{"id":2345,"date":"2020-10-01T16:36:55","date_gmt":"2020-10-01T13:36:55","guid":{"rendered":"https:\/\/www.intheranostics.com\/?page_id=2345"},"modified":"2020-10-01T16:53:09","modified_gmt":"2020-10-01T13:53:09","slug":"radioactive-iodine-treatment","status":"publish","type":"page","link":"https:\/\/www.intheranostics.com\/en\/radioactive-iodine-treatment\/","title":{"rendered":"Radioactive Iodine Treatment"},"content":{"rendered":"<p>[et_pb_section fb_built=&#8221;1&#8243; fullwidth=&#8221;on&#8221; _builder_version=&#8221;4.4.8&#8243; background_color=&#8221;rgba(0,0,0,0)&#8221; background_image=&#8221;https:\/\/www.intheranostics.com\/wp-content\/uploads\/2020\/06\/metastatik_prostat_kanseri.jpg&#8221; custom_padding=&#8221;100px||100px||false|false&#8221; locked=&#8221;off&#8221;][et_pb_fullwidth_header title=&#8221;Radioactive Iodine Treatment&#8221; text_orientation=&#8221;center&#8221; content_max_width_last_edited=&#8221;off|desktop&#8221; _builder_version=&#8221;4.4.8&#8243; title_font_size=&#8221;50px&#8221; content_font_size=&#8221;41px&#8221; subhead_font=&#8221;|700|||||||&#8221; subhead_font_size=&#8221;38px&#8221; subhead_line_height=&#8221;1.1em&#8221; background_enable_color=&#8221;off&#8221; background_enable_image=&#8221;off&#8221; custom_margin=&#8221;||||false|false&#8221; custom_padding=&#8221;||||false|false&#8221; animation_style=&#8221;slide&#8221; animation_direction=&#8221;bottom&#8221;][\/et_pb_fullwidth_header][\/et_pb_section][et_pb_section fb_built=&#8221;1&#8243; _builder_version=&#8221;4.4.8&#8243; custom_margin=&#8221;0px||0px||false|false&#8221; custom_padding=&#8221;0px|0px|0px|0px|false|false&#8221;][et_pb_row _builder_version=&#8221;4.4.8&#8243; custom_margin=&#8221;0px||||false|false&#8221; custom_padding=&#8221;0px|0px|0px|0px|false|false&#8221;][et_pb_column type=&#8221;4_4&#8243; _builder_version=&#8221;4.4.8&#8243;][et_pb_divider divider_weight=&#8221;0px&#8221; _builder_version=&#8221;4.4.8&#8243; use_background_color_gradient=&#8221;on&#8221; background_color_gradient_start=&#8221;#8dd2e1&#8243; background_color_gradient_end=&#8221;#23afca&#8221; background_color_gradient_direction=&#8221;90deg&#8221; width=&#8221;50%&#8221; module_alignment=&#8221;center&#8221; height=&#8221;10px&#8221;][\/et_pb_divider][\/et_pb_column][\/et_pb_row][\/et_pb_section][et_pb_section fb_built=&#8221;1&#8243; admin_label=&#8221;section&#8221; _builder_version=&#8221;4.4.8&#8243;][et_pb_row admin_label=&#8221;row&#8221; _builder_version=&#8221;4.4.8&#8243; background_size=&#8221;initial&#8221; background_position=&#8221;top_left&#8221; background_repeat=&#8221;repeat&#8221; custom_margin=&#8221;||||false|false&#8221; custom_padding=&#8221;0px|0px|0px|0px|false|false&#8221;][et_pb_column type=&#8221;4_4&#8243; _builder_version=&#8221;3.25&#8243; custom_padding=&#8221;|||&#8221; custom_padding__hover=&#8221;|||&#8221;][et_pb_text _builder_version=&#8221;4.4.8&#8243; hover_enabled=&#8221;0&#8243;]<\/p>\n<h2 class=\"p1\"><span class=\"s1\"><b>What is Radioactive Iodine Treatment? How Does It Treat?<\/b><\/span><\/h2>\n<p>&nbsp;<\/p>\n<p><strong>Theranostics is a recently developing field of the medicine. This approach takes body images using a tumor-specific agent to locate the tumor and its metastasis and their potential future locations and it also uses a specific agent with pre-determined therapeutic efficiency for the diseased tissue. This approach enables switching from traditional medicine to contemporary personalized medical procedures.<\/strong><\/p>\n<p>Administration of low-dose radioactive iodine (I-131 or I-123) to obtain images with high sensitivity and specificity of tumor tissues for diagnostic purposes combined with high-dose radioactive iodine (I-131) for specific and targeted treatment of these tumors is the oldest known example of theranostic practices in thyroid cancer.<\/p>\n<p>Radioactive iodine treatment is a standard practice with proven effect on survival which has been frequently preferred for treatment of benign and malignant (cancer) diseases of thyroid since 1940s.<\/p>\n<p>Thyroid tissue has a unique ability to collect all iodine from the bloodstream and store it in the gland. Similar to iodine, radioactive iodine accumulates in the thyroid gland and is stored in thyroid tissues. Differentiated thyroid cancers also have this characteristic even though they are less potent than healthy thyroid tissues.<\/p>\n<p class=\"p2\">Although majority of patients have a very high chance of recovery in differentiated thyroid cancers, the risk of relapse or recurrence may be up to 20-30% and relapse may occur even decades after the baseline treatment. Therefore, regular follow-up is necessary for the patients to figure out a relapse and the follow-up should be maintained in the rest of the patient\u2019s life.<\/p>\n<p>&nbsp;<\/p>\n<h3 class=\"p4\"><span class=\"s1\"><b>Who is Eligible For Radioactive Iodine Therapy?<\/b><\/span><\/h3>\n<p><span class=\"s1\">Radioactive iodine (I-131 or radio-iodine treatment) is administered to patients with differentiated thyroid cancer upon request of the primary physician (who follows up the patient) for following reasons:<\/span><\/p>\n<ul>\n<li class=\"p2\"><span class=\"s1\">To clear out postoperative residual healthy thyroid tissue with radiation (ablation)<\/span><\/li>\n<li class=\"p2\"><span class=\"s1\">Treatment of a microscopic disease <\/span><\/li>\n<li class=\"p2\"><span class=\"s1\">Treatment of residual\/recurrent or metastatic thyroid cancer.<\/span><\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n<h3 class=\"p2\"><span class=\"s1\"><b>Postoperative Radioactive Iodine Ablation<\/b><\/span><\/h3>\n<p>It implies radioactive iodine treatment that aims at elimination of residual thyroid cancer cells or residual healthy thyroid tissue several weeks after the surgical treatment. Moreover, ablation is also performed to eliminate thyroid cancer cells, which have already spread to other body parts. Destruction of healthy thyroid tissue residues will facilitate the ability to monitor potential relapse of the disease in the follow-up.<\/p>\n<p>&nbsp;<\/p>\n<p class=\"p3\"><b style=\"font-size: 22px; color: #333333;\">Treatment of Recurrent or Residual Differentiated Thyroid Cancer with Radioactive Iodine<\/b><\/p>\n<p>Surgery is usually the first-line option if the cancer tissue is operable. Radioactive iodine treatment can be performed alone or in combination with surgery.<\/p>\n<p>&nbsp;<\/p>\n<p class=\"p3\"><b style=\"font-size: 22px; color: #333333;\">Is Radioactive Iodine Treatment Safe?<\/b><\/p>\n<p>It is easy to perform this treatment and the radioactive iodine solution that is ingested by patients during the treatment has no distinctive taste or smell. Patients feel nothing during the treatment. Unlike other cancer treatments, this treatment does not cause hair loss.<\/p>\n<p>Radioactive iodine treatment is clearly contraindicated for pregnant women. Nursing mothers have to stop breastfeeding.\u00a0<\/p>\n<p>Radioactive iodine therapy can be used in hemodialysis patients.<\/p>\n<p>Patients with iodine allergy are eligible for radioactive iodine treatment.<\/p>\n<p>It is necessary for both male and female patients to use effective birth control methods with their partners and avoid pregnancy for at least 6 months following the radioactive iodine treatment.\u00a0<\/p>\n<p class=\"p2\">Potential side effects of radioactive iodine treatment and preventive measures are summarized below. However, our Nuclear Medicine physician will discuss this matter with you and s\/he will also inform and guide you to make the treatment period as much comfortable as possible. Always remember that strict compliance with such advice will minimize the side effects.<\/p>\n<p>&nbsp;<\/p>\n<h3 class=\"p2\"><span class=\"s1\"><b>RPotential Side Effects of Radioactive Iodine Treatment<\/b><\/span><\/h3>\n<p>&nbsp;<\/p>\n<table>\n<tbody>\n<tr>\n<td width=\"290\">\n<p><strong>Early Side Effects<\/strong><\/p>\n<\/td>\n<td width=\"354\">\n<p><strong>Recommendation\/Explanation <\/strong><\/p>\n<\/td>\n<\/tr>\n<tr>\n<td width=\"290\">\n<p>Sensation of burn and tenderness in neck<\/p>\n<\/td>\n<td width=\"354\">\n<p>It is related to volume of postoperative residual thyroid tissue. Medication treatment can be prescribed if you have such a complaint.<\/p>\n<\/td>\n<\/tr>\n<tr>\n<td width=\"290\">\n<p>Inflammation of oral mucosa and associating small painful sores<\/p>\n<\/td>\n<td width=\"354\">\n<p>This problem can be prevented in most cases by gently brushing the entire oral mucosa with a soft brush once every 3-4 hours at day time for 4-7 days. Repeating this once every 3 hours at night for the first 4 days following the treatment may be added to this procedure.<\/p>\n<\/td>\n<\/tr>\n<tr>\n<td width=\"290\">\n<p>Nausea ( and vomiting in rare cases)<\/p>\n<\/td>\n<td width=\"354\">\n<p>Preventive medication therapy can be started before the treatment.<\/p>\n<\/td>\n<\/tr>\n<tr>\n<td width=\"290\">\n<p>Swelling and tenderness in salivary glands<\/p>\n<\/td>\n<td width=\"354\">\n<p>&#8211; Good hydration- 2.5-3 liters of liquid (except for milk) per day for approximately 1 week- is necessary.<\/p>\n<p>-Sugar-free chewing gum and minty candies etc. increase the flow rate of saliva. This should be started 2 hours after the treatment and it should be repeated once every 3 hours throughout the day time (or while patient is not sleeping) and during night for 4 days after the treatment.<\/p>\n<p>Preventive medication therapy can be started before the treatment. .<\/p>\n<\/td>\n<\/tr>\n<tr>\n<td width=\"290\">\n<p>Partial loss or change in sensation of taste<\/p>\n<\/td>\n<td width=\"354\">\n<p>This condition is generally temporary; no particular precaution is necessary.<\/p>\n<\/td>\n<\/tr>\n<tr>\n<td width=\"290\">\n<p>Decrease in tear production<\/p>\n<\/td>\n<td width=\"354\">\n<p>&nbsp;<\/p>\n<\/td>\n<\/tr>\n<tr>\n<td width=\"290\">\n<p>Temporary decrease in white blood cell and platelet counts<\/p>\n<\/td>\n<td width=\"354\">\n<p>This may occur following high-dose radioactive iodine treatment (150-200 mCi).\u00a0 However, it is not expected in patients with normal blood counts and renal function tests before the treatment.<\/p>\n<\/td>\n<\/tr>\n<tr>\n<td width=\"290\">\n<p><strong>Late side effects<\/strong><\/p>\n<\/td>\n<td width=\"354\">\n<p><strong>Recommendation\/Explanation<\/strong><\/p>\n<\/td>\n<\/tr>\n<tr>\n<td width=\"290\">\n<p>Fertility in men<\/p>\n<\/td>\n<td width=\"354\">\n<p>Temporary decrease in fertility is likely. However, irreversible infertility may occur in patients who receive multiple high-dose radioactive iodine treatments. Sperm cryopreservation may be considered before the treatment in such circumstances. Well hydration and frequent voiding will be beneficial for all patients who receive this treatment to decrease dose exposure (which originates from the bladder) in testicles.<\/p>\n<\/td>\n<\/tr>\n<tr>\n<td width=\"290\">\n<p>Fertility in women<\/p>\n<\/td>\n<td width=\"354\">\n<p>Radioactive iodine treatment is not expected to impair female fertility or increase the risk of miscarriage. Good hydration and frequent voiding will be beneficial for all patients who receive this treatment to decrease dose exposure which originates from the bladder.<\/p>\n<\/td>\n<\/tr>\n<tr>\n<td width=\"290\">\n<p>Dry mouth, change in sense of taste, formation of stone in salivary glands, dentine carries.<\/p>\n<\/td>\n<td width=\"354\">\n<p>Oral hygiene requires attention.<\/p>\n<\/td>\n<\/tr>\n<tr>\n<td width=\"290\">\n<p>Dryness and watering of eyes<\/p>\n<\/td>\n<td width=\"354\">\n<p>&nbsp;<\/p>\n<\/td>\n<\/tr>\n<tr>\n<td width=\"290\">\n<p>Occurrence of a secondary cancer<\/p>\n<\/td>\n<td width=\"354\">\n<p>This condition occurs very rarely (&lt;1%) following high-dose radioactive iodine treatment. The reported cases generally consist of patients who are exposed to high doses in multiple treatments. This possibility is negligible in comparison to other risks which are secondary to thyroid cancer and therefore, the treatment of thyroid cancer should not be cancelled.<\/p>\n<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<p>&nbsp;<\/p>\n<p>&nbsp;<\/p>\n<p>&nbsp;<\/p>\n<h3 class=\"p4\"><span class=\"s1\"><b>Preparation before Radioactive Iodine Treatment <\/b><\/span><\/h3>\n<p>Our Nuclear Medicine Specialist will assess your medical history regarding your thyroid gland, surgery\/pathology reports, past imaging results and blood tests as well as doses administered in the course of past radioactive iodine treatments and s\/he will also perform physical examination and request certain blood tests, when necessary, before radioactive iodine treatment is actually started.<\/p>\n<p>Moreover, a beta-hCG test will be ordered for all women of child-bearing age.<\/p>\n<p>You will need special preparation before the treatment since thyroid hormones (LT4, LT3) and medicines and food which contains iodine affect the success of radioactive iodine treatment.<\/p>\n<p>You will be informed and guided about this issue during the appointment. Your strict compliance with these suggestions is very important for successful outcome of your treatment.