{"id":2422,"date":"2020-10-09T17:20:28","date_gmt":"2020-10-09T14:20:28","guid":{"rendered":"https:\/\/www.intheranostics.com\/prof\/?page_id=2422"},"modified":"2020-10-09T17:34:45","modified_gmt":"2020-10-09T14:34:45","slug":"thyroid-cancer","status":"publish","type":"page","link":"https:\/\/www.intheranostics.com\/prof\/en\/thyroid-cancer\/","title":{"rendered":"Thyroid Cancer"},"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;Thyroid Cancer&#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;3.22&#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;]<strong>Thyroid cancer<\/strong>\u00a0is a type of cancer that originates in the thyroid gland, a small gland in the front of the neck. The most common symptom of thyroid cancer is a painless lump or swelling in the neck. Symptoms such as unexplained hoarseness, difficulty swallowing, or painless enlargement of the neck lymph nodes that last for more than a few weeks usually occur in more advanced disease. The prognosis of thyroid cancers is generally good when compared to other cancer types. Most thyroid cancer patients can be treated easily and effortlessly with hormone and radioactive Iodine-131-atom treatments.<br \/>\n[\/et_pb_text][et_pb_accordion disabled_on=&#8221;on|on|on&#8221; _builder_version=&#8221;4.4.8&#8243; disabled=&#8221;on&#8221;][et_pb_accordion_item title=&#8221;TANI H\u0130ZMETLER\u0130 &#8211; I-131 T\u00dcM V\u00dcCUT TARAMA SINTIGRAFISI&#8221; open=&#8221;on&#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;]<\/p>\n<p class=\"p1\"><span class=\"s1\"><b>Radyoaktif \u0130yot T\u00fcm V\u00fccut Sintigrafisi Nedir, T\u00fcm\u00f6r Oda\u011f\u0131n\u0131 Nas\u0131l G\u00f6sterir?<\/b><\/span><\/p>\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>\n<p class=\"p2\"><span class=\"s1\">Tiroid kanserinde, bir yandan tan\u0131sal ama\u00e7la d\u00fc\u015f\u00fck doz <\/span><span class=\"s2\">radyoaktif iyot (I-131 veya I-123)<\/span><span class=\"s1\"> ile 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>\n<p class=\"p3\"><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>\n<p class=\"p4\"><span class=\"s1\"><b>Radyoaktif \u0130yot T\u00fcm V\u00fccut Sintigrafisi Kimlere Uygulan\u0131r?<\/b><\/span><\/p>\n<p class=\"p2\"><span class=\"s1\">Radyoaktif iyot t\u00fcm v\u00fccut sintigrafisi farkl\u0131la\u015fm\u0131\u015f tiroid kanserli hastalarda, takip eden hekimin iste\u011fi ile \u015fu ama\u00e7larla uygulan\u0131r:<\/span><\/p>\n<ul>\n<li class=\"p2\"><span class=\"s1\">Tiroid ameliyat\u0131 sonras\u0131, radyoaktif iyot tedavisi \u00f6ncesinde, boyundaki tutulumu de\u011ferlendirme ve \u00f6l\u00e7mede<\/span><\/li>\n<li class=\"p2\"><span class=\"s1\">Radyoaktif iyot ile tedavi sonras\u0131 g\u00f6r\u00fcnt\u00fclemede<\/span><\/li>\n<li class=\"p2\"><span class=\"s1\">Tiroid kanseri n\u00fcks\u00fc orta veya y\u00fcksek riskli hastalar\u0131n takibinde<\/span><\/li>\n<\/ul>\n<p class=\"p6\"><span class=\"s1\"><b>Radyoaktif \u0130yot T\u00fcm V\u00fccut Sintigrafisi G\u00fcvenli Midir?<\/b><\/span><\/p>\n<p class=\"p7\"><span class=\"s1\">Radyoaktif iyot t\u00fcm v\u00fccut sintigrafisi, tedavi \u00f6ncesi d\u00fc\u015f\u00fck tan\u0131sal dozda radyoaktif iyot izotoplar\u0131 uygulanarak ger\u00e7ekle\u015ftirilen, g\u00fcvenli bir g\u00f6r\u00fcnt\u00fclemedir. <\/span><span class=\"s2\">Radyoaktif iyot t\u00fcm v\u00fccut tarama sintigrafisi, hamilelerde uygulanamaz. Emziren annelerde ise<span class=\"Apple-converted-space\">\u00a0 <\/span>emzirmenin sonland\u0131r\u0131lmas\u0131 gerekebilir. <span class=\"Apple-converted-space\">\u00a0 \u00a0<\/span><\/span><\/p>\n<p class=\"p4\"><span class=\"s1\"><b>Radyoaktif \u0130yot T\u00fcm V\u00fccut Sintigrafisi \u00d6ncesi Haz\u0131rl\u0131k <\/b><\/span><\/p>\n<p class=\"p2\"><span class=\"s1\">Radyoaktif iyot t\u00fcm v\u00fccut sintigrafisi \u00f6ncesinde; i\u015flemi 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\u00e7irecek ve gerekti\u011finde baz\u0131 kan testleri yapt\u0131racakt\u0131r. <\/span><span class=\"s1\">Ayr\u0131ca do\u011furganl\u0131k ya\u015f\u0131ndaki t\u00fcm kad\u0131n hastalar\u0131m\u0131zdan beta-hCG testi istenecektir.<\/span><\/p>\n<p class=\"p2\"><span class=\"s1\">Tiroid hormonlar\u0131 (LT4, LT3) ile iyot i\u00e7eren ila\u00e7 ve yiyecekler, radyoaktif iyot t\u00fcm v\u00fccut sintigrafisinin ba\u015far\u0131s\u0131n\u0131 etkiledi\u011finden, i\u015flem \u00f6ncesi size \u00f6zel uygun bir hasta haz\u0131rl\u0131\u011f\u0131 yapman\u0131z gerekmektedir. <\/span><\/p>\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, g\u00f6r\u00fcnt\u00fclemenizin ba\u015far\u0131l\u0131 \u015fekilde ger\u00e7ekle\u015ftirilebilmesi i\u00e7in \u00e7ok \u00f6nemlidir. <\/span><\/p>\n<p class=\"p8\"><span class=\"s1\"><b>Tiroid Hormon Kullan\u0131m\u0131n\u0131n Kesilmesi<\/b><\/span><\/p>\n<p class=\"p2\"><span class=\"s1\">Radyoaktif iyot t\u00fcm v\u00fccut sintigrafisinden \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><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>\n<p class=\"p8\"><span class=\"s1\"><b>Rekombinant TSH (rhTSH) Kullan\u0131m\u0131<\/b><\/span><\/p>\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>\n<p class=\"p8\"><span class=\"s1\"><b>D\u00fc\u015f\u00fck \u0130yotlu Diyet<\/b><\/span><\/p>\n<p class=\"p3\"><span class=\"s1\">Radyoaktif iyot t\u00fcm v\u00fccut sintigrafisinin 2 hafta \u00f6ncesinden ba\u015flanan ve sonras\u0131nda 1-2 g\u00fcn s\u00fcren, d\u00fc\u015f\u00fck iyotlu diyet, sintigrafi \u00f6ncesi haz\u0131rl\u0131\u011f\u0131n \u00e7ok \u00f6nemli bir par\u00e7as\u0131d\u0131r. Bu diyet, radyoaktif iyot t\u00fcm v\u00fccut sintigrafisinin ba\u015far\u0131s\u0131n\u0131 art\u0131rmaktad\u0131r. <\/span><\/p>\n<p class=\"p9\"><span class=\"s1\"><b>Radyoaktif \u0130yot Al\u0131m\u0131n\u0131 Engelleyen \u0130la\u00e7lar<\/b><\/span><\/p>\n<table class=\"t1\" cellspacing=\"0\" cellpadding=\"0\">\n<tbody>\n<tr>\n<td class=\"td1\" valign=\"top\">\n<p class=\"p10\"><span class=\"s1\"><b>\u0130la\u00e7lar<\/b><\/span><\/p>\n<\/td>\n<td class=\"td2\" valign=\"top\">\n<p class=\"p10\"><span class=\"s1\"><b>\u00d6nerilen kesilme s\u00fcresi<\/b><\/span><\/p>\n<\/td>\n<\/tr>\n<tr>\n<td class=\"td3\" valign=\"top\">\n<p class=\"p10\"><span class=\"s1\">Tiyonamid ila\u00e7lar\u0131 (\u00f6rn. propiltiyourasil, metimazol, karbimazol) <\/span><\/p>\n<\/td>\n<td class=\"td4\" valign=\"top\">\n<p class=\"p10\"><span class=\"s1\">3 g\u00fcn<\/span><\/p>\n<\/td>\n<\/tr>\n<tr>\n<td class=\"td1\" valign=\"top\">\n<p class=\"p10\"><span class=\"s1\">\u0130yot i\u00e7eren multivitaminler<\/span><\/p>\n<\/td>\n<td class=\"td2\" valign=\"top\">\n<p class=\"p10\"><span class=\"s1\">7-10 g\u00fcn<\/span><\/p>\n<\/td>\n<\/tr>\n<tr>\n<td class=\"td1\" valign=\"top\">\n<p class=\"p10\"><span class=\"s1\">Do\u011fal\/sentetik tiroid hormonlar\u0131, triiyodotironin (LT3, Tiromel) i\u00e7in<\/span><\/p>\n<\/td>\n<td class=\"td2\" valign=\"top\">\n<p class=\"p10\"><span class=\"s1\">10-14 g\u00fcn, <\/span><\/p>\n<\/td>\n<\/tr>\n<tr>\n<td class=\"td5\" valign=\"top\">\n<p class=\"p10\"><span class=\"s1\">Do\u011fal\/sentetik tiroid hormonlar\u0131, tiroksin (LT4,<span class=\"Apple-converted-space\">\u00a0 <\/span>Levotiron, Tefor, Euthyrox, Bitiron) i\u00e7in<\/span><\/p>\n<\/td>\n<td class=\"td6\" valign=\"top\">\n<p class=\"p10\"><span class=\"s1\">3-4 hafta <\/span><\/p>\n<\/td>\n<\/tr>\n<tr>\n<td class=\"td7\" valign=\"top\">\n<p class=\"p10\"><span class=\"s1\">Kelp, agar, karagenan, Lugol \u00e7\u00f6zeltisi<\/span><\/p>\n<\/td>\n<td class=\"td8\" valign=\"top\">\n<p class=\"p10\"><span class=\"s1\">2-3 hafta, iyot i\u00e7eri\u011fine ba\u011fl\u0131 olarak<\/span><\/p>\n<\/td>\n<\/tr>\n<tr>\n<td class=\"td1\" valign=\"top\">\n<p class=\"p10\"><span class=\"s1\">Potasyum iyod\u00fcr\u00fcn sat\u00fcre sol\u00fcsyonu <\/span><\/p>\n<\/td>\n<td class=\"td2\" valign=\"top\">\n<p class=\"p10\"><span class=\"s1\">2-3 hafta<\/span><\/p>\n<\/td>\n<\/tr>\n<tr>\n<td class=\"td1\" valign=\"top\">\n<p class=\"p10\"><span class=\"s1\">Topikal iyot (\u00f6rn. cerrahi deri haz\u0131rl\u0131\u011f\u0131)<\/span><\/p>\n<\/td>\n<td class=\"td2\" valign=\"top\">\n<p class=\"p10\"><span class=\"s1\">2-3 hafta<\/span><\/p>\n<\/td>\n<\/tr>\n<tr>\n<td class=\"td3\" valign=\"top\">\n<p class=\"p10\"><span class=\"s1\">\u0130ntraven\u00f6z radyografik kontrast ajan, suda \u00e7\u00f6z\u00fcnen<\/span><\/p>\n<\/td>\n<td class=\"td4\" valign=\"top\">\n<p class=\"p10\"><span class=\"s1\">6-8 hafta<\/span><\/p>\n<\/td>\n<\/tr>\n<tr>\n<td class=\"td1\" valign=\"top\">\n<p class=\"p10\"><span class=\"s1\">\u0130ntraven\u00f6z radyografik