Iri iodine nke redioaktivu

Nnabata iodine redioactive (RAIU) na-anwale ọrụ gị. Ọ na - atụle ole iodine redio na - ewe site na gị thyroid gland na oge ụfọdụ.

Ule yiri nke ahụ bụ nyocha nke thyroid. Ihe nyocha 2 na-agakọkarị, mana enwere ike ịme ha iche.

Emere ule a n'ụzọ dị otú a:

• A na-enye gị mkpụrụ ọgwụ nwere obere pere mpe nke ayodiin. Mgbe ilo ya, ị na-eche ka ayodiin na-anakọta na thyroid.
• A na-eme ihe mbu mgbe emechiri awa anọ ruo isii mgbe ị were ọgwụ iodine. A na-ejikarị mbata ọzọ elekere 24 mgbe emechara. N'oge iburu mmiri ahụ, ị ​​dinara azụ na tebụl. Ngwaọrụ a na-akpọ gamma probe na-agagharị na-agagharị na mpaghara olu gị ebe thyroid gland dị.
• Nyocha ahụ na-achọpụta ọnọdụ na ike nke ụzarị ọkụ na-enye site na ihe nrụpụta redio. Kọmputa na-egosiputa ole tracer na-ewe gị thyroid gland.

Nwale a erughị nkeji iri atọ.

Soro ntuziaka banyere ịghara iri nri tupu ule ahụ. Enwere ike ịgwa gị ka ị ghara iri nri n’abalị abalị tupu ule gị.

Ndị na-ahụ maka ahụike gị ga-agwa gị ma ịkwesịrị ịkwụsị ị medicinesụ ọgwụ tupu ule nke nwere ike imetụta nsonaazụ ule gị. Akwụsịla ị takingụ ọgwụ ọ bụla n’ebughị ụzọ gwa onye na-enye gị ọrụ.

Gwa onye na - enye gị ọrụ ma ọ bụrụ na inwere:

• Afọ ọsịsa (nwere ike ibelata nsị nke iodine redioaktivu)
• Enwere nyocha CT na-adịbeghị anya site na iji ọdịiche dị na ayodiin ma ọ bụ nke iodine (n'ime izu 2 gara aga)
• Obere ma ọ bụ oke ayodiin na nri gị

Enweghị nkasi obi. Nwere ike iri nri bidoro n’ihe dị ka awa 1 ruo 2 mgbe ị elochara ayodiin ndị na-eme ihe na-adịghị mma. Nwere ike ịlaghachi na nri nkịtị mgbe ule ahụ gachara.

Emere ule a iji chọpụta ọrụ thyroid. A na-eme ya mgbe mgbe nyocha ọbara nke ọrụ gị na-egosi na ị nwere ike ịnwe ọrụ gland thyroid.

Ihe ndị a bụ nsonaazụ dị mma na awa 6 na 24 mgbe ilochara ayodiin ahụ:

• Na elekere isii: 3% rue 16%
• Na awa 24: 8% rue 25%

Centersfọdụ ụlọ ọrụ nyocha na-atụle naanị na 24 awa. Kpụrụ nwere ike ịdị iche na-adabere n'ụdị ayodiin na nri gị. Usoro ntanetị dị iche iche nwere ike ịdịtụ iche n'etiti labs dị iche iche. Gwa onye na - enye gị ọrụ gbasara ihe nyocha gị pụtara.

Ogologo oge dị elu karịa nwere ike ịbụ n'ihi ụbụrụ na-emebiga ihe ókè. Ihe na-ebutekarị ya bụ ọrịa Graves.

Ọnọdụ ndị ọzọ nwere ike ibute ụfọdụ ebe dị elu karịa ka ọ dị na thyroid gland. Ndị a gụnyere:

• Mkpụrụ osisi na-ebuwanye ibu nke nwere nodules na-emepụta ọtụtụ thyroid hormone (nsị nodular goiter)
• Otu thyroid nodule nke na-ewepụta oke mmiri ọgwụ gị (adenoma na-egbu egbu)

Ọnọdụ ndị a na-ebutekarị na mbadamba nkịtị, mana mbido na-etinye uche n'ime ebe ole na ole (ọkụ) ebe ndị fọdụrụ na thyroid gland anaghị eburu iodine ọ bụla (ebe oyi). Enwere ike ikpebi nke a ma ọ bụrụ na nyocha ahụ mere yana ule nnabata.

Mbuli elu nke obere nwere ike ịbụ n'ihi:

• Hyperthyroidism na-agbanwe agbanwe (na-ewere ọgwụ ọgwụ thyroid dị ukwuu ma ọ bụ mgbakwunye)
• Iodine bufee
• Acutemechi thyroiditis (ọzịza ma ọ bụ mbufụt nke thyroid gland)
• Na-agba nkịtị (ma ọ bụ na-enweghị mgbu) thyroiditis
• Amiodarone (ọgwụ iji gwọọ ụdị ọrịa obi)

All radieshon nwere ike omume mmetụta. Onu ogugu radieshon di na nnwale a pere aka nke ukwuu, ma odighi onodu ogwu edeturu.

Mụ nwanyị dị ime ma ọ bụ na-enye ara ara ekwesịghị ịnwale ule a.

Gwa onye na-enye gị ọrụ ma ọ bụrụ na ị nwere nsogbu gbasara ule a.

Iodine ndị ahụ na-amịkọrọ akwara na-esi n’ahụ gị pụọ na mamịrị gị. Ikwesighi ịkpachapụ anya pụrụ iche, dịka ịmịpụ ugboro abụọ mgbe ị mamịrị, maka awa 24 ruo 48 mgbe ule ahụ gachara. Jụọ onye na-eweta ọrụ gị ma ọ bụ ndị ọrụ redio ahụ / ọgwụ ọgwụ nuklia na-eme nyocha maka ịkpachapụ anya.

Thyroid na-ebute; Nnwale nnwale Iodine; RAIU

• Nyocha thyroid gị

Guber HA, Farag AF. Nyocha nke ọrụ endocrine. Na: McPherson RA, Pincus MR, eds. Henry’s Clinical Diagnosis and Management site na Labozọ Laboratory. 23 nke ed. St Louis, MO: Elsevier; 2017: isi 24.

Mettler FA, Guiberteau MJ. Thyroid, parathyroid, na salivary glands. Na: Mettler FA, Guiberteau MJ, eds. Ihe ndị dị mkpa nke ọgwụ nuklia na ntanetị ihu igwe. Nke 7. Philadelphia, PA: Elsevier; 2019: isi 4.

Salvatore D, Cohen R, Kopp PA, Larsen PR. Thyroid pathophysiology na nyocha nyocha. Na: Melmed S, Auchus RJ, Goldfine AB, Koenig RJ, Rosen CJ, eds. Akwụkwọ ọgụgụ Williams nke Endocrinology. Nke iri na anọ. Philadelphia, PA: Elsevier; 2020: isi 11.

Weiss RE, Refetoff S. Thyroid function testing. Na: Jameson JL, De Groot LJ, de Kretser DM, et al, ndị ọzọ. Endocrinology: Okenye na Ọrịa edimụaka. Nke 7. Philadelphia, PA: Elsevier Saunders; 2016: isi 78.