He aha ka Iobenguane I-131: Nā hoʻohana, ka nui, nā hopena ʻaoʻao a me nā mea hou aku

ʻO ka Iobenguane I-131 he lāʻau lapaʻau radioactive i hoʻohana ʻia e mālama i kekahi mau maʻi maʻi maʻamau, ʻo ia hoʻi ke ʻano i kapa ʻia ʻo pheochromocytoma a me paraganglioma. Hoʻohui kēia lapaʻau kūikawā i kahi molekala e manaʻo ana (iobenguane) me ka iodine-131 radioactive e hāʻawi i ka radiation i kālele ʻia pololei i nā sela maʻi. Hoʻohana ʻia ma o ka IV i loko o kahi haukapila ma lalo o ka mālama olakino.

He aha ka Iobenguane I-131?

ʻO ka Iobenguane I-131 he lāʻau lapaʻau radioactive i manaʻo ʻia e hana e like me ka missile alakaʻi ʻia no nā ʻano maʻi maʻi. Loaʻa i ka lāʻau lapaʻau nā ʻāpana ʻelua: iobenguane, e hana ana ma ke ʻano he mea hoʻihoʻi, a me ka iodine-131, e hāʻawi ana i ka radiation therapeutic.

Ua hoʻolālā ʻia ka ʻāpana iobenguane e ʻimi a hoʻopili i kekahi mau ʻano sela maʻi i loaʻa nā mea loaʻa ma ko lākou ʻili. Ke loaʻa iā ia kēia mau sela, hāʻawi ka iodine radioactive i hoʻopili ʻia i ka radiation i kālele ʻia pololei i ka maʻi maʻi me ka hōʻemi ʻana i ka ʻike ʻana i nā ʻiʻo olakino.

Ua manaʻo ʻia kēia lapaʻau he ʻano o ka molecular radiotherapy no ka mea e kālele ana i nā sela maʻi ma ke kiʻekiʻe molecular. Hele ka lāʻau lapaʻau ma kou kahe koko e ʻimi i nā sela maʻi ma kou kino a pau, e hana ana i mea pono no nā maʻi maʻi i laha i nā wahi he nui.

No ke aha e hoʻohana ʻia ai ka Iobenguane I-131?

Hoʻohana nui ʻia ka Iobenguane I-131 e mālama i nā maʻi maʻi neuroendocrine maʻamau i hiki ʻole i nā lāʻau lapaʻau ʻē aʻe ke hoʻomalu pono. Hiki i kāu kauka ke ʻōlelo aku i kēia lāʻau lapaʻau inā loaʻa iā ʻoe nā maʻi maʻi e hoʻomau nei e ulu me nā lāʻau lapaʻau ʻē aʻe.

ʻO nā kūlana nui e mālama ai kēia lāʻau lapaʻau, ʻo ia ka pheochromocytoma a me paraganglioma, he mau maʻi maʻi e ulu mai nā ʻano sela nerve. Hiki i kēia mau maʻi maʻi ke hana i nā hormones keu e hoʻoulu ai i nā hōʻailona e like me ke koko kiʻekiʻe, ka puʻuwai wikiwiki, a me ka hou nui.

E noʻonoʻo ana kāu hui lapaʻau i kēia lapaʻau ke loaʻa i kāu mau ʻōpū nā ʻano kikoʻī e lilo ai lākou i mau moho maikaʻi no kēia ʻano hana i manaʻo ʻia. Pono nā ʻōpū i kekahi mau mea hoʻokipa e hiki ai i ka iobenguane ke hoʻopili, i hoʻoholo ʻia ma o nā hoʻokolohua kiʻi kūikawā ma mua o ka lapaʻau.

Pehea e Hana ai ʻo Iobenguane I-131?

Hana ʻo Iobenguane I-131 ma ka hāʻawi ʻana i ka radiation pololei i nā pūnaewele ʻōpū me ka mālama nui ʻana i nā ʻiʻo olakino. ʻO kēia ka mea e lilo ai i koho lapaʻau ikaika akā i manaʻo nui ʻia.

E noʻonoʻo e like me ka ʻōnaehana hāʻawi i ʻike pololei i kahi e hele ai i loko o kou kino. Hana ka ʻāpana iobenguane ma ke ʻano he lepili helu wahi, e alakaʻi ana i ka lāʻau lapaʻau i nā pūnaewele i loaʻa nā mea hoʻokipa kūpono. Ke hōʻea i ka ʻōpū, hoʻomaka ka iodine radioactive e hana e hōʻino i ka DNA o nā pūnaewele maʻi maʻi.

