Kuchiza kwa Hypothyroidism pambuyo pa Iodine Yothandizira Mavitamini Akuthandizira Kuteteza Mavuto a Zoona
Zotsatira za kalasi ya Mayo Clinic ya odwala a Graves omwe adalandira chithandizo cha radioactive iodine (RAI) anayesedwa, kuti adziwe zomwe zimayambitsa chiopsezo cha mafupa a odwala (GO) , omwe amadziwikanso ngati matenda a chithokomiro (TED) , kapena chithokomiro mayendedwe othandizira (TAO).
Zina mwa zizindikiro za maso a chithokomiro zomwe zimagwiritsidwa ntchito mu phunziroli zinali zowonongeka (maso a maso), masomphenya awiri, kuwonekera kwa masomphenya, kusowa chithandizo, komanso momwe odwala amawonera maso ndi masomphenya awo.
Phunziroli linayang'ana odwala 195 - 80% anali amayi ndipo zaka zoposa 50 zinalipo.
Chaka chotsatira chithandizo cha RAI, kupita patsogolo kunayamba kuwonjezeka pafupifupi 13 peresenti ya odwala.
Ofufuzawa adapeza kuti pamene odwala anali hypothyroid (omwe amawerengedwa ndi Free T4 osati TSH) pa ulendo woyamba wotsatira-RAI - ndipo pafupifupi theka la odwala anali - izi zinkakhudzana kwambiri ndi chitukuko kapena kuwonjezeka kwa GO.
Kutalika pakati pa RAI ndi zotsatira zoyamba, kumakhala koopsa kwambiri kwa hypothyroidism, ndi kupita.
Ofufuzawo anaganiza kuti hypothyroidism pamayeso oyambirira-RAI ndiwongopangitsa kuti GO kapena yowonjezereka. Iwo analimbikitsa kuti kuti asatengere chithandizo cha hypothyroidism ndi chiopsezo chopita, ma odwala a Free T4 makamu ayenera kuyesedwa ndikukonzedwanso osapitirira masabata asanu ndi limodzi pambuyo pa RAI.
Dziwani kwa Odwala: Ngati mutenga chithandizo cha mankhwala a iodine, onetsetsani kuti pulogalamu yanu ikutsatirani ndi dokotala wanu osaposa masabata asanu ndi limodzi pambuyo pa RAI, ndikuumiriza dokotala wanu kuti ayese kuyesa T4.
TSH ikhoza kupitirizabe kudandaula pambuyo pa RAI, ndipo sichidziwikiratu ngati mwasanduka hypothyroid ndi mankhwala oyenera.
Zotsatira:
Hershman, Jerome. "Kuchedwa Kwambiri kwa Hypothyroidism Pambuyo pa Matenda Achipatala a Manda" Amateteza Opaleshoni. " Clinical Thyroidology , 2013; 25: 132-133
Stan MN, ndi. al. "Kuphunzira motsatizana pa ma radiodiacid-inflution hypothyroidism: zomwe zimapangitsa kuti mafupa a Graves 'asagwiritsidwe ntchito komanso nthawi yabwino yowunikira mahomoni." Chithokomiro . 2013; 23: 620-5. onetsetsani: 10.1089 / tsono.0258.