Counseling

Done by: Fatma Al Gafri

Sr. Medical Physicist

Royal Hospital

Sultanate of Oman

Thyroid Gland The thyroid is a gland of the endocrine

(secrete hormones directly into the blood without channel).

There is a small gland at the front of the neck surrounding the larynx and trachea.

Pass from behind the thyroid nerve which is very important responsible for the movement of the vocal cords in the larynx, so one injury in the thyroid gland eradication process may lead to a severe change in sound and wounding both may lead to an inability to speak.

Disease of Thyroid Gland

االورام النشاط قصور

النشاط فرط

ThyrotoxicTumor Hypothyroidism

Symptoms of hyperthyroidism hyperthyroid

Fatigue and difficulty sleeping

Lost weight

sweating

Pain and weakness of the

joints

Nervous and

aggressive

Quivering

Diarrhea

Before treatment Thyrotoxic

• Stop Carbimazol ( 3 days before treatment) • Low iodine diet ( 2 weeks before treatment).• Stop doing CT scan ( 2 month before treatment).• For women's:

– Should not be pregnant. – Stop breast feeding before treatment

( 2 months before treatments )

Low Iodine Diet

Allowed

• Fruits & vegetables• Food without salt• White part of eggs• Nuts ( beans)

Not Allowed

• Sea Food• Iodized Salt• Milk + yogurt + cheese• yolk• pickle• Medications that contain

iodine• Herbal Remedies + henna

During radioiodine therapy Thyrotoxic

Blood Test)Sunday (

I-131 Capsule555 MBq

)Monday (

No body Scan

I-131 Capsule

After treatment1. On the way back to the house you should sit in

the back seat (on the right).2. Use the special dishes and spoons or plastic

dishes you can get rid of them after a meal.3. Drink water frequently and eat sweets and acidic

juices.4. sleep alone in bed and avoid personal contact.5. Avoid going to crowded places for a long time

(banquets, weddings, markets and cinema).6. On breastfeeding women stop breastfeeding

categorically to this child.7. Bathed daily (at least twice) and wash your

hands frequently.8. Use a private toilet and drag Siphon more than

once and no pollution ground water cycle with criticism and others.

9. Wash your clothes individually.10. Do Not approach the children and pregnant

women.11. Obligatory for men and women healers

radioactive iodine use of contraceptives for 6 months after taking the dose.

THANK YOU!شكرا

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Symptoms of hypothyroidism Activity

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Thyroid Gland Tumor

Therapy

Stop ThyroxinOn Thyrogen

Diagnostic

• Using Dose of 185 MBq.

Back

Therapy

• Using Dose of:– 3.7 GBq– 5.5 GBq– 7.4 GBq

Back

Before treatment off thyroxin

• Thyroxin pills stop for 3-4 weeks before treatment

• Commitment to low iodine diet for two weeks before treatment

• Refraining from doing tests include colored material (X-ray computed tomography: colored rays of the arteries) for two months before treatment.

• For women:– Women must not be pregnant.– stop breastfeeding a month ago or two months of treatment

Low Iodine Diet

Allowed

• Fruits & vegetables• Food without salt• White part of eggs• Nuts ( beans)

Not Allowed

• Sea Food• Iodized Salt• Milk + yogurt + cheese• yolk• pickle• Medications that contain

iodine• Herbal Remedies + henna

During the diagnostic treatment with radioactive iodine

off thyroxin

Blood Test)Sunday (

I-131 Capsule)Monday (

Whole Body Scan

)Thursday ± Sunday(

I-131 Capsule

Whole Body Scan

On the day of discharge from hospital will be subjected to a body imaging in nuclear medicine department to take Gamma-ray images of the body from different angles.

May be notified of the need to take additional pictures of the rays on another day.

After you leave the hospital you will be given some instructions that must be adhered at least within 7 days after departure.

After treatment1. On the way back to the house you should sit in

the back seat (on the right).2. Use the special dishes and spoons or plastic

dishes you can get rid of them after a meal.3. Drink water frequently and eat sweets and acidic

juices.4. sleep alone in bed and avoid personal contact.5. Avoid going to crowded places for a long time

(banquets, weddings, markets and cinema).6. On breastfeeding women stop breastfeeding

categorically to this child.7. Bathed daily (at least twice) and wash your

hands frequently.8. Use a private toilet and drag Siphon more than

once and no pollution ground water cycle with criticism and others.

