Treatment of Hypothyroidism and Hyperthyroidism

Thyroid: features and treatment

Written by: Dr. Darío Morais Pérez
Published: | Updated: 17/08/2018
Edited by: Top Doctors®

The thyroid is a gland located in the lower neck on either side of the midline. Uppercase H-shaped with two lobes, right and left, and a strip of binding, the isthmus.

 

Thyroid functionality

Thyroid gland The mission of the thyroid is to produce thyroid hormone, also called thyroxine, which regulates us speed our metabolism and, therefore, if it acts faster, as occurs in hyperthyroidism, produce nervousness, restlessness, insomnia ... and if it does slower, in hypothyroidism produce fatigue, somnolence, fluid retention, and so forth.

When thyroid function is disrupted causing hypothyroidism, decreased production of hormone, or hyperthyroidism, increased hormone production, proper specialist for treatment is the endocrine. When the gland has an enlarged is called goiter, and this may be diffuse (uniform) or nodular (uni or multinodular) and the specialist should be involved in the diagnosis, therapeutic decision and finally surgical treatment is the Otolaryngologist , that right now he is the only recognized title and "facial cervical pathology" specialist.

 

Surgical treatment of thyroid disease

Leaving aside the approach of Graves' disease (diffuse hyperthyroid goiter) surgery on the thyroid is primarily focused on the treatment of suspected or confirmed malignant nodules as well as that of single or multiple nodules, even if they are benign, causing its anatomical abnormalities such as deviation of the airway, the trachea, or blemishes size.

Surgical techniques are generally reduced to two: the hemithyroidectomy or removal of one lobe, half of the thyroid, which is usually not require postoperative adjuvant treatment of thyroxine and total thyroidectomy or removal of the entire gland, which always require hormone replacement therapy. With the right dose of thyroxine patients can make an absolutely normal life.

 

Operation Results Thyroid

The operation usually produces thyroid without incident, is not particularly painful and hospitalization comes to last between two and three days. As with all surgery there are risks, but fortunately complications are rare and in most cases temporary, that is, decrease in a longer or shorter time after surgery. These risks are due to inform the patient prior to surgery clinical interviews.

And generally being in good hands, less than 1% of patients may have permanent voice alterations and about 2%, alterations in calcium levels also permanently resolved and taking oral calcium. These calcium possible alterations appear only when a total thyroidectomy, ie, complete removal of the thyroid is performed.

*Translated with Google translator. We apologize for any imperfection

By Dr. Darío Morais Pérez
Otolaringology

Renowned specialist in Otolaryngology and Cervical Facial Pathology, Dr. Morais Perez is skilled in middle ear surgery, thyroid surgery and throat and larynx. For 25 years, he is Head of Department of Otolaryngology, University Hospital of Valladolid. Bachelor of Medicine and Surgery from the University of Valladolid in 1979, he also obtained the title of Specialist in Otolaryngology MIR at the University Hospital of Valladolid, besides the Doctor of Medicine and Surgery from the University of Valladolid rated Cum Laude since 1985. Author of numerous papers published in national and international journals and book chapters published in Spain and the US jobs. Among his achievements they include pioneering the World sclerotherapy of epistaxis patients HHT or Rendu-Osler.Weber (HHT).

*Translated with Google translator. We apologize for any imperfection

View Profile

Overall assessment of their patients


TOPDOCTORS utiliza cookies propias y de terceros para facilitar su experiencia como usuario de nuestra web y captar datos estadísticos mediante el análisis de sus datos de navegación. Si usted continúa con la navegación, entendemos que nos ofrece su consentimiento para el uso de cookies. Puede cambiar la configuración de cookies u obtener más información here.