Ke hoʻomau nei ka radiation e hana no kekahi mau lā ma hope o ka lapaʻau ʻana, e nāwaliwali ana a e luku ana i nā pūnaewele ʻōpū. No ka mea, ua manaʻo nui ka lāʻau lapaʻau i kēia mau ʻano pūnaewele, e hōʻuluʻulu ana i nā ʻōpū ma mua o ka hoʻopilikia ʻana i nā ʻōkana olakino ma kou kino.

ʻO kēia ʻano hana i manaʻo ʻia, ʻo ia hoʻi, hiki ke maikaʻi loa ka lapaʻau ʻana me ka hana ʻana i nā hopena ʻaoʻao liʻiliʻi ma mua o ka lāʻau radiation kuʻuna e pili ana i nā wahi nui o ke kino.

Pehea e Lawe ai au i ka Iobenguane I-131?

Hāʻawi ʻia ʻo Iobenguane I-131 ma kahi haukapila ma o ka IV infusion, ʻaʻole loa ma ke ʻano he pill a i ʻole ka injection āu e lawe ai ma ka home. E mālama kāu hui lapaʻau i nā ʻano hana a pau o ke kaʻina hana.

Ma mua o kāu lapaʻau ʻana, pono ʻoe e lawe i ka lāʻau lapaʻau e ālai ana i ka thyroid (ʻo ka potassium iodide maʻamau) no kekahi mau lā e pale ai i kāu ʻōpū thyroid mai ka iodine radioactive. E hāʻawi kāu kauka iā ʻoe i nā ʻōlelo kikoʻī e pili ana i ka manawa e hoʻomaka ai i kēia lāʻau lapaʻau a me ka lōʻihi e hoʻomau ai.

Pono ʻoe e noho i loko o kahi lumi haukapila kūikawā i hoʻolālā ʻia no nā lāʻau lapaʻau radioactive no kekahi mau lā ma hope o ka loaʻa ʻana o ka lāʻau. Mālama kēia manawa kaʻawale i nā poʻe ʻē aʻe mai ka ʻike ʻana i ka radiation i ka wā e hana ai kou kino i ka lāʻau.

I ka wā o kou noho ʻana i ka haukapila, ʻaʻole pono ʻoe e hahai i nā palena meaʻai kūikawā, akā pono ʻoe e hahai i nā protocol palekana e like me ka kaupalena ʻana i ka manawa kipa a me ka mālama ʻana i ka mamao mai nā poʻe ʻē aʻe. E wehewehe nā limahana hānai i nā hana palekana e pono ai e mālama iā ʻoe a me nā poʻe ʻē aʻe.

Pehea ka lōʻihi e lawe ai au i ka Iobenguane I-131?

Hāʻawi ʻia ka Iobenguane I-131 ma ke ʻano he lāʻau lapaʻau hoʻokahi i hoʻokaʻawale ʻia i kekahi mau mahina, ma mua o ka lāʻau lapaʻau i kēlā me kēia lā. Loaʻa i ka hapa nui o nā maʻi hoʻokahi a ʻekolu mau lāʻau lapaʻau, ma muli o ke ʻano o ka pane ʻana o kā lākou maʻi.

E nānā kāu kauka i kou holomua ma o nā scans kiʻi maʻamau a me nā hoʻokolohua koko e hoʻoholo ai inā pono ʻoe i nā lāʻau lapaʻau hou. Aia ka hoʻoholo e pili ana i nā lāʻau lapaʻau hou i ka maikaʻi o ka pane ʻana o kāu maʻi a me ka maikaʻi o kou kino e ʻae ai i ka lāʻau.

ʻO kēlā me kēia kau lapaʻau e pili ana i ka noho ʻana i ka haukapila no kekahi mau lā, a ma hope o ka manawa hoʻōla o nā pule a i nā mahina ma mua o ka noʻonoʻo ʻana i kahi lāʻau lapaʻau ʻē aʻe. E hana kāu hui lapaʻau i kahi papa hana lapaʻau pilikino e pili ana i kāu kūlana.

Ke hana nei nā hopena o kēlā me kēia lāʻau lapaʻau i loko o kou kino no nā pule ma hope o ka hoʻokomo ʻana, no laila he mea nui ka hoʻomanawanui i kou kali ʻana e ʻike i nā pōmaikaʻi piha o ka lāʻau.

He aha nā hopena ʻaoʻao o Iobenguane I-131?

E like me nā lāʻau lapaʻau maʻi āpau, hiki i ka Iobenguane I-131 ke hana i nā hopena ʻaoʻao, ʻoiai ua ʻae ka nui o nā maʻi iā ia. ʻO ka hoʻomaopopo ʻana i ka mea e manaʻo ai hiki ke kōkua iā ʻoe e hoʻomākaukau a ʻike i ka manawa e hoʻopili ai i kāu hui lapaʻau.

