He aha ka Sodium Iodide I-131: Nā hoʻohana, ka nui o ka lāʻau, nā hopena ʻaoʻao a me nā mea hou aku

ʻO ka Sodium Iodide I-131 he ʻano radioactive o ka iodine i hoʻohana ʻia e like me ka lāʻau lapaʻau e mālama ai i kekahi mau maʻi thyroid. Hoʻopili maoli kou ʻāʻī thyroid i ka iodine, no laila ke lawe ʻoe i kēia mana radioactive, hele pololei ia i kou thyroid kahi e hiki ai iā ia ke luku i nā cell thyroid overactive a i ʻole nā ʻiʻo maʻi maʻi. ʻO kēia ala i manaʻo ʻia he lapaʻau kūpono no nā pilikia thyroid kikoʻī i hiki ʻole i nā lāʻau lapaʻau ʻē aʻe ke mālama pono.

He aha ka Sodium Iodide I-131?

ʻO ka Sodium Iodide I-131 he iodine radioactive i hele mai ma ke ʻano he wai a i ʻole capsule āu e ale ai. ʻO ka

No nā maʻi maʻi maʻi thyroid, he ana palekana hou ka I-131 ma hope o ke ʻoki ʻana i ka thyroid. ʻOiai ke wehe nā kauka lapaʻau i nā maʻi maʻi i ʻike ʻia, hiki nō ke koe nā pūnaewele microscopic. Hiki i ka iodine radioactive ke loaʻa a luku i kēia mau pūnaewele maʻi maʻi huna ma kou kino a pau, e hōʻemi ana i ka manawa e hoʻi mai ai ka maʻi maʻi.

Pehea e hana ai ka Sodium Iodide I-131?

Ua manaʻo ʻia ʻo I-131 he lāʻau lapaʻau ikaika a maikaʻi loa no nā maʻi thyroid. Hana ia ma ka hāʻawi ʻana i ka radiation pololei i nā pūnaewele thyroid, i hoʻolālā ʻia e komo i ka iodine. ʻO kēia hana i manaʻo ʻia e pili ka radiation i kāu thyroid, me ka liʻiliʻi o ka hopena i nā ʻāpana ʻē aʻe o kou kino.

Ke ale ʻoe i ka lāʻau lapaʻau, komo ia i loko o kou kahe koko a hele i kou ʻōpū thyroid. Hoʻopili ikaika kāu mau pūnaewele thyroid i ka iodine radioactive, me ka manaʻo he iodine maʻamau lākou e pono ai no ka hana hormone. I nā lā a me nā pule e hiki mai ana, e hōʻino mālie a luku paha ka radiation i nā pūnaewele thyroid i manaʻo ʻia.

He hana mālie a mālama ʻia. ʻAʻole ʻoe e ʻike i ka hana ʻana o ka radiation, a e kūkulu mālie nā hopena i ka manawa. No ka hyperthyroidism, hiki iā ʻoe ke ʻike i ka hoʻomaikaʻi ʻana o kāu mau hōʻailona i nā pule a i ʻole nā mahina. No ka mālama ʻana i ka maʻi maʻi, ʻo ka pahuhopu ka hoʻopau ʻana i nā pūnaewele maʻi maʻi i koe i hiki i nā lāʻau lapaʻau maʻamau ke hala.

Pehea wau e lawe ai i ka Sodium Iodide I-131?

E lawe ʻoe i ka I-131 ma ka ʻōpū ʻole, ma hope o ka ʻai ʻole ʻana no kekahi mau hola. E hāʻawi kāu kauka iā ʻoe i nā ʻōlelo kikoʻī e pili ana i ka manawa e hoʻōki ai i ka ʻai a me ka inu ʻana ma mua o kāu lapaʻau. Pono ka hapa nui o nā kānaka e pale i ka meaʻai no ka liʻiliʻi o 2 mau hola ma mua o ka lawe ʻana i ka lāʻau lapaʻau a no 1-2 mau hola ma hope.

Hele mai ka lāʻau lapaʻau ma ke ʻano he wai e inu ai a i ʻole he capsule e ale ai me ka wai. Inā he wai, e ʻono paha ʻoe i kahi ʻono metala liʻiliʻi, he mea maʻamau ia. Hāʻawi kekahi mau kikowaena lapaʻau iā ʻoe i ka mint a i ʻole ka ʻōpala ma hope e kōkua i kekahi ʻono ma hope. ʻO ke kaʻina hana holoʻokoʻa o ka lawe ʻana i ka lāʻau lapaʻau e lawe maʻamau i kekahi mau minuke.