kontrast ajan, ya\u011fda \u00e7\u00f6z\u00fcnen<\/span><\/p>\n<\/td>\n<td class=\"td2\" valign=\"top\">\n<p class=\"p10\"><span class=\"s1\">1-6 ay<\/span><\/p>\n<\/td>\n<\/tr>\n<tr>\n<td class=\"td1\" valign=\"top\">\n<p class=\"p10\"><span class=\"s1\">Amiodaron<\/span><\/p>\n<\/td>\n<td class=\"td2\" valign=\"top\">\n<p class=\"p10\"><span class=\"s1\">3-6 ay veya daha uzun<\/span><\/p>\n<\/td>\n<\/tr>\n<tr>\n<td class=\"td3\" valign=\"top\">\n<p class=\"p10\"><span class=\"s2\">Sa\u00e7 boyas\u0131<\/span><\/p>\n<\/td>\n<td class=\"td4\" valign=\"top\">\n<p class=\"p10\"><span class=\"s2\">8 hafta<\/span><\/p>\n<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<p class=\"p9\"><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>\n<table class=\"t1\" cellspacing=\"0\" cellpadding=\"0\">\n<tbody>\n<tr>\n<td class=\"td9\" valign=\"top\">\n<p class=\"p12\"><span class=\"s1\"><b>Kaynak<\/b><\/span><\/p>\n<\/td>\n<td class=\"td10\" valign=\"top\">\n<p class=\"p12\"><span class=\"s1\"><b>\u00d6rnek\/a\u00e7\u0131klama<\/b><\/span><\/p>\n<\/td>\n<\/tr>\n<tr>\n<td class=\"td11\" valign=\"top\">\n<p class=\"p10\"><span class=\"s1\">\u0130yotlu tuz<\/span><\/p>\n<\/td>\n<td class=\"td12\" valign=\"top\">\n<p class=\"p13\">\n<\/td>\n<\/tr>\n<tr>\n<td class=\"td9\" valign=\"top\">\n<p class=\"p10\"><span class=\"s1\">S\u00fct \u00fcr\u00fcnleri<\/span><\/p>\n<\/td>\n<td class=\"td10\" valign=\"top\">\n<p class=\"p10\"><span class=\"s1\">S\u00fct, yo\u011furt, peynir, dondurma<\/span><\/p>\n<\/td>\n<\/tr>\n<tr>\n<td class=\"td9\" valign=\"top\">\n<p class=\"p10\"><span class=\"s1\">Yumurta sar\u0131s\u0131<\/span><\/p>\n<\/td>\n<td class=\"td10\" valign=\"top\">\n<p class=\"p10\"><span class=\"s1\">Yumurta ak\u0131 veya yumurta ikamesi <\/span><span class=\"s3\"><b>de\u011fil<\/b><\/span><\/p>\n<\/td>\n<\/tr>\n<tr>\n<td class=\"td11\" valign=\"top\">\n<p class=\"p10\"><span class=\"s1\">Deniz \u00fcr\u00fcnleri<\/span><\/p>\n<\/td>\n<td class=\"td12\" valign=\"top\">\n<p class=\"p10\"><span class=\"s1\">Kabuklular ve bal\u0131klar, <\/span><span class=\"s3\"><b>ton bal\u0131\u011f\u0131 hari\u00e7<\/b><\/span><\/p>\n<\/td>\n<\/tr>\n<tr>\n<td class=\"td9\" valign=\"top\">\n<p class=\"p10\"><span class=\"s1\">Hindi ve ci\u011fer<\/span><\/p>\n<\/td>\n<td class=\"td10\" valign=\"top\">\n<p class=\"p13\">\n<\/td>\n<\/tr>\n<tr>\n<td class=\"td9\" valign=\"top\">\n<p class=\"p10\"><span class=\"s1\">Yosun ve yosun \u00fcr\u00fcnleri<\/span><\/p>\n<\/td>\n<td class=\"td10\" valign=\"top\">\n<p class=\"p10\"><span class=\"s1\">Karagenan ve aljinat<\/span><\/p>\n<\/td>\n<\/tr>\n<tr>\n<td class=\"td9\" valign=\"top\">\n<p class=\"p10\"><span class=\"s1\">S\u00fctl\u00fc \u00e7ikolata<\/span><\/p>\n<\/td>\n<td class=\"td10\" valign=\"top\">\n<p class=\"p13\">\n<\/td>\n<\/tr>\n<tr>\n<td class=\"td11\" valign=\"top\">\n<p class=\"p10\"><span class=\"s1\">\u0130yot i\u00e7eren multivitaminler<\/span><\/p>\n<\/td>\n<td class=\"td12\" valign=\"top\">\n<p class=\"p13\">\n<\/td>\n<\/tr>\n<tr>\n<td class=\"td13\" valign=\"top\">\n<p class=\"p10\"><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>\n<\/td>\n<td class=\"td14\" valign=\"top\">\n<p class=\"p13\">\n<\/td>\n<\/tr>\n<tr>\n<td class=\"td13\" valign=\"top\">\n<p class=\"p10\"><span class=\"s1\">Tah\u0131llar<\/span><\/p>\n<\/td>\n<td class=\"td14\" valign=\"top\">\n<p class=\"p10\"><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>\n<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<p class=\"p9\"><span class=\"s1\"><b>T\u00fcketilmesine \u0130zin Verilen G\u0131dalar<\/b><\/span><\/p>\n<table class=\"t1\" cellspacing=\"0\" cellpadding=\"0\">\n<tbody>\n<tr>\n<td class=\"td15\" valign=\"top\">\n<p class=\"p10\"><span class=\"s1\">Taze meyve ve sebzeler<\/span><\/p>\n<p class=\"p10\"><span class=\"s1\">Tuzsuz f\u0131st\u0131k\/f\u0131nd\u0131k ve f\u0131nd\u0131k\/f\u0131st\u0131k ezmesi<\/span><\/p>\n<p class=\"p10\"><span class=\"s1\">Yumurta ak\u0131<\/span><\/p>\n<p class=\"p10\"><span class=\"s1\">Taze et<\/span><\/p>\n<p class=\"p10\"><span class=\"s1\">Tah\u0131l\/tah\u0131l \u00fcr\u00fcnleri, y\u00fcksek iyot i\u00e7ermeyen (g\u00fcnde 4 porsiyonla s\u0131n\u0131rl\u0131)<\/span><\/p>\n<p class=\"p10\"><span class=\"s1\">Makarna, y\u00fcksek iyot i\u00e7ermeyen<\/span><\/p>\n<p class=\"p10\"><span class=\"s1\">\u015eeker<\/span><\/p>\n<p class=\"p10\"><span class=\"s1\">J\u00f6le<\/span><\/p>\n<p class=\"p10\"><span class=\"s1\">Re\u00e7el<\/span><\/p>\n<p class=\"p10\"><span class=\"s1\">Bal<\/span><\/p>\n<p class=\"p10\"><span class=\"s1\">Karabiber<\/span><\/p>\n<p class=\"p10\"><span class=\"s1\">Taze veya kurutulmu\u015f ot ve baharatlar<\/span><\/p>\n<p class=\"p10\"><span class=\"s1\">T\u00fcm bitkisel ya\u011flar (soya ya\u011f\u0131 dahil)<\/span><\/p>\n<p class=\"p10\"><span class=\"s1\">Gazoz (K\u0131rm\u0131z\u0131 Boya (E127) i\u00e7ermeyen)<\/span><\/p>\n<p class=\"p10\"><span class=\"s1\">Kola, diyet kola<\/span><\/p>\n<p class=\"p10\"><span class=\"s1\">Kahve (instant \/haz\u0131r olmayan)<\/span><\/p>\n<p class=\"p10\"><span class=\"s1\">\u00c7ay (instant \/haz\u0131r olmayan)<\/span><\/p>\n<p class=\"p10\"><span class=\"s1\">Limonata<\/span><\/p>\n<p class=\"p10\"><span class=\"s1\">Meyve sular\u0131<\/span><\/p>\n<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<p class=\"p4\"><span class=\"s1\"><b>Radyoaktif \u0130yot T\u00fcm V\u00fccut Sintigrafisi Nas\u0131l Uygulan\u0131r?<\/b><\/span><\/p>\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><\/p>\n<p class=\"p2\"><span class=\"s2\">Radyoaktif iyot; s\u0131v\u0131, kaps\u00fcl (I-131 veya I-123, 37-185 MBq (1-5 mCi)) veya enjeksiyona haz\u0131r sol\u00fcsyon (I-123, 37-185 MBq (1-5 mCi)) formunda olup, N\u00fckleer T\u0131p Klini\u011finde oral veya damar yolu arac\u0131l\u0131\u011f\u0131yla, g\u00fcn\u00fcbirlik ayaktan uygulanmaktad\u0131r. <\/span><\/p>\n<p class=\"p2\"><span class=\"s2\">G\u00f6r\u00fcnt\u00fcler yine N\u00fckleer T\u0131p Klini\u011finde, radyoaktif iyot uygulamas\u0131ndan 48 ila 72 saat sonra elde edilmektedir. <\/span><span class=\"s1\">B\u00f6brek fonksiyonlar\u0131 normal olan hastalar\u0131m\u0131zda, <\/span><span class=\"s2\">radyoaktif iyot al\u0131m\u0131n\u0131 takiben, 3 g\u00fcn boyunca, g\u00fcnl\u00fck 2,5-3 L su-s\u0131v\u0131 (s\u00fct hari\u00e7) al\u0131m\u0131 ve s\u0131k idrara \u00e7\u0131kma \u00f6nerilir. B\u00f6ylelikle mesane ve t\u00fck\u00fcr\u00fck bezinin radyasyon dozu minimum d\u00fczeyde tutulmaya \u00e7al\u0131\u015f\u0131l\u0131r. <\/span><\/p>\n<p class=\"p7\"><span class=\"s1\">\u0130\u015flem boyunca g\u00fcnde en az bir kez d\u0131\u015fk\u0131laman\u0131z, kal\u0131n ba\u011f\u0131rsak radyasyon dozunun minimum d\u00fczeye indirilmesi ve g\u00f6r\u00fcnt\u00fc kalitesinin art\u0131r\u0131lmas\u0131 i\u00e7in \u00f6nemlidir. Kab\u0131zl\u0131k durumunda hafif laksatifler kullanabilirsiniz. <\/span><\/p>\n<p class=\"p7\"><span class=\"s1\">\u0130lk 3-5 g\u00fcn, her tuvalet kullan\u0131m\u0131ndan sonra sifonu iki kez \u00e7ekmeniz gerekmektedir. Erkek hastalar\u0131m\u0131z\u0131n bu s\u00fcre zarf\u0131nda idrar\u0131n\u0131 klozete oturarak yapmalar\u0131 gerekmektedir. Tuvalet sonras\u0131 ellerinizi, radyoaktif bula\u015ftan temizlemek amac\u0131yla \u00e7ok iyi y\u0131kaman\u0131z gerekmektedir. \u0130lk 3-5 g\u00fcn boyunca her g\u00fcn d\u00fczenli du\u015f almal\u0131; havlu, i\u00e7 \u00e7ama\u015f\u0131r\u0131 ve giysilerinizi bu d\u00f6nemde ayr\u0131 olarak y\u0131kamal\u0131s\u0131n\u0131z. \u0130lk 3-5 g\u00fcn yeme\u011fe, okumaya ve bir \u015feyleri tutmaya ba\u015flamadan \u00f6nce ellerinizi y\u0131kamal\u0131s\u0131n\u0131z. Bu d\u00f6nemlerde kuma\u015f mendil yerine k\u00e2\u011f\u0131t mendil kullanmal\u0131 ve \u00e7\u00f6p kutusu yerine klozete atarak sifonu \u00e7ekmelisiniz. <\/span><\/p>\n<p class=\"p2\"><span class=\"s2\">I-131 radyoizotopu uygulanm\u0131\u015f hastalar\u0131m\u0131z\u0131n, yak\u0131nlar\u0131n\u0131 gereksiz radyasyondan korumak i\u00e7in baz\u0131 kurallara uymas\u0131 gerekmektedir. T\u00fcrkiye Atom Enerjisi Kurumu (TAEK) taraf\u0131ndan \u00f6nerilen bu k\u0131s\u0131tlamalar, uygulanan doza g\u00f6re de\u011fi\u015fmek ile birlikte a\u015fa\u011f\u0131da sunulmu\u015f olup, detayl\u0131 a\u00e7\u0131klama, N\u00fckleer T\u0131p Uzman\u0131m\u0131z taraf\u0131ndan yap\u0131lacakt\u0131r. <\/span><\/p>\n<p class=\"p3\"><span class=\"s2\">TAEK Taraf\u0131ndan I-131 Uygulanm\u0131\u015f Hastalar \u0130\u00e7in \u00d6nerilen K\u0131s\u0131tlamalar<\/span><\/p>\n<p class=\"p16\">[\/et_pb_accordion_item][et_pb_accordion_item title=&#8221;TEDAV\u0130 H\u0130ZMETLER\u0130 &#8211; RADYOAKTIF \u0130YOT 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>Radyoaktif \u0130yot Tedavisi Nedir, Nas\u0131l Tedavi Eder?