甲状腺手术后注意事项
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><img src="https://mmbiz.qpic.cn/mmbiz_jpg/UhHkzzsDyLQ2KhLzyAMyz37a9OnBaOPiaCqWYStpIMeiaSA4GIicGicLsjCYPiaVX7HoKWZRBzu9jnSY3w8V57O55VQ/640?wx_fmt=jpeg&tp=webp&wxfrom=5&wx_lazy=1&wx_co=1" style="width: 50%; margin-bottom: 20px;"></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"> 甲状腺手术术后该<span style="color: black;">重视</span><span style="color: black;">那些</span>问题呢?今天给<span style="color: black;">大众</span>做一下简单介绍。</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">甲状腺手术后的恢复是一个漫长的过程，<span style="color: black;">通常</span><span style="color: black;">必须</span>三个月时间。手术后<span style="color: black;">1星期</span>内相对较为难受，<span style="color: black;">包含</span>切口<span style="color: black;">病痛</span>，吞咽不适、<span style="color: black;">头昏</span>、呕吐等现象，<span style="color: black;">通常</span><span style="color: black;">1星期</span>后<span style="color: black;">逐步</span>缓解。手术<span style="color: black;">1星期</span>后，会<span style="color: black;">显现</span>颈部手术部位皮肤轻微肿胀、颈部紧绷感等不适，这一<span style="color: black;">周期</span><span style="color: black;">必须</span>三个月后<span style="color: black;">才可</span>慢慢恢复。以上所述均为甲状腺手术后的正常恢复过程，<span style="color: black;">大众</span>不必多虑，下面<span style="color: black;">咱们</span>谈谈术后有<span style="color: black;">那些</span><span style="color: black;">重视</span>事项。</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><img src="https://mmbiz.qpic.cn/mmbiz_jpg/UhHkzzsDyLQ2KhLzyAMyz37a9OnBaOPiaj36TKbrbtunWnjV3icwcVq9xuGKibxk9O3cNEbcicXlzLuzwgsYibTibP4A/640?wx_fmt=jpeg&tp=webp&wxfrom=5&wx_lazy=1&wx_co=1" style="width: 50%; margin-bottom: 20px;"></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"> <strong style="color: blue;"><span style="color: black;">1、</span>并发症问题</strong></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">甲状腺手术后<span style="color: black;">少许</span><span style="color: black;">病人</span>会<span style="color: black;">显现</span>颈部<span style="color: black;">流血</span>，<span style="color: black;">通常</span>多<span style="color: black;">出现</span>在甲状腺术后<span style="color: black;">第1</span>天;<span style="color: black;">因为</span>颈部空间小，<span style="color: black;">倘若</span><span style="color: black;">流血</span>，形成的血肿会压迫气管，<span style="color: black;">引起</span>窒息。<span style="color: black;">因此呢</span>，甲状腺术后48小时内<span style="color: black;">必须</span>严密观察<span style="color: black;">病人</span>的<span style="color: black;">呼气</span><span style="color: black;">状况</span>、引流液<span style="color: black;">状况</span>和颈部肿胀<span style="color: black;">状况</span>，<span style="color: black;">倘若</span><span style="color: black;">病人</span><span style="color: black;">显现</span><span style="color: black;">呼气</span>困难、颈部引流管引流出<span style="color: black;">海量</span>鲜血、颈部肿胀，应立即<span style="color: black;">通告</span>医护人员，<span style="color: black;">即时</span>处理。甲状腺术后<span style="color: black;">少许</span><span style="color: black;">病人</span>可能会<span style="color: black;">显现</span>声音嘶哑或饮水呛咳，这其中大部分是组织水肿神经受压迫、牵拉<span style="color: black;">导致</span>，<span style="color: black;">通常</span>可在3-6个月恢复，不必过分焦虑。<span style="color: black;">另外</span>，有些<span style="color: black;">病人</span>术后会<span style="color: black;">显现</span>口周和四肢的麻木<span style="color: black;">乃至</span>抽搐，这是<span style="color: black;">由于</span><span style="color: black;">损害</span>甲状旁腺及其血供引起，轻者口服钙剂并在<span style="color: black;">膳食</span>上<span style="color: black;">掌控</span>含磷高的<span style="color: black;">食品</span>如牛奶、蛋黄、鱼等。