Thyroid gland, has important effects on metabolism of thyroid hormones are secreted. These hormones speed metabolism of all cells in a manner that operating speed is set. Thyroid gland diseases as functional and structural is divided into two main groups. In both groups many and various types of thyroid disease is found.
One of the treatment method in thyroid gland surgery diseases. However, the appropriate patient and surgical options can be made at the appropriate time and the accumulation of information, reducing the possibility of side effects of surgery and requires special skills and experience. Anadolu Health Center (ASM) General Surgery Specialist Prof. Dr. Text Çakmakçı, answered questions about thyroid surgery.
Surgery, which is applied to thyroid patients?
Surgical treatment of thyroid disease, primarily discussed with patients to three groups; the first group, the thyroid cancer by fine-needle biopsy has been proven, or made by the pathologist biopsy suspicious for cancer have been evaluated as patients to create.
The second group, the size of because of pressure symptoms or cosmetic problem "nodules" that patients have. Cancer and therefore follow that decision show the diameter of the nodules in patients with Nodule growth going to cause us to order the surgery.
The third group, the thyroid gland produces too much hormone to create hipertiroidi patients. Drug in patients with this condition Hipertiroidisi or can not be treated with radioactive iodine or treatment after the surgery in these patients suggest they have hipertiroidi again. Moreover, side effects of drugs and radioactive iodine treatment or pregnancy occurred in patients, such as the application of this treatment in patients to become the primary surgical treatment.
What shape is determined by the treatment of patients Hipertiroidi?
Hipertroidi patients drugs, such as radioactive iodine and surgery can be treated with the three options. Drugs reduce the operating speed of the thyroid gland to produce thyroid hormone functions be printed as the second option is radioactive iodine by the thyroid gland hormone producing cells of the structures damaged tissue volume is reduced. A large part in the surgery of the thyroid gland, or by removing the entire thyroid hormone used to produce more tissue and therefore not leave the patient can be treated. For each patient, the decision to choose which treatment option is being given the patient's age, gender, the treatment of previously seen, such as pro diseases and imaging findings of ultrasonography and scintigraphy should be evaluated carefully.
Patient wants to have a baby how to choose a treatment method?
Patients want to have a birth and the baby is at the age of radioactive iodine treatment can not. Such a drug therapy or surgical treatment in patients apply.
As a result of drug treatment are likely to be recurrence of disease or is it?
Drug treatment in patients with primary Hipertiroidi we cut the medication after the biggest challenge to recurrence of disease. This recurrence many patients are seen within the first year after cutting drug. By the end of the year in fifth out of five of the patients, but can stay in normal. Moreover, because of side effects and many patients are unable to use medication to life depends on the drug side effects after surgery are to improve.
How the surgery is a process?
Basic principles of operation of the hormones produced Hipertiroidi of the thyroid gland volume reduction. In this way, a majority of patients after surgery for thyroid function is back to normal. However, a small part in this treatment hipertroidi nüksedebiliyor and can cause problems. Thyroid tissue is left behind in case produce enough hormones can occur hipotiroidi. But this complication is extremely low and is possible to control the drugs do not cause problems.
Increased experience and new energy sources, especially in the current technological developments further surgery hipertiroidi make safe as can be had. In recent years, the likelihood of recurrence in this case, reset the "total tiroidektomi say we remove the entire thyroid gland surgery have made more is preferred.
What is the frequency of thyroid nodüllerinin see?
In the thyroid gland in the community as 10 percent indicate the frequency of nodule is found. This figure even higher configuration of post-mortem studies show.
Means all nodüllerinin thyroid cancer?
Of cancer of the thyroid nodules that are seen frequently seen as a rare disease. So all of this cancer nodule is determined not to think even a large portion opposite the nodules must be accepted that good-natured.
All you need surgery for thyroid Nodule?
For each nodule identified in thyroid gland surgery is not required to be taken seriously all the nodules should be evaluated. How to approach the patient nodülüne decision, to close, history, examination findings and imaging results should be given to the evaluation. Basic non-clinical and radiological risk as small as 1 cm from 1 cm above the nodules were monitored entering the risk group or fine needle aspiration biopsy of nodules in patients is recommended. Cytology in the so-called science and interventional radiology in the accumulation of the cells to increase, clinicians needle biopsy failed to use the option more. As a result of needle biopsy of the suspect or the pathologist reported that the cancer patients in which surgery is Nodule. Thyroid cancer and all cancers today as in the surgical treatment can be effective in one of several cancer types.
Does a good-natured nodules in surgical practice?
Has been known as a good-natured, and continues to grow well if the nodule is greater, in patients with swallowing difficulties, such as to cause pain or if the patient is disturbed by plastic surgery to these patients also. However, patients with large and numerous the surgery can Nodule. Thyroid cancer and to remove the entire thyroid gland in patients hipertiroidi the good-natured that he would rather believe you are more limited surgery in patients have occurred. Large nodule, thyroid gland which is located on that part is completely removed. On the other side of the patient will need later in life can produce thyroid hormones are trying to leave a solid thyroid tissue. If necessary during surgery for a pathological examination done fast and the other into what we decide to do during the surgery.
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Desiccated thyroid supplements seem to be helping me much more than the synthetic that doctors prescribed for me a number of years ago. They are also reasonable. I am almost 60 and can work for long hours because of these thyroid boosting supplements I take.
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