طب بشري - التسمم الهرموني ما بعد استئصال سرطان الدرقيه

طب بشري | Medicine


  • 2024-05-11

بعد استئصال الاورام الخبيثه بالغده الدرقيه يتعرض المرضي بعدها لبروتوكول دوائي يهدف الي تثبيط نمو الخلايا السرطانيه 

كالتعرض ل الايودين المشع  بالاضافه الي اخذ جرعات عاليه جدا من هرمونات الغده الدرقيه المصنعه

بلجأ الطبيب الي جرعات عاليه من الهرمونات الخارجيه لان تاثيرها علي الخلايا السرطانيه يكون مميتا ويمنع عوده الورم مره اخري

 

يتعرض هؤلاء المرضي لتسمم ناتج عن الجرعات العاليه من هذه الهرمونات لزياده في ضغط الدم والنبض ومعدلات التنفس
فقد الوزن بصوره غير محسوبه 

رعشه وتعرق زاد خصوصا فاليدين 

 

في الفيديو شرحت لكم كيفيه تشخيص هذه الحاله بالاضافه لكيفيه تمييزها من بعض الحالات الاخري المشابهه 

 

 

 

## Thyroid Cancer

 

Thyroid cancer is a disease that begins in the cells of the thyroid gland, a butterfly-shaped gland located just below the Adam's apple in the neck⊃1;. The thyroid gland produces hormones that regulate heart rate, blood pressure, body temperature, and weight⊃2;.

 

### Symptoms

 

Thyroid cancer may not always cause notable symptoms. The first sign of cancer in the thyroid gland is often a nodule. Other notable symptoms include a hoarse voice, neck pain, difficulty swallowing, swollen lymph nodes in the neck, difficulty breathing, and frequent cough not related to a cold⊃1;.

 

### Causes

 

Thyroid cancer results from thyroid cells that have undergone genetic changes and grow abnormally. This genetic change could be the result of a family history, constant exposure to radiation, radiation treatment for cancers, a diet low in iodine, and gender (women are at increased risk of developing thyroid cancer)⊃1;.

 

### Diagnosis and Treatment

 

Diagnosis for thyroid cancer involves detailed medical history, physical examination, thyroid function tests, ultrasound, CT scan, thyroid biopsy, and genetic testing⊃1;. Treatment includes surgery to partially or completely remove the affected thyroid and nearby lymph nodes, medications, and radiation therapies to kill cancer cells⊃1;.

 

## Thyroid Replacement Therapy

 

Thyroid hormone replacement therapy is the use of manmade thyroid hormones to raise abnormally low levels of natural thyroid hormones in the body⁴. This therapy is usually given in pill form and is often used to treat an underactive thyroid that is secreting little or no thyroid hormones⁴.

 

### Who Needs It?

 

Thyroid hormone therapy is generally prescribed when your thyroid is not making enough thyroid hormone naturally, a condition referred to as hypothyroidism⁴. Other reasons for using thyroid hormone therapy may rarely include controlling the growth of the enlarged thyroid gland (also called goiter), controlling the growth of nodules on the thyroid gland, treatment after the removal of the thyroid for benign or malignant disease, and after treatment of hyperthyroidism by radioactive iodine ablation⁴.

 

### Dosage Determination

 

Healthcare providers do careful blood testing to find the proper dose of hormone replacement therapy for each person. The blood tests reveal levels of thyroid hormones in the blood, as well as thyroid-stimulating hormone (TSH) released by the pituitary gland⁴.

 

In conclusion, both thyroid cancer and thyroid hormone replacement therapy are significant aspects of thyroid health. Regular check-ups and early detection are key to managing these conditions effectively.

 

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