Tus Sau: Joan Hall
Hnub Kev Tsim: 1 Lub Ob Hli Ntuj 2021
Hloov Hnub: 24 Lub Kaum Ib Hli Ntuj 2024
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Radioiodine txoj kev kho siv cov xov tooj cua iodine kom ntsws los yog tua cov thyroid. Nws siv los kho qee cov kab mob ntawm cov thyroid caj pas.

Lub qog ua haujlwm lub caj pas yog lub ntsej muag npauj npaim uas nyob ntawm sab xub ntiag ntawm koj lub caj dab qis. Nws tsim cov tshuaj hormones uas pab koj lub cev tswj koj cov metabolism.

Koj cov thyroid xav tau iodine ua haujlwm zoo. Iodine los ntawm cov zaub mov koj noj. Tsis muaj lwm yam kabmob siv lossis nqus ntau cov iodine los ntawm koj cov ntshav. Kev siv iodine ntau nyob hauv koj lub cev tau ua tawm hauv cov zis.

Radioiodine yog siv rau kev kho mob ntawm cov mob qog sib txawv. Nws yog muab los ntawm cov kws kho mob tshwj xeeb hauv kev siv tshuaj nuclear. Ua raws li cov koob tshuaj ntawm lub xov tooj cua, koj yuav tsum tsis nyob hauv tsev kho mob rau txoj kev ua no, tab sis mus tsev ib hnub. Txog kev txhaj tshuaj ntau dua, koj yuav tsum tau nyob hauv ib chav tshwj xeeb hauv tsev kho mob thiab kuaj koj cov zis rau ntawm cov pa hluav taws xob iodine raug ntwm tawm.

  • Koj yuav nqos radioiodine nyob rau hauv daim ntawv ntawm cov tsiav tshuaj (ntsiav tshuaj) los yog kua.
  • Koj lub qog yuav nqus tau feem ntau ntawm cov radioactive iodine.
  • Pab pawg neeg kho mob nuclear yuav tuaj yeem soj ntsuam thaum lub sijhawm koj mus kho mob kom kuaj xyuas qhov chaw uas muaj iodine tau nqus.
  • Qhov hluav taws xob yuav tua cov thyroid caj pas thiab, yog tias txoj kev kho mob rau mob qog noj ntshav, cov qog nqaij hlav thyroid mob qog uas yuav tau mus ncig thiab nyob hauv lwm cov plab hnyuv siab raum.

Feem ntau lwm cov cell tsis txaus siab noj tshuaj iodine, yog li kev kho mob tau nyab xeeb heev. Cov koob tshuaj ntau heev tuaj yeem qee zaum txo qis dej qaub ncaug (nti) lossis ua rau mob rau txoj hnyuv lossis txha hlwb.


Radioiodine kho yog siv los kho hyperthyroidism thiab mob qog.

Hyperthyroidism tshwm sim thaum koj lub qog ua cov thyroid caj pas ntau dhau. Radioiodine kho cov mob no los ntawm kev tua cov qog ua haujlwm ntau tshaj lossis los ntawm kev ua rau lub qog ua cov thyroid caj pas. Qhov no nres qhov kev ua haujlwm ntawm cov thyroid caj pas los ntawm kev tsim cov thyroid hormones ntau dhau.

Pab neeg muab tshuaj nuclear yuav sim laij ib lub koob tshuaj uas yoojyim rau koj ua haujlwm nrog lub qog ua haujlwm thyroid. Tab sis, qhov kev xam no tsis yog tas li muaj tseeb. Yog li ntawd, txoj kev kho mob tuaj yeem ua rau hypothyroidism, uas yuav tsum tau kho nrog cov thyroid hormone ntxiv.

Kev siv tshuaj radioactive iodine kuj tseem siv rau hauv kev kho qee cov qog nqaij hlav cancer tom qab kev phais mob twb tau tshem tus mob qog thiab feem ntau ntawm cov thyroid. Lub thev naus laus zis iodine tua ib cov qog ntshav qog noj ntshav uas tseem tshuav uas yuav nyob tom qab phais tas. Koj tuaj yeem tau txais kev kho mob no 3 rau 6 lub lis piam tom qab kev phais kom tshem tawm cov thyroid. Nws kuj tuaj yeem tua cov kabmob kheesxaws uas yuav kis mus rau lwm qhov ntawm lub cev.


