{"id":717,"date":"2020-09-16T09:33:13","date_gmt":"2020-09-16T09:33:13","guid":{"rendered":"https:\/\/www.barnaclinic.com\/blog\/cirugia-de-tiroides\/ca\/?p=717"},"modified":"2020-09-16T09:42:07","modified_gmt":"2020-09-16T09:42:07","slug":"extirpar-mitja-tiroide","status":"publish","type":"post","link":"https:\/\/www.barnaclinic.com\/blog\/cirugia-de-tiroides\/ca\/extirpar-mitja-tiroide\/","title":{"rendered":"Qu\u00e8 em passar\u00e0 si m’han de extirpar mitja tiroide?"},"content":{"rendered":"

Quan a un pacient se li diu que ha de passar per una intervenci\u00f3 quir\u00fargica, \u00e9s normal que a aquest li sorgeixi un mar de dubtes i d’inseguretats.\u00a0D’entrada, tot pacient ha de ser conscient\u00a0que, sotmetre a una operaci\u00f3, no \u00e9s una cosa intranscendent, per\u00f2 que tampoc \u00e9s un acte incontrolat i improvisat.\u00a0Quan es recomana\u00a0extirpar mitja tiroide<\/strong>\u00a0(\u00a0hemitiroidectomia<\/strong>), \u00e9s perqu\u00e8 \u00e9s estrictament necessari i no queda una altra opci\u00f3.\u00a0Com hem explicat anteriorment en el post “Quan s’ha d’operar un n\u00f2dul tiro\u00efdal?<\/a>“<\/strong><\/em>,<\/a>\u00a0<\/strong><\/em>\u00a0els criteris que ens fan recomanar aquesta\u00a0cirurgia de la tiroide<\/strong><\/a>\u00a0estan ben estandarditzats.<\/p>\n

<\/p>\n

QUAN S’HA DE EXTIRPAR MITJA TIROIDE?<\/h2>\n

La\u00a0hemitiroidectomia<\/strong>\u00a0o\u00a0extirpaci\u00f3 de la meitat de la tiroide<\/strong>\u00a0se sol realitzar per una\u00a0sospita de malaltia maligna<\/strong><\/a>\u00a0o\u00a0perqu\u00e8 hi ha un\u00a0quist o n\u00f2dul tiro\u00efdal<\/a><\/strong>\u00a0que excedeix la mida de 3 cm<\/strong>.\u00a0La condici\u00f3 necess\u00e0ria i imprescindible per a poder deixar in situ l’altra\u00a0meitat de la tiroide<\/strong>\u00a0\u00a0\u00e9s que estiguem segurs que fabricar\u00e0 hormona en quantitat suficient perqu\u00e8 el pacient\u00a0no hagi de medicar amb levotiroxina<\/a>.<\/p>\n

\n

\"Dr.<\/a><\/strong><\/em><\/h4>\n

\u00abLa hemitiroidectomia o\u00a0\u00a0extirpaci\u00f3 de la meitat de la tiroide<\/strong>\u00a0\u00a0se sol realitzar per una\u00a0\u00a0sospita de malaltia maligna<\/strong>\u00a0\u00a0o\u00a0\u00a0perqu\u00e8 hi ha un quist o n\u00f2dul tiro\u00efdal\u00a0<\/strong>\u00a0que excedeix la mida de 3 cm\u00bb<\/strong><\/h4>\n

Dr. \u00d2scar Vidal<\/a><\/p><\/blockquote>\n

EN QU\u00c8 CONSISTEIX L’EXPLORACI\u00d3 DE LA MEITAT DE LA TIROIDE \u00abSANA\u00bb?<\/h2>\n

Per valorar\u00a0el tiroide<\/strong><\/a>\u00a0romanent, haurem de disposar d’una anal\u00edtica sangu\u00ednia amb\u00a0nivells d’hormona tiro\u00efdal<\/strong><\/a>, anticossos antiroideos i una ecografia cervical.\u00a0Aquest estudi ens permetr\u00e0 confirmar o descartar si hem\u00a0extirpar mitj\u00e0 tiroide<\/strong>\u00a0o\u00a0extirpar el tiroide complet<\/strong>.<\/p>\n

