Heino mamiriro acho ezvinhu: Wave uchangobva kuongororwa ane chirwere chetachiona, uye chiremba anotaura kuti achakunyorera mishonga, hurongwa hweRadioactive Iodine RAI), kana kukuendesa kune chiremba. Kana iwe uchibvunza kana pane zvimwe zvingasarudzwa kumushonga unorayirwa, chiremba anokukutorera. Chirevo ndechekuti chiremba arikuudza zvaunoda kuita uye hapana maitiro.
Mharidzo yakangwara? "Ndiani chiremba pano?" Dzimwe nguva, chiremba anotozvitaura. Ko chiremba wako anokuudza chokwadi pamusoro pemararamiro ako here?
Ndiyo mubvunzo wehutachiona hwevarwere vanoda kubvunza, nokuti vamwe vanachiremba, kusanganisira endocrinologists, kana vasingazivi zvekusarudza, vanozvimirira kune dzimwe nzira, kana kunzwa kuti varwere havafaniri kunge vaine chisarudzo.
Tarisa zvimwe zvezviitiko izvi, uye iva nechokwadi chokuti unoita basa rako rechikoro kuti uzive zvaunogona kuita!
Iwe uri Hypothyroid, uye Chiremba ari Kunyora Levothyroxine Drug
Kana iwe uri hypothyroid - une utachiona husingashandisi, kana utachiona hwave hwakabviswa chirwere, kana huchinyorwa mushure meRai - iwe uchagadzirirwa utachiona hwemishonga yemishonga .
Mitemo yemagariro echechi inoratidzira inoratidza kuti vanachiremba vanobata hypothyroidism nemaitiro eT4 hormone - inozivikanwa sev levothyroxine (kureva, Synthroid, Levoxyl, nezvimwewo) Zvaunofanira kuziva, zvakadaro, ndezvokuti kune zvimwe zvingasarudzwa, zvinosanganisira:
- Kuwedzerwa kwechirwere cheT3 - kana liothyronine (yakagadzirirwa T3) seCytomel, kana kuti nguva yakabudiswa T3 kubva mune pharmacy yakawedzerwa
- Zvisikwa zvakasvibiswa nehutachiona zvinodhaka, mishonga yemishonga yakagadzirwa kubva mucheka wakaoma wevenguru - inonziwo porcine thyroid. Zvikwereti zvinosanganisira Nature-Throid, Zvombo, uye WP Chituro.
Vamwe varwere vanoita zviri nani nekuwedzerwa kweT3 kana chimiro chakasikwa chechirwere chetachiona , uye apo vamwe vanachiremba vasinganzwisisi kugadzirisa utachiona hwepanyama , tsvakurudzo yakaratidza kuti utachiona hwepanyama hwakachengeteka uye hunobudirira se levothyroxine .
Une Marinda, kana kuti Hyperthyroid, uye Chiremba ari kukurudzira Radioactive Iodine (RAI) Pakarepo
Kana wakamboonekwa kuti une chirwere cheBraves kana hyperthyroidism , vamwe vanachiremba vachakuudza kuti ndiyo chete nzira yekurapa ndeyeRacactive Iodine ablation, inozivikanwa seRI.
Ablation ye thyroid gland neRadioactive Iodine (RAI) inenge nguva dzose inogara ichirapa iyo inoita kuti utachiona hwekotori hukwanise kubereka hormone yekemikari, uye inokusiya iwe hypothyroid kuti uwane hupenyu. Kunyange zvazvo RAI yakakosha pane dzimwe nguva, zvakakosha kuziva kuti pane zvimwe zvikonzero zvinokosha.
