1

. .

(Thyrotoxicosis)

(Hyperthyroidism)

(Graves disease)

40

(relapse)

(hypothyroidism)

10 - 15

2

1)

2)




TSH
T3 T4

TSH

T3 T4 T3

(T3 toxicosis)

(hyperactive)

(apathy)

(heart failure)

(arrhythmia)





(apathetic thyrotoxicosis)

(gene)





2

1.

(ablation treatment)




131
( I)
2.

(Non-ablation

treatment)

1) 2

1
.

.
2

2)

T4 T3

1)

propylthiouracil (PTU) methimazole (MMI)

2)

(Radioactive iodine,

131

I)

I






(ionization)

131
I


131
I
131

I

131
131
I I


131
I


131

131
I

(subtotal thyroidectomy)

(subtotal resection with contralateral hemithyroidectomy)

(total thyroidectomy)




3

1.

20-50

2.

30

3.

4.
3-4

4.

()

5.

6.

PTU

PTU

131
I
1.

(Toxic multinodular

goiter)

(nodule)

(autonomous)





(cold nodule)


2. (Toxic adenoma)

(autonomous functioning
thyroid nodule, AFTN) TSH


(subclinical thyrotoxicosis)

1.

131

2.
3.

Graves ophthalmopathy
I

radioactive iodine uptake (RAI-U)
131

4.

131

131
( I)

10

Thionamides

131
I

recurrent

Large
TMNG

laryngeal nerve

1.

131

(Toxic

multinodular
goiter) low
RAI uptake

11

I


131

(radiation

thyroiditis) 10 -14

131

4 - 6

131

5-7
thyroperoxidase

I 3


131

I

131

I

131

2.

131

3.

131

I

131

12

(thyroid uptake of radioiodine,

RAI-U)

THYROID UPTAKE OF RADIOIODINE (RAI-U)

RAI-U

131

131

3 4 24

I

131
I

131

131

131

I (mCi)

ci (desired

dosage)/gxgland weight (g) x 100

131

I (desired dosage) 100 Ci

131

13

1.

2.

2 2

3.
2

4.
2 (6 )
2

5. 3

6.
7

1.

131

(Radiation thyroiditis)

(thyroid storm)

10-14




131
5-7 I
2.

(Hypothyroidism) 2

131

131

20-64

3-5

14

131

131

131

131

I inorganic iodine

(
organic iodine )

131

I 10 mCi

0.81 . ( 150 . )

.. 2485

131

131

131

131

gonad 3 rad

barium enema

hysterosalpingography

15

I 60

131