    \n
  1. L’avaluaci\u00f3 comen\u00e7ar\u00e0 per un exhaustiu interrogatori cl\u00ednic i exploraci\u00f3, per con\u00e8ixer si el pacient t\u00e9 antecedents de\u00a0malalties autoimmunit\u00e0ries tiro\u00efdals<\/strong>\u00a0(tiro\u00efditis de Hashimoto<\/strong><\/a>,\u00a0Malaltia de Graves Basedow<\/strong><\/a>…),\u00a0goll multinodular<\/strong><\/a>\u00a0o\u00a0hipotiro\u00efdisme<\/a><\/strong>.\u00a0En aquests casos, l’hemitiroidectomia<\/strong>\u00a0estar\u00e0 contraindicada, a favor d’una\u00a0tiroidectomia total<\/strong>.<\/li>\n
  2. Un cop constatat que no \u00e9s portador d’una\u00a0malaltia tiro\u00efdal<\/strong><\/a>\u00a0de base, es procedir\u00e0 a la realitzaci\u00f3 d’una anal\u00edtica sangu\u00ednia per constatar que els nivells hormonals i anticossos antitiro\u00efdals estan dins dels rangs de la normalitat.<\/li>\n
  3. El seg\u00fcent pas consistir\u00e0 en la realitzaci\u00f3 d’una\u00a0ecografia cervical i tiro\u00efdal<\/strong>\u00a0(si no disposa d’ella).\u00a0Amb aquestes proves podrem avaluar el l\u00f2bul contralateral i la lesi\u00f3-n\u00f2dul que hem extirpar.\u00a0Es valoraran possibles\u00a0n\u00f2duls de tiroides<\/strong>\u00a0de> 1 cm, heterogenicitat el teixit i \/ o zones cicatricials.<\/li>\n
  4. Si aquest l\u00f2bul \u00e9s de caracter\u00edstiques ecogr\u00e0fiques normals i l’anal\u00edtica sangu\u00ednia est\u00e0 dins de la normalitat, podrem suposar que, en\u00a0extirpar mitj\u00e0 tiroide<\/strong>\u00a0malalt, el l\u00f2bul que deixem proporcionar\u00e0 hormona tiro\u00efdal<\/strong> suficient.<\/li>\n<\/ol>\n
    \n
    \n

    T’INTERESA…<\/h4>\n

    \u00bfC\u00f3mo y cu\u00e1ndo tomar la hormona tiroidea tras una cirug\u00eda de tiroides?<\/a><\/h4>\n<\/blockquote>\n<\/div>\n

    LA IMPORT\u00c0NCIA D’UN ESTUDI PREOPERATORI I UN EQUIP EXPERT<\/h2>\n

    Aix\u00ed doncs, davant la possible necessitat d’extirpar mig tiroide<\/strong>, \u00e9s fonamental la realitzaci\u00f3 d’un\u00a0estudi preoperatori adequat<\/strong>.\u00a0A m\u00e9s, \u00e9s de\u00a0capital\u00a0import\u00e0ncia que el cas sigui valorat per un\u00a0equip de metges experts en malalties de la tiroide<\/strong><\/a>.\u00a0Totes dues coses han de garantir la major conservaci\u00f3 i el millor resultat per al pacient.\u00a0Per tant, a la pregunta que ens fem \u00abQu\u00e8 em passar\u00e0 si m’han de extirpar mitj\u00e0 tiroide?\u00bb, la resposta \u00e9s clara i meridiana: no hauria de passar-li res.<\/p>\n

    \n

    \"Dr.<\/a><\/strong><\/em><\/h4>\n

    \u00abPer la qual cosa, a la pregunta que ens fem \u00abQu\u00e8 em passar\u00e0 si m’han de extirpar mitj\u00e0 tiroide?\u00bb\u00a0<\/em>, la resposta \u00e9s clara i meridiana: no hauria de passar-li res\u00bb<\/h4>\n

    Dr. \u00d2scar Vidal<\/a><\/p><\/blockquote>\n

    \n
    \n

    \u00bfQUIERES CONTACTAR CON EL DR. OSCAR VIDAL?<\/span><\/h1>\n

    DEMANAR CITA PRESENCIAL<\/a> |\u00a0SOL\u00b7LICITAR TELEVISITA<\/a><\/p>\n<\/div>\n","protected":false},"excerpt":{"rendered":"

    Quan a un pacient se li diu que ha de passar per una intervenci\u00f3 quir\u00fargica, \u00e9s normal que a aquest li sorgeixi un mar de dubtes i d’inseguretats.\u00a0D’entrada, tot pacient ha de ser conscient\u00a0que, sotmetre a una operaci\u00f3, no \u00e9s una cosa intranscendent, per\u00f2 que tampoc \u00e9s un acte incontrolat i improvisat.\u00a0Quan es recomana\u00a0extirpar mitja […]<\/p>\n","protected":false},"author":2,"featured_media":716,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[301,87,338,300],"tags":[262,166,339,340,341,266,134,135,263,342,162],"yoast_head":"\nQu\u00e8 em passar\u00e0 si m'han de extirpar mitja tiroide?<\/title>\n<meta name=\"description\" content=\"Quan es recomana extirpar mitja tiroide (hemitiroidectomia), \u00e9s perqu\u00e8 \u00e9s estrictament necessari i no queda una altra opci\u00f3. 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