Classification of hyperthyroidism, indications, Surgical operation indications and contraindications.

Hyperthyroidism symptoms
Classification
- Primary hyperthyroidism
- Secondary hyperthyroidism
- Hyperfunctioning thyroid adenoma
Indications:
- Nodular hyperthyroidism, although drugs or iodine can eliminate or alleviate the symptoms of hyperthyroidism, but the nodules still exist, and may be secondary to hyperthyroidism or cancer.
- Diffuse hyperthyroidism, after systemic drug treatment, no significant improvement, or relapse after stopping the drug.
- Retrosternal goiter with hyperthyroidism, or compression symptoms caused by thyroid enlargement.
- Within 6 months of pregnancy, there is hyperthyroidism, which is adversely affects both situation mutually.
- Suspected of malignant. (primary condition has a localized nodule or a scanning find outs a cold nodule)
- Hyperfunctioning thyroid adenoma
Surgical operation indications:
- Secondary hyperthyroidism, hyperfunctioning thyroid adenoma
- Moderate or above primary hyperthyroidism
- Hyperthyroidism with thyroid compression symptoms or retrosternal goiter, or suspected cancer
- Medical treatment of side effects such as allergies or myelosuppression
- Long-term drug treatment relapse after drug withdrawal or relapse after 131I treatment
- Those with the above indications in the early and middle stages of pregnancy should also consider surgery
Contraindications:
- Teen hyperthyroidism
- Mild primary hyperthyroidism
- Exophthalmos is severe and hyperthyroidism is mild.
- The patient has severe organ dysfunction such as heart and lung, and the drug is not improved, and surgery is not allowed.
The role and usage of iodine as a preoperative preparation for hyperthyroidism.
- Inhibits proteolytic enzymes, thereby reducing the decomposition of thyroglobulin, which gradually inhibits the release of thyroxine, and does not cause sudden changes in the circulatory system after surgery.
- Iodine can reduce the blood flow of the thyroid and reduce the congestion of the gland, with the time glands get shrunken and harden.
Use of iodine: compound potassium iodide solution, 3 times a day, 3 drops per day on the first day, then add 1 drop each time to 16 drops each time, then maintain this dose.
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