Ingabe udokotela ukutshelile ukuthi indlala yakho yegilo isebenza ngokweqile (i-Hyperthyroidism)? Noma ingabe ukhulume ngomdlavuza wegilo? Ukwelashwa okuphumelelayo odokotela abakuncomayo ezimweni ezinjalo ukwelashwa nge-iodine enemisebe. Kodwa kuyinto evamile ngathi ukwesaba kancane uma sizwa igama elithi "imisebe," akunjalo? Kodwa empeleni lokhu akuyona into okufanele uyesabe. Lokhu ukwelashwa okuphephile kakhulu okuhlose ngqo amangqamuzana egilo kuphela. Ngakho ake sixoxe ngakho konke ngokucacile nangokulula namuhla.
Kalula nje, kuyini ukwelashwa nge-radioactive iodine (RAI)?
Indlala yegilo entanyeni yethu idinga isakhi esibizwa ngokuthi "i-iodine" ukuze senze ama-hormone egilo. Ngokuvamile sithola le iodine ekudleni esikudlayo, ikakhulukazi usawoti one-iodine.
Kulokhu kwelashwa, sinikeza umzimba i-iodine (ebizwa nge-Iodine-131) esenezele kuyo isici esikhethekile semisebe. I-thyroid gland iyithanda kakhulu i-iodine. Ngakho-ke, le iodine ekhethekile imuncwa ngqo. Ngemuva kwalokho, ngenxa yemisebe yaleyo iodine , amaseli asebenzayo kakhulu noma amaseli omdlavuza kuphela agcinwa futhi abhujiswe ngokukhetha. Lokhu akunawo umthelela omkhulu kwamanye amaseli emzimbeni. Lokhu kuvame ukunikezwa njenge-capsule noma njengoketshezi.
Kunconywa ziphi izimo lokhu kwelashwa?
Lokhu kwelashwa kusetshenziselwa kakhulu izimo ezimbili zezokwelapha.
1. I-Hyperthyroidism
Ngezinye izikhathi yonke indlala yegilo ikhiqiza ama-hormone amaningi kakhulu. Lokhu kubizwa nangokuthi "isifo se-Graves". Noma indlala ingaba namaqhubu bese isebenza ngokweqile. Ezimweni ezinjalo:
- Uma imithi yokulwa ne-thyroid ingasebenzi noma ungakwazi ukuyithatha.
- Uma ukuhlinzwa (i-Thyroidectomy) kuyingozi ngokusekelwe esimweni sakho sempilo.
- Uma udokotela enquma ukuthi lokhu kufaneleke kakhulu ngezinye izizathu.
Ngemva kwalokhu kwelashwa, indlala yakho yegilo izokhubazeka unomphela, ngakho kuzodingeka uphuze amaphilisi e-thyroid hormone (i-Levothyroxine) nsuku zonke impilo yakho yonke. Kulula kakhulu futhi kuyalawuleka.
2. Ezinye izinhlobo zomdlavuza we-thyroid
Lokhu kwelashwa kuphumelela kakhulu ezinhlotsheni zomdlavuza we-thyroid obizwa ngokuthi `i-Papillary` kanye ne-`Follicular`.
- Ukubhubhisa noma yimaphi amangqamuzana amancane omdlavuza asele ngemva kokuhlinzwa.
- Uma umdlavuza ususakazeke (ususakazeke) kuma-lymph node noma kwezinye izingxenye zomzimba, bhubhisa lawo maseli.
Okubalulekile: Lokhu kwelashwa akusebenzi ezinhlotsheni zomdlavuza we-thyroid ezibizwa ngokuthi i-'Anaplastic' kanye ne-'Medullary', njengoba zingamunci i-iodine.
Ingabe bakhona abantu abangafaneleki ngale ndlela yokwelapha?
Yebo, abanye abantu abanikezwa lolu hlobo lokwelashwa.
- Kwabomama abakhulelwe: I-iodine enomsebe ingadlula i-placenta bese ithinta umntwana osesiswini.
- Kwabomama abancelisayo.
- Kulabo abanesifo esibi kakhulu samehlo e-thyroid (i-Graves' ophthalmopathy).
- Kubantu abanamazinga aphezulu kakhulu e-hormone ye-thyroid (i-thyrotoxicosis enzima).
- Kulabo abahlanzayo noma abahudayo (ngoba umuthi ungaphuma emzimbeni ngokushesha kakhulu).
Uzilungiselela kanjani ngaphambi kokwelashwa?
Udokotela wakho uzochaza yonke imininingwane ngalokhu kusenesikhathi. Ngokuvamile bazokutshela ukuthi wenze izinto ezinjengalezi:
- Ukuhlolwa kwegazi: Hlola amazinga e-hormone ye-thyroid.
- Ukuyeka imithi: Uma uthatha imithi yokulawula i-thyroid yakho, njenge-Propylthiouracil noma i-Methimazole, uzocelwa ukuthi uyeke ukuyithatha cishe isonto ngaphambi kokwelashwa.
- Ukudla okune-iodine ephansi: Kunconywa ukudla ukudla okune-iodine ephansi isonto elilodwa noma amabili. Lokhu kusho ukunciphisa ukudla izinto ezifana nosawoti one-iodine, ukudla kwasolwandle, kanye nemikhiqizo yobisi.
