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Бумрунград — это многопрофильный госпиталь в Бангкоке (Таиланд). Специалисты медицинского центра занимаются лечением рака, заболеваний опорно-двигательного аппарата, сердечно-сосудистой системы, позвоночника.
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неинвазивная терапия лечит гиперактивную щитовидную железу с помощью радиоактивного йода для снижения функции железы.
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Higher-dose cancer ablation may need brief isolation."},"diagnostic_duration_minutes":null,"diagnostic_preparation":null,"diagnostic_referral_needed":null,"diagnostic_result_time_hours":null,"exercise_resume_weeks":{"min":0,"max":1,"unit":"weeks","qualifier":"Light daily activity resumes within 0-1 weeks; avoid crowded gyms and pools during precautions."},"final_result_months":{"min":1,"max":6,"unit":"months","qualifier":"Hormone levels fall over 1-6 months; full effect and hypothyroidism assessment by 6 months."},"fly_home_after_days":{"min":2,"max":4,"unit":"days","qualifier":"After dosing and radiation-safety counseling; airport radiation detectors may trigger for weeks, so carry a clinic letter."},"follow_up_visits":[{"purpose":"result_review","requirement":"routine","after":{"min":28,"max":56,"unit":"days","qualifier":"First thyroid function blood tests about 4-8 weeks after treatment."}},{"purpose":"assessment","requirement":"routine","after":{"min":90,"max":180,"unit":"days","qualifier":"Repeat thyroid function at 90-180 days; decide on replacement or repeat treatment."}}],"indications":["Hyperthyroidism due to Graves disease","Toxic adenoma or toxic multinodular goiter","Remnant ablation after thyroidectomy for differentiated thyroid cancer (higher dose)","Recurrent hyperthyroidism after antithyroid drugs"],"main_risks":["Hypothyroidism requiring lifelong hormone replacement (common)","Transient worsening of hyperthyroid symptoms or rarely thyroid storm","Neck tenderness or radiation thyroiditis","Salivary gland discomfort or dry mouth, taste change","Worsening or new Graves orbitopathy","Nausea"],"pain":"Treatment itself is painless (swallowing a capsule or liquid). Mild neck tenderness or sore throat may occur for a few days.","preparation":["Confirm diagnosis with thyroid function tests and often uptake scan","Pregnancy test for women of childbearing age; stop breastfeeding","Clinician-directed low-iodine diet for a period before treatment","Avoid iodine-containing contrast and supplements","Review antithyroid drugs and thyroid hormone withdrawal or stimulation plan","Counseling on radiation-safety precautions at home and contraception"],"recovery_timeline":[{"phase":"Day 0-7","description":"Swallow radioiodine; most is excreted in urine, saliva and sweat. Follow radiation-safety precautions.","restrictions":["Limit close contact with children and pregnant women","Sleep separately and keep distance as advised","Hydrate, flush toilet twice, wash hands, avoid sharing utensils"]},{"phase":"Weeks 1-4","description":"Symptoms may transiently fluctuate; precautions relax according to dose and local rules.","restrictions":["Follow clinic advice on remaining contact limits"]},{"phase":"Weeks 4-24","description":"Thyroid hormone levels fall; monitoring for hypothyroidism and need for replacement.","restrictions":["Avoid pregnancy for the period advised by the clinician"]}],"rehabilitation_days":{"min":1,"max":7,"unit":"days","qualifier":"Functional recovery takes 1-7 days; radiation-safety precautions are the main limit early on."},"result_longevity":"Often permanent control of hyperthyroidism, usually with resulting hypothyroidism that needs lifelong thyroid hormone replacement; a minority need repeat treatment.","revision_rate_pct":{"min":10,"max":25,"unit":"percent","qualifier":"10-25% need repeat radioiodine dose for persistent hyperthyroidism; higher with large glands or lower doses."},"scars":"None; oral treatment involves no incision.","sessions_or_stages":{"sessions":{"min":1,"max":1,"unit":"visits","qualifier":"Typically a single oral dose for hyperthyroidism; a repeat dose is occasionally needed if the condition persists."},"stages":[{"code":"radioiodine_dose","label":"Oral radioiodine administration","after":{"min":0,"max":0,"unit":"days","qualifier":"Given on the day of treatment."}}],"qualifier":"Base protocol for adult hyperthyroidism; thyroid cancer protocols differ."},"success":{"metric":"Hyperthyroidism controlled after single radioiodine dose","value":75,"unit":"percent","horizon":"6 months","population":"Adults with Graves disease or toxic nodular goiter, single fixed or calculated dose","evidence_status":"limited"},"techniques":[{"name":"Fixed-dose oral radioiodine (I-131) for hyperthyroidism","suits_whom":"Most adults with Graves disease or toxic nodular disease","recovery":"Outpatient; return to usual activity within days with precautions."},{"name":"Calculated-dose (uptake-based) radioiodine","suits_whom":"Patients where dose individualization by gland size and uptake is preferred","recovery":"Similar to fixed dose."},{"name":"High-activity radioiodine ablation for thyroid cancer","suits_whom":"Selected post-thyroidectomy differentiated thyroid cancer patients","recovery":"May need short isolation and longer precautions."}],"treatment_conditions":["outpatient"],"treatment_duration_hours":{"min":0.5,"max":2,"unit":"hours","qualifier":"Per single-dose visit for hyperthyroidism, including check-in and counseling; swallowing the dose takes minutes."},"initial_assessment_documents":["Recent thyroid function blood tests","Thyroid uptake scan report","Thyroid ultrasound report","Fine-needle biopsy report","List of antithyroid drugs and doses","Eye assessment report"],"travel_trips":{"min":1,"max":1,"one_trip_possible":true,"qualifier":"Single oral dose; stay 2-4 days for assessment, dosing and radiation precautions. 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