1fy07h 发表于 2024-6-21 13:41:42

甲状腺手术全切除对病人有什么影响?


    <div style="color: black; text-align: left; margin-bottom: 10px;"><img src="https://pic4.zhimg.com/80/v2-2c0415447bd1db8a339279bed4e63997_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;">甲状腺<span style="color: black;">疾患</span>中,<span style="color: black;">针对</span><span style="color: black;">哪些</span>是甲状腺癌<span style="color: black;">或</span>是良性甲状腺结节比<span style="color: black;">很强</span>压迫气管、影响吞咽的病人,<span style="color: black;">咱们</span><span style="color: black;">通常</span>会<span style="color: black;">选取</span>手术切除甲状腺,把病灶切除以防止<span style="color: black;">疾患</span>的恶化或复发、转移。</p>
    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">手术切除甲状腺,又有手术半切除和全切除之分,这<span style="color: black;">重点</span><span style="color: black;">按照</span>病情确定。半切除能够让病人<span style="color: black;">保存</span>部分甲状腺组织,维持<span style="color: black;">必定</span>的甲状腺功能。而手术全切除在<span style="color: black;">必定</span>程度上<span style="color: black;">能够</span>减少<span style="color: black;">疾患</span>的复发,<span style="color: black;">然则</span>这类病人<span style="color: black;">通常</span><span style="color: black;">必须</span>在手术后终生服药。当然手术全切除并不<span style="color: black;">必定</span>能够完全杜绝<span style="color: black;">疾患</span>的复发,临床上我有甲状腺癌病人进行手术全切除后<span style="color: black;">显现</span>复发的<span style="color: black;">状况</span>。</p>
    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">针对</span><span style="color: black;">有些</span>甲状腺<span style="color: black;">疾患</span>,把甲状腺切除后,病人可<span style="color: black;">显现</span>以下症状表现:</p>
    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">从甲状腺<span style="color: black;">自己</span>层面<span style="color: black;">来讲</span>,把甲状腺全切除了,<span style="color: black;">一般</span><span style="color: black;">状况</span>下在机体和精神上的症状会表现为怕冷,发凉,<span style="color: black;">办事</span>很容易疲劳、乏力或没精神等。</p>
    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">从甲状腺<span style="color: black;">周边</span>组织器官的层面<span style="color: black;">来讲</span>,甲状腺<span style="color: black;">周边</span>有甲状旁腺、喉返神经等组织器官。甲状旁腺在人体中<span style="color: black;">重点</span>起调节钙代谢,维持血钙平衡的功能。<span style="color: black;">倘若</span>手术切除甲状腺时对邻近的甲状旁腺<span style="color: black;">导致</span>比<span style="color: black;">很强</span>的影响,<span style="color: black;">引起</span>甲状旁腺功能低下,会使甲状旁腺分泌的激素不足,从而<span style="color: black;">导致</span><span style="color: black;">身体</span>血钙下降,表现为手麻、脚麻或脸部麻痹等症状,<span style="color: black;">乃至</span>严重者会<span style="color: black;">显现</span>抽搐。<span style="color: black;">况且</span>当时间久了还会<span style="color: black;">导致</span>骨质疏松。</p>
    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">另外</span>,甲状腺<span style="color: black;">周边</span>的喉返神经<span style="color: black;">重点</span>与声带活动<span style="color: black;">相关</span>,当甲状腺切除手术影响到喉返神经时,可<span style="color: black;">引起</span>声带活动<span style="color: black;">欠好</span>,<span style="color: black;">导致</span>声音嘶哑等症状严重时,<span style="color: black;">引起</span>两边喉返神经均有<span style="color: black;">损害</span>,还可能<span style="color: black;">导致</span><span style="color: black;">呼气</span>困难等症状。</p>
    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">因此</span>甲状腺全切除后<span style="color: black;">必须</span>进行<span style="color: black;">药品</span>的替代治疗,额外<span style="color: black;">弥补</span>甲状腺激素,如<span style="color: black;">吃下</span>甲状腺素片或左甲状腺素片,甲状腺全切除术后<span style="color: black;">弥补</span>甲状腺素片的另一个目的是TSH(促甲状腺激素)<span style="color: black;">控制</span>治疗,减少甲状腺癌的复发机会。</p>




4zhvml8 发表于 2024-9-9 21:30:08

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