- Umjovo we-TSH: Ngezinye izikhathi, umjovo we-thyroid stimulating hormone (TSH) unganikezwa ukusiza i-thyroid gland ukuthi imunce i-iodine kangcono.
- Ukuhlolwa kokukhulelwa: Lokhu kuzoqinisekisa ukuthi awukhulelwe ngaphambi kokwelashwa.
Ngemva kokwelashwa... izinto ezibaluleke kakhulu okufanele uziqaphele!
Lena yingxenye yokwelashwa okudingeka uyinake kakhulu. Ezinsukwini ezimbalwa ngemva kokwelashwa, umzimba wakho uzokhipha inani elincane lemisebe (ikakhulukazi emchameni wakho, ekujulukeni nasematheni). Nakuba lokhu kungalimazi kuwe, akukuhle kwabanye, ikakhulukazi kwabesifazane abakhulelwe nezingane ezincane . Ngakho-ke, kufanele ulandele imiyalelo kadokotela ngqo.
| Iseluleko okufanele usilandele | Izinto okufanele uzinake ngokukhethekile |
|---|---|
| Ukuhlala kude nabanye | Hlala ibanga elingamamitha angu-3-6 ezinsukwini ezimbalwa zokuqala. Hlala kude nabesifazane abakhulelwe nezingane ezincane. Lala wedwa ekamelweni elihlukile. Gwema ukuthintana okuseduze njengokuqabulana nocansi izinsuku ezingu-3-4. |
| Ukusetshenziswa kwendlu yangasese | Uma kungenzeka, sebenzisa indlu yangasese ehlukile. Hlala phansi uma uchama (ukugwema ukuchitheka). Hlanza njalo kabili. |
| Ukuhlanzeka komuntu siqu | Geza nsuku zonke. Geza izandla zakho ngensipho njalo. Phuza amanzi amaningi. Lokhu kuzosiza ukuthi izinto ezikhipha imisebe ziphume ngokushesha emchameni. |
| Izingubo nezimpahla | Geza izingubo zakho, amashidi, namathawula ngokwehlukana, hhayi ngezabanye abantu. Geza izitsha zakho, izinkomishi, kanye nezitsha ngokwehlukana. Ungavumeli abanye bakusebenzise. |
| Ukulungiselela ukudla nokuhamba | Gwema ukubambana ngezandla nabanye isikhathi eside nokulungisa ukudla. Gwema ukusebenzisa izinto zokuhamba zomphakathi nokuhamba ngezinyawo isikhathi eside nabanye izinsuku ezimbalwa. |
Isikhathi okufanele usilandele le miyalelo sizohluka kuye ngomthamo wemithi oyitholile. Udokotela wakho uzokutshela lokhu ngokucacile.
Yiziphi imiphumela emibi kanye nezingozi?
Iningi labantu alibi nemiphumela emibi emikhulu, kodwa abanye abantu bangase babhekane nezinto ezifana nalezi:
- Imiphumela emibi yesikhashana:
- Ubuhlungu nokuvuvukala endaweni yentamo.
- Ukuvuvukala kwezindlala zamathe (kungase kubukeke njengezihlathi ezivuvukile).
- Umlomo owomile.
- Izinguquko ekunambithekeni.
- Amehlo omile.
- I-Gastritis.
- Umphumela wesikhathi eside (okulindelekile):
- Njengoba umgomo wokwelashwa uwukuvala indlala yegilo, kudingeka amaphilisi e-thyroid hormone impilo yonke (i-Levothyroxine). Lokhu kuwumphumela omubi kakhulu kunenzuzo yokwelashwa.
- Ukwelashwa nge-radioactive iodine (RAI) kuyindlela yokwelapha ephumelela kakhulu futhi ephephile yesifo se-thyroid.
- Ungesabi igama elithi 'radioactive'. Lokhu kulimaza kuphela amangqamuzana e-thyroid aqondiwe.
- Kubaluleke kakhulu ukulandela imiyalelo kadokotela ngokucophelela ukuze uvikele abanye ezinsukwini ezilandelayo zokwelashwa.
- Ngokuvamile, ngemva kwalokhu kwelashwa, kuzodingeka uphuze amaphilisi e-thyroid hormone impilo yakho yonke. Kulula ukuwaphatha.
- Uma unemibuzo, ukukhathazeka, noma ukwesaba ngalokhu, ungalokothi unqikaze ukukhuluma nodokotela wakho ngakho.
Izinto ezinjengokuhlafuna ushungamu noma ukudabula i-sweet toffee zinganikeza impumuzo kulezi zimpawu.
Kukhona nezingozi ezingavamile kakhulu. Nakuba kukhulunywa ngokwehla kwesikhashana kwenani lesidoda kwabesilisa, imijikelezo yokuya esikhathini engajwayelekile kwabesifazane, kanye nengozi encane kakhulu yezinhlobo ezithile zomdlavuza (`i-Leukemia', umdlavuza wesisu), khumbula ukuthi lokhu akunakwenzeka .
Uma ubhekene nobunzima bokuphefumula, hamba ngokushesha eMnyangweni Wezimo Eziphuthumayo (ETU) wesibhedlela esiseduze.
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