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1.A complete blood count is usually done before paracentesis.
Thyroid puncture can only be performed after coagulation time and thyroid function to determine whether there is a tendency to bleed easily.
2.It is better to wear a low-necked dress on the day of the piercing. Because doctors need to use ultrasound.
Make a guide to puncture the neck, the neckline is too high, and it will hinder the doctor's operation.
3.During the puncture, some anesthetic will be injected locally.
You don't feel anything when you puncture, you don't need to be scared when you puncture, just don't cough at will.
Swallowing saliva or talking is fine. Because coughing, swallowing, and talking can cause the needle to move.
4.Each suspected nodule requires 2-3 needles and aspirate for cytology;
5.After the puncture, remember to press the puncture point with your hands for 20 minutes and rest for 30 minutes before leaving to prevent discomfort.
6.Do not touch the water at the puncture site that night after the puncture, and you can take a normal bath the next day.
7.If the neck is getting more and more swollen, it means that there may be internal bleeding at the puncture site, and you need to go to the hospital immediately to prevent the hematoma from compressing the airway and causing suffocation.
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Hello, don't worry too much about thyroid diseases, it is caused by abnormal thyroid secretion in the body, adjust your thyroid hormone secretion in time, and the symptoms will disappear quickly. Choose a regular thyroid hospital.
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Hello, the precautions after puncture of thyroid nodules include: 1. The gauze at the puncture site should be kept for 24 hours and then removed; 2. Avoid water on the neck within 3 days after puncture to prevent infection; 3. Avoid strenuous exercise to prevent bleeding from the wound; 4. If oral anticoagulant drugs such as warfarin, aspirin, etc. are being taken before surgery, the drug should be stopped for 2-3 days.
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According to your description, it is considered that nodular goiter is possible, multiple nodules, small nodules, and the puncture may be difficult to locate, and the puncture has a certain false negative, which is not very accurate. If you need to do a puncture, as long as you are healthy, you don't have to pay attention to it, and you don't need to be hospitalized, you can get a puncture in the outpatient clinic, the cost is about a few hundred yuan, plus the pathological test can be nearly 1,000 yuan.
Guidance: It is recommended that patients do not need to do puncture, even if the puncture may be nodular goiter, benign disease, but because there are many nodules, it is impossible to puncture all of them, so the puncture results are not very accurate, you can go to the hospital to review the ultrasound, generally experienced sonographers will judge the benign and malignant, if the benign may be large, you can regularly review the ultrasound, and the operation will be performed if it becomes larger; If the malignancy is likely to be significant, surgery can be performed directly.
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Although thyroid puncture is a minor operation, there are some risks in the process of surgery, and it is necessary to understand the precautions of thyroid puncture in advance, and a series of preparations need to be made before and after the puncture. First of all, the cardiopulmonary function must be stable, if there is active heart failure or asthma, cough, chest tightness and shortness of breath, the patient can not lie flat, these are not suitable for thyroid puncture examination.
In addition to the thyroid examination, blood tests and coagulation indicators are also required before the puncture. Antiplatelet agents and anticoagulants should be stopped one week before surgery. Fasting before the piercing is not required, but it is not advisable to eat too much.
The thyroid puncture needs to expose the neck, so it is best to wear clothes that are easy to open the neck, preferably without a collar, or with a button at the front, so that the doctor can easily operate. Also, don't wear jewelry around your neck. It takes about 3-7 days to get the pathology report after puncture.
Although the whole process of thyroid puncture surgery is very simple, there are many things that need to be paid attention to before surgery, and the general doctor will recommend: benign can take a conservative approach**, if it is diagnosed as malignant, it is recommended to do surgery as soon as possible.
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There is no need to eat before thyroid puncture, but you can't overeat, because thyroid puncture is to expose the neck, try to wear clothes with an open neck, which is convenient for doctors to operate, try not to wear some jewelry on the neck, and it takes 3 to 7 days to get the case report sent to the pathology department for analysis after the puncture.
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Precautions before thyroid puncture surgery include: not eating or drinking, avoiding menstrual periods, and stopping some blood clotting drugs. Wait a minute.
