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Imiti ya radiyo ifatirwa mu kanwa ni imiti idasanzwe irimo ibintu bito bya radiyo. Iyi miti ifasha abaganga kureba imbere mu mubiri wawe cyangwa kuvura indwara zimwe na zimwe nk'ibibazo bya tiroyide na kanseri zimwe na zimwe.
Tekereza kuri iyi miti nk'intumwa nto zizenguruka mu mubiri wawe zikohereza ibimenyetso kuri kamera zidasanzwe. Igice cya radiyo kigenzurwa neza kandi cyateguwe kugira ngo kibe cyiza iyo gikoreshejwe neza kandi kigenzurwa n'abaganga.
Umuti wa radiyo ufashwe mu kanwa ni amazi cyangwa ikinini kirimo ibintu bya radiyo urira. Muganga wawe yandika iyi miti kugira ngo akore ibizamini by'ubuvuzi byihariye cyangwa avure indwara zisaba kureba uko ingingo zikora imbere mu mubiri wawe.
Ubwoko busanzwe ushobora guhura nabwo ni iyode ya radiyo, abaganga bakoresha kugira ngo bagenzure cyangwa bavure indwara za tiroyide. Iyi miti ikora mu buryo butandukanye n'ibinini bisanzwe kuko itanga radiyo ntoya imashini zidasanzwe zishobora kumenya.
Ibintu bya radiyo biri muri iyi miti byatoranijwe neza kuko bisenyuka neza mu mubiri wawe uko igihe kigenda. Radiyo nyinshi ziva mu mubiri wawe binyuze mu nkari mu minsi mike cyangwa mu byumweru, bitewe n'umuti wihariye.
Abaganga bandika imiti ya radiyo yo mu kanwa cyane cyane kubera indwara zifitanye isano na tiroyide n'ibizamini bimwe na bimwe byo kumenya indwara. Iyi miti ifasha gusuzuma ibibazo no gutanga ubuvuzi bugamije indwara zihariye.
Ibikoreshwa byinshi birimo kuvura tiroyide ikora cyane (hyperthyroidism) na kanseri ya tiroyide. Muganga wawe ashobora kandi kugusaba iyi miti kugira ngo akore isesengura ryo kumenya indwara kugira ngo arebe uko tiroyide yawe ikora neza cyangwa ashake kanseri ya tiroyide ishobora kuba yaragutse.
Dore indwara nyamukuru iyi miti ifasha kuvura:
Mu bihe bidasanzwe, abaganga bashobora kwandika imiti ikoresha imirasire yo kunywa ku bindi bibazo nka kanseri zimwe na zimwe zifata amagufa cyangwa ubwoko bwihariye bwa kanseri zifata imitsi y'amaraso. Itsinda ryawe ry'ubuvuzi rizasobanura neza impamvu bagusaba ubu buvuzi kubera ikibazo cyawe.
Imiti ikoresha imirasire yo kunywa ikora igamije kwibasira ibice by'umubiri wawe cyangwa imitsi y'umubiri wawe ifata neza ibintu bifite imirasire. Iyo umuti ugeze muri ibyo bice, utanga imirasire yibanda ku kuvura indwara cyangwa bigatuma abaganga bashobora gukora amashusho arambuye.
Ku bibazo bya tyroyide, iyode ifite imirasire ikora kuko tyroyide yawe ifata iyode mu maraso yawe. Uwo muti wibanda mu gice cya tyroyide, aho ushobora kurimbura uturemangingo twakora cyane cyangwa uturemangingo twa kanseri mugihe utareba ibindi bice byinshi by'umubiri.
Ibi bifatwa nk'uburyo bwo kuvura bufite imbaraga ziringaniye. Imirasire ifite imbaraga zihagije zo kugira akamaro ariko yibanda bihagije kugirango igabanye kwangiza ibice by'umubiri bifite ubuzima bwiza. Imbaraga n'igihe cy'ubuvuzi biterwa n'ikibazo cyawe cyihariye n'urugero umuganga wawe yaguteye.
Umubiri wawe ukora iyi miti mu gihe cy'iminsi myinshi kugeza ku byumweru byinshi. Ibintu bifite imirasire bigenda bitakaza imbaraga zabyo kandi bigasohoka mu mubiri wawe, cyane cyane binyuze mu nkari. Imiti imwe irashobora no gukurwaho binyuze mu macandwe, ibyuya, cyangwa imyanda yo mu mara.
