Kalafo ea Hyspothyroidism ka mor'a hore iodine ea mahlaseli a kotsi e thibele mathata a mahlo
Liphello tsa thuto ea Mayo Clinic ea bakuli ba Graves 'me ba fumane phekolo ea iodine (RAI) e ile ea hlahlojoa, ho fumana mabaka a kotsi a amanang le tsoelo-pele ea lefu la' mele oa lefu la (Graves 'ophthalmopathy) (GO) , eo hape e tsejoang e le lefu la mahlo a qoqotho (TED) , kapa thyroid orbitopathy e amanang le eona (TAO).
Tse ling tsa matšoao a mahlo a qoqotho a nkiloeng thutong e ne e le li-proptosis (ho phatloha ha leihlo), pono e pediloeng, ho hlaka ha pono, tlhokahalo ea phekolo, le litekanyetso tsa bakuli tsa mahlo le pono.
Phuputso e ile ea sheba bakuli ba 195 - 80% e ne e le basali le lilemo tse ka bang 50.
Selemo ka mor'a phekolo ea RAI, GO e ile ea ntlafala kapa ea e-ba mpe le ho feta ho bakuli ba ka bang 13%.
Bafuputsi ba fumane hore ha bakuli ba ne ba e-na le hypothyroid (e lekanngoa ke Free T4 le e seng TSH) leetong la pele la ho latela-RAI - mme hoo e batlang e le halofo ea bakuli-e ne e amana haholo le nts'etsopele kapa ho mpefala ha GO.
Ha nako e telele e ntse e le pakeng tsa RAI le ea pele, e phahamisa kotsi ea hypothyroidism, le GO.
Bafuputsi ba ile ba etsa qeto ea hore hypothyroidism tlhahlobo ea pele-RAI ke moelelo o matla oa ho ncha kapa ho mpefala GO. Ba khothalletsa hore ho thibela lefu la hypothyroidism le kotsi ea ho tsamaea, likhaolo tsa Free T4 tsa bakuli li lokela ho hlahlojoa le ho lokisoa libeke tse tšeletseng ka mor'a RAI.
Tlhokomeliso ho bakuli: Haeba u tla fumana phekolo ea iodine ea radioactive, etsa bonnete ba hore kemiso ea hau ke tlhahlobo ea tlhahlobo ea morao-rao le ngaka ea hau ho feta libeke tse tšeletseng ka mor'a RAI, mme o phehella ngaka ea hao ho etsa teko ea Free T4.
TSH e ka 'na ea lula e hatelloa ka mor'a RAI,' me ha e na lintlha tse nepahetseng tsa hore na u fetohile hypothyroid le phekolo ea kalafo.
Lisebelisoa:
Hershman, Jerome. "Phekolo ea pele ea Hypothyroidism ka mor'a lefu la Radioiodine la Mabitla a Mabitla le Thibela Ophthalmopathy." Clinical Thyroidology , 2013; 25: 132-133
Stan MN, le. al. "Sehlopha se ithutoang ka hypothyroidism e susumelitsoeng ke iodine e susumelitsoeng ke radio-radiation: se boleloang ke lefu la lefu la lefu la Graves le nako e nepahetseng bakeng sa tlhahlobo ea lihomone tsa qoqotho." Thyroid . 2013; 23: 620-5. doi: 10.1089 / ha hao 2012.0258.