219mze 发表于 2024-6-21 14:13:26

甲状腺癌术后治疗与膳食注意事项


    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><strong style="color: blue;">点击蓝字 关注<span style="color: black;">咱们</span></strong></p>
    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">First Frost</p>
    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">甲状腺癌是一种恶性甲状腺肿瘤,像其他甲状腺<span style="color: black;">疾患</span><span style="color: black;">同样</span>,它在女性中更为<span style="color: black;">平常</span>,二十年来,<span style="color: black;">全世界</span>绝大<span style="color: black;">都数</span>国家及地区的甲状腺癌发病率均呈现出爆发式增长,今天<span style="color: black;">咱们</span>就来<span style="color: black;">仔细</span><span style="color: black;">认识</span>一下甲状腺癌。</p>
    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><strong style="color: blue;">甲状腺癌是“懒癌”吗</strong></p>
    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">所说</span>的“懒癌”,并不是<span style="color: black;">疾患</span>定义,本质上<span style="color: black;">能够</span>对应<span style="color: black;">发展</span>相对缓慢、预后良好的低危型乳头状甲状腺癌。但并非所有甲状腺癌都<span style="color: black;">能够</span><span style="color: black;">做为</span>“懒癌”来对待。近年来,随着甲状腺癌主动监测理念的提出,<span style="color: black;">亦</span>是延迟手术的理念,低危型乳头状甲状腺癌可结合国内外<span style="color: black;">科研</span><span style="color: black;">报告</span>,其实<span style="color: black;">能够</span>从以下几方面进行<span style="color: black;">评定</span>。</p><img src="https://mmbiz.qpic.cn/mmbiz_png/s5nXsZlzkIAJlKH0Vzfq6dNpwZRRYibqItove6kKpRZFfxROhZXno9bWAUQrpYn6kMSrTgRhcWLQiakL6Wm97vvw/640?wx_fmt=png&amp;tp=webp&amp;wxfrom=5&amp;wx_lazy=1&amp;wx_co=1" style="width: 50%; margin-bottom: 20px;">
    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">结节<span style="color: black;">体积</span> :<span style="color: black;">日前</span>认为5毫米以下可能减少不良病理<span style="color: black;">原因</span>。</p>
    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">结节位置 :未紧贴甲状腺包膜,尤其是气管旁和背侧包膜。</p>
    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">穿刺病理 :排除高危的乳头状癌亚型、去分化癌和甲状腺髓样癌,但滤泡性癌<span style="color: black;">一般</span>难以<span style="color: black;">经过</span>术前穿刺判断。</p>
    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">转移淋巴结:<span style="color: black;">没</span>可疑淋巴结转移的<span style="color: black;">病人</span>。</p>
    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">基因事件:有<span style="color: black;">前提</span>者应<span style="color: black;">尽可能</span><span style="color: black;">经过</span>基因检测排除<span style="color: black;">各样</span>高危基因突变和融合。</p>
    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><strong style="color: blue;">延迟手术面临的问题</strong></p>
    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">1.仍有部分低危<span style="color: black;">病人</span>随访中<span style="color: black;">显现</span>肿瘤<span style="color: black;">发展</span>、淋巴结<span style="color: black;">乃至</span>远处转移,<span style="color: black;">亦</span><span style="color: black;">便是</span><span style="color: black;">实质</span>上<span style="color: black;">日前</span>仍缺乏有效手段甄别真正低危者。</p>
    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">2.延迟手术实施缺乏统一的标准化操作规范,例如<span style="color: black;">选取</span>标准、随访周期、促甲状腺素(TSH)的<span style="color: black;">掌控</span>范围以及手术<span style="color: black;">机会</span>的把握等。</p>
    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">3.延迟手术所需投入时间、精力、经济成本未必<span style="color: black;">小于</span><span style="color: black;">初期</span>手术,<span style="color: black;">病人</span><span style="color: black;">一般</span><span style="color: black;">必须</span>承担更大心理压力。</p>
    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">4.在国内医疗环境下<span style="color: black;">怎样</span>实施延迟手术,仍是临床<span style="color: black;">大夫</span>面对的挑战。</p>
    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><strong style="color: blue;">甲状腺癌的治疗<span style="color: black;">办法</span></strong></p>
