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可以放心了!不会影响生育和宝宝│碘-131治疗

发布时间:2017-04-27
    
        
            
                
                    
                        

                            随着生活节奏的加快,紧张压力,过度的精神负荷以及人们赖以生存的生活环境的污染,导致甲状腺机能亢进(甲亢)及甲状腺癌的发病率逐年增高,越来越受到医学界及大众群体的广泛关注。                         

                        

                                                      

                        

                            甲状腺能高度选择性摄取和浓聚碘-131,碘-131在甲状腺内衰变发射的B射线对甲状腺发挥内照射治疗作用,临床上常用于治疗甲亢及甲状腺癌,由于碘-131治疗甲状腺疾病具有简便易行副作用小疗效好不易复发的特点,因此采用碘-131治疗甲亢及甲状腺癌的患者也在逐年增多。                         

                        

                                                      

                        

                            尽管这样,身边仍旧有很多人因为担心碘-131治疗对生育和后代有不良的影响,不愿意接受碘-131治疗。                         

                        

                                                      

                        

                            其实这种担心大可不必。                         

                        

                                                      

                    
                
            
        
    
    
        
                      
        
            
                

                    生殖器官没有浓聚碘-131的能力                 

            
            
                
                    
                        
                            

                                无论是男性还是女性,其生殖器官均无浓聚碘-131的能力,仅仅在碘-131的吸收、代谢和排泄过程中对生殖器官有一过性照射,因此治疗量的碘-131对男女生殖器官影响很小。                             

                            

                                                              

                            

                                大量的研究数据表明:接受碘-131治疗的患者其生育力不受影响,死胎、早产儿及后代先天畸形的发生率未见增加,不育症的发生率也与正常人群无显著性差异。                             

                            

                                                              

                            

                                相反,因甲亢引起内分泌紊乱而造成不育的病人,经碘-131治疗后随着甲亢的好转而恢复了生育能力。                             

                        
                    
                
                
                    
                        
                                                      
                        
                            
                                

                                    甲亢碘-131治疗后6个月考虑生育计划是完全安全的                                  

                            
                            
                                
                                    
                                        
                                            

                                                尽管碘-131治疗量的放射损伤不会降低患者的生育能力,但考虑到电离辐射的远期效应与遗传效应,为了保障下一代和隔代子女的健康,将妊娠期列为碘-131治疗的禁忌证是很有必要的。                                             

                                            

                                                                                              

                                            

                                                由于治疗后3个月体内放射性已降到本底以下,故甲亢碘-131治疗后6个月考虑生育计划是完全安全的。                                             

                                            

                                                                                              

                                            

                                                特别需要体醒生育期的甲亢患者,由于采用内科抗甲状腺药物治疗疗程长达1.5-2年,停药后复发率高,治疗期间受孕会影响胎儿的健康。                                             

                                            

                                                                                              

                                            

                                                所以,建议短期内急于要宝宝的甲亢患者更适合采用甲亢碘-131治疗,半年后就可以放心考虑生育啦。
                                                
                                                原文转载:http://mp.weixin.qq.com/s?__biz=MzA5OTQ1NDMyNg==&mid=2651598278&idx=1&sn=41bcd5f3e1608b4f868ea51e79d5d829&chksm=8b7a91dfbc0d18c94928d3aba6137bc0f45dfe99bb5e1a464baeb0e9586b59f0441c52091c31&mpshare=1&scene=23&srcid=0427SGJbVGd1gnc6LnpjGszB#rd
                                                                                              

                                            

                                                                                              

                                        
                                    
                                
                            
                        
                    
                
                
                    
                        
                                                      
                    
                
            
        
    
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