{"id":1452,"date":"2020-03-18T23:28:00","date_gmt":"2020-03-18T20:28:00","guid":{"rendered":"https:\/\/repromed.md\/%d0%b1%d0%b5%d0%b7-%d0%ba%d0%b0%d1%82%d0%b5%d0%b3%d0%be%d1%80%d0%b8%d0%b8\/terapia-prp-in-ginecologie-6\/"},"modified":"2024-01-19T10:21:30","modified_gmt":"2024-01-19T07:21:30","slug":"terapia-prp-in-ginecologie-6","status":"publish","type":"post","link":"https:\/\/repromed.md\/ru\/noutati\/terapia-prp-in-ginecologie-6\/","title":{"rendered":"TRATAMENTUL AFEC\u021aIUNILOR GLANDEI TIROIDE, LA SPITALUL REPROMED+"},"content":{"rendered":"\n<p><strong>Noduli la tiroid\u0103. Multe persoane intr\u0103 \u00een panic\u0103 la un asemenea diagnostic. Nodulii tiroidieni reprezint\u0103 de fapt o cre\u0219tere anormal\u0103 la nivelul tiroidei. Este o patologie foarte frecvent\u0103, afect\u00e2nd p\u00e2n\u0103 la 50% din popula\u021bie. Adesea, ace\u015ftia sunt descoperi\u021bi \u00eent\u00e2mpl\u0103tor la palpare sau \u00een timpul unei ecografii. La Spitalul Repromed+, pacien\u021bii beneficiaz\u0103 de toate condi\u0163iile necesare pentru diagnosticarea afec\u021biunilor glandei tiroide, tratamentul acestora: chirurgical \u0219i nechirurgical, dar \u015fi de \u00eengrijire postoperatorie \u00een condi\u021bii de maxim\u0103 siguran\u021b\u0103.<\/strong><\/p>\n\n\n\n<p>Elena Corduneanu a dezvoltat un nodul \u00een regiunea cervical\u0103, ce a impus interven\u021bia chirurgical\u0103. Decizia echipei medicale multidisciplinare de la Spitalul Repromed+, care a examinat pacienta, a fost de a \u00eendep\u0103rta nodulul \u0219i de a urma un tratament de substitu\u021bie cu hormoni tiroidieni.<\/p>\n\n\n\n<figure class=\"wp-block-pullquote\"><blockquote><p>Elena Corduneanu, pacient\u0103<\/p><cite>\u201eEu sunt din Rom\u00e2nia, dar lucrez \u00een Italia. \u00cen una din zile, uit\u00e2ndu-m\u0103 \u00een oglind\u0103 am v\u0103zut c\u0103 sunt umflat\u0103 la g\u00e2t. Am mers la medicul de familie, care mi-a indicat ni\u015fte analize, inclusiv ecografie. \u00cen urma investiga\u0163iilor, medicul mi-a zis c\u0103 am un nodul de aproape 5 cm. Din fericire, era unul benign. Nu am vrut s\u0103 fac nimic \u00een Italia. Am revenit acas\u0103, \u015fi am rugat-o pe fiica mea s\u0103 ia leg\u0103tura cu Spitalul Repromed+ din Chi\u015fin\u0103u. Eu am o nepo\u0163ic\u0103 de 15 ani, care a avut o problem\u0103 la coloan\u0103, purta un corset, \u015fi a venit aici la Spital \u015fi a f\u0103cut o interven\u0163ie care a decurs foarte bine \u015fi acum nu mai poart\u0103 corset. Respectiv, am prins \u015fi eu o \u00eencredere \u00een medicii de aici \u015fi am zis c\u0103 trebuie s\u0103 merg \u015fi eu la Chi\u015fin\u0103u. \u00cen urma consulta\u0163iei cu medicii speciali\u015fti, s-a decis c\u0103 este necesar\u0103 \u00eenl\u0103turarea nodulului. Sunt a doua zi dup\u0103 interven\u0163ie \u015fi m\u0103 simt foarte bine. Nu am cuvinte, \u00eemi vine s\u0103 pl\u00e2ng, cu ochii \u00een lacrimi v\u0103 zic c\u0103 sunt tratat\u0103 ca o principes\u0103. Tot personalul e atent cu mine. Sunt extrem de recunosc\u0103toare c\u0103 am ajuns la Spitalul Repromed+.