Ukwelashwa kwe-Hypothyroidism emva kwe-iodine yama-radioactive kusiza ukuvimbela izinkinga zeso
Ukuhlolwa kwesiguli se-Mayo Clinic seziguli ze-Graves 'sathola ukwelashwa kwe-iodine (RAI), ukuhlonza izici ezibangelwa ukuthuthukiswa kwe- Graves' ophthalmopathy (GO) , owaziwa nangokuthi isifo segciwane lesifo se-thyroid (TED) , noma i-thyroid i-orbitopathy ehambisanayo (TAO).
Phakathi kwezimpawu zamehlo we-thyroid ezicatshangelwa kulolu cwaningo kwakuyi-proptosis (ukugqama kwe-eyeball), umbono ophindwe kabili, ukucaca kombono, isidingo sokwelashwa, kanye nokuhlolwa kweziguli zamehlo abo nombono.
Ucwaningo lwabheka iziguli ezingu-195 - 80% zabesifazane kanti iminyaka yobudala yayingama-50.
Unyaka emva kokunakekelwa kwe-RAI, i-GO ithuthukiswe noma yaba nzima nakakhulu kuma-13% weziguli.
Abacwaningi bathola ukuthi lapho iziguli zine-hypothyroid (njengoba zilinganiselwe yi-Free T4 hhayi i-TSH) ekuhambeni kokulandela kokuvakashela ngemuva kwe-RAI - futhi cishe isigamu seziguli - lokhu kwakuxhunyaniswe kakhulu nentuthuko noma ukuqhuma kwe-GO.
Njengoba bekude phakathi kwe-RAI kanye nokulandela okulandelayo, kuphakama ingozi ye-hypothyroidism, ne-GO.
Abacwaningi baphetha ngokuthi i-hypothyroidism ekuthumeni kokuqala-i-RAI isilungiselelo esinamandla sokwenza okusha noma ukuqhubekela phambili. Bancoma ukuthi ukuvimbela imitholampilo ye-hypothyroidism kanye neengozi yokuhamba, amazinga e-Free T4 ama-patient kufanele ahlolwe futhi aqondiswe angaphezu kwamasonto ayisithupha emva kwe-RAI.
Qaphela iziguli: Uma uzokwelapha ukwelapha i-iodine, qinisekisa isimiso sakho sokuqokwa kokulandelana nomdokotela wakho okungaphezu kwamasonto ayisithupha ngemuva kwe-RAI, futhi ugcizelela udokotela wakho ukuba enze ukuhlolwa kwe-Free T4.
I-TSH isakwazi ukuqhubeka igxiliwe ngemuva kwe-RAI, futhi ayiyona into ecacile yokuthi ngabe usu-hypothyroid kanye nokwelashwa kwe-warrant.
Imithombo:
Hershman, uJerome. "Ukwelashwa Okuqala Kwama-Hypothyroidism Ngemva Kwama-Radioiodine Therapy of Graves 'Izifo Zivimbela I-Ophthalmopathy." I-Clinical Thyroidology , ngo-2013; 25: 132-133
Stan MN, futhi. al. "Ukufundiswa kwamaqembu nge-iodine eyenziwe ngama-radioactive-induced hypothyroidism: impendulo ye-Graves 'ophthalmopathy kanye nesikhathi esifanele sokuhlola i-hormone ye-thyroid." I-Thyroid . 2013; 23: 620-5. doi: 10.1089 / kwakho.2012.0258.