الأربعاء، 1 أغسطس 2012

Thyroid disease

Small butterfly, color-brown red-uniqueness of the wings in the front area of ​​the neck in front of the trachea, and despite its small size, it represents the power plant, but it can be said that it controls the functions of the whole body, it is of course not the butterfly real but like butterfly in shape to a large extent , but its name is the thyroid gland is deaf secretions enter the blood directly is the thermometer body the actual, if increased activity for alleged ordinary becomes like fire eat wildfire, burn all up to the fuel, albeit less active on average, the body loses its activity and vitality and lulled into laziness and lethargy, drowsiness and constantly feel cold, this gland and its diseases and symptoms and methods of treatment used to tell us, Dr. Sami Albgdadley, Consultant General Surgery Hospital, King Fahad National Guard, he says:
Thyroid gland of the most important glands in the body can be likened to the station for power generation in the human body, are found in the front of the neck area and worked primarily on the secretion of hormones that control the metabolism of cells and thus When the occurrence of any disturbance in thyroid function occur - as a result of that - a bug in all body functions.
It consists of thyroid mainly at the stage of the embryo of a bump is simple to show a between the front and back of the tongue and down from the tongue to the front of the neck and it happens kind of problems where part of the tongue in children or in any other place in between the tongue and neck, In some cases, happen some kind of sacculation in place the descent of the gland and lead to infections in children and child, in this case to the surgery to eradicate them.
As for its location in terms of anatomy makes it clear d, Albgdadley it is located in front of the trachea and is difficult - especially during the surgery - in a relationship is very critical with the vocal cords, where on both sides of the gland Asban Atgman in the movement of vocal cords and thus show the importance of hand anatomy of the thyroid gland especially in surgical cases because it can lead to voice change, but the patient can be completely lost in the event of any surgical error.
In terms of circulation, if we take one gram of thyroid tissue, we will find that the rate of passage of blood in one of the highest ratios in the body - for one gram of gland - hence the quantity of blood with which to be very large. And therefore need to process a great experience and keen of what the surgeon can lead to many complications of Kalnsev example.
As for the malfunctioning gland, says Dr., Albgdadley that there are two main forms of occurrence of this disorder:

     
The first is to increase the gland secretions

    
And the second in the lack of their secretions
For the second form Voaradh appear on the patient in the form of:

    
Increase in weight

    
Slouch in the body

    
Tendency to drowsiness

    
Feeling lazy

    
Feeling cold
And treatment of this case is very simple pills alternative hormone produced by the thyroid gland and then picking up again, and these cases are usually treated by a specialist endocrine diseases and rarely require these cases to any surgical intervention.
The first type is to increase secretions of the gland and is usually the result of several factors, but there are two main Mspban Graves disease first and the second occurrence of cysts or tumors.
Known as Dr. Albgdadley disease Griff that is an initial increase in the functions of the gland and no one knows precisely the main cause of this disease, but there is a belief that the root cause of this disease is an imbalance of the immune system in the body resulting in the gland secrete a very large amount of the hormone thyroxine hormone is the primary which is produced by the gland and the final outcome of this imbalance is for the plant to burn energy and symptoms of this case:

    
The patient's eating a lot of food, in spite of the less weight

    
And urinating a lot

    
And acting nervously

    
And get diarrhea

    
This disease also affects the eye and note Gehoza in the eyes.
For the treatment of Graves, there are three ways to treat it in different disciplines first method using radioactive iodine and this treatment gives good results and may even avoid surgery through, but we do not give radioactive iodine for all cases on the grounds that radioactive materials can affect some patients in the future and after using the Radioactive iodine can be reduced thyroid function, and therefore the patient needs to take the hormone thyroxine to compensate.
The second type of treatment of Graves disease called conservative treatment or where the patient medical drugs helps to stop thyroid hormone thyroxine for manufacturing and we can not give a conservative treatment for long periods because it can affect the blood cells and other organs of the body.
And improve situations other through this therapeutic method does not return to them the disease again, but if disease re-appeared again Vnljo usually surgical technique, a third type of parties to the treatment and for surgery job by usually removal of a large part of the gland and leave about the price 8/1 only to the the basis that this remnant be sufficient for secretion of the hormone in the body, and I repeat that we resort to surgery in limited cases can be summarized as follows:

    
The patient is not responding to treatment removed.

    
The existence of impediments to the patient's exposure to radiation therapy.

    
The lack of radiation therapy in the place that addresses the patient.
Usually Treatment Surgical needs to prepare and to create as shown in d, Albgdadley body just the patient before surgery is similar to the car when you are too hot and therefore must be given the patient's inhibitors of the thyroid gland through some medicines to calm down the wheel of the work of the different body systems, then at the right time - which in which blood circulation is stable, we - the surgery.
There is another type of disease increase the size of the thyroid gland occurs as a result of the presence of cysts and this type of disease does not respond normally to treatment removed, and radiation therapy does not always work and be a surgical intervention is the best in the treatment of such cases, the disease exists in abundance in the Kingdom, because the disease usually spread in areas where there is no iodine or there is a lack of such desert areas and mountain regions in Switzerland or in the middle of Africa and the least spread of the disease in the coastal areas, but with the presence of iodized salt as well as eating seafood such as fish has helped to reduce these problems relatively.
But often we find that this disease is prevalent especially in women because the body can be a strain on the thyroid and thus may occur vesiculation or polycystic in the gland and usually does not intervene surgically in such cases only if there is swelling in the thyroid and caused pressure on the trachea or pharynx or entered the back and thus put pressure on blood vessels in the thorax, or if they become overgrown when the neck job by a surgery to remove the very large part of the gland and leave the price and in most cases, we give these patients, alternative treatment of the gland, a hormone, thyroxine, and sometimes occurs a type of cancer is limited in the gland, which may raise concerns among some people and that when there is doubt, we recommend surgical intervention, and there is a group of tumors that affect the thyroid gland often be benign and this type is common to a large extent the several types of treatment depends mainly on a few things first removal of the gland either in whole or in part and the post-eradication given radioactive iodine in the end the patient must take medication to replace the gland.
And benign tumors are very high in the kingdom, diagnosis depends mainly on the knowledge of the doctor and took a biopsy from the patient, analysis and know what type of tumor and thus develop a plan for surgical treatment.
And the patient always needs to follow-up after mastectomy and be this stage most of the treatment because in some cases may spread tumor in some lymph nodes adjacent in this case the patient requires further surgery to remove the gland and then are treated with radiation to clean the area completely, and there is another type which is malignancies and Dr Albgdadley that relatively few occurring in the Kingdom.

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