{"id":9448,"date":"2021-04-20T23:00:28","date_gmt":"2021-04-20T20:00:28","guid":{"rendered":"https:\/\/ozgurkilickesmez.com\/?p=9448"},"modified":"2025-09-04T21:00:57","modified_gmt":"2025-09-04T18:00:57","slug":"tratament-nechirurgical-gusa","status":"publish","type":"post","link":"https:\/\/ozgurkilickesmez.com\/ro\/tratament-nechirurgical-gusa\/","title":{"rendered":"Tratament nechirurgical gu\u0219\u0103"},"content":{"rendered":"<p><span style=\"font-weight: 400;\">Tratamentul nechirurgical al gu\u0219ei este o metod\u0103 modern\u0103 care permite reducerea volumului tiroidian f\u0103r\u0103 interven\u021bie chirurgical\u0103 clasic\u0103. Aceasta se aplic\u0103 pacien\u021bilor cu simptome compresive sau probleme estetice.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Tehnica de abla\u021bie prin radiofrecven\u021b\u0103 sau laser este utilizat\u0103 pentru distrugerea selectiv\u0103 a \u021besutului tiroidian. Procedura este minim invaziv\u0103, sigur\u0103 \u0219i cu efecte secundare reduse.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Pacien\u021bii sunt evalua\u021bi prin ecografie \u0219i analize hormonale \u00eenainte de tratament. Alegerea metodei se face \u00een func\u021bie de dimensiunea nodulilor \u0219i de func\u021bionalitatea glandei tiroide.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Beneficiile includ evitarea cicatricilor, recuperare rapid\u0103 \u0219i p\u0103strarea func\u021biei tiroidiene. Aceast\u0103 metod\u0103 reprezint\u0103 o alternativ\u0103 eficient\u0103 la chirurgia clasic\u0103.<\/span><\/p>\n<table dir=\"ltr\" border=\"1\" cellspacing=\"0\" cellpadding=\"0\" data-sheets-root=\"1\">\n<colgroup>\n<col width=\"179\" \/>\n<col width=\"337\" \/> <\/colgroup>\n<tbody>\n<tr>\n<td data-sheets-value=\"{&quot;1&quot;:2,&quot;2&quot;:&quot;Tedavi Y\u00f6ntemi&quot;}\">Metoda de tratament<\/td>\n<td data-sheets-value=\"{&quot;1&quot;:2,&quot;2&quot;:&quot;Ameliyats\u0131z Guatr Tedavisi&quot;}\">Tratamentul guatrului f\u0103r\u0103 interven\u021bie chirurgical\u0103<\/td>\n<\/tr>\n<tr>\n<td data-sheets-value=\"{&quot;1&quot;:2,&quot;2&quot;:&quot;Endikasyonlar&quot;}\">Indica\u021bii<\/td>\n<td data-sheets-value=\"{&quot;1&quot;:2,&quot;2&quot;:&quot;B\u00fcy\u00fcm\u00fc\u015f tiroid nod\u00fclleri, semptomatik guatr, kozmetik sorunlar, cerrahiye uygun olmayan hastalar&quot;}\">Noduli tiroidieni m\u0103ri\u021bi, guatr simptomatic, probleme cosmetice, pacien\u021bi inadecva\u021bi pentru chirurgie<\/td>\n<\/tr>\n<tr>\n<td data-sheets-value=\"{&quot;1&quot;:2,&quot;2&quot;:&quot;\u0130\u015flem A\u00e7\u0131klamas\u0131&quot;}\">Descrierea procedurii<\/td>\n<td data-sheets-value=\"{&quot;1&quot;:2,&quot;2&quot;:&quot;Giri\u015fimsel radyoloji taraf\u0131ndan yap\u0131lan i\u015flemde, ultrason rehberli\u011finde tiroid nod\u00fcllerine ablasyon (radyofrekans, mikrodalga, kriyoablasyon) veya etanol enjeksiyonu yap\u0131l\u0131r&quot;}\">\u00cen cadrul procedurii efectuate de radiologia interven\u021bional\u0103, nodulii tiroidieni sunt trata\u021bi sub ghidare ecografic\u0103 prin abla\u021bie (radiofrecven\u021b\u0103, microunde, crioablare) sau injec\u021bie de etanol.