<span style="color: black;">通常</span>2-3个月恢复。</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><img src="https://mmbiz.qpic.cn/mmbiz_jpg/UhHkzzsDyLQ2KhLzyAMyz37a9OnBaOPiaSZ8GuFE7hYSMibsjrGZ4bLLN7YQ4ITNkicL0MRrxicWAnb7f1xgYXnz1g/640?wx_fmt=jpeg&tp=webp&wxfrom=5&wx_lazy=1&wx_co=1" style="width: 50%; margin-bottom: 20px;"></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"> <strong style="color: blue;"><span style="color: black;">2、</span><span style="color: black;">膳食</span></strong></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">甲状腺手术当天<span style="color: black;">必须</span>禁食，术后<span style="color: black;">第1</span>天<span style="color: black;">就可</span>恢复<span style="color: black;">摄食</span>，为加速<span style="color: black;">恢复</span>，宜高蛋白、高热量、高维生素<span style="color: black;">膳食</span>。<span style="color: black;">然则</span>，<span style="color: black;">因为</span>切口尚未愈合，术后<span style="color: black;">初期</span>吞咽时颈部<span style="color: black;">病痛</span><span style="color: black;">显著</span>，<span style="color: black;">能够</span>改为稀饭、面条等半流质<span style="color: black;">膳食</span>，有利于吞咽并减轻颈部<span style="color: black;">病痛</span>。<span style="color: black;">针对</span>甲状腺癌<span style="color: black;">必须</span>做碘131治疗的<span style="color: black;">病人</span>，<span style="color: black;">意见</span>少吃海带、紫菜等高碘<span style="color: black;">食品</span>。</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><img src="https://mmbiz.qpic.cn/mmbiz_jpg/UhHkzzsDyLQ2KhLzyAMyz37a9OnBaOPiagWHOYh58vj38xiccBgu7fiaN20oIXvuweHMN7g5OwMGXh5eRK7k0TB2Q/640?wx_fmt=jpeg&tp=webp&wxfrom=5&wx_lazy=1&wx_co=1" style="width: 50%; margin-bottom: 20px;"></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"> <strong style="color: blue;"><span style="color: black;">3、</span>伤口处理及洗澡问题：</strong></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"> 术后切口<span style="color: black;">通常</span><span style="color: black;">1星期</span>后拆线。术后<span style="color: black;">1星期</span>内不要弄湿伤口<span style="color: black;">以避免</span>感染。术后两周用清水洗澡，切口处勿用沐浴液、肥皂等。术后<span style="color: black;">一月</span><span style="color: black;">能够</span>用沐浴液。</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><img src="https://mmbiz.qpic.cn/mmbiz_jpg/UhHkzzsDyLQ2KhLzyAMyz37a9OnBaOPiaRXgcat39gBApLHliaV9mAoaTtEply3toe8gxPEuPRLFqcEoqA1xEB2Q/640?wx_fmt=jpeg&tp=webp&wxfrom=5&wx_lazy=1&wx_co=1" style="width: 50%; margin-bottom: 20px;"></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"> <strong style="color: blue;"><span style="color: black;">4、</span>颈部<span style="color: black;">熬炼</span>问题</strong></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">术后<span style="color: black;">1星期</span>内改变体位时，应保持颈、躯干<span style="color: black;">同期</span>转动;床上坐起或弯曲移动颈部时将手放在头后支撑头部重量。2周后练习颈部运动，轻微点头、仰头、伸展和<span style="color: black;">上下</span>旋转颈部。术后两周内避免体力劳动尤其搬重物，因其会加重颈部<span style="color: black;">包袱</span>。术后脖子活动<span style="color: black;">不方便</span>，应<span style="color: black;">小心</span>驾驶。