<\/p>\n<p>&nbsp;<\/p>\n<h3 class=\"p6\"><span class=\"s1\"><b>Cessation of Thyroid Hormone Replacement<\/b><\/span><\/h3>\n<p>If it is planned to stop thyroid hormone supplements before the radioactive iodine treatment, our Nuclear Medicine Specialist will plan the necessary replacement cessation schedule.<\/p>\n<p class=\"p2\">LT4 hormone supplements (i.e. Levotiron, Tefor, Euthrox, and Bitiron) should be stopped for at least 4 weeks and LT3 hormone supplements (i.e. Tiromel) should be stopped for at least 2 weeks.<\/p>\n<p>&nbsp;<\/p>\n<h3 class=\"p6\"><span class=\"s1\"><b>Use of Recombinant TSH (rhTSH)<\/b><\/span><\/h3>\n<p class=\"p3\"><span class=\"s1\">rhTSH (Thyrogen) is administered to hip muscle in 2 doses at 24-hour interval as an alternative to cessation of thyroid hormone replacement. Radioactive iodine is administered by mouth 24 hours after the last dose of rhTSH.<\/span><\/p>\n<p>&nbsp;<\/p>\n<h3 class=\"p10\"><span class=\"s1\"><b>Low-Iodine Diet<\/b><\/span><\/h3>\n<p>Low iodine diet is an important component of preparation for tre eatment and should be started 2 weeks before the radioactive iodine treatment and maintained for 1 to 2 days after the treatment. This diet increases the success rate of radioactive iodine treatment.<\/p>\n<p class=\"p3\"><b style=\"font-size: 16px;\">Medicines Which Prevent Administration of Radioactive Iodine<\/b><\/p>\n<p>&nbsp;<\/p>\n<table>\n<tbody>\n<tr>\n<td width=\"456\">\n<p><strong>Medications<\/strong><\/p>\n<\/td>\n<td width=\"181\">\n<p><strong>Recommended Duration of Cessation<\/strong><\/p>\n<\/td>\n<\/tr>\n<tr>\n<td width=\"456\">\n<p>Thionamide medications (i.e. Propylthiouracil, methimazole, carbimazole)<\/p>\n<\/td>\n<td width=\"181\">\n<p>3 days<\/p>\n<\/td>\n<\/tr>\n<tr>\n<td width=\"456\">\n<p>Multivitamins that contain iodine<\/p>\n<\/td>\n<td width=\"181\">\n<p>7-10 days<\/p>\n<\/td>\n<\/tr>\n<tr>\n<td width=\"456\">\n<p>For natural\/synthetic thyroid hormones, triiodothyronine (LT3 ,Tiromel)<\/p>\n<\/td>\n<td width=\"181\">\n<p>10-14 days<\/p>\n<\/td>\n<\/tr>\n<tr>\n<td width=\"456\">\n<p>For natural \/ synthetic thyroid hormones, thyroxin (LT4, Levotiron, Tefor, Euthrox, Bitiron)<\/p>\n<\/td>\n<td width=\"181\">\n<p>3-4 weeks<\/p>\n<\/td>\n<\/tr>\n<tr>\n<td width=\"456\">\n<p>Kelp, agar, carrageenan, Lugol solution<\/p>\n<\/td>\n<td width=\"181\">\n<p>2-3 weeks, depending on the iodine content<\/p>\n<\/td>\n<\/tr>\n<tr>\n<td width=\"456\">\n<p>Saturated solution of Potassium iodure<\/p>\n<\/td>\n<td width=\"181\">\n<p>2-3 weeks<\/p>\n<\/td>\n<\/tr>\n<tr>\n<td width=\"456\">\n<p>Topical iodine (i.e. surgical skin preparation)<\/p>\n<\/td>\n<td width=\"181\">\n<p>2-3 weeks<\/p>\n<\/td>\n<\/tr>\n<tr>\n<td width=\"456\">\n<p>Intravenous radiographic contrast agent, water-soluble<\/p>\n<\/td>\n<td width=\"181\">\n<p>6-8 weeks<\/p>\n<\/td>\n<\/tr>\n<tr>\n<td width=\"456\">\n<p>Intravenous radiographic contrast agent, fat-soluble<\/p>\n<\/td>\n<td width=\"181\">\n<p>1-6 months<\/p>\n<\/td>\n<\/tr>\n<tr>\n<td width=\"456\">\n<p>Amiodarone<\/p>\n<\/td>\n<td width=\"181\">\n<p>3-6 months or longer<\/p>\n<\/td>\n<\/tr>\n<tr>\n<td width=\"456\">\n<p>Hair dye (containing iodine)<\/p>\n<\/td>\n<td width=\"181\">\n<p>8 weeks<\/p>\n<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<p>&nbsp;<\/p>\n<p class=\"p11\"><span class=\"s1\"><b>Food Products consumption of Which has to Be Stopped For 2 Weeks Due To High Concentration of Iodine<\/b><\/span><\/p>\n<p>&nbsp;<\/p>\n<table>\n<tbody>\n<tr>\n<td width=\"289\">\n<p><strong>Source<\/strong><\/p>\n<\/td>\n<td width=\"355\">\n<p><strong>Example\/explanation<\/strong><\/p>\n<\/td>\n<\/tr>\n<tr>\n<td width=\"289\">\n<p>Iodized salt<\/p>\n<\/td>\n<td width=\"355\">\n<p>&nbsp;<\/p>\n<\/td>\n<\/tr>\n<tr>\n<td width=\"289\">\n<p>Dairy products<\/p>\n<\/td>\n<td width=\"355\">\n<p>Milk, yoghurt, cheese, ice cream<\/p>\n<\/td>\n<\/tr>\n<tr>\n<td width=\"289\">\n<p>Egg yolk<\/p>\n<\/td>\n<td width=\"355\">\n<p>Egg whites could be consumed.<\/p>\n<\/td>\n<\/tr>\n<tr>\n<td width=\"289\">\n<p>Seafood<\/p>\n<\/td>\n<td width=\"355\">\n<p>Shellfish and fish<\/p>\n<\/td>\n<\/tr>\n<tr>\n<td width=\"289\">\n<p>Turkey and liver<\/p>\n<\/td>\n<td width=\"355\">\n<p>&nbsp;<\/p>\n<\/td>\n<\/tr>\n<tr>\n<td width=\"289\">\n<p>Algae and algae products<\/p>\n<\/td>\n<td width=\"355\">\n<p>Carrageenan and alginate<\/p>\n<\/td>\n<\/tr>\n<tr>\n<td width=\"289\">\n<p>Milk chocolate<\/p>\n<\/td>\n<td width=\"355\">\n<p>&nbsp;<\/p>\n<\/td>\n<\/tr>\n<tr>\n<td width=\"289\">\n<p>Multivitamins that contain iodine<\/p>\n<\/td>\n<td width=\"355\">\n<p>&nbsp;<\/p>\n<\/td>\n<\/tr>\n<tr>\n<td width=\"289\">\n<p>Products which contain red food dye (E127, erythrocyte ) (etc. hair dye, fizzy drink)<\/p>\n<\/td>\n<td width=\"355\">\n<p>&nbsp;<\/p>\n<\/td>\n<\/tr>\n<tr>\n<td width=\"289\">\n<p>Cereals<\/p>\n<\/td>\n<td width=\"355\">\n<p>It could be consumed in small servings (1\/4 of a plate) per meal.<\/p>\n<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<p>&nbsp;<\/p>\n<p class=\"p11\"><span class=\"s1\"><b>Allowed Foods<\/b><\/span><\/p>\n<p>&nbsp;<\/p>\n<table class=\"t1\" cellspacing=\"0\" cellpadding=\"0\">\n<tbody>\n<tr>\n<td class=\"td35\" valign=\"top\">\n<p class=\"p7\">Fresh fruit and vegetables<\/p>\n<p>Salt-free peanuts\/hazelnuts and hazelnut\/peanut butter<\/p>\n<p>Egg (white)<\/p>\n<p>Fresh meat<\/p>\n<p>Cereals\/cereal products which do not contain iodine at high concentration (limited to 4 servings per day)<\/p>\n<p>Pasta, which does not contain iodine at high concentrations<\/p>\n<p>Sugar<\/p>\n<p>Jelly<\/p>\n<p>Jam<\/p>\n<p>Honey<\/p>\n<p>Black pepper<\/p>\n<p>Fresh or dried weeds and spices<\/p>\n<p>All vegetable oils [including soy oil]<\/p>\n<p>Soda (which do not contain Red dye (E127))<\/p>\n<p>Coke, Diet coke<\/p>\n<p>Coffee (Not instant)<\/p>\n<p>Tea (Not instant)<\/p>\n<p>Lemonade<\/p>\n<p class=\"p7\"><span class=\"s1\">Fruit juices<\/span><\/p>\n<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<p>&nbsp;<\/p>\n<h3 class=\"p6\"><span class=\"s1\"><b>What Can You Bring to Hospital?<\/b><\/span><\/h3>\n<p>You may bring a magazine\/book, games, hand crafts\/knitting equipment, cell phone, tablet or laptop for your spare time when you come for the treatment.<\/p>\n<p>It is necessary to bring your daily clothes and sleepwear with you as you will wear them throughout your hospitalization.<\/p>\n<p>We recommend to stop using contact lenses during the treatment period. Please bring your eyeglasses with you.<\/p>\n<p>Radioactive iodine, which also implies radiation, will be present in your urine, sweat and saliva for a certain period of time due to the treatment. Therefore, your personal belongings may be contaminated by radioactive iodine. No problems will occur if these objects are used solely by you for the first several weeks after you return home. Contamination on your cell phone, tablet or laptop can be cleaned with a dampened cloth.<\/p>\n<p>All clothes you used at the hospital should be washed separately from other clothes immediately after returning home.<\/p>\n<p>Visitors will not be allowed throughout the hospitalization due to radiation safety measures.\u00a0 However, you may contact our healthcare personnel 24\/7 by phone.<\/p>\n<p>&nbsp;<\/p>\n<h3 class=\"p4\"><span class=\"s1\"><b>How is Radioactive Iodine Therapy Performed?<\/b><\/span><\/h3>\n<p>Oral food and water intake should be stopped for 4-6 hours before radioactive iodine is administered and this restriction should be maintained for approximately 2 hours after the treatment.\u00a0<\/p>\n<p>Radioactive iodine, which is planned for the treatment, is in liquid or capsule form and is administered by mouth in a special treatment room.<\/p>\n<p>Your hospitalization varies depending on the planned dosage and results. This period generally lasts from 3 days to 1 week.<\/p>\n<p>Total body radioactive iodine scintigraphy\/SPECT\/CT will be scanned in the Nuclear Medicine Clinic for 3-7 days after administration of radioactive iodine.<\/p>\n<p>Patients with normal renal functions are recommended to drink 2.5-3 liters of liquid (except for milk) per day and void frequently for 1 week following the radioactive iodine treatment. Thus, radiation exposure of the urinary bladder and salivary glands can be minimized.<\/p>\n<p>Defecation at least once a day is important for minimizing the radiation exposure of your bowels. You may use mild laxatives in case of constipation.<\/p>\n<p>Flush twice after every use of the toilet in the hospital and at home for a period of several weeks. It is necessary for our male patients to urinate while sitting on the toilet during this period. It is necessary for you to wash your hands carefully following each visit to the restroom due to radioactive contamination.<\/p>\n<p>You should take a shower every day during and for at least 1 week after your hospital stay; wash your towels, underwear and cloths separately afterwards.<\/p>\n<p>It is necessary for you to wash your hands before meals, reading or holding something for a few weeks.<\/p>\n<p>Prefer paper tissues instead of cloth and dispose the tissues by flushing it through the toilet rather than throwing it to a trash can.<\/p>\n<p>Indication of inpatient treatment depends on the dose administered to the patient and is determined by relevant regulations.\u00a0 Here, the aim is to protect family members of patients and the community from radiation.<\/p>\n<p>Patients who receive radioactive iodine treatment at outpatient or inpatient settings are required to comply with certain precautions in order to be discharged. Patients who receive this treatment can only be discharged after the residual activity level in their body goes below the discharge limit which is determined in the regulation of the Turkish Atomic Energy Authority (TAEK). Our Nuclear Medicine Specialist will inform you in details, before you are discharged, regarding restrictions at your home, workplace and public places and about how long such restrictions will apply.<\/p>\n<p class=\"p2\">It is necessary for both male and female patients to use effective birth control methods with their partners and avoid pregnancy for at least 6 months following the radioactive iodine treatment.<\/p>\n<p>&nbsp;<\/p>\n<p><a href=\"https:\/\/www.intheranostics.com\/iletisim\/\"><strong>Please contact us for further details.<\/strong><\/a><\/p>\n<p>&nbsp;<\/p>\n<p>[\/et_pb_text][et_pb_accordion disabled_on=&#8221;on|on|on&#8221; _builder_version=&#8221;%224.4.8%22&#8243; disabled=&#8221;on&#8221;][et_pb_accordion_item title=&#8221;%22TANI&#8221; open=&#8221;on&#8221; open_toggle_text_color=&#8221;%22#0ca7c5%22&#8243; _builder_version=&#8221;%224.4.8%22&#8243; toggle_font=&#8221;%22|700|||||||%22&#8243; toggle_font_size=&#8221;%2218px%22&#8243;]<\/p>\n<p class=\"p1\"><span class=\"s1\"><b>Flor-18 NaF PET\/BT Nedir, T\u00fcm\u00f6r Oda\u011f\u0131n\u0131 Nas\u0131l G\u00f6sterir?<\/b><\/span><\/p>\n<p class=\"p1\"><span class=\"s1\"><b><span style=\"float: none;background-color: #ffffff;color: #666666;font-family: 'Quicksand',Helvetica,Arial,Lucida,sans-serif;font-size: 100%;font-style: normal;font-variant: normal;font-weight: 500;letter-spacing: normal;text-align: left;text-decoration: none;text-indent: 0px;text-transform: none\">Teranostik t\u0131p d\u00fcnyas\u0131nda yeni geli\u015fmekte olan bir aland\u0131r. T\u00fcm\u00f6re \u00f6zg\u00fcl bir ila\u00e7 ile g\u00f6r\u00fcnt\u00fcleme yaparak saptanan t\u00fcm\u00f6r ve metastazlar\u0131n\u0131n, nereye gidece\u011fi, ne kadar gidece\u011fi ve hastal\u0131kl\u0131 dokuyu etkileme g\u00fcc\u00fc \u00f6nceden bilinen yine \u00f6zg\u00fcl bir ila\u00e7 ile tedavi edilebildi\u011fi bir yakla\u015f\u0131md\u0131r. Bu yakla\u015f\u0131m, geleneksel t\u0131ptan ki\u015fiye \u00f6zg\u00fc \u00e7a\u011fda\u015f t\u0131p uygulamalar\u0131na ge\u00e7i\u015f yap\u0131lmas\u0131n\u0131 sa\u011flamaktad\u0131r.<\/span><\/b><\/span><\/p>\n<p class=\"p2\"><span class=\"s1\">Prostat kanserinden \u00f6l\u00fcmler genellikle kemik metastaz\u0131 ve komplikasyonlar\u0131ndan kaynaklanmaktad\u0131r. Prostat kanseri kemik metastazlar\u0131\u00a0Flor-18 NaF (<\/span><span class=\"s2\"><sup>18<\/sup><\/span><span class=\"s1\">F-NaF) PET\/BT ile y\u00fcksek duyarl\u0131l\u0131kla g\u00f6r\u00fcnt\u00fclenebilmekte ve Radyum-223 ile bu t\u00fcm\u00f6ral dokular\u0131n \u00f6zg\u00fcl ve hedefe y\u00f6nelik tedavisi yap\u0131labilmektedir. Bu, teranostik uygulamalar i\u00e7in olduk\u00e7a ba\u015far\u0131l\u0131 bir \u00f6rnektir.<\/span><\/p>\n<p class=\"p4\"><span class=\"s1\">Hastal\u0131\u011f\u0131n\u0131z\u0131 takip eden hekiminiz, kemik metastazlar\u0131n\u0131n tan\u0131s\u0131 amac\u0131yla size bu tetkiki \u00f6nerebilir.\u00a0F-18 NaF PET\/BT; kemik metastazlar\u0131n\u0131n yeri ve yayg\u0131nl\u0131\u011f\u0131n\u0131 do\u011fru bir \u015fekilde g\u00f6sterirken a\u011fr\u0131l\u0131 kemik metastazlar\u0131nda hedefe y\u00f6nelik ba\u015far\u0131l\u0131 bir tedavi se\u00e7ene\u011fi olan Radyum-223 tedavisinin kullan\u0131m\u0131n\u0131 da m\u00fcmk\u00fcn k\u0131lar.<\/span><\/p>\n<p class=\"p1\"><span class=\"s1\"><b>Flor-18 NaF PET\/BT\u2019nin \u00dcst\u00fcn Yanlar\u0131 Nelerdir?