<\/td>\n<\/tr>\n<tr>\n<td data-sheets-value=\"{&quot;1&quot;:2,&quot;2&quot;:&quot;Avantajlar\u0131&quot;}\">Avantajele<\/td>\n<td data-sheets-value=\"{&quot;1&quot;:2,&quot;2&quot;:&quot;Minimal invazivdir, genel anestezi gerektirmez, h\u0131zl\u0131 iyile\u015fme s\u00fcreci, yat\u0131\u015f gerektirmez, i\u015flem sonras\u0131 ila\u00e7 kullan\u0131m\u0131 gerektirmez&quot;}\">Este minim invaziv, nu necesit\u0103 anestezie general\u0103, are un proces de recuperare rapid, nu implic\u0103 spitalizare \u0219i nu necesit\u0103 administrare de medicamente post-procedur\u0103.<\/td>\n<\/tr>\n<tr>\n<td data-sheets-value=\"{&quot;1&quot;:2,&quot;2&quot;:&quot;Komplikasyonlar&quot;}\">Complica\u021bii<\/td>\n<td data-sheets-value=\"{&quot;1&quot;:2,&quot;2&quot;:&quot;Enfeksiyon, kanama, ses k\u0131s\u0131kl\u0131\u011f\u0131, tiroid fonksiyon bozukluklar\u0131, i\u015flem sonras\u0131 nod\u00fcllerin tekrar b\u00fcy\u00fcmesi&quot;}\">Infec\u021bie, s\u00e2ngerare, r\u0103gu\u0219eal\u0103, tulbur\u0103ri de func\u021bie tiroidian\u0103, re-m\u0103rirea nodulilor post-procedur\u0103<\/td>\n<\/tr>\n<tr>\n<td data-sheets-value=\"{&quot;1&quot;:2,&quot;2&quot;:&quot;Ba\u015far\u0131 Oran\u0131&quot;}\">Rata de succes<\/td>\n<td data-sheets-value=\"{&quot;1&quot;:2,&quot;2&quot;:&quot;Y\u00fcksek ba\u015far\u0131 oran\u0131na sahiptir; do\u011fru endikasyonlarda uyguland\u0131\u011f\u0131nda etkili sonu\u00e7lar verir&quot;}\">Are o rat\u0103 de succes ridicat\u0103; atunci c\u00e2nd este aplicat \u00een indica\u021bii corecte, produce rezultate eficiente.<\/td>\n<\/tr>\n<tr>\n<td data-sheets-value=\"{&quot;1&quot;:2,&quot;2&quot;:&quot;\u0130yile\u015fme S\u00fcreci&quot;}\">Procesul de recuperare<\/td>\n<td data-sheets-value=\"{&quot;1&quot;:2,&quot;2&quot;:&quot;\u0130\u015flem sonras\u0131 ertesi g\u00fcn i\u015fe d\u00f6n\u00fclebilir, i\u015flemden sonra birka\u00e7 hafta boyunca a\u011f\u0131r fiziksel aktivitelerden ka\u00e7\u0131nma, 1,3 ve 12. aylarda kontrol&quot;}\">Dup\u0103 procedur\u0103, pacientul poate reveni la serviciu a doua zi; se recomand\u0103 evitarea activit\u0103\u021bilor fizice intense timp de c\u00e2teva s\u0103pt\u0103m\u00e2ni, cu controale la 1, 3 \u0219i 12 luni.<\/td>\n<\/tr>\n<tr>\n<td data-sheets-value=\"{&quot;1&quot;:2,&quot;2&quot;:&quot;Alternatif Tedaviler&quot;}\">Tratament alternativ<\/td>\n<td data-sheets-value=\"{&quot;1&quot;:2,&quot;2&quot;:&quot;Cerrahi tiroidektomi, ila\u00e7 tedavisi (tiroid hormonlar\u0131), radyoaktif iyot tedavisi&quot;}\">Tiroidectomie chirurgical\u0103, tratament medicamentos (hormoni tiroidieni), tratament cu iod radioactiv<\/td>\n<\/tr>\n<tr>\n<td data-sheets-value=\"{&quot;1&quot;:2,&quot;2&quot;:&quot;Haz\u0131rl\u0131k ve \u00d6nlemler&quot;}\">Preg\u0103tire \u0219i m\u0103suri de precau\u021bie<\/td>\n<td data-sheets-value=\"{&quot;1&quot;:2,&quot;2&quot;:&quot;\u0130\u015flem \u00f6ncesi detayl\u0131 g\u00f6r\u00fcnt\u00fcleme (ultrason, tiroid sintigrafisi), i\u015flem s\u0131ras\u0131nda lokal anestezi kullan\u0131lmas\u0131, i\u015flem sonras\u0131 bak\u0131m ve takip&quot;}\">Investiga\u021bii imagistice detaliate pre-procedur\u0103 (ecografie, scintigrafie tiroidian\u0103), utilizarea anesteziei locale \u00een timpul procedurii, \u00eengrijire \u0219i monitorizare post-procedur\u0103<\/td>\n<\/tr>\n<tr>\n<td data-sheets-value=\"{&quot;1&quot;:2,&quot;2&quot;:&quot;Epidemiyoloji&quot;}\">Epidemiologie<\/td>\n<td data-sheets-value=\"{&quot;1&quot;:2,&quot;2&quot;:&quot;Tiroid nod\u00fclleri genellikle kad\u0131nlarda daha yayg\u0131nd\u0131r, ya\u015fla birlikte g\u00f6r\u00fclme s\u0131kl\u0131\u011f\u0131 artar, ultasonda s\u0131kl\u0131k %30-70, kanser ihtimali %5-10&quot;}\">Nodulii tiroidieni sunt de obicei mai frecven\u021bi la femei, iar inciden\u021ba lor cre\u0219te odat\u0103 cu v\u00e2rsta; conform ultimelor studii, frecven\u021ba este de 30-70%, iar riscul de cancer este de 5-10%.