The thyroid gland is not small in size and stress, and the incidence rate has been unparalleled in recent years. In China, the prevalence of thyroid cancer ranks 6th among all malignant tumors, and the incidence rate in women is about 3-4 times that of men.
What causes thyroid disease to be on the rise? What are the conditions that need special attention? And what situations don't you need to be too nervous? Recently, a reporter from the Rural Mass Daily interviewed Zhang Jinqing, director of the thyroid surgery department of the Third Shandong Provincial Hospital.
Special attention should be paid to the issue of rejuvenation
Zhang Jinqing introduced that the cause of thyroid disease is not clear, but some studies have shown that with the rapid pace of life, changes in eating habits and work and rest rules may be the reason for the upward trend of thyroid disease in recent years.
Attention should be paid to this issue. Zhang Jinqing introduced that in recent years, the youngest hyperthyroidism patient he has received is a 10-year-old girl Yunyun (pseudonym), and the youngest thyroid cancer patient is a 12-year-old girl Mengmeng (pseudonym).
For a while, Yunyun suddenly became emotionally irritable, always felt hungry after eating a lot, and became thinner and thinner. At first, Yunyun's parents thought that she was caused by too much study pressure, but they didn't care, and tried to change this status quo through more communication. But as time went on, the situation did not improve, but became more serious. Her family took her to the hospital for a check-up and was diagnosed with primary hyperthyroidism. Eventually, by way of surgery**.
The child is still so young, we never thought that she would have hyperthyroidism, we are really careless as parents. Yunyun's mother regretted not bringing her for a check-up earlier.
The situation of the girl from Heze is similar, after her body became unwell, her parents did not consider thyroid disease. It wasn't until the lump in her neck grew the size of an egg that her parents took her to the hospital for a check-up, where she was diagnosed with thyroid cancer and underwent surgery**.
During surgery. Be cautious of the possibility of lesions in older patients
In the two cases of Yunyun and Mengmeng, it is because parents think that they are young and ignore the possibility of disease. In fact, as thyroid disease tends to occur at a younger age, it can occur at any age. To this end, Zhang Jinqing emphasized that if the children at home are unwell, they should seek medical attention in time.
In addition to paying attention to the problem of thyroid disease at a young age, it is also necessary to be alert to the condition of thyroid disease lesions in the elderly population. Zhang Jinqing emphasized.
80-year-old Wang Jinghua (pseudonym) was diagnosed with a thyroid nodule two years ago, and after hospital evaluation, she was diagnosed with a benign nodule and did not need **. After that, he had regular follow-up visits every year, but the results of multiple follow-up visits showed that the nodules did not get bigger, and there was basically no possibility of lesions, so he relaxed his vigilance. However, recently, Wang Jinghua had uncomfortable symptoms such as dysphagia, and went to the hospital for examination and found that thyroid nodules were diseased.
Wang Jinghua's malignant transformation of thyroid nodules cannot be said to be due to the wrong diagnosis before, but with the increase of age, the decline of physical functions, the superposition of underlying diseases and other reasons, which led to the possibility of lesions in many ways. To this end, Zhang Jinhua emphasized that elderly patients with thyroid nodules, even if they are diagnosed with benign disease, should be alert to the possibility of lesions.
Zhang Jinqing is participating in an academic forum.
The core of preventing thyroid disease is to protect the immune system
If the physical examination report shows "uneven thyroid echo", is it a cause for concern?
Zhang Jinqing introduced that the thyroid echo is uneven, which is generally a blood flow echo signal or inflammation. Simple uneven thyroid echo cannot be used as a basis for judging whether thyroid dysfunction or disease occurs. However, symptoms such as uneven echo accompanied by thyroid nodules should be taken seriously.
In addition, if a nodule less than 3 cm is found in a physical examination in people under 60 years old, the assessment is accurate, and malignant transformation generally does not occur. Zhang Jinqing introduced.
The "culprit" of thyroid disorder is not only the thyroid gland itself, but also difficult to prevent, and the core is to protect the immune system. Zhang Jinqing advises to avoid overwork. Negative emotions such as depression and anxiety, overwork, and mental stress will not directly affect the thyroid gland, but can cause immune dysfunction by disrupting the nervous and endocrine systems, destroying the "compatibility" with its own antigens, and causing the thyroid gland to be attacked by the immune system. In life, it is recommended to pay attention to the combination of work and rest, ensure adequate sleep, and learn to adjust the mood; Moderate intake of iodized salt. Unless there are special requirements, it is best for normal people to consume iodized salt, and the daily salt consumption per person does not exceed 5 grams.
Fang Xiaoyu, a popular newspaper reporter in rural areas