Chiremba akakuudza here kuti thyroid gland yako inoshanda zvakanyanya (Hyperthyroidism)? Kana kuti akataura nezvegomarara re thyroid? Imwe nzira yekurapa inobudirira iyo vanachiremba vanokurudzira muzviitiko zvakadaro ndeye radioactive iodine therapy. Asi zvakajairika kuti titye zvishoma patinonzwa izwi rekuti "radioactive," handiti? Asi ichi hachisi chinhu chekutya. Uku kurapwa kwakachengeteka kunongonanga masero e thyroid chete. Saka ngatitaurei nezvese zvakajeka uye zviri nyore nhasi.
Zvichitaurwa zviri nyore, chii chinonzi radioactive iodine (RAI) treatment?
Gland re thyroid riri mumutsipa medu rinoda chikafu chinonzi "iodine" kuti rigadzire mahormone e thyroid. Tinowanzowana iodine iyi kubva muzvikafu zvatinodya, kunyanya munyu une iodine.
Mukurapa uku, tinopa muviri iodine (inonzi Iodine-131) yatakawedzera simba rayo reradioactive. Gland rethyroid rinoda iodine zvikuru. Saka, iyi iodine inonyudzwa zvakananga. Zvadaro, nekuda kweradioactive yeiyo iodine iyoyo , masero anoshanda zvakanyanya kana masero ekenza mugland rethyroid ndiwo anoponeswa uye anoparadzwa. Izvi hazvina simba guru pane mamwe masero mumuviri. Iyi inowanzopihwa sekapusule kana semvura.
Kurapwa uku kunokurudzirwa mumamiriro api ezvinhu?
Kurapa uku kunonyanya kushandiswa pazvirwere zviviri.
1. Hyperthyroidism
Dzimwe nguva gland rese re thyroid rinoburitsa mahormone akawandisa. Izvi zvinonziwo "chirwere cheGraves". Kana kuti gland rinogona kuita maronda uye kuita basa rakawandisa. Muzviitiko zvakadaro:
- Kana mishonga yekurwisa thyroid isingashande kana kuti usingakwanise kuinwa.
- Kana kuvhiyiwa (Thyroidectomy) kune njodzi zvichienderana nehutano hwako.
- Kana chiremba akasarudza kuti izvi ndizvo zvakakodzera nekuda kwezvimwe zvikonzero.
Mushure mekurapwa uku, thyroid gland yako ichagara isina simba zvachose, saka uchafanira kunwa mapiritsi e thyroid hormone (Levothyroxine) zuva rega rega kweupenyu hwako hwese. Zviri nyore uye zvinogoneka.
2. Mamwe marudzi egomarara rethyroid
Kurapa uku kunobudirira zvikuru pamhando dzegomarara re thyroid rinonzi `Papillary` ne`Follicular`.
- Kuparadza masero madiki egomarara asara mushure mekuvhiyiwa.
- Kana kenza yapararira (yakapararira) kusvika kuma lymph nodes kana kune dzimwe nhengo dzemuviri, paradza masero iwayo.
Zvakakosha: Kurapa uku hakushandi pamhando dzegomarara re thyroid rinonzi `Anaplastic` ne`Medullary`, sezvo dzisingatore iodine.
Pane vanhu vasina kukodzera kurapwa uku here?
Ehe, vamwe vanhu havapihwe mushonga uyu.
- Kune vanaamai vane pamuviri: Iyodini inorapwa nemwaranzi inogona kuyambuka placenta yokanganisa mwana ari mudumbu.
- Kune vanaamai vanoyamwisa.
- Kune avo vane chirwere chemaziso chakakomba chethyroid (Graves' ophthalmopathy).
- Kune vanhu vane mazinga akakwira zvakanyanya emahormone ethyroid (thyrotoxicosis yakanyanya).
- Kune avo vane kurutsa kana manyoka (nekuti mushonga unogona kubuda mumuviri nekukurumidza).
Unogadzirira sei usati warapwa?
Chiremba wako achakutsanangurira zvese nezveizvi pachine nguva. Kazhinji vanokuudza kuti uite zvinhu zvakaita seizvi:
- Kuongororwa kweropa: Tarisa huwandu hwemahormone ethyroid.
- Kurega mishonga: Kana uri kutora mishonga yekudzora thyroid yako, yakadai sePropylthiouracil kana Methimazole, uchakumbirwa kuti urege kuitora inenge vhiki imwe chete usati watanga kurapwa.
- Kudya kusina iodine yakawanda: Zvinokurudzirwa kudya kudya kusina iodine yakawanda kwevhiki imwe kana mbiri. Izvi zvinoreva kuderedza kudya zvinhu zvakaita semunyu une iodine yakawanda, hove, uye zvigadzirwa zvemukaka.
