- He mea tino nui kia ata whai i ngā tohutohu a te tākuta hei tiaki i ētahi atu i ngā rā i muri i te maimoatanga.
- I muri i tēnei maimoatanga, me tango e koe ngā pire homoni tairoi mō te toenga o tō oranga. He ngāwari noa iho te whakahaere.
- Mena he pātai, he āwangawanga, he wehi rānei āu mō tēnei mea, kaua e mangere ki te kōrero ki tō tākuta .
Ka taea e ngā mea pēnei i te ngaungau kapia, te haehae rānei i te tōfi reka te whakaora i ēnei tohumate.
Tērā anō hoki ētahi mōrearea tino onge. Ahakoa e whakahuatia ana te hekenga wā poto o te maha o ngā parāoa i roto i ngā tāne, te huringa paheketanga koretake i roto i ngā wāhine, me te iti rawa o te mōrearea o ētahi momo mate pukupuku ('Leukemia', mate pukupuku puku), kia maumahara he iti rawa te tūponotanga o tēnei .
Ki te pāngia koe e te uaua ki te manawa, haere tonu ki te Tari Ohotata (ETU) o te hōhipera tata.
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