Kodi dokotala anakuuzani kuti chithokomiro chanu chimagwira ntchito mopitirira muyeso (Hyperthyroidism)? Kapena analankhula za khansa ya chithokomiro? Chithandizo chimodzi chopambana chomwe madokotala amalimbikitsa pazochitika zotere ndi chithandizo cha ayodini cha radioactive. Koma sizachilendo kuti tizichita mantha pang'ono tikamva mawu oti "radioactive," sichoncho? Koma ichi sichoyenera kuopa. Ichi ndi chithandizo chotetezeka kwambiri chomwe chimayang'ana makamaka maselo a chithokomiro okha. Choncho tiyeni tikambirane za chilichonse momveka bwino komanso mosavuta lero.
Mwachidule, kodi chithandizo cha ayodini ya radioactive (RAI) n'chiyani?
Chithokomiro chomwe chili m'khosi mwathu chimafunikira michere yotchedwa "ayodini" kuti ipange mahomoni a chithokomiro. Nthawi zambiri timapeza ayodini iyi kuchokera muzakudya zomwe timadya, makamaka mchere wokhala ndi ayodini.
Mu chithandizochi, timapatsa thupi ayodini (yomwe imatchedwa Iodine-131) yomwe tawonjezerapo mphamvu yapadera ya radioactive. Chithokomiro chimakonda ayodini kwambiri. Chifukwa chake, ayodini yapaderayi imayamwa mwachindunji. Kenako, chifukwa cha radioactive ya ayodiniyo , maselo okhawo omwe amagwira ntchito mopitirira muyeso kapena maselo a khansa mu chithokomiro ndi omwe amasungidwa ndikuwonongedwa. Izi sizikhudza kwambiri maselo ena m'thupi. Izi nthawi zambiri zimaperekedwa ngati kapisozi kapena ngati madzi.
Kodi chithandizochi chimalimbikitsidwa pazochitika ziti?
Chithandizochi chimagwiritsidwa ntchito makamaka pa matenda awiri.
1. Hyperthyroidism
Nthawi zina chithokomiro chonse chimatulutsa mahomoni ambiri. Izi zimatchedwanso "Matenda a Graves". Kapena chithokomirocho chikhoza kukhala ndi timibulu ndikuyamba kugwira ntchito mopitirira muyeso. Zikatero:
- Ngati mankhwala oletsa chithokomiro sakugwira ntchito kapena simungathe kuwamwa.
- Ngati opaleshoni (Chithokomiro) ndi yoopsa kutengera thanzi lanu.
- Ngati dokotala asankha kuti izi ndi zoyenera kwambiri pazifukwa zina.
Pambuyo pa chithandizochi, chithokomiro chanu chidzalephera kugwira ntchito kwamuyaya, kotero muyenera kumwa mapiritsi a mahomoni a chithokomiro (Levothyroxine) tsiku lililonse kwa moyo wanu wonse. Ndi yosavuta komanso yotheka kuisamalira.
2. Mitundu ina ya khansa ya chithokomiro
Chithandizochi ndi chothandiza kwambiri pa mitundu ya khansa ya chithokomiro yotchedwa `Papillary` ndi `Follicular`.
- Kuwononga maselo ang'onoang'ono a khansa otsala pambuyo pa opaleshoni.
- Ngati khansa yafalikira (yafalikira) ku ma lymph nodes kapena ziwalo zina za thupi, wonongani maselo amenewo.
Chofunika: Mankhwalawa sagwira ntchito pa mitundu ya khansa ya chithokomiro yotchedwa `Anaplastic` ndi `Medullary` chifukwa sayamwa ayodini.
Kodi pali anthu omwe chithandizochi sichili choyenera kwa iwo?
Inde, anthu ena sapatsidwa chithandizochi.
- Kwa amayi apakati: Ayodini wothandiza pakhungu amatha kudutsa mu placenta ndikukhudza mwana m'mimba.
- Kwa amayi oyamwitsa.
- Kwa iwo omwe ali ndi matenda aakulu a maso a chithokomiro (Graves' ophthalmopathy).
- Kwa anthu omwe ali ndi kuchuluka kwakukulu kwa mahomoni a chithokomiro (thyrotoxicosis).
- Kwa iwo omwe akusanza kapena kutsegula m'mimba (chifukwa mankhwalawo amatha kutuluka m'thupi mwachangu kwambiri).
Kodi mumakonzekera bwanji musanalandire chithandizo?
Dokotala wanu adzakufotokozerani zonse zokhudza izi pasadakhale. Nthawi zambiri amakuuzani kuti muchite zinthu ngati izi:
- Kuyezetsa magazi: Kuyeza kuchuluka kwa mahomoni a chithokomiro.
- Kusiya mankhwala: Ngati mukumwa mankhwala oletsa chithokomiro chanu, monga Propylthiouracil kapena Methimazole, mudzapemphedwa kuti musiye kumwa mankhwalawa pafupifupi sabata imodzi musanalandire chithandizo.
- Zakudya zopanda ayodini wambiri: Ndikoyenera kudya zakudya zopanda ayodini wambiri kwa sabata imodzi kapena ziwiri. Izi zikutanthauza kuchepetsa kudya zinthu monga mchere wokhala ndi ayodini, nsomba zam'madzi, ndi zinthu zopangidwa ndi mkaka.
