How effective is surgery for hyperthyroidism? Which is the best treatment for hyperthyroidism?

For the ** method of hyperthyroidism, I have consulted with experts, and the experts say that surgery ** has ** effect on first-time patients, but most patients will ** again**. The most important thing is that the operation is extremely difficult, and the nerves and blood vessels around the thyroid gland are densely packed, and improper operation will lead to damage to blood vessels and nerves, which are irreversible lifelong damage. So I don't recommend this method.

The traditional methods of hyperthyroidism also include drugs and iodine-131. However, the drug ** needs to be taken for a long time, which is very damaging to the liver; Iodine-131** is likely to cause lifelong hypothyroidism.

Comprehensively measuring the advantages and disadvantages of technology, the highest safety factor and the most effective is the "TSH nano intervention" of Nanjing Institute of Central Asian Disease Medicine, and most people now choose this method. You can go to its ** first and consult an expert. Of course, on-site visits are the most reliable.

Once hyperthyroidism is diagnosed, long-term oral antithyroid drugs such as methimazole tablets or propylthiouracil tablets ** are preferred, and most patients can achieve ** after more than two years of standardized medication. If oral antithyroid drugs do not work well, you can also choose surgery** or radioactive iodine**, each with its own pros and cons, and which is suitable for you depends on your specific situation.

Analysis: Patients with hyperthyroidism** are mainly treated with drugs, iodine-131** and surgery**. Drugs for patients in the acute stage** are mainly used to inhibit the synthesis of thyroid hormones by taking drugs such as propylthiouracil, glucocorticoids, and iodine.

Achieve a relieving effect. Patients who are pregnant, elderly, frail, or have mild disease can use antithyroid drugs** such as formamidomidazole, propylthiophene, etc., along with propranolol drugs to control hyperthyroidism. Patients who are ineffective with long-term drugs and suspected of malignant transformation can be surgically modified.

Patients should usually ensure calories**, should eat a high-protein diet, drink more water, appropriately supplement vitamins, and reduce the daily dietary iodine intake. Regular work and rest, quitting smoking and drinking, and staying up late should not help control the disease and reduce attacks.

It is recommended to choose a regular specialist hospital for consultation, examination,**.

1.Drugs**.

Patients can usually use methimazole, propylthiouracil and other drugs under the guidance of a doctor**, this ** method is mainly for pregnant women and children and patients with mild hyperthyroidism, usually need to go to the hospital regularly according to the doctor's requirements to review and adjust the dosage of the drug, patients should not reduce the dose or stop the drug without authorization, in order to avoid**.

2.Surgical excision.

Patients with severe hyperthyroidism, or dyspnea due to compression of the trachea, can usually be surgical**. By surgery, the rate will be lower.

3.Radioactive iodine**.

For patients with severe hyperthyroidism or hyperthyroidism, the effect of radioactive iodine is better. However, pregnant or breastfeeding women should not be allowed to develop hyperthyroidism in this way.

Patients should take adequate nutrients, such as high-protein, high-calorie foods, and a variety of fresh fruits and vegetables.

1.Drugs**. Drugs are also the most common, and the use of drugs is more convenient, safer, and cheaper. However, patients need to visit the hospital regularly during the use of the drug** and adjust the dosage according to the results of the examination.

2.Surgery**. The advantage of surgery** is that it is effective in controlling hyperthyroidism with a single operation**, but hypothyroidism may occur after surgery, requiring the use of small doses of drugs**.

3.Radioactive iodine 131**. This method is suitable for patients with hyperthyroidism and is non-invasive, but hypothyroidism may also occur and requires low-dose oral medications. Pregnant and lactating women cannot go through this method**.

The specific method depends mainly on the patient's condition, if the symptoms are more severe, you can consider a one-time solution to reduce the impact of hyperthyroidism on life. **It is best to consult a professional doctor and do not take medication without authorization.

The methods of hyperthyroidism include medication, surgery and traditional Chinese medicine. Medications are the most commonly used methods to effectively control thyroid hormone levels, improve symptoms, and improve the quality of life of patients. Surgery** is effective in controlling thyroid hormone levels, but complications may occur after surgery, so it is generally not recommended.

Traditional Chinese medicine can improve endocrine disorders by regulating the spleen and stomach, and achieve the purpose of hyperthyroidism.

Hello: Hyperthyroidism (hyperthyroidism) according to the comprehensive analysis of different ** and thyroid size, take medication** or iodine 131**, or surgery**, etc. Suggestion: Go to the hospital to consult a doctor and take reasonable ** measures according to the specific situation.

Hello, according to the symptoms you described, it is recommended to go to the endocrinology department for treatment, through systematic physical examination and related examinations, such as thyroid color ultrasound, etc., to further understand the condition, and then consider the ** plan. Radioactive iodine is indicated for patients with moderate thyroid enlargement or hyperthyroidism**.

Hyperthyroidism**. There are three methods: medication, surgery, and iodine-131 radiation**.