</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><img src="https://mmbiz.qpic.cn/mmbiz_jpg/UhHkzzsDyLQ2KhLzyAMyz37a9OnBaOPiaezhHZ2gpegD4lFEsEdwRcdGhqpAd2kgWB9euFlcXF5cfDjfKhcggJA/640?wx_fmt=jpeg&tp=webp&wxfrom=5&wx_lazy=1&wx_co=1" style="width: 50%; margin-bottom: 20px;"></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"> <strong style="color: blue;"><span style="color: black;">5、</span>服药问题</strong></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">部分甲状腺<span style="color: black;">疾患</span><span style="color: black;">病人</span>术后<span style="color: black;">必须</span>口服左甲状腺素片，此药<span style="color: black;">意见</span>每日清晨饭前半小时<span style="color: black;">吃下</span>，否则影响<span style="color: black;">药品</span>吸收。<span style="color: black;">必须</span>服药<span style="color: black;">病人</span>术后2周<span style="color: black;">就可</span><span style="color: black;">起始</span><span style="color: black;">吃下</span>左旋甲状腺素片。初始剂量为<span style="color: black;">每日</span>一片(50微克)，之后<span style="color: black;">按照</span>血清促甲状腺激素(TSH)的监测结果<span style="color: black;">调节</span>用药剂量。<span style="color: black;">因为</span>每位<span style="color: black;">病人</span>所患<span style="color: black;">疾患</span>的严重程度不同，<span style="color: black;">大夫</span>会结合<span style="color: black;">病人</span><span style="color: black;">实质</span><span style="color: black;">状况</span>制定出不同的治疗<span style="color: black;">目的</span>，即<span style="color: black;">便是</span>TSH值要达到的范围。<span style="color: black;">按照</span>此<span style="color: black;">目的</span>，<span style="color: black;">病人</span><span style="color: black;">必须</span><span style="color: black;">持续</span>的<span style="color: black;">调节</span><span style="color: black;">吃下</span>左旋甲状腺素片的剂量，直至达标，初始治疗时，<span style="color: black;">意见</span><span style="color: black;">病人</span>每4周<span style="color: black;">上下</span>去医院测定TSH，用来决定左旋甲状腺素片<span style="color: black;">是不是</span>增量或<span style="color: black;">减少</span>;达标后可3～6个月复查甲状腺功能测定TSH，以<span style="color: black;">保准</span>TSH维持于<span style="color: black;">目的</span>范围。</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><strong style="color: blue;"><span style="color: black;">举荐</span>阅读</strong></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><a style="color: black;">甲状腺癌<span style="color: black;">病人</span>术后<span style="color: black;">必须</span>常规化疗、放疗等辅助治疗吗？</a></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><a style="color: black;">别让甲状腺癌，偷走你的生命</a></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><a style="color: black;">甲状腺癌术后<span style="color: black;">必要</span>补钙吗？怎么补钙好呢？</a></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><a style="color: black;">哪种甲状腺结节最容易癌变？</a></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><a style="color: black;">甲状腺癌手术范围</a>？到底要切多少、留多少？</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><a style="color: black;">解答甲状腺癌术后常遇到的几个问题</a></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"> <strong style="color: blue;"><span style="color: black;">☞</span></strong><strong style="color: blue;">感谢关注<span style="color: black;">甲状腺大讲堂（<span style="color: black;">微X</span>ID：jzxdjt）</span>。<span style="color: black;">非常多</span>甲友还没养成<span style="color: black;">阅读后点赞分享</span>的习惯，<span style="color: black;">倘若</span>觉得谈谈甲状腺做得不错，记得<span style="color: black;">点个“在看”</span><span style="color: black;">暗示</span>鼓励哦！</strong></p>
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