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KT
2011-03-23 , 17:19
版面: 1.中醫報導
主題: 《健康之鑰》婦人以碘131配合溫腎健脾方調治獲改善
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Re: 《健康之鑰》婦人以碘131配合溫腎健脾方調治獲改善

放射性碘治療,在米國是治療格雷夫斯氏甲狀腺亢進的首選。在歐洲和日本比較少;我記得以前有人統計,台灣人也是喜歡手術治療。放射性碘治療的後遺症,包括甲狀腺低下,不過吃甲狀腺素比吃亢甲狀腺藥物簡單安全多了,所以冒一點點低下的風險也是值得。不過在台灣的民粹下,總要求醫師是神,治療一定要百分百完美;在台灣做放射碘治療之前,一定要溝通再溝通,患者及家屬能接受低下的風險,才可施行!

隨文附贈 Textbook,供參考:
Radioiodine ablation — Radioiodine is widely used for the treatment of Graves' hyperthyroidism. It is the therapy of choice in the United States, being selected by 69 percent of thyroid specialists who responded to a survey. It is considerably less popular in Europe (22 percent) and Japan (11 percent).
Surgery — Surgery is an unpopular therapy for Graves' hyperthyroidism, being selected by only 1 percent of thyroid specialists. It is primarily indicated in patients who have an obstructive goiter or a very large goiter, in pregnant women who are allergic to anti-thyroid drugs, and in patients who have allergies or poor compliance on antithyroid drugs but refuse radioiodine. Surgery would also be indicated if there were a coexisting suspicious or malignant thyroid nodule. However, most thyroid nodules associated with Graves' disease are benign, in which case surgery would not be recommended.
米國人不會漢醫,所以米國人寫的書,不會提到如何用漢方治療! orz2:

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