9. Wash your clothes individually.10. Do Not approach the children and pregnant

women.11. Obligatory for men and women healers

radioactive iodine use of contraceptives for 6 months after taking the dose.

THANK YOU!شكرا

إلستماعكمBack to main slide

Before diagnostic treatment with radioactive iodine

on Thyrogen

• Commitment to low iodine diet for two weeks before treatment

• Refraining from doing tests include colored material (computed tomography or colored rays of the arteries) for two months before treatment.

• For women:– Women must not be pregnant.– women stop breastfeeding a month ago or two

months of treatment

Low Iodine Diet

Allowed

• Fruits & vegetables• Food without salt• White part of eggs• Nuts ( beans)

Not Allowed

• Sea Food• Iodized Salt• Milk + yogurt + cheese• yolk• pickle• Medications that contain

iodine• Herbal Remedies + henna

Through treatment on thyrogen

Blood Test + first Thyrogen injection

)Sundayا(

Second Thyrogen injection

)Monday(

Blood Test + I-131 Capsule

)Thusday(

Whole Body Scan

)Thursday + Sunday(

I-131 Capsule

Whole Body Scan

On the day of discharge from hospital will be subjected to a body imaging in nuclear medicine department to take X-ray images of the body from different angles.

May be notified of the need to take additional pictures of the rays on another day.

After you leave the hospital you will be given some instructions that must be adhered at least within 7 days after departure.

After treatment1. On the way back to the house you should sit in

the back seat (on the right).2. Use the special dishes and spoons or plastic

dishes you can get rid of them after a meal.3. Drink water frequently and eat sweets and acidic

juices.4. sleep alone in bed and avoid personal contact.5. Avoid going to crowded places for a long time

(banquets, weddings, markets and cinema).6. On breastfeeding women stop breastfeeding

categorically to this child.7. Bathed daily (at least twice) and wash your

hands frequently.8. Use a private toilet and drag Siphon more than

once and no pollution ground water cycle with criticism and others.

9. Wash your clothes individually.10. Do Not approach the children and pregnant

women.11. Obligatory for men and women healers

radioactive iodine use of contraceptives for 6 months after taking the dose.

THANK YOU!شكرا

إلستماعكمBack to main slide

Before radioactive iodine treatment

off thyroxin• Thyroxine pills stop for 3-4 weeks before

treatment• Commitment to low iodine diet for two weeks

before treatment.• Refraining from doing tests include colored

material (X-ray computed tomography: colored rays of the arteries) for two months before treatment.

• For women:– Women must not be pregnant.– stop breastfeeding a month ago or two months of

treatment

Low Iodine Diet

Allowed

• Fruits & vegetables• Food without salt• White part of eggs• Nuts ( beans)

Not Allowed

• Sea Food• Iodized Salt• Milk + yogurt + cheese• yolk• pickle• Medications that contain

iodine• Herbal Remedies + henna

During the diagnostic treatment with radioactive iodine

off thyroxin

Blood Test)Sunday (

I-131 Capsule + Administration

)Monday (

Whole Body Scan

)Thursday ± Sunday (

I-131 Capsule

isolation room

Not Allowed• No visitors are allowed to enter the patient's room (young

or old).• Please do not spit or vomit on the floor of the room

isolation room

• Red clothes• Black foods• Yellow stationery materials

+ medical waste

waste

Tools that can be brought to the patient isolation room

• And bring a toothbrush and enough toothpaste hair comb. You should throw it in the allocated bags after treatment.

• Bring slippers for wearing in the isolation room only and then throw it in the allocated bags.

• You will have the hospital clothes and towels, but if you want to use your own clothes, you can do so. Note that you can not remove them from the isolation room. (For women: Bring the head cover (Alliso)).

• Fetch sour candy that sucks during your stay to help the secretion of saliva and disposal of radiation in a shorter period.

•  Bring water and juices sour.• TV and landline phone functions that are involved in the isolation room.• If you bring your mobile phone and Laptop and iPad will need to wear gloves or

put them in a plastic bag during use.

During treatment in an isolation room

• Eat a light breakfast at 6:00 and then stopped eating and drinking.

• Taking a pill to avoid nausea, half an hour before the treatment.

• Physicist will give you a radioactive capsule under the supervision of a doctor.

• Do not eat any food after swallowing the capsule for two hours.

• Drink plenty of fluids and acidic juices.• Bathing twice a day at least twice and pull the toilet after

each use.

