Unyango iodine eMoscow. hyperthyroidism nge impatho iodine

eziphilayo Bad, uxinezeleko, kunye nezinye iimeko ezinzima kukukhokelela sisifo ndlala. Luyanda ichitha umzimba. Hyperthyroidism iza ngeendlela ezininzi, kuquka 'izifo, okwabizwa ngokuba akuMazwe' akuMazwe isifo kunye nesifo Graves '. Ngamanye amaxesha kufikwa kunye nomhlaza lengqula. Tshabalalisa yene wesinye inyama yaye yenzelwe ukuba iodine.

abanale

Thyrotoxicosis, hyperthyroidism, nto leyo ngeendlela ezahlukeneyo. Ezi ziquka goiter ehlasela kwaye nodular ityhefu, isifo Plummer kaThixo, Hashimoto kunye nezinye izifo. Ngezi zifo zokujongana ngempumelelo unyango nge-ayodini radioactive (eliphethwe e Moscow, umzekelo, kwamanye TSNIIRRI kunye neekliniki). Zisebenzisane olu nyango ndlela zomhlaza ezininzi kunye nezinye nangezilonda le ndlala, kuquka lymphoma kunye thyroiditis Hashimoto kaThixo.

Isichasi hyperthyroidism na hypothyroidism, engaquki ingxaki enkulu kunye neziyobisi alungiswe. izifo olusa phambili nobubovu lengqula, maxa wambi ukuswela okanye ukungahlaliseki kwamadlala parathyroid, ngamanye hypoparathyroidism kunye hyperparathyroidism. Ukusilela kunyangwa ngamayeza, kodwa ukungahlaliseki kufuna uqhaqho.

Unyango lwe hyperthyroidism kunye nomhlaza

Uninzi lwezi zifo ngempumelelo kususa unyango iodine. EMoscow wenza olu hlobo unyango. Kakade ke, kuqala otyunjwe unyango endala, umzekelo, kukho adenoma ityhefu okanye kuyenye goiter ezinetyhefu ngamayeza. Ukukulingana azifane kune-40%, yaye ngokufuthi phantse isiqingatha. Ukuba olu nyango engazisi iziphumo, okanye ndiphinde ndazisebenzisa, umxube engcono kungaba ukuqeshwa unyango usebenzisa ayodini radioactive I 131. Uyakwazi ukusebenzisa imitha, kodwa kwandisa umngcipheko umhlaza yesinye, kwaye iodine akuyongozi.

Umhlaza ke ngoko nangoko isusiwe. Kodwa ke kule meko unyango iodine radioactive e Moscow, kwakunye ehlabathini lonke, igcinwe njengoko indlela eyongezelelweyo unyango. Kubalulekile ukugcina ngendlela ngexesha emva kwedlala kwaye wenze unyango ngokutsho protocol, ngoko ke umngcipheko Ukudlulela kungakuncinane.

Kutheni i operation?

Ngamanye amaxesha unyango enye ye hyperthyroidism yi uqhaqho. Kakade ke, lo msebenzi luhlale lugcwele basengozini enkulu, singasathethi ke yokuba kukuqulungana kwi eluswini - ayikho into yobuhle kakhulu. Sam zomzimba, umngcipheko ukopha, ithuba umonakalo luvo nezolo laryngeal - zonke izinto ababezithethile ukusebenza ngakwicala kakuhle, kodwa unyango radioiodine olusebenzayo. Kakade ke, kwezinye iimeko ngaphandle amanyathelo likaxakeka nje ayikwazi ukukwenza, njengoko kunjalo nge somhlaza.

Ngo kwendlela yotyando badla wagcina isiziba somchako ukuthintela hypothyroidism. Nangona kunjalo, le ndlela igcwele sisifo wabuyela kuzo. Thyroid autoantibodies emnandi aphinde ahlasela iintsalela le ndlala, ezikhokelela ingasetyenziswa kwithuba elilkunyeelayo lokuba esi sifo. Ngoko ke ukhetha ukufumana isiphumo ngokupheleleyo zonyango kunokuba okwethutyana. Ewe, kwaye radioactive indleko yonyango ayodini kwamkelekile ngakumbi.

umkhuba World

iintlobo mnene esi sifo ukhetha kunyangwa ngamayeza. Kwakhona nale ndlela ukuqala xa iingxaki kwenzeka abafikisayo nabantwana. Ngamanye amaxesha kubhetele ukuba enze ekunyangeni hyperthyroidism kunye iodine. Amalungiselelo unalo uhlobo njengezingxobo okanye isisombululo zolwelo.