- Jekiseni reTSH: Dzimwe nguva, jekiseni rehormone inosimudzira thyroid (TSH) rinogona kupihwa kuti thyroid gland ikwanise kunwisa iodine zviri nani.
- Kuongororwa kwepamuviri: Izvi zvinosimbisa kuti hauna pamuviri usati warapwa.
Mushure mekurapwa ... zvinhu zvakakosha zvekungwarira!
Ichi ndicho chikamu chekurapa chaunofanira kunyatsoteerera. Kwemazuva mashoma mushure mekurapwa, muviri wako unoburitsa huwandu hushoma hwe radioactivity (kunyanya muweti yako, ziya, uye mate). Kunyangwe izvi zvisingakukuvadze, hazvina kunaka kune vamwe, kunyanya vakadzi vane pamuviri nevana vadiki . Saka, unofanira kutevedzera mirairo yachiremba nemazvo.
| Mazano ekutevera | Zvinhu zvekunyatsoteerera |
|---|---|
| Kugara kure nevamwe | Gara kure nemamita matatu kusvika matanhatu kwemazuva mashoma ekutanga. Ramba kure nevakadzi vane pamuviri nevana vadiki. Rara wega muimba yako wega. Dzivisa kusangana pabonde sekutsvodana uye kuita zvepabonde kwemazuva matatu kusvika mana. |
| Kushandisa chimbuzi | Kana zvichibvira, shandisa chimbuzi chakasiyana. Gara pasi paunenge uchiita weti (kudzivirira kudonha kwemvura). Gara uchigeza kaviri. |
| Hutsanana hwemunhu | Gezai zuva nezuva. Gezai maoko enyu nesipo nguva dzose. Inwai mvura yakawanda. Izvi zvinobatsira kuti zvinhu zvine mwaranzi zvibude nekukurumidza muweti. |
| Zvipfeko nezvinhu | Geza mbatya dzako, machira, nematauro zvakasiyana, kwete zvevamwe vanhu. Geza ndiro dzako, makapu, nemidziyo yekubikira zvakasiyana. Usarega vamwe vachizvishandisa. |
| Kugadzirira chikafu uye kufamba | Dzivisa kubata maoko nevamwe kwenguva yakareba uye kugadzirira chikafu. Dzivisa kushandisa zvifambiso zveveruzhinji uye kufamba-famba kwenguva refu nevamwe kwemazuva mashoma. |
Nguva yaunofanira kutevedzera mirairo iyi inosiyana zvichienderana nedoro remushonga wawakapihwa. Chiremba wako achakuudza izvi zvakajeka.
Ndezvipi migumisiro nenjodzi zvirimo?
Vanhu vazhinji havasangani nematambudziko makuru, asi vamwe vanogona kusangana nezvinhu zvakaita seizvi:
- Migumisiro yenguva pfupi:
- Kurwadziwa nekuzvimba mumutsipa.
- Kuzvimba kwemate (kunogona kuita sematama akazvimba).
- Muromo wakaoma.
- Kuchinja kwekuravira.
- Maziso akaoma.
- Gastritis.
- Mhedzisiro yenguva refu (inotarisirwa):
- Sezvo chinangwa chekurapa chiri chekudzima gland re thyroid, mapiritsi e thyroid hormone (Levothyroxine) anodiwa kweupenyu hwese. Izvi zvine mhedzisiro yakaipa pane kubatsira kwekurapa.
- Kurapa ne radioactive iodine (RAI) inzira inoshanda uye yakachengeteka yekurapa chirwere chethyroid.
- Usatya izwi rekuti 'radioactive'. Izvi zvinongokuvadza masero ethyroid anotarirwa.
- Zvakakosha zvikuru kutevedzera mirairo yachiremba nokungwarira kuti udzivirire vamwe mumazuva anotevera kurapwa.
- Kazhinji, mushure mekurapwa uku, uchafanira kunwa mapiritsi ehormone yethyroid kweupenyu hwako hwese. Zviri nyore kudzora.
- Kana muine mibvunzo, zvinokunetsai, kana kutya nezvenyaya iyi, musazeza kutaura nachiremba wenyu nezvazvo.
Zvinhu zvakaita sekutsenga chingamu kana kubvarura sweet toffee zvinogona kubatsira kubva pazviratidzo izvi.
Kunewo dzimwe njodzi dzisingawanzoitiki. Kunyangwe paine kutaurwa kwekuderera kwechinguva kwehuwandu hwembeu muvarume, kuenderera kwemwedzi kusingaenderane nezvinodiwa nevakadzi, uye njodzi diki yemamwe marudzi ekenza ('Leukemia', kenza yemudumbu), yeuka kuti izvi hazvigoneke .
Kana ukasangana nedambudziko rekufema, enda kuEmergency Department (ETU) yechipatara chiri pedyo nekukasika.
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