<\/b><\/span><\/p>\n<p class=\"p2\"><span class=\"s1\">F-18 NaF PET\/BT, kemik g\u00f6r\u00fcnt\u00fcleme maddesi olarak ideal \u00f6zelliklere sahiptir ve 45-60 dakika gibi k\u0131sa bir s\u00fcre i\u00e7inde \u00fcst\u00fcn kalitede g\u00f6r\u00fcnt\u00fcler \u00fcretir.\u00a0Ba\u015fta kemik metastaz\u0131 ara\u015ft\u0131r\u0131lan hastalar olmak \u00fczere bir\u00e7ok hasta i\u00e7in,\u00a0F-18 NaF PET\/BT, geleneksel kemik sintigrafisine g\u00f6re \u00e7ok daha ba\u015far\u0131l\u0131 sonu\u00e7lar\u0131 ile ideal bir alternatiftir.<\/span><\/p>\n<p class=\"p1\"><span class=\"s1\"><b>Flor-18 NaF PET\/BT Kimlere Uygulan\u0131r?<\/b><\/span><\/p>\n<p class=\"p2\"><span class=\"s1\">Hastal\u0131\u011f\u0131n\u0131z\u0131 takip eden hekiminiz sizden\u00a0F-18 NaF PET\/BT taramas\u0131n\u0131 \u015fu ama\u00e7lar i\u00e7in isteyebilir:<\/span><\/p>\n<ul>\n<li class=\"p4\"><span class=\"s1\">Kemik metastazlar\u0131n\u0131n belirlenmesi<\/span><\/li>\n<li class=\"p4\"><span class=\"s1\">Hastal\u0131\u011f\u0131n yayg\u0131nl\u0131\u011f\u0131n\u0131n do\u011fru belirlenmesi<\/span><\/li>\n<li class=\"p4\"><span class=\"s1\">Malign kemik lezyonlar\u0131n\u0131n yerinin belirlenmesi<\/span><\/li>\n<li class=\"p4\"><span class=\"s1\">Kemik a\u011fr\u0131lar\u0131n\u0131n sa\u011falt\u0131m\u0131 i\u00e7in Radyum-223 tedavisinin uygun olup olmad\u0131\u011f\u0131n\u0131n belirlenmesi<\/span><\/li>\n<li class=\"p4\">Tedavi yan\u0131t\u0131n\u0131n de\u011ferlendirilmesi<\/li>\n<\/ul>\n<p class=\"p1\"><span class=\"s1\"><b>Flor-18 NaF PET\/BT G\u00fcvenli midir?<\/b><\/span><\/p>\n<p class=\"p2\"><span class=\"s1\">F-18 NaF bilinen yan etkisi olmayan g\u00fcvenli bir radyoaktif maddedir. Bu i\u015flemde al\u0131nan radyasyon dozu azd\u0131r ve g\u00fcn sonunda v\u00fccudunuzdan temizlenir. N\u00fckleer T\u0131p klini\u011finden ayr\u0131lman\u0131z birka\u00e7 saat s\u00fcrmektedir. PET\/BT taramas\u0131n\u0131 izleyen 6 saat boyunca ba\u015fkalar\u0131yla (\u00f6zellikle \u00e7ocuklar ve hamile kad\u0131nlar) temas\u0131n\u0131z\u0131 en aza indirmenizi \u00f6nermekteyiz.<\/span><\/p>\n<p class=\"p1\"><span class=\"s1\"><b>Flor-18 NaF PET\/BT \u00d6ncesi Haz\u0131rl\u0131k<\/b><\/span><\/p>\n<p class=\"p2\"><span class=\"s1\">F-18 NaF PET\/BT g\u00f6r\u00fcnt\u00fclemesi \u00f6ncesinde N\u00fckleer T\u0131p b\u00f6l\u00fcm\u00fcne iletmek \u00fczere, hastal\u0131\u011f\u0131n\u0131za y\u00f6nelik baz\u0131 tetkik ve bilgileri yan\u0131n\u0131zda bulundurman\u0131z istenecektir:<\/span><\/p>\n<ul>\n<li class=\"p4\"><span class=\"s1\">Hekim istem formu<\/span><\/li>\n<li class=\"p4\"><span class=\"s1\">Prostat kanseri hikayeniz (\u00f6rn. PSA, patoloji sonu\u00e7lar\u0131)<\/span><\/li>\n<li class=\"p4\"><span class=\"s1\">\u00d6nceki onkolojik tedavilerinizin tipi ve tarihi (\u00f6rn. kemoterapi ve\/veya radyoterapi)<\/span><\/li>\n<li class=\"p4\"><span class=\"s1\">\u00d6nceki k\u0131r\u0131klar\u0131n\u0131z veya yak\u0131n tarihli travma hikayeniz (yeri ve tarihi)<\/span><\/li>\n<li class=\"p4\"><span class=\"s1\">\u00d6nceki ortopedik cerrahi giri\u015fimleriniz (m\u00fcdahale tarihi, tipi ve yeri)<\/span><\/li>\n<li class=\"p4\"><span class=\"s1\">\u00d6nceki enfeksiyon ve yeri<\/span><\/li>\n<li class=\"p4\"><span class=\"s1\">\u0130drar yolu ile ilgili ge\u00e7irilmi\u015f ameliyatlar<\/span><\/li>\n<li class=\"p4\"><span class=\"s1\">Her bir kemik a\u011fr\u0131n\u0131z\u0131n yeri<\/span><\/li>\n<li class=\"p4\"><span class=\"s1\">Di\u011fer g\u00f6r\u00fcnt\u00fclemeler ve raporlar\u0131 (\u00f6zellikle kemik sintigrafisi, BT veya MRI)<\/span><\/li>\n<\/ul>\n<p class=\"p2\"><span class=\"s1\">F-18 NaF PET\/BT i\u015flemi i\u00e7in a\u00e7 olman\u0131za gerek yoktur. \u0130la\u00e7lar\u0131n\u0131z\u0131 her zamanki gibi alabilirsiniz. <\/span><span class=\"s1\">B\u00f6brekten at\u0131l\u0131m\u0131 art\u0131rmak, al\u0131nan radyasyon dozunu azaltmak ve en iyi g\u00f6r\u00fcnt\u00fc kalitesine ula\u015fmak i\u00e7in,\u00a0F-18 NaF enjeksiyonu \u00f6ncesinde ve sonras\u0131nda en az iki\u015fer bardak su i\u00e7melisiniz. Tetkik sonras\u0131nda g\u00fcn\u00fcn geri kalan\u0131nda da su i\u00e7meye devam etmeniz faydal\u0131 olacakt\u0131r.\u00a0\u0130\u015flem s\u0131ras\u0131nda g\u00f6r\u00fcnt\u00fc bozulmalar\u0131n\u0131 \u00f6nlemek i\u00e7in t\u00fcm metal e\u015fyalar\/tak\u0131lar\/protezler \u00e7\u0131kar\u0131lmal\u0131d\u0131r.<\/span><\/p>\n<p class=\"p1\"><span class=\"s1\"><b>Flor-18 NaF PET\/BT Nas\u0131l Uygulan\u0131r?<\/b><\/span><\/p>\n<p class=\"p4\"><span class=\"s1\">Az miktarda (1.5-3.7 Mbq\/Kg (0.04-0.1 mCi\/Kg) dozunda) F-18-NaF, g\u00f6r\u00fcnt\u00fcleme i\u015fleminden yakla\u015f\u0131k 30-60 dakika \u00f6nce, kol ya da el s\u0131rt\u0131n\u0131za yerle\u015ftirdi\u011fimiz damar yolundan uygulanacakt\u0131r.\u00a0<\/span><span class=\"s1\">F-18 NaF PET\/BT g\u00f6r\u00fcnt\u00fclemesinden hemen \u00f6nce mesanenizi bo\u015faltman\u0131z gerekmektedir.<\/span><\/p>\n<p class=\"p4\"><span class=\"s1\">PET\/BT g\u00f6r\u00fcnt\u00fclemesi boyunca (yakla\u015f\u0131k 20-25 dk.), v\u00fccut g\u00f6r\u00fcnt\u00fclerinin s\u00fcrekli kaydedildi\u011fi, her iki ucu a\u00e7\u0131k, geni\u015f halka \u015feklindeki bir cihazda, \u00f6zel \u00e7ekim yata\u011f\u0131 \u00fczerinde uzanman\u0131z istenecektir. \u0130\u015flemin tek zahmetli yan\u0131; bu s\u00fcre zarf\u0131nda hareketsiz kalman\u0131zd\u0131r. \u0130htiyac\u0131n\u0131z halinde, g\u00f6r\u00fcnt\u00fcleme \u00f6ncesi, beraberinizde getirdi\u011finiz a\u011fr\u0131 kesicinizi kullanabilirsiniz.<\/span><\/p>\n<p class=\"p4\"><span class=\"s1\">\u0130htiya\u00e7 duyulursa uzmanlar\u0131m\u0131z ek g\u00f6r\u00fcnt\u00fc alabilir. Ek g\u00f6r\u00fcnt\u00fcleme i\u015flemi yakla\u015f\u0131k 10-15 dakika s\u00fcrmektedir. <\/span><span class=\"s1\">N\u00fckleer T\u0131p klini\u011findeki i\u015flemlerin tamamlanmas\u0131 birka\u00e7 saati bulabilir. <\/span><span class=\"s1\">Kolunuzdaki damar yolu, g\u00f6r\u00fcnt\u00fclemeniz tamamland\u0131ktan ve t\u00fcm g\u00f6r\u00fcnt\u00fcleriniz kontrol edildikten sonra \u00e7\u0131kart\u0131lacakt\u0131r. Sa\u011fl\u0131k personelimizin onay vermesiyle, N\u00fckleer T\u0131p b\u00f6l\u00fcm\u00fcnden art\u0131k g\u00fcvenle ayr\u0131labilirsiniz.<\/span><\/p>\n<p class=\"p4\"><span class=\"s1\">\u0130la\u00e7 verildikten sonra ilk 6 saat k\u00fc\u00e7\u00fck \u00e7ocuklarla ve hamile kad\u0131nlarla temastan ka\u00e7\u0131nman\u0131z gerekti\u011fini l\u00fctfen unutmay\u0131n\u0131z. G\u00f6r\u00fcnt\u00fcleriniz N\u00fckleer T\u0131p Uzmanlar\u0131m\u0131z taraf\u0131ndan belirtilen s\u00fcrede de\u011ferlendirilerek rapor edilecektir.<\/span><\/p>\n<p>[\/et_pb_accordion_item][et_pb_accordion_item title=&#8221;TEDAV\u0130 H\u0130ZMETLER\u0130 &#8211; RADYUM-223 TEDAV\u0130S\u0130&#8221; open_toggle_text_color=&#8221;#0ca7c5&#8243; _builder_version=&#8221;4.4.8&#8243; toggle_font=&#8221;|700|||||||&#8221; toggle_font_size=&#8221;18px&#8221; open=&#8221;off&#8221;]<\/p>\n<p class=\"p1\"><span class=\"s1\"><b>Radyum-223 Tedavisi Nedir?<\/b><\/span><\/p>\n<p class=\"p1\"><span class=\"s1\">Teranostik t\u0131p d\u00fcnyas\u0131nda yeni geli\u015fmekte olan bir aland\u0131r. T\u00fcm\u00f6re \u00f6zg\u00fcl bir ila\u00e7 ile g\u00f6r\u00fcnt\u00fcleme yaparak saptanan t\u00fcm\u00f6r ve metastazlar\u0131n\u0131n, nereye gidece\u011fi-ne kadar gidece\u011fi ve hastal\u0131kl\u0131 dokuyu etkileme g\u00fcc\u00fc \u00f6nceden bilinen yine \u00f6zg\u00fcl bir ila\u00e7 ile tedavi edilebildi\u011fi bir yakla\u015f\u0131md\u0131r. Bu yakla\u015f\u0131m, geleneksel t\u0131ptan ki\u015fiye \u00f6zg\u00fc \u00e7a\u011fda\u015f t\u0131p uygulamalar\u0131na ge\u00e7i\u015f yap\u0131lmas\u0131n\u0131 sa\u011flamaktad\u0131r.<\/span><\/p>\n<p class=\"p2\">Prostat kanseri<strong>\u00a0<\/strong>v\u00fccudun di\u011fer b\u00f6lgelerine yay\u0131ld\u0131\u011f\u0131nda, s\u0131kl\u0131kla kemiklerde yerle\u015fmektedir. Kemik metastaz\u0131 a\u011fr\u0131 d\u0131\u015f\u0131nda, k\u0131r\u0131k, omurilik s\u0131k\u0131\u015fmas\u0131 veya hayat\u0131 tehdit edebilen y\u00fcksek kan kalsiyum seviyeleri gibi ba\u015fka sorunlara da neden olabilir. Kanser kemiklere ula\u015ft\u0131\u011f\u0131nda, a\u011fr\u0131y\u0131 ve di\u011fer komplikasyonlar\u0131 kontrol etmek veya hafifletmek tedavinin \u00e7ok \u00f6nemli bir par\u00e7as\u0131d\u0131r. Hormon tedavisi, kemoterapi ve a\u015f\u0131lar gibi tedaviler buna yard\u0131mc\u0131 olabilir. Ancak uygun hastalarda, \u00f6zellikle kemik metastaz\u0131n\u0131 hedef alan ve alfa \u0131\u015f\u0131mas\u0131 yapan Radyum-223 tedavisi ile bir yandan semptomlar kontrol alt\u0131na al\u0131n\u0131rken bir yandan da sa\u011f kal\u0131m\u0131 art\u0131r\u0131c\u0131 etki sa\u011flanabilmektedir.<\/p>\n<p class=\"p1\"><span class=\"s1\"><b>Radyum-223 Nas\u0131l Tedavi Eder?<\/b><\/span><\/p>\n<p class=\"p2\"><span class=\"s1\">Radyum-223, kemik metastazlar\u0131na se\u00e7ici olarak ba\u011flanan ve \u00e7ok k\u0131sa menzilli y\u00fcksek enerjili par\u00e7ac\u0131klar\u0131 (&lt;100 \u03bcm) yayan, radyoaktif bir elementtir. Radyum-223 diklor\u00fcr molek\u00fcl\u00fc, kalsiyumu taklit ederek kemik metastazlar\u0131na ba\u011flan\u0131r ve ard\u0131ndan y\u00fcksek enerjili alfa par\u00e7ac\u0131\u011f\u0131na ait radyasyon, DNA k\u0131r\u0131klar\u0131na neden olarak t\u00fcm\u00f6r h\u00fccrelerini \u00f6ld\u00fcr\u00fcr. Alfa par\u00e7ac\u0131klar\u0131n\u0131n k\u0131sa olan menzili, kom\u015fu sa\u011fl\u0131kl\u0131 doku ve \u00f6zellikle kemik ili\u011fi \u00fczerindeki zararl\u0131 etkinin de en az d\u00fczeyde kalmas\u0131 anlam\u0131na gelmektedir.<\/span><\/p>\n<p class=\"p2\"><span class=\"s1\">Sa\u011f kal\u0131m\u0131 uzatt\u0131\u011f\u0131 bilinen kemi\u011fe \u00f6zg\u00fc tek ila\u00e7, radyoaktif alfa par\u00e7ac\u0131\u011f\u0131 yayarak tedavi edici etkisini g\u00f6steren Radyum-223&#8217;t\u00fcr. Bilimsel \u00e7al\u0131\u015fmalar ile Radyum-223 tedavisinin ortalama ya\u015fam s\u00fcresini uzatt\u0131\u011f\u0131 g\u00f6sterilmi\u015ftir. Buna ek olarak a\u011fr\u0131da ve ya\u015fam kalitesinde iyile\u015fmeyi sa\u011flamaktad\u0131r. T\u00fcm bu faydalar\u0131n\u0131n yan\u0131nda kan de\u011ferlerinde ge\u00e7ici d\u00fc\u015fme ve ishal d\u0131\u015f\u0131nda Radyum-223 tedavisi ile ili\u015fkili yan etkiler olduk\u00e7a hafif d\u00fczeylerde izlenmi\u015ftir.<\/span><\/p>\n<p class=\"p1\"><span class=\"s1\"><b>Radyum-223 Tedavisi Kimlere Uygulan\u0131r?<\/b><\/span><\/p>\n<p class=\"p2\"><span class=\"s1\">Radyum-223 tedavisi \u00e7ok spesifik bir tedavi t\u00fcr\u00fcd\u00fcr, bu nedenle sadece kemiklere yay\u0131lm\u0131\u015f ve a\u011fr\u0131 \u015fikayeti olan prostat kanserli hastalarda, takip eden hekimleri taraf\u0131ndan uygun g\u00f6r\u00fclmesi durumunda uygulanabilir.<\/span><\/p>\n<p class=\"p2\"><span class=\"s1\">Radyum-223 tedavisi, kemi\u011fe yay\u0131lm\u0131\u015f kanserin s\u0131kl\u0131kla neden oldu\u011fu a\u011fr\u0131y\u0131 hafifletebilir. Bu tedavinin uygulanmas\u0131na karar verildi\u011finde, tedavi \u00f6ncesinde, t\u00fcm v\u00fccut kemik taramas\u0131 (\u00f6rn. F-NaF PET\/BT, kemik sintigrafisi) yap\u0131lmaktad\u0131r. Bu, Radyum-223&#8217;\u00fcn tedavi s\u0131ras\u0131nda do\u011fru alanlar\u0131 hedefledi\u011finden emin olunmas\u0131n\u0131 sa\u011flayacakt\u0131r.<\/span><\/p>\n<p class=\"p1\"><span class=\"s1\"><b>Radyum-223 Tedavisi G\u00fcvenli midir?<\/b><\/span><\/p>\n<p class=\"p2\"><span class=\"s1\">Radyum-223 tedavisinde kullan\u0131lan alfa radyasyonu \u00e7ok y\u00fcksek bir enerji seviyesine sahiptir. Bununla birlikte alfa radyasyon, do\u011fas\u0131 gere\u011fi sadece \u00e7ok k\u0131sa mesafelere (iki ila on h\u00fccre mesafesinde) seyahat eder ve bu da radyasyonun yok edici etkisinin sa\u011fl\u0131kl\u0131 h\u00fccrelerde de\u011fil, kemikteki kanser h\u00fccrelerinde olu\u015fmas\u0131n\u0131 sa\u011flamaktad\u0131r. Sa\u011fl\u0131kl\u0131 h\u00fccrelerce al\u0131nan minimal radyasyon dozu, Radium-223 tedavisi ile ili\u015fkili yan etkilerin de ihmal edilebilir d\u00fczeyde oldu\u011fu anlam\u0131na gelir ve \u00fcretilen kan h\u00fccrelerinin say\u0131s\u0131nda ge\u00e7ici bir azalma ve nadiren bulant\u0131, kusma ve ishal, tedavi olan hastalar\u0131m\u0131zda g\u00f6r\u00fclebilmektedir.<\/span><\/p>\n<p class=\"p1\"><span class=\"s1\"><b>Radyum-223 Tedavisi \u00d6ncesi Haz\u0131rl\u0131k \u00a0<\/b><\/span><\/p>\n<p class=\"p2\"><span class=\"s1\">Klini\u011fe ilk ba\u015fvurunuzda, a\u015fa\u011f\u0131da listelenen bilgi ve belgeleri beraberinizde getirmeniz \u00f6nemlidir. Hasta bilgilerinizin dijital ortamda haz\u0131rlanmas\u0131 (DICOM, JPEG, PNG, PDF, Microsoft Word (.doc, .docx, vb.)), e-posta ile h\u0131zl\u0131 ve kolayca payla\u015f\u0131lmas\u0131na imkan tan\u0131yacak ve hastal\u0131\u011f\u0131n\u0131z\u0131n de\u011ferlendirilmesini b\u00fcy\u00fck oranda kolayla\u015ft\u0131racakt\u0131r:<\/span><\/p>\n<ul>\n<li class=\"p2\"><span class=\"s1\">Sizin ve sizi takip eden hekiminizin ileti\u015fim bilgileri (ev\/i\u015f\/cep telefon numaras\u0131, e-posta adresi)<\/span><\/li>\n<li class=\"p2\"><span class=\"s1\">En g\u00fcncel hekim raporlar\u0131<\/span><\/li>\n<li class=\"p2\"><span class=\"s1\">Patoloji raporlar\u0131<\/span><\/li>\n<li class=\"p2\"><span class=\"s1\">Kan testleri<\/span><\/li>\n<li class=\"p2\"><span class=\"s1\">T\u00fcm v\u00fccut kemik sintigrafisi, BT, MR ve 68Ga-PSMA PET\/BT, 18F-FDG PET\/BT raporlar\u0131 ve orijinal film\/CD\/DVD&#8217;leri<\/span><\/li>\n<\/ul>\n<p class=\"p2\"><span class=\"s1\">N\u00fckleer T\u0131p Hekiminiz, bu tedavi \u00f6ncesinde ihtiya\u00e7 duyulmas\u0131 halinde, tedaviye uygunlu\u011funuzu de\u011ferlendirmek amac\u0131yla 18F-NaF PET\/BT veya t\u00fcm v\u00fccut kemik sintigrafisi g\u00f6r\u00fcnt\u00fclemeleri ile kemik erimesi varl\u0131\u011f\u0131n\u0131n ara\u015ft\u0131r\u0131lmas\u0131 i\u00e7in kemik mineral yo\u011funlu\u011fu \u00f6l\u00e7\u00fcm\u00fc isteyebilir.