<\/b><\/span><\/p>\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>\n<p class=\"p2\"><span class=\"s1\">Tiroid kanserinde, bir yandan tan\u0131sal ama\u00e7la d\u00fc\u015f\u00fck doz <\/span><span class=\"s2\">radyoaktif iyot (I-131 veya I-123)<\/span><span class=\"s1\"> ile 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>\n<p class=\"p2\"><span class=\"s1\">Radyoaktif iyot tedavisi, 1940&#8217;l\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>\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>\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&#8217;a 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>\n<p class=\"p4\"><span class=\"s1\"><b>Radyoaktif \u0130yot Tedavisi Kimlere Uygulan\u0131r?<\/b><\/span><\/p>\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>\n<ul>\n<li class=\"p2\"><span class=\"s1\">Tiroid ameliyat\u0131 sonras\u0131 bakiye normal tiroid dokusunun radyasyonla temizlenmesi (ablasyon) <\/span><\/li>\n<li class=\"p2\"><span class=\"s1\">Mikroskobik hastal\u0131\u011f\u0131n tedavisi <\/span><\/li>\n<li class=\"p2\"><span class=\"s1\">Bakiye\/n\u00fcks veya metastatik tiroid kanserinin tedavisi<\/span><\/li>\n<\/ul>\n<p class=\"p2\"><span class=\"s1\"><b>Cerrahi Sonras\u0131 Radyoaktif \u0130yot Ablasyonu<\/b><\/span><\/p>\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>\n<p class=\"p6\"><span class=\"s1\"><b>N\u00fcks veya Bakiye Diferansiye Tiroid Kanserinin Radyoaktif \u0130yot ile Tedavisi<\/b><\/span><\/p>\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>\n<p class=\"p4\"><span class=\"s1\"><b>Radyoaktif \u0130yot Tedavisi G\u00fcvenli Midir?<\/b><\/span><\/p>\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>\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. <\/span><span class=\"s1\">\u0130yot alerjisi olan hastalarda radyoaktif iyot tedavisi uygulanabilir. <\/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>\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>\n<p class=\"p2\"><span class=\"s1\"><b>Radyoaktif \u0130yot Tedavisinin Potansiyel Yan Etkileri<\/b><\/span><\/p>\n<table class=\"t1\" cellspacing=\"0\" cellpadding=\"0\">\n<tbody>\n<tr>\n<td class=\"td1\" valign=\"top\">\n<p class=\"p7\"><span class=\"s1\"><b>Erken Yan Etkileri<\/b><\/span><\/p>\n<\/td>\n<td class=\"td2\" valign=\"top\">\n<p class=\"p7\"><span class=\"s1\"><b>\u00d6neri\/A\u00e7\u0131klama <\/b><\/span><\/p>\n<\/td>\n<\/tr>\n<tr>\n<td class=\"td3\" valign=\"top\">\n<p class=\"p7\"><span class=\"s1\">Boyun b\u00f6lgesinde yanma hissi veya hassasiyet<\/span><\/p>\n<\/td>\n<td class=\"td4\" valign=\"top\">\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>\n<\/td>\n<\/tr>\n<tr>\n<td class=\"td5\" valign=\"top\">\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>\n<\/td>\n<td class=\"td6\" valign=\"top\">\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>\n<\/td>\n<\/tr>\n<tr>\n<td class=\"td7\" valign=\"top\">\n<p class=\"p7\"><span class=\"s1\">Mide bulant\u0131s\u0131 (ve nadiren kusma)<\/span><\/p>\n<\/td>\n<td class=\"td8\" valign=\"top\">\n<p class=\"p7\"><span class=\"s1\">Tedavi \u00f6ncesinde koruyucu ama\u00e7la ila\u00e7 tedavisi uygulanabilmektedir. <\/span><\/p>\n<\/td>\n<\/tr>\n<tr>\n<td class=\"td9\" valign=\"top\">\n<p class=\"p7\"><span class=\"s1\">T\u00fck\u00fcr\u00fck bezlerinde \u015fi\u015fme ve hassasiyet<\/span><\/p>\n<\/td>\n<td class=\"td10\" valign=\"top\">\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>\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>\n<p class=\"p7\"><span class=\"s1\">Tedavi \u00f6ncesinde koruyucu ama\u00e7la ila\u00e7 tedavisi uygulanabilmektedir. .<\/span><\/p>\n<\/td>\n<\/tr>\n<tr>\n<td class=\"td1\" valign=\"top\">\n<p class=\"p7\"><span class=\"s1\">Tat duyusunda azalma ya da de\u011fi\u015fiklik <\/span><\/p>\n<\/td>\n<td class=\"td2\" valign=\"top\">\n<p class=\"p7\"><span class=\"s1\">Genellikle ge\u00e7icidir, \u00f6zel bir \u00f6nleme gerek yoktur.<\/span><\/p>\n<\/td>\n<\/tr>\n<tr>\n<td class=\"td1\" valign=\"top\">\n<p class=\"p7\"><span class=\"s1\">G\u00f6zya\u015f\u0131 \u00fcretiminde azalma<\/span><\/p>\n<\/td>\n<td class=\"td2\" valign=\"top\">\n<p class=\"p8\">\n<\/td>\n<\/tr>\n<tr>\n<td class=\"td11\" valign=\"top\">\n<p class=\"p7\"><span class=\"s1\">Kanda, akyuvar ve trombosit say\u0131s\u0131nda ge\u00e7ici azalma<\/span><\/p>\n<\/td>\n<td class=\"td12\" valign=\"top\">\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 <\/span>Ancak tedavi \u00f6ncesi kan say\u0131m\u0131 ve b\u00f6brek testleri normal olan hastalarda g\u00f6r\u00fclmesi beklenmemektedir. <\/span><\/p>\n<\/td>\n<\/tr>\n<tr>\n<td class=\"td13\" valign=\"top\">\n<p class=\"p7\"><span class=\"s1\"><b>Ge\u00e7 Yan Etkileri<\/b><\/span><\/p>\n<\/td>\n<td class=\"td14\" valign=\"top\">\n<p class=\"p7\"><span class=\"s1\"><b>\u00d6neri\/A\u00e7\u0131klama<\/b><\/span><\/p>\n<\/td>\n<\/tr>\n<tr>\n<td class=\"td15\" valign=\"top\">\n<p class=\"p7\"><span class=\"s1\">Erkeklerde do\u011furganl\u0131k<\/span><\/p>\n<\/td>\n<td class=\"td16\" valign=\"top\">\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>\n<\/td>\n<\/tr>\n<tr>\n<td class=\"td5\" valign=\"top\">\n<p class=\"p7\"><span class=\"s1\">Kad\u0131nlarda do\u011furganl\u0131k<\/span><\/p>\n<\/td>\n<td class=\"td6\" valign=\"top\">\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>\n<\/td>\n<\/tr>\n<tr>\n<td class=\"td17\" valign=\"top\">\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>\n<\/td>\n<td class=\"td18\" valign=\"top\">\n<p class=\"p7\"><span class=\"s1\">A\u011f\u0131z hijyenine dikkat edilmelidir. <\/span><\/p>\n<\/td>\n<\/tr>\n<tr>\n<td class=\"td1\" valign=\"top\">\n<p class=\"p7\"><span class=\"s1\">G\u00f6z kurulu\u011fu veya g\u00f6z ya\u015farmas\u0131<\/span><\/p>\n<\/td>\n<td class=\"td2\" valign=\"top\">\n<p class=\"p8\">\n<\/td>\n<\/tr>\n<tr>\n<td class=\"td19\" valign=\"top\">\n<p class=\"p7\"><span class=\"s1\">\u0130kincil kanser geli\u015fimi<\/span><\/p>\n<\/td>\n<td class=\"td20\" valign=\"top\">\n<p class=\"p7\"><span class=\"s1\">Y\u00fcksek doz radyoaktif iyot uygulamas\u0131 sonras\u0131 \u00e7ok nadir (&lt;%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>\n<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<p class=\"p4\"><span class=\"s1\"><b>Radyoaktif \u0130yot Tedavisi \u00d6ncesi Haz\u0131rl\u0131k <\/b><\/span><\/p>\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>\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. <\/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>\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>\n<p class=\"p6\"><span class=\"s1\"><b>Tiroid hormon Kullan\u0131m\u0131n\u0131n Kesilmesi<\/b><\/span><\/p>\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>\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>\n<p class=\"p6\"><span class=\"s1\"><b>Rekombinant TSH (rhTSH) Kullan\u0131m\u0131<\/b><\/span><\/p>\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>\n<p class=\"p10\"><span class=\"s1\"><b>D\u00fc\u015f\u00fck \u0130yotlu Diyet<\/b><\/span><\/p>\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>\n<p class=\"p11\"><span class=\"s1\"><b>Radyoaktif \u0130yot Al\u0131m\u0131n\u0131 Engelleyen \u0130la\u00e7lar<\/b><\/span><\/p>\n<table class=\"t1\" cellspacing=\"0\" cellpadding=\"0\">\n<tbody>\n<tr>\n<td class=\"td21\" valign=\"top\">\n<p class=\"p7\"><span class=\"s1\"><b>\u0130la\u00e7lar<\/b><\/span><\/p>\n<\/td>\n<td class=\"td22\" valign=\"top\">\n<p class=\"p7\"><span class=\"s1\"><b>\u00d6nerilen kesilme s\u00fcresi<\/b><\/span><\/p>\n<\/td>\n<\/tr>\n<tr>\n<td class=\"td23\" valign=\"top\">\n<p class=\"p7\"><span class=\"s1\">Tiyonamid ila\u00e7lar\u0131 (\u00f6rn. propiltiyourasil, metimazol, karbimazol) <\/span><\/p>\n<\/td>\n<td class=\"td24\" valign=\"top\">\n<p class=\"p7\"><span class=\"s1\">3 g\u00fcn<\/span><\/p>\n<\/td>\n<\/tr>\n<tr>\n<td class=\"td21\" valign=\"top\">\n<p class=\"p7\"><span class=\"s1\">\u0130yot i\u00e7eren multivitaminler<\/span><\/p>\n<\/td>\n<td class=\"td22\" valign=\"top\">\n<p class=\"p7\"><span class=\"s1\">7-10 g\u00fcn<\/span><\/p>\n<\/td>\n<\/tr>\n<tr>\n<td class=\"td21\" valign=\"top\">\n<p class=\"p7\"><span class=\"s1\">Do\u011fal\/sentetik tiroid hormonlar\u0131, triiyodotironin (LT3, Tiromel) i\u00e7in<\/span><\/p>\n<\/td>\n<td class=\"td22\" valign=\"top\">\n<p class=\"p7\"><span class=\"s1\">10-14 g\u00fcn<\/span><\/p>\n<\/td>\n<\/tr>\n<tr>\n<td class=\"td25\" valign=\"top\">\n<p class=\"p7\"><span class=\"s1\">Do\u011fal\/sentetik tiroid hormonlar\u0131, tiroksin (LT4,<span class=\"Apple-converted-space\">\u00a0 <\/span>Levotiron, Tefor, Euthyrox, Bitiron) i\u00e7in<\/span><\/p>\n<\/td>\n<td class=\"td26\" valign=\"top\">\n<p class=\"p7\"><span class=\"s1\">3-4 hafta <\/span><\/p>\n<\/td>\n<\/tr>\n<tr>\n<td class=\"td27\" valign=\"top\">\n<p class=\"p7\"><span class=\"s1\">Kelp, agar, karagenan, Lugol \u00e7\u00f6zeltisi<\/span><\/p>\n<\/td>\n<td class=\"td28\" valign=\"top\">\n<p class=\"p7\"><span class=\"s1\">2-3 hafta, iyot i\u00e7eri\u011fine ba\u011fl\u0131 olarak<\/span><\/p>\n<\/td>\n<\/tr>\n<tr>\n<td class=\"td21\" valign=\"top\">\n<p class=\"p7\"><span class=\"s1\">Potasyum iyod\u00fcr\u00fcn sat\u00fcre sol\u00fcsyonu <\/span><\/p>\n<\/td>\n<td class=\"td22\" valign=\"top\">\n<p class=\"p7\"><span class=\"s1\">2-3 hafta<\/span><\/p>\n<\/td>\n<\/tr>\n<tr>\n<td class=\"td21\" valign=\"top\">\n<p class=\"p7\"><span class=\"s1\">Topikal iyot (\u00f6rn. cerrahi deri haz\u0131rl\u0131\u011f\u0131)<\/span><\/p>\n<\/td>\n<td class=\"td22\" valign=\"top\">\n<p class=\"p7\"><span class=\"s1\">2-3 hafta<\/span><\/p>\n<\/td>\n<\/tr>\n<tr>\n<td class=\"td23\" valign=\"top\">\n<p class=\"p7\"><span class=\"s1\">\u0130ntraven\u00f6z radyografik kontrast ajan, suda \u00e7\u00f6z\u00fcnen<\/span><\/p>\n<\/td>\n<td class=\"td24\" valign=\"top\">\n<p class=\"p7\"><span class=\"s1\">6-8 hafta<\/span><\/p>\n<\/td>\n<\/tr>\n<tr>\n<td class=\"td21\" valign=\"top\">\n<p class=\"p7\"><span class=\"s1\">\u0130ntraven\u00f6z radyografik kontrast ajan, ya\u011fda \u00e7\u00f6z\u00fcnen<\/span><\/p>\n<\/td>\n<td class=\"td22\" valign=\"top\">\n<p class=\"p7\"><span class=\"s1\">1-6 ay<\/span><\/p>\n<\/td>\n<\/tr>\n<tr>\n<td class=\"td21\" valign=\"top\">\n<p class=\"p7\"><span class=\"s2\">Amiodaron<\/span><\/p>\n<\/td>\n<td class=\"td22\" valign=\"top\">\n<p class=\"p7\"><span class=\"s2\">3-6 ay veya daha uzun<\/span><\/p>\n<\/td>\n<\/tr>\n<tr>\n<td class=\"td23\" valign=\"top\">\n<p class=\"p7\"><span class=\"s2\">Sa\u00e7 boyas\u0131<\/span><\/p>\n<\/td>\n<td class=\"td24\" valign=\"top\">\n<p class=\"p7\"><span class=\"s2\">8 hafta<\/span><\/p>\n<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\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>\n<table class=\"t1\" cellspacing=\"0\" cellpadding=\"0\">\n<tbody>\n<tr>\n<td class=\"td29\" valign=\"top\">\n<p class=\"p12\"><span class=\"s1\"><b>Kaynak<\/b><\/span><\/p>\n<\/td>\n<td class=\"td30\" valign=\"top\">\n<p class=\"p12\"><span class=\"s1\"><b>\u00d6rnek\/a\u00e7\u0131klama<\/b><\/span><\/p>\n<\/td>\n<\/tr>\n<tr>\n<td class=\"td31\" valign=\"top\">\n<p class=\"p7\"><span class=\"s1\">\u0130yotlu tuz<\/span><\/p>\n<\/td>\n<td class=\"td32\" valign=\"top\">\n<p class=\"p8\">\n<\/td>\n<\/tr>\n<tr>\n<td class=\"td29\" valign=\"top\">\n<p class=\"p7\"><span class=\"s1\">S\u00fct \u00fcr\u00fcnleri<\/span><\/p>\n<\/td>\n<td class=\"td30\" valign=\"top\">\n<p class=\"p7\"><span class=\"s1\">S\u00fct, yo\u011furt, peynir, dondurma<\/span><\/p>\n<\/td>\n<\/tr>\n<tr>\n<td class=\"td29\" valign=\"top\">\n<p class=\"p7\"><span class=\"s1\">Yumurta sar\u0131s\u0131<\/span><\/p>\n<\/td>\n<td class=\"td30\" valign=\"top\">\n<p class=\"p7\"><span class=\"s1\">Yumurta ak\u0131 veya yumurta ikamesi <\/span><span class=\"s3\"><b>de\u011fil<\/b><\/span><\/p>\n<\/td>\n<\/tr>\n<tr>\n<td class=\"td31\" valign=\"top\">\n<p class=\"p7\"><span class=\"s1\">Deniz \u00fcr\u00fcnleri<\/span><\/p>\n<\/td>\n<td class=\"td32\" valign=\"top\">\n<p class=\"p7\"><span class=\"s1\">Kabuklular ve bal\u0131klar, <\/span><span class=\"s3\"><b>ton bal\u0131\u011f\u0131 hari\u00e7<\/b><\/span><\/p>\n<\/td>\n<\/tr>\n<tr>\n<td class=\"td29\" valign=\"top\">\n<p class=\"p7\"><span class=\"s1\">Hindi ve ci\u011fer<\/span><\/p>\n<\/td>\n<td class=\"td30\" valign=\"top\">\n<p class=\"p8\">\n<\/td>\n<\/tr>\n<tr>\n<td class=\"td29\" valign=\"top\">\n<p class=\"p7\"><span class=\"s1\">Yosun ve yosun \u00fcr\u00fcnleri<\/span><\/p>\n<\/td>\n<td class=\"td30\" valign=\"top\">\n<p class=\"p7\"><span class=\"s1\">Karagenan ve aljinat<\/span><\/p>\n<\/td>\n<\/tr>\n<tr>\n<td class=\"td29\" valign=\"top\">\n<p class=\"p7\"><span class=\"s1\">S\u00fctl\u00fc \u00e7ikolata<\/span><\/p>\n<\/td>\n<td class=\"td30\" valign=\"top\">\n<p class=\"p8\">\n<\/td>\n<\/tr>\n<tr>\n<td class=\"td31\" valign=\"top\">\n<p class=\"p7\"><span class=\"s1\">\u0130yot i\u00e7eren multivitaminler<\/span><\/p>\n<\/td>\n<td class=\"td32\" valign=\"top\">\n<p class=\"p8\">\n<\/td>\n<\/tr>\n<tr>\n<td class=\"td33\" valign=\"top\">\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>\n<\/td>\n<td class=\"td34\" valign=\"top\">\n<p class=\"p8\">\n<\/td>\n<\/tr>\n<tr>\n<td class=\"td33\" valign=\"top\">\n<p class=\"p7\"><span class=\"s1\">Tah\u0131llar<\/span><\/p>\n<\/td>\n<td class=\"td34\" valign=\"top\">\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>\n<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<p class=\"p11\"><span class=\"s1\"><b>T\u00fcketilmesine \u0130zin Verilen G\u0131dalar<\/b><\/span><\/p>\n<table class=\"t1\" cellspacing=\"0\" cellpadding=\"0\">\n<tbody>\n<tr>\n<td class=\"td35\" valign=\"top\">\n<p class=\"p7\"><span class=\"s1\">Taze meyve ve sebzeler<\/span><\/p>\n<p class=\"p7\"><span class=\"s1\">Tuzsuz f\u0131st\u0131k\/f\u0131nd\u0131k ve f\u0131nd\u0131k\/f\u0131st\u0131k ezmesi<\/span><\/p>\n<p class=\"p7\"><span class=\"s1\">Yumurta ak\u0131<\/span><\/p>\n<p class=\"p7\"><span class=\"s1\">Taze et<\/span><\/p>\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>\n<p class=\"p7\"><span class=\"s1\">Makarna, y\u00fcksek iyot i\u00e7ermeyen<\/span><\/p>\n<p class=\"p7\"><span class=\"s1\">\u015eeker<\/span><\/p>\n<p class=\"p7\"><span class=\"s1\">J\u00f6le<\/span><\/p>\n<p class=\"p7\"><span class=\"s1\">Re\u00e7el<\/span><\/p>\n<p class=\"p7\"><span class=\"s1\">Bal<\/span><\/p>\n<p class=\"p7\"><span class=\"s1\">Karabiber<\/span><\/p>\n<p class=\"p7\"><span class=\"s1\">Taze veya kurutulmu\u015f ot ve baharatlar<\/span><\/p>\n<p class=\"p7\"><span class=\"s1\">T\u00fcm bitkisel ya\u011flar (soya ya\u011f\u0131 dahil)<\/span><\/p>\n<p class=\"p7\"><span class=\"s1\">Gazoz (K\u0131rm\u0131z\u0131 Boya (E127) i\u00e7ermeyen)<\/span><\/p>\n<p class=\"p7\"><span class=\"s1\">Kola, diyet kola<\/span><\/p>\n<p class=\"p7\"><span class=\"s1\">Kahve (instant \/haz\u0131r olmayan)<\/span><\/p>\n<p class=\"p7\"><span class=\"s1\">\u00c7ay (instant \/haz\u0131r olmayan)<\/span><\/p>\n<p class=\"p7\"><span class=\"s1\">Limonata<\/span><\/p>\n<p class=\"p7\"><span class=\"s1\">Meyve sular\u0131<\/span><\/p>\n<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<p class=\"p6\"><span class=\"s1\"><b>Hastaneye Neler Getirebilirsiniz?<\/b><\/span><\/p>\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. <\/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. <\/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>\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>\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. <\/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 <\/span>Ancak g\u00f6revli sa\u011fl\u0131k personelimizle 7\/24 dahili telefon \u00fczerinden ileti\u015fim kurabilirsiniz.<\/span><\/p>\n<p class=\"p4\"><span class=\"s1\"><b>Radyoaktif \u0130yot Tedavisi Nas\u0131l Uygulan\u0131r?<\/b><\/span><\/p>\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. <\/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>\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. <\/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>\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. <\/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>\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. <\/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>\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. <\/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>\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>\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>\n<p class=\"p15\"><span class=\"s2\"><b>TAEK Taraf\u0131ndan RA\u0130 (I-131) Uygulanm\u0131\u015f Hastalar \u0130\u00e7in \u00d6nerilen K\u0131s\u0131tlamalar<\/b><\/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_button button_url=&#8221;@ET-DC@eyJkeW5hbWljIjp0cnVlLCJjb250ZW50IjoicG9zdF9saW5rX3VybF9wYWdlIiwic2V0dGluZ3MiOnsicG9zdF9pZCI6IjIyNzMifX0=@&#8221; button_text=&#8221;DIAGNOSIS: I-131 Whole Body Scanning Scintigraphy &#8211; Click for detailed information.&#8221; _builder_version=&#8221;4.4.8&#8243; _dynamic_attributes=&#8221;button_url&#8221; hover_enabled=&#8221;0&#8243;][\/et_pb_button][et_pb_button button_url=&#8221;@ET-DC@eyJkeW5hbWljIjp0cnVlLCJjb250ZW50IjoicG9zdF9saW5rX3VybF9wYWdlIiwic2V0dGluZ3MiOnsicG9zdF9pZCI6IjIzODIifX0=@&#8221; button_text=&#8221;TREATMENT: RADIOACTIVE IODINE TREATMENT &#8211; Click for detailed information.