<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<p><span data-sheets-root=\"1\">\n\t<section class=\"section\" id=\"section_476296817\">\n\t\t<div class=\"section-bg fill\" >\n\t\t\t\t\t\t\t\t\t\n\t\t\t\n\n\t\t<\/div>\n\n\t\t\n\n\t\t<div class=\"section-content relative\">\n\t\t\t\n\n<div 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class=\"col-inner dark\"  >\n\t\t\t\n\t\t\t\n\n\t<div id=\"text-1289108364\" class=\"text\">\n\t\t\n\n<p><strong>Prof. Dr. \u00d6zg\u00fcr KILI\u00c7KESMEZ<br \/><\/strong><span style=\"font-size: 65%;\"><em>Radiologie Interven\u021bional\u0103 \/ Neuroradiologie Interven\u021bional\u0103<\/em><\/span><\/p>\n\t\t\n<style>\n#text-1289108364 {\n  font-size: 1.25rem;\n}\n@media (min-width:550px) {\n  #text-1289108364 {\n    font-size: 2rem;\n  }\n}\n<\/style>\n\t<\/div>\n\t\n<p>Prof. Dr. K\u0131l\u0131\u00e7kesmez de\u021bine Certificatul de Competen\u021b\u0103 \u00een Radiologie din Turcia, Certificatul de Competen\u021b\u0103 \u00een Radiologie Interven\u021bional\u0103 din Turcia, Certificarea pentru tratamentul accidentului vascular cerebral \u0219i Certificatul European de Radiologie Interven\u021bional\u0103 (EBIR). \u00cen cariera sa academic\u0103, a c\u00e2\u0219tigat Premiul I Siemens pentru Radiologie \u00een 2008.<\/p>\n\n<a href=\"https:\/\/ozgurkilickesmez.com\/kimdir\/\" 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chirurgical\u0103: Pa\u0219ii procedurii<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-4\" href=\"https:\/\/ozgurkilickesmez.com\/ro\/tratament-nechirurgical-gusa\/#Beneficiile_tratamentului_guatrului_non-chirurgical\" >Beneficiile tratamentului guatrului non-chirurgical<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-5\" href=\"https:\/\/ozgurkilickesmez.com\/ro\/tratament-nechirurgical-gusa\/#Riscurile_potentiale_ale_metodelor_de_tratament_non-chirurgical_pentru_guatr\" >Riscurile poten\u021biale ale metodelor de tratament non-chirurgical pentru guatr<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-6\" href=\"https:\/\/ozgurkilickesmez.com\/ro\/tratament-nechirurgical-gusa\/#Exista_necesitatea_tratarii_nodulilor_si_a_guatrului\" >Exist\u0103 necesitatea trat\u0103rii nodulilor \u0219i a guatrului?<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-7\" href=\"https:\/\/ozgurkilickesmez.com\/ro\/tratament-nechirurgical-gusa\/#Tratamentul_guatrului_non-chirurgical_Necesitatea_biopsiei_si_a_ecografiei\" >Tratamentul guatrului non-chirurgical: Necesitatea biopsiei \u0219i a ecografiei<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-8\" href=\"https:\/\/ozgurkilickesmez.com\/ro\/tratament-nechirurgical-gusa\/#Detalii_despre_tratamentul_nodulilor_toxici_prin_RF-MWA_ablatie_tiroidiana\" >Detalii despre tratamentul nodulilor toxici prin RF-MWA abla\u021bie tiroidian\u0103<\/a><ul class='ez-toc-list-level-3' ><li class='ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-9\" href=\"https:\/\/ozgurkilickesmez.com\/ro\/tratament-nechirurgical-gusa\/#Procedurile_care_vor_fi_aplicate_in_tratamentul_guatrului_non-chirurgical\" >Procedurile