<\/span><\/p>\n<p class=\"p2\"><span class=\"s1\">Ayr\u0131ca a\u015fa\u011f\u0131daki kan testlerini yapt\u0131rman\u0131z istenecektir. Bu testlerin, tedavi s\u0131ras\u0131ndaki durumunuzu g\u00f6stermesi beklendi\u011finden, tedaviden en ge\u00e7 2 hafta \u00f6nce yap\u0131lm\u0131\u015f olmas\u0131 gerekmektedir. Bu testler tedaviye ba\u015flarken ve her tedavi k\u00fcr\u00fcnden \u00f6nce yap\u0131lacakt\u0131r.<\/span><\/p>\n<ul>\n<li class=\"p2\"><span class=\"s1\">PSA<\/span><\/li>\n<li class=\"p2\"><span class=\"s1\">Tam kan say\u0131m\u0131<\/span><\/li>\n<li class=\"p2\"><span class=\"s1\">Alkalen fosfataz<\/span><\/li>\n<\/ul>\n<p class=\"p2\"><span class=\"s1\">Hekiminiz, gerekti\u011finde ek kan testleri de isteyebilir. <\/span><span class=\"s1\">Karaci\u011fer ve b\u00f6brek yetmezli\u011fi olan hastalar\u0131m\u0131zda, Radyum-223 tedavisi herhangi bir doz ayarlamas\u0131na gitmeden uygulanabilir.<\/span><span class=\"s1\">Kemik k\u0131r\u0131\u011f\u0131 ya da omurilik bas\u0131s\u0131 olan hastalar\u0131m\u0131zda ise \u00f6ncelikle bu sorunlar\u0131n d\u00fczeltilmesi istenecektir.<\/span><\/p>\n<p class=\"p2\"><span class=\"s1\">Kemoterapi tedavisi ald\u0131ysan\u0131z en son k\u00fcr\u00fcn \u00fczerinden en az 4 hafta ge\u00e7ti\u011finden emin olman\u0131z gerekmektedir.<\/span><span class=\"s1\">Tedavi s\u0131ras\u0131nda evden getirdi\u011finiz kendi giysilerinizi giyece\u011finiz i\u00e7in rahat ve geni\u015f k\u0131yafetler tercih etmenizi \u00f6neririz. Tedaviniz ve birlikte yap\u0131lan testler i\u00e7in kolunuza veya elinizin s\u0131rt\u0131na yerle\u015ftirilen damar yolu kullan\u0131laca\u011f\u0131ndan, k\u0131sa kollu ya da geni\u015f kollu giysileri bulundurman\u0131z yararl\u0131 olacakt\u0131r.<\/span><\/p>\n<p class=\"p2\"><span class=\"s1\">Radyum-223 ba\u011f\u0131rsaktan at\u0131ld\u0131\u011f\u0131 i\u00e7in \u201c\u00fclseratif kolit\u201d ve \u201cCrohn hastal\u0131\u011f\u0131\u201d gibi enflamatuar ba\u011f\u0131rsak hastal\u0131\u011f\u0131 olan ya da ba\u011f\u0131rsak t\u0131kan\u0131kl\u0131\u011f\u0131 hikayesi bulunan hastalar\u0131m\u0131zda ek destekleyici \u00f6nlemler almam\u0131z gerekebilir.<\/span><\/p>\n<p class=\"p1\"><span class=\"s1\"><b>Radyum-223 Tedavisi Nas\u0131l Uygulan\u0131r?<\/b><\/span><\/p>\n<p class=\"p2\"><span class=\"s1\">Standard Radyum-223 tedavisi; d\u00f6rt haftal\u0131k aral\u0131klarla, toplam alt\u0131 tedavi k\u00fcr\u00fcnden (6 adet, birer dakikal\u0131k enjeksiyon) olu\u015fmaktad\u0131r. <\/span><span class=\"s1\">Sizin i\u00e7in \u00fcretilmi\u015f, kullan\u0131ma haz\u0131r Radyum-223 diklor\u00fcr \u00e7\u00f6zeltisi, N\u00fckleer T\u0131p Klini\u011finde, yerle\u015ftirdi\u011fimiz periferik damar yoluyla enjekte edilecektir.<\/span><\/p>\n<p class=\"p2\"><span class=\"s1\">Radyum-223 uygulamadan \u00f6nce, damar yolunuzun a\u00e7\u0131kl\u0131\u011f\u0131, en az 10 ml serum fizyolojik ile y\u0131kanarak kontrol edilecek ve Radyum-223 yakla\u015f\u0131k 1 dakika boyunca yava\u015f enjeksiyon \u015feklinde uygulanacak, sonras\u0131nda damar yolunuz yine en az 10 ml serum fizyolojik ile y\u0131kanacakt\u0131r. Bu i\u015flem s\u0131ras\u0131nda a\u011fr\u0131 hissedilmemektedir.<\/span><\/p>\n<p class=\"p2\"><span class=\"s1\">Enjeksiyondan sonra Radyum-223 diklor\u00fcr h\u0131zla kandan temizlenecek ve \u00f6ncelikle kemik ve kemik metastazlar\u0131nda tutulacak veya ba\u011f\u0131rsa\u011fa at\u0131lacakt\u0131r.<\/span><\/p>\n<p class=\"p1\"><span class=\"s1\"><b>Olas\u0131 Yan Etkiler ve Talimatlar<\/b><\/span><\/p>\n<p class=\"p2\"><span class=\"s1\">Radyum-223 tedavisi uygulanan hastalar\u0131m\u0131zda g\u00f6r\u00fclebilecek en yayg\u0131n yan etkiler (\u2265% 10) bulant\u0131, kusma ve ishaldir. Ayr\u0131ca kan h\u00fccre say\u0131s\u0131nda ge\u00e7ici d\u00fc\u015fmeler g\u00f6r\u00fclebilmektedir.<\/span><\/p>\n<p class=\"p2\"><span class=\"s1\">Tedavi alan hastalar\u0131m\u0131z\u0131n a\u015fa\u011f\u0131daki talimatlara uymalar\u0131 \u00f6nemlidir:\u00a0\u00a0<\/span><\/p>\n<ul>\n<li class=\"p2\"><span class=\"s1\">Size belirtilen tarihlerde kan say\u0131m\u0131n\u0131z\u0131 yapt\u0131r\u0131n\u0131z. Kanama veya enfeksiyon belirtilerini hekiminize iletiniz.<\/span><\/li>\n<li class=\"p2\"><span class=\"s1\">A\u011f\u0131zdan su al\u0131m\u0131n\u0131z iyi d\u00fczeyde olmal\u0131d\u0131r, v\u00fccut su d\u00fczeyi ve idrar \u00e7\u0131k\u0131\u015f\u0131n\u0131z\u0131 takip ediniz.<\/span><\/li>\n<li class=\"p2\"><span class=\"s1\">V\u00fccudunuzun susuz kalmas\u0131 veya b\u00f6brek yetmezli\u011fi belirtileri geli\u015firse hekiminize bildiriniz.<\/span><\/li>\n<li class=\"p2\"><span class=\"s1\">Tedavi sonras\u0131 di\u011fer insanlarla temas konusunda herhangi bir k\u0131s\u0131tlaman\u0131z yoktur.<\/span><\/li>\n<li class=\"p2\"><span class=\"s1\">Radyum-223 al\u0131rken ve son enjeksiyondan sonra en az 1 hafta boyunca iyi hijyen uygulamalar\u0131na dikkat ediniz.<br \/>\n<\/span><span class=\"s1\">&#8211; Klozeti oturarak kullan\u0131n\u0131z ve her kullan\u0131mdan sonra sifonu en az 2 kez \u00e7ekiniz.<br \/>\n<\/span><span class=\"s1\">&#8211; \u0130drar ve d\u0131\u015fk\u0131 ile kirlenmi\u015f giysilerinizi derhal ve di\u011fer k\u0131yafetlerden ayr\u0131 olarak y\u0131kay\u0131n\u0131z.<\/span><\/li>\n<li class=\"p2\"><span class=\"s1\">Bak\u0131c\u0131lar\u0131n\u0131z, bula\u015f\u0131 \u00f6nlemek i\u00e7in v\u00fccut s\u0131v\u0131lar\u0131n\u0131z\u0131 tutarken eldiven kullanmal\u0131, sonras\u0131nda ellerini y\u0131kamal\u0131d\u0131r.<\/span><\/li>\n<li class=\"p2\"><span class=\"s1\">Cinsel olarak aktif olan hastalar\u0131m\u0131z prezervatif kullanmal\u0131 ve \u00fcreme potansiyeli olan kad\u0131n partnerleri de tedavi s\u0131ras\u0131nda ve tedavinin tamamlanmas\u0131n\u0131 takip eden 6 ay boyunca etkili bir do\u011fum kontrol y\u00f6ntemi uygulamal\u0131d\u0131r.<\/span><\/li>\n<\/ul>\n<p class=\"p2\"><span class=\"s1\"><i>Daha fazla bilgi i\u00e7in l\u00fctfen bizimle irtibata ge\u00e7iniz.<\/i><\/span><\/p>\n<p>[\/et_pb_accordion_item][\/et_pb_accordion][et_pb_code _builder_version=&#8221;4.4.8&#8243;][\/et_pb_code][\/et_pb_column][\/et_pb_row][\/et_pb_section]<\/p>\n","protected":false},"excerpt":{"rendered":"<p>[et_pb_section fb_built=&#8221;1&#8243; fullwidth=&#8221;on&#8221; _builder_version=&#8221;4.4.8&#8243; background_color=&#8221;rgba(0,0,0,0)&#8221; background_image=&#8221;https:\/\/www.intheranostics.com\/wp-content\/uploads\/2020\/06\/metastatik_prostat_kanseri.jpg&#8221; custom_padding=&#8221;100px||100px||false|false&#8221; locked=&#8221;off&#8221;][et_pb_fullwidth_header title=&#8221;Radioactive Iodine Treatment&#8221; text_orientation=&#8221;center&#8221; content_max_width_last_edited=&#8221;off|desktop&#8221; _builder_version=&#8221;4.4.8&#8243; title_font_size=&#8221;50px&#8221; content_font_size=&#8221;41px&#8221; subhead_font=&#8221;|700|||||||&#8221; subhead_font_size=&#8221;38px&#8221; subhead_line_height=&#8221;1.1em&#8221; background_enable_color=&#8221;off&#8221; background_enable_image=&#8221;off&#8221; custom_margin=&#8221;||||false|false&#8221; custom_padding=&#8221;||||false|false&#8221; animation_style=&#8221;slide&#8221; animation_direction=&#8221;bottom&#8221;][\/et_pb_fullwidth_header][\/et_pb_section][et_pb_section fb_built=&#8221;1&#8243; 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background_size=&#8221;initial&#8221; background_position=&#8221;top_left&#8221; background_repeat=&#8221;repeat&#8221; custom_margin=&#8221;||||false|false&#8221; custom_padding=&#8221;0px|0px|0px|0px|false|false&#8221;][et_pb_column type=&#8221;4_4&#8243; _builder_version=&#8221;3.25&#8243; [&hellip;]<\/p>\n","protected":false},"author":6,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_et_pb_use_builder":"on","_et_pb_old_content":"[et_pb_section fb_built=\"1\" fullwidth=\"on\" _builder_version=\"4.4.8\" background_color=\"rgba(0,0,0,0)\" background_image=\"https:\/\/www.intheranostics.com\/wp-content\/uploads\/2020\/06\/metastatik_prostat_kanseri.jpg\" custom_padding=\"100px||100px||false|false\" locked=\"off\"][et_pb_fullwidth_header title=\"RADYOAKTIF \u0130YOT TEDAV\u0130S\u0130\" text_orientation=\"center\" content_max_width_last_edited=\"off|desktop\" _builder_version=\"4.4.8\" title_font_size=\"50px\" content_font_size=\"41px\" subhead_font=\"|700|||||||\" subhead_font_size=\"38px\" subhead_line_height=\"1.1em\" background_enable_color=\"off\" background_enable_image=\"off\" custom_margin=\"||||false|false\" custom_padding=\"||||false|false\" animation_style=\"slide\" animation_direction=\"bottom\"][\/et_pb_fullwidth_header][\/et_pb_section][et_pb_section fb_built=\"1\" _builder_version=\"4.4.8\" custom_margin=\"0px||0px||false|false\" custom_padding=\"0px|0px|0px|0px|false|false\"][et_pb_row _builder_version=\"4.4.8\" custom_margin=\"0px||||false|false\" custom_padding=\"0px|0px|0px|0px|false|false\"][et_pb_column type=\"4_4\" _builder_version=\"4.4.8\"][et_pb_divider divider_weight=\"0px\" _builder_version=\"4.4.8\" use_background_color_gradient=\"on\" background_color_gradient_start=\"#8dd2e1\" background_color_gradient_end=\"#23afca\" background_color_gradient_direction=\"90deg\" width=\"50%\" module_alignment=\"center\" height=\"10px\"][\/et_pb_divider][\/et_pb_column][\/et_pb_row][\/et_pb_section][et_pb_section fb_built=\"1\" admin_label=\"section\" _builder_version=\"4.4.8\"][et_pb_row admin_label=\"row\" _builder_version=\"4.4.8\" background_size=\"initial\" background_position=\"top_left\" background_repeat=\"repeat\" custom_margin=\"||||false|false\" custom_padding=\"0px|0px|0px|0px|false|false\"][et_pb_column type=\"4_4\" _builder_version=\"3.25\" custom_padding=\"|||\" custom_padding__hover=\"|||\"][et_pb_text _builder_version=\"4.4.8\"]<h2 class=\"p1\"><span class=\"s1\"><b>Radyoaktif \u0130yot Tedavisi Nedir, Nas\u0131l Tedavi Eder?<\/b><\/span><\/h2>\r\n<p class=\"p2\"><span class=\"s2\">Teranostik t\u0131p d\u00fcnyas\u0131nda yeni geli\u015fmekte olan bir aland\u0131r. T\u00fcm\u00f6re \u00f6zg\u00fcl bir ila\u00e7 ile g\u00f6r\u00fcnt\u00fcleme yaparak saptanan t\u00fcm\u00f6r ve metastazlar\u0131n\u0131n, nereye gidece\u011fi, ne kadar gidece\u011fi ve hastal\u0131kl\u0131 dokuyu etkileme g\u00fcc\u00fc \u00f6nceden bilinen yine \u00f6zg\u00fcl bir ila\u00e7 ile tedavi edilebildi\u011fi bir yakla\u015f\u0131md\u0131r. Bu yakla\u015f\u0131m, geleneksel t\u0131ptan ki\u015fiye \u00f6zg\u00fc \u00e7a\u011fda\u015f t\u0131p uygulamalar\u0131na ge\u00e7i\u015f yap\u0131lmas\u0131n\u0131 sa\u011flamaktad\u0131r.<\/span><\/p>\r\n<p class=\"p2\"><span class=\"s1\">Tiroid kanserinde, bir yandan tan\u0131sal ama\u00e7la d\u00fc\u015f\u00fck doz\u00a0<\/span><span class=\"s2\">radyoaktif iyot (I-131 veya I-123)<\/span><span class=\"s1\">\u00a0ile t\u00fcm\u00f6ral dokular\u0131n y\u00fcksek duyarl\u0131l\u0131k ve \u00f6zg\u00fcll\u00fckte g\u00f6r\u00fcnt\u00fclenebilmesi, di\u011fer yandan da y\u00fcksek doz radyoaktif iyot (I-131) ile bu t\u00fcm\u00f6ral dokular\u0131n \u00f6zg\u00fcl ve hedefe y\u00f6nelik tedavisi, teranostik uygulamalar i\u00e7in bilinen en eski \u00f6rnektir.<\/span><\/p>\r\n<p class=\"p2\"><span class=\"s1\">Radyoaktif iyot tedavisi, 1940\u2019l\u0131 y\u0131llardan bu yana tiroidin iyi ve k\u00f6t\u00fc huylu (kanser) hastal\u0131klar\u0131n\u0131n tedavisinde s\u0131kl\u0131kla tercih edilen, tiroid kanserli hastalarda sa\u011f kal\u0131ma etkisi g\u00f6sterilmi\u015f standart bir uygulamad\u0131r.<\/span><\/p>\r\n<p class=\"p2\"><span class=\"s1\">Tiroid dokusu, v\u00fccuttaki iyotun tamam\u0131n\u0131 kandan alarak kendi i\u00e7erisinde biriktirme konusunda e\u015fsiz bir yetene\u011fe sahiptir. Radyoaktif iyot da t\u0131pk\u0131 iyot gibi tiroid bezine al\u0131narak, tiroid dokusunda depolanmaktad\u0131r. Farkl\u0131la\u015fm\u0131\u015f (diferansiye) tiroid kanserleri de sa\u011fl\u0131kl\u0131 tiroid dokusuna g\u00f6re daha d\u00fc\u015f\u00fck d\u00fczeyde olmakla birlikte bu \u00f6zelli\u011fe sahiptir.<\/span><\/p>\r\n<p class=\"p3\"><span class=\"s1\">\u00c7o\u011fu hasta i\u00e7in farkl\u0131la\u015fm\u0131\u015f tiroid kanserleri \u00e7ok iyi bir iyile\u015fme \u015fans\u0131na sahip olsa da, hastal\u0131\u011f\u0131n n\u00fcks veya sebat etme oran\u0131 %20-30\u2019a kadar ula\u015fabilir ve n\u00fcks ilk tedaviden on y\u0131llar sonra bile ortaya \u00e7\u0131kabilir. Bu nedenle, kanserin tekrarlay\u0131p tekrarlanmad\u0131\u011f\u0131n\u0131 anlayabilmek i\u00e7in hastalar\u0131n d\u00fczenli takip edilmesi \u00f6nemlidir ve bu izleme hayat boyu devam edilmelidir.