\u201d<\/cite><\/blockquote><\/figure>\n\n\n\n<p>Mariana Bujac, medic chirurg-endocrinolog, a condus echipa de medici speciali\u0219ti din cadrul Spitalului Repromed+, care a realizat interven\u021bia de \u00eenl\u0103turare a nodulului pentru Doamna Elena.<\/p>\n\n\n\n<blockquote class=\"wp-block-quote is-layout-flow wp-block-quote-is-layout-flow\"><p><\/p><cite>\u201ePacienta s-a adresat cu o problem\u0103 destul de des \u00eent\u00e2lnit\u0103 \u015fi anume o forma\u0163iune nodular\u0103 ap\u0103rut\u0103 \u00een regiunea cervical\u0103. La examenele ultrasonografice s-a depistat un nodul destul de mare \u00een regiunea lobului st\u00e2ng al glandei tiroide. A fost nevoie de investiga\u0163ii suplimentare cum ar fi biopsia \u015fi tomografia computerizat\u0103, pentru c\u0103 nodulul era foarte mare \u015fi era nevoie s\u0103 depist\u0103m dac\u0103 nu are concre\u015ftere cu alte forma\u0163iuni \u00eenvecinate. Dup\u0103 punc\u0163ie \u015fi tomografie s-a decis efectuarea interven\u0163iei chirurgicale\u201d, a precizat Dr. Mariana Bujac.<\/cite><\/blockquote>\n\n\n\n<figure class=\"wp-block-embed is-type-video is-provider-youtube wp-block-embed-youtube wp-embed-aspect-16-9 wp-has-aspect-ratio\"><div class=\"wp-block-embed__wrapper\">\n<iframe loading=\"lazy\" title=\"Tratamentul afec\u021biunilor glandei tiroide, la Spitalul Repromed+\" width=\"640\" height=\"360\" src=\"https:\/\/www.youtube.com\/embed\/XnsriLTEOMY?feature=oembed\" frameborder=\"0\" allow=\"accelerometer; autoplay; clipboard-write; encrypted-media; gyroscope; picture-in-picture; web-share\" referrerpolicy=\"strict-origin-when-cross-origin\" allowfullscreen><\/iframe>\n<\/div><\/figure>\n\n\n\n<blockquote class=\"wp-block-quote is-layout-flow wp-block-quote-is-layout-flow\"><p><strong>C\u00e2nd trebuie opera\u021bi nodulii glandei tiroide?<\/strong><\/p><cite>\u201eNodulii tiroidieni nu tot timpul trebuie opera\u0163i,<strong> <\/strong>totu\u015fi, \u00een anumite cazuri, este necesar\u0103 \u00eenl\u0103turarea pe cale chirurgical\u0103 a acestora. Atunci c\u00e2nd este vorba de cancer sau suspec\u0163ie major\u0103 la cancer, atunci c\u00e2nd este vorba de un defect cosmetic din cauza nodulului foarte mare \u015fi atunci c\u00e2nd pacientul are anumite incomodit\u0103\u0163i, ca de exemplu deregl\u0103ri de degluti\u0163ie, voce r\u0103gu\u015fit\u0103, etc. Alte cazuri c\u00e2nd este nevoie de interven\u0163ie chirurgical\u0103 este gu\u015fa toxic\u0103 difuz\u0103 asociat\u0103 cu tireotoxicoz\u0103, dar \u0219i atunci c\u00e2nd pacientul mult timp nu r\u0103spunde tratamentului medicamentos. \u015ei a\u015fa-numi\u0163ii noduli tireotoxici sau cum se spune \u00een popor noduli fierbin\u0163i, la fel trebuie \u00eenl\u0103tura\u0163i chirurgical\u201d, precizeaz\u0103 Dr. Bujac.<\/cite><\/blockquote>\n\n\n\n<blockquote class=\"wp-block-quote is-layout-flow wp-block-quote-is-layout-flow\"><p><strong>Ce tipuri de interven\u021bii chirurgicale la glanda tiroid\u0103 se efectueaz\u0103 la Repromed?