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Hello, you need a blood test routine, out of the coagulation time, to know if there is any abnormality.
Remember to wear low-necked clothing.
If you are a girl, it is best to avoid menstrual periods.
In addition, if you are taking other drugs, such as aspirin, you need to stop these blood-invigorating drugs before the puncture, and you need to listen to the doctor.
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What should I pay attention to before thyroid puncture surgery? Dietary, of course. ,
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Do I have to rest after a thyrocentesis? Thyroid puncture is a minor surgery, but there are many patients who want to know whether they need to rest for this kind of puncture surgery, because many people have to go to work.
Do I have to rest after a thyrocentesis?
This is a must to rest. Thyroid puncture requires the needle to be quickly pierced into the thyroid gland (or in the nodule) percutaneously, 2-10ml of negative pressure is withdrawn from the empty needle, and then punctured back and forth 2-3 times in different directions. Therefore, after the thyroid puncture, try not to talk too much, and after a few days of rest, it is better for the body to resume normal conversation.
What are the dangers of malignant thyroid nodules?
1. Hazard 1: A common hazard of thyroid nodules is compression of the trachea. Compression from one side, displacement or flexion of the trachea to the other, compression from both sides, narrowing of the trachea, dyspnea, especially behind the sternum, goiter is more severe, long-term compression of the tracheal wall can lead to tracheomalacia, causing asphyxia.
2. Hazard 2: Thyroid nodules may also compress the recurrent laryngeal nerve and cause vocal cord paralysis (mostly on one side), the patient's hoarseness and compression of the sympathetic ganglion chain in the neck, which can cause Horner syndrome, which is extremely rare.
3. Hazard 3: There are many harms of thyroid nodules, it can also compress the esophagus, but it is rare, only the retrosternal goiter may compress the esophagus, causing discomfort when swallowing, but it will not cause obstructive symptoms.
Rest for a few days after thyrocentesis
1. Thyroid fine needle aspiration biopsy has now been identified as a highly accurate diagnostic method and is routinely used as the first step in the diagnostic process of nodular thyroid disease. It is often used to check the thyroid gland. If hoarseness or loss of voice occurs after thyroid puncture, it must have damaged the recurrent laryngeal nerve, and the consequences are serious.
2. After this is done, it is best to take a day off the next day and go to work again to see if there is any discomfort in the pharynx. Then be careful not to eat too salty food after doing it, and it should be at night, try to eat less greasy.
3. Thyroid aspiration is required to rest for a week, and you can't go to work the next day, and going to work too early may cause bleeding, which is not conducive to physical health, so it is recommended to rest for at least one week.
Dangers of thyroid disease
1. In medicine, there are certain risks in any operation, just as everything has advantages and disadvantages. Therefore, as long as it is surgery, there must be a certain risk, but it is a question of whether the risk is large or small. However, the puncture is a minor operation and basically does not cause harm to the body, so as long as you follow the doctor's advice, there is still no big risk.
2. In addition, if you suffer from thyroid nodules, if you don't accept it, it will cause some diseases, such as diabetes, some cardiovascular diseases, or renal tubular acidosis, and liver disease. This not only causes physical and psychological pain to the patient, but also has a great impact on the patient's life and work.
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By palpating the thyroid gland or guided by ultrasound, doctors use a syringe or a needle attached to a needle or a needle to aspirate components of the thyroid lesion (including the thyroid tissue itself or the nodule).
These components are then sent to the hospital's pathology department for analysis and evaluation, and a thyroid biopsy is completed.
In order to avoid pain, some hospitals will also administer local anesthesia to the patient before the puncture.
2. Is thyroid cancer a major disease?
Thyroid cancer is a kind of cancer, but also a very serious malignant tumor, thyroid cancer is a major disease, so reasonable adjustments and **, in the early stage of the disease through surgery, can effectively control the development of the disease, usually pay more attention to rest, should maintain a happy mood.
Thyroid cancer will have a certain impact on patients, and may also lead to serious threats to life, which is a more serious major disease, and patients with thyroid cancer should be examined and diagnosed in a timely manner, and the symptomatic disease should be diagnosed to avoid affecting people's lives.