Ntau tus kws tshaj lij cov thyroid tam sim no ntseeg tias qhov kev kho no tau dhau mus rau qee cov neeg muaj mob qog mob qog vim tias tam sim no peb paub tias qee tus neeg muaj feem tsawg dua rau kev mob qog noj ntshav. Tham nrog koj tus kws kho mob txog cov kev pheej hmoo thiab txiaj ntsig ntawm qhov kev kho no rau koj.

Kev phom sij ntawm kev kho mob radioiodine suav nrog:

  • Muaj phev tsawg thiab ntxiv lawm tshob rau cov txiv neej txog li 2 xyoos tom qab kho (muaj tsawg)
  • Lub sijhawm tsis xwm yeem hauv cov poj niam txog li ib xyoos (tsawg)
  • Tsawg kawg los sis qog qis cov thyroid hormones txaus uas yuav tsum muaj tshuaj los hloov cov tshuaj hormones (ib txwm muaj)

Cov kev mob tshwm sim luv luv xws li:

  • Caj dab rhiab thiab o
  • O Cov qog salivary (qog hauv qab thiab sab nraud ntawm lub qhov ncauj uas ua kom muaj qaub ncaug)
  • Lub qhov ncauj qhuav
  • Mob ncauj plab
  • Saj pauv
  • Qhov muag qhuav

Cov poj niam yuav tsum tsis txhob cev xeeb tub lossis pub niam mis rau lub sijhawm kho, thiab lawv yuav tsum tsis txhob cev xeeb tub li 6 txog 12 hlis tom qab kev kho mob. Cov txiv neej yuav tsum zam qhov kev xeeb tub rau tsawg kawg 6 lub hlis tom qab kev kho mob.


Cov neeg muaj tus mob Graves tseem muaj kev pheej hmoo ntawm hyperthyroidism tom qab kev kho mob radioiodine. Cov tsos mob feem ntau nce siab txog 10 txog 14 hnub tom qab kho tas. Feem ntau cov tsos mob tuaj yeem tswj hwm nrog cov tshuaj hu ua beta blockers. Tsis tshua muaj tshuaj kho cov tshuaj iodine tsawg tuaj yeem ua rau mob hyperthyroidism hu ua thyroid cua daj cua dub.

Koj yuav muaj kev ntsuam xyuas los kuaj seb koj cov thyroid hormones txaus ua ntej kev kho.

Lawv yuav hais kom koj tsis txhob noj cov tshuaj thyroid hormones txaus ua ntej kev ua.

Koj yuav raug hais kom txwv txhua yam tshuaj thyroid-txhawb nqa cov tshuaj (propylthiouracil, methimazole) tsawg kawg ib lub lim tiam ua ntej kev kho mob (tseem ceeb heev lossis kev kho yuav tsis ua haujlwm).

Tej zaum koj yuav raug muab tso rau noj haus iodine tsawg rau 2 rau 3 lub lis piam ua ntej ntawm txoj kev. Koj yuav tsum zam:

  • Cov khoom noj uas muaj ntsev iodized
  • Khoom noj siv mis, qe
  • Nqaij ntses thiab seaweed
  • Cov khaub noom taum pauv los yog taum pauv
  • Cov khoom noj cov xim nrog xim liab

Koj tuaj yeem tau txais kev txhaj tshuaj ntawm cov thyroid-stimulating hormone kom nce kev noj haus ntawm iodine los ntawm cov thyroid hlwb.

Ua ntej cov txheej txheem thaum muab rau mob qog noj ntshav:

  • Koj tuaj yeem kuaj lub cev ntsuas seb puas muaj qee cov qog nqaij hlav cancer uas tseem yuav tsum tau raug rhuav tshem. Koj tus kws kho mob yuav muab tshuaj me me rau radioiodine kom koj nqos.
  • Koj tuaj yeem tau txais tshuaj rau kev tiv thaiv kom tsis txhob xeev siab thiab ntuav thaum ua cov txheej txheem.

Kev zom los sis ntxais rau ntawm cov qhob noom qab yuav pab tau lub qhov ncauj qhuav. Koj tus kws kho mob yuav qhia tsis looj tsom iav rau cov hnub los yog lub lis piam tom qab.