care vor fi aplicate \u00een tratamentul guatrului non-chirurgical<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-10\" href=\"https:\/\/ozgurkilickesmez.com\/ro\/tratament-nechirurgical-gusa\/#Guatrul_care_se_extinde_in_cavitatea_toracica_plonjantmediastinal_multipli_noduli_mari_si_boala_Graves-Basedow_Embolizare\" >Guatrul care se extinde \u00een cavitatea toracic\u0103 (plonjant\/mediastinal), multipli noduli mari \u0219i boala Graves-Basedow: Embolizare<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-11\" href=\"https:\/\/ozgurkilickesmez.com\/ro\/tratament-nechirurgical-gusa\/#Tratamentul_guatrului_non-chirurgical_Riscul_de_cancer_asociat_cu_metoda_cu_microunde\" >Tratamentul guatrului non-chirurgical: Riscul de cancer asociat cu metoda cu microunde<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-12\" href=\"https:\/\/ozgurkilickesmez.com\/ro\/tratament-nechirurgical-gusa\/#Tratamentul_nodulilor_toxici_prin_RF-MWA_ablatie_tiroidiana\" >Tratamentul nodulilor toxici prin RF-MWA abla\u021bie tiroidian\u0103<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-13\" href=\"https:\/\/ozgurkilickesmez.com\/ro\/tratament-nechirurgical-gusa\/#Procedurile_care_vor_fi_aplicate_in_tratamentul_guatrului_non-chirurgical-2\" >Procedurile care vor fi aplicate \u00een tratamentul guatrului non-chirurgical<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-14\" href=\"https:\/\/ozgurkilickesmez.com\/ro\/tratament-nechirurgical-gusa\/#Guatrul_care_se_extinde_in_cavitatea_toracica_plonjantmediastinal_multipli_noduli_mari_si_boala_Graves-Basedow_Embolizare-2\" >Guatrul care se extinde \u00een cavitatea toracic\u0103 (plonjant\/mediastinal), multipli noduli mari \u0219i boala Graves-Basedow: Embolizare<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-15\" href=\"https:\/\/ozgurkilickesmez.com\/ro\/tratament-nechirurgical-gusa\/#Tratamentul_guatrului_non-chirurgical_Riscul_de_cancer_asociat_cu_metoda_cu_microunde-2\" >Tratamentul guatrului non-chirurgical: Riscul de cancer asociat cu metoda cu microunde<\/a><\/li><\/ul><\/li><\/ul><\/nav><\/div>\n<h2><span class=\"ez-toc-section\" id=\"Metode_de_ablatie_cu_radiofrecventa_si_microunde_in_tratamentul_guatrului_fara_interventie_chirurgicala\"><\/span>Metode de abla\u021bie cu radiofrecven\u021b\u0103 \u0219i microunde \u00een tratamentul guatrului f\u0103r\u0103 interven\u021bie chirurgical\u0103<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p><img decoding=\"async\" class=\"alignnone size-full wp-image-6560\" src=\"https:\/\/ozgurkilickesmez.com\/wp-content\/uploads\/2024\/05\/TIROID-ABLASYON-e1722081992163.jpg\" alt=\"Imagine cu abla\u021bia tiroidian\u0103\" width=\"1904\" height=\"644\" title=\"\" srcset=\"https:\/\/ozgurkilickesmez.com\/wp-content\/uploads\/2024\/05\/TIROID-ABLASYON-e1722081992163.jpg 1904w, https:\/\/ozgurkilickesmez.com\/wp-content\/uploads\/2024\/05\/TIROID-ABLASYON-e1722081992163-300x101.jpg 300w, https:\/\/ozgurkilickesmez.com\/wp-content\/uploads\/2024\/05\/TIROID-ABLASYON-e1722081992163-1024x346.jpg 1024w, https:\/\/ozgurkilickesmez.com\/wp-content\/uploads\/2024\/05\/TIROID-ABLASYON-e1722081992163-1536x520.jpg 1536w, https:\/\/ozgurkilickesmez.com\/wp-content\/uploads\/2024\/05\/TIROID-ABLASYON-e1722081992163-768x260.jpg 768w\" sizes=\"(max-width: 1904px) 100vw, 1904px\" \/><\/p>\n<p><span style=\"font-weight: 400;\">\u00cen