Chii chinonzi Sodium Iodide I-131: Zvinoshandiswa, Dosage, Side Effects uye Zvimwe

Sodium Iodide I-131 imhando ye radioactive ye iodine inoshandiswa semushonga wekurapa mamwe mamiriro ethyroid. Gland yako yethyroid inotora iodine zvakasikwa, saka paunotora iyi vhezheni ye radioactive, inoenda zvakananga kune yako thyroid uko inogona kuparadza maseru ethyroid akanyanya kana tishu ine kenza. Iyi nzira yakatarwa inoita kuti ive kurapwa kunoshanda kune matambudziko ethyroid chaiwo ayo mamwe mishonga angasabatwa zvakanaka.

Chii chinonzi Sodium Iodide I-131?

Sodium Iodide I-131 i radioactive iodine inouya semvura kana capsule yaunomedza. Iyo "I-131" inoreva rudzi rwe iodine runoburitsa huwandu hwe radiation hunodzorwa. Iyi radiation yakasiyana zvakanyanya nezvaungafunga nezvayo netsaona dzenyukireya - inoyerwa zvakanyanya uye yakagadzirirwa kushanda chete mugland yako yethyroid.

Mishonga inoshanda nekuti thyroid yako ine kugona kwakasiyana kwekuunganidza nekuchengeta iodine kubva mumuviri wako. Paunotora I-131, thyroid yako inoiisa mukati sema iodine akajairika, asi vhezheni ye radioactive inopa kurapwa kwakanangana uko kunodiwa. Radiation inoderera zvishoma nezvishoma nekufamba kwenguva, kazhinji ichive isina simba mukati memavhiki mashoma.

Chii chinonzi Sodium Iodide I-131 chinoshandiswa?

Vanachiremba vanonyora I-131 zvakanyanya kune mamiriro maviri makuru ethyroid: hyperthyroidism uye thyroid cancer. Kune hyperthyroidism, inobatsira kudzikamisa thyroid inoshanda zvakanyanya iri kugadzira mahomoni akawandisa. Kune thyroid cancer, inogona kuparadza chero maseru ekenza asara mushure mekuvhiyiwa.

Kana uine hyperthyroidism, thyroid yako inogona kunge ichishanda nguva yakawandisa nekuda kwemamiriro akaita seGraves' chirwere kana toxic multinodular goiter. Iyo radioactive iodine inonyanya "kupisa kunze" maseru ethyroid akanyanya, ichidzosa mazinga ako emahormone kune akajairika. Iyi kurapwa inowanzo kurudzirwa kana mishonga isingadzore zviratidzo zvako zvakanaka zvakakwana.

Kune varwere vane gomarara re thyroid, I-131 inoshanda sechiyero chekuwedzera chenguva dzose mushure mekuvhiyiwa kwe thyroid. Kunyange kana vanachiremba vakabvisa gomarara rose rinoonekwa, masero madiki anogona kuramba aripo. Iodine ine radioactive inogona kuwana nekuparadza masero egomarara akavanzika aya mumuviri wako wese, ichideredza mukana wekuti gomarara ridzoke.

Sodium Iodide I-131 Inoshanda Sei?

I-131 inofungidzirwa semushonga une simba uye unoshanda zvakanyanya kune mamiriro e thyroid. Inoshanda nekutumira radiation zvakananga kumasero e thyroid, ayo akagadzirirwa zvakasiyana kuti atore iodine. Iyi nzira yakatarwa zvinoreva kuti radiation inokanganisa kunyanya thyroid yako, iine zvishoma zvinokanganisa kune dzimwe nhengo dzemuviri wako.

Paunomedza mushonga, unopinda muropa rako uye unoenda kune thyroid yako. Masero ako e thyroid anofarira kutora iodine ine radioactive, achifunga kuti iodine yakajairika yavanoda kugadzira mahomoni. Mumazuva anotevera uye mavhiki, radiation inokuvadza zvishoma nezvishoma kana kuparadza masero e thyroid akatarwa.

Maitiro acho anozvishoma nezvishoma uye anodzorwa. Hauzonzwe radiation ichishanda, uye mhedzisiro inovaka zvishoma nezvishoma nekufamba kwenguva. Kune hyperthyroidism, unogona kuona zviratidzo zvako zvichivandudzika mumavhiki akati wandei kusvika kumwedzi. Kune kurapwa kwegomarara, chinangwa ndechekubvisa chero masero egomarara asara ayo kurapwa kwenguva dzose kungave kwakarasika.

Ndinofanira Sei Kutora Sodium Iodide I-131?

