Iodini yosawopsa kwambiri - mankhwala abwino a chithokomiro

Pochizira matenda a chithokomiro, ayodini ya radioactive ingagwiritsidwe ntchito. Izi ndizoopsa kwambiri, choncho njira yowonjezera m'thupi iyenera kuchitidwa pokhapokha kuyang'aniridwa ndi dokotala wodziwa bwino kwambiri.

Iodini yothandizira mavitamini - mankhwala a chithokomiro

Ndondomeko yogwiritsa ntchito isotope ili ndi ubwino wotsatira:

• palibe nthawi yobwezeretsa;
• pa khungu mulibe zipsera ndi zina zofooketsa;
• pamene ntchito yake ya anesthetics siigwiritsidwe ntchito.

Komabe, mankhwala ndi iodine ya radioactive ali ndi zovuta zake:

1. Kuwonjezeka kwa isotopu sikungokhala khungu la chithokomiro, komanso m'magulu ena a thupi, kuphatikizapo mazira ndi prostate. Pa chifukwa chimenechi, miyezi isanu ndi umodzi yotsatirayi, odwala ayenera kutetezedwa mosamala. Kuwonjezera pamenepo, kuyambika kwa isotopu kumapangitsa kuti mahomoni apangidwe, zomwe zingasokoneze kukula kwa mwana. Akazi a msinkhu wobereka adzabwezeretsa kubereka kwa mwana kwa zaka ziwiri.
2. Chifukwa cha kuchepa kwa mabala otsekedwa ndi kusintha kwa kayendetsedwe ka mankhwalawa, pangakhale kusokonezeka pakugwiritsidwa ntchito kwa machitidwewa.

Mavitamini (nthawi zambiri I-131) ayodini amalembedwa m'mabuku otsatirawa:

• mapuloteni a chithokomiro;
• chonchi;
• ntchito yochitidwa ndi chithokomiro;
• hyperthyroidism ;
• chowopsa ;
• chiopsezo cha zovuta zochitika pambuyo pake.

Kuchiza kwa thyrotoxicosis ndi ayodini ya radioactive

Mankhwala oterewa amapereka zotsatira zabwino. Kuchepetsa hyperthyroidism ndi ayodini ya radioactive inali yothandiza, mlingo wa galimoto ya I-131 yomwe imagwiritsidwa ndi matenda ayenera kukhala 30-40 g. Kuchuluka kwa isotopu kungaloŵe thupi panthawi imodzi kapena pagawo (magawo 2-3). Pambuyo pake, hypothyroidism ikhoza kuchitika. Pankhaniyi, odwala amalembedwa Levothyroxine.

Malingana ndi chiwerengero, omwe amapezeka ndi thyrotoxicosis , atalandira mankhwala ndi miyezi itatu mpaka 6-6, matendawa amatha. Odwala oterewa amapatsidwa mankhwala opatsirana mobwerezabwereza ndi ayodini ya radioactive. Kugwiritsira ntchito I-131 pa maphunziro opitirira atatu pa chithandizo cha thyrotoxicosis sikunatchulidwe. Nthawi zambiri, odwala omwe ali ndi mankhwala a iodine amachititsa zotsatira. Izi zikuwonetsedwa ndi kukana kwa thyrotoxicosis kwa isotope.

Kuchiza khansa ya chithokomiro ndi ma radiodiod ioizoni

Kuvomerezeka kwa isotope kumaperekedwa kwa odwala omwe atulukira kuti ali ndi matenda opatsirana chifukwa cha kuchitidwa opaleshoni. Kaŵirikaŵiri mankhwala oterewa amachitika pangozi yaikulu ya kubwereza khansa ya follicular kapena papillary. Kuchiza kwa chithokomiro ndi ayodini ya radioactive kumachitika pamaso pa zinyama zotsalira zomwe zimamwa ndi kudziunjikira I-131. Izi zisanachitike, kuwongolera kumachitika.

Mafuta a isotope amaperekedwa kwa odwala omwe ali mu mlingo uwu:

• ndi mankhwala - 3,7 GBq;
• Pa nthawi yomwe metastases inagunda zitsulo zam'mimba, - 5.55 GBq;
• ndi kuwonongeka kwa minofu ya mafupa kapena mapapo - 7.4 GBq.

Iodine yothandizira mavitamini atachotsedwa chithokomiro cha chithokomiro

I-131 imagwiritsidwa ntchito pozindikira metastases. Pambuyo pa miyezi 1-1,5 pambuyo pa opaleshoniyi, kugwilitsila ntchito pogwiritsa ntchito ayodini ya radioactive ikuchitidwa. Njira yodziwiritsira njirayi imatengedwa kuti ndi yothandiza kwambiri. Mafilimu ndi njira yodalirika yowonetsera maseŵera. Ngati zotsatirazo ndi zabwino, mankhwala odzola mavitamini otchedwa iodine arapy amalembedwa. Chithandizo choterechi ndicholinga chowononga zilonda.

Kukonzekera radioiodotherapy

Mkhalidwe wa wodwalayo pambuyo pa chithandizo makamaka umadalira kutsatira malamulo a dokotala. Osati gawo lomalizira pano laperekedwa momwe kukonzekera kwa ndondomekozo kunakhalira. Zimaphatikizapo kutsatira malamulo amenewa:

1. Onetsetsani kuti palibe mimba.
2. Ngati pali mwana, tanthawuzani kuti mudye chakudya chopangira.
3. Auzeni dokotala za mankhwala onse atengedwa. Masiku awiri asanayambe kumwa mankhwala a radioiodine ayenera kusiya kumwa.
4. Gwiritsani ntchito chakudya chapadera.
5. Musadwale mabala ndi kudula ndi ayodini.
6. N'koletsedwa kusamba m'madzi amchere ndi kuika mpweya wa m'nyanja. Mlungu umodzi isanafike kuti ndondomekoyi izisiyidwe ikuyenda pamphepete mwa nyanja.

