Radioiodine far

Radioiodine far yayi amfani da iodine na rediyo don rage ko kashe ƙwayoyin thyroid. Ana amfani dashi don magance wasu cututtuka na glandar thyroid.

Glandar thyroid shine glandan-malam-buɗe-shaƙen fata wanda yake a gaban ƙananan wuyanka. Yana samar da hormones wanda ke taimakawa jikinka don daidaita aikin ku.

Thyroid dinka yana bukatar iodine don yayi aiki yadda yakamata. Wannan iodine yana zuwa ne daga abincin da kuke ci. Babu sauran gabobin da suke amfani ko shan isidin mai yawa daga jininka. Iodine mai yawa a jikinka ana fitar da shi daga fitsari.

Ana amfani da radioiodine don maganin yanayi daban daban na thyroid. Ana ba da shi daga ƙwararrun likitoci a likitan nukiliya. Dogaro da sashin rediyo, ba lallai ne ku tsaya a asibiti ba don wannan aikin, amma ku tafi gida rana ɗaya. Don ƙarin allurai, kuna buƙatar zama a ɗaki na musamman a cikin asibiti kuma a kula da fitsarinku don fitar da iodine mai tasirin iska.

• Za ku haɗiye radioiodine a cikin ƙwayoyin capsules (kwayoyi) ko ruwa.
• Gwanin ka zai sha yawancin iodine na rediyo.
• Medicineungiyar likitan nukiliya na iya yin sikanin a yayin jinyarku don bincika inda iodine ya sha.
• Radiyon zai kashe glandar thyroid kuma, idan maganin na maganin kansa ne, duk wani kwayar cutar kansa wanda zai iya tafiya ya zauna a wasu gabobin.

Yawancin sauran ƙwayoyin ba su da sha'awar shan iodine, don haka maganin yana da lafiya. Dogaro masu yawa na iya rage samar da yau (tofa) ko cutar da ciwon hanji ko ƙashi.

Ana amfani da maganin Radioiodine don magance hyperthyroidism da cutar sankara ta thyroid.

Hyperthyroidism yana faruwa a yayin da glandar ka ta ke haifar da hormones na thyroid. Radioiodine yana magance wannan yanayin ta hanyar kashe ƙwayoyin thyroid ko kuma ta hanyar ƙara girman glandar. Wannan yana dakatar da glandar thyroid daga samar da yawan maganin ka.

Medicineungiyar likitan nukiliya za su yi ƙoƙari su ƙididdige adadin da zai bar ku da aikin aikin ku na yau da kullun. Amma, wannan lissafin ba koyaushe yake zama cikakke ba. A sakamakon haka, jiyya na iya haifar da hypothyroidism, wanda ake buƙatar bi da shi tare da ƙarin haɓakar hormone.

Hakanan ana amfani da maganin iodine na rediyoakadi don magance wasu cututtukan thyroid bayan aikin tiyata ya riga ya cire kansar da mafi yawan thyroid. Iodine mai tasirin rediyo na kashe duk wani kwayar cutar kansa wanda zai rage bayan tiyata. Kuna iya karɓar wannan maganin makonni 3 zuwa 6 bayan tiyata don cire maganin ka. Hakanan yana iya kashe ƙwayoyin kansa wanda watakila ya bazu zuwa sauran sassan jiki.

Yawancin masana masana thyroid yanzu sun yi imanin cewa wannan maganin an yi amfani da shi fiye da kima a cikin wasu mutane da ke fama da cutar sankara saboda yanzu mun san cewa wasu mutane suna da kasada kaɗan na sake kamuwa da cutar kansa. Yi magana da mai ba ka sabis game da haɗari da fa'idodin wannan maganin a gare ku.

Hadarin maganin radioiodine ya hada da:

• Countididdigar ƙananan maniyyi da rashin haihuwa a cikin maza har zuwa shekaru 2 bayan jiyya (ba safai ba)
• Lokaci mara kyau na mata har zuwa shekara guda (ba safai ba)
• Lowananan ƙananan ko ƙananan matakan hormone na thyroid wanda ke buƙatar magani don maye gurbin hormone (gama gari)

Sakamakon sakamako na gajeren lokaci sun haɗa da:

• Tenderaunar wuya da kumburi
• Kumburin gland na jijiyoyin (gland a ƙasan da baya na bakin da ake samar da miyau)
• Bakin bushe
• Gastritis
• Canza canje-canje
• Idanun bushe

Mata ba za su yi ciki ko shayarwa a lokacin magani ba, kuma kada su yi ciki tsawon watanni 6 zuwa 12 bayan magani. Ya kamata maza su guji ɗaukar ciki don aƙalla watanni 6 bayan bin magani.

Hakanan mutanen da ke da cutar Graves suna da haɗarin taɓarɓarewar hawan jini bayan maganin rediyo. Kwayar cutar yawanci yakan kai kimanin kwanaki 10 zuwa 14 bayan jiyya. Yawancin alamun za a iya sarrafa su tare da magunguna da ake kira beta blockers. Da wuya ƙarancin maganin iodine na rediyo zai iya haifar da mummunan yanayin hyperthyroidism da ake kira guguwar thyroid.

Kuna iya yin gwaje-gwaje don bincika matakan hormone na thyroid kafin far.