Hi ndlela leyi, eYurophu, ngokuqhelekileyo oogqirha nentembelo ngakumbi ngayo iziyobisi ezahlukeneyo antithyroid ngaphezu unyango kunye iodine. Kodwa US, kukhethwa banikwe unyango radioiodine kuba yimpumelelo. Kakade ke, xa kuyimfuneko bangenele inkqubo yesiqhelo, kodwa emva kokuba onke, ukuthatha amayeza nayo ifuna ixesha ekuphulukwene ngakumbi.

Igalelo lokuqala radioisotopes iodine olwenziwa ngowe-1941 eUnited States. A ndlela iye yasetyenziswa sele ngokubanzi kusetyenziswa amayeza ukususela ngowe-1960. Kule ixesha elidlulileyo babeqinisekile ukuba luncedo kwayo, ukuthembeka kunye nokhuseleko. Ewe, kwaye unyango lwe ixabiso ayodini radioactive baba ifikeleleke ngakumbi. Kwezinye iikliniki eMelika naseYurophu unyango ngeedosi ezincinane ayodini sele sithethayo qho kwesibhedlele. Kwakhona ukuba kubekho ulawulo ezinjalo, kodwa kuphela ukuba amathamo kwi uluhlu 10.4 mCi msebenzi. nemigangatho yamazwe ngamazwe thile ezahlukeneyo, bavulelele ukuba nempembelelo enkulu, ochaphazela kakuhle kunyango.

Isiseko le ndlela

Xa usebenzisa izinto ezineeathom ezilinganayo amayeza I 123 kwaye 131. Le yokuqala ukuxilonga, ekubeni lungenasiphumo cytotoxic. Kodwa Isotope yesibini ukuvumela nje unyango. Ikhala ß- kunye ɣ-amasuntswana. ss-radiation inika isiphumo ekhulisa, eyendawo emzimbeni ndlala. ɣ-radiation kwenza kube lula ukulawula idosi kunye nokusasazwa ichiza. Thyroid oluhlala radioisotope esebenzayo ye-ayodini 131, kwaye, yena, ichaphazela lengqula izihlunu, nto leyo unyango thyrotoxicosis.

Ukhuseleko kwezinye iithishu ngenxa yokuba i ndlala lengqula ubophelela izinto ezineeathom ezilinganayo ayodini yaye etsala ukuba ngokwalo. Ukongeza, yayo-nesiqingatha ubomi - iintsuku-8 kuphela. Iinkqubo isisu kunye wokuchama capture, njengoko umthetho, ubuncinane Isotope ngaphandle kunene imida yokwakha. Isiphumo cytotoxic yenzelwe utshabalalisa thyrocytes kuphela, nto leyo ekhokelela ukuba ukuncipha umthamo lengqula kunye lenguqu ukuya hypothyroidism ngaphandle uqhaqho.

Hypothyroidism, ke, lilungiswa ngamayeza. Prescribers L-thyroxine, nto leyo reimburses i iihomoni eziyimfuneko kwimeko eqhelekileyo eziveliswa le ndlala lengqula. Le hormone zokwenziwa, nangona, kodwa phantse kwafana iqala. Ulawulo phezu kwinqanaba emzimbeni, ngaphandle kwamathandabuzo, kuyimfuneko, ngamanye amaxesha kuyimfuneko ukutshintsha idosi, kodwa ezinye izigulane kubuyela ebomini obuqhelekileyo.

Injongo unyango

Ngoku nkqu Iingcali zethu oyikholelwayo ukuba kufuneka kubekho unyango iodine single radioactive eMoscow okanye ezinye izixeko ukuze zikhule hypothyroidism. Treatment kunye amathamo ephantsi kunciphisa kuphela iimpawu, isusa ingxaki okwexeshana nje kuphela, kuba akukho nje yimpumelelo nokuphelisa epheleleyo. Esithathwa ibalwa ukuba isigulane ngamnye. Le rate ixhomekeke umthamo endlaleni, ubungqongqo sifo, isigaba yayo, kukufakwa test routine kunye scintigraphy.

