lbk60ox 发表于 2024-6-19 20:21:56

甲状腺结节4a/4b必要手术切除吗？


    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">非常多</span>甲状腺结节<span style="color: black;">病人</span>拿到自己的<span style="color: black;">检测</span>报告就犯了愁了：</p>
    <div style="color: black; text-align: left; margin-bottom: 10px;"><img src="https://pic1.zhimg.com/80/v2-4a37468c19d17ddfef385b13b80c7730_720w.webp" style="width: 50%; margin-bottom: 20px;"></div>
    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">“上次<span style="color: black;">检测</span>还是2类，这才隔了不到1年怎么变成3类了??”</p>
    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">“我的甲状腺结节<span style="color: black;">已然</span>4a了，怎么办?”</p>
    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">“完了，我的结节<span style="color: black;">已然</span>4b了，<span style="color: black;">是否</span><span style="color: black;">已然</span>癌变了啊?</p>
    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">癌症啊，怎么办？？保命要紧，赶紧切了吧!</p>
    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">于是，切掉甲状腺的二分之一<span style="color: black;">或</span>四分之三，<span style="color: black;">乃至</span>全切</p>
    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">那甲状腺术后结果怎么样呢?</p>
    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">1.甲减，<span style="color: black;">必须</span>终身<span style="color: black;">吃下</span>优甲乐</p>
    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">一个正常、完整的甲状腺分泌的甲状腺激素，正好供给一个人的身体所需，当你的甲状腺少了一部分结果可想而知，自然是甲状腺激素不足，<span style="color: black;">引起</span>甲减，<span style="color: black;">况且</span>是终身的，<span style="color: black;">没</span>法治愈。</p>
    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">2.手术并发症，或多或少<span style="color: black;">没</span>法避免</p>
    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">a.手术后<span style="color: black;">流血</span></p>
    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">b.<span style="color: black;">呼气</span>困难<span style="color: black;">或</span>窒息</p>
    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">c.手术切口<span style="color: black;">周边</span><span style="color: black;">显现</span>水肿</p>
    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">d.吞咽<span style="color: black;">食品</span>有牵拉感、咳嗽</p>
    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">e.手脚发麻</p>
    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">f.声音的嘶哑</p>
    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">h.<span style="color: black;">呼气</span>道感染</p>
    <div style="color: black; text-align: left; margin-bottom: 10px;"><img src="https://pic4.zhimg.com/80/v2-42484d1f3a13bcb0a8e8a0d34f93d917_720w.webp" style="width: 50%; margin-bottom: 20px;"></div>
    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">术后这么头疼，到底要怎么办?</p>
    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">首要</span><span style="color: black;">咱们</span>先要<span style="color: black;">晓得</span>甲状腺结节3类、4a、4b<span style="color: black;">必定</span><span style="color: black;">便是</span>癌症吗?</p>
    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">答案：不<span style="color: black;">必定</span>，只能说<span style="color: black;">可疑</span>是甲状腺癌。</p>
    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">对<span style="color: black;">病人</span><span style="color: black;">来讲</span>这种不确定太吓人了，要么是癌症，要么不是癌症，这不确定的怎么能安心呢?于是<span style="color: black;">起始</span>坐立不安了，多方打听、上网查<span style="color: black;">各样</span>各样的治疗方案。</p>
    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">我<span style="color: black;">意见</span><span style="color: black;">病人</span>在确诊甲状腺结节后先不要着急手术切除，即便是确诊为甲状腺癌了，<span style="color: black;">能够</span>先保守治疗。当然你<span style="color: black;">不消</span>担心保守治疗<span style="color: black;">时期</span>病情恶化，危及生命，<span style="color: black;">由于</span>这个病的发展程度很慢，<span style="color: black;">针对</span>自己的健康<span style="color: black;">结果</span>不会带来任何影响，<span style="color: black;">或</span>说利大于<span style="color: black;">坏处</span>。</p>
