samedi 11 janvier 2014

Thyroiditis treatment



Type of pathology and treatment

Hormonal pathology:

Hyperthyroidism
The thyroid works overspeed (T3/T4 high and TSH low). This may be due to the presence of hyper-secreting nodules.
Treatment
Antithyroid
Radioiodine (mainly hyperfunctioning nodule)
Surgery is considered only in cases of recidivism or become pregnant.

Hypothyroidism
The thyroid is idling (low T3/T4 and increased TSH)
Treatment
Synthetic hormones

Morphological pathology:

Nodules
The nodules are very common: 50% of the population has a nodule of thyroid greater than 1 cm. However, there are several types of nodes according to their size, of their activity and their malignant or not.
Treatment
Surveillance or surgery in case of suspected cancer (nodule of more than 3-4 cm, too many nodules ...)

Goitre
Simple goiters are distinguished (often origin familial) and nodular goitre (with a significant number of nodules).
Treatment
Surveillance or surgery if the number of nodules is too large or the risk of cancer is high.

Thyroid Cancer
5% of thyroid tumors are cancers. Increasing, these cancers are touching three times more women (4000 to 6000 cases per year). Detected early, chances of healing are close to 100%.
Treatment
Surgery with total thyroidectomy (total removal of the gland) followed by: taking thyroxine (T4) to compensate for the absence of thyroid and use of iodine-131 for thyroid eliminate possible residues.

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