Unyango lwe-Hypothyroidism emva kokuba i-Iodine ye-Radioactive ikhusela iingxaki zamehlo
Iziphumo zesifundo seMayo Clinic sezigulane zezifo ze-Graves ezifumene unyango lwe-iodine (i-RAI) zonyango zivandlakanywe, ukuchonga iziganeko zobungozi ezinxulumene nophuhliso lwe- Graves 'ophthalmopathy (GO) , eyaziwa nangokuthi isifo sengqondo se-thyroid (TED) , okanye i-thyroid i-orbitopathy (TAO).
Phakathi kweempawu ze-thyroid ezicatshangelwa kwisifundo kwakuyi-proptosis (i-bulging ye-eyeballball), umbono ombini, ukucaca kombono, imfuno yonyango, kunye nokuhlolwa kwezilweliso zamehlo kunye nombono.
Uphononongo lubhekise kwizigulane ezingama-195 - i-80% yabafazi kunye neminyaka engama-50 ubudala.
Kunyaka emva kwonyango lwe-RAI, i-GO iqhutywe okanye yaba nzima nakwi-13% yezigulane.
Abaphandi bafumanisa ukuba xa izigulane zine-hypothyroid (njengoko zilinganiselwe yi-Free T4 kwaye ayikho i-TSH) kwintlanganiso yokuqala yokulandelelana emva kwe-RAI-kwaye malunga nesiqingatha sezigulane-ezi zixhomekeke kakhulu kukuphuhliswa okanye ukunyuka kokuhamba.
Kwakude kubekho phakathi kwe-RAI kunye nokulandelelana kokuqala, ukuphakamisa umngcipheko we-hypothyroidism, kwaye Hamba.
Abaphandi baphetha ngokuthi i-hypothyroidism kwithuba lokuqala lokuvavanya-i-RA i-predictor enamandla yokutsha okanye ukunyuka. Bancoma ukuba ukukhusela i-hypothyroidism kunye neengozi yokuhamba, amazinga e-Free T4 amagulane kufuneka ahlolwe kwaye alungiswe ngaphaya kweeveki ezintandathu emva kwe-RAI.
Qaphela izigulane: Ukuba uya kunikwa unyango lwe-iodine ye-radio, qinisekisa ukuba ishedyuli isithuba sakho sokuqokwa kunye nodokotela wakho ngaphandle kweeveki ezintandathu emva kwe-RAI, kwaye ugxininise ugqirha wakho enze uvavanyo lwe-T4 yamahhala.
I-TSH isenokuhlala ixinekile emva kwe-RAI, kwaye ayikho into echanileyo yokuba ngaba u-hypothyroid kunye neyeza zokuqinisekisa.
Imithombo:
Hershman, uJerome. "Ukwelashwa kwangaphambili kwe-Hypothyroidism emva kweTyroydine Treatment of the Graves 'Disease Ikhusela i-Ophthalmopathy." I-Clinical Thyroidology , ngo-2013; 25: 132-133
Stan MN, kunye. al. "Ukufunda ngokubanzi kwi-hypothyroidism eyenziwa ngama-radioactive-inflution hypothyroidism: impembelelo ye-Graves 'ophthalmopathy kunye nexesha elifanelekileyo lokuhlola i-hormone ye-thyroid." Thyroid . 2013; 23: 620-5. i-doi: 10.1089 / yakho.2012.0258.