Kuonjezerapo, masiku angapo chithandizo cha radioiodine chisanafike, dokotala adzayesa mayeso, zomwe zidzasonyeze kukula kwake kwa thupi la wodwala la 131. Pasanapite nthawi mankhwalawa asanatengedwe, m'pofunika kufotokoza TSH m'mawa. Ndiponso, maola asanu ndi limodzi musanayambe ndondomekoyi, muyenera kusiya kudya, ndi kumwa madzi - kwa maola awiri.

Kudya musanayambe iodine yowonongeka

Njira yotereyi imaperekedwa kwa milungu iwiri isanafike. Amatha patatha maola 24 kuchokera kuchipatala. Zakudya zosagwiritsa ntchito ma diydro musanayambe kulandira mankhwala ndi ayodini owonetseratu mavitamini akuphatikizapo kuletsa zakudya zoterozo:

• mazira ndi zakudya zomwe zili nazo;
• nsomba;
• nyemba, motley ndi nyemba;
• chokoleti ndi zinthu zomwe zilipo;
• tchizi, kirimu, ayisikilimu ndi mkaka wina;
• chakudya, pakukonzekera kwa mchere wothira madzi;
• mankhwala a soya.

Iodine yofiira - njirayi imachitidwa bwanji

Kulandirira I-131 kumachitika mwachindunji: wodwala amakoloza makapisozi mu gelatin shell yomwe ili ndi isotope. Mapiritsi amenewa ndi odetsedwa komanso osasangalatsa. Ayenera kumeza ndi kumwa magalasi awiri a madzi (madzi, soda ndi zakumwa zina sizilandiridwa). Simungathe kutafuna makapisozi awa! Nthaŵi zina, mankhwala a toxic goiter ndi ayodini amawotchi amapangidwa pogwiritsira ntchito mankhwala mu mawonekedwe a madzi. Atatha kumwa ayodini, wodwalayo ayenera kutsuka pakamwa pake. Pakatha ola limodzi, ndondomeko ndikudya ndi kumwa.

Kwa wodwalayo, ayodini ya radioactive ndi yopindulitsa kwambiri - imathandiza kuthana ndi matenda. Kwa alendo a wodwalayo ndi ena olankhulana nawo, isotopu ndi yoopsa kwambiri. Theka la moyo wa mankhwala awa ndi masiku 8. Komabe, ngakhale atachotsedwa kuchipatala kuti ateteze ena, wodwalayo akulimbikitsidwa:

1. Mlungu wina kuti muiwale za kupsompsonana ndi ubale wapamtima.
2. Kuwononga zinthu zomwe amagwiritsidwa ntchito kuchipatala (kapena kuziyika mu thumba la pulasitiki lakuda kwa masabata 6-8).
3. Kutetezedwa modalirika.
4. Zinthu zaukhondo ziyenera kukhala zosiyana ndi achibale ena.

Chithandizo ndi ma radiodiod ioizoni ya mankhwala a chithokomiro - zotsatira

Chifukwa cha umunthu wa thupi, mavuto angathe kuchitika pambuyo chithandizo. Zotsatira zamayendedwe zamadzimadzi pa thupi zimapanga zotsatirazi:

• zovuta kumeza;
• kutupa m'khosi;
• chisokonezo;
• chotupa pammero;
• ludzu lamphamvu;
• kupotoza kwa kuzindikira kakomedwe;
• kusanza.

Zotsatirapo za mankhwala ndi ayodini oyipa

Ngakhale njira iyi ya mankhwala imatetezedwa kuti ndi yotetezeka kwa wodwala, iye ali ndi mbali zonse za "ndondomeko". Kutsekemera ndi ayodini yotulutsa mavitamini omwe amachititsa mavitaminiwa kumayambitsa mavuto awa:

• masomphenya amatha;
• Matenda omwe alipo amayamba kuwonjezereka;
• iodine yotulutsa mavitamini imathandiza kulemera;
• Kupweteka kwa minofu ndi kutopa zikuwonetsedwa;
• ubwino wa magazi umasokonekera (zomwe zili m'mapulogalamu ndi leukocyte amachepa);
• pamapeto pa kuchepa kwa mahomoni, kuvutika maganizo ndi matenda ena amtundu akukula;
• mwa amuna, chiwerengero cha spermatozoa chocheperachepera chikucheperachepera (zochitika za infertility zinalembedwa);
• chiopsezo chotenga khansa ya m'magazi chikuwonjezeka.

Kodi ndibwino kuti iodine kapena opaleshoni iwonongeke?

Palibe yankho lachidziwitso, chifukwa mitu iliyonse ndiyekha. Dokotala yekha ndi amene angadziwe zomwe zingakhale zothandiza kwambiri kwa odwala - ayodini odwala kapena opaleshoni. Musanasankhe njira yothetsera matenda a chithokomiro, adzaganizira zinthu zosiyanasiyana: zaka za wodwalayo, kukhalapo kwa matenda aakulu, kukula kwa matenda ndi zina zotero. Adokotala amauza wodwalayo za zomwe zimasankhidwa ndikufotokozera zotsatira zake pambuyo pa ayodini ya radioactive.