Uchatora I-131 mudumbu risina chinhu, kazhinji mushure mekutsanya kwemaawa akati wandei. Chiremba wako achakupa mirairo chaiyo yekuti ungamira rini kudya nekumwa usati wapiwa mushonga wako. Vanhu vazhinji vanofanira kudzivisa chikafu kwemaawa angangoita 2 vasati vatora mushonga uye kwemaawa 1-2 mushure.

Mushonga uyu unowanikwa semvura yaunonwa kana kapisuru yaunomedza nemvura. Kana iri mvura, unogona kuravira kuravira kwesimbi, izvo zvakajairika. Dzimwe nzvimbo dzekurapa dzinokupa mint kana chingamu mushure meizvozvo kuti zvikubatsire nechero aftertaste. Maitiro ese ekutora mushonga anowanzo tora maminetsi mashoma.

Vashandi vehutano vako vachakupawo mirairo yakadzama nezve matanho ekuchenjerera ekutora kwemazuva akati wandei mushure mekurapa. Izvi zvinogona kusanganisira kurara wega, kushandisa dzimba dzekugezera dzakaparadzana kana zvichibvira, uye kusuka mbatya dzako zvakaparadzana. Matanho aya ekuchenjerera anobatsira kuchengetedza nhengo dzemhuri kubva mukuratidzwa kwemwaranzi kusingakoshi apo muviri wako unogadzirisa mushonga.

Ndingatora Sodium Iodide I-131 kwenguva yakareba sei?

Vanhu vazhinji vanotora I-131 sedosi imwe chete, kwete semushonga unopfuurira. Kune hyperthyroidism, kurapwa kumwechete kunowanzoita kuti basa rako rethyroid ridzokere kune zvakajairika. Uchaenda kumisangano yekutevera kuti uongorore kufambira mberi kwako uye uone kana kurapwa kwakawedzerwa kuchidikanwa.

Kana uri kurapwa kenza yethyroid, unogona kuda madhizi akawanda akaparadzaniswa mwedzi yakati wandei. Chiremba wako achasarudza izvi zvichibva pamamiriro ako chaiwo, kusanganisira mhando uye nhanho yekenza yawaiva nayo. Vamwe vanhu vanongoda dosi imwe chete, nepo vamwe vachigona kuda kurapwa kaviri kana katatu mukati megore kana kupfuura.

Mhedzisiro yedosi yega yega inoenderera mberi ichishanda kwemavhiki kusvika kumwedzi mushure mekuitora. Chiremba wako achatevera kufambira mberi kwako kuburikidza nemiedzo yeropa uye scans kuti aone kuti kurapwa kuri kushanda sei. Zvichienderana nemhedzisiro iyi, vachasarudza kana uchida mamwe madhizi kana kana kurapwa kwako kwapera.

Ndezvipi Zvakaipa zveSodium Iodide I-131?

Vanhu vazhinji vanowana matambudziko madiki kubva kuI-131, kunyangwe ruzivo rwemunhu wese rwakasiyana. Matambudziko anowanzoitika nekuti radiation inokanganisa thyroid yako uye dzimwe nguva mate ako, ayo anobatawo huwandu hudiki hwe iodine.

Heano matambudziko aunogona kuona mumazuva mashoma ekutanga kusvika kumavhiki mushure mekurapwa:

• Kutapira mumutsipa kana kuzvimba kwenzvimbo yako ye thyroid
• Muromo wakaoma kana shanduko mukuravira zvinogona kutora mavhiki akati wandei
• Kunyara kudiki, kunyanya pazuva rekurapwa
• Kuneta sezvo muviri wako uchichinjira kumazinga emahormone ari kuchinja
• Kukanganisa kwenguva pfupi kwezviratidzo zve hyperthyroid pamberi pekuvandudzwa kunotanga

Matambudziko aya anowanzoitika anowanzo manejwa uye anovandudzwa ega sezvo muviri wako uchigadzirisa mushonga.

Matambudziko asingawanzoitiki asi akakomba anogona kusanganisira kuzvimba mumutsipa wako kunokanganisa kumedza, kunyara kusingaperi uye kurutsa, kana zviratidzo zvebasa re thyroid rakaderera zvakanyanya sekuneta kwakanyanya uye kuora mwoyo. Kana iwe ukaona kuzvimba kwakanyanya mumutsipa, kuoma kumedza, kana kurutsa kusingaperi, taura nachiremba wako nekukurumidza.

Muzviitiko zvisingawanzoitiki, vamwe vanhu vanowana matambudziko nemate avo anogona kukonzera muromo wakaoma kwenguva refu kana shanduko dzekuravira. Kune zvakare njodzi diki yekuvandudza mamwe akasiyana cancer makore mazhinji gare gare, kunyangwe njodzi iyi ichiwanzoonekwa seyakaderera zvakanyanya ichienzaniswa nemabhenefiti ekurapa mamiriro ako e thyroid.