Eia nā hopena ʻaoʻao maʻamau e hiki iā ʻoe ke ʻike:

• Ka luaʻi a me ka luaʻi ʻana, e hana maʻamau ana i loko o nā lā mua ma hope o ka mālama ʻana
• Ka luhi e hiki ke mau no kekahi mau pule i ka wā e ola ana kou kino
• Ka emi ʻana o ka ʻai a me ka emi ʻana o ke kaumaha
• Nā loli manawa i nā helu koko, me ka emi ʻana o nā keʻokeʻo koko a me nā platelets
• Ka lahilahi o ka lauoho, ʻoiai ʻaʻole maʻamau ka nalowale ʻana o ka lauoho
• Ka waha maloʻo manawa a i ʻole nā loli i ka ʻono

Hiki ke mālama ʻia kēia mau hopena ʻaoʻao me ka mālama kākoʻo a maʻa mau e hoʻomaikaʻi i ka wā e ola ana kou kino mai ka mālama ʻana.

Hiki nō hoʻi ke hana ʻia nā hopena ʻaoʻao liʻiliʻi akā ʻoi aku ka koʻikoʻi, a he mea nui e ʻike i kēia mau mea hiki:

• Nā hāʻule nui i nā helu keʻena koko e hoʻonui ai i ka pilikia o ka maʻi
• Nā loli hana kīkī e pono ai ka nānā ʻana
• Nā loli o ka puʻuwai, ʻoi aku hoʻi i nā maʻi me nā maʻi puʻuwai
• Ka luaʻi nui e keakea ana i ka ʻai a me ka inu
• Ka mumū o ka māmā, he mea maʻamau akā hiki ke koʻikoʻi

E nānā pono kāu hui lapaʻau iā ʻoe no kēia mau hopena koʻikoʻi a hāʻawi i ka lāʻau lapaʻau koke inā loaʻa.

ʻO wai ka mea ʻaʻole pono e lawe iā Iobenguane I-131?

ʻAʻole kūpono ʻo Iobenguane I-131 no nā mea a pau, a e loiloi pono kāu kauka inā kūpono kēia lapaʻau no kāu kūlana kikoʻī. Hiki i kekahi mau mea ke hoʻolilo i kēia lāʻau lapaʻau i kūpono ʻole a i ʻole e koi i nā hana kūikawā.

ʻAʻole pono ʻoe e loaʻa i kēia lapaʻau inā hāpai ʻoe a i ʻole e hānai ana i ka waiū, no ka mea, hiki i ka radiation ke hōʻeha i kahi pēpē e ulu ana. Pono nā wahine o ka makahiki hānau e hana i nā hoʻokolohua hāpai ma mua o ka mālama ʻana a pono e hoʻohana i ka contraception kūpono.

ʻAʻole paha he moho nā poʻe me ka hana kīkī i hoʻopilikia nui ʻia no kēia lāʻau lapaʻau, no ka mea, ua hana ʻia ka lāʻau lapaʻau ma nā kīkī. E nānā kāu kauka i kāu hana kīkī me nā hoʻokolohua koko ma mua o ka noʻonoʻo ʻana i kēia lapaʻau.

Inā he pilikia nui kou i ka puʻuwai, nā maʻi o ka iwi iwi, a i ʻole i loaʻa nā lāʻau lapaʻau radiation kiʻekiʻe i ka wā ma mua, pono i kāu kauka e ana pono i nā pilikia a me nā pōmaikaʻi. ʻAʻole kēia mau kūlana e hōʻole 'akomi iā ʻoe, akā pono lākou i ka nānā hou.

E noʻonoʻo pū kāu kauka i kou kūlana olakino holoʻokoʻa, nā lāʻau lapaʻau ʻē aʻe āu e lawe nei, a inā he mau hiʻohiʻona kūpono kāu mau ʻōpū e pane aku ai i kēia lāʻau lapaʻau i manaʻo ʻia.

Nā inoa inoa o Iobenguane I-131

ʻO ka inoa inoa i ʻae ʻia e ka FDA no kēia lāʻau lapaʻau ʻo Azedra. ʻO kēia ke ʻano o ka iobenguane I-131 i loaʻa ma ʻAmelika Hui Pū ʻIa no ka mālama ʻana i kekahi mau ʻōpū neuroendocrine.