&#8221; _builder_version=&#8221;4.4.8&#8243; _dynamic_attributes=&#8221;button_url&#8221; hover_enabled=&#8221;0&#8243;][\/et_pb_button][\/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;Thyroid Cancer&#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;3.22&#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; [&hellip;]<\/p>\n","protected":false},"author":6,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_acf_changed":false,"_et_pb_use_builder":"on","_et_pb_old_content":"<p>[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=\"Thyroid Cancer\" 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\" hover_enabled=\"0\"][\/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=\"3.22\"][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\" hover_enabled=\"0\"]<\/p><p><strong>Thyroid cancer<\/strong>\u00a0is a type of cancer that originates in the thyroid gland, a small gland in the front of the neck. The most common symptom of thyroid cancer is a painless lump or swelling in the neck. Symptoms such as unexplained hoarseness, difficulty swallowing, or painless enlargement of the neck lymph nodes that last for more than a few weeks usually occur in more advanced disease. The prognosis of thyroid cancers is generally good when compared to other cancer types. Most thyroid cancer patients can be treated easily and effortlessly with hormone and radioactive Iodine-131-atom treatments.<\/p><p>[\/et_pb_text][et_pb_accordion disabled_on=\"on|on|on\" _builder_version=\"4.4.8\" disabled=\"on\"][et_pb_accordion_item title=\"TANI H\u0130ZMETLER\u0130 - I-131 T\u00dcM V\u00dcCUT TARAMA SINTIGRAFISI\" open=\"on\" open_toggle_text_color=\"#0ca7c5\" _builder_version=\"4.4.8\" toggle_font=\"|700|||||||\" toggle_font_size=\"18px\"]<\/p><p class=\"p1\"><span class=\"s1\"><b>Radyoaktif \u0130yot T\u00fcm V\u00fccut Sintigrafisi Nedir, T\u00fcm\u00f6r Oda\u011f\u0131n\u0131 Nas\u0131l G\u00f6sterir?<\/b><\/span><\/p><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><p class=\"p2\"><span class=\"s1\">Tiroid kanserinde, bir yandan tan\u0131sal ama\u00e7la d\u00fc\u015f\u00fck doz <\/span><span class=\"s2\">radyoaktif iyot (I-131 veya I-123)<\/span><span class=\"s1\"> ile 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><p class=\"p3\"><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><p class=\"p4\"><span class=\"s1\"><b>Radyoaktif \u0130yot T\u00fcm V\u00fccut Sintigrafisi Kimlere Uygulan\u0131r?<\/b><\/span><\/p><p class=\"p2\"><span class=\"s1\">Radyoaktif iyot t\u00fcm v\u00fccut sintigrafisi farkl\u0131la\u015fm\u0131\u015f tiroid kanserli hastalarda, takip eden hekimin iste\u011fi ile \u015fu ama\u00e7larla uygulan\u0131r:<\/span><\/p><ul><li class=\"p2\"><span class=\"s1\">Tiroid ameliyat\u0131 sonras\u0131, radyoaktif iyot tedavisi \u00f6ncesinde, boyundaki tutulumu de\u011ferlendirme ve \u00f6l\u00e7mede<\/span><\/li><li class=\"p2\"><span class=\"s1\">Radyoaktif iyot ile tedavi sonras\u0131 g\u00f6r\u00fcnt\u00fclemede<\/span><\/li><li class=\"p2\"><span class=\"s1\">Tiroid kanseri n\u00fcks\u00fc orta veya y\u00fcksek riskli hastalar\u0131n takibinde<\/span><\/li><\/ul><p class=\"p6\"><span class=\"s1\"><b>Radyoaktif \u0130yot T\u00fcm V\u00fccut Sintigrafisi G\u00fcvenli Midir?<\/b><\/span><\/p><p class=\"p7\"><span class=\"s1\">Radyoaktif iyot t\u00fcm v\u00fccut sintigrafisi, tedavi \u00f6ncesi d\u00fc\u015f\u00fck tan\u0131sal dozda radyoaktif iyot izotoplar\u0131 uygulanarak ger\u00e7ekle\u015ftirilen, g\u00fcvenli bir g\u00f6r\u00fcnt\u00fclemedir. <\/span><span class=\"s2\">Radyoaktif iyot t\u00fcm v\u00fccut tarama sintigrafisi, hamilelerde uygulanamaz. Emziren annelerde ise<span class=\"Apple-converted-space\">\u00a0 <\/span>emzirmenin sonland\u0131r\u0131lmas\u0131 gerekebilir. <span class=\"Apple-converted-space\">\u00a0 \u00a0<\/span><\/span><\/p><p class=\"p4\"><span class=\"s1\"><b>Radyoaktif \u0130yot T\u00fcm V\u00fccut Sintigrafisi \u00d6ncesi Haz\u0131rl\u0131k <\/b><\/span><\/p><p class=\"p2\"><span class=\"s1\">Radyoaktif iyot t\u00fcm v\u00fccut sintigrafisi \u00f6ncesinde; i\u015flemi 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\u00e7irecek ve gerekti\u011finde baz\u0131 kan testleri yapt\u0131racakt\u0131r. <\/span><span class=\"s1\">Ayr\u0131ca do\u011furganl\u0131k ya\u015f\u0131ndaki t\u00fcm kad\u0131n hastalar\u0131m\u0131zdan beta-hCG testi istenecektir.<\/span><\/p><p class=\"p2\"><span class=\"s1\">Tiroid hormonlar\u0131 (LT4, LT3) ile iyot i\u00e7eren ila\u00e7 ve yiyecekler, radyoaktif iyot t\u00fcm v\u00fccut sintigrafisinin ba\u015far\u0131s\u0131n\u0131 etkiledi\u011finden, i\u015flem \u00f6ncesi size \u00f6zel uygun bir hasta haz\u0131rl\u0131\u011f\u0131 yapman\u0131z gerekmektedir. <\/span><\/p><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, g\u00f6r\u00fcnt\u00fclemenizin ba\u015far\u0131l\u0131 \u015fekilde ger\u00e7ekle\u015ftirilebilmesi i\u00e7in \u00e7ok \u00f6nemlidir. <\/span><\/p><p class=\"p8\"><span class=\"s1\"><b>Tiroid Hormon Kullan\u0131m\u0131n\u0131n Kesilmesi<\/b><\/span><\/p><p class=\"p2\"><span class=\"s1\">Radyoaktif iyot t\u00fcm v\u00fccut sintigrafisinden \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><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><p class=\"p8\"><span class=\"s1\"><b>Rekombinant TSH (rhTSH) Kullan\u0131m\u0131<\/b><\/span><\/p><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><p class=\"p8\"><span class=\"s1\"><b>D\u00fc\u015f\u00fck \u0130yotlu Diyet<\/b><\/span><\/p><p class=\"p3\"><span class=\"s1\">Radyoaktif iyot t\u00fcm v\u00fccut sintigrafisinin 2 hafta \u00f6ncesinden ba\u015flanan ve sonras\u0131nda 1-2 g\u00fcn s\u00fcren, d\u00fc\u015f\u00fck iyotlu diyet, sintigrafi \u00f6ncesi haz\u0131rl\u0131\u011f\u0131n \u00e7ok \u00f6nemli bir par\u00e7as\u0131d\u0131r. Bu diyet, radyoaktif iyot t\u00fcm v\u00fccut sintigrafisinin ba\u015far\u0131s\u0131n\u0131 art\u0131rmaktad\u0131r. <\/span><\/p><p class=\"p9\"><span class=\"s1\"><b>Radyoaktif \u0130yot Al\u0131m\u0131n\u0131 Engelleyen \u0130la\u00e7lar<\/b><\/span><\/p><table class=\"t1\" cellspacing=\"0\" cellpadding=\"0\"><tbody><tr><td class=\"td1\" valign=\"top\"><p class=\"p10\"><span class=\"s1\"><b>\u0130la\u00e7lar<\/b><\/span><\/p><\/td><td class=\"td2\" valign=\"top\"><p class=\"p10\"><span class=\"s1\"><b>\u00d6nerilen kesilme s\u00fcresi<\/b><\/span><\/p><\/td><\/tr><tr><td class=\"td3\" valign=\"top\"><p class=\"p10\"><span class=\"s1\">Tiyonamid ila\u00e7lar\u0131 (\u00f6rn. propiltiyourasil, metimazol, karbimazol) <\/span><\/p><\/td><td class=\"td4\" valign=\"top\"><p class=\"p10\"><span class=\"s1\">3 g\u00fcn<\/span><\/p><\/td><\/tr><tr><td class=\"td1\" valign=\"top\"><p class=\"p10\"><span class=\"s1\">\u0130yot i\u00e7eren multivitaminler<\/span><\/p><\/td><td class=\"td2\" valign=\"top\"><p class=\"p10\"><span class=\"s1\">7-10 g\u00fcn<\/span><\/p><\/td><\/tr><tr><td class=\"td1\" valign=\"top\"><p class=\"p10\"><span class=\"s1\">Do\u011fal\/sentetik tiroid hormonlar\u0131, triiyodotironin (LT3, Tiromel) i\u00e7in<\/span><\/p><\/td><td class=\"td2\" valign=\"top\"><p class=\"p10\"><span class=\"s1\">10-14 g\u00fcn, <\/span><\/p><\/td><\/tr><tr><td class=\"td5\" valign=\"top\"><p class=\"p10\"><span class=\"s1\">Do\u011fal\/sentetik tiroid hormonlar\u0131, tiroksin (LT4,<span class=\"Apple-converted-space\">\u00a0 <\/span>Levotiron, Tefor, Euthyrox, Bitiron) i\u00e7in<\/span><\/p><\/td><td class=\"td6\" valign=\"top\"><p class=\"p10\"><span class=\"s1\">3-4 hafta <\/span><\/p><\/td><\/tr><tr><td class=\"td7\" valign=\"top\"><p class=\"p10\"><span class=\"s1\">Kelp, agar, karagenan, Lugol \u00e7\u00f6zeltisi<\/span><\/p><\/td><td class=\"td8\" valign=\"top\"><p class=\"p10\"><span class=\"s1\">2-3 hafta, iyot i\u00e7eri\u011fine ba\u011fl\u0131 olarak<\/span><\/p><\/td><\/tr><tr><td class=\"td1\" valign=\"top\"><p class=\"p10\"><span class=\"s1\">Potasyum iyod\u00fcr\u00fcn sat\u00fcre sol\u00fcsyonu <\/span><\/p><\/td><td class=\"td2\" valign=\"top\"><p class=\"p10\"><span class=\"s1\">2-3 hafta<\/span><\/p><\/td><\/tr><tr><td class=\"td1\" valign=\"top\"><p class=\"p10\"><span class=\"s1\">Topikal iyot (\u00f6rn. cerrahi deri haz\u0131rl\u0131\u011f\u0131)<\/span><\/p><\/td><td class=\"td2\" valign=\"top\"><p class=\"p10\"><span class=\"s1\">2-3 hafta<\/span><\/p><\/td><\/tr><tr><td class=\"td3\" valign=\"top\"><p class=\"p10\"><span class=\"s1\">\u0130ntraven\u00f6z radyografik kontrast ajan, suda \u00e7\u00f6z\u00fcnen<\/span><\/p><\/td><td