E hāʻawi pū kāu hui mālama ola iā ʻoe i nā ʻōlelo kikoʻī e pili ana i nā hana kūikawā e hana ai no kekahi mau lā ma hope o ka mālama ʻana. Hiki i kēia mau mea ke komo i ka hiamoe wale nō, ka hoʻohana ʻana i nā lumi ʻauʻau kaʻawale ke hiki, a me ka holoi ʻana i kou mau lole i kaʻawale. Kōkua kēia mau hana i ka pale ʻana i nā lālā o ka ʻohana mai ka ʻike ʻana i ka radiation pono ʻole i ka wā e hana ai kou kino i ka lāʻau lapaʻau.

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

Lawe ka hapa nui o nā kānaka i ka I-131 ma ke ʻano he hoʻokahi dose, ʻaʻole ma ke ʻano he lāʻau lapaʻau e hoʻomau nei. No ka hyperthyroidism, lawa ka mālama ʻana hoʻokahi e hoʻihoʻi i kāu hana thyroid i ka maʻamau. E loaʻa iā ʻoe nā manawa e hahai ai e nānā i kāu holomua a ʻike inā pono ka mālama hou.

Inā e mālama ʻia ana ʻoe no ka maʻi ʻaʻai thyroid, pono paha ʻoe i nā doses he nui i hoʻokaʻawale ʻia i kekahi mau mahina. E hoʻoholo kāu kauka i kēia ma muli o kāu kūlana kikoʻī, me ke ʻano a me ke kahua o ka maʻi ʻaʻai āu i loaʻa ai. Pono kekahi poʻe i hoʻokahi dose wale nō, aʻo nā mea ʻē aʻe e pono paha i ʻelua a ʻekolu paha mau lāʻau lapaʻau i loko o hoʻokahi makahiki a ʻoi aku paha.

Hoʻomau nā hopena o kēlā me kēia dose i ka hana ʻana no nā pule a i nā mahina ma hope o kou lawe ʻana. E nānā kāu kauka i kāu holomua ma o nā hoʻokolohua koko a me nā scans e ʻike ai i ka maikaʻi o ka hana ʻana o ka lāʻau lapaʻau. Ma muli o kēia mau hopena, e hoʻoholo lākou inā pono ʻoe i nā doses hou a i ʻole ua pau kāu mālama ʻana.

He aha nā hopena ʻaoʻao o ka Sodium Iodide I-131?

He nui ka poʻe e ʻike i nā hopena ʻaoʻao maʻalahi mai I-131, akā ʻokoʻa ka ʻike o kēlā me kēia kanaka. ʻO nā hopena ʻaoʻao maʻamau e hana ʻia no ka mea e pili ana ka radiation i kou thyroid a i kekahi manawa i kou mau ʻōpū salivary, e komo pū ana i nā mea liʻiliʻi o ka iodine.

Eia nā hopena ʻaoʻao āu e ʻike ai i nā lā mua a i nā pule ma hope o ka mālama ʻana:

• ʻO ka palupalu a i ʻole ka pehu ʻana o ka ʻāʻī kahi i loaʻa ai kou thyroid
• Waha maloʻo a i ʻole nā loli i ka ʻono e hiki ke mau i nā pule he nui
• ʻO ka nausea maʻalahi, ʻoi loa i ka lā o ka mālama ʻana
• ʻO ka luhi i ka wā e hoʻoponopono ai kou kino i nā pae hormone e loli nei
• ʻO ka hoʻonui ʻana i nā hōʻailona hyperthyroid ma mua o ka hoʻomaka ʻana o ka hoʻomaikaʻi

Hiki ke mālama ʻia kēia mau hopena ʻaoʻao maʻamau a hoʻomaikaʻi iā lākou iho i ka wā e hana ai kou kino i ka lāʻau.

