Should Take Medication For Life After Surgical Removal Of The Nodal Goitre?
Thank you Domter for answering my question. My doctor has a few more questions. 1. If I have a lump removal procedure (non toxic toxic goose), do I have to take medication for life? 2. Does the doctor use nuclear therapy to eliminate the non-toxic nodal goitre that can cause hypothyroidism? 3. What is the cost of operating a soduma nodusa removal, how can I live in Lampung City? 4. Is besides surgery and nuclear therapy, is there another way to get rid of non-toxic nodules? Thank you before.
Hello Ferryda, thank you for asking again.
I will try to answer your questions one by one yes.
Depending on the type of surgical removal. Surgery can be total, meaning both thyroid lobes are removed. Surgery can also be unilateral, meaning one of the two thyroid lobes will be removed. Or the last option is subtotal surgery, where only a portion of the problematic thyroid tissue is removed. The decision of the type of surgery depends on the condition of the patient, the condition of the goitre, and the profit and loss of the patient's condition. Subtotal surgery carries a risk of relapse (recurrence), that is, the nodes can grow back in the thyroid tissue that is not removed. Side effects do not differ between total operations and subtotal operations. Side effects include injury to blood vessels, nerve injuries, vocal cord injuries, removal of the parathyroid gland, or hypothyroidism. However, the incidence of side effects will increase, if after a subtotal operation, the node returns, so it must be re-operated. If hypothyroidism does occur after surgery, then yes, you should take medicine containing thyroxine to replace the body's thyroxine that is lost. Almost the same as number 1. Radioiodin / nuclear therapy is generally chosen in patients who cannot or refuse surgery. Generally found a decrease in node volume after nuclear therapy. Hypothyroidism can occur just as with surgery options, and can be temporary or permanent. Nodus in large quantities and large sizes may require several doses of radioiodin, so they must be aware of the side effects of radiation in other body parts. The range of costs varies greatly depending on location, type of hospital, type of action, with or without insurance. The good, you specify which hospital is your destination, and ask information clearly about the costs and insurance to the hospital. In some cases of non-toxic goitre, the doctor will make observations only. However, patients are advised to routinely control thyroid function and control physical condition, at least 1-2 times per year. This is important so that if there are toxic or malignant symptoms, they can be found as early as possible. If for a few years no deterioration has been found, it is likely that the doctor will decrease the frequency of control. The following is a scientific article about goitre nodosa. Thus information from us, hopefully you can be helped. Regards.