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Meta
Răspunsuri la întrebări (856)
November 16, 2012
capatana mimi:
dl doctor, am diagnostic de gusa polinodulara care la echografie se prezinta astfel : LTD un nodul hipoecogen median de 5,3/5,2mm, ISTMUL TIROIDIAN mici noduli usor hipoecogeni diseminati in medie de 5,6/4,4 mm, LTS ocupat in totalitate de o formatiune nodulara hipoecogena, neomogena cu mici zone de necroza diseminate si cateva calcificari centrale cu halou periferic.
anti-tiroglobulina <20.0 UI/mL, VAL NORMALA <40, Anti-TPO 20.0 VAL NORMALA <35 UI/mL
1. este interventia chirurgicala unica solutie ?
2. DEOARECE AM SCLEROZA MULTIPLA rr va intreb daca medicamentul pt. ac boala COPAXONE poate fi contraindicat. De asemenea med imunostimulator TIMALIN -ADICA EXTRACT DE PEPTIDE DE TIMUS recomandat mie, poate fi adm. fara a-mi afecta tiroida asa cum se prezinta ea acum. VA MULTUMESC
Raspuns:
– din pacate, in rezultatul ecografic nu sunt precizate dimensiunile nodulului din lobul stang; presupun ca are cel putin 3-3.5 cm daca ocupa aproape complet lobul; in functie de dimesniunea exacta, de acuze (disconfort la deglutitie, probleme estetice, senzatie de apasare) de testele de laborator si de varsta dvs, se poate recomanda operatia;
– de principiu, pentru un nodul tiroidian atat de mare nu exista tratament medicamentos si nici nu are tendinta sa se micsoreze spontan; deci operatia este singura metoda de tratament prin care se poate indeparta;
– medicamentele care intervin in imunitate (cum sunte si cele doua precizate de dvs) pot precipita o forma de boala tiroidiana autoimuna; deocamdata, cu nivele normale ale ATPO si anticorpilor antitiroglobulina, nu exista vreun motiv sa ne suspectam asa ceva in cazul dvs; oricum, o boala tiroidiana autoimuna se poate trata eficient in marea majoritate a cazurilor si in general nu este necesar sa opreasca medicamentele care au contribuit la declansare;
Dr. Cristian-Claudiu Ţupea – Click aici pentru consultaţii
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