- Jakisoni wa TSH: Nthawi zina, jakisoni wa hormone yolimbikitsa chithokomiro (TSH) ungaperekedwe kuti chithokomiro chizimwa ayodini bwino.
- Kuyezetsa mimba: Izi zitsimikizira kuti simuli ndi pakati musanalandire chithandizo.
Pambuyo pa chithandizo ... zinthu zofunika kwambiri kusamala nazo!
Iyi ndi gawo la chithandizo chomwe muyenera kusamala kwambiri. Kwa masiku angapo mutalandira chithandizo, thupi lanu lidzatulutsa mphamvu yochepa ya radioactive (makamaka mu mkodzo wanu, thukuta, ndi malovu). Ngakhale izi sizikuvulazani, sizothandiza kwa ena, makamaka amayi apakati ndi ana aang'ono . Chifukwa chake, muyenera kutsatira malangizo a dokotala molondola.
| Malangizo otsatira | Zinthu zofunika kuziganizira kwambiri |
|---|---|
| Kupewa anthu ena | Khalani mtunda wa mamita atatu mpaka asanu kwa masiku oyamba. Musamavutike ndi amayi apakati ndi ana aang'ono. Gonani nokha m'chipinda china. Pewani kukhudzana monga kupsompsonana ndi kugonana kwa masiku atatu mpaka anayi. |
| Kugwiritsa ntchito chimbudzi | Ngati n'kotheka, gwiritsani ntchito chimbudzi china. Khalani pansi mukamakodza (kuti mupewe kutaya madzi). Nthawi zonse muzitsuka kawiri. |
| Ukhondo wa munthu | Sambani tsiku lililonse. Sambani m'manja mwanu ndi sopo nthawi zonse. Imwani madzi ambiri. Izi zithandiza kuti zinthu zotulutsa ma radiation zituluke mwachangu mu mkodzo. |
| Zovala ndi katundu | Tsukani zovala zanu, mapepala anu, ndi matawulo anu padera, osati ndi za ena. Tsukani mbale zanu, makapu anu, ndi ziwiya zanu padera. Musalole ena kuzigwiritsa ntchito. |
| Kukonzekera chakudya ndi maulendo | Pewani kugwirana manja ndi ena kwa nthawi yayitali komanso kukonza chakudya. Pewani kugwiritsa ntchito mayendedwe apagulu komanso kuyenda mtunda wautali ndi ena kwa masiku angapo. |
Nthawi yomwe muyenera kutsatira malangizowa imasiyana malinga ndi mlingo wa mankhwala omwe mwalandira. Dokotala wanu adzakuuzani momveka bwino.
Kodi zotsatirapo zake ndi zoopsa zake ndi ziti?
Anthu ambiri sakumana ndi zotsatirapo zoyipa, koma ena angakumane ndi zinthu monga:
- Zotsatirapo za kanthawi kochepa:
- Ululu ndi kutupa m'khosi.
- Kutupa kwa malovu (kungawoneke ngati masaya otupa).
- Pakamwa pouma.
- Kusintha kwa kukoma.
- Maso ouma.
- Matenda a m'mimba.
- Zotsatira za nthawi yayitali (zomwe zikuyembekezeredwa):
- Popeza cholinga cha chithandizochi ndi kuletsa chithokomiro kugwira ntchito, mapiritsi a mahomoni a chithokomiro (Levothyroxine) amafunika nthawi zonse. Izi ndi zotsatirapo zoyipa kuposa phindu la chithandizocho.
- Chithandizo cha ayodini wogwiritsa ntchito radioactive (RAI) ndi njira yothandiza kwambiri komanso yotetezeka yochizira matenda a chithokomiro.
- Musaope mawu oti 'radioactive'. Izi zimangowononga maselo a chithokomiro omwe akufunidwa.
- Ndikofunikira kwambiri kutsatira malangizo a dokotala mosamala kuti muteteze ena masiku otsatira chithandizo.
- Kawirikawiri, mukatha kulandira chithandizochi, muyenera kumwa mapiritsi a mahomoni a chithokomiro kwa moyo wanu wonse. Ndi kosavuta kuwathetsa.
- Ngati muli ndi mafunso, nkhawa, kapena mantha okhudza izi, musazengereze kulankhula ndi dokotala wanu za izi.
Zinthu monga kutafuna chingamu kapena kung'amba sweet toffee zingathandize kuchepetsa zizindikirozi.
Palinso zoopsa zina zomwe sizichitika kawirikawiri. Ngakhale kuti pali kutchulidwa kwa kuchepa kwakanthawi kwa umuna mwa amuna, kusakhazikika kwa msambo mwa akazi, komanso chiopsezo chochepa cha mitundu ina ya khansa (`Leukemia`, khansa ya m'mimba), kumbukirani kuti izi sizingatheke .
Ngati mukukumana ndi vuto lililonse lopuma, pitani ku Dipatimenti Yothandiza Pangozi (ETU) ya chipatala chapafupi nthawi yomweyo.
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