A 12-year-old boy with hyperthyroidism has a swollen neck that makes it difficult to breathe! “Minimally invasive and undetectable surgery” treatment without long-term medication | am730

12The young man, named Xie, suffered from long-term neck thyroid enlargement, which caused breathing problems and left him unable to exercise or run.Computer tomography showed that the respiratory tract and trachea had the tension and that there was only a little gap left after a blood test, he was diagnosed with “Grave’s Hyperthyroidism”, so he started giving medicine. However, Xie Xiaodi often did not take the medicine on time, and because of the side effects of the medicine, he went to Renai Chang Gung Memorial Hospital for evaluation during the summer vacation After the operation , not only his breathing was improved, but he could also exercise and run, which was less than a month old10centimeters.

Hyperthyroidism7to14Years are the best time for hair loss Note the common symptoms of a thick neck and bulging eyes

Director of General Surgery Wu Yiru said that Graves diseaseGraves Disease“Hyperthyroidism”, known as hyperthyroidism, refers to an endocrine disease caused by autoantibodies stimulating the thyroid gland, resulting in an excessive secretion of hormones. In general, the incidence of hyperthyroidism in children is low, accounting for only 1% of all patients.5%left and right, among them7to14Years of age is the most common age, with more girls than boys, with a ratio of approx5:1.

Director Wu Yiru pointed out that clinically, symptoms such as goiter, neck thickening, and swelling of the eyeballs in some people affect vision, hair loss, muscle weakness, and paralysis from time to time. In addition, metabolism will increase and lead to anxiety, palpitations, tremors and heat intolerance, excessive sweating, increased appetite but weight loss, increased bowel movements or diarrhea, emotional instability, inactive behavior, inability to concentrate, reduced memory and academic performance. Relapse also affects growth and development, such as slow development of secondary sexual characteristics during adolescence, and girls may suffer from menstrual disorders, amenorrhea and oligomenorrhoea. If not controlled, it will lead to more severe hyperthyroidism storms, such as fever, tachycardia, heart failure, coma and shock, etc.

Treatment is mainly oral medication 3common method

Director Wu Yiru said that the first choice of traditional treatment is oral drug treatment, that is, antithyroid drugs, and the overall treatment course is general.2to3year, some want5to6years, or even longer. The second treatment is radioactive iodine therapy5Absolutely not to be used by those under 10 years old and pregnant after treatment6Pregnancy is not allowed within 3 months, and hypothyroidism can be permanent after treatment. The third treatment is surgical treatment, that is, thyroidectomy In the past, traditional surgery often left a long scar on the neck.

minimally invasive resection without detection Special treatment based on needs

Director Wu Yiru said that after years of long-term research, the original minimally invasive thyroidectomy surgery has been confirmed by international journals and has been applied to many clinical patients with good results. You can also choose this minimally invasive treatment with special options, including: bilateral total resection, bilateral subtotal resection, total resection on one side and subtotal resection on the contralateral side, etc. Children and teenagers need to meet their growth and development needs, and the effective option for adults and the most likely way to relapse.

【This article has been granted”Health Medical Network“Reprinted with permission. 】

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