7wu1wm0 发表于 2024-6-21 18:01:18

甲癌术后5年病人分享:甲状腺癌术后注意事项!


    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">甲状腺乳头状癌术后<span style="color: black;">迄今</span>将近五年了,写一点<span style="color: black;">重视</span>事项给有<span style="color: black;">关联</span>问题的病友参考。其实<span style="color: black;">这儿</span>说的大部分病友都<span style="color: black;">晓得</span>,但我<span style="color: black;">发掘</span>有些病友还是不大清楚某些<span style="color: black;">重视</span>事项。虽然<span style="color: black;">非常多</span><span style="color: black;">大夫</span>都会说明,<span style="color: black;">然则</span>有时<span style="color: black;">大夫</span><span style="color: black;">便是</span>说几句,你可能没听清,<span style="color: black;">或</span>没<span style="color: black;">认识</span>到不遵守的后果。</p>
    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">重视</span><span style="color: black;">这儿</span>只写关于乳头状甲状腺癌这一类的,其他<span style="color: black;">没</span><span style="color: black;">认识</span>。我当时是甲状腺乳头状癌伴颈部淋巴转移,<span style="color: black;">这儿</span>写的<span style="color: black;">亦</span>是跟我当时病情<span style="color: black;">关联</span>的,仅适用类似的<span style="color: black;">状况</span>。一切还是<span style="color: black;">大夫</span>说的为准,仅供参考。写得比较简短,<span style="color: black;">然则</span>应该是<span style="color: black;">必要</span>要<span style="color: black;">重视</span>的。</p>
    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">认识</span>手术<span style="color: black;">状况</span>,以便与<span style="color: black;">大夫</span>交流。</p>
    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">是不是</span>全切,有<span style="color: black;">无</span>淋巴转移,更严重的<span style="color: black;">状况</span>没<span style="color: black;">认识</span><span style="color: black;">这儿</span>不说。我只<span style="color: black;">认识</span>全切,<span style="color: black;">这儿</span>只说全切。全切后<span style="color: black;">倘若</span>tg&lt;0.04<span style="color: black;">或</span>tg&lt;0.1(<span style="color: black;">由于</span>有些仪器精度<span style="color: black;">能够</span>到0.04,有些只能达到0.1,<span style="color: black;">因此</span>这么说),则说明手术切得很干净。<span style="color: black;">倘若</span>手术<span style="color: black;">发掘</span>有淋巴结转移,个数&gt;5个<span style="color: black;">大夫</span><span style="color: black;">通常</span>会叫你去做碘131,<span style="color: black;">倘若</span><span style="color: black;">少于</span>5个,有些<span style="color: black;">大夫</span>会让你去做,有些则说观察就好。这个<span style="color: black;">无</span>绝对,<span style="color: black;">必须</span>你跟<span style="color: black;">大夫</span><span style="color: black;">一块</span>商量。</p>
    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">手术<span style="color: black;">必须</span><span style="color: black;">重视</span>的是,做完手术醒来你可能<span style="color: black;">发掘</span>自己说话没什么影响,但这个时候最好就少说话多<span style="color: black;">休憩</span>。我当时觉得没影响,说话比较多。<span style="color: black;">次日</span>就咳得很厉害了。手术会对气管有点影响,一<span style="color: black;">起始</span>药效没去,你没什么感觉,<span style="color: black;">一直</span>说话,<span style="color: black;">引起</span>气管炎症加重,等药效退了,就要咳嗽厉害了。</p>
    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">术后<span style="color: black;">必要</span>终生<span style="color: black;">吃下</span>优甲乐,在<span style="color: black;">每日</span>早餐半小时前<span style="color: black;">吃下</span>。</p>
    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">餐后<span style="color: black;">吃下</span>会影响吸收,等于你药吃少了。<span style="color: black;">况且</span>优甲乐的药量要<span style="color: black;">吃下</span>到tsh &lt; 0.1时为宜。有些<span style="color: black;">大夫</span>说有些年纪<span style="color: black;">很强</span><span style="color: black;">或</span>严重程度较低的<span style="color: black;">能够</span>稍微放宽,这个最好听下<span style="color: black;">大夫</span>怎么说吧。</p>
    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">我一<span style="color: black;">起始</span><span style="color: black;">调节</span>到0.1以下时总感觉有些容易心慌,后来过了很长一段时间倒是适应了。适当喝点补阴的应该<span style="color: black;">能够</span>减轻<span style="color: black;">由于</span><span style="color: black;">吃下</span>优甲乐带来的轻微甲亢现象。<span style="color: black;">例如</span>泡点西洋参水,石斛,女贞子之类的吧,供参考。</p>
    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">足量的优甲乐除了<span style="color: black;">供给</span>身体所需甲状腺激素外,更<span style="color: black;">要紧</span>的是<span style="color: black;">能够</span><span style="color: black;">控制</span>身<span style="color: black;">身体</span>可能残留的微少的甲癌细胞发展,<span style="color: black;">因此</span><span style="color: black;">必定</span>要终生<span style="color: black;">每日</span>足量<span style="color: black;">吃下</span>。</p>