<\/span><\/p>\r\n<h3 class=\"p4\"><span class=\"s1\"><b>Radyoaktif \u0130yot Tedavisi Kimlere Uygulan\u0131r?<\/b><\/span><\/h3>\r\n<p class=\"p2\"><span class=\"s1\">Radyoaktif iyot (I-131, radyoiyot veya atom tedavisi); farkl\u0131la\u015fm\u0131\u015f tiroid kanserli hastalara, takip eden hekimin iste\u011fi ile \u015fu ama\u00e7larla uygulan\u0131r:<\/span><\/p>\r\n<ul>\r\n<li class=\"p2\"><span class=\"s1\">Tiroid ameliyat\u0131 sonras\u0131 bakiye normal tiroid dokusunun radyasyonla temizlenmesi (ablasyon)<\/span><\/li>\r\n<li class=\"p2\"><span class=\"s1\">Mikroskobik hastal\u0131\u011f\u0131n tedavisi<\/span><\/li>\r\n<li class=\"p2\"><span class=\"s1\">Bakiye\/n\u00fcks veya metastatik tiroid kanserinin tedavisi<\/span><\/li>\r\n<\/ul>\r\n<h3 class=\"p2\"><span class=\"s1\"><b>Cerrahi Sonras\u0131 Radyoaktif \u0130yot Ablasyonu<\/b><\/span><\/h3>\r\n<p class=\"p3\"><span class=\"s1\">Ameliyattan birka\u00e7 hafta sonra, cerrahi sonras\u0131 kalan tiroid kanseri h\u00fccrelerini veya normal bakiye tiroid dokusunu ortadan kald\u0131rma amac\u0131yla yap\u0131lan radyoaktif iyot uygulamas\u0131d\u0131r. Ablasyon ile ayr\u0131ca v\u00fccudun di\u011fer b\u00f6lgelerine yay\u0131lm\u0131\u015f tiroid kanseri h\u00fccrelerinin de ortadan kald\u0131r\u0131lmas\u0131 ama\u00e7lanmaktad\u0131r. Normal tiroid dokusu kal\u0131nt\u0131lar\u0131n\u0131n ortadan kald\u0131r\u0131lmas\u0131, takip s\u0131ras\u0131nda olas\u0131 n\u00fcks hastal\u0131\u011f\u0131n izlemini kolayla\u015ft\u0131racakt\u0131r.<\/span><\/p>\r\n<h3 class=\"p6\"><span class=\"s1\"><b>N\u00fcks veya Bakiye Diferansiye Tiroid Kanserinin Radyoaktif \u0130yot ile Tedavisi<\/b><\/span><\/h3>\r\n<p class=\"p3\"><span class=\"s1\">Kanser dokusu ameliyatla \u00e7\u0131kar\u0131labilecek gibiyse cerrahi genellikle ilk tercihtir. Radyoaktif iyot tedavisi, tek ba\u015f\u0131na veya ameliyatla birlikte kullan\u0131labilir.<\/span><\/p>\r\n<h3 class=\"p4\"><span class=\"s1\"><b>Radyoaktif \u0130yot Tedavisi G\u00fcvenli Midir?<\/b><\/span><\/h3>\r\n<p class=\"p2\"><span class=\"s1\">Bu tedavinin uygulanmas\u0131 olduk\u00e7a kolayd\u0131r ve tedavi s\u0131ras\u0131nda a\u011f\u0131z yoluyla uygulanan radyoaktif iyotun belirgin bir tad\u0131 veya kokusu yoktur. Uygulama s\u0131ras\u0131nda herhangi bir \u015fey hissedilmemektedir. Di\u011fer kanser tedavilerinde g\u00f6zlenebilen sa\u00e7 d\u00f6k\u00fclmesi ise bu tedavide g\u00f6r\u00fclmemektedir.<\/span><\/p>\r\n<p class=\"p2\"><span class=\"s1\">Radyoaktif iyot tedavisi hamilelerde kesinlikle uygulanamaz. Emziren annelerde ise emzirme sonland\u0131r\u0131lmal\u0131d\u0131r.\u00a0<\/span><span class=\"s1\">Hemodiyaliz hastalar\u0131nda radyoaktif iyot tedavisi uygulanabilir.\u00a0<\/span><span class=\"s1\">\u0130yot alerjisi olan hastalarda radyoaktif iyot tedavisi uygulanabilir.\u00a0<\/span><span class=\"s1\">Kad\u0131n ve erkek hastalar\u0131n radyoaktif iyot tedavisinden sonra en az 6 ay boyunca partnerleri ile birlikte etkin do\u011fum kontrol y\u00f6ntemlerini kullanmas\u0131 ve hamile kal\u0131nmamas\u0131 gerekmektedir.\u00a0<\/span><\/p>\r\n<p class=\"p2\"><span class=\"s1\">Radyoaktif iyot tedavisi sonras\u0131 olas\u0131 yan etkiler ve bunlardan korunma \u00f6nerileri a\u015fa\u011f\u0131da \u00f6zetlenmi\u015ftir. Ancak tedaviyi uygulayacak hekiminiz sizle bu konuyu g\u00f6r\u00fc\u015ferek tedavi s\u00fcrecini en konforlu \u015fekilde ge\u00e7irebilmeniz i\u00e7in gerekli bilgilendirme ve y\u00f6nlendirmelerde bulunacakt\u0131r. Bu tavsiyelere harfiyen uyman\u0131z\u0131n, yan etkileri de minimum d\u00fczeyde tutaca\u011f\u0131n\u0131 unutmay\u0131n\u0131z.<\/span><\/p>\r\n<h3 class=\"p2\"><span class=\"s1\"><b>Radyoaktif \u0130yot Tedavisinin Potansiyel Yan Etkileri<\/b><\/span><\/h3>\r\n<table class=\"t1\" cellspacing=\"0\" cellpadding=\"0\">\r\n<tbody>\r\n<tr>\r\n<td class=\"td1\" valign=\"top\">\r\n<p class=\"p7\"><span class=\"s1\"><b>Erken Yan Etkileri<\/b><\/span><\/p>\r\n<\/td>\r\n<td class=\"td2\" valign=\"top\">\r\n<p class=\"p7\"><span class=\"s1\"><b>\u00d6neri\/A\u00e7\u0131klama<\/b><\/span><\/p>\r\n<\/td>\r\n<\/tr>\r\n<tr>\r\n<td class=\"td3\" valign=\"top\">\r\n<p class=\"p7\"><span class=\"s1\">Boyun b\u00f6lgesinde yanma hissi veya hassasiyet<\/span><\/p>\r\n<\/td>\r\n<td class=\"td4\" valign=\"top\">\r\n<p class=\"p7\"><span class=\"s1\">Ameliyat sonras\u0131 kalan bakiye tiroid dokusu miktar\u0131 ile ili\u015fkilidir. B\u00f6yle bir \u015fik\u00e2yetiniz oldu\u011funda ila\u00e7la tedavisi m\u00fcmk\u00fcnd\u00fcr.<\/span><\/p>\r\n<\/td>\r\n<\/tr>\r\n<tr>\r\n<td class=\"td5\" valign=\"top\">\r\n<p class=\"p7\"><span class=\"s1\">A\u011f\u0131z mukozas\u0131 iltihab\u0131 ve beraberinde k\u00fc\u00e7\u00fck a\u011fr\u0131l\u0131 \u00fclserler<\/span><\/p>\r\n<\/td>\r\n<td class=\"td6\" valign=\"top\">\r\n<p class=\"p7\"><span class=\"s1\">4-7 g\u00fcn boyunca, uyan\u0131kken her 3-4 saatte bir yumu\u015fak di\u015f f\u0131r\u00e7as\u0131 ile t\u00fcm a\u011f\u0131z i\u00e7i mukozan\u0131n hafif\u00e7e f\u0131r\u00e7alanmas\u0131yla bu durum s\u0131kl\u0131kla \u00f6nlenebilir. Buna, tedaviden sonraki ilk 4 g\u00fcn boyunca, geceleri her 3 saatte bir uygulama da eklenebilir.<\/span><\/p>\r\n<\/td>\r\n<\/tr>\r\n<tr>\r\n<td class=\"td7\" valign=\"top\">\r\n<p class=\"p7\"><span class=\"s1\">Mide bulant\u0131s\u0131 (ve nadiren kusma)<\/span><\/p>\r\n<\/td>\r\n<td class=\"td8\" valign=\"top\">\r\n<p class=\"p7\"><span class=\"s1\">Tedavi \u00f6ncesinde koruyucu ama\u00e7la ila\u00e7 tedavisi uygulanabilmektedir.<\/span><\/p>\r\n<\/td>\r\n<\/tr>\r\n<tr>\r\n<td class=\"td9\" valign=\"top\">\r\n<p class=\"p7\"><span class=\"s1\">T\u00fck\u00fcr\u00fck bezlerinde \u015fi\u015fme ve hassasiyet<\/span><\/p>\r\n<\/td>\r\n<td class=\"td10\" valign=\"top\">\r\n<p class=\"p7\"><span class=\"s1\">-Bol s\u0131v\u0131 al\u0131m\u0131, yakla\u015f\u0131k 1 hafta boyunca g\u00fcnl\u00fck 2,5-3 litre s\u0131v\u0131 (s\u00fct hari\u00e7) t\u00fcketilmelidir.<\/span><\/p>\r\n<p class=\"p7\"><span class=\"s1\">-\u015eekersiz sak\u0131z ya da \u015fekersiz nane \u015fekeri vb. ile t\u00fck\u00fcr\u00fck ak\u0131\u015f h\u0131z\u0131 art\u0131r\u0131l\u0131r. Tedavinin uygulamas\u0131ndan 2 saat sonra ba\u015flayarak 4 g\u00fcn boyunca t\u00fcm uyan\u0131k saatlerde ve tedaviden sonra 4 gece boyunca her 3 saatte bir uygulanmal\u0131d\u0131r.<\/span><\/p>\r\n<p class=\"p7\"><span class=\"s1\">Tedavi \u00f6ncesinde koruyucu ama\u00e7la ila\u00e7 tedavisi uygulanabilmektedir. .<\/span><\/p>\r\n<\/td>\r\n<\/tr>\r\n<tr>\r\n<td class=\"td1\" valign=\"top\">\r\n<p class=\"p7\"><span class=\"s1\">Tat duyusunda azalma ya da de\u011fi\u015fiklik<\/span><\/p>\r\n<\/td>\r\n<td class=\"td2\" valign=\"top\">\r\n<p class=\"p7\"><span class=\"s1\">Genellikle ge\u00e7icidir, \u00f6zel bir \u00f6nleme gerek yoktur.<\/span><\/p>\r\n<\/td>\r\n<\/tr>\r\n<tr>\r\n<td class=\"td1\" valign=\"top\">\r\n<p class=\"p7\"><span class=\"s1\">G\u00f6zya\u015f\u0131 \u00fcretiminde azalma<\/span><\/p>\r\n<\/td>\r\n<td class=\"td2\" valign=\"top\">\u00a0<\/td>\r\n<\/tr>\r\n<tr>\r\n<td class=\"td11\" valign=\"top\">\r\n<p class=\"p7\"><span class=\"s1\">Kanda, akyuvar ve trombosit say\u0131s\u0131nda ge\u00e7ici azalma<\/span><\/p>\r\n<\/td>\r\n<td class=\"td12\" valign=\"top\">\r\n<p class=\"p7\"><span class=\"s1\">Y\u00fcksek doz radyoaktif iyot uygulamalar\u0131nda (150-200 mCi) g\u00f6r\u00fclebilir.<span class=\"Apple-converted-space\">\u00a0\u00a0<\/span>Ancak tedavi \u00f6ncesi kan say\u0131m\u0131 ve b\u00f6brek testleri normal olan hastalarda g\u00f6r\u00fclmesi beklenmemektedir.<\/span><\/p>\r\n<\/td>\r\n<\/tr>\r\n<tr>\r\n<td class=\"td13\" valign=\"top\">\r\n<p class=\"p7\"><span class=\"s1\"><b>Ge\u00e7 Yan Etkileri<\/b><\/span><\/p>\r\n<\/td>\r\n<td class=\"td14\" valign=\"top\">\r\n<p class=\"p7\"><span class=\"s1\"><b>\u00d6neri\/A\u00e7\u0131klama<\/b><\/span><\/p>\r\n<\/td>\r\n<\/tr>\r\n<tr>\r\n<td class=\"td15\" valign=\"top\">\r\n<p class=\"p7\"><span class=\"s1\">Erkeklerde do\u011furganl\u0131k<\/span><\/p>\r\n<\/td>\r\n<td class=\"td16\" valign=\"top\">\r\n<p class=\"p7\"><span class=\"s1\">Ge\u00e7ici olarak do\u011furganl\u0131kta azalma g\u00f6r\u00fclebilir. Ancak y\u00fcksek dozda ve birden fazla say\u0131da radyoaktif iyot tedavisi alanlarda kal\u0131c\u0131 k\u0131s\u0131rl\u0131k geli\u015febilmektedir. B\u00f6yle bir durumda tedavi \u00f6ncesinde sperm dondurma d\u00fc\u015f\u00fcn\u00fclebilir. Tedaviyi alan t\u00fcm hastalar\u0131m\u0131zda, mesaneden kaynaklanan, testislerin (hayalar\u0131n) ald\u0131\u011f\u0131 radyasyon dozunu azaltmak i\u00e7in bol su t\u00fcketmeleri ve s\u0131k s\u0131k idrara \u00e7\u0131kmalar\u0131 yararl\u0131 olacakt\u0131r.<\/span><\/p>\r\n<\/td>\r\n<\/tr>\r\n<tr>\r\n<td class=\"td5\" valign=\"top\">\r\n<p class=\"p7\"><span class=\"s1\">Kad\u0131nlarda do\u011furganl\u0131k<\/span><\/p>\r\n<\/td>\r\n<td class=\"td6\" valign=\"top\">\r\n<p class=\"p7\"><span class=\"s1\">Radyoaktif iyot tedavisi ile kad\u0131n do\u011furganl\u0131\u011f\u0131nda bozulma veya d\u00fc\u015f\u00fck yapma riski art\u0131\u015f\u0131 beklenmemektedir. Tedaviyi alan t\u00fcm hastalar\u0131m\u0131zda, mesaneden kaynaklanan radyasyon dozunu azaltmak i\u00e7in bol su t\u00fcketmeleri ve s\u0131k s\u0131k idrara \u00e7\u0131kmalar\u0131 yararl\u0131 olacakt\u0131r.<\/span><\/p>\r\n<\/td>\r\n<\/tr>\r\n<tr>\r\n<td class=\"td17\" valign=\"top\">\r\n<p class=\"p7\"><span class=\"s1\">A\u011f\u0131z kurulu\u011fu, tat de\u011fi\u015fikli\u011fi, t\u00fck\u00fcr\u00fck bezi ta\u015f\u0131 geli\u015fimi, di\u015f \u00e7\u00fcr\u00fcmesi.<\/span><\/p>\r\n<\/td>\r\n<td class=\"td18\" valign=\"top\">\r\n<p class=\"p7\"><span class=\"s1\">A\u011f\u0131z hijyenine dikkat edilmelidir.<\/span><\/p>\r\n<\/td>\r\n<\/tr>\r\n<tr>\r\n<td class=\"td1\" valign=\"top\">\r\n<p class=\"p7\"><span class=\"s1\">G\u00f6z kurulu\u011fu veya g\u00f6z ya\u015farmas\u0131<\/span><\/p>\r\n<\/td>\r\n<td class=\"td2\" valign=\"top\">\u00a0<\/td>\r\n<\/tr>\r\n<tr>\r\n<td class=\"td19\" valign=\"top\">\r\n<p class=\"p7\"><span class=\"s1\">\u0130kincil kanser geli\u015fimi<\/span><\/p>\r\n<\/td>\r\n<td class=\"td20\" valign=\"top\">\r\n<p class=\"p7\"><span class=\"s1\">Y\u00fcksek doz radyoaktif iyot uygulamas\u0131 sonras\u0131 \u00e7ok nadir (<%1) g\u00f6r\u00fclebilen bir durumdur. Bildirilen olgular genellikle birden \u00e7ok tedavi uygulanarak y\u00fcksek radyasyon dozu alm\u0131\u015f hastalard\u0131r. Bu ihtimal tiroid kanserinin getirece\u011fi risklerin yan\u0131nda ihmal edilebilir d\u00fczeyde olup tiroid kanseri tedavisinden vazge\u00e7ilmemelidir.<\/span><\/p>\r\n<\/td>\r\n<\/tr>\r\n<\/tbody>\r\n<\/table>\r\n<h3 class=\"p4\"><span class=\"s1\"><b>Radyoaktif \u0130yot Tedavisi \u00d6ncesi Haz\u0131rl\u0131k<\/b><\/span><\/h3>\r\n<p class=\"p2\"><span class=\"s1\">Radyoaktif iyot tedavisi \u00f6ncesinde; tedavinizi yapacak N\u00fckleer T\u0131p Uzman\u0131m\u0131z tiroidle ilgili t\u0131bbi hikayenizi, ameliyat\/patoloji raporlar\u0131n\u0131z\u0131, \u00f6nceki g\u00f6r\u00fcnt\u00fclemelerinizi, kan testlerinizi ve daha \u00f6nce uygulanm\u0131\u015f radyoaktif iyot tedavi dozlar\u0131n\u0131z\u0131 g\u00f6zden ge\u00e7irerek fizik muayenenizi yapacak ve gerekti\u011finde baz\u0131 kan testleri yapt\u0131racakt\u0131r.<\/span><\/p>\r\n<p class=\"p2\"><span class=\"s1\">Ayr\u0131ca do\u011furganl\u0131k ya\u015f\u0131ndaki t\u00fcm kad\u0131n hastalar\u0131m\u0131zdan beta-hCG testi istenecektir.\u00a0<\/span><span class=\"s1\">Tiroid hormonlar\u0131 (LT4, LT3) ile iyot i\u00e7eren ila\u00e7 ve yiyecekler, radyoaktif iyot tedavisinin ba\u015far\u0131s\u0131n\u0131 etkiledi\u011finden, tedavi \u00f6ncesi size \u00f6zel uygun bir hasta haz\u0131rl\u0131\u011f\u0131 yapman\u0131z gerekmektedir.<\/span><\/p>\r\n<p class=\"p3\"><span class=\"s1\">Randevu s\u0131ras\u0131nda sizle bu konu g\u00f6r\u00fc\u015f\u00fclerek, gerekli bilgilendirme ve y\u00f6nlendirmelerde bulunulacakt\u0131r. Bu tavsiyelere harfiyen uyman\u0131z tedavinizin ba\u015far\u0131l\u0131 \u015fekilde sonu\u00e7lanmas\u0131 i\u00e7in \u00e7ok \u00f6nemlidir.<\/span><\/p>\r\n<h3 class=\"p6\"><span class=\"s1\"><b>Tiroid hormon Kullan\u0131m\u0131n\u0131n Kesilmesi<\/b><\/span><\/h3>\r\n<p class=\"p2\"><span class=\"s1\">Radyoaktif iyot tedavisinden \u00f6nce tiroid hormonu kullan\u0131m\u0131n\u0131n kesilmesi planlan\u0131yorsa, N\u00fckleer T\u0131p Uzman\u0131m\u0131z gerekli ila\u00e7 kesim takvimini sizinle d\u00fczenleyecektir.<\/span><\/p>\r\n<p class=\"p3\"><span class=\"s1\">LT4 hormonu (\u00f6rn. Levotiron, Tefor, Euthyrox, Bitiron) en az 4 hafta, LT3 hormonu (\u00f6rn. Tiromel) en az 2 hafta s\u00fcreyle kesilmelidir.<\/span><\/p>\r\n<h3 class=\"p6\"><span class=\"s1\"><b>Rekombinant TSH (rhTSH) Kullan\u0131m\u0131<\/b><\/span><\/h3>\r\n<p class=\"p3\"><span class=\"s1\">Tiroid hormon kullan\u0131m\u0131n\u0131n kesilmesine alternatif olarak rhTSH (Thyrogen), 24 saat arayla iki doz \u015feklinde, kal\u00e7a kas\u0131na enjeksiyonla uygulan\u0131r. Son rhTSH enjeksiyonundan 24 saat sonra da radyoaktif iyot a\u011f\u0131z yoluyla uygulan\u0131r.