Chimwe chezviitiro zvekuita kurapa varwere vane kenza yekemikari ndeye-mushure mekuvhima kubviswa kwetachiona, uye pane dzimwe nguva inonzi radioactive iodine (RAI) -kupa huwandu hwehutachiona hwemishonga yemishonga inoshandiswa iyo inoderedza utachiona hunokurudzira hormone (TSH) . Chaizvoizvo, varwere vanopiwa mishonga yakakura yemishonga (inozivikanwa se supra-physiologic doses) kuitira kuti iite pasi, zvisingatarisirwi TSH mazinga.
Kuchengeta varwere pamitambo inofungidzirwa kuti iri mumutambo we hyperthyroid kunogona kudzivirira kudzokorora kwekenza yekemikari.
Imwe ongororo yekutsvakurudza iyo yakataurwa mu 2017 Cancer Survivorship Symposium inopesana nemutemo uyu wekuita nekusimbisa uchapupu hwokuti kune nguva refu yenguva dzengozi dzinobatanidza nemutambo uyu.
Hyperthyroidism isingaiti nekuda kwemishonga inenge yakatozivikanwa panjodzi inokonzerwa neutrial fibrillation uye ischemic stroke. Inobatanidzwawo nekurwadziwa kweAngina nekurwadziwa kwemoyo kune varwere vane hutano hwemwoyo.
Muchidzidzo ichi, vatsvakurudzi vakayera mafungiro emwoyo ye hyperthyroidism nekuda kwekuderedza kwemaidhi ye levothyroxine , iyo yakagadziriswa ye thyroxine (T4) hormone, mune vanopfuura 182 000 varwere vane kenza yekemikari. Vakaona kuti kuderedza zvinokonzera levothyroxine kunowedzera njodzi yehutano hwemoyo uye chirwere cheschemic muvanorwara chekenza yekenza.
Kunyanya, vakawana:
- Mushure memukenza wekenza, paive nekuwedzera kwechirwere chepfungwa uye chirwere
- Dambudziko racho raive rakanyanya kune varwere vakanga vagamuchira chirojekiti
- Dambudziko racho raive rakanyanya kune avo vanotora dhigirii yakakura ye levothyroxine (uye ndiani aiva nechezasi yeTSH level)
- Paiva nenjodzi yakakwirira yekurapa fyria, iyo yakabatanidzwa nepamusoro yeevothyroxine
Maererano nevatsvakurudzi, chikamu chiduku chekudzivirira chirwere chakakonzerwa nekuwedzera kwehuwandu hwehutachiona hwehutachiona. Panzvimbo pezvo, hyperthyroidism yekukwanisa kukonzera kukwirira kweropa kwepamusoro uye kuchinja mumoyo unoshanda-pakati pezvimwe zvinhu-zvaiva mhosva.
Chimwe chidzidzo cha2013 chakacherechedza chirwere chemwoyo chinokonzerwa nevarwere vakange vakasiyana nekenza yekenza. Chidzidzo chacho chakawana kuti 19 muzana yevarwere vakafa nekuda kwezvinetso zvemwoyo-kusanganisira moyo wepfungwa, kurwadziwa, mimba dzesumbu dzine aortic aneurysms, uye zviratidzo zvepummoni-zvichienzaniswa ne7,4 muzana avo vakafa nekenza yekameti pachayo. Dambudziko rekufa kubva pamurwere wepfungwa rakabatana neTSH mazinga: Dzasi pasi TSH, iyo inowedzera ngozi.
Migumisiro yeChroid Cancer Patients
Izvi zvinowanikwa zvakakosha kune varwere vekenza yehutachiona , zvikurukuru kana uri kutarisana ne- thyroidectomy yako yose , kana uri-kana kuti chiremba wako ari kukurudzira-kuderedza doses ye levothyroxine mushure mekuvhiyiwa.
Chokutanga, kubva pakutsvakurudza kwakaratidza dambudziko guru rinobatanidzwa nehutachiona hwehutachiona, iwe unofanirwa kukurukura kana utachiona hwehutachiwana hunokosha sechikamu chako chekurapa kenza yekroid. Kutsvakurudzwa kwemazuva ano kwakaratidza kuti chirwere chinonzi lobectomy chinobvisa chete ganda rimwe chete rerotori - ndiyo chirongwa chinoshandiswa pakuvhiya chirwere chetachiona chepilya , iyo inowanzojairika yekenza yekameti.
Chechipiri, nyanzvi dzakawanda dzinofunga kuti hapana kubatsirwa nekutyisa kweTSH kuderedza. Aya mazano anobva kuAmerica Thyroid Association uye European Thyroid Association anopa TSH kudzvinyirira chete apo murwere "ane hutachiona kana kuti ane chirwere chinopisa zvikuru chave chichirapwa nekuvhiyiwa uye iodine inotyisa." Maererano nemapoka maviri aya:
Inenge 85% yevarwere inogona kuratidzirwa isina ruswere mushure mekutanga kurapwa kwechirwere nekuongorora murwere 'serum thyroglobulin mazinga uye kuita mutsipa ultrasonography. Apo murwere anonzwa kuti haana rusununguko pachikonzero ichi, mazano eATA uye ETA anoratidza kuti kuchengetedza ropa TSH muzasi yakashata.
Cherechedza kuti pasinei nemitemo uye mazano, vanachiremba vakawanda vanongoramba vachiita utachiona hwehutachiona hwetachiona hwehutachiona hwose, uye vanorayira zvinokonzera kushungurudza zvirwere kune vose vanorwara nekenza yekenza.
Chechitatu, tiri kuonawo kuwedzerwa kwekuwedzera mumitengo yekenza yehutachiona kuongororwa. Nepo dzimwe nyanzvi dzinofunga kuti kune kuwedzera chaiyo mune chiitiko chekenza yehutano, iyi inharo yakakakavadzana, sevamwe vanofunga kuti kuwedzera kwehuwandu kuri kunyanya kunokonzerwa nehuwandu hwehutachiona hwe "zvinokonzerwa" nehanzvadzi yekenza yeukonzera. Nemhaka yekuwedzerwa kwekushandiswa kwekufungidzira, kuwanda kwevaduku, kenza, asi kunonoka-kukura "kunowanzoitika" hutachiona hwehutachiona hunoonekwa. Pane gakava pamusoro pekuti zvipembenene izvi zvinopa kutarisa, panzvimbo pekurwisa kenza ine utsinye yatinoziva iye zvino inogona kuwedzera mungozi yemwoyo.
Pakupedzisira, kana iwe une nhoroondo yekenza yekodhi, iwe unofanirwa kuva nechokwadi chokuti chiremba wako periodically anoongorora uye anoongorora moyo wako wehutano.
> Sources:
> Klein Hesselink EN, Klein Hesselink MS, naBock GH, et al. Yenguva refu yepfungwa yekufa kwevhupenyu kune varwere vane kusiyana kwetachiona carcinoma: chidzidzo chekucherechedza. J Clin Oncol. 2013; 31 (32): 4046-4053. doi: 10.1200 / JCO.2013.49.1043.
> Shin DW, Suh B, Yoon JM, et al. Ngozi yechironary heart disease uye ischemic stroke muvarwere vekenza yeutachiona vachitora levothyroxine. J Clin Oncol. 2017; 35 (suppl 5S; abstr 105).
> "Thyroid Stimulating Hormone (TSH) Kudzingwa". http://thyca.org/pap-fol/more/tsh-suppression/