ʻO nā hopena ʻaoʻao maʻamau ʻole akā ʻoi aku ka koʻikoʻi e komo pū ana me ka pehu ʻana i kou ʻāʻī e pili ana i ka ʻai ʻana, ka nausea mau a me ka luaʻi ʻana, a i ʻole nā hōʻailona o ka hana thyroid haʻahaʻa loa e like me ka luhi nui a me ke kaumaha. Inā ʻike ʻoe i ka pehu ʻana o ka ʻāʻī, ka pilikia o ka ʻai ʻana, a i ʻole ka luaʻi mau ʻana, e kelepona koke i kāu kauka.

I nā hihia kakaʻikahi, hoʻomohala kekahi poʻe i nā pilikia me kā lākou mau ʻōpū salivary e hiki ke hana i ka waha maloʻo a i ʻole nā loli ʻono. Aia kekahi pilikia liʻiliʻi o ka hoʻomohala ʻana i nā maʻi ʻaʻai ʻē aʻe i nā makahiki he nui ma hope, ʻoiai ua manaʻo ʻia kēia pilikia he haʻahaʻa loa i ka hoʻohālikelike ʻana i nā pōmaikaʻi o ka mālama ʻana i kou maʻi thyroid.

ʻO wai ka mea pono ʻole e lawe i ka Sodium Iodide I-131?

ʻAʻole palekana ʻo I-131 no nā wahine hāpai no ka mea hiki i ka radiation ke hōʻeha i ka ʻōpū thyroid o kahi pēpē e ulu ana. Inā hāpai ʻoe a i ʻole e manaʻo ana paha, e haʻi koke i kāu kauka. Pono ʻoe i kahi hoʻāʻo hāpai ma mua o ka mālama ʻana, a pono ʻoe e pale i ka hāpai ʻana no kekahi mau mahina ma hope o ka mālama ʻana.

ʻAʻole hiki i nā makuahine e hānai ana i ka waiū ke lawe i ka I-131 no ka mea e hele ana ka iodine radioactive i loko o ka waiū umauma. Inā ʻoe e hānai ana i ka waiū, pono ʻoe e hooki loa ma mua o ka mālama ʻana a kali i kekahi mau mahina ma mua o ka hoʻomau ʻana, ma muli o nā ʻōlelo aʻoaʻo a kāu kauka.

Pono ka poʻe me kekahi mau maʻi lapaʻau i ka noʻonoʻo kūikawā ma mua o ka lawe ʻana i ka I-131. Inā loaʻa iā ʻoe nā pilikia o ka naʻau nui, nā pae hormone thyroid i hoʻomalu ʻole ʻia, a i ʻole kekahi mau ʻano pilikia o ka maka e pili ana i ka maʻi thyroid, makemake paha kāu kauka e hoʻopaʻa mua i kēia mau kūlana. Pono paha kekahi poʻe me nā pilikia o ka puʻupaʻa i nā hoʻoponopono ʻana i ka maʻi.

ʻAʻole loaʻa i nā keiki ʻōpio ka I-131 ke ʻole he mea pono loa, no ka mea, ʻoi aku ka maʻalahi o ko lākou kino e ulu ana i ka radiation. Hoʻāʻo maʻamau nā kauka i nā lāʻau lapaʻau ʻē aʻe ma mua i nā maʻi pediatric.

Nā inoa inoa o ka Sodium Iodide I-131

Loaʻa ka I-131 ma lalo o nā inoa inoa like ʻole, me Hicon a me Sodium Iodide I-131. Eia naʻe, nui nā halemai a me nā keʻena lapaʻau nuklea e hoʻomākaukau i kā lākou mau hoʻonā iodine radioactive ponoʻī, no laila ʻaʻole paha ʻoe e ʻike i kahi inoa inoa kikoʻī ma kāu mālama ʻana.

He like ka lāʻau lapaʻau ponoʻī me ka nānā ʻole i ka inoa a i ʻole ke ʻano hoʻomākaukau. ʻO ka mea nui e pili ana, ua hoʻomākaukau ʻia e nā poʻe loea kūpono i loko o kahi keʻena lapaʻau nuklea laikini. E hōʻoia kāu hui lapaʻau e loaʻa iā ʻoe ka mahele kūpono a me ke ʻano o ka iodine radioactive no kou kūlana kikoʻī.