    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">黄豆类<span style="color: black;">食品</span>会影响优甲乐吸收,<span style="color: black;">例如</span>豆浆,豆腐。吃了优甲乐,早餐肯定<span style="color: black;">不可</span>喝豆浆了。<span style="color: black;">夜晚</span>能<span style="color: black;">不可</span>喝,我就不大清楚了,<span style="color: black;">意见</span>不喝。</p>
    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">少吃海鲜,忌吃海带、紫菜,海藻,<span style="color: black;">由于</span>这些含碘非常高。家里做饭的还是用<span style="color: black;">没</span>碘盐吧。外面吃饭的可能就没办法了。有些<span style="color: black;">大夫</span>认为并不<span style="color: black;">必须</span>严格忌碘,<span style="color: black;">由于</span>只要tsh<span style="color: black;">掌控</span>得很低,碘不会吸收多少。<span style="color: black;">然则</span>,个人觉得还是少摄入碘吧。</p>
    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">定时</span><span style="color: black;">检测</span>ft3、ft4、tsh、tg。三年内3个月做一次<span style="color: black;">检测</span>,3年后<span style="color: black;">能够</span>半年做一次。ft3、ft4、tsh用来<span style="color: black;">调节</span>优甲乐药量。全切<span style="color: black;">或</span>碘131后,<span style="color: black;">倘若</span>彻底的话,tg应该是&lt;0.04<span style="color: black;">或</span>&lt;0.1(<span style="color: black;">由于</span>有些仪器精度<span style="color: black;">能够</span>到0.04,有些只能达到0.1,<span style="color: black;">因此</span>这么说),总之,<span style="color: black;">少于</span>仪器<span style="color: black;">检测</span>的最低值最好。tg有<span style="color: black;">反常</span>时要找<span style="color: black;">大夫</span>了。</p>
    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">除tg外,还要<span style="color: black;">同期</span><span style="color: black;">检测</span>颈部彩超。目的是<span style="color: black;">发掘</span>颈部有<span style="color: black;">没</span><span style="color: black;">反常</span>淋巴结。这个要与tg<span style="color: black;">一块</span>由<span style="color: black;">大夫</span>判断吧。</p>
    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">规律作息,健康<span style="color: black;">膳食</span>,保持好的生活习惯。这个<span style="color: black;">每一个</span>人都应该做到。</p>
    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">运动,适量就好,<span style="color: black;">不必</span>大汗淋漓,精疲力尽,反而使身体抵抗力下降。运动最大好处应该是<span style="color: black;">提高</span>抵抗力,<span style="color: black;">因此</span>适量的运动<span style="color: black;">就可</span>,以运动时心跳不会过快,运动完不觉得疲劳为准。</p>
    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">很<span style="color: black;">要紧</span>但很容易被<span style="color: black;">忽略</span>的,<span style="color: black;">必定</span>要有好的心情。心情会影响<span style="color: black;">身体</span>激素,<span style="color: black;">亦</span>会影响残存的甲状腺细胞。其<span style="color: black;">功效</span>是不<span style="color: black;">能够</span>小看的。<span style="color: black;">短期</span>的心情<span style="color: black;">欠好</span>可能<span style="color: black;">无</span>多大影响,但<span style="color: black;">长期</span>的心情压抑或烦躁是会带来<span style="color: black;">欠好</span>的后果的。<span style="color: black;">咱们</span>说病从口入,心情<span style="color: black;">欠好</span>,则是毒由心生。保持好的心情。<span style="color: black;">尤其</span>是当有人故意想让你生气郁闷的时候,更要看开,<span style="color: black;">乃至</span><span style="color: black;">谅解</span>别人。做不到的话躲开这些人,找人倾诉。</p>
    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">心情很<span style="color: black;">欠好</span>的时候,脖子会有梗堵感,甲状腺原来不就在这个<span style="color: black;">地区</span>吗。说道这你应该明白心情<span style="color: black;">欠好</span>会带来多大影响了吧,看不开的<span style="color: black;">亦</span>应该要看开了。</p>
    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">多行善事。相由心生,多做好事人的身心都会往好的方向发展。我信善有善报。<span style="color: black;">期盼</span><span style="color: black;">大众</span>多做好事。</p>
    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">总之咨询<span style="color: black;">大夫</span>为准。祝<span style="color: black;">大众</span>好运! 不要熬夜! 保持好心情很<span style="color: black;">要紧</span>! <span style="color: black;">同期</span>行善积德<span style="color: black;">亦</span><span style="color: black;">特别有</span>好处,<span style="color: black;">大众</span>自己体会吧。</p>




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4lqedz 发表于 2024-11-14 23:55:26

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