Radioactive ayodhini kurapwa muMoscow. hyperthyroidism pamwe radioactive ayodhini kurapwa

Bad ikoroji, kushushikana, uye dzimwe yaivhuvhuta ezvinhu kunotungamirira thyroid chirwere. Kuwedzera kunokanganisa muviri. Hyperthyroidism anogona kutora dzakawanda, kusanganisira Graves 'chirwere, aizivikanwawo Graves' chirwere uye Graves 'chirwere. Dzimwe nguva anouya uye kuti kenza thyroid. Paradzai vashoma prostate rinenge uye rakagadzirirwa radioactive ayodhini.

Thyroid chirwere

Thyrotoxicosis, hyperthyroidism, izvo zvinogona kutora-siyana. Izvi zvinosanganisira diffuse uye nodular chepfu goiter, Plummer nechirwere, Hashimoto uye zvimwe zvirwere. Nezvirwere izvi zvinobudirira kurarama kurapwa pamwe radioactive ayodhini (zvinonzi rakaitirwa Moscow Somuenzaniso, mune dzimwe TSNIIRRI nemakiriniki). Kureva izvi nzira mabatiro nekenza zhinji uye mamwe mapundu ose thyroid, kusanganisira rwekenza yelymphoma uye Hashimoto kuti thyroiditis.

Zvinopikisana hyperthyroidism ndiko hypothyroidism chisingazivi kukuisa nengozi uye akaruramisa zvinodhaka. Humwe zvirwere thyroid shwanu, dzimwe nguva Kwevamwe kana wokusagadzikana pamusoro parathyroid omumuviri, i.e. hypoparathyroidism uye hyperparathyroidism. Kukundikana kurapwa, asi wokusagadzikana kunoda kuvhiyiwa.

Mabatirwo hyperthyroidism uye kenza

Vazhinji zvirwere izvi zvinobudirira inobvisa radioactive ayodhini mishonga. Moscow Akaitawo yokurapa mhando iyi. Chokwadi, pakutanga akagadzwa kuchinja kurapwa Somuenzaniso, imwe chepfu adenoma kana diffuse hunokachidza goiter pamwe nemishonga. Asi kunyatsoshanda Kashoma kwazvo 40%, uye kazhinji vanenge hafu. Kana kurapwa ichi hakuiti migumisiro, kana zvinodhaka, yakanakisisa yokupedza kwaizova kugadzwa kurapwa pachishandiswa radioactive ayodhini I 131. Unogonawo kushandisa nemwaranzi, asi kunowedzera ngozi yokubatwa nekenza yeprostate, uye ayodhini hakukuvadzi.

Kenza vabviswa nokukurumidza. Asi ichi kana radioactive ayodhini kurapwa muMoscow, uyewo pasi pose, iri rakaitirwa sezvi- nzira yokurapa. Zvakakosha kuraramisa nenguva netsika pashure thyroidectomy uye kuti kurapwa maererano dzakati, ipapo pangozi metastasis zvinogona kushoma.

Wadii kuvhiyiwa?

Dzimwe nguva nzira kurapa nokuda hyperthyroidism ndiyo kuvhiyiwa. Chokwadi, kushanda nguva hwakazara pangozi zvikuru, tisingatauri yokuti vanga iri paganda - haasi aesthetic chaizvo chinhu. Sam yokutindivadza, pangozi ropa, zvingangoita kukuvadzwa zvinowanzotaura laryngeal etsinga - zvose zvinhu kuti vanotaura pamusoro kuvhiyiwa vachifarira zvikuru munyoro, asi inoshanda radioiodine mishonga. Zvechokwadi, dzimwe nguva pasina zvashata matanho havangagoni kuita, sezvakaita nekenza.