    <div style="color: black; text-align: left; margin-bottom: 10px;"><img src="https://pic4.zhimg.com/80/v2-33ced594d4bf59ce0b724776129e168f_720w.webp" style="width: 50%; margin-bottom: 20px;"></div>
    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">什么样的甲癌<span style="color: black;">病人</span>适合保守治疗?</p>
    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">1. <span style="color: black;">无</span><span style="color: black;">出现</span>局部侵袭、<span style="color: black;">无</span>可疑的淋巴结转移;</p>
    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">2. 没有呈高级别的癌细胞证据;</p>
    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">3. 有严重的<span style="color: black;">基本</span>性<span style="color: black;">疾患</span>，本身就<span style="color: black;">没</span>法耐受手术;</p>
    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">满足<span style="color: black;">以上</span>几个<span style="color: black;">前提</span>，则<span style="color: black;">能够</span>保守治疗、密切观察。</p>
    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">3类 4a 4b严重的结节该<span style="color: black;">怎样</span>治疗?</p>
    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">非常多</span>甲状腺结节比较严重的<span style="color: black;">病人</span>来就诊时，关心最多的是：我这甲状腺结节该<span style="color: black;">不应</span>都给切了?<span style="color: black;">是否</span>完全切除了就能防止复发呢?</p>
    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">“这可不是”，<span style="color: black;">大夫</span>介绍，甲状腺结节的复发<span style="color: black;">原由</span><span style="color: black;">非常多</span>，<span style="color: black;">倘若</span>一味强调全甲状腺切除并不见得就能把所有问题<span style="color: black;">处理</span>。“甲状腺结节要注重根治加功能的有机结合，即做到在根治前提下的功能<span style="color: black;">保存</span>。”手术切除，眼下的问题虽然是<span style="color: black;">处理</span>了，<span style="color: black;">然则</span>甲状腺功能没了，随之而来的其他问题让<span style="color: black;">病人</span><span style="color: black;">更加是</span>头疼。</p>
    <div style="color: black; text-align: left; margin-bottom: 10px;"><img src="https://pic3.zhimg.com/80/v2-4f031d471d62f568e9b0f58018f70c66_720w.webp" style="width: 50%; margin-bottom: 20px;"></div>
    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">做好几件小事能预防甲状腺结节</p>
    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">其实<span style="color: black;">非常多</span><span style="color: black;">疾患</span><span style="color: black;">不可</span>单单仅依靠<span style="color: black;">药品</span>的治疗，生活中<span style="color: black;">有些</span>细小问题的<span style="color: black;">重视</span>，<span style="color: black;">亦</span>能<span style="color: black;">帮忙</span><span style="color: black;">咱们</span>防止甲状腺结节癌变，加快甲状腺结节的<span style="color: black;">恢复</span>。</p>
    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">1、远离辐射;</p>
    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">2、青春期、更年期、妊娠期的女性，<span style="color: black;">定时</span>复查激素6项，<span style="color: black;">重视</span><span style="color: black;">自己</span>的雌激素水平;</p>
    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">3、甲状腺结节<span style="color: black;">病人</span>做到半年或一年<span style="color: black;">定时</span>复查;</p>
    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">4、规律<span style="color: black;">膳食</span>，营养<span style="color: black;">平衡</span>，避免刺激性<span style="color: black;">膳食</span>;</p>
    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">5、不要熬夜，保持良好的心情;</p>
    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">7、适当的<span style="color: black;">每日</span>做<span style="color: black;">有些</span>运动，强度不宜太大;</p>
    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">8、多吃<span style="color: black;">有些</span>对消肿散结有<span style="color: black;">帮忙</span>的<span style="color: black;">食品</span>，如醋、蒲公英、马齿苋、丝瓜等。</p>




wrjc1hod 发表于 2024-10-13 03:06:07

楼主果然英明！不得不赞美你一下！

j8typz 发表于 2024-10-13 09:38:27

楼主的文章非常有意义，提升了我的知识水平。

4lqedz 发表于 2024-10-29 14:05:51

感谢你的精彩评论，带给我新的思考角度。

7wu1wm0 发表于 2024-11-10 11:25:54

认真阅读了楼主的帖子，非常有益。

4zhvml8 发表于 6 小时前

“NB”（牛×的缩写，表示叹为观止）‌
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