Mukurapa kwechirwere chetachiona, iodine inokonzerwa nemasikirini inogona kushandiswa. Ichi isotopu ine zvinhu zvayo zvinotyisa, saka nzira yekushandiswa kwayo mumuviri inofanira kuitwa kunze kwekutarisirwa kwechiremba ane chiremba.
Iodine inodhaka yehutachiona - kurapwa kwetachiona gland
Nzira iyo inoshandisa isotopu ine zvinotevera:
- hakuna nguva yekudzorera;
- paganda hapana zvipembenene uye zvimwe zvipfeko zvekugadzirisa;
- panguva yekuita kwayo anesthetics haisi kushandiswa.
Zvisinei, kurapwa ne iodine ye-radioactive kune zvingakanganisika:
- Kuunganidzwa kwe isotopu hakuonekwi chete muhutano hwetachiona, asiwo mune mamwe maviri emuviri, kusanganisira mune maovari uye prostate. Nokuda kwechikonzero ichi, mwedzi mitanhatu inotevera mushure mekugadzirisa, varwere vanofanira kuchengetedzwa zvakachengetedzwa. Mukuwedzera, kuiswa kwe isotopu kunovhiringidza kubudisa mahomoni, izvo zvingakanganisa kukura kwe fetus. Vakadzi venguva yekubereka vachabvumidza kudzorera kubata kwemwana kwemakore maviri.
- Pamusana pekunyanya kwemazamu echinyorwa uye kuchinja mukushanda kwezvinyorwa zvisinganzwisisiki, pangave nekuvhiringidzika mukushanda kwezvirongwa zvemuviri.
Majekiseni (akawanda kazhinji I-131) iodine inorayirwa mumatambudziko anotevera:
- thyroid neoplasms;
- thyrotoxicosis;
- maitiro aitakura utachiona;
- hyperthyroidism ;
- diffuse toxic goiter ;
- pangozi yezvinetso zvemashure.
Kurapa kwe thyrotoxicosis ne radioactive iodine
Kurapa kwakadaro kunopa migumisiro yakanaka. Kurapa hyperthyroidism ne iodine inonzi radioactive yakanga yakabudirira, muyero wei I-131 gland inobatwa nemisumbu inofanira kunge iri 30-40 g.Uwandu hwe isotopu inogona kupinda mumuviri panguva imwechete kana muchikamu (2-3 masangano). Pashure pokurapa, hypothyroidism inogona kuitika. Muchiitiko ichi, varwere vanorayirwa Levothyroxine.
Maererano nehuwandu, avo vanoongororwa ne thyrotoxicosis , mushure mekurapwa neve isotope 3-6 mwedzi gare gare, chirwere chinodzoka. Varwere vakadaro vanorayirwa kurapwazve ne radioactive iodine. Kushandisa I-131 mune zvidzidzo zvinopfuura zvitatu mukurapa thyrotoxicosis hazvina kunyorwa. Muzviitiko zvisingawanzoitiki, varwere vane remidhiyo yeaodine inodhaka havaiti zvibereko. Izvi zvinoratidzwa nekurwisana kwe thyrotoxicosis kune isotope.
Kurapa kwekenza yekenza neodacid iodine
Kubvuma kwe isotopu kunopiwa chete kune avo varwere vakaonekwa kuti vane chirwere chepachivande nemhaka yekupindira kwekuvhiya. Kazhinji kacho kurapwa kwakadaro kunoitwa pangozi yakakura yekudzoka kwechirwere chepillicular kana chepurury. Kurapa kwetachiona gland neodayid iodine inoitwa pamberi pezvisikwa zvinogadzikana zvinowedzera uye kuunganidza I-131. Pamberi peizvi, kujekesa kunoitwa.
Iyo isotopu inotarisirwa kune varwere vari muyero iyi:
- ane chirwere - 3,7 GBq;
- munyaya iyo metastases yakarova lymph nodes, - 5.55 GBq;
- uye kukanganisa kumapfupa emapfupa kana mapapu - 7.4 GBq.
Iodine inokonzerwa neyodine mushure mokubviswa kwetachiona gland
I-131 inoshandiswa kuona mastasti. Mushure memwedzi 1-1,5 mushure mekuvhiyiwa, kugadzirisa kushandisa iodine inokonzerwa nemhepo inoshandiswa. Iyi nzira yekuongororwa inoonekwa inoshanda. Rhidhijaya inzira isinganyatsovimbika yekuona zvirwere. Kana chigumisiro chacho chiri chakanaka, inonzi radioactive iodine therapy inorayirwa. Kurapa kwakadaro kunosanganisa kuparadzwa kwezvipembenene.
Kugadzirira radioiodotherapy
Mamiriro omurwere mushure mekurapa zvinowanzoenderana nekuteerera nemirairo yechiremba. Kwete basa rekupedzisira pano rakapiwa kuti kugadzirira kwetsika yacho kwakagadzirwa sei. Inosanganisira kutevera mitemo yakadaro:
- Iva nechokwadi chokuti hapana kubata.
- Kana paine mwana, shandurai nokuda kwekudya kwekugadzira.
- Ratidza chiremba nezvemishonga yose inotorwa. 2-3 mazuva vasati vambo redioiodine therapy inofanira kumira kushandiswa kwavo.
- Kuteerera kudya kwakakosha.
- Usabata mavanga uye kupwanya ne iodine.
