Multiple thyroid nodules?

summary

Thyroid nodules can be single or multiple. Multiple nodules are more common than solitary nodules. But the incidence rate of solitary nodules is higher. Thyroid nodules are complicated with various thyroid diseases, such as simple goiter, thyroiditis, thyroid tumor, etc. the nodules are single or multiple, which can be divided into good and bad clinically. Benign tumors mainly include nodular goiter and thyroid adenoma; Malignant thyroid nodules are mainly thyroid cancer, in addition to thyroid lymphoma, metastases and so on. Let's share my experience with you.

Multiple thyroid nodules?

Compression of trachea: common. When compressed from one side, the trachea moves or bends to the other side; Compression from both sides, tracheal stenosis, dyspnea, especially in the case of retrosternal goiter is more serious. Long term compression of trachea wall can lead to trachea softening and asphyxia.

Compression of deep jugular vein: can cause difficulty in blood flow back to the head and neck. This condition is more common in the upper thoracic cavity, large goiter, especially in the retrosternal goiter. The patient's face was bluish purple edema, and the neck and chest were shallow at the same time.

Compression of recurrent laryngeal nerve: can cause vocal cord paralysis (mostly one side), hoarseness in patients. Compression of the cervical sympathetic ganglion chain can cause Horner syndrome, which is rare. Compression of esophagus: rare. Only retrosternal goiter may compress the esophagus and cause discomfort when swallowing, but it will not cause obstruction.

matters needing attention

Thyroid nodule diet precautions: 1, heat: because hyperthyroidism, will make the body metabolic rate, so every day can increase the required heat. 2. Protein: can increase the amount of protein. 3. Vitamin: because of the increase in calories, the demand for vitamin B group also increases, so we should pay attention to supplement. 4. Iodine: it is the component of thyroxine. If hyperthyroidism is given iodine compound, it can increase the storage of thyroxine and reduce its release. However, excess will affect the antithyroid therapy. 5. Avoid irritant foods such as tea, coffee, cigarettes and alcohol.