    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">因为</span>传统化疗对甲状腺癌<span style="color: black;">功效</span>有限,根治性手术是绝大<span style="color: black;">都数</span>甲状腺癌最核心的治疗手段,对绝大<span style="color: black;">都数</span><span style="color: black;">病人</span><span style="color: black;">亦</span>是<span style="color: black;">独一</span>根治手段。规范化手术治疗与治疗效果密切<span style="color: black;">关联</span>。分化型甲状腺癌<span style="color: black;">包含</span>乳头状癌、滤泡状癌,<span style="color: black;">拥有</span>吸碘的功能。</p>
    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><strong style="color: blue;">甲状腺癌<span style="color: black;">病人</span>术后<span style="color: black;">必须</span><span style="color: black;">重视</span>什么</strong></p>
    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><strong style="color: blue;">颈部疤痕和不适</strong><span style="color: black;">初期</span>应保持切口<span style="color: black;">周边</span>清洁,<span style="color: black;">能够</span><span style="color: black;">运用</span>抗瘢<span style="color: black;">制品</span>并<span style="color: black;">连续</span>减少切口张力3个月。不少<span style="color: black;">病人</span>术后颈部不适<span style="color: black;">常常</span>是<span style="color: black;">因为</span>颈部深面的疤痕粘连<span style="color: black;">导致</span>,<span style="color: black;">意见</span>尽早进行适当颈部功能<span style="color: black;">熬炼</span>。</p>
    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><strong style="color: blue;">声音改变</strong>&nbsp; 甲状腺<span style="color: black;">周边</span>分布着许多<span style="color: black;">要紧</span>神经,<span style="color: black;">尤其</span>是<span style="color: black;">安排</span>声带的喉返神经和喉上神经。手术或不可避免伤及它们并<span style="color: black;">引起</span>暂时或终生性的发音<span style="color: black;">反常</span>,如声音嘶哑、失音、<span style="color: black;">摄食</span>呛咳、<span style="color: black;">乃至</span><span style="color: black;">呼气</span>困难需行气管切开。</p>
    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><strong style="color: blue;"><span style="color: black;">身体</span>激素变化</strong><span style="color: black;">都数</span><span style="color: black;">病人</span>术后<span style="color: black;">身体</span>甲状腺激素不足,<span style="color: black;">必须</span><span style="color: black;">药品</span><span style="color: black;">弥补</span>以<span style="color: black;">调节</span>新陈代谢。<span style="color: black;">必须</span>在<span style="color: black;">大夫</span>的<span style="color: black;">指点</span>下,结合肿瘤复发<span style="color: black;">危害</span>、激素代偿、<span style="color: black;">药品</span>不良反应等各个<span style="color: black;">原因</span><span style="color: black;">恰当</span>用药。</p>
    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><strong style="color: blue;">甲状腺癌术后的<span style="color: black;">膳食</span><span style="color: black;">重视</span></strong></p>
    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">甲状腺癌手术后,要少量多餐,<span style="color: black;">每日</span><span style="color: black;">能够</span>多吃几顿,每顿要做到少而精,<span style="color: black;">这般</span><span style="color: black;">能够</span>避免<span style="color: black;">增多</span>肠胃的<span style="color: black;">包袱</span>,术后为了微量元素的<span style="color: black;">弥补</span>,<span style="color: black;">能够</span>多吃<span style="color: black;">鲜嫩</span>蔬菜<span style="color: black;">果蔬</span>,如芹菜,柑橘,苹果,栗子等,<span style="color: black;">能够</span>将<span style="color: black;">果蔬</span>蔬菜做成软食<span style="color: black;">或</span>汁水饮入。不要吸烟或喝酒,<span style="color: black;">尤其</span>是度数高的酒精是禁止饮用的。</p>
    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">术后前几天,最好以营养流食为主,<span style="color: black;">由于</span>术后甲状腺<span style="color: black;">病人</span>可能会<span style="color: black;">显现</span>吞咽困难,<span style="color: black;">此时</span>,流质<span style="color: black;">食品</span>能更好的吞咽和吸收。<span style="color: black;">能够</span>准备<span style="color: black;">有些</span>易于吞咽和消化的<span style="color: black;">食品</span>,如粥,米糊等,食用的时候避免过烫。</p><img src="https://mmbiz.qpic.cn/mmbiz_png/s5nXsZlzkIAJlKH0Vzfq6dNpwZRRYibqI0hpDtWqkgZLGUDVbiaETFj26lXr74T6PVCDpuseTrSx9thPFj6X965Q/640?wx_fmt=png&amp;tp=webp&amp;wxfrom=5&amp;wx_lazy=1&amp;wx_co=1" style="width: 50%; margin-bottom: 20px;">
