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甲状腺结节的病因是什么?甲状腺结节术后

发布时间:2016-01-11   问大夫  责任编辑:詹敏怡

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甲状腺结节对我们身体的伤害还是很大的,尤其是女性例如会导致内分泌失调,而内分泌失调就会引发很多问题,例如月经不调、痛经、痘痘等等,所以采取及时的治疗措施是十分有必要的,甲状腺结节的病因是什么?那么甲状腺结节术后怎么调养呢?下面看看吧。

甲状腺结节

甲状腺结节可以单发,也可以多发,多发结节比单发结节的发病率高,但单发结节甲状腺癌的发生率较高。甲状腺结节并发于各种甲状腺疾病,如单纯性甲状腺肿、甲状腺炎、甲状腺肿瘤等,其结节有单发或多发,临床上有良恶之分。良性中主要包括结节性甲状腺肿甲状腺腺瘤等;恶性的甲状腺结节则以甲状腺癌为主,另外还包括甲状腺淋巴瘤、转移瘤等。

甲状腺结节症状体征

甲状腺结节一般不出现功能上的改变,患者基础代谢率正常,亦有少数患者可继发甲状腺功能亢进;但当结节较大时,会出现如下症状:

1、压迫气管:比较常见。自一侧压迫,气管向另一侧移位或弯曲;自两侧压迫,气管狭窄,呼吸困难,尤其在胸骨后甲状腺肿时更显严重。气管壁长期受压,可导致气管软化,引起窒息。

2、压迫喉返神经:可引起声带麻痹(多为一侧),患者发音嘶哑。压迫颈部交感神经节链,可引起Horner综合征,极为少见。

3、压迫食管:少见。仅胸骨后甲状腺肿可能压迫食管,引起吞咽时不适感,但不会引起梗阻症状。

4、压迫颈深部大静脉:可引起头颈部的血液回流困难。这种情况多见于胸廓上口、大的甲状腺肿,尤其是胸骨后甲状腺肿。患者面部呈青紫色的浮肿,同时出现颈部和胸前浅。

甲状腺结节是由于各种原因导致甲状腺内出现一个或多个组织结构异常的团块。多数为颈部的肿块。

甲状腺结节的病因是什么?

1.增生性结节性甲状腺肿

碘摄入量过高或过低、食用致甲状腺肿的物质、服用致甲状腺肿药物或甲状腺激素合成酶缺陷等。

2.肿瘤性结节

甲状腺良性肿瘤、甲状腺乳头状瘤、滤泡细胞癌、甲状腺髓样癌、未分化癌、淋巴癌等甲状腺滤泡细胞和非滤泡细胞恶性肿瘤以及转移癌。

3.囊肿

结节性甲状腺肿、腺瘤退行性变和陈旧性出血斑囊性变、甲状腺癌囊性变、先天的甲状舌骨囊肿和第四鳃裂残余导致的囊肿。

4.炎症性结节

急性化脓性甲状腺炎、亚急性化脓性甲状腺炎、慢性淋巴细胞性甲状腺炎均可以结节形式出现。极少数情况下甲状腺结节为结核或梅毒所致。

甲状腺结节饮食注意事项:

1、热量:因为甲状腺机能亢进,会使身体新陈代谢率提高,所以每天可增加所需的热量。

2、蛋白质:可以增加蛋白质的量。

3、维生素:因为热量提高,所以维生素B群需求也增加,要注意补充。

4、碘:为甲状腺素之成分,甲状腺机能亢进者给予碘化合物,可以增加甲状腺素贮存 量并减少释出,但是过量会影响抗甲状腺素治疗。

5、避免刺激性食物如茶、咖啡、香烟、酒。

 

甲状腺结节手术后怎么调理身体?

1、如果患者患上的是良性甲状腺结节,能坚持中医中药治疗,一般预后较好。而且良性甲状腺结节比恶性甲状腺结节的发病率高。

2、患上恶性甲状腺结节的几率是很小的,一般恶性甲状腺结节采用手术治疗,术后可进行中医中药调理患者的身体,可预防恶性甲状腺结节的复发。

3、饮食宜清淡,忌辛辣肥腻之品。患者的饮食很重要,不仅影响病情的发展,还可能影响患者的身体恢复,所以需遵医嘱,多吃有益身体。肥腻之品不好消化并且不利疾病恢复。

4、注意情绪调节,保持心情舒畅。患者的情绪也是治疗过程中不可忽视的因素之一。

5、起居有常。起居,也就是生活、工作的作息,它包括日常生活中各种细节的安排,起居有常,即指人们要妥善处理好生活的各个方面,遵循生活规律,养成按时作息的良好习惯。起居有常对于强身延年,增强机体免疫力非常重要。良好的起居习惯、有规律的生活方式,可以使甲状腺疾病患者保持身心健康和良好的工作精神状态,更好地为战胜疾病做好充足的准备。一般来说,起居应包括睡眠、房事、劳作等几方面。

6、勤用热水洗脚。人们大都有每晚洗脚的习惯,但单为清洁而洗的多,能意识到养生保健手段的少,所以洗脚质量往往不高,中医学认为,人体五脏六腑在脚上都有相应的投影,脚上的60余个穴位与五脏六腑有着密切的关系,而人的睡眠多梦以及疾病的产生,都是脏腑功能失调后反映出来的阴阳偏衰或偏盛的状态。

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