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thyroid gland disorders (thyroidectomy (Types of Thyrodectomy (Partial…
thyroid gland disorders
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myxoedema
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assessments
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there may be cold intorelence, fatigue , impaired memory and sleeping for longer periods.
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thyroidectomy
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Precautions--There are definite risks associated with the procedure. Therefore, the thyroid gland should be removed only if there is a pressing reason or medical condition that requires it.
Types of Thyrodectomy
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Thyroid lobectomy with isthmusectomy — All of one thyroid lobe is removed, together with the section between the two lobes (called the thyroid isthmus).
Subtotal thyroidectomy — One thyroid lobe, the isthmus and part of the second lobe are removed.
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Preparation--Before a thyroidectomy is performed, a variety of tests and studies are usually required to determine the nature of the thyroid disease. Laboratory analysis of blood determines the levels of active thyroid hormone circulating in the body. Sonograms and computed tomography scans (CT scans) help to determine the size of the thyroid gland and location of abnormalities
Risk factors--As with all operations, patients who are obese, smoke, or have poor nutrition are at greater risk for developing complications related to the general anesthetic itself.
Hoarseness or voice loss may develop if the recurrent laryngeal nerve was injured or destroyed during the operation. This is more apt to occur in patients who have large goiters or cancerous tumor
Post-Op--The incision requires little to no care after the dressing is removed. The area may be bathed gently with a mild soap. The sutures or the metal clips are removed three to seven days after the operation
thyrotoxicosis
definition--is a form of severe hyperthyroidism, usually of abrupt onset.
clinical manifestations
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altered neurologic or mental state,which frequently appears as delirium pychosis.
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management
hypothermia matress or blanket , ice packs, a cool environment.
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thyroditis.
Definition--Thyroiditis is an inflammation (not an infection) of the thyroid gland. Several types of thyroiditis exist, and the treatment is different for each.
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Symptoms of thyroiditis
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nervousness,anxiety, or irritability
What causes thyroiditis
The cause of thyroiditis depends on the type of disease you have. Most types occur when your immune system attacks the thyroid gland. This causes inflammation (the body’s response to injury) and damages the thyroid cells
Diagnoses
Lab tests often can diagnose thyroiditis, including what type you have. The doctor will start with a blood test. This measures the amount of thyroid hormone in your blood. It will show if your hormone levels are too high or too low.
Treatment
If you have symptoms of hyperthyroidism, The doctor may prescribe a medicine called a beta blocker. This helps to lower your heart rate and reduce tremors.
If you have symptoms of hypothyroidism, The doctor may prescribe thyroid hormone replacements. These help to restore your body’s hormone levels and get your metabolism back to normal. It can take several tries to get the right dose of synthetic thyroid hormone.