Nakhu isimo: Usuvele uthola ukuthi unesimo se-thyroid, futhi udokotela uthi uzokubhalela imithi yokwelashwa, uhlelo lwe-Radioactive Iodine RAI), noma akudlulisele kudokotela ohlinzayo. Uma ubuza ukuthi kunezinye izindlela ongakhetha kuzo ekwelapheni okunconywayo, udokotela uyakususa. Okushiwo ukuthi udokotela ukutshela lokho okudingeka ukwenze futhi akukho okukhethwa kukho.
Umlayezo ohlakaniphile? "Ungubani udokotela lapha?" Ngezinye izikhathi, udokotela uyayitshela. Ingabe udokotela wakho ukutshela iqiniso mayelana nezinketho zakho zokwelapha?
Kungumbuzo weziguli zegciwane ezidingekayo ukuzibuza, ngoba abanye odokotela, kuhlanganise ne-endocrinologists, mhlawumbe abazi ukuthi bangakhetha kanjani, bancike ekukhethweni okuthile, noma banomuzwa wokuthi iziguli akufanele zikhethe.
Bheka ezinye zalezi zimo, futhi qinisekisa ukuthi wenza umsebenzi wesikole ukuze wazi izinketho zakho!
Uyi-Hypothyroid, kanti udokotela uhlinzekela i-Levothyroxine Drug
Uma ngabe u- hypothyroid - une-thyroid engasebenzi, noma i-thyroid ekhishwe ngokuhlinzwa, noma ilandelwe ngemuva kwe-RAI - uzobe unqunywe imithi yokwelapha i-hormone .
Iziqondiso zezokwelapha ezivamile zithi odokotela baphathe i-hypothyroidism ngesimo se-T4 hormone - eyaziwa ngokuthi i-levothyroxine (ie, Synthroid, Levoxyl, njll) Okufanele ukwazi, noma kunjalo, ukuthi kunezinye izinketho, okufaka:
- Ukwengezwa kwesidakamizwa se-T3 - noma i-liothyronine (yokwenziwa kwe-T3) njenge-Cytomel, noma i-T3 ekhishwe isikhathi esivela ekhemisi ehlanganisiwe
- Imithi ye-thyroid ekhishwe imvelo, izidakamizwa zemithi ezivela emthonjeni omisiwe wezingulube - owaziwa nangokuthi i-porcine thyroid. Amabhizinisi afaka i-Nature-Throid, Armor, ne-WP Thyroid.
Ezinye iziguli zenza kangcono ngokungezelela i- T3 noma imithi yemvelo yesifo se-thyroid , kanti ngenkathi abanye odokotela bengakhululekile ukubeka i-thyroid yemvelo , ucwaningo luye lwabonisa ukuthi i- thyroid yemvelo iphephile futhi iyasebenza njenge-levothyroxine .
Unamathuna, noma u-Hyperthyroid, kanti udokotela uyancoma i-radioactive Iodine (RAI) masinyane
Uma uthola ukuthi unesifo se- Graves noma i-hyperthyroidism , odokotela abathile bayokutshela ukuthi ukwelashwa okuwukuphela kwe-Radioactive Iodine ablation, eyaziwa njenge-RAI.
Ukwehla kwe-gland ye-thyroid nge-Radioactive iodine (RAI) cishe njalo ukuphathwa okuphakade okuvimbela ikhono legciwane le-thyroid ukukhiqiza i-hormone ye-thyroid, futhi ikushiye i-hypothyroid ukuze uphile. Ngenkathi i-RAI idingeka kwezinye izimo, kubalulekile ukwazi ukuthi kunezici ezithile ezibalulekile.