    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">做完甲状腺癌手术治疗后,不要老想着患处的<span style="color: black;">病痛</span>,保持心情的愉快,<span style="color: black;">能够</span>用做<span style="color: black;">有些</span>事情来转移自己对<span style="color: black;">病痛</span>的<span style="color: black;">重视</span>力,<span style="color: black;">能够</span>找家人<span style="color: black;">或</span>好<span style="color: black;">伴侣</span>,<span style="color: black;">一块</span><span style="color: black;">来讲</span>说话,倾诉心里的苦闷,<span style="color: black;">这般</span>心情会得到缓解,<span style="color: black;">或</span><span style="color: black;">能够</span>找<span style="color: black;">有些</span>自己<span style="color: black;">爱好</span>听的歌,病人的<span style="color: black;">心情</span>的好转,能<span style="color: black;">增多</span>食欲,<span style="color: black;">这般</span>能让手术后的身体恢复的更快些。</p>
    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">甲状腺癌术后<span style="color: black;">膳食</span><span style="color: black;">无</span>特殊<span style="color: black;">需求</span>,<span style="color: black;">能够</span><span style="color: black;">选取</span>自己<span style="color: black;">爱好</span>的食物,<span style="color: black;">无</span><span style="color: black;">尤其</span>的限制,但<span style="color: black;">意见</span><span style="color: black;">病人</span>少吃海鲜类<span style="color: black;">食品</span>,<span style="color: black;">由于</span>海鲜中碘含量高,对甲状腺会有影响,尤其是术后<span style="color: black;">检测</span>或治疗时,禁止摄取海鲜和其他含碘<span style="color: black;">食品</span>,<span style="color: black;">以避免</span>影响<span style="color: black;">检测</span>指标。在<span style="color: black;">平常</span>生活中,<span style="color: black;">必定</span>要做到<span style="color: black;">恰当</span>的营养搭配,<span style="color: black;">尽可能</span>做到<span style="color: black;">平衡</span>,多吃<span style="color: black;">优秀</span>的蛋白。</p><img src="https://mmbiz.qpic.cn/mmbiz_png/s5nXsZlzkIAJlKH0Vzfq6dNpwZRRYibqIaICmwAI2Ln4gbD4JEFHo8cdylSxGhCkRrOX3q39MpSurIwMpshDRlw/640?wx_fmt=png&amp;tp=webp&amp;wxfrom=5&amp;wx_lazy=1&amp;wx_co=1" style="width: 50%; margin-bottom: 20px;">
    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">接受过手术的<span style="color: black;">病人</span>,可能有恶心,呕吐的症状,<span style="color: black;">这般</span>可能会影响食欲,<span style="color: black;">能够</span>辅以肉桂,糯米,沙参,芦根,黄精等在<span style="color: black;">食品</span>中开胃。<span style="color: black;">然则</span>做为开胃的调料<span style="color: black;">不可</span>放过酸,过辣的刺激性<span style="color: black;">食品</span>,<span style="color: black;">例如</span>辣椒,生姜,胡椒等,这些东西除了对身体有刺激<span style="color: black;">功效</span>,还会刺激患处的愈合。</p>
    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;"><strong style="color: blue;">等等</strong></span></p>
    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><strong style="color: blue;">右下角</strong>点个<strong style="color: blue;">在看</strong></p>
    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">再走吧</p><img src="https://mmbiz.qpic.cn/mmbiz_gif/s5nXsZlzkIAJlKH0Vzfq6dNpwZRRYibqISkwg9zCJdhutFZPmqJ2M4FgScmfmJicAFsibzP9BlDcsT2pNweBSFVdA/640?wx_fmt=gif&amp;tp=webp&amp;wxfrom=5&amp;wx_lazy=1" style="width: 50%; margin-bottom: 20px;">
    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">【好福气健康】为广大慢性病<span style="color: black;">病人</span>人群<span style="color: black;">供给</span><span style="color: black;">长时间</span>规范<span style="color: black;">有效</span>的营养管理、知识科普、营养<span style="color: black;">指点</span>的一站式营养服务;<span style="color: black;">帮忙</span>各类慢性病人群不<span style="color: black;">同期</span>期契合病情所需进行科学、<span style="color: black;">精细</span>、营养配餐,营养供给和营养治疗。<span style="color: black;">经过</span>营养<span style="color: black;">危害</span>筛查<span style="color: black;">工具</span>和科学的精细化的营养支持,<span style="color: black;">针对</span>围术期病人和围术期合并慢性<span style="color: black;">基本</span><span style="color: black;">疾患</span><span style="color: black;">病人</span><span style="color: black;">供给</span>营养餐服务。</p>
    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">——</p>
    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">感谢您的阅读</p>
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4lqedz 发表于 2024-10-24 10:55:18

“沙发”(SF,第一个回帖的人)‌

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“NB”(牛×的缩写,表示叹为观止)‌

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