Ua hoʻomohala kūikawā ʻia ʻo Azedra a ua ʻae ʻia no ka mālama ʻana i ka pheochromocytoma a me ka paraganglioma ʻaʻole hiki ke wehe ʻia ma ke ʻoki ʻana a ua holomua nō hoʻi me nā lāʻau lapaʻau ʻē aʻe. Ua hana ʻia ka lāʻau lapaʻau i ka mana maikaʻi a me ka hoʻāʻo palekana.

E hoʻohana kāu hui lapaʻau i kēia inoa inoa i ke kūkākūkā ʻana i kāu hoʻolālā lapaʻau a me ka hoʻopili ʻana me nā hui ʻinikua. ʻO nā ʻike palekana a me ka pono e pili ana i kēia lāʻau lapaʻau mai nā haʻawina i hana ʻia me Azedra.

Nā koho ʻē aʻe o Iobenguane I-131

Inā ʻaʻole kūpono ʻo Iobenguane I-131 no kou kūlana, hiki ke noʻonoʻo ʻia kekahi mau ala lapaʻau ʻē aʻe. E kūkākūkā kāu hui lapaʻau i kēia mau koho ma muli o ke ʻano o kāu ʻōpū a me ke olakino holoʻokoʻa.

ʻO ka wehe ʻana i ke ʻoki ʻana ka lapaʻau i makemake ʻia ke hiki ke wehe palekana ʻia nā ʻōpū. ʻOiai inā ʻaʻole hiki ke hana i ke ʻoki ʻana i ka wā mua, hiki i nā loli i ka nui a i ʻole kahi o kāu ʻōpū ke lilo i koho ma hope.

Hiki ke noʻonoʻo ʻia nā lāʻau lapaʻau i manaʻo ʻia e like me sunitinib (Sutent) no kekahi mau ʻano o nā ʻōpū neuroendocrine. Hana ʻokoʻa kēia mau lāʻau lapaʻau waha ma mua o ka lāʻau lapaʻau radioactive akā hiki nō ke hoʻolohi i ka ulu ʻana o ka ʻōpū.

ʻO ka chemotherapy kuʻuna, ʻoiai ʻaʻole i hoʻohana pinepine ʻia no kēia mau ʻōpū kikoʻī, he koho paha ia i kekahi mau kūlana. Hiki nō ke noʻonoʻo ʻia ka lāʻau lapaʻau radiation beam waho no nā ʻōpū i hoʻopaʻa ʻia e pono ai ka lapaʻau.

E kōkua kāu oncologist iā ʻoe e hoʻomaopopo i nā koho ʻē aʻe e hana maikaʻi loa no kou kūlana kikoʻī, me ka noʻonoʻo ʻana i nā mea e like me ke ʻano o ka ʻōpū, kahi, a me kou olakino holoʻokoʻa.

Ua ʻoi aku ka maikaʻi o Iobenguane I-131 ma mua o nā lāʻau lapaʻau ʻē aʻe?

Hāʻawi ʻo Iobenguane I-131 i nā mea maikaʻi kūikawā no nā ʻano ʻōpū kikoʻī, akā inā he

Pono paha e hoʻoponopono ʻia kāu mau lāʻau lapaʻau maʻi diabetes i ka wā o kou noho ʻana i ka haukapila a me ka wā e ola ai. E hana pū kāu hui lapaʻau me kāu endocrinologist e hōʻoia i ka mālama maikaʻi ʻia ʻana o kāu maʻi diabetes i ka wā o ke kaʻina hana lapaʻau.

He mea nui e lawe mai i nā lako a me nā lāʻau lapaʻau diabetes a pau i ka haukapila, a e kūkākūkā i nā hopohopo e pili ana i ka mālama ʻana i ke kō koko me kāu hui lapaʻau ma mua o ka hoʻomaka ʻana i ka lāʻau lapaʻau.

Q2. He aha kaʻu e hana ai inā loaʻa iaʻu ka nui o ka Iobenguane I-131?

ʻAʻole hiki ke loaʻa ka nui o ka Iobenguane I-131 no ka mea ua hoʻomākaukau ʻia a hāʻawi ʻia ka lāʻau lapaʻau e nā poʻe loea lapaʻau i aʻo ʻia i loko o kahi hoʻonohonoho haukapila i mālama ʻia. Nui nā loiloi palekana e pale ai i nā hewa dosing.

Inā he mau hopohopo kāu e pili ana i kāu mahele a i ʻole e ʻike i nā hōʻailona koʻikoʻi i manaʻo ʻole ʻia ma hope o ka lapaʻau ʻana, e hoʻokaʻaʻike koke i kāu hui lapaʻau. Hiki iā lākou ke loiloi i kou kūlana a hāʻawi i ka mālama kākoʻo kūpono inā pono.