Nā koho ʻē aʻe o ka Sodium Iodide I-131

No ka hyperthyroidism, nā koho ʻē aʻe i ka I-131 me nā lāʻau anti-thyroid e like me methimazole a i ʻole propylthiouracil, a me ka wehe ʻana i ka ʻāpana a i ʻole nā mea a pau o kou thyroid. Hana mālie nā lāʻau anti-thyroid a pono e lawe ʻia i kēlā me kēia lā, akā ʻaʻole lākou e pili i ka radiation. Hāʻawi ke ʻoki i nā hopena koke akā pono ka anesthesia maʻamau a loaʻa nā pilikia o ka ʻoki.

No ke kanesa thyroid, pili nā koho i kāu ʻano a me ke kahua o ke kanesa. Hiki i kēia mau mea ke komo i ka ʻoki hou ʻana, ka lāʻau lapaʻau radiation waho, a i ʻole nā lāʻau lapaʻau i manaʻo ʻia. ʻAʻole pono kekahi poʻe me nā kanesa thyroid haʻahaʻa loa i kekahi lapaʻau hou ma mua o ke ʻoki ʻana.

E kōkua kāu kauka iā ʻoe e kaupaona i nā pōmaikaʻi a me nā pilikia o kēlā me kēia koho e pili ana i kou makahiki, ke olakino holoʻokoʻa, ke koʻikoʻi o kou maʻi, a me kāu mau makemake pilikino. Manaʻo pinepine ʻia ka I-131 no ka mea he mea maikaʻi loa ia a ʻoi aku ka liʻiliʻi o nā lapaʻau e pono ai ma mua o nā koho ʻē aʻe.

Ua ʻoi aku ka maikaʻi o ka Sodium Iodide I-131 ma mua o Methimazole?

Hana ʻokoʻa ka I-131 a me ka methimazole a ʻoi aku ka maikaʻi no nā kūlana like ʻole. ʻOi aku ka maikaʻi o ka I-131 no ka mālama lōʻihi ʻana i ka hyperthyroidism no ka mea hāʻawi ia i kahi hopena mau. ʻAʻole pono ka hapa nui o ka poʻe e loaʻa ana iā I-131 i nā lāʻau lapaʻau i kēlā me kēia lā no kā lākou hyperthyroidism.

ʻO ka Methimazole kahi lāʻau anti-thyroid āu e lawe ai i kēlā me kēia lā e ālai i ka hana hormone. Hana mālie a hiki ke hoʻohuli ʻia, ʻo ia hoʻi hiki ke hoʻi i ka maʻamau kāu hana thyroid inā ʻoe e hooki i ka lawe ʻana. ʻO kēia ka mea e lilo ai ka methimazole i koho maikaʻi no ka poʻe e makemake e pale i ka radiation a i ʻole ka hyperthyroidism maʻalahi.

Manaʻo pinepine ʻia ka I-131 ke hana ʻole ka methimazole, ke loaʻa iā ʻoe nā hopena ʻaoʻao mai nā lāʻau anti-thyroid, a i ʻole ke makemake ʻoe i ka lapaʻau hoʻokahi ma mua o nā lāʻau lapaʻau i kēlā me kēia lā. Aia ke koho ma waena o lākou i kāu kūlana kikoʻī, makahiki, a me nā makemake.

Nā nīnau i nīnau pinepine ʻia e pili ana i ka Sodium Iodide I-131

He palekana anei ka Sodium Iodide I-131 no ka poʻe me ka maʻi puʻuwai?

Hiki i nā kānaka me ka maʻi puʻuwai ke loaʻa pinepine iā I-131 me ka palekana, akā pono lākou i ka nānā pono a me ka hoʻomākaukau. Inā he pilikia kou puʻuwai, makemake kāu kauka e mālama i nā pae hormone thyroid me nā lāʻau ma mua o ka hāʻawi ʻana iā I-131. Pale kēia i ka hōʻino ʻana o nā hōʻailona hyperthyroid e hiki ke hoʻoluhi i kou puʻuwai.

E hana pū kāu cardiologist a me endocrinologist e hoʻoholo i ke ala palekana loa. Hiki iā lākou ke ʻōlelo e hoʻomaka i nā beta-blockers a i ʻole nā lāʻau puʻuwai ʻē aʻe ma mua o ka mālama ʻana. ʻO ka pahuhopu ka pale ʻana i kou puʻuwai me ka ʻae ʻana iā ʻoe e loaʻa i ka mālama thyroid pono.