<\/strong><\/p><cite>\u201e\u00cen dependen\u0163\u0103 de natura histologic\u0103 a nodulilor se efectueaz\u0103 hemiterectomie- c\u00e2nd se \u00eenl\u0103tur\u0103 jum\u0103tate de gland\u0103 sau lobectomie c\u00e2nd doar un loc cu nodul este \u00eenl\u0103turat. Tiroidectomie total\u0103 presupune \u00eenl\u0103turarea \u00eentregii glande tiroide\u201d, adaug\u0103 Mariana Bujac, chirurg-endocrinolog. <\/cite><\/blockquote>\n\n\n\n<blockquote class=\"wp-block-quote is-layout-flow wp-block-quote-is-layout-flow\"><p><strong>Cum apar nodulii tiroidieni?<\/strong><\/p><cite>\u201eCauzele exacte care duc la apari\u0163ia nodulilor tiroidieni nu sunt cunoscute. Exist\u0103 totu\u0219i c\u00e2\u021biva factori considera\u021bi implica\u021bi, printre care: stresul, caren\u021ba de iod, expunerea la radia\u021bii, deregl\u0103ri hormonale cu perturbarea controlului hipotalamohipofizar sau predispozi\u021bia genetic\u0103, etc\u201d, subliniaz\u0103 Dr. Mariana Bujac.<\/cite><\/blockquote>\n\n\n\n<p><strong>\u00cen caz de prezen\u021b\u0103 a nodulilor glandei tiroide este necesar\u0103 consulta\u021bia medicului endocrinolog sau chirurg-endocrinolog pentru stabilirea unui diagnostic exact \u0219i tratament corespunz\u0103tor.<\/strong><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Noduli la tiroid\u0103. Multe persoane intr\u0103 \u00een panic\u0103 la un asemenea diagnostic. Nodulii tiroidieni reprezint\u0103 de fapt o cre\u0219tere anormal\u0103 la nivelul tiroidei. Este o patologie foarte frecvent\u0103, afect\u00e2nd p\u00e2n\u0103 la 50% din popula\u021bie. Adesea, ace\u015ftia sunt descoperi\u021bi \u00eent\u00e2mpl\u0103tor la palpare sau \u00een timpul unei ecografii. La Spitalul Repromed+, pacien\u021bii beneficiaz\u0103 de toate condi\u0163iile necesare [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":2087,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"om_disable_all_campaigns":false,"inline_featured_image":false,"_mi_skip_tracking":false,"_monsterinsights_sitenote_active":false,"_monsterinsights_sitenote_note":"","_monsterinsights_sitenote_category":0,"footnotes":""},"categories":[1],"tags":[],"class_list":["post-1452","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-noutati"],"acf":[],"aioseo_notices":[],"_links":{"self":[{"href":"https:\/\/repromed.md\/ru\/wp-json\/wp\/v2\/posts\/1452","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/repromed.md\/ru\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/repromed.md\/ru\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/repromed.md\/ru\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/repromed.md\/ru\/wp-json\/wp\/v2\/comments?post=1452"}],"version-history":[{"count":5,"href":"https:\/\/repromed.md\/ru\/wp-json\/wp\/v2\/posts\/1452\/revisions"}],"predecessor-version":[{"id":2308,"href":"https:\/\/repromed.md\/ru\/wp-json\/wp\/v2\/posts\/1452\/revisions\/2308"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/repromed.md\/ru\/wp-json\/wp\/v2\/media\/2087"}],"wp:attachment":[{"href":"https:\/\/repromed.md\/ru\/wp-json\/wp\/v2\/media?parent=1452"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/repromed.md\/ru\/wp-json\/wp\/v2\/categories?post=1452"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/repromed.md\/ru\/wp-json\/wp\/v2\/tags?post=1452"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}