Mugore kuvhiya nzira kazhinji kuchengeta chimedu jira kudzivirira hypothyroidism. Zvisinei, nzira iyi hwakazara watangazve chirwere. Thyroid unokurudzira autoantibodies zvakare vakarwisa vakasara shwanu, zvichitungamirira itsva ose chirwere. Saka zvino vanoda vanyatsonzwisisa kuchirapa mugumisiro pane pfupi. Hongu, uye radioactive ayodhini kurapwa mutengo zvinonyanya kufadza.

World tsika

Nyoro siyana chirwere vanosarudza kuti kurapwa. Vane nzira iri kutanga kana matambudziko kuitika kuyaruka uye vana. Mune zvimwe zviitiko zviri nani kuita Mabatirwo hyperthyroidism pamwe radioactive ayodhini. Kugadzirira ane chimiro capsules kana ane aqueous mhinduro.

Panzira, muEurope, vanachiremba kazhinji vane zvakawanda zvokuvimba nayo zvinodhaka antithyroid siyana pane kurapwa pamwe radioactive ayodhini. Asi muna US, zvinodiwa anopiwa radioiodine kurapa anekukwanisa. Chokwadi, kana zvakakodzera narwo purogiramu vapore, asi pashure zvose, kunwa mushonga kunodawo mamwe kupora.

Mazano radioisotopes ose ayodhini rokutanga kuitwa muna 1941 muUnited States. A nzira rave richishandiswa kare zvikuru inoshandiswa mukurapa kubva 1960. Mumakore nguva isu vaiva nechokwadi ayo zvazvinombobatsira, akavimbika uye kuchengeteka. Hongu, uye pakurapa radioactive ayodhini mutengo vakava inokwanisika. Mune dzimwe zvipatara America uye Europe pakurapa mishonga duku ayodhini atova kuitwa pamusoro outpatient hwaro. We kwakabvumirawo kweutongi yakadaro, asi chete mishonga iri kuwanda 10.4 mci yebasa. mitemo International vari siyanei, zvichibvumira kuti angava nezvaanoreva, uye izvo chinobata zvakanaka kurapwa.

Hwaro nzira

In mushonga kushandisa isotopes I 123 uye ini 131. The wokutanga rokuongorora, sezvo risina cytotoxic maturo. Asi isotope wechipiri chete kubvumira kurapwa. It inongorira ß- uye ɣ-inoramba. ß-nemwaranzi inopa richivhenekera kushanda, vemunyika vari thyroid munyama. ɣ-nemwaranzi runoita kudzora uwandu husingakuvadzi uye kuparadzira zvinodhaka. Thyroid rinoungana kushingaira radioisotope kuti ayodhini 131 Ini, uye, akavapindurawo, inobata thyroid rinenge riri nokurapa thyrotoxicosis.

Security zvimwe munyama nokuti kuti ari thyroid shwanu anosunga ayodhini isotopes uye mwoyo nadzo roga. Uyezve, ayo hafu-upenyu - mazuva 8 chete. Intestinal uye Urinary hurongwa kubatwa, somunhu mutemo, kanenge isotope pasina runopfuura bvumidzwa muganhu. The cytotoxic kwepasi iri mupasi chete zvinoparadza thyrocytes, zvinoita kuti vasanyanye thyroid vhoriyamu uye yezwi hypothyroidism pasina kuvhiyiwa.

Hypothyroidism, akavapindurawo, zano pamwe nemishonga. Prescribers L-thyroxine, izvo reimburses anodiwa mahormone ari kwakajairika nyaya zvinoberekwa thyroid shwanu. kemikari uyu chakaita zvokugadzirwa Zvisinei, asi panenge tangofanana endogenous. Kuzvidzora pamusoro pachiyero mahormone, hapana mubvunzo, zvakakodzera, dzimwe nguva zvakakodzera kuchinja chipimo chemushonga, asi mune mamwe varwere kudzokera dzose upenyu.