He aha kaʻu e hana ai inā hoʻohana hewa au i ka nui o ka Sodium Iodide I-131?

ʻAʻole paha e lawe hewa ʻoe i ka nui o I-131 no ka mea ua hāʻawi ʻia ma ke ʻano he ana hoʻokahi i loko o kahi keʻena lapaʻau. Hoʻohālikelike nā poʻe loea mālama ola i kāu mahele pololei e pili ana i ka nui o kou thyroid, ke kūlana, a me nā mea ʻē aʻe. ʻAʻole ʻoe e mālama a ana paha i ka lāʻau lapaʻau iā ʻoe iho.

Inā hopohopo ʻoe e pili ana i kāu mahele a i ʻole e ʻike i nā hōʻailona i manaʻo ʻole ʻia ma hope o ka mālama ʻana, e hoʻokaʻaʻike i kāu kauka a i ʻole ke keʻena lāʻau lapaʻau nuklea kahi āu i loaʻa ai ka mālama ʻana. Hiki iā lākou ke nānā i kāu mau pae radiation a hāʻawi i ke alakaʻi inā pono.

He aha kaʻu e hana ai inā haʻalele au i kahi mahele o Sodium Iodide I-131?

No ka mea, hāʻawi ʻia ʻo I-131 ma ke ʻano he mahele hoʻokahi i loko o kahi keʻena lapaʻau, ʻaʻole ʻoe e loaʻa nā mahele e haʻalele ma ka home. Inā haʻalele ʻoe i kāu manawa i hoʻonohonoho ʻia no ka mālama ʻana, e hoʻokaʻaʻike i ke keʻena o kāu kauka i ka hiki wawe e hoʻonohonoho hou.

He mea nui paha ka manawa o kāu mālama ʻana, ʻoiai inā ua hoʻomākaukau ʻoe me nā kapu meaʻai a i ʻole ua hooki i nā lāʻau ʻē aʻe. E kōkua kāu hui mālama ola iā ʻoe e hoʻoholo i ka manawa maikaʻi loa e hoʻonohonoho hou i kāu mālama ʻana.

I ka manawa hea e hiki ai iaʻu ke hooki i ka lawe ʻana i ka Sodium Iodide I-131?

ʻAʻole ʻoe e hooki i ka lawe ʻana i ka I-131 e like me kāu e hana ai i ka lāʻau lapaʻau i kēlā me kēia lā no ka mea, hāʻawi ʻia ia ma ke ʻano he lapaʻau hoʻokahi. Hoʻomau ka hana ʻana o ka iodine radioactive i loko o kou kino no nā pule a i ʻole nā mahina ma hope o kou lawe ʻana, e lilo mālie ana i ka hana ʻole i ka wā.

E nānā kāu kauka i kou holomua ma o nā hoʻokolohua koko a me nā scans e ʻike ai i ka maikaʻi o ka hana ʻana o ka lapaʻau. Inā pono ʻoe i nā mea hou aku, e hoʻonohonoho ʻia lākou i nā mahina. ʻAʻole pono ka hapa nui o nā kānaka i ka lapaʻau I-131 mau loa ke mālama ʻia ko lākou maʻi thyroid.

Hiki iaʻu ke lawe i ka Sodium Iodide I-131 me nā lāʻau lapaʻau ʻē aʻe?

Hiki i kekahi mau lāʻau lapaʻau ke hoʻopilikia i ka maikaʻi o ka hana ʻana o ka I-131, no laila e nānā kāu kauka i kāu mau lāʻau lapaʻau a pau ma mua o ka lapaʻau. Pono paha ʻoe e hooki i kekahi mau lāʻau lapaʻau thyroid, kekahi mau lāʻau lapaʻau puʻuwai, a i ʻole nā mea hoʻohui i loaʻa ka iodine.

E hāʻawi kāu hui mālama ola iā ʻoe i kahi papa inoa piha o nā lāʻau lapaʻau a me nā meaʻai e pale aku ai ma mua o ka lapaʻau. He mea nui kēia manawa hoʻomākaukau no ka hōʻoia ʻana i ka hana pono ʻana o ka I-131. Ma hope o ka lapaʻau, hiki iā ʻoe ke hoʻomau i kāu mau lāʻau lapaʻau maʻamau ke ʻole e ʻōlelo ʻia e kāu kauka.