<\/span><\/p>\r\n<h3 class=\"p10\"><span class=\"s1\"><b>D\u00fc\u015f\u00fck \u0130yotlu Diyet<\/b><\/span><\/h3>\r\n<p class=\"p3\"><span class=\"s1\">Radyoaktif iyot tedavisinin 2 hafta \u00f6ncesinden ba\u015flanan ve sonras\u0131nda 1-2 g\u00fcn s\u00fcren d\u00fc\u015f\u00fck iyotlu diyet, tedavi \u00f6ncesi haz\u0131rl\u0131\u011f\u0131n \u00e7ok \u00f6nemli bir par\u00e7as\u0131d\u0131r. Bu diyet, radyoaktif iyot tedavisinin ba\u015far\u0131s\u0131n\u0131 art\u0131rmaktad\u0131r.<\/span><\/p>\r\n<p class=\"p11\"><span class=\"s1\"><b>Radyoaktif \u0130yot Al\u0131m\u0131n\u0131 Engelleyen \u0130la\u00e7lar<\/b><\/span><\/p>\r\n<table class=\"t1\" cellspacing=\"0\" cellpadding=\"0\">\r\n<tbody>\r\n<tr>\r\n<td class=\"td21\" valign=\"top\">\r\n<p class=\"p7\"><span class=\"s1\"><b>\u0130la\u00e7lar<\/b><\/span><\/p>\r\n<\/td>\r\n<td class=\"td22\" valign=\"top\">\r\n<p class=\"p7\"><span class=\"s1\"><b>\u00d6nerilen kesilme s\u00fcresi<\/b><\/span><\/p>\r\n<\/td>\r\n<\/tr>\r\n<tr>\r\n<td class=\"td23\" valign=\"top\">\r\n<p class=\"p7\"><span class=\"s1\">Tiyonamid ila\u00e7lar\u0131 (\u00f6rn. propiltiyourasil, metimazol, karbimazol)<\/span><\/p>\r\n<\/td>\r\n<td class=\"td24\" valign=\"top\">\r\n<p class=\"p7\"><span class=\"s1\">3 g\u00fcn<\/span><\/p>\r\n<\/td>\r\n<\/tr>\r\n<tr>\r\n<td class=\"td21\" valign=\"top\">\r\n<p class=\"p7\"><span class=\"s1\">\u0130yot i\u00e7eren multivitaminler<\/span><\/p>\r\n<\/td>\r\n<td class=\"td22\" valign=\"top\">\r\n<p class=\"p7\"><span class=\"s1\">7-10 g\u00fcn<\/span><\/p>\r\n<\/td>\r\n<\/tr>\r\n<tr>\r\n<td class=\"td21\" valign=\"top\">\r\n<p class=\"p7\"><span class=\"s1\">Do\u011fal\/sentetik tiroid hormonlar\u0131, triiyodotironin (LT3, Tiromel) i\u00e7in<\/span><\/p>\r\n<\/td>\r\n<td class=\"td22\" valign=\"top\">\r\n<p class=\"p7\"><span class=\"s1\">10-14 g\u00fcn<\/span><\/p>\r\n<\/td>\r\n<\/tr>\r\n<tr>\r\n<td class=\"td25\" valign=\"top\">\r\n<p class=\"p7\"><span class=\"s1\">Do\u011fal\/sentetik tiroid hormonlar\u0131, tiroksin (LT4,<span class=\"Apple-converted-space\">\u00a0\u00a0<\/span>Levotiron, Tefor, Euthyrox, Bitiron) i\u00e7in<\/span><\/p>\r\n<\/td>\r\n<td class=\"td26\" valign=\"top\">\r\n<p class=\"p7\"><span class=\"s1\">3-4 hafta<\/span><\/p>\r\n<\/td>\r\n<\/tr>\r\n<tr>\r\n<td class=\"td27\" valign=\"top\">\r\n<p class=\"p7\"><span class=\"s1\">Kelp, agar, karagenan, Lugol \u00e7\u00f6zeltisi<\/span><\/p>\r\n<\/td>\r\n<td class=\"td28\" valign=\"top\">\r\n<p class=\"p7\"><span class=\"s1\">2-3 hafta, iyot i\u00e7eri\u011fine ba\u011fl\u0131 olarak<\/span><\/p>\r\n<\/td>\r\n<\/tr>\r\n<tr>\r\n<td class=\"td21\" valign=\"top\">\r\n<p class=\"p7\"><span class=\"s1\">Potasyum iyod\u00fcr\u00fcn sat\u00fcre sol\u00fcsyonu<\/span><\/p>\r\n<\/td>\r\n<td class=\"td22\" valign=\"top\">\r\n<p class=\"p7\"><span class=\"s1\">2-3 hafta<\/span><\/p>\r\n<\/td>\r\n<\/tr>\r\n<tr>\r\n<td class=\"td21\" valign=\"top\">\r\n<p class=\"p7\"><span class=\"s1\">Topikal iyot (\u00f6rn. cerrahi deri haz\u0131rl\u0131\u011f\u0131)<\/span><\/p>\r\n<\/td>\r\n<td class=\"td22\" valign=\"top\">\r\n<p class=\"p7\"><span class=\"s1\">2-3 hafta<\/span><\/p>\r\n<\/td>\r\n<\/tr>\r\n<tr>\r\n<td class=\"td23\" valign=\"top\">\r\n<p class=\"p7\"><span class=\"s1\">\u0130ntraven\u00f6z radyografik kontrast ajan, suda \u00e7\u00f6z\u00fcnen<\/span><\/p>\r\n<\/td>\r\n<td class=\"td24\" valign=\"top\">\r\n<p class=\"p7\"><span class=\"s1\">6-8 hafta<\/span><\/p>\r\n<\/td>\r\n<\/tr>\r\n<tr>\r\n<td class=\"td21\" valign=\"top\">\r\n<p class=\"p7\"><span class=\"s1\">\u0130ntraven\u00f6z radyografik kontrast ajan, ya\u011fda \u00e7\u00f6z\u00fcnen<\/span><\/p>\r\n<\/td>\r\n<td class=\"td22\" valign=\"top\">\r\n<p class=\"p7\"><span class=\"s1\">1-6 ay<\/span><\/p>\r\n<\/td>\r\n<\/tr>\r\n<tr>\r\n<td class=\"td21\" valign=\"top\">\r\n<p class=\"p7\"><span class=\"s2\">Amiodaron<\/span><\/p>\r\n<\/td>\r\n<td class=\"td22\" valign=\"top\">\r\n<p class=\"p7\"><span class=\"s2\">3-6 ay veya daha uzun<\/span><\/p>\r\n<\/td>\r\n<\/tr>\r\n<tr>\r\n<td class=\"td23\" valign=\"top\">\r\n<p class=\"p7\"><span class=\"s2\">Sa\u00e7 boyas\u0131<\/span><\/p>\r\n<\/td>\r\n<td class=\"td24\" valign=\"top\">\r\n<p class=\"p7\"><span class=\"s2\">8 hafta<\/span><\/p>\r\n<\/td>\r\n<\/tr>\r\n<\/tbody>\r\n<\/table>\r\n<p class=\"p11\"><span class=\"s1\"><b>Y\u00fcksek Miktarda \u0130yot \u0130\u00e7erdi\u011fi \u0130\u00e7in 2 Hafta S\u00fcreyle T\u00fcketimi Kesilecek G\u0131dalar<\/b><\/span><\/p>\r\n<table class=\"t1\" cellspacing=\"0\" cellpadding=\"0\">\r\n<tbody>\r\n<tr>\r\n<td class=\"td29\" valign=\"top\">\r\n<p class=\"p12\"><span class=\"s1\"><b>Kaynak<\/b><\/span><\/p>\r\n<\/td>\r\n<td class=\"td30\" valign=\"top\">\r\n<p class=\"p12\"><span class=\"s1\"><b>\u00d6rnek\/a\u00e7\u0131klama<\/b><\/span><\/p>\r\n<\/td>\r\n<\/tr>\r\n<tr>\r\n<td class=\"td31\" valign=\"top\">\r\n<p class=\"p7\"><span class=\"s1\">\u0130yotlu tuz<\/span><\/p>\r\n<\/td>\r\n<td class=\"td32\" valign=\"top\">\u00a0<\/td>\r\n<\/tr>\r\n<tr>\r\n<td class=\"td29\" valign=\"top\">\r\n<p class=\"p7\"><span class=\"s1\">S\u00fct \u00fcr\u00fcnleri<\/span><\/p>\r\n<\/td>\r\n<td class=\"td30\" valign=\"top\">\r\n<p class=\"p7\"><span class=\"s1\">S\u00fct, yo\u011furt, peynir, dondurma<\/span><\/p>\r\n<\/td>\r\n<\/tr>\r\n<tr>\r\n<td class=\"td29\" valign=\"top\">\r\n<p class=\"p7\"><span class=\"s1\">Yumurta sar\u0131s\u0131<\/span><\/p>\r\n<\/td>\r\n<td class=\"td30\" valign=\"top\">\r\n<p class=\"p7\"><span class=\"s1\">Yumurta ak\u0131 veya yumurta ikamesi\u00a0<\/span><span class=\"s3\"><b>de\u011fil<\/b><\/span><\/p>\r\n<\/td>\r\n<\/tr>\r\n<tr>\r\n<td class=\"td31\" valign=\"top\">\r\n<p class=\"p7\"><span class=\"s1\">Deniz \u00fcr\u00fcnleri<\/span><\/p>\r\n<\/td>\r\n<td class=\"td32\" valign=\"top\">\r\n<p class=\"p7\"><span class=\"s1\">Kabuklular ve bal\u0131klar,\u00a0<\/span><span class=\"s3\"><b>ton bal\u0131\u011f\u0131 hari\u00e7<\/b><\/span><\/p>\r\n<\/td>\r\n<\/tr>\r\n<tr>\r\n<td class=\"td29\" valign=\"top\">\r\n<p class=\"p7\"><span class=\"s1\">Hindi ve ci\u011fer<\/span><\/p>\r\n<\/td>\r\n<td class=\"td30\" valign=\"top\">\u00a0<\/td>\r\n<\/tr>\r\n<tr>\r\n<td class=\"td29\" valign=\"top\">\r\n<p class=\"p7\"><span class=\"s1\">Yosun ve yosun \u00fcr\u00fcnleri<\/span><\/p>\r\n<\/td>\r\n<td class=\"td30\" valign=\"top\">\r\n<p class=\"p7\"><span class=\"s1\">Karagenan ve aljinat<\/span><\/p>\r\n<\/td>\r\n<\/tr>\r\n<tr>\r\n<td class=\"td29\" valign=\"top\">\r\n<p class=\"p7\"><span class=\"s1\">S\u00fctl\u00fc \u00e7ikolata<\/span><\/p>\r\n<\/td>\r\n<td class=\"td30\" valign=\"top\">\u00a0<\/td>\r\n<\/tr>\r\n<tr>\r\n<td class=\"td31\" valign=\"top\">\r\n<p class=\"p7\"><span class=\"s1\">\u0130yot i\u00e7eren multivitaminler<\/span><\/p>\r\n<\/td>\r\n<td class=\"td32\" valign=\"top\">\u00a0<\/td>\r\n<\/tr>\r\n<tr>\r\n<td class=\"td33\" valign=\"top\">\r\n<p class=\"p7\"><span class=\"s1\">K\u0131rm\u0131z\u0131 g\u0131da boyas\u0131 (E127, eritrosin) i\u00e7eren \u00fcr\u00fcnler (\u00f6rn. ila\u00e7 boyas\u0131, gazl\u0131 i\u00e7ecek)<\/span><\/p>\r\n<\/td>\r\n<td class=\"td34\" valign=\"top\">\u00a0<\/td>\r\n<\/tr>\r\n<tr>\r\n<td class=\"td33\" valign=\"top\">\r\n<p class=\"p7\"><span class=\"s1\">Tah\u0131llar<\/span><\/p>\r\n<\/td>\r\n<td class=\"td34\" valign=\"top\">\r\n<p class=\"p7\"><span class=\"s1\">Her \u00f6\u011f\u00fcnde sadece k\u00fc\u00e7\u00fck porsiyonlar \u015fekinde (\u00f6rn. bir taba\u011f\u0131n d\u00f6rtte biri) al\u0131nabilir.<\/span><\/p>\r\n<\/td>\r\n<\/tr>\r\n<\/tbody>\r\n<\/table>\r\n<p class=\"p11\"><span class=\"s1\"><b>T\u00fcketilmesine \u0130zin Verilen G\u0131dalar<\/b><\/span><\/p>\r\n<table class=\"t1\" cellspacing=\"0\" cellpadding=\"0\">\r\n<tbody>\r\n<tr>\r\n<td class=\"td35\" valign=\"top\">\r\n<p class=\"p7\"><span class=\"s1\">Taze meyve ve sebzeler<\/span><\/p>\r\n<p class=\"p7\"><span class=\"s1\">Tuzsuz f\u0131st\u0131k\/f\u0131nd\u0131k ve f\u0131nd\u0131k\/f\u0131st\u0131k ezmesi<\/span><\/p>\r\n<p class=\"p7\"><span class=\"s1\">Yumurta ak\u0131<\/span><\/p>\r\n<p class=\"p7\"><span class=\"s1\">Taze et<\/span><\/p>\r\n<p class=\"p7\"><span class=\"s1\">Tah\u0131l\/tah\u0131l \u00fcr\u00fcnleri, y\u00fcksek iyot i\u00e7ermeyen (g\u00fcnde 4 porsiyonla s\u0131n\u0131rl\u0131)<\/span><\/p>\r\n<p class=\"p7\"><span class=\"s1\">Makarna, y\u00fcksek iyot i\u00e7ermeyen<\/span><\/p>\r\n<p class=\"p7\"><span class=\"s1\">\u015eeker<\/span><\/p>\r\n<p class=\"p7\"><span class=\"s1\">J\u00f6le<\/span><\/p>\r\n<p class=\"p7\"><span class=\"s1\">Re\u00e7el<\/span><\/p>\r\n<p class=\"p7\"><span class=\"s1\">Bal<\/span><\/p>\r\n<p class=\"p7\"><span class=\"s1\">Karabiber<\/span><\/p>\r\n<p class=\"p7\"><span class=\"s1\">Taze veya kurutulmu\u015f ot ve baharatlar<\/span><\/p>\r\n<p class=\"p7\"><span class=\"s1\">T\u00fcm bitkisel ya\u011flar (soya ya\u011f\u0131 dahil)<\/span><\/p>\r\n<p class=\"p7\"><span class=\"s1\">Gazoz (K\u0131rm\u0131z\u0131 Boya (E127) i\u00e7ermeyen)<\/span><\/p>\r\n<p class=\"p7\"><span class=\"s1\">Kola, diyet kola<\/span><\/p>\r\n<p class=\"p7\"><span class=\"s1\">Kahve (instant \/haz\u0131r olmayan)<\/span><\/p>\r\n<p class=\"p7\"><span class=\"s1\">\u00c7ay (instant \/haz\u0131r olmayan)<\/span><\/p>\r\n<p class=\"p7\"><span class=\"s1\">Limonata<\/span><\/p>\r\n<p class=\"p7\"><span class=\"s1\">Meyve sular\u0131<\/span><\/p>\r\n<\/td>\r\n<\/tr>\r\n<\/tbody>\r\n<\/table>\r\n<h3 class=\"p6\"><span class=\"s1\"><b>Hastaneye Neler Getirebilirsiniz?<\/b><\/span><\/h3>\r\n<p class=\"p2\"><span class=\"s1\">Tedaviye gelirken yan\u0131n\u0131zda, bo\u015f zamanlar\u0131n\u0131z\u0131 de\u011ferlendirmek amac\u0131yla dergi\/kitap, oyunlar, el-i\u015fi\/\u00f6rg\u00fc, cep telefonu, tablet veya diz\u00fcst\u00fc bilgisayar getirebilirsiniz.\u00a0<\/span><span class=\"s1\">Hastanede kald\u0131\u011f\u0131n\u0131z d\u00f6nemde kendi g\u00fcnl\u00fck k\u0131yafetlerinizi ve pijamalar\u0131n\u0131z\u0131 giyece\u011finiz i\u00e7in beraberinizde getirmeniz gerekir.\u00a0<\/span><span class=\"s1\">Kontakt lens kullan\u0131yorsan\u0131z, tedavi s\u0131ras\u0131nda kullanmaman\u0131z\u0131 \u00f6neririz. L\u00fctfen yan\u0131n\u0131zda g\u00f6zl\u00fc\u011f\u00fcn\u00fcz\u00fc getiriniz.<\/span><\/p>\r\n<p class=\"p2\"><span class=\"s1\">Uygulad\u0131\u011f\u0131m\u0131z tedavi nedeniyle idrar\u0131n\u0131z, ter ve t\u00fck\u00fcr\u00fc\u011f\u00fcn\u00fczde bir s\u00fcre radyoaktif iyot yani radyasyon bulunacakt\u0131r. Bu nedenle getirdi\u011finiz ki\u015fisel e\u015fyalara radyoaktif iyot bula\u015fabilir. Bu e\u015fyalar\u0131 eve gittikten sonraki birka\u00e7 hafta sadece siz kullanacaksan\u0131z hi\u00e7bir sorun olu\u015fturmaz. Cep telefonu, tablet veya diz\u00fcst\u00fc bilgisayarlardaki kirlenmeyi nemli bir bezle gidermek m\u00fcmk\u00fcnd\u00fcr.<\/span><\/p>\r\n<p class=\"p2\"><span class=\"s1\">Taburcu olduktan sonra evinize var\u0131r varmaz, hastanede kulland\u0131\u011f\u0131n\u0131z t\u00fcm giysileri, di\u011fer k\u0131yafetlerden ayr\u0131 olarak y\u0131kaman\u0131z gerekmektedir.\u00a0<\/span><span class=\"s1\">Hastanede bulundu\u011funuz s\u00fcrece radyasyon g\u00fcvenli\u011fi tedbirleri gere\u011fi ziyaret\u00e7i kabul edilmeyecektir.<span class=\"Apple-converted-space\">\u00a0\u00a0<\/span>Ancak g\u00f6revli sa\u011fl\u0131k personelimizle 7\/24 dahili telefon \u00fczerinden ileti\u015fim kurabilirsiniz.<\/span><\/p>\r\n<h3 class=\"p4\"><span class=\"s1\"><b>Radyoaktif \u0130yot Tedavisi Nas\u0131l Uygulan\u0131r?<\/b><\/span><\/h3>\r\n<p class=\"p2\"><span class=\"s1\">Radyoaktif iyot uygulamas\u0131 \u00f6ncesinde 4-6 saat a\u011f\u0131zdan yiyecek veya su al\u0131m\u0131 tamamen durdurulmu\u015f olmal\u0131 ve radyoaktif iyot al\u0131nmas\u0131n\u0131 takiben yakla\u015f\u0131k 2 saat boyunca buna devam edilmelidir.\u00a0<\/span><span class=\"s1\">Tedavi i\u00e7in plananlanan radyoaktif iyot, s\u0131v\u0131 veya kaps\u00fcl formunda olup, \u00f6zel tedavi odas\u0131nda a\u011f\u0131z yoluyla uygulanmaktad\u0131r.\u00a0<\/span><span class=\"s1\">Hastanede kal\u0131s\u0327 s\u00fcreniz; uygulanacak doza ve \u00f6l\u00e7\u00fcmlere g\u00f6re de\u011fi\u015fmektedir. Bu s\u00fcre genellikle 3 g\u00fcn ile 1 hafta aras\u0131ndad\u0131r.<\/span><\/p>\r\n<p class=\"p2\"><span class=\"s1\">Tedavi uyguland\u0131ktan 3-7 g\u00fcn sonra N\u00fckleer T\u0131p Klini\u011finde t\u00fcm v\u00fccut radyoaktif iyot sintigrafisi\/SPECT\/BT yap\u0131lacakt\u0131r.\u00a0<\/span><span class=\"s1\">B\u00f6brek fonksiyonlar\u0131 normal olan hastalar\u0131m\u0131zda, radyoaktif iyot al\u0131m\u0131n\u0131 takiben 1 hafta boyunca, g\u00fcnl\u00fck 2,5-3 litre s\u0131v\u0131 (s\u00fct hari\u00e7) al\u0131m\u0131 ve s\u0131k s\u0131k idrara \u00e7\u0131kma \u00f6nerilir. B\u00f6ylelikle mesane ve t\u00fck\u00fcr\u00fck bezinin radyasyon al\u0131m\u0131 minimum d\u00fczeyde tutulmaya \u00e7al\u0131\u015f\u0131l\u0131r.<\/span><\/p>\r\n<p class=\"p2\"><span class=\"s1\">G\u00fcnde en az bir kez d\u0131\u015fk\u0131laman\u0131z, kal\u0131n ba\u011f\u0131rsaklar\u0131n alm\u0131\u015f oldu\u011fu radyasyon dozunu minimum d\u00fczeye indirilmesi i\u00e7in \u00f6nemlidir. Kab\u0131zl\u0131k durumunda hafif laksatifler kullan\u0131labilirsiniz.