Purpose kurapwa

Zvino kunyange nyanzvi yedu kuti vanodavira kuti kuve chimwe radioactive ayodhini kurapwa muMoscow kana mamwe maguta kuti hypothyroidism kukura. Treatment pamwe yakaderera mishonga chete kunoderedza zviratidzo, anobvisa dambudziko kwenguva pfupi chete, hakusi kubudirira sezvinobvira yakakwana kuchaitwa. Chipimo chemushonga rinowanikwa mumwe murwere nomumwe. zvazvingava ichi kunobva Vhoriyamu prostate, kukomba kwechirwere chacho, ayo nguva, Absorção de Água bvunzo purogiramu uye scintigraphy.

Kutanga kuongorora hwacho comorbidities, Masvomhu zvinoitwa. Dzimwe chisarudzo anoitwa kuita zvose zvakafanana maviri zvinodhaka kutarisira kuita zvinodiwa mugumisiro. Asi pane zviitiko apo Kuvhiya zvikuru akakodzera.

Uyewo anobata kenza pamwe radioactive ayodhini, asi sezvo Danho rechipiri yokurapa. Dosages dzakakwirira, zvainanga abvisa pangozi metastasis kukura. It kunobva chitsama zvinodhaka nyaya kwokuomerwa uye hwakapararira kwacho. Ambulatory nzira iyi haina kuitwa, vachisarudza havo kusiya murwere kwemazuva maviri kana matatu ari muchipatara.

Migumisiro yacho zvinodhaka

Zvinofanira kuva vakagadzirira chii chichaitika pashure kurapwa pamwe radioactive ayodhini. Inotevera mazuva mashoma kunwa mishonga iyi, radioactive ayodhini kusiya muviri kuburikidza nemate weti uye. Zviratidzo izvi zvinogona kugara zvakasiyana nguva, zvichienderana nezera uye waakaudzwa dose. Panguva iyo youth kubviswa kwacho kuri nokukurumidza kana tichienzanisa ezvinhu vakwegura.

State of noutano anenge asina maturo. Chete vamwe vanhu vasanonoka vanenge inini kurapwa pamwe radioactive ayodhini, siya wongororo pamusoro svoto panguva iyi. Kungavawo muromo yakaoma, kana kurwadziwa pamutsipa uye pahuro. Cherechedza wakawedzera kuneta uye esimbi kuravira pamuromo. Dzimwe nguva zvingaita panowanikwa kupatirwa kana manyoka.

Kurambidzwa pashure kurapwa

Zvisinei, pane vakawanda zvausingakwanisi, izvo mirayiridzo chiito. Saka, imwe nguva vanofanira kuva pedyo kuonana nevamwe vanhu kudzivisa kuti varege irradiate navo. Mumwe uchava kurara, kubva kutsvodana uye cuddling mapfumo, kudzivisa kugoverana nemidziyo vanoomerera nezviyero dzakadaro. Panyaya iyi tinogona kuona nhamba yemirau murwere maitiro.

Key kurumbidza

Varwere achirapwa kurapwa pamwe radioactive ayodhini, wongororo zvinoratidza ichi, unofanira kuva nenguva kunyatsoteerera utsanana. Saka, Kugeza chimbuzi kaviri nani, maoko enyu pashure kushanya kwake anofanira kunyanya kungwarira mune mvura yakawanda uye sipo. Ivo vanofanira zvimwe midziyo, matauro, mubhedha yerineni, risina rimwe kushandiswa haazovanzwiri. Sezvingatarisirwa, yomucheka uye mbatya dzinofanira laundered aparadzane zvinhu sezvo hama. Hazvina zvakafanira kubika zvokudya veimba.

Kunyange nani kupfuura marara inounganidzwa ari oga remarara, uye ipapo kupa marara kusvikira nzvimbo (kana akapa). Zvikasadaro, munhuwo marara anogona unogona urirasire pashure 8 mazuva. Midziyo havafaniri kushambidzwa pamwe midziyo vamwe vanhu, zvakanakisisa kugeza nayo noruoko pasina dishwasher. Disposable matete uye Forogo, Banga Nechipunu vanoiswa vose zvakafanana akaparadzana tsvina bhegi.