Blood test 1 month after thyroid cancer surgery How to adjust the dosage of Alpha?

According to the guidelines of many countries, thyroid microcarcinoma generally requires total thyroidectomy + bilateral ** lymph node dissection. Postoperatively, thyroglobulin (TG) should be low or even undetectable. TG is one of the important indicators to monitor whether thyroid cancer is ** after surgery, and if TG is elevated, it indicates that it is possible**.

Because the TG in normal human blood comes from the thyroid tissue, and the thyroid cancer cells also secrete TG, if the thyroid gland is completely resected, the TG is still high, it means that it comes from the thyroid cancer tissue. So you're right that your TG isn't high. At present, TSH (thyroid-stimulating hormone) suppression is managed according to a stratified approach, and based on your situation, I estimate that you should be at "intermediate risk", and TSH suppression is below that.

If it is cancer, is the thyroid completely resected, TSH is too high, it should be pressed to the normal value, subclinical hyperthyroidism, in order to reduce the possibility of thyroid tissue hyperplasia, unless there are heart problems and lymph node metastasis, I am afraid that it will be operated again, and it is best not to make up too much.

I am a patient with glamoid adenocarcinoma and it has been almost a month since the left lobe total lymphatic dissection was done. I have been coughing since the operation, and when I went to the hospital for examination, it was pharyngitis, and there was a purulent spot on the left side. What is the reason, do I need to do the color ultrasound examination, is there a transfer?

In the case of thyroid cancer, TSH is preferably less than.

How long have you been taking it? Whether you need to adjust it depends on your physical condition, and Q chat is convenient to help you analyze this problem in detail.

It is recommended to take 75 mcg of Umala.

According to the latest guidelines and norms for the diagnosis and treatment of thyroid cancer in Europe and the United States, it is best to take iodine-131** for your situation, which can play the following roles: 1Completely remove the residual thyroid gland and reduce the risk of thyroid cancer and metastasis in the future, 2

Iodine-131** has the dual role of diagnosing and ** and can detect and determine the presence of new metastases,3After iodine-131**, a blood thyroglobulin (TG) test can be followed up for simple and sensitive detection of ** and metastases.

Shanghai Sixth People's Hospital, Luo Xuanzai, Quan Yong.

Guidance: Hello, hypothyroidism is mainly due to various reasons for hypothyroidism, thyroid hormone secretion is insufficient, the main means is to give thyroid hormone replacement**; You can be hungry to take the nail card, regularly review the nail function, and adjust the dosage of the nail function according to the nail function. In life, we should pay attention to keeping warm, especially in winter, and insist on appropriate physical exercise; Prevent colds, prevent trauma and infection, and avoid all triggers that can cause myxedema; The diet should be based on calorie-rich foods, such as milk, fish, eggs and soy products, lean meat, etc. Take care to keep your mood up.

After more than 7 years of bilateral thyroidectomy surgery, I am now taking Eunaila to replenish the thyroid hormone needed by the body. Laboratory results showed that free triiodothyroid thick acid and free thyroid hormone were normal, but thyroid-stimulating hormone was low.

This indicates that subclinical hypothyroidism is still present. This is due to the fact that the supplementation of Yonaila is not enough. A small dose of Jiazhuang is required, and oral administration is required for half a month before going for laboratory testing.

If thyroid-stimulating hormone is normal, take the drug in the adjusted dose, and if it is still abnormal, adjust the dose in the same way.

After the thyroidectomy is complete, it is all replaced by Eunail**. The key is to adjust to a suitable dose with the help of a doctor, that is, free triiodothyronine, free thyroxine and thyroid-stimulating hormone are normal, this dose is the appropriate dose, and after finding the right dose, take Eunaila for life. Regular laboratory tests in the future, if it is abnormal, adjust the dose again.

If it is normal, it will be taken for life**.

Hello! Women with hyperthyroidism are not suitable for pregnancy before hyperthyroidism. This is because pregnancy itself will inevitably increase the physical and mental burden of the patient, affect **, and also easily cause miscarriage, premature birth and fetal death; At the same time, if there is a slight deviation in the hyperthyroidism drug**, it will also cause fetal hyperthyroidism, fetal goiter, and even fetal hypothyroidism, affecting the fetal brain development.

Therefore, women with hyperthyroidism should not rush to get pregnant. First of all, you should actively ** macro chong hyperthyroidism, and wait for hyperthyroidism ** before considering pregnancy. Generally, hyperthyroidism can be treated with antithyroid drugs for about 2 years.

If there is no sign of ** after half a year of discontinuation of the drug, pregnancy can be considered. If surgery** hyperthyroidism is used, and the condition does not relapse 3 months after surgery, pregnancy can be considered. Young women with hyperthyroidism generally do not use radioactive iodine** hyperthyroidism, and if radioactive iodine is used, pregnancy should be considered in the second half of the year, when hyperthyroidism is no longer **.

If a woman with hyperthyroidism is pregnant before hyperthyroidism**, considering that hyperthyroidism is not good for both the hyperthyroid woman and the fetus, it is generally recommended that pregnant women with hyperthyroidism undergo abortion. Abortion is usually performed during the first 3 months of pregnancy.

If a woman with hyperthyroidism is pregnant and does not want to terminate her pregnancy for some reason, she must see a doctor regularly and do a good job of hyperthyroidism and pregnancy health care under the guidance of an endocrinologist and obstetrician and gynecologist. Antithyroid drugs are generally used** hyperthyroidism. Propylthiouracil is used instead of methimazole.

Propranolol cannot be used. May be used in conjunction with thyroid tablets**. To control thyroid function at slightly higher levels than normal, it is best to measure FT3 and FT4 levels once a month to check thyroid function.

Analysis:

Hello: Your condition is considered to be caused by low calcium, calcium is easy to be lost after thyroidectomy, so low calcium symptoms will generally occur, and taking Eunail is also prone to low calcium symptoms, so calcium supplementation is required.

Guidance: It is recommended that you take Alpha and supplement calcium at the same time, pay attention to your diet and keep warm during the period, avoid colds, calcium deficiency and overwork, etc., and have regular check-ups.