Xiaoli, 32 years old, had a physical examination some time ago and found a 1-centimeter thyroid nodule, and after reading the results at the local hospital, the doctor recommended that she have surgery.
The results of the examination after the operation showed that it was a benign nodule. Xiao Li was very depressed, "This is equivalent to a white knife!" ”
In fact, in recent years, this situation is not uncommon.
Do thyroid nodules necessarily develop into thyroid cancer?
Clinically, according to the "Guidelines for the Diagnosis and Treatment of Thyroid Nodules and Differentiated Thyroid Cancer", a lesion caused by abnormal growth of thyroid cells in the local area is thyroid nodules, thyroid nodules in the population, the detection rate of touch diagnosis is 3% to 7%, if it is through instrumental ultrasound, the detection rate can reach 20% to 76%.
The cause of thyroid nodules, on the one hand, is related to radiation contact, such as X-rays, CT, etc., long-term irradiation will increase the probability of thyroid nodules; in addition, mental stress will also induce thyroid nodules.
Also, many people think that excessive iodine intake is the main cause of thyroid nodules, in fact, iodine deficiency or excess iodine can cause thyroid nodules, so avoid partial eating in daily life.
Whether thyroid nodules become cancerous or not, the key point is to assess whether the nodules are malignant or benign. Clinically, after thyroid nodules are detected, about 5% to 15% of nodules are malignant. Thyroid nodules with a malignant tendency have some basic clinical features.
There is an isolated irregular hard mass in front of the neck, with a hard texture to the touch. As the disease progresses, patients also develop clinical manifestations of hoarseness, which is caused by the tumor continuing to enlarge and compress the recurrent laryngeal nerve. Patients who continue to develop may experience symptoms of dyspnea because the mass compresses the trachea and esophagus, compressing the sympathetic nervous system. Then there is the enlargement of the lymph nodes, because the continuous development of the lump compresses the lymph nodes in the neck.
A prerequisite for the occurrence of these four symptoms is the persistent enlargement of the mass, and the persistent increase also indicates that the malignancy tendency is relatively large, but the specific need to pass the precise pathological examination to obtain the final information.
Don't over-treat! Thyroid nodules do not require a one-size-fits-all
Clinically detect thyroid nodules do not have to panic, benign nodules, or lumps less than 1 cm, surgery is overtreated. As long as it does not affect life and the body, thyroid nodules do not have to be over-treated, and there is no need to treat them surgically. Because the thyroid gland is an important endocrine organ of the human body, it is an important organ that maintains the operation of the body.
Therapeutically, if thyroid nodules are examined, a nodule biopsy is done next to determine whether they are malignant or benign. If it is a benign nodule, it is fully promising to be cured by the method of traditional Chinese medicine, and if it is a malignant nodule or the diameter of the nodule exceeds 3 cm and is pressed to the trachea and esophagus, it needs to be treated by surgery.
Share a recently cured case of hypothyroidism, hoping to throw bricks and stones and give friends a little inspiration.
Mr. He was born in 1970, now 51 years old, Heze people, Shandong Province, hypothyroidism history of nearly 5 years, has been taking Youjiale maintenance treatment, five months ago, through the introduction of people to find me, want to take traditional Chinese medicine to control some complications of hypothyroidism, Mr. He self-reported symptoms are cold limbs, fatigue and weakness, hand and foot swelling, abdominal distension and constipation, slow thinking, pulse diagnosis found that there is a slow heart rate, slightly dull pulse phenomenon.
It is distinguished as kidney yang deficiency, spleen and kidney yang deficiency, heart and kidney yang deficiency, sputum turbidity connotation, and blood stasis blocking.
The formula is as follows: Guizhi, Astragalus, Yam, Cangshu, Baishu, Poria, Muxiang, Sichuan Beef Knee, Soil Poria, etc., 1 dose a day, decoction, with one month as a course of treatment.
Because Mr. He had constipation and edema and blood stasis, he added Shou Wu, Cistanche, Shayuanzi, Kuncao, Lulutong, etc.
The patient, Mr. He, was instructed to take the Chinese medicine for a period of time first, and then gradually reduce the amount of Youjiale according to the curative effect.
A month later, the patient Mr. He's condition was basically stable, so he used traditional Chinese medicine Wenyang to supplement the kidneys and activate blood stasis.
Patients are advised to eat more fruits and vegetables rich in vitamins and supplement with sufficient vitamins. Also pay attention to appropriate protein supplementation, to avoid the intake of irritating foods such as peppers and liquor.
After another month, the patient's chills eased, decisively let him stop using Youjiale for many years, TSH had a short-term rebound, and then gradually declined, and today's review indicators have been normal.
The idea of treatment is shared with you, hypothyroidism, similar to the weakness of Traditional Chinese medicine, edema, kidney wind, tumor, five delays, etc., for the beginning of the disease more to kidney Yang deficiency, gradually there is spleen and kidney Yang deficiency, heart and kidney Yang deficiency, phlegm connotation, blood stasis blocking, etc., we choose to warm up the kidney Yang, and there is a dehumidifying effect of Goat Weed, Silk Seed for the King's Medicine, with guizhi Wen Jing Tongyang, Astragalus, Poria Poria, Yam, Bai Shu, Cang Shu Healthy Luck Spleen and Stomach to Dehumidify, Soil Poria Dampness, Wood Xiang Xingqi, Sichuan Beef Knee Active Blood Diuresis.
Thyroid hormone replacement therapy is commonly used in Western medicine, but synthetic thyroid hormones are not hormones produced by the human body after all, and usually produce some side effects or complications, so surgery is not recommended unless it is a malignant nodule. The thyroid gland is an organ of the human body, surgically removed, the thyroid gland is no longer present, who is responsible for the production of thyroid hormones?
Therefore, patients must choose a reasonable treatment plan according to their own condition, thyroid nodules, to refer to the doctor's opinion, but not only the doctor's opinion, they must have a shot in their hearts, do not follow the clouds, not excessive treatment.