Nayi imeko: Ufumanise ukuba unesifo se -roid, kwaye ugqirha uthi uya kukubhalela umyalelo, ulungise unyango lwe-Iodine RAI), okanye uthumele ugqirha. Ukuba ubuza ukuba kukho ezinye iindlela zokwenza unyango olucetyiswayo, ugqirha uyakubhuqa. Oku kuthetha ukuba ugqirha unokuxelela oko kufuneka ukwenze kwaye akukho zikhetho.
Umyalezo okhohlisayo? "Ngubani na ugqirha apha?" Ngamanye amaxesha, ugqirha uyayitsho . Ingaba ugqirha wakho ukuxelela inyaniso malunga nokhetho lwenyango?
Yimibuzo yezigulane ze-thyroid kufuneka zibuze, kuba abanye oogqirha, kuquka i-endocrinologists, mhlawumbi abakwaziyo ukhetho, banqwenela kwizinto ezithile, okanye bazive ukuba izigulane akufanele zikhethe.
Jonga ezinye zeemeko, kwaye qiniseka ukuba wenze umsebenzi wakho wesikolo ukuze ukwazi ukuba ukhetho lwakho!
Uyi-Hypothyroid, kwaye ugqirha ubhala i-Levothyroxine Drug
Ukuba u- hypothyroid - unayo i-thyroid engasebenzi, okanye i-thyroid eyenziwe ngokugqithiseleyo, okanye ixutywe emva kwe-RAI-uya ku-misela iyeza le-hormone .
Izikhokelo zonyango eziqhelekileyo zifuna ukuba oogqirha baphathe i-hypothyroidism ngoluhlobo lwe-T4 hormone ebizwa ngokuba yi-levothyroxine (oko kukuthi, i-Synthroid, i-Levoxyl, njl.). Kodwa oko kufuneka ukwazi ukuba kukho ezinye iindlela, okuquka:
- Ukongezwa kwesidakamizwa se-T3 - okanye i-liothyronine (i-T3 yokwenziwa) njengeCytomel, okanye i-T3 ekhutshwa ngexesha-mali kwi-pharmacy ehlanganisiweyo
- Izidakamizwa ze-thyroid ezichongiwe ngokwemvelo, izidakamizwa ezisemthethweni ezisuka kwi-gland eyomileyo yengulube - eyaziwa ngokuba yi-porcine thyroid. Amanqaku afaka i-Nature-Throid, i-Armor, kunye ne-WP Thyroid.
Ezinye izigulane zenza ngcono ngokudibanisa i- T3 okanye izidakamizwa zemvelo zonyango , kwaye ngelixa abanye oogqirha bengakhululekile ukumisela i-thyroid yemvelo , uphando luye lwabonisa ukuba i- thyroid yemvelo ikhuselekile kwaye isebenzayo njenge-levothyroxine .
Unamangcwaba, okanye u-Hyperthyroid, kwaye ugqirha ukhuthaza i-Iodine ye-radioactive (RAI) ngokukhawuleza.
Ukuba uye wafumanisa ukuba unesifo se- Graves okanye u-hyperthyroidism , oogqirha abathile baya kukuxelela ukuba ukhetho oluphela kuphela lwe-radioactive iodine, eyaziwa njenge-RAI.
Ukunyuka kwe-thyroid gland kunye ne-Radioactive Iodine (RAI) isoloko isichengisiso esigxina esenza ukuba i-thyroid igwebe ikhono lokuvelisa i-hormone ye-thyroid, kwaye ikushiye i-hypothyroid ukuze uphile ubomi. Nangona i-RAI iyimfuneko kwezinye iimeko, kubalulekile ukwazi ukuba kukho iingqwalasela ezibalulekileyo.
