Nuclear medicine branch of Chinese Medical AssociationI am now in the United States, some time ago, hyperthyroidism, iodine in the United St
Nuclear medicine branch of Chinese Medical Association
I am now in the United States, some time ago, hyperthyroidism, iodine in the United States to do 131. I found everyone on the understanding of iodine 131 and the United States with western medicine is completely different, with the best doctor Union Hospital 307 Hospital (and I also met my parents friends for a private meeting with the), so I want to here and share my experience, but also to do iodine 131 treatment of friends you want to have some useful information.
I was 1 months ago to check out hyperthyroidism, eating for 2 weeks of propranolol, before any of the class of (TAPAZOL) to take, to eat iodine 131 capsules a week ago. Good hehe
First of all, 131 is the 100% cause of iodine hypothyroidism, Chinese the most authoritative endocrinologist and I said so, but the doctor Chinese was relatively conservative, so some people soon hypothyroidism, some 10 years after the beginning of reduction, some may be 20 years later and so on. Doctors in the United States directly and I said I'm taking hormone tablets in life, because the doctor measurement is relatively large, so basically 1, 2 years with the. In some later hypothyroidism patients suspected of medical ethics should not be quite what. In fact, I personally feel that the measurement size does not matter, Americans feel that since every morning and evening or early hypothyroidism, let the body adapt to the state, and then check, adjust the amount of thyroxine. China doctors felt a conservative, but if the amount of the conservative many people take a single 131 iodine can not be completely cured and 2 times 3 times iodine 131, but in the end will lead to hypothyroidism. But hypothyroidism is not terrible, even in the United States hypothyroidism cured, because the risk is more and more low than hyperthyroidism.
By the way and we talk about Americans in the treatment of hyperthyroidism, the doctor will take medicine and patients said that the possibility of recurrence is very high, only 20% to 30% people at a time (for about 2 and a half years) will be good, most people will relapse, even if you are very careful attention or very easy to relapse. In particular, women are not born, almost in pregnancy is bound to relapse, then to take medication to control. Therefore, most of the United States will choose to do iodine 131, because the regular examination is also a psychological and physical torture. Another important point is that if you are pregnant, doctors in the United States generally recommended iodine 131 American Medical generally believe that even if the PTU is pregnant when medication has a certain risk, even if the child is born healthy, IQ of children than the normal low 10 points. So if you are ready to get pregnant, Americans are almost 131 of the iodine first treatment.
Second, the American doctor talked to me about 3 hours before I did treatment with all my worries and doubts, and they told me that the technology was very mature for decades. Two of the most concerned about the issue of the 1 will not affect the pregnancy and pregnancy? The risk is the same as normal pregnant women. 2, will be more likely to get cancer? They tell me that risk is the same as healthy people. I also asked will not affect the life, they told me not (free of all doubt, I have health insurance, very cheap, that they are not in order to earn money to let me do 131, 131 is also expensive than medicine). And I also like the metaphor that their possessions no food to buy food to eat, and there is no need to worry about is taking hormone tablets.
Maybe we are concerned about the Chinese doctor gave me advice, I met a total of 4 doctors (I do not say the name is basically the most authoritative), the 2 Concord, the 2 nuclear medical doctor. The 3 suggested that I use iodine 131, as well as a doctor that I can not take medicine first but not against the 131.
Third. Iodine 131 after taking most of the people can not feel what, 20% people will have a worse, I do not know a lot of people or ignore the thought that he was very poor, in fact, is completely normal, generally 2 weeks later will be good, or slower to 4 weeks to feel comfortable, but most 8 weeks should have a good feeling. I now feel weak, and then very sick, but today it is not too much to start feeling a little tired after the event.
Well, probably on the hope that useful to all of us. I have sick patients in the United States, we are very optimistic, I hope it can be useful to you, for more confidence, sincerely hope that we can get better:)
The American side is continuing to do the check to see what time to start reducing the level of reduction, immediately eat then human thyroid hormone tablets are all normal ah, but it is recommended to check (once every 1 years or so) to adjust the measurement of thyroxine tablets.
So hypothyroidism is temporary (the United States is currently very short 1 months to check me once, so is the hypothyroidism at most 1 months will be found) - because you will always be the doctor observed reduction immediately after eating instead of thyroxine after eating, like normal people completely!!! But the thyroxine tablets every day to eat, and the secretion of thyroxine and is exactly the same, the only drawback is that your body needs is the amount of change with age and life changes, how much we need and we can not calculate very accurate, so half a carrier to go to the hospital to see currently taking the amount is appropriate.
Permanent hypothyroidism that is completely not taking any replacement thyroxine tablets under the condition, but after 131 people basically hypothyroidism, America is 131 after he started to eat thyroxine tablets, unless you do not eat (but no one will not eat?!) But the American medicine and human thyroxine secretion is the same, without any side effects, like we eat the same food, than the perennial drug damage to the body can be completely no way than.
I've looked all over the English language about the disease and the treatment and the like, even if it can be of some help. There is not enough understanding of iodine 131 in most areas of china. The disease is not terrible, the United States here are 131 iodine treatment and then take thyroxine tablets, do not take this as a disease. So I hope everyone can be optimistic.
In the United States to prepare for pregnancy (such as me, I am 24 this year, intend to get pregnant within 2 years) are the first to be pregnant before the treatment of 131. It can be said if you are pregnant 131 is preferred, because the medication is easy to relapse did not say, especially the hormone levels change when pregnant are more likely to relapse, the little side edges of pregnancy medication, because doctors think that taking medication during pregnancy will not let the children of fetal deformity, but how much intelligence or some impact although not retarded although healthy baby but not very clever. General iodine 131 became pregnant after half a year to a conservative, some doctors then suggested that pregnant after 1 years (of course is to always eat thyroxine tablets, thyroxine tablets is not drugs, only in the form of tablets to supplement our body produces thyroid hormone, take a lifetime like to eat like life, without side effects. And very cheap)
Now the domestic use of iodine 131 more and more people, the domestic technology has been more mature, especially in large cities, thousands of thousands of cases every year, so we should do a good job in the country.
I find that there are differences between Chinese culture and Western culture. Chinese relatively conservative, because the medication is well adjusted, and iodine 131 do lifelong hypothyroidism, should take thyroxine replacement, feel like a lifetime of medicine. In fact, eat this as we eat every day, like the body can not produce so many hormones, the external plus some. In fact, this is the cultural differences. Chinese people prefer to take medicine pregnant do not do 131 of this look at the concept of personal, ha ha.