Okokuqala comorbidities uphando elikhankanyiweyo, ubalo zenziwa. Ngamanye amaxesha isigqibo kwenziwa ukwenza lonke ulawulo ichiza zibini ukuze kufikelelwe isiphumo ezinqwenelekayo. Kodwa ke kukho iimeko apho uqhaqho yoxwebhu ingaphezulu kokuthandayo.

Kwakhona ubaphatha umhlaza kunye iodine radioactive, kodwa njengoko Inqanaba lesibini unyango. Iidosi liphezulu, ezijolise ukuphelisa ingozi yophuhliso Ukudlulela. Kuxhomekeke kubungakanani kweziyobisi ukuya ubuzaza ityala kunye nokwanda kwe nkqubo. Ambulatory le nkqubo singàphunyezwa, wakhetha ukuba ashiye isigulane iintsuku ezimbini okanye ezintathu esibhedlele.

Imiphumo beziyobisi

Kufuneka ube ukulungele oko kuya kwenzeka emva kokuba unyango kunye iodine. Imihla ezilandelayo ezimbalwa ukuthatha eli amayeza, iodine radioactive kwahlukana emzimbeni ngamathe kunye nomchamo. Ezi mpawu ingahlala ixesha ezahlukeneyo kwexesha, ngokuxhomekeka kubudala kunye idosi emiselweyo. Ngelo xesha linye inkqubo nokususwa ulutsha kwandiswa xa kuthelekiswa imeko abadala.

State of lezempilo phantse akukho isiphumo. abanye abantu sensitive abaye unenzondelelo unyango nge-ayodini radioactive kuphela, shiya ukubuyekeza isicaphucaphu ngeli thuba. Kusenokwenzeka ukuba umlomo owomileyo, okanye intlungu entanyeni nomqala. Qaphela ukukhathala zinyukile yaye incasa sisinyithi emlonyeni. Ngamanye amaxesha oko kuchaphazela kukuvela kwesisu okanye ukurhuda.

Izithintelo emva konyango

Nakuba kunjalo, kukho iqela iintsilelo, ezo imiyalelo amanyathelo. Ngoko ke, ixesha elithile kuya kufuneka ukuba ukunxibelelana nabanye abantu bakuphephe ukuze irradiate kubo. Umntu uya kulala, abantu abaqalayo kunye ukuzanga bangayeki, ukuphepha izinto ukwabelana yaye bawulandele ngqo amanyathelo ezinjalo. Xa oku sinako ukubona inani lwemimiselo kwi yokuziphatha nomonde.

izincomo key

Iziguli unyango nge-ayodini radioactive, uhlolo ukuqinisekisa oku, kufuneka ibe lixesha ukuhlawula ingqalelo ngakumbi lwezempilo. Ngoko ke, ugungxule indlu yangasese ngcono kabini, uhlambe izandla zakho emva kotyelelo kwakhe kufuneka silumke ingakumbi amaninzi ngamanzi nesepha. Baya kufuneka kwezinye izinto, iitawuli, nelinen ukhuko, apho kungekho enye ukusetyenziswa angeke. Ngokwendalo, nelinen kunye nempahla kufuneka iyahlanjisiswa ngokwahlukeneyo izinto nezalamane. Akukho mfuneko yokuba ukupheka ukutya indlu.

Kangcono ngaphezu inkunkuma eqokelelwe emgqomeni eyahlukileyo, uze unike ukuya ku ri ku ziko (ukuba kubonelelwe). Kungenjalo, udoti abaqhelekileyo uyakwazi angayigibisela emva kweentsuku-8. Izinto akufuneki ukuba ahlambe kunye izinto zabanye abantu, kungcono ahlambe ngesandla ngaphandle njengesicocisi. amacwecwe ezilahlwayo namacephe ibekwa zonke nazo kweso singxobo sinye udoti eyahlukileyo.