Uzatwara imiti ya radiyo yo kunywa nk'uko muganga wawe abitegeka, akenshi nk'urugero rumwe rukorerwa mu bitaro cyangwa mu ivuriro ryihariye. Uyu muti akenshi uza mu buryo bw'amazi uzanywa cyangwa mu buryo bw'ibinini uzamira hamwe n'amazi.
Itsinda ryawe ry'abaganga rizagutera amabwiriza yihariye yerekeye kurya mbere yo gufata uyu muti. Ku bijyanye n'imiti ivura umusonga, akenshi bizagusaba guhagarika kurya byibura amasaha 2 mbere na saa imwe nyuma yo gufata umuti. Ibi bifasha umubiri wawe kwinjiza neza uyu muti.
Ibi nibyo ushobora kwitega mugihe cyo kuvurwa:
Nyuma yo gufata umuti, bizagusaba gukurikiza amabwiriza yihariye yo kwirinda kugirango urinde abandi kwangizwa n'imirasire. Aya mabwiriza azibanda ku bintu nk'uko ukoresha ubwiherero butandukanye, kumesa imyenda itandukanye, no kugumana intera n'abandi mu gihe runaka.
Imiti myinshi ya radiyo yo kunywa itangwa nk'urugero rumwe aho kuba imiti ya buri munsi ufata uko igihe kigenda. Muganga wawe agena neza urugero ruzashingira ku ndwara yawe, uburemere bw'umubiri wawe, n'intego z'ubuvuzi.
Ingaruka z'umuti zikomeza gukora mu mubiri wawe iminsi cyangwa ibyumweru nyuma yo kuwufata. Ku bijyanye n'imiti ivura umusonga, ushobora gutangira kubona impinduka mu bimenyetso byawe mu byumweru bike, ariko ingaruka zose zirashobora gutwara amezi menshi kugirango zigaragare.
Abantu bamwe bashobora gukenera urugero rwinshi niba ubuvuzi bwa mbere butageze ku ntego. Muganga wawe azagenzura uko urimo utera imbere binyuze mu bizami by'amaraso no gupima kugirango amenye niba ukeneye ubuvuzi bukomeye. Ubu buryo bwo gukurikirana akenshi bukorwa mu mezi menshi.
Icyuma gikoreshwa mu buryo bw'imirasire gifite igihe gito cyo kubaho mu mubiri wawe. Byinshi muri byo bisenyuka mu buryo busanzwe bigasohoka mu mubiri wawe mu minsi cyangwa mu byumweru, bitewe n'umuti wihariye wakoreshejwe.
Ingaruka ziterwa n'imiti ikoreshwa mu buryo bw'imirasire inyuzwa mu kanwa muri rusange ziba nto kandi zikamaraho igihe gito, nubwo zishobora gutandukana bitewe n'umuti wihariye n'urugero rwakoreshejwe. Abantu benshi ntibagira ibibazo byinshi, ariko ni ngombwa kumenya icyo ugomba kwitaho.
Ingaruka zisanzwe ushobora kubona zirimo impinduka z'igihe gito mu buryohe, isesemi rito, cyangwa kubabara mu gice cy'ijosi ryawe niba wakoresheje umuti uvura imisemburo ya thyroïde. Ibi bimenyetso mubisanzwe bigenda neza mu minsi mike cyangwa mu byumweru.
Dore ingaruka zisanzwe abantu bahura nazo:
Ingaruka zitagaragara cyane ariko zikomeye zirimo ibimenyetso bikomeye by'uburwayi bwo kwivumbura, impinduka zikomeye mu rwego rw'imisemburo ya thyroïde, cyangwa kwangirika kw'amasahani. Izi ngorane ni gake ariko zisaba ubufasha bwihuse bw'abaganga nibiba.
Abantu bamwe bahangayika ku ngaruka zirambye ziterwa no guhura n'imirasire. Nubwo hariho akaga gato ko kurwara izindi kanseri nyuma y'igihe, iyi ngaruka muri rusange ifatwa nk'igito cyane ugereranyije n'inyungu zo kuvurwa. Muganga wawe azaganira nawe kuri izi ngaruka mbere yo kuvurwa.
Abantu bamwe ntibagomba gukoresha imiti ikoreshwa mu buryo bw'imirasire inyuzwa mu kanwa bitewe n'impungenge z'umutekano cyangwa ingorane zishobora kuvuka. Muganga wawe azasuzuma neza amateka yawe y'ubuzima n'uko umeze ubu mbere yo kugusaba ubu buvuzi.
Abagore batwite ntibagomba gufata iyi miti na rimwe kuko imirasire ishobora kwangiza umwana ukiri mu nda. Niba uri konka, ugomba guhagarika mu gihe gitegetswe na muganga wawe, kuko umuti ushobora kunyura mu mata.
