The treatment of Goiter (large neck disease)

Most of nodular goiter without surgery, as long as the oral eating and iodine in the diet to eat food, can be a good control of their continued development. But there are several conditions required surgical treatment as soon as possible.

Nodular goiter with hyperthyroidism may be secondary to

Oil Field General Hospital, General Surgery, Jiao Chun-yu, deputy director, said, nodular goiter, if not control, infinite harm.

A, nodules gradually increased not only the beautiful things, but also oppression surrounding tissue, such as the trachea, esophagus, nerves and so on.

Second, disease control is not good, could be secondary to hyperthyroidism, appeared flustered Heat intolerance, sweating, increased appetite, weight loss, neck thick, Popeye and other symptoms of hyperthyroidism. Suffering from hyperthyroidism, people become irritable personality, but also sudden paralysis, or even heart failure.

Third, there is a certain degree of cancer risk. Nodular goiter is a benign disease, but a single nodules, but also multiple nodules. Number of nodules compared with a high incidence of a single nodule, but a single nodule with a number of nodules compared to the higher cancer risk, cancer risk of 3%. Nodular goiter single men were more likely malignant, up to 10%.

Most people eat oral medication can be

At present, in the treatment of nodular goiter in some patients, there is a misunderstanding: We have found themselves suffering from nodular goiter, they worry surgery or get rid of it. Jiao Chun-yu said that most patients with nodular goiter, thyroid normal, does not affect the work and life, so do not need surgery, was prescribed oral thyroxine tablets. Thyroxine tablets is best to get up in the morning after the fasting dose, half-hour after meals. Thyroxine tablets should be avoided, together with the stomach to take, and the recovered basis should not be long-term use.

In the diet, the more intake of thyroid hormone secretion and synthesis of raw materials, namely, iodine-rich foods, such as kelp, jellyfish, seaweed and other marine products, will fill the shortage of thyroid hormones to prevent disease continued to develop.

In addition, 3-month review of a B-and thyroxine, if the nodules disappeared or become smaller, semi-annual review once again. Once every year after the review. If the nodules changed little review once every six months or a year. Here to remind the disease in patients with secondary hyperthyroidism should not eat kelp, seaweed, fish and other seafood, and have tried to use non-iodized salt.

5 kinds of situation must be surgery

Under what circumstances should surgical treatment of nodular goiter? Oil Field General Hospital, said Liang Chunlin, deputy director of general surgery, there are five situations where the need for early surgery:

First, in patients with nodular goiter, because this illness is not good, secondary hyperthyroidism, should be operative as soon as possible.

2, nodules grown very large, for example, has grow to the size of eggs, thus affecting the appearance. Or nodules grow to 2 ~ 3 cm above, oppression of the trachea or esophagus, breathing difficulties, swallowing difficulties.

Third, the rapid growth of short-term thyroid nodules, feeling the hard, or nodules fixed and there is lymph node swelling, suspected to have cancer of the possibility of surgery as soon as possible.

4, single nodule is a solid cold nodules, cancer risk of large, should be operative as soon as possible.

5, there is a family history of thyroid cancer, radiation therapy or a history of neck too far people.

No scars of the human neck surgery

It is understood that the traditional surgical treatment caused by knife-edge in length, will leave a scar. And using electric knife may burn the surrounding tissue, resulting in the rise of rotor problems, local pain, etc., and sustainable for six months or longer, has brought great suffering to the patients. Liang Chunlin said that the current removal of thyroid nodules, you can use minimally invasive surgery, namely, "endoscopic thyroidectomy" and will not burn the surrounding tissue, the damage is very small operation time was 60 to 90 minutes, after 2 ~ 3 days the patient you can freely rise, turned around, no voice change, usually discharged from hospital 4 days, 7 days to resume normal work and life. Incision hidden inside the patient's areola. Department does not keep the neck scar. The technology is currently the leading domestic level, has as a routine thyroid surgery.