Operative treatment is obligatory?

[lorik]

:confused: Hello, dear Galina Afanasevna. Very much it would be desirable to receive your consultation.

For the first time has addressed to the doctor in March 2003. (has grown thin on 17 kg, a tremor, thirst, delicacy).

-you inspections--0,03 (in N--0,2-3,2), 3-7,62 (in N--1,0-2,8), -4-38,62 (in N--10,2-23,2),

-you US - the rights. A share-5,7*2,0*2,2=12.

Lion. A share-6,1*2,3*2,7=18., an isthmus-0,5.

: A toxic struma. Mercazolilum of 30 mg with decrease of a dose up to 10 mg a day and anaprilin is appointed or nominated.

August 2003.--3,49 (the same norms or rates, as in previous), 3-1,05, 4-9,54. I continue to accept Mercazolilum of 10 mg a day.

January 2004.--0,05 (the same norms or rates), 3-1,05, 4-9,54.

UZI-the rights. - 2,3*2,7*5,7=16,9. Sm

Lion.-2,3*2,7*5,5=16,3.

Saccharum-5,2 ???y/l. I continue to accept Mercazolilum of 15 mg a day, ch/? 2 weeks again 10 mg.

August 2004.-relapse. -0,08 (the same norms or rates), 4-63,97.

Mercazolilum of 15 mg a day.

October 2004.-inspection in a hospital - 4-11,23 (norm or rate 10,2-23,2), Saccharum-4,5. US - the rights. - 2,7*2,9*6,5=24,4

Lion.-3,7*3,5*6,4=39,6, an isthmus-0,8

US : the fat from both parties or sides of 2,3 sm, border with muscles indistinct, ehogennost is almost peer. Thickness of muscles from both parties or sides 0,6. Attributes of a fibrosis it is not defined or determined, prominatsija zrit. Nerves it is not revealed. -20, OS-21. Operative treatment Is recommended. From operation has refrained, continued to accept Mercazolilum of 10 mg a day and to watch or keep up for 4.

January 2005 g.--0,04 (norm or (rate--0,4-4,0)-other laboratory, 4 - 5,45 (norm or (rate--0,8-1,9).

US - the rights.-2,4*2,7*5,5=17,1 kub.sm

Lion.-3,2*3,0*6,4=29,4., an isthmus-0,6 of sm

Mercazolilum of 10 mg a day.

April--0,12 (norm or rate 0,2-3,2), 4 - 16,35 (norm or rate 10,2-23,2)

US - the rights. - 2,3*2,4*5,4=14,3.

Lion.-2,6*2,3*5,2=14,9. Sm, an isthmus-0,8.

It is recommended to Mercazolilum of 10 mg a day to connect a L-thyroxine of 12,5 mkg a day. The doctor has told or said, that in my case it is possible also operation, but treatment by a radioiodine is better.

Whether it would be desirable to ask you operation is necessary, in fact SHCHZH has much more decreased in volume and if in my case treatment by an iodine where it or he can be passed or taken place is shown.

In advance many thanks.

[Melnichenko]

During two years use tirostatikov without proof effect, volume of a gland on start of 30 sm3, upon termination of lechenija-29 sm3.

It can be offered as oprerativnoe treatment, and treatment by a radioactive iodine. The last is spent in Obninsk, in-O actinologies.

[lorik]

Good afternoon, Galina Afanasevna. After seven days of reception of a L-thyroxine of 12,5 mkg alongside with Mercazolilum of 10 mg has felt tachycardia or cardiopalmus, a dyspnea or short wind, delicacy, shortage of air indoors. Whether it is necessary to continue reception? Last analyses 15.04.2005.-

-0,12 (norm or rate 0,2-3,2), 4-16,35 (norm or rate 10,2-23,2). To the doctor I shall get only in the extremity or end of month. Such sosotojanie me frightens, before reception of a L-thyroxine felt more less in norm or rate. Thanks for attention to us.

[Melnichenko]

Combination Mercazolilum + a thyroxine (but in doses, where greater or big. Than your symbolical) is a combination of planned conservative treatment. Otsustvie its or his proof effect at you we already discussed. For preparation to operitsii the thyroxine is not obligatory, ranvno as well as for preparation for a radioactive iodine. I do not think, that the problem was framed in your situation with a thyroxine in midget doses (if only you by mistake not nazvaete one dose, and receive absolutely another) toza merkazolila-but not the short, more likely, is insufficient. The problem should be solved..