Abantu bagomba kwirinda cyangwa bakitonda bakoresha imiti ya radiyo ifatirwa mu kanwa harimo:
Mu bihe bidasanzwe, abantu bafite indwara zimwe na zimwe zishingiye ku mikorere y'umubiri zishobora gutuma umubiri wabo utabasha gukoresha neza iyode, ntibashobora kuba abakandida beza bo kuvurwa na iyode ya radiyo. Muganga wawe azatekereza ku mateka yawe yose y'ubuzima mugihe atanga inama z'ubuvuzi.
Imiti ya radiyo ifatirwa mu kanwa iboneka mu mazina atandukanye y'ubwoko, nubwo benshi bayita amazina yabo rusange. Ibicuruzwa bya iyode ya radiyo bikoreshwa cyane harimo Hicon na Sodium Iodide I-131.
Izindi miti ya radiyo ifatirwa mu kanwa ushobora guhura nayo harimo Lutathera yo kuvura ibibyimba bimwe na bimwe bya neuroendocrine na ubwoko butandukanye bwa fosifore ya radiyo yo kuvura indwara zimwe na zimwe z'amaraso. Muganga wawe azavuga neza umuti uzahabwa.
Izina ry'ubwoko ntacyo rivuze cyane ugereranije na isotope ya radiyo yihariye na doze muganga wawe yagutegetse. Itsinda ryawe ry'ubuvuzi rizagufasha guhabwa umuti ukwiye n'imbaraga zikwiye kubera uburwayi bwawe bwihariye.
Hariho ubundi buryo bwo kuvura butari imiti ya radiyo ifatirwa mu kanwa, bitewe n'uburwayi bwawe bwihariye. Kubibazo bya tiroyide, ibisubizo bishobora kuba imiti irwanya tiroyide, kubaga, cyangwa ubuvuzi bwo gukoresha imirasire yo hanze.
Ku bijyanye na hyperthyroidism, muganga wawe ashobora kugusaba imiti nka methimazole cyangwa propylthiouracil aho gukoresha iodine ya radiyo. Kubagwa kugirango bakuremo igice cyangwa byose bya thyroid ni ubundi buryo, cyane cyane kubarwayi bakiri bato cyangwa abafite imitsi minini ya thyroid.
Uburyo bwo kuvura bushobora kwitabazwa burimo:
Uburyo bwiza buteranyiriza hamwe biraterwa n'imyaka yawe, ubuzima bwawe muri rusange, ubukana bw'indwara yawe, n'ibyo ukunda. Muganga wawe azagufasha gupima inyungu n'ibibazo bya buri kimwe kugirango abone uburyo bwo kuvura bukwiye.
Radiopharmaceuticals yo mu kanwa itanga inyungu zidasanzwe kubibazo bimwe na bimwe bya thyroid, ariko niba ari "byiza" biterwa n'imimerere yawe. Kubantu benshi bafite hyperthyroidism, iodine ya radiyo itanga ibisubizo byiza byigihe kirekire hamwe n'ubuvuzi bumwe.
Ugereranije n'imiti ya anti-thyroid ya buri munsi, iodine ya radiyo akenshi itanga igisubizo kirambye. Ntabwo uzibuka ibinini bya buri munsi cyangwa ngo uhangayikishwe n'ingaruka ziterwa n'imiti igihe kirekire. Ariko, bishobora kuzagusaba ubuvuzi bwo gusimbuza imisemburo ya thyroid.
Kubagwa bitanga ibisubizo byihuse kandi bigatuma habaho isuzuma ry'imitsi, ariko bitwara ibibazo byo kubagwa kandi bisaba igihe cyo koroherwa. Ubuvuzi bwa iodine ya radiyo ntabwo bugira ingaruka kandi burashobora gukorwa nk'uburyo bwo hanze mu bihe byinshi.
Uburyo "bwiza" bwo kuvura buterwa n'ibintu nk'imyaka yawe, gahunda yo gutwita, ubunini bwa thyroid yawe, n'urwego rwawe rwo kwishimira uburyo butandukanye. Muganga wawe azagufasha gusobanukirwa uburyo bujyana neza n'imimerere yawe yihariye n'intego z'ubuzima.
Muri rusange, imiti ya radiopharmaceutical inyobwa irakwiriye ku bantu barwaye indwara z'umutima, ariko muganga wawe azabanza asuzume neza uko umutima wawe umeze. Imirasire ubwayo ntigira ingaruka ku mikorere y'umutima.