tratamentul nodulilor tiroidieni, metodele non-chirurgicale, cum ar fi abla\u021bia cu radiofrecven\u021b\u0103 \u0219i cea cu microunde, se remarc\u0103. Abla\u021bia cu radiofrecven\u021b\u0103 a fost utilizat\u0103 \u00eenc\u0103 din 2006. Ulterior, \u00een 2010, abla\u021bia cu microunde a fost introdus\u0103 ca op\u021biune de tratament. Ambele metode ofer\u0103 pacien\u021bilor o procedur\u0103 nedureroas\u0103 \u0219i posibilitatea de a reveni rapid la activit\u0103\u021bile zilnice. Aceste tehnici de tratament:<\/span><\/p>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Beneficiaz\u0103 de rate ridicate de satisfac\u021bie a pacien\u021bilor.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Sunt considerate alternative sigure \u0219i eficiente.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Au fost prezentate \u00een numeroase studii \u0219tiin\u021bifice la nivel mondial.<\/span><\/li>\n<\/ul>\n<p><span style=\"font-weight: 400;\">Microundele furnizeaz\u0103 energie mai mare \u0219i permit tratamentul nodulilor de dimensiuni mai mari.<\/span><\/p>\n<h2><span class=\"ez-toc-section\" id=\"Aplicabilitatea_metodelor_de_tratament_non-chirurgical_pentru_guatr\"><\/span>Aplicabilitatea metodelor de tratament non-chirurgical pentru guatr<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p><iframe title=\"Ameliyats\u0131z Guatr Tedavisi Var m\u0131? | Prof. Dr. \u00d6zg\u00fcr K\u0131l\u0131\u00e7kesmez\" width=\"1020\" height=\"574\" src=\"https:\/\/www.youtube.com\/embed\/roXaU3GyjGo?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><\/p>\n<p><span style=\"font-weight: 400;\">Aceast\u0103 metod\u0103 este eficient\u0103 \u00een special \u00een cazul nodulilor tiroidieni simptomatici. Pacien\u021bii resimt frecvent dureri, senza\u021bie de presiune \u0219i dificult\u0103\u021bi la \u00eenghi\u021bire. De asemenea, pot ap\u0103rea probleme precum dificult\u0103\u021bi de respira\u021bie \u0219i tuse. Dezechilibrele hormonale tiroidiene \u0219i preocup\u0103rile cosmetice sunt, de asemenea, motive pentru aplicarea acestei metode de tratament. \u00cen special, poate fi utilizat\u0103 \u00een urm\u0103toarele situa\u021bii:<\/span><\/p>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">La noduli cu dimensiuni de 2 cm \u0219i peste (la noduli de peste 8-10 cm pot fi necesare dou\u0103 \u0219edin\u021be)<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Cancere papilare sub 2 cm<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">\u00cen cazurile de recidiv\u0103 ale cancerului papilar tiroidian<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">\u00cen situa\u021biile cu afectare ganglionar\u0103<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Nodul rece sau cald (toxic)<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Adenom paratiroidian<\/span><\/li>\n<\/ul>\n<p><span style=\"font-weight: 400;\">Ultimele cercet\u0103ri au ar\u0103tat c\u0103 aceast\u0103 metod\u0103 poate fi utilizat\u0103 \u00een siguran\u021b\u0103 \u00een cancerul papilar tiroidian de dimensiuni mici. Acest tratament este aplicat cu succes la pacien\u021bii care prezint\u0103 aceste caracteristici.