class=\"td4\" valign=\"top\"><p class=\"p10\"><span class=\"s1\">6-8 hafta<\/span><\/p><\/td><\/tr><tr><td class=\"td1\" valign=\"top\"><p class=\"p10\"><span class=\"s1\">\u0130ntraven\u00f6z radyografik kontrast ajan, ya\u011fda \u00e7\u00f6z\u00fcnen<\/span><\/p><\/td><td class=\"td2\" valign=\"top\"><p class=\"p10\"><span class=\"s1\">1-6 ay<\/span><\/p><\/td><\/tr><tr><td class=\"td1\" valign=\"top\"><p class=\"p10\"><span class=\"s1\">Amiodaron<\/span><\/p><\/td><td class=\"td2\" valign=\"top\"><p class=\"p10\"><span class=\"s1\">3-6 ay veya daha uzun<\/span><\/p><\/td><\/tr><tr><td class=\"td3\" valign=\"top\"><p class=\"p10\"><span class=\"s2\">Sa\u00e7 boyas\u0131<\/span><\/p><\/td><td class=\"td4\" valign=\"top\"><p class=\"p10\"><span class=\"s2\">8 hafta<\/span><\/p><\/td><\/tr><\/tbody><\/table><p class=\"p9\"><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><table class=\"t1\" cellspacing=\"0\" cellpadding=\"0\"><tbody><tr><td class=\"td9\" valign=\"top\"><p class=\"p12\"><span class=\"s1\"><b>Kaynak<\/b><\/span><\/p><\/td><td class=\"td10\" valign=\"top\"><p class=\"p12\"><span class=\"s1\"><b>\u00d6rnek\/a\u00e7\u0131klama<\/b><\/span><\/p><\/td><\/tr><tr><td class=\"td11\" valign=\"top\"><p class=\"p10\"><span class=\"s1\">\u0130yotlu tuz<\/span><\/p><\/td><td class=\"td12\" valign=\"top\"><p class=\"p13\">\u00a0<\/p><\/td><\/tr><tr><td class=\"td9\" valign=\"top\"><p class=\"p10\"><span class=\"s1\">S\u00fct \u00fcr\u00fcnleri<\/span><\/p><\/td><td class=\"td10\" valign=\"top\"><p class=\"p10\"><span class=\"s1\">S\u00fct, yo\u011furt, peynir, dondurma<\/span><\/p><\/td><\/tr><tr><td class=\"td9\" valign=\"top\"><p class=\"p10\"><span class=\"s1\">Yumurta sar\u0131s\u0131<\/span><\/p><\/td><td class=\"td10\" valign=\"top\"><p class=\"p10\"><span class=\"s1\">Yumurta ak\u0131 veya yumurta ikamesi <\/span><span class=\"s3\"><b>de\u011fil<\/b><\/span><\/p><\/td><\/tr><tr><td class=\"td11\" valign=\"top\"><p class=\"p10\"><span class=\"s1\">Deniz \u00fcr\u00fcnleri<\/span><\/p><\/td><td class=\"td12\" valign=\"top\"><p class=\"p10\"><span class=\"s1\">Kabuklular ve bal\u0131klar, <\/span><span class=\"s3\"><b>ton bal\u0131\u011f\u0131 hari\u00e7<\/b><\/span><\/p><\/td><\/tr><tr><td class=\"td9\" valign=\"top\"><p class=\"p10\"><span class=\"s1\">Hindi ve ci\u011fer<\/span><\/p><\/td><td class=\"td10\" valign=\"top\"><p class=\"p13\">\u00a0<\/p><\/td><\/tr><tr><td class=\"td9\" valign=\"top\"><p class=\"p10\"><span class=\"s1\">Yosun ve yosun \u00fcr\u00fcnleri<\/span><\/p><\/td><td class=\"td10\" valign=\"top\"><p class=\"p10\"><span class=\"s1\">Karagenan ve aljinat<\/span><\/p><\/td><\/tr><tr><td class=\"td9\" valign=\"top\"><p class=\"p10\"><span class=\"s1\">S\u00fctl\u00fc \u00e7ikolata<\/span><\/p><\/td><td class=\"td10\" valign=\"top\"><p class=\"p13\">\u00a0<\/p><\/td><\/tr><tr><td class=\"td11\" valign=\"top\"><p class=\"p10\"><span class=\"s1\">\u0130yot i\u00e7eren multivitaminler<\/span><\/p><\/td><td class=\"td12\" valign=\"top\"><p class=\"p13\">\u00a0<\/p><\/td><\/tr><tr><td class=\"td13\" valign=\"top\"><p class=\"p10\"><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><\/td><td class=\"td14\" valign=\"top\"><p class=\"p13\">\u00a0<\/p><\/td><\/tr><tr><td class=\"td13\" valign=\"top\"><p class=\"p10\"><span class=\"s1\">Tah\u0131llar<\/span><\/p><\/td><td class=\"td14\" valign=\"top\"><p class=\"p10\"><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><\/td><\/tr><\/tbody><\/table><p class=\"p9\"><span class=\"s1\"><b>T\u00fcketilmesine \u0130zin Verilen G\u0131dalar<\/b><\/span><\/p><table class=\"t1\" cellspacing=\"0\" cellpadding=\"0\"><tbody><tr><td class=\"td15\" valign=\"top\"><p class=\"p10\"><span class=\"s1\">Taze meyve ve sebzeler<\/span><\/p><p class=\"p10\"><span class=\"s1\">Tuzsuz f\u0131st\u0131k\/f\u0131nd\u0131k ve f\u0131nd\u0131k\/f\u0131st\u0131k ezmesi<\/span><\/p><p class=\"p10\"><span class=\"s1\">Yumurta ak\u0131<\/span><\/p><p class=\"p10\"><span class=\"s1\">Taze et<\/span><\/p><p class=\"p10\"><span class=\"s1\">Tah\u0131l\/tah\u0131l \u00fcr\u00fcnleri, y\u00fcksek iyot i\u00e7ermeyen (g\u00fcnde 4 porsiyonla s\u0131n\u0131rl\u0131)<\/span><\/p><p class=\"p10\"><span class=\"s1\">Makarna, y\u00fcksek iyot i\u00e7ermeyen<\/span><\/p><p class=\"p10\"><span class=\"s1\">\u015eeker<\/span><\/p><p class=\"p10\"><span class=\"s1\">J\u00f6le<\/span><\/p><p class=\"p10\"><span class=\"s1\">Re\u00e7el<\/span><\/p><p class=\"p10\"><span class=\"s1\">Bal<\/span><\/p><p class=\"p10\"><span class=\"s1\">Karabiber<\/span><\/p><p class=\"p10\"><span class=\"s1\">Taze veya kurutulmu\u015f ot ve baharatlar<\/span><\/p><p class=\"p10\"><span class=\"s1\">T\u00fcm bitkisel ya\u011flar (soya ya\u011f\u0131 dahil)<\/span><\/p><p class=\"p10\"><span class=\"s1\">Gazoz (K\u0131rm\u0131z\u0131 Boya (E127) i\u00e7ermeyen)<\/span><\/p><p class=\"p10\"><span class=\"s1\">Kola, diyet kola<\/span><\/p><p class=\"p10\"><span class=\"s1\">Kahve (instant \/haz\u0131r olmayan)<\/span><\/p><p class=\"p10\"><span class=\"s1\">\u00c7ay (instant \/haz\u0131r olmayan)<\/span><\/p><p class=\"p10\"><span class=\"s1\">Limonata<\/span><\/p><p class=\"p10\"><span class=\"s1\">Meyve sular\u0131<\/span><\/p><\/td><\/tr><\/tbody><\/table><p class=\"p4\"><span class=\"s1\"><b>Radyoaktif \u0130yot T\u00fcm V\u00fccut Sintigrafisi Nas\u0131l Uygulan\u0131r?<\/b><\/span><\/p><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><\/p><p class=\"p2\"><span class=\"s2\">Radyoaktif iyot; s\u0131v\u0131, kaps\u00fcl (I-131 veya I-123, 37-185 MBq (1-5 mCi)) veya enjeksiyona haz\u0131r sol\u00fcsyon (I-123, 37-185 MBq (1-5 mCi)) formunda olup, N\u00fckleer T\u0131p Klini\u011finde oral veya damar yolu arac\u0131l\u0131\u011f\u0131yla, g\u00fcn\u00fcbirlik ayaktan uygulanmaktad\u0131r. <\/span><\/p><p class=\"p2\"><span class=\"s2\">G\u00f6r\u00fcnt\u00fcler yine N\u00fckleer T\u0131p Klini\u011finde, radyoaktif iyot uygulamas\u0131ndan 48 ila 72 saat sonra elde edilmektedir. <\/span><span class=\"s1\">B\u00f6brek fonksiyonlar\u0131 normal olan hastalar\u0131m\u0131zda, <\/span><span class=\"s2\">radyoaktif iyot al\u0131m\u0131n\u0131 takiben, 3 g\u00fcn boyunca, g\u00fcnl\u00fck 2,5-3 L su-s\u0131v\u0131 (s\u00fct hari\u00e7) al\u0131m\u0131 ve s\u0131k idrara \u00e7\u0131kma \u00f6nerilir. B\u00f6ylelikle mesane ve t\u00fck\u00fcr\u00fck bezinin radyasyon dozu minimum d\u00fczeyde tutulmaya \u00e7al\u0131\u015f\u0131l\u0131r. <\/span><\/p><p class=\"p7\"><span class=\"s1\">\u0130\u015flem boyunca g\u00fcnde en az bir kez d\u0131\u015fk\u0131laman\u0131z, kal\u0131n ba\u011f\u0131rsak radyasyon dozunun minimum d\u00fczeye indirilmesi ve g\u00f6r\u00fcnt\u00fc kalitesinin art\u0131r\u0131lmas\u0131 i\u00e7in \u00f6nemlidir. Kab\u0131zl\u0131k durumunda hafif laksatifler kullanabilirsiniz. <\/span><\/p><p class=\"p7\"><span class=\"s1\">\u0130lk 3-5 g\u00fcn, her tuvalet kullan\u0131m\u0131ndan sonra sifonu iki kez \u00e7ekmeniz gerekmektedir. Erkek hastalar\u0131m\u0131z\u0131n bu s\u00fcre zarf\u0131nda idrar\u0131n\u0131 klozete oturarak yapmalar\u0131 gerekmektedir. Tuvalet sonras\u0131 ellerinizi, radyoaktif bula\u015ftan temizlemek amac\u0131yla \u00e7ok iyi y\u0131kaman\u0131z gerekmektedir. \u0130lk 3-5 g\u00fcn boyunca her g\u00fcn d\u00fczenli du\u015f almal\u0131; havlu, i\u00e7 \u00e7ama\u015f\u0131r\u0131 ve giysilerinizi bu d\u00f6nemde ayr\u0131 olarak y\u0131kamal\u0131s\u0131n\u0131z. \u0130lk 3-5 g\u00fcn yeme\u011fe, okumaya ve bir \u015feyleri tutmaya ba\u015flamadan \u00f6nce ellerinizi y\u0131kamal\u0131s\u0131n\u0131z. Bu d\u00f6nemlerde kuma\u015f mendil yerine k\u00e2\u011f\u0131t mendil kullanmal\u0131 ve \u00e7\u00f6p kutusu yerine klozete atarak sifonu \u00e7ekmelisiniz. <\/span><\/p><p class=\"p2\"><span class=\"s2\">I-131 radyoizotopu uygulanm\u0131\u015f hastalar\u0131m\u0131z\u0131n, yak\u0131nlar\u0131n\u0131 gereksiz radyasyondan korumak i\u00e7in baz\u0131 kurallara uymas\u0131 gerekmektedir. T\u00fcrkiye Atom Enerjisi Kurumu (TAEK) taraf\u0131ndan \u00f6nerilen bu k\u0131s\u0131tlamalar, uygulanan doza g\u00f6re de\u011fi\u015fmek ile birlikte a\u015fa\u011f\u0131da sunulmu\u015f olup, detayl\u0131 a\u00e7\u0131klama, N\u00fckleer T\u0131p Uzman\u0131m\u0131z taraf\u0131ndan yap\u0131lacakt\u0131r. <\/span><\/p><p class=\"p3\"><span class=\"s2\">TAEK Taraf\u0131ndan I-131 Uygulanm\u0131\u015f Hastalar \u0130\u00e7in \u00d6nerilen K\u0131s\u0131tlamalar<\/span><\/p><p class=\"p16\">[\/et_pb_accordion_item][et_pb_accordion_item title=\"TEDAV\u0130 H\u0130ZMETLER\u0130 - RADYOAKTIF \u0130YOT TEDAV\u0130S\u0130\" open_toggle_text_color=\"#0ca7c5\" _builder_version=\"4.4.8\" toggle_font=\"|700|||||||\" toggle_font_size=\"18px\" open=\"off\"]<\/p><p class=\"p1\"><span class=\"s1\"><b>Radyoaktif \u0130yot Tedavisi Nedir, Nas\u0131l Tedavi Eder?