3. Will total thyroid cancer be resected?
According to statistics, the reversal rate after simple tumor resection is 40% to 60%, the reversal rate after thyroid lobectomy on the tumor and its affected side is 20% to 30%, and the reverse rate after cervical combined surgery, that is, after total thyroid cancer resection, is 10% to 20%.
Therefore, according to the above description, it can be shown that there is still a possibility of total thyroid cancer resection, but the probability of thyroid cancer is relatively small.
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Precautions after thyroid punctureMany friends may not be familiar with thyroid puncture, but this is currently the preferred method for testing benign or malignant thyroid disease in China, so some patients may need to do this examination when they are usually in the hospital. So what are the precautions after thyroid puncture? Speaking of which, many friends may not be clear, so let's follow and take a look!
What are the precautions after thyroid puncture? First of all, you need to know that Hongque is basically the same as the pain of blood drawing when this examination is done, so there is no need to be too nervous, and there is no need for any painkillers after the puncture. In addition, the wound is actually not large, and it does not need to be bandaged and can move normally, but it is necessary to be careful not to overmove, especially not to lift weights.
Generally speaking, you can get the report 3-7 days after the puncture, after understanding the precautions after thyroid puncture, here I want to tell you some precautions for puncture, first of all, the need and enough cardiopulmonary function must be stable, so for some people with heart failure or small slag premature birth and cough and chest tightness are not allowed to do puncture, in addition, we need to pay attention to the need to do crocodile search routine and coagulation indicators before puncture, and at the same time need to stop using aspirin, warfarin and clopidogrel.
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There will be a certain amount of ***, and pain may occur, although the pain of thyroid needle puncture is relatively mild, etc.
Thyroid aspiration is required when the thyroid nodule is relatively large, which is helpful for judging the nature of the nodule. Thyroid nodules are benign or malignant, if the patient's thyroid nodule is relatively large, more than 1cm, and there is no clear that it must be cancer, so the doctor will also recommend the patient to go for puncture at this time.
Extended Materials. The thyroid gland (Latin: glandula thyr(e)oidea) is a very important gland in vertebrates and belongs to the endocrine organs. It is located below the thyroid cartilage in the neck of mammals, on either side of the trachea.
The human thyroid gland resembles a butterfly and resembles a shield, hence the name.
The main physiological function of the thyroid gland is to produce the hormones triiodothyronine (T3), thyroid hormone (T4) and calcitonin. Relying on these three, the thyroid gland controls the rate at which energy is used, makes proteins, regulates the body's sensitivity to other hormones, and regulates the balance of calcium in the body.
Most people don't know where the thyroid gland is, but most people are not unfamiliar with "thick neck disease", in fact, "thick neck disease" is an enlarged thyroid gland, which tells us that the thyroid gland is located in the neck. To be more specific, what we usually call the "Adam's apple", we can touch it ourselves, the thyroid gland is located about 2 3 cm below the "Adam's apple", and can move up and down with it when swallowing.
The thyroid gland is shaped like an "H", brownish-red, divided into two lateral lobes, left and right, connected by an isthmus in the middle. The lobes on both sides are attached to the lateral surface of the lower larynx and the upper part of the trachea, up to the middle of the thyroid cartilage, and down to the sixth tracheal cartilage, and the isthmus is mostly located in front of the second to fourth tracheal cartilage, and some people are underdeveloped. Sometimes a cone-shaped lobe sticks upwards from the isthmus, with different lengths, and the elder can reach the hyoid bone, which is a remnant of embryonic development, and often gradually degenerates with age, so children are more common than adults.
The thyroid gland is covered with a fibrous sac, called the thyroid capsule, which extends into the glandular tissue to divide the gland into lobules of different sizes, and the sac is covered by a deep cervical fascia (anterior trachea), and there is often a ligament-like connective tissue connection between the lateral lobes of the thyroid gland and the cricoid cartilage, so when swallowing, the thyroid gland can move up and down with swallowing.
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