- Iziguli ezinezifo zikaHashimoto, isimo esizimele, ngezinye izikhathi zingase zibe nezinkathi zesikhashana ze-hyperthyroidism, nakuba i-thyroid ihamba kancane futhi igcina i-hypothyroid ekugcineni. Ngeshwa, ngizwile ezigulini eziningi ezingenayo ukuhlolwa okwanele ukunquma ukuthi i-hyperthyroidism yabo "isigaba" sesifo sikaHashimoto, futhi sagijimela ku-RAI ngokungadingekile. Qinisekisa ukuthi udokotela wakho wenze uhlolo lwe-Thyroid Peroxidase Antibodies (TPO), i-Thyroid Yokukhuthaza Immunoglobulins (i-TSI), kanye nokuhlolwa kokuqeda , ukuqinisa i-hyperthyroidism.
- Kwezinye izimo, izidakamizwa ze-antithyroid zingasetshenziswa ukuphatha i-hyperthyroidism, kanti ezinye iziguli zizoxolelwa nge-hyperthyroidism. Kwezinye izimo, bangase bakwazi ngisho nokuhamba nezidakamizwa zabo, futhi baqhubeke nokuxoxwa yi-hyperthyroidism.
- Uma ungowesifazane oneminyaka yokubeletha, akufanele ukhulelwe kuze kube unyaka emva kwe-RAI. Uma unesithakazelo sokukhulelwa ngokushesha, ukuhlinzwa kwe-thyroid kungaba yindlela engcono .
- I-RAI ithatha ezinye izingozi zesikhathi eside ezomdlavuza we-radiated-radiated .
Unomphefumulo ongenakulinganiswa noma ongenakuqhathaniswa nesipiliyoni esihle se-Needle (FNA), futhi udokotela wakho uncoma ukwelashwa
Uma une-nodule ye-thyroid esolisayo, odokotela ngokuvamile bahlela i- Fine Needle Aspiration (FNA) biopsy ye-nodule noma ama-nodule wakho we-thyroid.
Ngenkathi amanye ama-nodules azobuya njengenhlonipho ngokuqondile, futhi amaphesenti amancane anomdlavuza , amanye ama-nodules abhekwa ngokuthi "angagcwaliseki" noma "angenakulinganiswa." I-pathology ayifuni ngokucacile umdlavuza noma ngokucacile.
Kulesi simo, odokotela abathile bavuselela ukuhlinzeka nge-thyroid, okubizwa ngokuthi i-thyroidectomy , ukususa igciwane le-thyroid. Ngaleso sikhathi, ukuhlaziywa komzimba okuqhubekayo kwenziwa ukuqinisekisa ukuthi unomdlavuza wegciwane. Ngeshwa, isibalo esikhulu seziguli ezinezintuthwane ezingapheliyo eziqhubekayo zokuhlinzeka nge -roid emva kokuhlaziywa okuqhubekayo ukuthi ama-nodules abo ayengenangqondo ngempela. Kodwa-ke, ngaleso sikhathi, abanalo igciwane lesifo se-thyroid, futhi banomphela i-hypothyroid, futhi kudingeka babe ne-hormone ye-thyroid esikhundleni sokuphila.
Odokotela abaningi basalokhu beqaphela ukuhlolwa, okubizwa nge- Veracyte Afirma Thyroid Analysis . Lokhu kuhlolwa kususa ngokuphelele imiphumela engacacile noma engapheliyo ye-FNA biopsies, futhi ivimbela ukuhlinzwa okungenasidingo kwe-thyroid.
Unomdlavuza we-Thyroid futhi udokotela uye wayala ukwelapha i-Iodine ye-radioactive
Lapho isiguli sesifumene nomdlavuza wegciwane, ukwelashwa ngokuvamile kuhilela ukuhlinzwa kwe-thyroid ukuze ususe igciwane. Ezimweni eziningi, ngemuva kokuhlinzwa, odokotela batusa iziguli zithola i-RAI ukuba zihlubule noma yiziphi izinsalela ezisele zegciwane le-thyroid ezingase zishiye ngemuva kokuhlinzwa. Njengoba kuphawuliwe, i-RAI ithatha ezinye izingozi zamangqamuzana anomswakama.
Ucwaningo lwamuva lubonisa ukuthi iziguli eziningi ezine-microcarcinomas ze-papillary ze-papillary - izimo ezincane kakhulu zomdlavuza we-papillary we-thyroid - azizuzi ku-RAI.