- Izigulane zesifo sikaHashimoto, imeko engazenzekanga, ngamanye amaxesha unamaxesha atshanje e-hyperthyroidism, nangona i-thyroid igcina iyancipha kwaye ihamba nge-hypothyroid ekugqibeleni. Ngelishwa, ndivile kwizigulane ezininzi ezingenayo imvavanyo eyaneleyo ukuqinisekisa ukuba i-hyperthyroidism yazo "isigaba" sesifo sikaHashimoto, kwaye yaqhutyelwa kwi-RAI ngokungenasidingo. Qinisekisa ukuba ugqirha wakho wenze uvavanyo lwe- Thyroid Peroxidase Antibodies (TPO), i-Thyroid Yokukhuthaza i-Immunoglobulins (i-TSI), kwakunye nokuvavanya , ukuze kuqinisekiswe i-hyperthyroidism.
- Kwezinye iimeko, iziyobisi ze-antithyroid zingasetyenziswa ukuphatha i-hyperthyroidism, kwaye ezinye izigulane ziza kuxolelwa kwi-hyperthyroidism. Kwezinye iimeko, banokukwazi ukuhamba nezidakamizwa zabo ze-antithyroid, kwaye baqhubeke bexolelwa kwi-hyperthyroidism.
- Ukuba ungumfazi oneminyaka yokuzala, akufanele ukhulelwe de kube ngumnyaka emva kwe-RAI. Ukuba unomdla wokukhulelwa ngokukhawuleza, utyando lwe-thyroid lungcono .
- I-RAI ithatha ezinye iingozi zengcinezelo ye-radiated-radiated-cancer .
Unayo i-Indeterminate okanye Inconclusive Fine Needle Impumulo (FNA) Biopsy, kunye noDokotela wakho ukhuthaza ukunyangwa
Ukuba unesigxina se-thyroid esicangelayo, oogqirha balalisa i- Fine Needle Aspiration (FNA) ye-biopsy ye-thyroid nodule (s).
Ngelixa iigununu ziza kubuya ziphelile, kwaye ipesenti ezincinci ziba nomdlavuza , ezinye iigununu zibhekwa " zingenakunqunyulwa " okanye "zingenakulinganiswa." Ukukhubazeka akucaci ukuba ngumdlavuza okanye ngokucacileyo.
Kule meko, abanye oogqirha bakhawuleza bacebisa ukuhlinzwa kwe-thyroid, eyaziwa ngokuba yi-thyroidectomy , ukususa i-thyroid gland. Ngelo xesha, uhlalutyo olongezelelekileyo lwenziwe luyenzela ukuchonga ukuba unomdlavuza we-thyroid. Ngelishwa, inani elininzi lezigulane ezinamagundane angagqityiweyo aqhubeka nokuhlinzwa okwenziwa nge-thyroid emva kokuhlalutya kwakhona ukuba izigulane zazo zibuhlungu. Ngelo xesha, ke, abanalo i-thyroid gland, kwaye banomdla wokugqibela, kwaye kufuneka babe ne-hormone ye-thyroid endaweni yokuphila.
Oogqirha abaninzi abasayazi uvavanyo, olubizwa ngokuba yi- Veracyte Afirma Thyroid Analysis . Olu vavanyo lusetshenziseni iziphumo ezingapheliyo okanye ezingapheliyo ezivela kwi-FNA biopsies, kwaye kuthintela ukuhlinzwa okungenasidingo kwe-thyroid.
Unayo umdlavuza weKhrojekti kwaye ugqirha uye wayala i-Iodine Treatment
Xa isiguli sesifumene nomhlaza we-thyroid, unyango lubandakanya ukuhlinzwa okwe-thyroid ukususa i-gland. Kwiimeko ezininzi, emva kokuhlinzwa, oogqirha bancomela izigulane zithole i-RAI ukuba ichithe naliphi na i-restoants ye-thyroid gland engasala emva kokuhlinzwa. Njengoko kuphawuliwe, i-RAI inomngcipheko weengcingo ezibangelwa yimitha.
Uphando olutshanje lubonisa ukuba izigulane ezininzi ezine-microcarcinomas ezinama-papillary-amancinci kakhulu omhlaza womhlaza we-thyroid - ayinakuncedo kwi-RAI.