Whole Body Scan

On the day of discharge from hospital will be subjected to a body imaging in nuclear medicine department to take X-ray images of the body from different angles.

May be notified of the need to take additional pictures of the rays on another day.

After you leave the hospital you will be given some instructions that must be adhered at least within 7 days after departure.

After treatment1. On the way back to the house you should sit in

the back seat (on the right).2. Use the special dishes and spoons or plastic

dishes you can get rid of them after a meal.3. Drink water frequently and eat sweets and acidic

juices.4. sleep alone in bed and avoid personal contact.5. Avoid going to crowded places for a long time

(banquets, weddings, markets and cinema).6. On breastfeeding women stop breastfeeding

categorically to this child.7. Bathed daily (at least twice) and wash your

hands frequently.8. Use a private toilet and drag Siphon more than

once and no pollution ground water cycle with criticism and others.

9. Wash your clothes individually.10. Do Not approach the children and pregnant

women.11. Obligatory for men and women healers

radioactive iodine use of contraceptives for 6 months after taking the dose.

THANK YOU!شكرا

إلستماعكمBack to main slide

Before diagnostic treatment with radioactive iodine

on Thyrogen

• Commitment to low iodine diet for two weeks before treatment

• Refraining from doing tests include colored material (computed tomography or colored rays of the arteries) for two months before treatment.

• For women:– Women must not be pregnant.– women stop breastfeeding a month ago or two

months of treatment

Low Iodine Diet

Allowed

• Fruits & vegetables• Food without salt• White part of eggs• Nuts ( beans)

Not Allowed

• Sea Food• Iodized Salt• Milk + yogurt + cheese• yolk• pickle• Medications that contain

iodine• Herbal Remedies + henna

Through treatment on thyrogen

Blood Test + first Thyrogen injection

)Sunday(

Second Thyrogen injection

)Monday(

Blood Test + I-131 Capsule + Administration

)Tusday(

Whole Body Scan

)Thursday + Sunday(

I-131 Capsule

isolation room

Not Allowed• No visitors are allowed to enter the patient's room (young

or old).• Please do not spit or vomit on the floor of the room

isolation room

• Red clothes• Black foods• Yellow stationery materials

+ medical waste

waste

Tools that can be brought to the patient isolation room

• And bring a toothbrush and enough toothpaste hair comb. You should throw it in the allocated bags after treatment.

• Bring slippers for wearing in the isolation room only and then throw it in the allocated bags.

• You will have the hospital clothes and towels, but if you want to use your own clothes, you can do so. Note that you can not remove them from the isolation room. (For women: Bring the head cover (Alliso)).

• Fetch sour candy that sucks during your stay to help the secretion of saliva and disposal of radiation in a shorter period.

•  Bring water and juices sour.• TV and landline phone functions that are involved in the isolation room.• If you bring your mobile phone and Laptop and iPad will need to wear gloves or

put them in a plastic bag during use.

During treatment in an isolation room

• Eat a light breakfast at 6:00 and then stopped eating and drinking.

• Taking a pill to avoid nausea, half an hour before the treatment.

• Physicist will give you a radioactive capsule under the supervision of a doctor.

• Do not eat any food after swallowing the capsule for two hours.

• Drink plenty of fluids and acidic juices.• Bathing twice a day at least twice and pull the toilet after

each use.

Whole Body Scan

On the day of discharge from hospital will be subjected to a body imaging in nuclear medicine department to take X-ray images of the body from different angles.

May be notified of the need to take additional pictures of the rays on another day.

After you leave the hospital you will be given some instructions that must be adhered at least within 7 days after departure.

After treatment1. On the way back to the house you should sit in

the back seat (on the right).2. Use the special dishes and spoons or plastic

dishes you can get rid of them after a meal.3. Drink water frequently and eat sweets and acidic

juices.4. sleep alone in bed and avoid personal contact.5. Avoid going to crowded places for a long time

(banquets, weddings, markets and cinema).6. On breastfeeding women stop breastfeeding

categorically to this child.7. Bathed daily (at least twice) and wash your

hands frequently.8. Use a private toilet and drag Siphon more than

once and no pollution ground water cycle with criticism and others.

9. Wash your clothes individually.10. Do Not approach the children and pregnant

women.11. Obligatory for men and women healers

radioactive iodine use of contraceptives for 6 months after taking the dose.

THANK YOU!شكرا

إلستماعكمBack to main slide