Daaweyn Ka dib RAI waxay ka caawinaysaa Dhibaatooyinka Indhaha ka Maqaarka

Daaweyn loogu talagalay Hypothyroidism ka dib markii Raadiyaha Iodine-ka uu ka caawiyo ka hortagga dhibaatooyinka indhaha

Natiijooyinka baadhitaan Mayo Clinic ee bukaanka qabta cudurka Graves 'ee qaata daaweynta shucaaca iodine (RAI) ayaa la qiimeeyay, si loo ogaado ciladaha khatarta ah ee la xidhiidha horumarinta Graves' ophthalmopathy (GO) , oo loo yaqaanno cudurka "thyroid eye disease" (TED) , ama qanjirka la xiriirto orbitopathy (TAO).

Waxaa ka mid ah calaamadaha indhaha ee thyroid oo loo tixgeliyey daraasaddan waxay ahaayeen bareebo (buluug indegaal), aragtida labajibbada, aragga cad, baahida loo qabo daaweynta caafimaadka, iyo bukaankooda qiimahooda gaarka ah ee indhahooda iyo araga.

Daraasadu waxay eegtay 195 bukaan - 80% dumar ah iyo da'da da'da ah waxay ahayd 50.

Hal sano ka dib markii daaweynta RAI, GO ay soo afjartay ama ay ka sii xumaatay qiyaastii 13% bukaanada.

Cilmi-baadhayaashu waxay ogaadeen in markii bukaanku uu ahaa hypothyroid (sida lagu cabbiray T4 oo bilaash ah oo aan ahayn TSH) ka dib booqashada kowaad ee RAI - iyo qiyaastii bukaan-socodka ayaa ahaa - tani waxay si xoog leh loola xiriirtay horumarinta ama sii xumaysay GO.

Muddada dheer waxay u dhexaysay RAI iyo raacitaanka koowaad, khatarta hypothyroidism, iyo GO.

Cilmi-baadhayaasha ayaa soo gabgabeeyay in hypothyroidism ee qiimeynta kowaad ee ka dambeeya RAI ay tahay saadaal xoog leh oo cusub ama sii xumaanaya GO. Waxay ku taliyeen in looga hortago cudurka hypothyroidism iyo khatarta GO, heerarka T4 ee bilaashka ah waa in la qiimeeyaa oo la saxo wax ka badan lix toddobaad ka dib RAI.

U fiirso bukaanka: Haddii aad qaadanayso daaweynta iodine radioactive, hubso in jadwalkaaga ballan la socdo dhakhtarkaaga oo aan ka badnayn lix todobaad ka dib RAI, oo ku adkeysto dhakhtarkaaga inuu sameynayo baaritaan T4 oo bilaash ah.

TSH weli waa la joojin karaa ka dib RAI, oo ma aha qeex dhab ah oo ku saabsan haddii aad noqotey hypothyroid iyo daweyn u baahan tahay.

Ilaha:

Hershman, Jerome. "Daaweynta Hore ee Hypothyroidism ka dib Raadiyaha Raadiyaha ee Rugaha 'ee Cudurrada' waxay ka hortagtaa Ophthalmopathy." Tirada Daaweynta Daawada Clinical , 2013; 25: 132-133

Stan MN, et. al. "Doholortu waxay daraasad ku samaysaa hindhiyoterada iodine-ka ee hivotiroidism-ka: saameyn ku yeelashada Graves 'ophthalmopathy iyo waqtiga ugu fiican ee qiimeynta hormoonka tayroodh." Tirada . 2013; 23: 620-5. doi: 10.1089 / Your 2012.0258.