ʻO ke ʻano radioactive o kēia lāʻau lapaʻau ʻo ia ka hahai ʻana o nā hana a pau a me ka lawelawe ʻana i nā protocols koʻikoʻi i hoʻolālā ʻia e hōʻoia i ka palekana o ka mea maʻi. Ua aʻo ʻia kāu hui lapaʻau e mālama i nā pilikia e hiki ke kū mai.

Q3. He aha kaʻu e hana ai inā hoʻopaneʻe ʻia a hoʻopau ʻia paha ka lapaʻau?

Hiki ke hana nā hoʻopaneʻe lapaʻau no nā kumu like ʻole, me nā loli i kāu helu koko, nā maʻi, a i ʻole nā pilikia olakino ʻē aʻe e pono e hoʻoponopono mua ʻia. Mai hopohopo - pono pinepine kēia mau hoʻopaneʻe no kou palekana.

Inā ua hoʻomaka mua ʻoe e lawe i ka lāʻau lapaʻau e ālai ana i ka thyroid, e hāʻawi kāu kauka iā ʻoe i nā ʻōlelo kikoʻī e pili ana inā e hoʻomau a hoʻōki paha i ka wā o ka hoʻopaneʻe. He mea nui ka manawa o kēia lāʻau lapaʻau no ka pale ʻana i kāu thyroid gland.

E hoʻohana i nā hoʻopaneʻe lapaʻau e hoʻomaikaʻi i kou olakino holoʻokoʻa, e mālama i nā hopena ʻaoʻao mai nā lāʻau lapaʻau mua, a e nīnau i kāu hui lapaʻau i nā nīnau āu e pili ana i ka lāʻau lapaʻau e hiki mai ana.

Q4. Āhea e hiki ai iaʻu ke hooki i ka lawe ʻana i ka lāʻau lapaʻau e pale ana i ka thyroid?

E hoʻomau mau ana ʻoe i ka lawe ʻana i ka lāʻau lapaʻau e pale ana i ka thyroid no kekahi mau lā a i ʻole mau pule ma hope o kāu lapaʻau Iobenguane I-131, ma muli o nā ʻōlelo aʻoaʻo kikoʻī a kāu kauka. Mālama kēia lāʻau lapaʻau i kou ʻōpū thyroid mai ka omo ʻana i ka iodine radioactive.

E haʻi aku kāu kauka iā ʻoe i ka manawa e hooki ai ma muli o ka wikiwiki o kou kino e hoʻopau i ka mea radioactive. Mai hooki i ka lawe ʻana i ka lāʻau lapaʻau ma mua a i ʻole e hoʻomau i ka lawe ʻana i ka lāʻau lapaʻau ma mua o ka mea i kauoha ʻia, no ka mea, hiki i nā mea ʻelua ke hoʻopilikia i kou olakino thyroid.

Inā loaʻa iā ʻoe nā hopena ʻaoʻao mai ka lāʻau lapaʻau e pale ana i ka thyroid, e hoʻokaʻaʻike aku i kāu hui lapaʻau ma mua o ka hooki ʻana iā ia ma kāu iho. Hiki iā lākou ke kōkua i ka mālama ʻana i nā pilikia i ka wā e mālama ana i kou thyroid.

Q5. Pehea ka lōʻihi o koʻu noho ʻana i ka radioactive ma hope o ka lapaʻau?

E loaʻa iā ʻoe nā pae ana o ka radioactivity no kahi o hoʻokahi pule ma hope o ka lapaʻau, ʻo ia ke kumu e pono ai ʻoe e noho i ka haukapila i ka wā mua a e hahai i nā hana palekana ma ka home. E emi ana ka pae radiation i kēlā me kēia lā i ka wā e hoʻopau ai kou kino i ka lāʻau lapaʻau.

E nānā kāu hui lapaʻau i kāu mau pae radiation ma mua o ka hoʻokuʻu ʻana a e hāʻawi i nā ʻōlelo kikoʻī e pili ana i nā hana e hana ai ma ka home. Hiki i kēia mau mea ke komo i ka kaupalena ʻana i ka pilina pili me nā poʻe ʻē aʻe a me ka hahai ʻana i nā alakaʻi kūikawā no kekahi mau lā.

Hiki i ka hapa nui o nā maʻi ke hoʻi i nā hana maʻamau i loko o hoʻokahi a ʻelua pule, akā e hāʻawi kāu kauka iā ʻoe i ke alakaʻi pilikino e pili ana i kāu mau pae radiation a me ke kūlana home. E hahai pono i nā ʻōlelo aʻoaʻo palekana a pau e pale aku i kou ʻohana a me nā poʻe ʻē aʻe.