\u00a0<\/span><span class=\"s1\">Hastanede ve evinizde birka\u00e7 hafta s\u00fcreyle, her tuvalet kullan\u0131m\u0131ndan sonra sifonu iki kez \u00e7ekiniz. Erkek hastalar\u0131m\u0131z\u0131n bu s\u00fcre zarf\u0131nda idrar\u0131n\u0131 klozete oturarak yapmalar\u0131 gerekmektedir. Tuvalet sonras\u0131 ellerinizi, radyoaktif bula\u015f nedeniyle \u00e7ok iyi y\u0131kaman\u0131z gerekmektedir.<\/span><\/p>\r\n<p class=\"p2\"><span class=\"s1\">Hastanede bulundu\u011funuz s\u00fcrece ve sonras\u0131nda, en az 1 hafta boyunca her g\u00fcn d\u00fczenli du\u015f almal\u0131; havlu, i\u00e7 \u00e7ama\u015f\u0131r\u0131 ve giysilerinizi ayr\u0131 olarak y\u0131kamal\u0131s\u0131n\u0131z.\u00a0<\/span><span class=\"s1\">Birka\u00e7 hafta s\u00fcreyle yeme\u011fe, okumaya ve bir \u015feyleri tutmaya ba\u015flamadan \u00f6nce ellerinizi y\u0131kaman\u0131z gerekmektedir.<\/span><\/p>\r\n<p class=\"p2\"><span class=\"s1\">Kuma\u015f mendil yerine k\u00e2\u011f\u0131t mendil kullanman\u0131z ve \u00e7\u00f6p kutusu yerine klozete atarak sifonu \u00e7ekmeniz gerekmektedir.\u00a0<\/span><span class=\"s1\">Yat\u0131r\u0131larak tedavi endikasyonu, hastaya verilen doza ba\u011fl\u0131d\u0131r ve yasal d\u00fczenlemelerle belirlenmi\u015ftir. Burada ama\u00e7 hasta yak\u0131nlar\u0131n\u0131 ve toplumu radyasyondan korumakt\u0131r.<\/span><\/p>\r\n<p class=\"p2\"><span class=\"s1\">Radyoaktif iyot tedavisinin ayaktan veya yatarak uyguland\u0131\u011f\u0131 hastalar\u0131m\u0131z\u0131n taburcu edilebilmeleri i\u00e7in belli \u00f6nlemlere uyulmas\u0131 gerekmektedir. Bu tedavinin uyguland\u0131\u011f\u0131 hastalar\u0131m\u0131z, v\u00fccutlar\u0131nda kalan aktivite d\u00fczeyi T\u00fcrkiye Atom Enerjisi Kurumu (TAEK) mevzuat\u0131nda belirlenen taburcu edilme limit deg\u0306erlerinin alt\u0131na d\u00fcs\u0327t\u00fckten sonra taburcu edilebilirler. Taburcu olmadan \u00f6nce N\u00fckleer T\u0131p Uzman\u0131m\u0131z evinizde, i\u015f hayat\u0131n\u0131zda ve toplum i\u00e7indeki k\u0131s\u0131tlamalar\u0131n\u0131z ve s\u00fcreleri konusunda sizi detayl\u0131 olarak bilgilendirecektir.<\/span><\/p>\r\n<p class=\"p3\"><span class=\"s1\">Kad\u0131n ve erkek hastalar\u0131m\u0131z\u0131n radyoaktif iyot tedavisinden sonra en az 6 ay boyunca partnerleri ile birlikte etkin do\u011fum kontrol y\u00f6ntemlerini kullanmas\u0131 ve hamile kal\u0131nmamas\u0131 gerekmektedir.<\/span><\/p>\r\n<p><a href=\"https:\/\/www.intheranostics.com\/iletisim\/\"><strong>Daha fazla bilgi i\u00e7in l\u00fctfen bizimle irtibata ge\u00e7iniz.<\/strong><\/a><\/p>[\/et_pb_text][et_pb_accordion disabled_on=\"on|on|on\" _builder_version=\"%224.4.8%22\" disabled=\"on\"][et_pb_accordion_item title=\"%22TANI\" open=\"on\" open_toggle_text_color=\"%22#0ca7c5%22\" _builder_version=\"%224.4.8%22\" toggle_font=\"%22|700|||||||%22\" toggle_font_size=\"%2218px%22\"]<p class=\"p1\"><span class=\"s1\"><b>Flor-18 NaF PET\/BT Nedir, T\u00fcm\u00f6r Oda\u011f\u0131n\u0131 Nas\u0131l G\u00f6sterir?<\/b><\/span><\/p>\r\n<p class=\"p1\"><span class=\"s1\"><b><span style=\"float: none;background-color: #ffffff;color: #666666;font-family: 'Quicksand',Helvetica,Arial,Lucida,sans-serif;font-size: 100%;font-style: normal;font-variant: normal;font-weight: 500;letter-spacing: normal;text-align: left;text-decoration: none;text-indent: 0px;text-transform: none\">Teranostik t\u0131p d\u00fcnyas\u0131nda yeni geli\u015fmekte olan bir aland\u0131r. T\u00fcm\u00f6re \u00f6zg\u00fcl bir ila\u00e7 ile g\u00f6r\u00fcnt\u00fcleme yaparak saptanan t\u00fcm\u00f6r ve metastazlar\u0131n\u0131n, nereye gidece\u011fi, ne kadar gidece\u011fi ve hastal\u0131kl\u0131 dokuyu etkileme g\u00fcc\u00fc \u00f6nceden bilinen yine \u00f6zg\u00fcl bir ila\u00e7 ile tedavi edilebildi\u011fi bir yakla\u015f\u0131md\u0131r. Bu yakla\u015f\u0131m, geleneksel t\u0131ptan ki\u015fiye \u00f6zg\u00fc \u00e7a\u011fda\u015f t\u0131p uygulamalar\u0131na ge\u00e7i\u015f yap\u0131lmas\u0131n\u0131 sa\u011flamaktad\u0131r.<\/span><\/b><\/span><\/p>\r\n<p class=\"p2\"><span class=\"s1\">Prostat kanserinden \u00f6l\u00fcmler genellikle kemik metastaz\u0131 ve komplikasyonlar\u0131ndan kaynaklanmaktad\u0131r. Prostat kanseri kemik metastazlar\u0131\u00a0Flor-18 NaF (<\/span><span class=\"s2\"><sup>18<\/sup><\/span><span class=\"s1\">F-NaF) PET\/BT ile y\u00fcksek duyarl\u0131l\u0131kla g\u00f6r\u00fcnt\u00fclenebilmekte ve Radyum-223 ile bu t\u00fcm\u00f6ral dokular\u0131n \u00f6zg\u00fcl ve hedefe y\u00f6nelik tedavisi yap\u0131labilmektedir. Bu, teranostik uygulamalar i\u00e7in olduk\u00e7a ba\u015far\u0131l\u0131 bir \u00f6rnektir.<\/span><\/p>\r\n<p class=\"p4\"><span class=\"s1\">Hastal\u0131\u011f\u0131n\u0131z\u0131 takip eden hekiminiz, kemik metastazlar\u0131n\u0131n tan\u0131s\u0131 amac\u0131yla size bu tetkiki \u00f6nerebilir.\u00a0F-18 NaF PET\/BT; kemik metastazlar\u0131n\u0131n yeri ve yayg\u0131nl\u0131\u011f\u0131n\u0131 do\u011fru bir \u015fekilde g\u00f6sterirken a\u011fr\u0131l\u0131 kemik metastazlar\u0131nda hedefe y\u00f6nelik ba\u015far\u0131l\u0131 bir tedavi se\u00e7ene\u011fi olan Radyum-223 tedavisinin kullan\u0131m\u0131n\u0131 da m\u00fcmk\u00fcn k\u0131lar.<\/span><\/p>\r\n<p class=\"p1\"><span class=\"s1\"><b>Flor-18 NaF PET\/BT\u2019nin \u00dcst\u00fcn Yanlar\u0131 Nelerdir?<\/b><\/span><\/p>\r\n<p class=\"p2\"><span class=\"s1\">F-18 NaF PET\/BT, kemik g\u00f6r\u00fcnt\u00fcleme maddesi olarak ideal \u00f6zelliklere sahiptir ve 45-60 dakika gibi k\u0131sa bir s\u00fcre i\u00e7inde \u00fcst\u00fcn kalitede g\u00f6r\u00fcnt\u00fcler \u00fcretir.\u00a0Ba\u015fta kemik metastaz\u0131 ara\u015ft\u0131r\u0131lan hastalar olmak \u00fczere bir\u00e7ok hasta i\u00e7in,\u00a0F-18 NaF PET\/BT, geleneksel kemik sintigrafisine g\u00f6re \u00e7ok daha ba\u015far\u0131l\u0131 sonu\u00e7lar\u0131 ile ideal bir alternatiftir.<\/span><\/p>\r\n<p class=\"p1\"><span class=\"s1\"><b>Flor-18 NaF PET\/BT Kimlere Uygulan\u0131r?<\/b><\/span><\/p>\r\n<p class=\"p2\"><span class=\"s1\">Hastal\u0131\u011f\u0131n\u0131z\u0131 takip eden hekiminiz sizden\u00a0F-18 NaF PET\/BT taramas\u0131n\u0131 \u015fu ama\u00e7lar i\u00e7in isteyebilir:<\/span><\/p>\r\n\r\n<ul>\r\n \t<li class=\"p4\"><span class=\"s1\">Kemik metastazlar\u0131n\u0131n belirlenmesi<\/span><\/li>\r\n \t<li class=\"p4\"><span class=\"s1\">Hastal\u0131\u011f\u0131n yayg\u0131nl\u0131\u011f\u0131n\u0131n do\u011fru belirlenmesi<\/span><\/li>\r\n \t<li class=\"p4\"><span class=\"s1\">Malign kemik lezyonlar\u0131n\u0131n yerinin belirlenmesi<\/span><\/li>\r\n \t<li class=\"p4\"><span class=\"s1\">Kemik a\u011fr\u0131lar\u0131n\u0131n sa\u011falt\u0131m\u0131 i\u00e7in Radyum-223 tedavisinin uygun olup olmad\u0131\u011f\u0131n\u0131n belirlenmesi<\/span><\/li>\r\n \t<li class=\"p4\">Tedavi yan\u0131t\u0131n\u0131n de\u011ferlendirilmesi<\/li>\r\n<\/ul>\r\n<p class=\"p1\"><span class=\"s1\"><b>Flor-18 NaF PET\/BT G\u00fcvenli midir?<\/b><\/span><\/p>\r\n<p class=\"p2\"><span class=\"s1\">F-18 NaF bilinen yan etkisi olmayan g\u00fcvenli bir radyoaktif maddedir. Bu i\u015flemde al\u0131nan radyasyon dozu azd\u0131r ve g\u00fcn sonunda v\u00fccudunuzdan temizlenir. N\u00fckleer T\u0131p klini\u011finden ayr\u0131lman\u0131z birka\u00e7 saat s\u00fcrmektedir. PET\/BT taramas\u0131n\u0131 izleyen 6 saat boyunca ba\u015fkalar\u0131yla (\u00f6zellikle \u00e7ocuklar ve hamile kad\u0131nlar) temas\u0131n\u0131z\u0131 en aza indirmenizi \u00f6nermekteyiz.<\/span><\/p>\r\n<p class=\"p1\"><span class=\"s1\"><b>Flor-18 NaF PET\/BT \u00d6ncesi Haz\u0131rl\u0131k<\/b><\/span><\/p>\r\n<p class=\"p2\"><span class=\"s1\">F-18 NaF PET\/BT g\u00f6r\u00fcnt\u00fclemesi \u00f6ncesinde N\u00fckleer T\u0131p b\u00f6l\u00fcm\u00fcne iletmek \u00fczere, hastal\u0131\u011f\u0131n\u0131za y\u00f6nelik baz\u0131 tetkik ve bilgileri yan\u0131n\u0131zda bulundurman\u0131z istenecektir:<\/span><\/p>\r\n\r\n<ul>\r\n \t<li class=\"p4\"><span class=\"s1\">Hekim istem formu<\/span><\/li>\r\n \t<li class=\"p4\"><span class=\"s1\">Prostat kanseri hikayeniz (\u00f6rn. PSA, patoloji sonu\u00e7lar\u0131)<\/span><\/li>\r\n \t<li class=\"p4\"><span class=\"s1\">\u00d6nceki onkolojik tedavilerinizin tipi ve tarihi (\u00f6rn. kemoterapi ve\/veya radyoterapi)<\/span><\/li>\r\n \t<li class=\"p4\"><span class=\"s1\">\u00d6nceki k\u0131r\u0131klar\u0131n\u0131z veya yak\u0131n tarihli travma hikayeniz (yeri ve tarihi)<\/span><\/li>\r\n \t<li class=\"p4\"><span class=\"s1\">\u00d6nceki ortopedik cerrahi giri\u015fimleriniz (m\u00fcdahale tarihi, tipi ve yeri)<\/span><\/li>\r\n \t<li class=\"p4\"><span class=\"s1\">\u00d6nceki enfeksiyon ve yeri<\/span><\/li>\r\n \t<li class=\"p4\"><span class=\"s1\">\u0130drar yolu ile ilgili ge\u00e7irilmi\u015f ameliyatlar<\/span><\/li>\r\n \t<li class=\"p4\"><span class=\"s1\">Her bir kemik a\u011fr\u0131n\u0131z\u0131n yeri<\/span><\/li>\r\n \t<li class=\"p4\"><span class=\"s1\">Di\u011fer g\u00f6r\u00fcnt\u00fclemeler ve raporlar\u0131 (\u00f6zellikle kemik sintigrafisi, BT veya MRI)<\/span><\/li>\r\n<\/ul>\r\n<p class=\"p2\"><span class=\"s1\">F-18 NaF PET\/BT i\u015flemi i\u00e7in a\u00e7 olman\u0131za gerek yoktur. \u0130la\u00e7lar\u0131n\u0131z\u0131 her zamanki gibi alabilirsiniz. <\/span><span class=\"s1\">B\u00f6brekten at\u0131l\u0131m\u0131 art\u0131rmak, al\u0131nan radyasyon dozunu azaltmak ve en iyi g\u00f6r\u00fcnt\u00fc kalitesine ula\u015fmak i\u00e7in,\u00a0F-18 NaF enjeksiyonu \u00f6ncesinde ve sonras\u0131nda en az iki\u015fer bardak su i\u00e7melisiniz. Tetkik sonras\u0131nda g\u00fcn\u00fcn geri kalan\u0131nda da su i\u00e7meye devam etmeniz faydal\u0131 olacakt\u0131r.\u00a0\u0130\u015flem s\u0131ras\u0131nda g\u00f6r\u00fcnt\u00fc bozulmalar\u0131n\u0131 \u00f6nlemek i\u00e7in t\u00fcm metal e\u015fyalar\/tak\u0131lar\/protezler \u00e7\u0131kar\u0131lmal\u0131d\u0131r.<\/span><\/p>\r\n<p class=\"p1\"><span class=\"s1\"><b>Flor-18 NaF PET\/BT Nas\u0131l Uygulan\u0131r?<\/b><\/span><\/p>\r\n<p class=\"p4\"><span class=\"s1\">Az miktarda (1.5-3.7 Mbq\/Kg (0.04-0.1 mCi\/Kg) dozunda) F-18-NaF, g\u00f6r\u00fcnt\u00fcleme i\u015fleminden yakla\u015f\u0131k 30-60 dakika \u00f6nce, kol ya da el s\u0131rt\u0131n\u0131za yerle\u015ftirdi\u011fimiz damar yolundan uygulanacakt\u0131r.\u00a0<\/span><span class=\"s1\">F-18 NaF PET\/BT g\u00f6r\u00fcnt\u00fclemesinden hemen \u00f6nce mesanenizi bo\u015faltman\u0131z gerekmektedir.<\/span><\/p>\r\n<p class=\"p4\"><span class=\"s1\">PET\/BT g\u00f6r\u00fcnt\u00fclemesi boyunca (yakla\u015f\u0131k 20-25 dk.), v\u00fccut g\u00f6r\u00fcnt\u00fclerinin s\u00fcrekli kaydedildi\u011fi, her iki ucu a\u00e7\u0131k, geni\u015f halka \u015feklindeki bir cihazda, \u00f6zel \u00e7ekim yata\u011f\u0131 \u00fczerinde uzanman\u0131z istenecektir. \u0130\u015flemin tek zahmetli yan\u0131; bu s\u00fcre zarf\u0131nda hareketsiz kalman\u0131zd\u0131r. \u0130htiyac\u0131n\u0131z halinde, g\u00f6r\u00fcnt\u00fcleme \u00f6ncesi, beraberinizde getirdi\u011finiz a\u011fr\u0131 kesicinizi kullanabilirsiniz.<\/span><\/p>\r\n<p class=\"p4\"><span class=\"s1\">\u0130htiya\u00e7 duyulursa uzmanlar\u0131m\u0131z ek g\u00f6r\u00fcnt\u00fc alabilir. Ek g\u00f6r\u00fcnt\u00fcleme i\u015flemi yakla\u015f\u0131k 10-15 dakika s\u00fcrmektedir. <\/span><span class=\"s1\">N\u00fckleer T\u0131p klini\u011findeki i\u015flemlerin tamamlanmas\u0131 birka\u00e7 saati bulabilir. <\/span><span class=\"s1\">Kolunuzdaki damar yolu, g\u00f6r\u00fcnt\u00fclemeniz tamamland\u0131ktan ve t\u00fcm g\u00f6r\u00fcnt\u00fcleriniz kontrol edildikten sonra \u00e7\u0131kart\u0131lacakt\u0131r. Sa\u011fl\u0131k personelimizin onay vermesiyle, N\u00fckleer T\u0131p b\u00f6l\u00fcm\u00fcnden art\u0131k g\u00fcvenle ayr\u0131labilirsiniz.<\/span><\/p>\r\n<p class=\"p4\"><span class=\"s1\">\u0130la\u00e7 verildikten sonra ilk 6 saat k\u00fc\u00e7\u00fck \u00e7ocuklarla ve hamile kad\u0131nlarla temastan ka\u00e7\u0131nman\u0131z gerekti\u011fini l\u00fctfen unutmay\u0131n\u0131z. G\u00f6r\u00fcnt\u00fcleriniz N\u00fckleer T\u0131p Uzmanlar\u0131m\u0131z taraf\u0131ndan belirtilen s\u00fcrede de\u011ferlendirilerek rapor edilecektir.<\/span><\/p>\r\n[\/et_pb_accordion_item][et_pb_accordion_item title=\"TEDAV\u0130 H\u0130ZMETLER\u0130 - RADYUM-223 TEDAV\u0130S\u0130\" open_toggle_text_color=\"#0ca7c5\" _builder_version=\"4.4.8\" toggle_font=\"|700|||||||\" toggle_font_size=\"18px\" open=\"off\"]<p class=\"p1\"><span class=\"s1\"><b>Radyum-223 Tedavisi Nedir?<\/b><\/span><\/p>\r\n<p class=\"p1\"><span class=\"s1\">Teranostik t\u0131p d\u00fcnyas\u0131nda yeni geli\u015fmekte olan bir aland\u0131r. T\u00fcm\u00f6re \u00f6zg\u00fcl bir ila\u00e7 ile g\u00f6r\u00fcnt\u00fcleme yaparak saptanan t\u00fcm\u00f6r ve metastazlar\u0131n\u0131n, nereye gidece\u011fi-ne kadar gidece\u011fi ve hastal\u0131kl\u0131 dokuyu etkileme g\u00fcc\u00fc \u00f6nceden bilinen yine \u00f6zg\u00fcl bir ila\u00e7 ile tedavi edilebildi\u011fi bir yakla\u015f\u0131md\u0131r. Bu yakla\u015f\u0131m, geleneksel t\u0131ptan ki\u015fiye \u00f6zg\u00fc \u00e7a\u011fda\u015f t\u0131p uygulamalar\u0131na ge\u00e7i\u015f yap\u0131lmas\u0131n\u0131 sa\u011flamaktad\u0131r.