- Varwere vane chirwere chaHashimoto, chimiro chemoto, dzimwe nguva vane nguva yenguva pfupi ye hyperthyroidism, kunyange zvazvo utachiona hunowanzopera uye hunova hypothyroid pakupedzisira. Zvinosuruvarisa, ndakanzwa kubva kuvarwere vakawanda vakange vasina kuongororwa kwakakwana kuti vaone kana hyperthyroidism yavo yaiva "chikamu" chechirwere cheHashimoto, uye vakakurumidza kuenda kuRI zvisina kufanira. Iva nechokwadi chekuti chiremba wako akaita chirwere cheTroroid Peroxidase Antibodies (TPO), chirosi inokurudzira Immunoglobulins (TSI), uyewo kuedza kuedza , kusimbisa hyperthyroidism.
- Mune zvimwe zviitiko, zvinodhaka zveva antithyroid zvinogona kushandiswa kurapa hyperthyroidism, uye vamwe varwere vachawana kuregererwa kubva ku hyperthyroidism. Mune zvimwe zviitiko, vangave vakakwanisa kubva pamishonga yavo ye antithyroid, uye vanoramba vachiregererwa kubva ku hyperthyroidism.
- Kana iwe uri mukadzi wezera rokurera, haufaniri kutora pamuviri kusvikira gore rakatevera RAI. Kana iwe uchida kuva nepamuviri nokukurumidza, chirwere chetachiona chinogona kunge chakanaka .
- RAI inotakura dzimwe nguva dzenguva dzengozi dzekenza-induced-induced .
Iwe Une Chinhu Chisingagoneki kana Chisinganzwisisiki Chakanaka Chidimbu Chipfeko (FNA) Biopsy, uye Daktari Wako Anokurudzira Kuvhiya
Kana iwe uine chirwere chetachiona chinoshusha, vanachiremba vanowanzogadzira Chidimbu Chinodikanwa Chokunakidza (FNA) bhiopsy yemakumbo ako ehutachiona (s).
Kunyange zvazvo mamwe mazamu anozodzoka seanonyanya kuchena, uye chikamu chiduku chinokonzera kenza , mamwe majekesheni anonzi "indeterminate" kana "asina kufanira." Iyo hutachiona haisi pachena kanzira kana kuti yakajeka.
Mune mamiriro ezvinhu aya, vamwe vanachiremba vanokurumidza kurudzira chirwere cherosi, chinonzi thyroidectomy , kuti ubvise utachiona hweganda. Panguva iyoyo, kupfurikidza nekuongororwa kwepfungwa kunowanikwa kuti uone kana iwe une kenza yekenza. Zvinosuruvarisa, nhamba yakawanda yevarwere vane indeterminate nodules vanoenda pakuvhiyiwa kwerosi vakawana mushure mekuwedzera kumwe kuongorora kuti mazuru avo aive echokwadi. Panguva iyoyo, zvakadaro, havana chirwere chetrosi, uye vanogara nokusingaperi hypothyroid, uye vanoda kuve nehutachiona hupenyu huri hupenyu.
Vanachiremba vakawanda vasati vaziva chiitiko, chinonzi Veracyte Afirma Thyroid Analysis . Uyu muedzo unobvisa zvachose zvisingabvumirwi kana kuti zvisingagumi zvinoguma kubva kune FNA biopsies, uye zvinodzivirira chirwere chisina kudiwa cherosiyo.
Iwe Une Kanji Kanzira uye Dhigiri Akarayira Raodactivic Iodine Treatment
Apo murwere akawana kanza yekorosi, kurapwa kunowanzoita chirwere cherosi kubvisa gland. Muzviitiko zvakawanda, mushure mekuvhiyiwa, vanachiremba vanokurudzira varwere vanogamuchira RAI kublatisa zvimwe zvakasara zvehutachiona zvinogona kusara shure nekuvhiyiwa. Sezvakataurwa, RAI inotakura zvimwe zvinokonzerwa nekenza-induced-induced cancer.
Tsvakurudzo yemazuva ano inoratidza, zvisinei, kuti varwere vakawanda vane papillary thyroid microcarcinomas - maduku maduku epamapurisa yekenza yeproid - haabatsirwi neRAI.