<\/b><\/span><\/p><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><p class=\"p2\"><span class=\"s1\">Tiroid kanserinde, bir yandan tan\u0131sal ama\u00e7la d\u00fc\u015f\u00fck doz <\/span><span class=\"s2\">radyoaktif iyot (I-131 veya I-123)<\/span><span class=\"s1\"> ile 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><p class=\"p2\"><span class=\"s1\">Radyoaktif iyot tedavisi, 1940'l\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><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><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'a 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><p class=\"p4\"><span class=\"s1\"><b>Radyoaktif \u0130yot Tedavisi Kimlere Uygulan\u0131r?<\/b><\/span><\/p><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><ul><li class=\"p2\"><span class=\"s1\">Tiroid ameliyat\u0131 sonras\u0131 bakiye normal tiroid dokusunun radyasyonla temizlenmesi (ablasyon) <\/span><\/li><li class=\"p2\"><span class=\"s1\">Mikroskobik hastal\u0131\u011f\u0131n tedavisi <\/span><\/li><li class=\"p2\"><span class=\"s1\">Bakiye\/n\u00fcks veya metastatik tiroid kanserinin tedavisi<\/span><\/li><\/ul><p class=\"p2\"><span class=\"s1\"><b>Cerrahi Sonras\u0131 Radyoaktif \u0130yot Ablasyonu<\/b><\/span><\/p><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><p class=\"p6\"><span class=\"s1\"><b>N\u00fcks veya Bakiye Diferansiye Tiroid Kanserinin Radyoaktif \u0130yot ile Tedavisi<\/b><\/span><\/p><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><p class=\"p4\"><span class=\"s1\"><b>Radyoaktif \u0130yot Tedavisi G\u00fcvenli Midir?<\/b><\/span><\/p><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><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. <\/span><span class=\"s1\">\u0130yot alerjisi olan hastalarda radyoaktif iyot tedavisi uygulanabilir. <\/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><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><p class=\"p2\"><span class=\"s1\"><b>Radyoaktif \u0130yot Tedavisinin Potansiyel Yan Etkileri<\/b><\/span><\/p><table class=\"t1\" cellspacing=\"0\" cellpadding=\"0\"><tbody><tr><td class=\"td1\" valign=\"top\"><p class=\"p7\"><span class=\"s1\"><b>Erken Yan Etkileri<\/b><\/span><\/p><\/td><td class=\"td2\" valign=\"top\"><p class=\"p7\"><span class=\"s1\"><b>\u00d6neri\/A\u00e7\u0131klama <\/b><\/span><\/p><\/td><\/tr><tr><td class=\"td3\" valign=\"top\"><p class=\"p7\"><span class=\"s1\">Boyun b\u00f6lgesinde yanma hissi veya hassasiyet<\/span><\/p><\/td><td class=\"td4\" valign=\"top\"><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><\/td><\/tr><tr><td class=\"td5\" valign=\"top\"><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><\/td><td class=\"td6\" valign=\"top\"><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><\/td><\/tr><tr><td class=\"td7\" valign=\"top\"><p class=\"p7\"><span class=\"s1\">Mide bulant\u0131s\u0131 (ve nadiren kusma)<\/span><\/p><\/td><td class=\"td8\" valign=\"top\"><p class=\"p7\"><span class=\"s1\">Tedavi \u00f6ncesinde koruyucu ama\u00e7la ila\u00e7 tedavisi uygulanabilmektedir. <\/span><\/p><\/td><\/tr><tr><td class=\"td9\" valign=\"top\"><p class=\"p7\"><span class=\"s1\">T\u00fck\u00fcr\u00fck bezlerinde \u015fi\u015fme ve hassasiyet<\/span><\/p><\/td><td class=\"td10\" valign=\"top\"><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><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><p class=\"p7\"><span class=\"s1\">Tedavi \u00f6ncesinde koruyucu ama\u00e7la ila\u00e7 tedavisi uygulanabilmektedir. .<\/span><\/p><\/td><\/tr><tr><td class=\"td1\" valign=\"top\"><p class=\"p7\"><span class=\"s1\">Tat duyusunda azalma ya da de\u011fi\u015fiklik <\/span><\/p><\/td><td class=\"td2\" valign=\"top\"><p class=\"p7\"><span class=\"s1\">Genellikle ge\u00e7icidir, \u00f6zel bir \u00f6nleme gerek yoktur.<\/span><\/p><\/td><\/tr><tr><td class=\"td1\" valign=\"top\"><p class=\"p7\"><span class=\"s1\">G\u00f6zya\u015f\u0131 \u00fcretiminde azalma<\/span><\/p><\/td><td class=\"td2\" valign=\"top\"><p class=\"p8\">\u00a0<\/p><\/td><\/tr><tr><td class=\"td11\" valign=\"top\"><p class=\"p7\"><span class=\"s1\">Kanda, akyuvar ve trombosit say\u0131s\u0131nda ge\u00e7ici azalma<\/span><\/p><\/td><td class=\"td12\" valign=\"top\"><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 <\/span>Ancak tedavi \u00f6ncesi kan say\u0131m\u0131 ve b\u00f6brek testleri normal olan hastalarda g\u00f6r\u00fclmesi beklenmemektedir. <\/span><\/p><\/td><\/tr><tr><td class=\"td13\" valign=\"top\"><p class=\"p7\"><span class=\"s1\"><b>Ge\u00e7 Yan Etkileri<\/b><\/span><\/p><\/td><td class=\"td14\" valign=\"top\"><p class=\"p7\"><span class=\"s1\"><b>\u00d6neri\/A\u00e7\u0131klama<\/b><\/span><\/p><\/td><\/tr><tr><td class=\"td15\" valign=\"top\"><p class=\"p7\"><span class=\"s1\">Erkeklerde do\u011furganl\u0131k<\/span><\/p><\/td><td class=\"td16\" valign=\"top\"><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><\/td><\/tr><tr><td class=\"td5\" valign=\"top\"><p class=\"p7\"><span class=\"s1\">Kad\u0131nlarda do\u011furganl\u0131k<\/span><\/p><\/td><td class=\"td6\" valign=\"top\"><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><\/td><\/tr><tr><td class=\"td17\" valign=\"top\"><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><\/td><td class=\"td18\" valign=\"top\"><p class=\"p7\"><span class=\"s1\">A\u011f\u0131z hijyenine dikkat edilmelidir. <\/span><\/p><\/td><\/tr><tr><td class=\"td1\" valign=\"top\"><p class=\"p7\"><span class=\"s1\">G\u00f6z kurulu\u011fu veya g\u00f6z ya\u015farmas\u0131<\/span><\/p><\/td><td class=\"td2\" valign=\"top\"><p class=\"p8\">\u00a0<\/p><\/td><\/tr><tr><td class=\"td19\" valign=\"top\"><p class=\"p7\"><span class=\"s1\">\u0130kincil kanser geli\u015fimi<\/span><\/p><\/td><td class=\"td20\" valign=\"top\"><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><\/td><\/tr><\/tbody><\/table><p class=\"p4\"><span class=\"s1\"><b>Radyoaktif \u0130yot Tedavisi \u00d6ncesi Haz\u0131rl\u0131k <\/b><\/span><\/p><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><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. <\/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><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><p class=\"p6\"><span class=\"s1\"><b>Tiroid hormon Kullan\u0131m\u0131n\u0131n Kesilmesi<\/b><\/span><\/p><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><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><p class=\"p6\"><span class=\"s1\"><b>Rekombinant TSH (rhTSH) Kullan\u0131m\u0131<\/b><\/span><\/p><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><p class=\"p10\"><span class=\"s1\"><b>D\u00fc\u015f\u00fck \u0130yotlu Diyet<\/b><\/span><\/p><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><p class=\"p11\"><span class=\"s1\"><b>Radyoaktif \u0130yot Al\u0131m\u0131n\u0131 Engelleyen \u0130la\u00e7lar<\/b><\/span><\/p><table class=\"t1\" cellspacing=\"0\" cellpadding=\"0\"><tbody><tr><td class=\"td21\" valign=\"top\"><p class=\"p7\"><span class=\"s1\"><b>\u0130la\u00e7lar<\/b><\/span><\/p><\/td><td class=\"td22\" valign=\"top\"><p class=\"p7\"><span class=\"s1\"><b>\u00d6nerilen kesilme s\u00fcresi<\/b><\/span><\/p><\/td><\/tr><tr><td class=\"td23\" valign=\"top\"><p class=\"p7\"><span class=\"s1\">Tiyonamid ila\u00e7lar\u0131 (\u00f6rn. propiltiyourasil, metimazol, karbimazol) <\/span><\/p><\/td><td class=\"td24\" valign=\"top\"><p class=\"p7\"><span class=\"s1\">3 g\u00fcn<\/span><\/p><\/td><\/tr><tr><td class=\"td21\" valign=\"top\"><p class=\"p7\"><span class=\"s1\">\u0130yot i\u00e7eren multivitaminler<\/span><\/p><\/td><td class=\"td22\" valign=\"top\"><p class=\"p7\"><span class=\"s1\">7-10 g\u00fcn<\/span><\/p><\/td><\/tr><tr><td class=\"td21\" valign=\"top\"><p class=\"p7\"><span class=\"s1\">Do\u011fal\/sentetik tiroid hormonlar\u0131, triiyodotironin (LT3, Tiromel) i\u00e7in<\/span><\/p><\/td><td class=\"td22\" valign=\"top\"><p class=\"p7\"><span class=\"s1\">10-14 g\u00fcn<\/span><\/p><\/td><\/tr><tr><td class=\"td25\" valign=\"top\"><p class=\"p7\"><span class=\"s1\">Do\u011fal\/sentetik tiroid hormonlar\u0131, tiroksin (LT4,<span class=\"Apple-converted-space\">\u00a0 <\/span>Levotiron, Tefor, Euthyrox, Bitiron) i\u00e7in<\/span><\/p><\/td><td class=\"td26\" valign=\"top\"><p class=\"p7\"><span class=\"s1\">3-4 hafta <\/span><\/p><\/td><\/tr><tr><td class=\"td27\" valign=\"top\"><p class=\"p7\"><span class=\"s1\">Kelp, agar, karagenan, Lugol \u00e7\u00f6zeltisi<\/span><\/p><\/td><td class=\"td28\" valign=\"top\"><p