Complications after thyroid surgery How to eat Perrin after early thyroid cancer surgery?

Eupatorium adenophorum knowledge (1) Most patients need to take Eupatorium adenophorum after thyroid surgery, especially patients with thyroid cancer. Eupatorium adenophorum should be taken strictly after surgery to prevent recurrence. However, most patients have great concerns about taking Eupatorium adenophorum, thinking that Eupatorium adenophorum has great side effects and it is troublesome to wait for taking medicine every day. Here is some knowledge about Eupatorium adenophorum. 1, the difference between perrin and common thyroxine tablets. The common thyroxine tablet is a mixture of T3 and T4, and Eupatorium adenophorum is levothyroxine tablet, which is T4. The advantages of Eupatorium adenophorum are: (1) On the surface, it seems reasonable to mix T3 and T4 into tablets because T3 and T4 exist in human body at the same time. But in fact, most T3 in human body is transformed from T4 (note that T3 is more active than T4). Therefore, patients with thyroid cancer often take Eupatorium adenophorum orally to inhibit TSH, but it does not increase T3 much, but only increases T4, with fewer side effects. (2) You Le Jia is not expensive, more than 30 yuan 100 tablets, I believe any family can afford it. (3) In addition, the half-life of T3 is 24 hours, while that of T4 is 65,438+0 weeks. As long as you have studied mathematics, you will know that the blood concentration of Eupatorium adenophorum is definitely more stable than that of ordinary thyroxine tablets (patients who used to take ordinary thyroxine tablets usually took them twice a day, and their compliance was worse). So at present, the common thyroxine tablets have been eliminated. 2. Dose and time of taking Eupatorium adenophorum for benign and malignant patients (1) There are many patients with benign thyroid nodules, and they always want to control the growth of the nodules by taking medicine. ATA pointed out that for areas with normal iodine intake, routine thyroxine suppression therapy is not recommended to treat benign thyroid nodules. Therefore, the best way for such patients is to have a color ultrasound examination every six months. (2) After operation for benign diseases such as nodular goiter, Eupatorium adenophorum should be taken to control TSH within the normal range of 1/3. For example, the normal reference value of TSH is 0.27-4.2, preferably between 1-2. The time should be determined according to the TSH review results. Even if the operation has little effect on TSH, it is best to take it for six months to one year, which can inhibit the nodule regeneration of residual thyroid tissue. For patients with subtotal thyroidectomy, the time may be longer and they may take medicine for life. (3) For malignant diseases, the guideline 20 1 1NCCN recommends 2. 1 1ug/KG/ angel TSH less than 0. 1 (complete inhibition). At the same time, NCCN guidelines also emphasize that it is important to review the thyroid function according to the patient's individual conditions (heart, osteoporosis, hyperthyroidism) and adjust the dose of Perrin according to the thyroid function. Take it strictly for at least 5 years, and it will not recur after 5 years. Consider reducing it as appropriate.