- Zvinorambidzwa kushamba mumvura yemunyu uye kuisa mweya wegungwa. Imwe vhiki isati yaitwa nzira yacho inofanira kusiyiwa inofamba pamhenderekedzo.
Mukuwedzera, mazuva mashomanana asati aita remharaiodine therapy, chiremba achaitisa muedzo, izvo zvicharatidza kushanda kwekuita kwe-I-131 nemuviri wemurwere. Nenguva isati isati yava kurapwa ne radioactive iodine yejeremusi gland inoitwa, zvinodiwa kupfuudza kuongorora kweTSH mangwanani. Uyezve, maawa matanhatu musati waita, iwe unofanira kumisa kudya, uye kubva kunwa mvura - kwemaawa maviri.
Kudya pamberi peyodine inodhaka
Zvokudya zvakadaro zvinogadzirirwa masvondo maviri vasati vaitwa. Inopera mushure maawa makumi mana mushure mekurapa. Zvokudya zvisati zvisingasviki mushure mekurapwa ne radiood iodine zvinosanganisira kurambidzwa kwezvokudya zvakadaro:
- mazai uye zvokudya zviripo;
- seafood;
- tsvuku, motley uye lima nyemba;
- chokoti uye michina apo iripo;
- cheese, cream, ice cream nemamwe mukaka;
- chikafu, mukugadzirira kweyuni yeridhesi yakawedzerwa;
- soy products.
Iodine inokonzerwa nehutachiona - inoitwa sei
Kugamuchirwa I-131 kunowanikwa nomuromo: murwere anowedzera capsules mugelatin shell ine isotope. Mishonga yakadaro haina kunakidza uye isingafadzi. Vanofanira kumedzwa nekunwa magirazi maviri emvura (jisi, soda uye zvimwe zvinwiwa hazvigamuchirwi). Iwe haugoni kutsva makodhesi aya! Mune zvimwe zviitiko, kurapwa kwehutu goiter ne radioacod iodine inoshandiswa uchishandisa kemikisi iri mumvura. Mushure mokutora iodini iyi, murwere anoda kuchenesa muromo zvakanaka. Mumaawa ari pedyo mushure mekugadzirwa, kudya nokunwa zvinorambidzwa.
Kumunhu anorwara, iodine inokonzerwa nehutachiona inobatsira zvikuru - inobatsira kurarama nechirwere chacho. Kune vashanyi vemurwere uye vamwe vanhu vanoonana, isotopu inowedzera ngozi. Iyo hafu-hupenyu hweiyi chemikemikari chinhu mazuva masere. Zvisinei, kunyange mushure mokusununguka kubva kuchipatara kunodzivirira vamwe, murwere anorayirwa kuti:
- Rimwe vhiki kukanganwa pamusoro pokutsvoda uye ukama hwapedyo.
- Kuparadza zvinhu zvakashandiswa muchipatara (kana kuisa mubhokisi rakasimba repurasitiki kwevhiki 6-8).
- Zvakatendeka zvakachengetedzwa.
- Zvinhu zvakachena zvehutano zvinofanira kuchengetwa zvakasiyana nedzimwe nhengo dzemhuri.
Kurapa ne radioacod iodine yejeremusi gland - migumisiro
Nemhaka yehumwe humwe hunhu hwemuviri, zvinetso zvinogona kuitika mushure mekurapa. Majekesheni eododhi zvinokonzerwa mumuviri unoita zvinotevera:
- kuoma kunomedza;
- kurira mumutsipa;
- nausea;
- bundu mumutsipa;
- nyota yakasimba;
- kukanganisa kwekunzwisisa kuravira;
- kurutsa.
Zvimwe zvikanganiso zverapa ne radioactive iodine
Kunyange zvazvo iyi nzira yerapi inonzi yakachengeteka kune murwere, ane mativi maviri e "medal". Kujekesa iodine ine radioactive inotakura zvinetso zvakadaro:
- chiratidzo chinowedzera;
- zvirwere zvisingaperi zvisingaperi;
- radioactive iodine inobatsira kuti uwane pfuma;
- Uturu hwemisumbu uye kuneta kunoonekwa;
- kunaka kweropa kunowedzera (zvinyorwa zveplatelet ne leukocytes zvinoderera);
- pamucheto wekuderera kwekugadzirwa kwehomoni, kuora mwoyo uye zvimwe zvirwere zvepfungwa zvinokura;
- mune varume, nhamba yehushonga spermatozoa inoderedza (maitiro ekushaya vana anonyorwa);
- mukana wekudzivirira houkemia inowedzera.
Ndezvipi zviri nani - iodine inonzi radioactive kana chirwere?
Hapana mhinduro isina kukodzera, nokuti mamiriro ose ega ari oga. Chero chiremba anogona kugona kuti chii chichave chakanakisisa kune murwere uyu - iodine inokonzera mahara kana chirwere. Asati asarudza nzira yekurwisana nehutachiona hwehutano hwetachiona, achabva afunga nezvezvinhu zvakasiyana-siyana: nguva yemurwere, kuvapo kwezvirwere zvisingaperi, chiyero chekukundwa kwechirwere nezvimwe zvakadaro. Chiremba achaudza murwere pamusoro pezvinhu zve nzira yakasarudzwa uye anorondedzera migumisiro mushure mokunge iodine inodhaka.