It takes a long time to take the drug, it takes 2 to 3 years, because the ** rate is high, so the maintenance period will be very long, you must be patient, but it will not cause permanent hypothyroidism; The advantage of surgery and iodine-131** is that it is very effective, or **, but because it is difficult to grasp the amount of surgical resection and the appropriate dose of iodine-131, there is also the risk of ** and permanent hypothyroidism, especially after iodine-131**, almost 100% of permanent hypothyroidism occurs (but sooner or later).

Patients with hyperthyroidism should not eat iodine-containing foods including: seafood, kelp, seaweed, shrimp and crab, iodized salt, etc., can not eat spicy food, avoid tobacco and alcohol, especially cigarettes, and do not smoke second-hand smoke; Avoid eating foods that cause goiter such as cabbage, cabbage, rape, cassava, walnuts, etc. to avoid goiter. Stay in a good mood.

Cooperate with the doctor**, I believe you will**. Under what circumstances should surgery be used**Hyperthyroidism? Please refer to the following summary as follows.

1) The condition is mild and the degree of goiter is mild, and the use of drugs** can often make hyperthyroidism **, without surgery**.

2) Malignant exophthalmos: Severe malignant exophthalmos can be aggravated by surgery**, but generally not severe exophthalmos can be surgically operated**.

3) The physical development of adolescent hyperthyroidism patients is immature and not suitable for surgery, and there are relatively many patients after surgery.

4) Elderly patients with hyperthyroidism have the phenomenon of decline in the function of various organs.

5) Hyperthyroidism after surgery, it is more difficult to perform surgery again, and surgical complications are prone to occur.

6) Pregnant women with hyperthyroidism should not be operated on in the late stage of pregnancy.

7) If the symptoms of hyperthyroidism have not been controlled, surgery should be postponed.

8) Patients with severe liver and kidney diseases should not be operated.

I hope it will be helpful to you and please adopt it.

The choice of method needs to be based on the specific situation of the patient.

Dr. Ma from Chongqing National Defense Hospital introduced that there are three methods of hyperthyroidism, antithyroid drugs, radioactive iodine and surgery.

There are two types of antithyroid drugs - imidazoles and thiouracils, which are represented by methimazole (also known as "methimazole") and propylthiouracil (also known as "propyne").

The drug is suitable for pregnant women, children, and patients with mild thyroid enlargement, and generally takes 1 or 2 years, and the dose of the drug needs to be increased or decreased according to thyroid function. There are some drugs **, including granulocytopenia, drug allergy, impaired liver function, joint pain and vasculitis, and the initial stage of the drug needs to be closely monitored, especially agranulocytosis, and the patient needs to be warned that once fever and sore throat appear, granulocytes need to be checked immediately to determine whether there is agranulocytosis, once it appears. Discontinue the emergency department immediately.

Another disadvantage of the drug is that the rate is high after discontinuation, which is about 50%.

Radioactive iodine** and surgery** are both destructive**, hyperthyroidism is not easy**, **only needs one time. Radioactive iodine is suitable for patients with moderate thyroid enlargement or hyperthyroidism**, and doctors calculate the dose of radiation required for each patient based on the rate of uptake of radioactive iodine by the patient's thyroid gland. Radioactive iodine is an absolute contraindication to pregnant and lactating women.

Because there is a delaying effect of radioactive iodine, hypothyroidism occurs at 3% to 5% per year with follow-up over time. Radioactive iodine** is not suitable for patients with hyperthyroidism who have thyroid eye disease, as the posterior eye disease may be exacerbated.

Surgery** is suitable for those who have significant thyroid enlargement, or who have a high suspicion of thyroid malignancy, or who have difficulty breathing due to thyroid enlargement that compresses the trachea. Before surgery, it is necessary to control thyroid function within the normal range with drugs, and oral compound iodine solution is also required to prepare for surgery.

The specific needs are determined according to your situation, and the surgery can easily damage the recurrent laryngeal nerve and parathyroid glands, resulting in hoarseness, low calcium, low phosphorus, etc.

It's better, and it's much better than just taking drugs, there's nothing ***, and the scar is not big, it doesn't affect work and life!

Generally, the recovery period for hyperthyroidism surgery is about two weeks, and the complete recovery is about three months. It is recommended that you go to a professional surgical hospital for regular dressing changes, and now the sutures are free of removal, and the sutures can fall off on their own in about two weeks. Thyroid function should be checked regularly to make a medication adjustment.

The addition and subtraction caused by surgery can only be taken for life, and there is no other good way.

It is recommended to do it under the guidance of a doctor**.

Generally speaking, simple hyperthyroidism does not need surgery, if the hyperthyroidism has been treated with regular antithyroid drugs ****, such patients can radioactive iodine**, there is no need for surgery.

Hello, patients with hyperthyroidism need to choose the ** plan according to the specific situation. One is that oral medication** can be taken orally. The second is to select radioactive iodine-131**. Finally, surgery may be used**.