Kurapa kweHypothyroidism mushure meRadioactive Iodine Inobatsira Kudzivirira Matambudziko Emaziso
Zvigumisiro zveMayo Clinic kudzidza veGeralves 'varwere vakagamuchira kurapwa kweradio iodine (RAI) vakaongororwa, kuti vaone njodzi dzinobatanidza nekufambiswa kweAraves' ophthalmopathy (GO) , inozivikanwa sehutachiona hwetachiona (TED) , kana utachiona orbitopathy inobatanidza (TAO).
Pakati pezviratidzo zvehutachiona zvehutano zvinotaridzirwa mune chidzidzo chaiva proptosis (kukura kweziso reziso), kuratidzwa kaviri, kujekesa kwemaonero, kudiwa kwekurapwa, uye kuongororwa kwevatano maziso avo uye maonero.
Chidzidzo chacho chakatarisa varwere vanosvika 195 - 80% vaiva vakadzi uye makore ekure aiva makumi mashanu.
Gore mushure meRAI kurapa, GO yakagadziridzwa kana yakava yakaipa mune 13% yevarwere.
Vatsvakurudzi vakawana kuti apo varwere vaiva hypothyroid (yakaenzana ne Free T4 uye kwete TSH) pakutanga kutevera-up mushure post-RAI - uye anenge hafu yevarwere vaiva-izvi zvakanyatsobatanidzwa mukukura kana kuipa kwe GO.
Iyo yakave yakareba pakati peRAI uye yekutanga kutevera, inowedzera dambudziko re hypothyroidism, uye GO.
Vatsvakurudzi vakapedzisa kuti hypothyroidism pakushamba kwekutanga-RAI inofanirwa kunyatsotarisa kana kuwedzera KUENDA. Vakarudzira kuti kudzivirira kliniki hypothyroidism uye njodzi yeENDA, varwere 'Free T4 mazinga vanofanira kuongororwa uye kugadziriswa kwete kwemavhiki masere pashure peRI.
Cherechedza Vatwere: Kana uchizoenda kurapwa iodine, rega kuti purogiramu yako ive musarudzo yekuzotevera pamwe nechiremba wako musati mavhiki masere mushure meRAI, uye unomiririra chiremba wako achiita Free T4 muedzo.
TSH inogona kuramba ichidzvinyirira mushure meRAI, uye haisi yakarurama yeji kana iwe wave wava hypothyroid uye warrant treatment.
Sources:
Hershman, Jerome. "Kutanga Kurapa kweHypothyroidism mushure meRadioiodine Therapy of Graves 'Zvirwere Zvinodzivisa Ophthalmopathy." Clinical Thyroidology , 2013; 25: 132-133
Stan MN, et. al. "Kirasi yekudzidza nezveaodacid-induced hypothyroidism: zvinokonzerwa neCheves 'ophthalmopathy uye nguva yakakodzera yehutachiona hwekuongorora hutoni." Thyroid . 2013; 23: 620-5. doi: 10.1089 / yako.2012.0258.