Ariko, niba ufite hyperthyroidism n'ibibazo by'umutima, muganga wawe ashobora gushaka kugenzura urugero rw'imisemburo ya thyroïde ukoresheje imiti mbere yo kuguha iodine ifite imirasire. Ubu buryo bufasha kwirinda ibibazo bishobora kuvuka ku mutima mu gihe cy'ubuvuzi.
Umuvuzi w'indwara z'umutima (cardiologue) n'umuvuzi w'imisemburo (endocrinologue) bazakorana kugira ngo barebe ko igihe n'uburyo bikwiriye ku buzima bw'umutima wawe. Bashobora kugusaba gukurikiranwa cyangwa guhindura imiti yawe y'umutima mu gihe cy'ubuvuzi.
Gufata doze nyinshi bitunguranye ntibishoboka cyane kuko iyi miti itangwa mu maso y'abaganga babigize umwuga mu bigo by'ubuvuzi bigenzurwa. Ntushobora gufata nyinshi bitunguranye kuko abaganga bapima kandi bagatanga doze nyinshi.
Niba ufite impungenge ku bijyanye n'imirasire nyuma y'ubuvuzi, vugana n'umuganga wawe ako kanya. Barashobora gusuzuma uko umeze kandi bakaguha inama zishingiye ku byo urimo.
Itsinda ry'abaganga batanze ubuvuzi bwawe bazaguha amabwiriza arambuye ku byo witegura no kumenya igihe cyo guhamagara ubufasha. Bika amakuru yabo yo kubahamagara hafi yawe mu gihe cyo gukira.
Ntushobora gusiga doze ya radiopharmaceutical inyobwa kuko akenshi itangwa nk'ubuvuzi bumwe mu kigo cy'ubuvuzi. Niba utabonetse ku gihe cyagenwe, vugana n'umuganga wawe ako kanya kugira ngo utegereze.
Kutitabira gahunda yawe bishobora kugira ingaruka ku gihe cyo kuvurwa kwawe, cyane cyane niba warakurikizaga ibiryo byihariye cyangwa wahagaritse imiti yindi mu rwego rwo kwitegura. Muganga wawe azakugira inama y'uko ukomeza.
Ubuvuzi bumwe na bumwe busaba igihe cyihariye, bityo gusubika gahunda bishobora gusaba gusubiramo intambwe zo kwitegura cyangwa guhindura gahunda yawe yo kuvurwa. Itsinda ryawe ry'abaganga rizakuyobora mu mpinduka zose zikenewe.
Ntabwo "uhagarika gufata" imiti ya radiopharmaceutical yo mu kanwa mu buryo busanzwe kuko akenshi itangwa nk'ubuvuzi bumwe. Umuti ukomeza gukora mu mubiri wawe kugeza igihe ibikoresho bya radioactive bisenyutse mu buryo busanzwe kandi bikavanwamo.
Ingaruka z'ubuvuzi zirashobora gukomeza mu gihe cy'amezi igihe umubiri wawe usubiza ku mirerere. Muganga wawe azakurikirana uko urimo uragenda binyuze mu bipimo by'amaraso bisanzwe no gusuzuma kugirango amenye neza niba ubuvuzi burimo burakora neza.
Niba ukeneye doze zinyongera, muganga wawe azagena igihe gishingiye ku buryo wasubije ku buvuzi bwa mbere. Iyi myanzuro irimo isuzuma ryitondewe ry'ibimenyetso byawe, ibisubizo by'ibizamini, n'ubuzima bwawe muri rusange.
Imipaka yo kugenda ishingiye ku bwoko n'umubare w'ibikoresho bya radioactive wakiriye. Ku buvuzi bwinshi, uzakenera kwirinda ingendo zo mu kirere mu gihe gito kuko ibikoresho bisuzuma umutekano ku kibuga cy'indege bishobora kumenya imirasire mu mubiri wawe.
Muganga wawe azaguha ibaruwa isobanura ubuvuzi bwawe bwa vuba aha mu gihe abakozi bashinzwe umutekano bafite ibibazo bijyanye no kumenya imirasire. Iyi nyandiko ni ingenzi kugirango wirinde gutinda cyangwa ibibazo mugihe cyo kugenda.
Igihe cyo kubuzwa gutandukanye ariko akenshi kimara iminsi mike kugeza ku byumweru byinshi. Itsinda ryawe ry'abaganga rizagutanga ubuyobozi bwihariye kubijyanye nigihe byemewe kugenda n'ingamba zo gufata niba kugenda ari ngombwa.