class=\"p7\"><span class=\"s1\">2-3 hafta, iyot i\u00e7eri\u011fine ba\u011fl\u0131 olarak<\/span><\/p><\/td><\/tr><tr><td class=\"td21\" valign=\"top\"><p class=\"p7\"><span class=\"s1\">Potasyum iyod\u00fcr\u00fcn sat\u00fcre sol\u00fcsyonu <\/span><\/p><\/td><td class=\"td22\" valign=\"top\"><p class=\"p7\"><span class=\"s1\">2-3 hafta<\/span><\/p><\/td><\/tr><tr><td class=\"td21\" valign=\"top\"><p class=\"p7\"><span class=\"s1\">Topikal iyot (\u00f6rn. cerrahi deri haz\u0131rl\u0131\u011f\u0131)<\/span><\/p><\/td><td class=\"td22\" valign=\"top\"><p class=\"p7\"><span class=\"s1\">2-3 hafta<\/span><\/p><\/td><\/tr><tr><td class=\"td23\" valign=\"top\"><p class=\"p7\"><span class=\"s1\">\u0130ntraven\u00f6z radyografik kontrast ajan, suda \u00e7\u00f6z\u00fcnen<\/span><\/p><\/td><td class=\"td24\" valign=\"top\"><p class=\"p7\"><span class=\"s1\">6-8 hafta<\/span><\/p><\/td><\/tr><tr><td class=\"td21\" valign=\"top\"><p class=\"p7\"><span class=\"s1\">\u0130ntraven\u00f6z radyografik kontrast ajan, ya\u011fda \u00e7\u00f6z\u00fcnen<\/span><\/p><\/td><td class=\"td22\" valign=\"top\"><p class=\"p7\"><span class=\"s1\">1-6 ay<\/span><\/p><\/td><\/tr><tr><td class=\"td21\" valign=\"top\"><p class=\"p7\"><span class=\"s2\">Amiodaron<\/span><\/p><\/td><td class=\"td22\" valign=\"top\"><p class=\"p7\"><span class=\"s2\">3-6 ay veya daha uzun<\/span><\/p><\/td><\/tr><tr><td class=\"td23\" valign=\"top\"><p class=\"p7\"><span class=\"s2\">Sa\u00e7 boyas\u0131<\/span><\/p><\/td><td class=\"td24\" valign=\"top\"><p class=\"p7\"><span class=\"s2\">8 hafta<\/span><\/p><\/td><\/tr><\/tbody><\/table><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><table class=\"t1\" cellspacing=\"0\" cellpadding=\"0\"><tbody><tr><td class=\"td29\" valign=\"top\"><p class=\"p12\"><span class=\"s1\"><b>Kaynak<\/b><\/span><\/p><\/td><td class=\"td30\" valign=\"top\"><p class=\"p12\"><span class=\"s1\"><b>\u00d6rnek\/a\u00e7\u0131klama<\/b><\/span><\/p><\/td><\/tr><tr><td class=\"td31\" valign=\"top\"><p class=\"p7\"><span class=\"s1\">\u0130yotlu tuz<\/span><\/p><\/td><td class=\"td32\" valign=\"top\"><p class=\"p8\">\u00a0<\/p><\/td><\/tr><tr><td class=\"td29\" valign=\"top\"><p class=\"p7\"><span class=\"s1\">S\u00fct \u00fcr\u00fcnleri<\/span><\/p><\/td><td class=\"td30\" valign=\"top\"><p class=\"p7\"><span class=\"s1\">S\u00fct, yo\u011furt, peynir, dondurma<\/span><\/p><\/td><\/tr><tr><td class=\"td29\" valign=\"top\"><p class=\"p7\"><span class=\"s1\">Yumurta sar\u0131s\u0131<\/span><\/p><\/td><td class=\"td30\" valign=\"top\"><p class=\"p7\"><span class=\"s1\">Yumurta ak\u0131 veya yumurta ikamesi <\/span><span class=\"s3\"><b>de\u011fil<\/b><\/span><\/p><\/td><\/tr><tr><td class=\"td31\" valign=\"top\"><p class=\"p7\"><span class=\"s1\">Deniz \u00fcr\u00fcnleri<\/span><\/p><\/td><td class=\"td32\" valign=\"top\"><p class=\"p7\"><span class=\"s1\">Kabuklular ve bal\u0131klar, <\/span><span class=\"s3\"><b>ton bal\u0131\u011f\u0131 hari\u00e7<\/b><\/span><\/p><\/td><\/tr><tr><td class=\"td29\" valign=\"top\"><p class=\"p7\"><span class=\"s1\">Hindi ve ci\u011fer<\/span><\/p><\/td><td class=\"td30\" valign=\"top\"><p class=\"p8\">\u00a0<\/p><\/td><\/tr><tr><td class=\"td29\" valign=\"top\"><p class=\"p7\"><span class=\"s1\">Yosun ve yosun \u00fcr\u00fcnleri<\/span><\/p><\/td><td class=\"td30\" valign=\"top\"><p class=\"p7\"><span class=\"s1\">Karagenan ve aljinat<\/span><\/p><\/td><\/tr><tr><td class=\"td29\" valign=\"top\"><p class=\"p7\"><span class=\"s1\">S\u00fctl\u00fc \u00e7ikolata<\/span><\/p><\/td><td class=\"td30\" valign=\"top\"><p class=\"p8\">\u00a0<\/p><\/td><\/tr><tr><td class=\"td31\" valign=\"top\"><p class=\"p7\"><span class=\"s1\">\u0130yot i\u00e7eren multivitaminler<\/span><\/p><\/td><td class=\"td32\" valign=\"top\"><p class=\"p8\">\u00a0<\/p><\/td><\/tr><tr><td class=\"td33\" valign=\"top\"><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><\/td><td class=\"td34\" valign=\"top\"><p class=\"p8\">\u00a0<\/p><\/td><\/tr><tr><td class=\"td33\" valign=\"top\"><p class=\"p7\"><span class=\"s1\">Tah\u0131llar<\/span><\/p><\/td><td class=\"td34\" valign=\"top\"><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><\/td><\/tr><\/tbody><\/table><p class=\"p11\"><span class=\"s1\"><b>T\u00fcketilmesine \u0130zin Verilen G\u0131dalar<\/b><\/span><\/p><table class=\"t1\" cellspacing=\"0\" cellpadding=\"0\"><tbody><tr><td class=\"td35\" valign=\"top\"><p class=\"p7\"><span class=\"s1\">Taze meyve ve sebzeler<\/span><\/p><p class=\"p7\"><span class=\"s1\">Tuzsuz f\u0131st\u0131k\/f\u0131nd\u0131k ve f\u0131nd\u0131k\/f\u0131st\u0131k ezmesi<\/span><\/p><p class=\"p7\"><span class=\"s1\">Yumurta ak\u0131<\/span><\/p><p class=\"p7\"><span class=\"s1\">Taze et<\/span><\/p><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><p class=\"p7\"><span class=\"s1\">Makarna, y\u00fcksek iyot i\u00e7ermeyen<\/span><\/p><p class=\"p7\"><span class=\"s1\">\u015eeker<\/span><\/p><p class=\"p7\"><span class=\"s1\">J\u00f6le<\/span><\/p><p class=\"p7\"><span class=\"s1\">Re\u00e7el<\/span><\/p><p class=\"p7\"><span class=\"s1\">Bal<\/span><\/p><p class=\"p7\"><span class=\"s1\">Karabiber<\/span><\/p><p class=\"p7\"><span class=\"s1\">Taze veya kurutulmu\u015f ot ve baharatlar<\/span><\/p><p class=\"p7\"><span class=\"s1\">T\u00fcm bitkisel ya\u011flar (soya ya\u011f\u0131 dahil)<\/span><\/p><p class=\"p7\"><span class=\"s1\">Gazoz (K\u0131rm\u0131z\u0131 Boya (E127) i\u00e7ermeyen)<\/span><\/p><p class=\"p7\"><span class=\"s1\">Kola, diyet kola<\/span><\/p><p class=\"p7\"><span class=\"s1\">Kahve (instant \/haz\u0131r olmayan)<\/span><\/p><p class=\"p7\"><span class=\"s1\">\u00c7ay (instant \/haz\u0131r olmayan)<\/span><\/p><p class=\"p7\"><span class=\"s1\">Limonata<\/span><\/p><p class=\"p7\"><span class=\"s1\">Meyve sular\u0131<\/span><\/p><\/td><\/tr><\/tbody><\/table><p class=\"p6\"><span class=\"s1\"><b>Hastaneye Neler Getirebilirsiniz?<\/b><\/span><\/p><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. <\/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. <\/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><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><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. <\/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 <\/span>Ancak g\u00f6revli sa\u011fl\u0131k personelimizle 7\/24 dahili telefon \u00fczerinden ileti\u015fim kurabilirsiniz.<\/span><\/p><p class=\"p4\"><span class=\"s1\"><b>Radyoaktif \u0130yot Tedavisi Nas\u0131l Uygulan\u0131r?<\/b><\/span><\/p><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. <\/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><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. <\/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><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. <\/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><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. <\/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><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. <\/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><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><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><p class=\"p15\"><span class=\"s2\"><b>TAEK Taraf\u0131ndan RA\u0130 (I-131) Uygulanm\u0131\u015f Hastalar \u0130\u00e7in \u00d6nerilen K\u0131s\u0131tlamalar<\/b><\/span><\/p><p>[\/et_pb_accordion_item][\/et_pb_accordion][et_pb_code _builder_version=\"4.4.8\"][\/et_pb_code][et_pb_button button_url=\"@ET-DC@eyJkeW5hbWljIjp0cnVlLCJjb250ZW50IjoicG9zdF9saW5rX3VybF9wYWdlIiwic2V0dGluZ3MiOnsicG9zdF9pZCI6IjE2NjUifX0=@\" button_text=\"DIAGNOSIS: I-131 Whole Body Scanning Scintigraphy - Click for detailed information.\" _builder_version=\"4.4.8\" _dynamic_attributes=\"button_url\" hover_enabled=\"0\"][\/et_pb_button][et_pb_button button_url=\"@ET-DC@eyJkeW5hbWljIjp0cnVlLCJjb250ZW50IjoicG9zdF9saW5rX3VybF9wYWdlIiwic2V0dGluZ3MiOnsicG9zdF9pZCI6IjE2NjYifX0=@\" button_text=\"TREATMENT: RADIOACTIVE IODINE TREATMENT - Click for detailed information.\" _builder_version=\"4.4.8\" _dynamic_attributes=\"button_url\" hover_enabled=\"0\"][\/et_pb_button][\/et_pb_column][\/et_pb_row][\/et_pb_section]<\/p>","_et_gb_content_width":"","footnotes":""},"class_list":["post-2422","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>Thyroid Cancer - Prof 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\/prof\/en\/thyroid-cancer\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Thyroid Cancer - Prof intheranostics\" \/>\n<meta property=\"og:description\" content=\"[et_pb_section fb_built=&#8221;1&#8243; 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