Tej zaum koj yuav tau kuaj lub cev mus kuaj seb puas muaj cov thyroid cancer ntxiv lawm tom qab txhaj tshuaj rau radioiodine.

Koj lub cev yuav hla cov iodine kua hluav taws xob hauv koj cov zis thiab qaub ncaug.

Txhawm rau tiv thaiv kom tsis txhob raug rau lwm tus tom qab kho, koj tus kws kho mob yuav hais kom koj zam qee yam haujlwm. Nug koj tus kws kho mob ntev npaum li cas koj yuav tsum zam ntawm cov haujlwm no - qee kis, nws yuav nyob ntawm lub koob tshuaj uas tau muab.

Txog li 3 hnub tom qab kho tas, koj yuav tsum:

  • Txwv koj lub sijhawm hauv tej chaw pej xeem
  • Tsis taug kev hauv lub dav hlau lossis siv cov tsheb thauj mus los hauv pej xeem (koj tuaj yeem tsim lub tshuab hluav taws xob nyob hauv tshav dav hlau lossis hauv chaw hla ciam teb tau ob peb hnub tom qab kho)
  • Haus dej kom ntau
  • Tsis npaj zaub mov rau lwm tus
  • Tsis txhob siv cov tais diav rau lwm tus
  • Zaum thaum tso zis thiab yaug lub qhov viv 2 mus rau 3 zaug tom qab siv tas

Txog li 5 los sis ntau hnub tom qab kho tas, koj yuav tsum:

  • Nyob nrug deb kawg 6 feet ntawm cov menyuam yaus thiab poj niam xeeb tub
  • Tsis rov qab ua haujlwm
  • Pw hauv ib lub txaj cais ntawm koj tus khub (ntev txog 11 hnub)

Koj yuav tsum tau pw hauv ib lub txaj cais los ntawm tus khub uas cev xeeb tub thiab los ntawm menyuam yaus lossis menyuam mos rau 6 rau 23 hnub, nyob ntawm seb cov koob tshuaj Radioiodine tau txhaj li cas.

Tej zaum koj yuav tau kuaj ntshav txhua 6 mus rau 12 hlis txhawm rau kuaj seb cov thyroid hormones txaus li cas. Koj kuj tseem xav tau lwmyam kev tshuaj xyuas ntxiv.

Yog tias koj lub qog ua tsis txaus siab tom qab kev kho mob feem ntau cov neeg yuav tsum tau noj cov thyroid hormone ntxiv tshuaj rau tas lawv lub neej. Qhov no hloov cov tshuaj hormones cov qog ib txwm ua.

Cov kev mob tshwm sim yog lub sij hawm luv luv thiab ploj mus raws li lub sijhawm dhau mus. Cov koob tshuaj siab muaj feem tsawg rau cov mob ntev ntev nrog rau kev puas tsuaj rau cov qog ua kua qaub thiab kev phom sij.

Kev siv tshuaj hluav taws xob; Hyperthyroidism - radioiodine; Mob qog noj ntshav - radioiodine; Papillary carcinoma - radioiodine; Cov nqaij hlav hauv hlwb - radioiodine; I-131 txoj kev kho

Mettler FA, Guiberteau MJ. Lub qog, mob hlwb, thiab cov qog ua kua. Hauv: Mettler FA, Guiberteau MJ, eds. Qhov tseem ceeb ntawm cov tshuaj Nuclear thiab Cov Kev Ntsuas Molecular. 7 tus ed. Philadelphia, PA: Elsevier; 2019: chap 4.

Lub koom haum Cancer National website. Kev kho mob qog noj ntshav (cov neeg laus) (PDQ) - Kev noj qab haus huv cov qauv. www.cancer.gov/types/thyroid/hp/thyroid-nyuj-pdq#link/_920. Hloov kho Lub Ob Hlis 22, 2021. Nkag mus rau Lub Peb Hlis 11, 2021.

Ross DS, Burch HB, Cooper DS, li al. 2016 American Thyroid Association cov lus qhia rau kev kuaj mob thiab kev tswj hwm ntawm hyperthyroidism thiab lwm yam ua rau thyrotoxicosis. Lub qog. 2016; 26 (10): 1343-1421. PMID: 27521067 www.ncbi.nlm.nih.gov/pubmed/27521067/.

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