Nazi izi: Mwadzidzidzi mwapezeka ndi matenda a chithokomiro, ndipo dokotala akuti akulemberani mankhwala, ndondomeko ya mankhwala a Radioactive Iodine RAI), kapena akukutumizani kwa dokotala wa opaleshoni. Ngati mufunsapo ngati pali njira zina zomwe mungapangire mankhwala ovomerezeka, dokotala akukutsutsani. Cholinga chake n'chakuti dokotala akukuuzani zomwe muyenera kuchita ndipo palibe zosankha.
Uthenga wochenjera? "Kodi adokotala ndi ndani pano?" Nthawi zina, adokotala amatha kunena . Kodi dokotala wanu akukuuzani zoona za njira zanu zothandizira?
Ndi funso la odwala chithandizo cha chithokomiro ayenera kufunsa, chifukwa madokotala ena, kuphatikizapo otchedwa endocrinologists, mwina sakudziwa zomwe angasankhe, amakhala osakondera pazochita zina, kapena amamva kuti odwala sangakhale ndi chisankho.
Yang'anirani zina mwazimenezi, ndipo onetsetsani kuti mukuchita ntchito yanu ya kunyumba kuti mudziwe zomwe mungachite!
Ndiwe Hyphyothyroid, ndipo Dokotala akulemba Aleviothyroxine Drug
Ngati muli hypothyroid - muli ndi chithokomiro chosagwiritsidwa ntchito, kapena chithokomiro chomwe chachitidwa opaleshoni, kapena chosungunuka pambuyo pa RAI - mumayitanitsa mankhwala a chithokomiro m'malo mwake .
Malangizo ovomerezeka a zachipatala akuti madokotala amachiza hypothyroidism ndi mawonekedwe a hormone T4 - yotchedwa levothyroxine (ie, Synthroid, Levoxyl, ndi zina zotero). Komabe, zomwe muyenera kudziwa, ndizo zina zomwe mungachite, monga:
- Kuwonjezera kwa mankhwala a T3 - mwina liothyronine (yopanga T3) monga Cytomel, kapena T3 yomwe yatulutsidwa nthawi kuchokera ku mankhwala owonjezera
- Mankhwala osokoneza bongo, omwe ndi mankhwala osokoneza bongo, omwe amachokera ku ndowe zouma za nkhumba, zomwe zimatchedwanso chithokomiro cha porcine. Zina mwa zinthu monga Nature-Throid, Armor, ndi WP Chithokomiro.
Odwala ena amachira bwino powonjezeranso T3 kapena mankhwala ochizira athanzi , ndipo madokotala ena sakhala okonzeka kutulutsa chithokomiro chachilengedwe , kafukufuku wasonyeza kuti chithokomiro chachilengedwe chimakhala ngati lavothyroxine .
Muli ndi Manda, kapena ndi Hyperthyroid, ndipo Dokotala akulangiza Radioactive Iodine (RAI) Mwamsanga
Ngati mwapezeka kuti muli ndi matenda a Graves kapena hyperthyroidism , madokotala ena angakuuzeni kuti njira yokhayo yothandizira ndi mankhwala a Radioactive Ilation, omwe amadziwika kuti RAI.
Kuchokera kwa chithokomiro ndi ma Radioactive Iodine (RAI) nthawi zonse ndi mankhwala osatha omwe amachititsa kuti chithokomiro chikhale ndi mphamvu yotulutsa hormone ya chithokomiro, ndipo imasiya inu hypothyroid kuti mukhale ndi moyo. Ngakhale kuti RAI ndi yofunika nthawi zina, nkofunika kudziwa kuti pali mfundo zina zofunika.
- Odwala omwe ali ndi matenda a Hashimoto, omwe ali ndi vutoli, nthawi zina amakhala ndi nthawi yochepa ya hyperthyroidism, ngakhale kuti chithokomiro chimachepa ndipo chimakhala chimbudzi. Mwamwayi, ndamva kuchokera kwa odwala ambiri omwe analibe mayeso okwanira kuti awonetse ngati hyperthyroidism inali "gawo" la matenda a Hashimoto, ndipo anathamangira ku RAI mopanda pake. Onetsetsani kuti dokotala wanu wapanga mayeso a chithokomiro cha Peroxidase Antibodies (TPO), Chithokomiro Cholimbikitsa Kugonana kwa Immunoglobulins (TSI), komanso kuyesedwa koyambitsa matenda , kuti athe kukhazikitsa hyperthyroidism.
- Nthaŵi zina, mankhwala osokoneza bongo amatha kugwiritsidwa ntchito pochiza hyperthyroidism, ndipo odwala ena adzakhululukidwa ndi hyperthyroidism. Nthawi zina amatha kuchotsa mankhwala osokoneza bongo, ndikupitirizabe kukhululukidwa kwa hyperthyroidism.
- Ngati ndinu mkazi wobadwa msinkhu, musamachite mimba mpaka chaka chitatha RAI. Ngati mukufuna kutenga mimba mofulumira, opaleshoni ya chithokomiro ikhoza kukhala yabwino .
- RAI imakhala ndi zoopsa zowonjezereka za khansa yomwe imayambitsa matenda .
Muli ndi Chovala Chamtengo Wapatali Kapena Chosafunika Chokhazikika (FNA) Biopsy, ndipo Dokotala Wanu Akuvomereza Opaleshoni
Ngati muli ndi mitsempha ya chithokomiro, madokotala amachititsa kuti thupi lanu liziyenda bwino (FNA ).
Ngakhale kuti mitsempha ina idzabwereranso ngati yowonongeka, ndipo peresenti yaying'ono ndi khansa , zina zotsekemera zimatengedwa kuti "zodziwika" kapena "zosakwanira." Matendawa sali othetsa khansa kapena owonetsa bwino.
Zikatero, madokotala ena amalimbikitsa opaleshoni ya chithokomiro, yotchedwa thyroidectomy , kuchotsa chithokomiro. Panthawi imeneyi, kufufuza kwapadera kumapangidwira ngati muli ndi khansa ya chithokomiro. Mwamwayi, odwala ambiri omwe ali ndi mitsempha yopanda chithokomiro omwe amapita opaleshoni ya chithokomiro amapeza pambuyo pofufuzanso kuti mitsempha yawo inali yonyansa. Pa nthawiyi, alibe chithokomiro, ndipo ali ndi hypothyroid osatha, ndipo amafunika kukhala ndi mavitamini a chithokomiro m'malo mwa moyo.
Madokotala ambiri sakudziwa mayeso, otchedwa Veracyte Afirma Thyroid Analysis . Chiyesochi chimachotsa zotsatira zosavomerezeka kapena zowonjezereka kuchokera ku FNA biopsies, ndipo zimaletsa opaleshoni ya chithokomiro yosafunikira.
Muli ndi khansa ya chithokomiro ndipo Dokotala Wamulamula Kuchiza Mankhwala a Iodine
Wodwala atapezeka ndi khansa ya chithokomiro, mankhwala amachititsa opaleshoni ya chithokomiro kuchotsa ululu. Nthawi zambiri, atatha opaleshoni, madotolo amalimbikitsa odwala kulandira RAI kuti asungunule mankhwala otsala a chithokomiro otsala omwe angasiyidwe ndi opaleshoniyo. Monga taonera, RAI imakhala ndi zoopsa zokhudzana ndi khansa.
Kafukufuku waposachedwapa amasonyeza kuti odwala ambiri omwe ali ndi tizilombo toyambitsa matenda a chithokomiro - zochepa kwambiri za khansa ya chithokomiro ya papillry - sapindula ndi RAI.