How is goiter treated? How is goiter treated?

At present, simple goiter is mainly observed, and ** is generally not needed, especially if the goiter is mild, there are no clinical symptoms and the thyroid function is normal, it can be followed up for observation.

Levothyroxine (L-T4) can be tried in patients with obvious goiter, but the effect is not significant. l-t4

**Serum TSH levels must be monitored, and should not be used when serum TSH is low or at the lower limit of normal; L-T4 should also not be used if thyroid nuclide scan confirms the presence of an autonomous functional area

**；L-T4 is given

should be started at a low dose to avoid inducing and exacerbating coronary artery disease. Thyroid hormones are usually not effective for long-term goiter or definite mental and skeletal changes, but thyroid hormone replacement** should be given if hypothyroidism has developed, which is most important in pregnant women.

Surgery is not usually performed for this disease**, but thyroidectomy may be performed when compression symptoms occur, or thyroidectomy may be performed in patients with suspected thyroid cancer, or large nodules with mixed necrosis, cystic changes, hemorrhage, and other degenerative changes. Patients with calcification of goiter confirmed by ultrasound or goiter with hyperthyroidism can also be operated**. Postoperative thyroid supplementation is required for a long time** to avoid **.

If surgery is not suitable**, radioactive iodine can be used and functional excision can be performed, which can reduce the volume of the enlarged thyroid gland by 30% to 50%.

Simple is generally caused by iodine deficiency, which can be supplemented with iodine, nodular because it can be malignant, and general surgery.

It is recommended that patients go to the hospital in time to find out the situation, and if the problem is found, the doctor will give the best plan according to the different symptoms and conditions of each patient.

Hyperthyroidism refers to the excessive secretion of thyroid hormones due to excessive hyperplasia of the thyroid gland itself, which causes a series of clinical hypermetabolic syndromes, so hyperthyroidism is caused by a variety of reasons, mainly caused by genetics, environment, and seasonal factors. The most common type of this type is called Graves' disease, which is a metabolic syndrome formed by the patient's own production of an antibody to the thyroid-stimulating hormone receptor, which leads to the excessive proliferation of this thyroid hormone. So this hyperthyroidism in Chinese medicine belongs to the category of yin disease, as early as more than 2000 years ago, in this literature of Chinese medicine in China, it has been recorded, and there is also this system's best method, which can significantly alleviate the symptoms, so at present, our Chinese medicine **hyperthyroidism, there are mainly two categories of methods, the first use of the most common is through the syndrome differentiation and treatment of traditional Chinese medicine, according to the specific situation of the hyperthyroid patient, to judge a symptom type, and then through the nourishing yin or through the spleen, or by flattening the liver and quenching wind, etc. It can significantly alleviate the symptoms of hyperthyroidism, so that the probability of hyperthyroidism is reduced, and the other is through acupuncture, through acupuncture and moxibustion Acupuncture is an advantage of Chinese medicine, through the acupuncture of Chinese medicine This jaw, or liver sparse and other parts, can alleviate the symptoms of hyperthyroidism, and even reduce the antibodies of this hyperthyroidism, playing a leading role, so the Chinese medicine of hyperthyroidism is mainly in two aspects, one is the syndrome differentiation and treatment of Chinese medicine, and the other is acupuncture.

Hyperthyroidism is hyperthyroidism, and there are two main types of Chinese medicine, the first is the syndrome differentiation and treatment of traditional Chinese medicine, which can significantly alleviate the symptoms of hyperthyroidism and reduce the probability of hyperthyroidism; The second is acupuncture, which can alleviate the symptoms of hyperthyroidism, and even reduce the antibodies of hyperthyroidism, which plays a leading role.

Patients require surgical excision**.

Hello! Looking at your thyroid ultrasound, I found that your thyroid gland is a little big, and there are cystic changes in it. Thyroid function FT3:

Slightly lower; TSH:, slightly high, can be roughly considered as mild hypothyroidism, I don't know what symptoms there are other than your goiter, such as sensitivity to cold, cramps in the lower limbs, etc. Because you already have hypothyroidism, it is advisable to take the medicine Eunail, but because your values are not high, the amount of medicine you take is also very small, basically 1 4 tablets a day is enough, even if you don't eat it, it will not have any big impact on the body.

But you must have your thyroid function checked frequently.