Ndiani Asingafaniri Kutora Sodium Iodide I-131?

I-131 haina kuchengeteka kuvakadzi vane pamuviri nekuti radiation inogona kukuvadza gland ye thyroid yemwana ari kukura. Kana iwe une pamuviri kana uchifunga kuti ungave uine, udza chiremba wako nekukurumidza. Iwe unozoda bvunzo yekuzvitakura usati warapwa, uye unofanirwa kudzivirira kuva nepamuviri kwemwedzi yakati wandei mushure mekurapwa.

Vanamai vanoyamwisa havagone kutora I-131 nekuti iodine ine radioactive inopinda mumukaka wemazamu. Kana uri kuyamwisa, unozofanira kumira zvachose usati watora mushonga uye womirira mwedzi yakati wandei usati watangazve, zvichienderana nezvinokurudzirwa nachiremba wako.

Vanhu vane mamiriro ezvinhu akati wandei vanoda kufungwa zvakakosha vasati vatora I-131. Kana uine matambudziko emoyo akakomba, mazinga e-thyroid hormone asina kudzora, kana mhando dzakasiyana dzeziso dzine chekuita nechirwere chethyroid, chiremba wako angada kutanga kugadzirisa mamiriro aya. Vamwe vanhu vane matambudziko eitsvo vangadawo kugadzirisa mushonga.

Vana vadiki havawanzo gamuchira I-131 kunze kwekunge zvichidikanwa, sezvo miviri yavo iri kukura ichinyanya kunzwisisa kune radiation. Vanachiremba vanowanzoedza mamwe marapirwo kutanga muvarwere vevana.

Mazita eSodium Iodide I-131 Brand

I-131 inowanikwa pasi pemazita akati wandei, kusanganisira Hicon uye Sodium Iodide I-131. Zvisinei, zvipatara zvakawanda nemadhipatimendi emishonga yenyukireya anogadzirira mhinduro yavo yeiodine ine radioactive, saka unogona kusawana zita rechiratidzo chakati wandei pamushonga wako.

Mushonga wacho pachako wakafanana zvisinei nerudzi kana nzira yekugadzirira. Chinhu chinonyanya kukosha ndechekuti chakagadzirirwa nenyanzvi dzakakodzera munzvimbo yemishonga yenyukireya ine rezinesi. Chikwata chako chekurapa chichaita shuwa kuti unogamuchira chiyero chakakodzera uye mhando yeiodine ine radioactive yechirwere chako.

Zvimwe zvingashandiswa panzvimbo peSodium Iodide I-131

Kune hyperthyroidism, zvimwe zvingashandiswa panzvimbo peI-131 zvinosanganisira mishonga inorwisa thyroid yakaita se methimazole kana propylthiouracil, uye kubviswa kwechikamu kana zvese zvethyroid yako nekuvhiyiwa. Mishonga inorwisa thyroid inoshanda zvishoma nezvishoma uye inoda kutorwa zuva rega rega, asi haibatanidzi radiation. Kuvhiyiwa kunopa mhedzisiro nekukasira asi kunoda general anesthesia uye kune njodzi dzekuvhiya.

Kana uri kenza yegurokuro, dzimwe nzira dzinoenderana nerudzi rwako rwekenza uye nhanho yayo. Izvi zvinogona kusanganisira kuvhiyiwa kwakawanda, kurapwa kwemwaranzi yekunze, kana mishonga mitsva yekurapa inotarwa. Vamwe vanhu vane kenza yegurokuro ine njodzi shoma vangasada chero kurapwa kwakawanda kunze kwekuvhiyiwa.

Chiremba wako achakubatsira kuyera mabhenefiti nenjodzi dzechisarudzo chimwe nechimwe zvichienderana nezera rako, hutano hwako hwese, kuoma kwemamiriro ako, uye zvaunofarira. I-131 inowanzo kurudzirwa nekuti inoshanda zvakanyanya uye inowanzoita kuti uve nezvipo zvishoma zvekupora kupfuura dzimwe sarudzo.

Ko Sodium Iodide I-131 iri nani pane Methimazole?

I-131 uye methimazole zvinoshanda zvakasiyana uye zviri nani kune mamiriro akasiyana. I-131 inowanzo shanda zvakanyanya pakudzora hyperthyroidism kwenguva refu nekuti inopa mhinduro yechigarire. Vanhu vazhinji vanogamuchira I-131 havadi mishonga yezuva nezuva ye hyperthyroidism yavo.

Methimazole imishonga inorwisa thyroid yaunotora zuva nezuva kuti ivharire kugadzirwa kwehomoni. Inoshanda zvishoma nezvishoma uye inodzokera, zvinoreva kuti basa rako regurokuro rinogona kudzokera kune zvakajairika kana ukamira kuitora. Izvi zvinoita kuti methimazole ive sarudzo yakanaka kune vanhu vanoda kudzivirira radiation kana vane hyperthyroidism yakapfava.

