Ukuthola isifo se-thyroid kuyinkqubo engabandakanya izinyathelo eziningana, kuhlanganise nokuhlolwa kwemitholampilo, ukuhlolwa kwegazi, ukuhlolwa kwe-imaging, kanye nama-biopsies.
Kulesi sihloko, uzofunda kabanzi mayelana nokuhlolwa kokucabanga okusetshenziselwa njengengxenye yesifo segciwane lesifo segciwane .
I-Iodine Uptake ye-radioactive (RAI-U)
Ukuhlolwa kwe-iodine uphethiloli (RAI-U) kungasetshenziselwa ukuxilonga izinhlobo ezithile zesifo se-thyroid, njenge-hyperthyroidism.
Njengoba i-gland gland iyisisindo esisodwa emzimbeni wakho ongathatha i-iodine, ekuvivinyweni kwe-RAI-U, umthamo omncane we-iodine e-radioactive 123 (ebizwa nge-I-123) unikezwa ngephilisi noma ifomu elilodwa. Le iodine 123 emsakazweni iphuma emisebeni, engatholakala ngezithombe ezithathwe ikhamera ebekwe entanyeni yakho. Izithombe ziveza ukuthi i-iodine igxile kanjani ejele.
Kubalulekile ukuphawula ukuthi leli fomu le-iodine (I-123) alilimazi amangqamuzana akho wegciwane. Kodwa-ke, lokhu kuhlolwa akufanele kwenziwe kubantu besifazane abakhulelwe noma abancancisayo.
Ukwengeza, iodine ye-iodine 131 (uhlobo lwe-iodine elisetshenziselwa ukuxilongwa komdlavuza kanye ne-ablation ye-thyroid) alisetshenziselwa ukuxilonga imbangela ye-hyperthyroidism yakho. Iodine ye-iodine 131 isetshenziselwa ukuxilonga umdlavuza we-thyroid. Ibuye isetshenziselwe ukuphatha umdlavuza we -roid kodwa ekudleni okukhulu kakhulu.
Imiphumela yokuhlolwa kwakho kwe-RAI-U izosiza udokotela wakho ukuba ahlolwe.
Ngokuvamile, i-thyroid ethatha i-iodine ibhekwa ngokuthi "iyashisa," noma ingasebenzi ngokweqile. Ngokwesibonelo, e-Graves 'isifo, ukutholakala kwe-iodine kuphakeme, ngakho-ke yonke ingqungquthela "iyashisa."
Uma u-hyperthyroid ngenxa ye-nodule eshisayo (i-nodule eveza i-hormone ye-thyroid eyedlulele) noma ama-nodules amaningi (okuthiwa i-toxic multinodular goiter), ukutholakala kwe-iodine kulawo ma-nodule kuzoba phezulu.
Ngakolunye uhlangothi, ukuphakama kuphansi kakhulu (okungenani kuya kumaphesenti amabili) kubantu abane-thyroiditis (ukuvuvukala kwegciwane le-thyroid).
I-Ultrasound ye-Thyroid
I-ultrasound ye-thyroid yenzeka ukuhlola ama-nodules ku-thyroid, kuhlanganise nezincane ezingenakuzwa ngesikhathi sokuhlolwa komzimba. Ukusebenzisa amagagasi omsindo ophezulu, i-ultrasound ingasiza udokotela ukuba anqume ubukhulu be-nodule, kanye nokuthi ngabe i-nodule igcwele i-cyst noma i-mass of tissue. Ngezinye izikhathi i-thyroid ultrasound isetshenziselwa ukuqapha ama-nodules, njengokubona ukuthi ikhula noma ingakhula yini ngokuhamba kwesikhathi futhi / noma iveza izici ezisolisayo zomdlavuza .
Enye indlela okungenzeka isetshenziswe ngayo i-thyroid ultrasound uma udokotela wakho efuna ukuthatha isampula se-nodule (ebizwa ngokuthi i-needle biopsy). Udokotela wakho uzosebenzisa i-ultrasound ukuqondisa lapho inaliti iya khona.
Okokugcina, i-ultrasound ye-thyroid ingasetshenziswa njengendlela ehlukile yokuskena i-iodine enomsakazo uma owesifazane ekhulelwe noma encelisa.
I-CT Scan
I-CT scan, ebizwa ngokuthi i-computed tomography noma "i-cat scan," uhlobo oluthile lwe-x-ray ngezinye izikhathi elisetshenziselwa ukuhlola i-thyroid. I-CT scan ayitholi ama-nodules amancane kodwa angasiza ekutholeni nasekuxilongeni i-goiter, kanye nama- nodules amakhulu kakhulu wegciwane .
Ukufaniswa kwe-Magnetic Resonance (MRI)
I-MRI yenziwa uma ubukhulu nesimo se-thyroid sidinga ukuhlolwa. I-MRI ayikwazi ukusho ukuthi i-thyroid isebenza kanjani (ngamanye amazwi, ayikwazi ukuxilonga i-hyperthyroidism noma i-hypothyroidism), kodwa ingayibona ukukhuliswa kwegciwane. I-MRI ngezinye izikhathi ifaneleka ku-CT scan ngoba ayidingi umjovo wokuphambene, oqukethe i-iodine futhi ongaphazamisa ukuskena kwe-iodine ye-radioactive.
Izwi elivela
Ekugcineni, ukuhlolwa kwe-imaging yokuqala okusetshenziselwa ukuhlola i-gland yegland ngokuvamile i-ultrasound. Ukusuka lapho, udokotela wakho angathuthuka ngokunye nokuhlolwa kwe-imaging, ngokusekelwe emiphumeleni yokuhlolwa kwe-ultrasound kanye negazi.
Yiqiniso, uma unemibuzo mayelana nokuthi i-thyroid yakho ihlolwe kanjani, sicela ungangabazi ukubuza udokotela wakho. Hlala usebenza kahle kolwazi lwakho lwezempilo lezempilo.
> Imithombo:
> I-American Cancer Society. (nd). Izivivinyo zeChrown Cancer.
> I-American Thyroid Association. (nd). Amakhodi we-Thyroid.
> Braverman, MD, Lewis E., noRobert D. Utiger, MD. Werner and Ingbar's The Thyroid: Umbhalo Eyisisekelo Nezokwelapha. 9th ed. , Philadelphia: Lippincott Williams & Wilkins (LWW), 2005.
> Ama-Kravets I. I-Hyperthyroidism: Ukuxilongwa Nokunakekelwa. Am Fam Physician. 2016 Mar 1; 93 (5): 363-70.