IU TR NGOI KHOA BNH L TUYN GIP

THS.BS. Nguyn Vn Khoa

 cng
L

tuyn ni tit ln nht trong c th 15-25g nh hng s tng trng v chuyn ha.

Tuyn
Th

gip c nhiu mch mu

tch tuyn gip ph thuc tui, gii dd, kh hu

Phn loi bu gip

Bu

gip n thun

Th nhn: bu t chc nhu m or nang cha dch keo.

Th lan ta: ton b nhu m tuyn gip ph i

Th hn hp.

Bu gip nhn n c
Bu

gip nhn c tnh: bu th nhn gip lan ta nhim c (Basedow): giap basedow ha

km nhim c gip
Bu

bu giap to lan ta km nhim c gip

Bu

Phn loi bu gip (tt)

Khi

u lnh tuyn gip Ung th tuyn gip Vim tuyn gip c triu chng bu gip
Vim tuyn gip t min dch Bnh vim x tuyn gip mn tnh Bnh vim tuyn gip bn cp tnh

Bu gip n thun
Chc

nng bnh thng khng phi do vim hay u. Nguyn nhn thiu iot hay t min Triu chng:
V tr bu: trc c, hai bn, bu gip chm trong trung tht. Da v cc tm c nng B mt, mt ranh gii, mc di ng, ln

chc xung quanh bu

Chn

p kh qun Chn p thn kinh: thn kinh qut ngc, X Chn p khc: thc qun, tm vng c. Cn lm sng T3, T4, TSH x hnh tuyn gip I 131 siu m tuyn gip, CTScan

Phng php iu tr
Ni

khoa: thuc khng hormon gip Ngoi khoa

ch inh: ty theo hnh thi, bin chng bu, theo tui. Ct thy tuyn gip, ct hon ton tuyn gip Tai bin: tc mch kh, thng kh qun. Bin chng: chy mu, khn ging, suy hh, nhim trng, suy gip, ti pht.

Bnh Basedow
Tuyn

gip tng sinh ph i lan ta, tit nhiu hormon tuyn gip nhim c Triu chng:
Bu gip to lan ta. Mch nhanh, hi hp, ngoi tm thu Li mt n nhiu st cn nhanh D kch thch, run tay, da lanh m,rng tc, mng d gy.

Cn lm sng

tp trung I 131, T3, T4, TSH Hnh nh: siu m, Xquang ng mch tuyn gip c chn lc, CTScan, MRI Min dch hc: khng th khng thyoglobuline T bo hc: FNA, GPB.

iu tr
Ni

khoa:

Khng hormon gip khi bnh 45-50% Iod phng x: khi bnh 80-90%
Ngoi

khoa: thnh cng 90-98%

Ch nh: iu tr ni khoa tht bi, chn p, bnh nhn khng dng thuc c. Chn b: iu chnh t c bnh gip K thut: ct gip gn trn.

Chm sc trc m
n

nh cng gip: dng I theo di ng gi tnh trng tim mch dn BN trc m cch xoay u.

c I
nh Gip

dc BN t chm sc sau m

Hng

Chm sc BN sau m
Tri

gic Tnh trng tun hon: M,HA, in gii, thng c nguy co h calci mu Tn thng dy thanh m Vt m Dn lu

Thanks!