I-131 inowanzo kurudzirwa kana methimazole isina kushanda zvakanaka, kana wava nemigumisiro kubva kumishonga inorwisa thyroid, kana kana uchida kurapwa kamwe chete pane mishonga yezuva nezuva. Sarudzo pakati pavo inoenderana nemamiriro ako chaiwo, zera, uye zvaunofarira.

Mibvunzo Inowanzo Bvunzwa Pamusoro peSodium Iodide I-131

Ko Sodium Iodide I-131 yakachengeteka here kune vanhu vane chirwere chemoyo?

Vanhu vane chirwere chemoyo vanogona kugamuchira I-131 zvakachengeteka, asi vanoda kutariswa nekugadzirirwa zvakanaka. Kana uine matambudziko emoyo, chiremba wako anowanzo kuda kudzora mazinga ako emahormone e thyroid nemishonga usati wapiwa I-131. Izvi zvinodzivirira kuwedzera kwenguva pfupi kwezviratidzo zve hyperthyroid zvinogona kukonzera kushushikana kwemoyo wako.

Cardiologist yako uye endocrinologist vachashanda pamwechete kuti vaone nzira yakachengeteka. Vanogona kukurudzira kutanga beta-blockers kana mamwe mishonga yemoyo isati yatanga kurapwa. Chinangwa ndeche kudzivirira moyo wako uchiri kukubvumira kuti ugamuchire kurapwa kwe thyroid kunoshanda.

Ndingaita Sei Kana Ndikashandisa Sodium Iodide I-131 yakawandisa netsaona?

Hazviiti kuti uchatora I-131 yakawandisa netsaona nekuti inopiwa semushonga mumwe chete wakayerwa zvakanyatsojeka muchipatara. Nyanzvi dzehutano dzinoverenga chiyero chako chaicho zvichienderana nehukuru hwe thyroid yako, mamiriro ako, nezvimwe zvinhu. Hauvake kana kuyera mushonga wacho iwe pachako.

Kana uine hanya nechiyero chako kana uine zviratidzo zvisingatarisirwi mushure mekurapwa, bata chiremba wako kana dhipatimendi remishonga yenyukireya kwaunogamuchira kurapwa. Vanogona kutarisa mazinga ako emwaranzi uye kupa gwara kana zvichidikanwa.

Ndingaita Sei Kana Ndikakanganwa Dose yeSodium Iodide I-131?

Sezvo I-131 inowanzo piwa semushonga mumwe chete muchipatara, hauzove nemishonga yekukanganwa kumba. Kana ukakanganwa kugadzwa kwako kwakarongeka kwekurapwa, bata hofisi yachiremba wako nekukurumidza sezvinobvira kuti urongezve.

Nguva yekurapwa kwako inogona kukosha, kunyanya kana wanga uchigadzirira nekudzora kudya kana wakamisa mamwe mishonga. Chikwata chako chehutano chichakubatsira kuona nguva yakanakisa yekuronga kurapwa kwako.

Ndingamira Rini Kutora Sodium Iodide I-131?

Hamiregi kutora I-131 sekunge uri kutora mushonga wezuva nezuva nekuti kazhinji inopiwa sekurapa kamwe chete. Iodine inoshanda neradiyo inoramba ichishanda mumuviri mako kwemavhiki kusvika kumwedzi mushure mekuitora, zvishoma nezvishoma ichiita isina simba nekufamba kwenguva.

Chiremba wako achatarisa kufambira mberi kwako kuburikidza nemiedzo yeropa uye scans kuti aone kuti kurapwa kwakashanda sei. Kana iwe uchida mamwe madosi, achaiswa mwedzi yakati wandei. Vanhu vazhinji havadi kurapwa kweI-131 kunoenderera mberi kana mamiriro avo ethyroid achidzorwa.

Ndingatora Sodium Iodide I-131 nemimwe mishonga here?

Mishonga mimwe inogona kukanganisa kuti I-131 inoshanda sei, saka chiremba wako achatarisa mishonga yako yese usati warapwa. Unogona kuda kumisa kwenguva pfupi mishonga yethyroid, mimwe mishonga yemoyo, kana zvinowedzera zvine iodine.

Vashandi vehutano vachakupa runyorwa rwakazara rwemishonga nezvokudya zvekudzivisa usati warapwa. Nguva yekugadzirira iyi yakakosha pakuona kuti I-131 inoshanda nemazvo. Mushure mekurapwa, unogona kazhinji kutangazve mishonga yako yakajairika kunze kwekunge chiremba wako achikurudzira zvimwe.