Ana iya tambayarka ku daina shan kowane maganin hormone na thyroid kafin aikin.

Za a umarce ku da ku dakatar da duk wani maganin da ke hana taurin (propylthiouracil, methimazole) aƙalla mako guda kafin aikin (yana da mahimmanci ko maganin ba zai yi aiki ba).

Za a iya sanya ku a cikin ƙananan abincin iodine na makonni 2 zuwa 3 kafin aikin. Kuna buƙatar kaucewa:

• Abincin da ke dauke da gishirin iodi
• Kayan kiwo, kwai
• Abincin teku da ruwan teku
• Waken waken soya ko kayan dake dauke da waken soya
• Abincin da ke da launi tare da jan launi

Kuna iya karɓar allura na hormone mai motsa jiki don ƙara yawan ƙwayar iodine ta ƙwayoyin thyroid.

Kafin tsarin aikin lokacin da aka ba da cutar kansa:

• Kuna iya yin gwajin jikinku don bincika duk ragowar ƙwayoyin kansar da suke buƙatar halakarwa. Mai ba ku sabis zai ba ku ƙaramin ƙwayar radioiodine ku haɗiye shi.
• Kuna iya karɓar magani don hana tashin zuciya da amai yayin aikin.

Tauna cingam ko tsotsewar alewa mai wuya na iya taimakawa tare da bushe baki. Mai ba da sabis na kiwon lafiya na iya ba da shawarar kada ya saka ruwan tabarau na tuntuɓar kwanaki ko makonni bayan haka.

Kuna iya yin gwajin jikin ku don bincika sauran ragowar ƙwayoyin cuta na thyroid bayan an ba da adadin rediyo.

Jikinka zai wuce da sinadarin iodine na rediyo a cikin fitsarinka da kuma jihunka.

Don hana haɗuwa da wasu bayan far, mai ba ku sabis zai tambaye ku ku guji wasu ayyukan. Tambayi mai ba ku sabis tsawon lokacin da kuke buƙatar ku guji waɗannan ayyukan - a wasu lokuta, zai dogara ne da ƙimar da aka bayar.

Kimanin kwanaki 3 bayan jiyya, ya kamata:

• Iyakance lokacinka a wuraren taron jama'a
• Ba tafiya ta jirgin sama ko amfani da safarar jama'a (ƙila za ku iya kashe injin gano hasken a tashar jirgin sama ko a kan iyakar kanada kwanaki da yawa bayan jiyya)
• Sha ruwa mai yawa
• Ba shirya abinci don wasu ba
• Ba raba kayan aiki tare da wasu ba
• Zauna yayin yin fitsari da bayan gida sau 2 zuwa 3 bayan amfani

Game da kimanin kwanaki 5 ko fiye bayan jiyya, ya kamata:

• Kasance a ƙalla ƙafa 6 daga ƙananan yara da mata masu ciki
• Baya komawa bakin aiki
• Barci a keɓaɓɓen gado daga abokin tarayya (har zuwa kwanaki 11)

Hakanan ya kamata ku kwana a wani gadon daban daga abokin juna biyu da na yara ko jarirai tsawon kwanaki 6 zuwa 23, gwargwadon yawan maganin radioiodine da aka bayar.

Wataƙila kuna buƙatar yin gwajin jini kowane 6 zuwa 12 watanni don bincika matakan hormone na thyroid. Hakanan kuna iya buƙatar wasu gwaje-gwaje na gaba.

Idan maganin ka na thyroid baya aiki bayan an gama jiyya, mutane da yawa zasuyi amfani da kwayoyin kara lafiyar ka na tsawon rayuwar su. Wannan yana maye gurbin hormone da thyroid zai saba yi.

Abubuwan da ke faruwa a gefe na ɗan gajeren lokaci ne kuma suna wucewa yayin lokaci. Doananan allurai suna da ƙananan haɗari don rikitarwa na dogon lokaci gami da lalacewar gland na gishiri da haɗari ga malignancy.

Rediyon iodine na rediyoaktif; Hyperthyroidism - radioiodine; Ciwon daji na thyroid - radioiodine; Papillary carcinoma - radioiodine; Carcinoma na follicular - radioiodine; I-131 far

Mettler FA, Guiberteau MJ. Thyroid, parathyroid, da gland. A cikin: Mettler FA, Guiberteau MJ, eds. Mahimmancin Magungunan Nukiliya da Hoto na kwayoyin. 7th ed. Philadelphia, PA: Elsevier; 2019: sura 4.

Yanar gizo Cibiyar Cancer ta Kasa. Maganin cutar kanjamau (balagagge) (PDQ) - Sigar ƙwararrun masu kiwon lafiya. www.cancer.gov/types/thyroid/hp/thyroid-treatment-pdq#link/_920. An sabunta Fabrairu 22, 2021. An shiga 11 Maris, 2021.

Ross DS, Burch HB, Cooper DS, et al. Sharuɗɗan Tungiyar Thyroid ta Amurka ta 2016 don bincikowa da gudanar da cutar hyperthyroidism da sauran abubuwan da ke haifar da thyrotoxicosis. Thyroid. 2016; 26 (10): 1343-1421. PMID: 27521067 www.ncbi.nlm.nih.gov/pubmed/27521067/.