<\/span><\/p>\r\n<p class=\"p2\">Prostat kanseri<strong>\u00a0<\/strong>v\u00fccudun di\u011fer b\u00f6lgelerine yay\u0131ld\u0131\u011f\u0131nda, s\u0131kl\u0131kla kemiklerde yerle\u015fmektedir. Kemik metastaz\u0131 a\u011fr\u0131 d\u0131\u015f\u0131nda, k\u0131r\u0131k, omurilik s\u0131k\u0131\u015fmas\u0131 veya hayat\u0131 tehdit edebilen y\u00fcksek kan kalsiyum seviyeleri gibi ba\u015fka sorunlara da neden olabilir. Kanser kemiklere ula\u015ft\u0131\u011f\u0131nda, a\u011fr\u0131y\u0131 ve di\u011fer komplikasyonlar\u0131 kontrol etmek veya hafifletmek tedavinin \u00e7ok \u00f6nemli bir par\u00e7as\u0131d\u0131r. Hormon tedavisi, kemoterapi ve a\u015f\u0131lar gibi tedaviler buna yard\u0131mc\u0131 olabilir. Ancak uygun hastalarda, \u00f6zellikle kemik metastaz\u0131n\u0131 hedef alan ve alfa \u0131\u015f\u0131mas\u0131 yapan Radyum-223 tedavisi ile bir yandan semptomlar kontrol alt\u0131na al\u0131n\u0131rken bir yandan da sa\u011f kal\u0131m\u0131 art\u0131r\u0131c\u0131 etki sa\u011flanabilmektedir.<\/p>\r\n<p class=\"p1\"><span class=\"s1\"><b>Radyum-223 Nas\u0131l Tedavi Eder?<\/b><\/span><\/p>\r\n<p class=\"p2\"><span class=\"s1\">Radyum-223, kemik metastazlar\u0131na se\u00e7ici olarak ba\u011flanan ve \u00e7ok k\u0131sa menzilli y\u00fcksek enerjili par\u00e7ac\u0131klar\u0131 (<100 \u03bcm) yayan, radyoaktif bir elementtir. Radyum-223 diklor\u00fcr molek\u00fcl\u00fc, kalsiyumu taklit ederek kemik metastazlar\u0131na ba\u011flan\u0131r ve ard\u0131ndan y\u00fcksek enerjili alfa par\u00e7ac\u0131\u011f\u0131na ait radyasyon, DNA k\u0131r\u0131klar\u0131na neden olarak t\u00fcm\u00f6r h\u00fccrelerini \u00f6ld\u00fcr\u00fcr. Alfa par\u00e7ac\u0131klar\u0131n\u0131n k\u0131sa olan menzili, kom\u015fu sa\u011fl\u0131kl\u0131 doku ve \u00f6zellikle kemik ili\u011fi \u00fczerindeki zararl\u0131 etkinin de en az d\u00fczeyde kalmas\u0131 anlam\u0131na gelmektedir.<\/span><\/p>\r\n<p class=\"p2\"><span class=\"s1\">Sa\u011f kal\u0131m\u0131 uzatt\u0131\u011f\u0131 bilinen kemi\u011fe \u00f6zg\u00fc tek ila\u00e7, radyoaktif alfa par\u00e7ac\u0131\u011f\u0131 yayarak tedavi edici etkisini g\u00f6steren Radyum-223't\u00fcr. Bilimsel \u00e7al\u0131\u015fmalar ile Radyum-223 tedavisinin ortalama ya\u015fam s\u00fcresini uzatt\u0131\u011f\u0131 g\u00f6sterilmi\u015ftir. Buna ek olarak a\u011fr\u0131da ve ya\u015fam kalitesinde iyile\u015fmeyi sa\u011flamaktad\u0131r. T\u00fcm bu faydalar\u0131n\u0131n yan\u0131nda kan de\u011ferlerinde ge\u00e7ici d\u00fc\u015fme ve ishal d\u0131\u015f\u0131nda Radyum-223 tedavisi ile ili\u015fkili yan etkiler olduk\u00e7a hafif d\u00fczeylerde izlenmi\u015ftir.<\/span><\/p>\r\n<p class=\"p1\"><span class=\"s1\"><b>Radyum-223 Tedavisi Kimlere Uygulan\u0131r?<\/b><\/span><\/p>\r\n<p class=\"p2\"><span class=\"s1\">Radyum-223 tedavisi \u00e7ok spesifik bir tedavi t\u00fcr\u00fcd\u00fcr, bu nedenle sadece kemiklere yay\u0131lm\u0131\u015f ve a\u011fr\u0131 \u015fikayeti olan prostat kanserli hastalarda, takip eden hekimleri taraf\u0131ndan uygun g\u00f6r\u00fclmesi durumunda uygulanabilir.<\/span><\/p>\r\n<p class=\"p2\"><span class=\"s1\">Radyum-223 tedavisi, kemi\u011fe yay\u0131lm\u0131\u015f kanserin s\u0131kl\u0131kla neden oldu\u011fu a\u011fr\u0131y\u0131 hafifletebilir. Bu tedavinin uygulanmas\u0131na karar verildi\u011finde, tedavi \u00f6ncesinde, t\u00fcm v\u00fccut kemik taramas\u0131 (\u00f6rn. F-NaF PET\/BT, kemik sintigrafisi) yap\u0131lmaktad\u0131r. Bu, Radyum-223'\u00fcn tedavi s\u0131ras\u0131nda do\u011fru alanlar\u0131 hedefledi\u011finden emin olunmas\u0131n\u0131 sa\u011flayacakt\u0131r.<\/span><\/p>\r\n<p class=\"p1\"><span class=\"s1\"><b>Radyum-223 Tedavisi G\u00fcvenli midir?<\/b><\/span><\/p>\r\n<p class=\"p2\"><span class=\"s1\">Radyum-223 tedavisinde kullan\u0131lan alfa radyasyonu \u00e7ok y\u00fcksek bir enerji seviyesine sahiptir. Bununla birlikte alfa radyasyon, do\u011fas\u0131 gere\u011fi sadece \u00e7ok k\u0131sa mesafelere (iki ila on h\u00fccre mesafesinde) seyahat eder ve bu da radyasyonun yok edici etkisinin sa\u011fl\u0131kl\u0131 h\u00fccrelerde de\u011fil, kemikteki kanser h\u00fccrelerinde olu\u015fmas\u0131n\u0131 sa\u011flamaktad\u0131r. Sa\u011fl\u0131kl\u0131 h\u00fccrelerce al\u0131nan minimal radyasyon dozu, Radium-223 tedavisi ile ili\u015fkili yan etkilerin de ihmal edilebilir d\u00fczeyde oldu\u011fu anlam\u0131na gelir ve \u00fcretilen kan h\u00fccrelerinin say\u0131s\u0131nda ge\u00e7ici bir azalma ve nadiren bulant\u0131, kusma ve ishal, tedavi olan hastalar\u0131m\u0131zda g\u00f6r\u00fclebilmektedir.<\/span><\/p>\r\n<p class=\"p1\"><span class=\"s1\"><b>Radyum-223 Tedavisi \u00d6ncesi Haz\u0131rl\u0131k \u00a0<\/b><\/span><\/p>\r\n<p class=\"p2\"><span class=\"s1\">Klini\u011fe ilk ba\u015fvurunuzda, a\u015fa\u011f\u0131da listelenen bilgi ve belgeleri beraberinizde getirmeniz \u00f6nemlidir. Hasta bilgilerinizin dijital ortamda haz\u0131rlanmas\u0131 (DICOM, JPEG, PNG, PDF, Microsoft Word (.doc, .docx, vb.)), e-posta ile h\u0131zl\u0131 ve kolayca payla\u015f\u0131lmas\u0131na imkan tan\u0131yacak ve hastal\u0131\u011f\u0131n\u0131z\u0131n de\u011ferlendirilmesini b\u00fcy\u00fck oranda kolayla\u015ft\u0131racakt\u0131r:<\/span><\/p>\r\n\r\n<ul>\r\n \t<li class=\"p2\"><span class=\"s1\">Sizin ve sizi takip eden hekiminizin ileti\u015fim bilgileri (ev\/i\u015f\/cep telefon numaras\u0131, e-posta adresi)<\/span><\/li>\r\n \t<li class=\"p2\"><span class=\"s1\">En g\u00fcncel hekim raporlar\u0131<\/span><\/li>\r\n \t<li class=\"p2\"><span class=\"s1\">Patoloji raporlar\u0131<\/span><\/li>\r\n \t<li class=\"p2\"><span class=\"s1\">Kan testleri<\/span><\/li>\r\n \t<li class=\"p2\"><span class=\"s1\">T\u00fcm v\u00fccut kemik sintigrafisi, BT, MR ve 68Ga-PSMA PET\/BT, 18F-FDG PET\/BT raporlar\u0131 ve orijinal film\/CD\/DVD'leri<\/span><\/li>\r\n<\/ul>\r\n<p class=\"p2\"><span class=\"s1\">N\u00fckleer T\u0131p Hekiminiz, bu tedavi \u00f6ncesinde ihtiya\u00e7 duyulmas\u0131 halinde, tedaviye uygunlu\u011funuzu de\u011ferlendirmek amac\u0131yla 18F-NaF PET\/BT veya t\u00fcm v\u00fccut kemik sintigrafisi g\u00f6r\u00fcnt\u00fclemeleri ile kemik erimesi varl\u0131\u011f\u0131n\u0131n ara\u015ft\u0131r\u0131lmas\u0131 i\u00e7in kemik mineral yo\u011funlu\u011fu \u00f6l\u00e7\u00fcm\u00fc isteyebilir.<\/span><\/p>\r\n<p class=\"p2\"><span class=\"s1\">Ayr\u0131ca a\u015fa\u011f\u0131daki kan testlerini yapt\u0131rman\u0131z istenecektir. Bu testlerin, tedavi s\u0131ras\u0131ndaki durumunuzu g\u00f6stermesi beklendi\u011finden, tedaviden en ge\u00e7 2 hafta \u00f6nce yap\u0131lm\u0131\u015f olmas\u0131 gerekmektedir. Bu testler tedaviye ba\u015flarken ve her tedavi k\u00fcr\u00fcnden \u00f6nce yap\u0131lacakt\u0131r.<\/span><\/p>\r\n\r\n<ul>\r\n \t<li class=\"p2\"><span class=\"s1\">PSA<\/span><\/li>\r\n \t<li class=\"p2\"><span class=\"s1\">Tam kan say\u0131m\u0131<\/span><\/li>\r\n \t<li class=\"p2\"><span class=\"s1\">Alkalen fosfataz<\/span><\/li>\r\n<\/ul>\r\n<p class=\"p2\"><span class=\"s1\">Hekiminiz, gerekti\u011finde ek kan testleri de isteyebilir. <\/span><span class=\"s1\">Karaci\u011fer ve b\u00f6brek yetmezli\u011fi olan hastalar\u0131m\u0131zda, Radyum-223 tedavisi herhangi bir doz ayarlamas\u0131na gitmeden uygulanabilir.<\/span><span class=\"s1\">Kemik k\u0131r\u0131\u011f\u0131 ya da omurilik bas\u0131s\u0131 olan hastalar\u0131m\u0131zda ise \u00f6ncelikle bu sorunlar\u0131n d\u00fczeltilmesi istenecektir.<\/span><\/p>\r\n<p class=\"p2\"><span class=\"s1\">Kemoterapi tedavisi ald\u0131ysan\u0131z en son k\u00fcr\u00fcn \u00fczerinden en az 4 hafta ge\u00e7ti\u011finden emin olman\u0131z gerekmektedir.<\/span><span class=\"s1\">Tedavi s\u0131ras\u0131nda evden getirdi\u011finiz kendi giysilerinizi giyece\u011finiz i\u00e7in rahat ve geni\u015f k\u0131yafetler tercih etmenizi \u00f6neririz. Tedaviniz ve birlikte yap\u0131lan testler i\u00e7in kolunuza veya elinizin s\u0131rt\u0131na yerle\u015ftirilen damar yolu kullan\u0131laca\u011f\u0131ndan, k\u0131sa kollu ya da geni\u015f kollu giysileri bulundurman\u0131z yararl\u0131 olacakt\u0131r.<\/span><\/p>\r\n<p class=\"p2\"><span class=\"s1\">Radyum-223 ba\u011f\u0131rsaktan at\u0131ld\u0131\u011f\u0131 i\u00e7in \u201c\u00fclseratif kolit\u201d ve \u201cCrohn hastal\u0131\u011f\u0131\u201d gibi enflamatuar ba\u011f\u0131rsak hastal\u0131\u011f\u0131 olan ya da ba\u011f\u0131rsak t\u0131kan\u0131kl\u0131\u011f\u0131 hikayesi bulunan hastalar\u0131m\u0131zda ek destekleyici \u00f6nlemler almam\u0131z gerekebilir.<\/span><\/p>\r\n<p class=\"p1\"><span class=\"s1\"><b>Radyum-223 Tedavisi Nas\u0131l Uygulan\u0131r?<\/b><\/span><\/p>\r\n<p class=\"p2\"><span class=\"s1\">Standard Radyum-223 tedavisi; d\u00f6rt haftal\u0131k aral\u0131klarla, toplam alt\u0131 tedavi k\u00fcr\u00fcnden (6 adet, birer dakikal\u0131k enjeksiyon) olu\u015fmaktad\u0131r. <\/span><span class=\"s1\">Sizin i\u00e7in \u00fcretilmi\u015f, kullan\u0131ma haz\u0131r Radyum-223 diklor\u00fcr \u00e7\u00f6zeltisi, N\u00fckleer T\u0131p Klini\u011finde, yerle\u015ftirdi\u011fimiz periferik damar yoluyla enjekte edilecektir.<\/span><\/p>\r\n<p class=\"p2\"><span class=\"s1\">Radyum-223 uygulamadan \u00f6nce, damar yolunuzun a\u00e7\u0131kl\u0131\u011f\u0131, en az 10 ml serum fizyolojik ile y\u0131kanarak kontrol edilecek ve Radyum-223 yakla\u015f\u0131k 1 dakika boyunca yava\u015f enjeksiyon \u015feklinde uygulanacak, sonras\u0131nda damar yolunuz yine en az 10 ml serum fizyolojik ile y\u0131kanacakt\u0131r. Bu i\u015flem s\u0131ras\u0131nda a\u011fr\u0131 hissedilmemektedir.<\/span><\/p>\r\n<p class=\"p2\"><span class=\"s1\">Enjeksiyondan sonra Radyum-223 diklor\u00fcr h\u0131zla kandan temizlenecek ve \u00f6ncelikle kemik ve kemik metastazlar\u0131nda tutulacak veya ba\u011f\u0131rsa\u011fa at\u0131lacakt\u0131r.<\/span><\/p>\r\n<p class=\"p1\"><span class=\"s1\"><b>Olas\u0131 Yan Etkiler ve Talimatlar<\/b><\/span><\/p>\r\n<p class=\"p2\"><span class=\"s1\">Radyum-223 tedavisi uygulanan hastalar\u0131m\u0131zda g\u00f6r\u00fclebilecek en yayg\u0131n yan etkiler (\u2265% 10) bulant\u0131, kusma ve ishaldir. Ayr\u0131ca kan h\u00fccre say\u0131s\u0131nda ge\u00e7ici d\u00fc\u015fmeler g\u00f6r\u00fclebilmektedir.<\/span><\/p>\r\n<p class=\"p2\"><span class=\"s1\">Tedavi alan hastalar\u0131m\u0131z\u0131n a\u015fa\u011f\u0131daki talimatlara uymalar\u0131 \u00f6nemlidir:\u00a0\u00a0<\/span><\/p>\r\n\r\n<ul>\r\n \t<li class=\"p2\"><span class=\"s1\">Size belirtilen tarihlerde kan say\u0131m\u0131n\u0131z\u0131 yapt\u0131r\u0131n\u0131z. Kanama veya enfeksiyon belirtilerini hekiminize iletiniz.<\/span><\/li>\r\n \t<li class=\"p2\"><span class=\"s1\">A\u011f\u0131zdan su al\u0131m\u0131n\u0131z iyi d\u00fczeyde olmal\u0131d\u0131r, v\u00fccut su d\u00fczeyi ve idrar \u00e7\u0131k\u0131\u015f\u0131n\u0131z\u0131 takip ediniz.<\/span><\/li>\r\n \t<li class=\"p2\"><span class=\"s1\">V\u00fccudunuzun susuz kalmas\u0131 veya b\u00f6brek yetmezli\u011fi belirtileri geli\u015firse hekiminize bildiriniz.<\/span><\/li>\r\n \t<li class=\"p2\"><span class=\"s1\">Tedavi sonras\u0131 di\u011fer insanlarla temas konusunda herhangi bir k\u0131s\u0131tlaman\u0131z yoktur.<\/span><\/li>\r\n \t<li class=\"p2\"><span class=\"s1\">Radyum-223 al\u0131rken ve son enjeksiyondan sonra en az 1 hafta boyunca iyi hijyen uygulamalar\u0131na dikkat ediniz.\r\n<\/span><span class=\"s1\">- Klozeti oturarak kullan\u0131n\u0131z ve her kullan\u0131mdan sonra sifonu en az 2 kez \u00e7ekiniz.\r\n<\/span><span class=\"s1\">- \u0130drar ve d\u0131\u015fk\u0131 ile kirlenmi\u015f giysilerinizi derhal ve di\u011fer k\u0131yafetlerden ayr\u0131 olarak y\u0131kay\u0131n\u0131z.<\/span><\/li>\r\n \t<li class=\"p2\"><span class=\"s1\">Bak\u0131c\u0131lar\u0131n\u0131z, bula\u015f\u0131 \u00f6nlemek i\u00e7in v\u00fccut s\u0131v\u0131lar\u0131n\u0131z\u0131 tutarken eldiven kullanmal\u0131, sonras\u0131nda ellerini y\u0131kamal\u0131d\u0131r.<\/span><\/li>\r\n \t<li class=\"p2\"><span class=\"s1\">Cinsel olarak aktif olan hastalar\u0131m\u0131z prezervatif kullanmal\u0131 ve \u00fcreme potansiyeli olan kad\u0131n partnerleri de tedavi s\u0131ras\u0131nda ve tedavinin tamamlanmas\u0131n\u0131 takip eden 6 ay boyunca etkili bir do\u011fum kontrol y\u00f6ntemi uygulamal\u0131d\u0131r.<\/span><\/li>\r\n<\/ul>\r\n<p class=\"p2\"><span class=\"s1\"><i>Daha fazla bilgi i\u00e7in l\u00fctfen bizimle irtibata ge\u00e7iniz.<\/i><\/span><\/p>\r\n[\/et_pb_accordion_item][\/et_pb_accordion][et_pb_code _builder_version=\"4.4.8\"][\/et_pb_code][\/et_pb_column][\/et_pb_row][\/et_pb_section]","_et_gb_content_width":"","footnotes":""},"class_list":["post-2345","page","type-page","status-publish","hentry"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v22.5 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>Radioactive Iodine Treatment - intheranostics<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/www.intheranostics.com\/en\/radioactive-iodine-treatment\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Radioactive Iodine Treatment - intheranostics\" \/>\n<meta property=\"og:description\" content=\"[et_pb_section fb_built=&#8221;1&#8243; 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