<\/span><\/p>\n<h2><span class=\"ez-toc-section\" id=\"Tratamentul_guatrului_fara_interventie_chirurgicala_Pasii_procedurii\"><\/span>Tratamentul guatrului f\u0103r\u0103 interven\u021bie chirurgical\u0103: Pa\u0219ii procedurii<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p><iframe title=\"Guatr ve diz a\u011fr\u0131s\u0131n\u0131n ayn\u0131 seansta tedavisi - Prof. Dr. \u00d6zg\u00fcr K\u0131l\u0131\u00e7kesmez\" width=\"1020\" height=\"574\" src=\"https:\/\/www.youtube.com\/embed\/-DWOsymta6Q?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><\/p>\n<p><span style=\"font-weight: 400;\">\u00cen tratamentul non-chirurgical al nodulilor tiroidieni, metoda de abla\u021bie cu microunde realizat\u0103 sub ghidare ecografic\u0103 ofer\u0103 o solu\u021bie eficient\u0103. \u00cen primul r\u00e2nd, zona g\u00e2tului este anesteziat\u0103 local. Apoi, se introduce un ac fin \u00een \u021besutul tiroidian. \u00cen timpul procedurii, se produce o cre\u0219tere a temperaturii \u00een interiorul nodulului prin curen\u021bi alternativi controla\u021bi de la v\u00e2rful acului. Aceast\u0103 cre\u0219tere a temperaturii determin\u0103 mic\u0219orarea treptat\u0103 a nodulului. \u00cen timpul procesului de abla\u021bie, se efectueaz\u0103 o monitorizare ecografic\u0103 continu\u0103 pentru a trata nodulii, p\u0103str\u00e2nd intacte zonele normale.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Pa\u0219ii principali ai procedurii:<\/span><\/p>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Anestezia local\u0103 a regiunii g\u00e2tului,<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Plasarea acului sub ghidare ecografic\u0103,<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Tratamentul nodulului prin \u00eenc\u0103lzire.<\/span><\/li>\n<\/ul>\n<p><span style=\"font-weight: 400;\">\u00cen concluzie, nodulii trata\u021bi \u00eencep s\u0103 se mic\u0219oreze \u00eenc\u0103 din prima lun\u0103, cu o reducere de aproximativ 40-50% dup\u0103 3 luni \u0219i o pierdere de volum de 80-90% la un an. Aceast\u0103 metod\u0103 permite pacien\u021bilor s\u0103 revin\u0103 la activit\u0103\u021bile zilnice \u00eenc\u0103 din a doua zi \u0219i nu las\u0103 cicatrici chirurgicale.<\/span><\/p>\n<h2><span class=\"ez-toc-section\" id=\"Beneficiile_tratamentului_guatrului_non-chirurgical\"><\/span>Beneficiile tratamentului guatrului non-chirurgical<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p><span style=\"font-weight: 400;\">Tratamentul guatrului f\u0103r\u0103 interven\u021bie chirurgical\u0103 reprezint\u0103 o metod\u0103 avansat\u0103 de abordare a m\u0103riri anormale a glandei tiroide. Aceast\u0103 metod\u0103 ofer\u0103 o serie de avantaje pentru pacien\u021bi. \u00cen primul r\u00e2nd, tratamentul se finalizeaz\u0103 \u00een 30 de minute, permi\u021b\u00e2nd revenirea la rutina zilnic\u0103 \u00een aceea\u0219i zi.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Procedura, efectuat\u0103 sub anestezie local\u0103, elimin\u0103 necesitatea anesteziei generale, evit\u00e2nd astfel riscurile asociate acesteia.<\/span><\/p>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">O procedur\u0103 nedureroas\u0103: Pacien\u021bii nu resimt un disconfort semnificativ \u00een timpul tratamentului.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Nu las\u0103 cicatrici: Nu se formeaz\u0103 incizii sau cicatrici pe piele.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Proces de recuperare rapid: Dup\u0103 tratament, pacien\u021bii pot relua imediat activit\u0103\u021bile zilnice.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">\u021aesutul tiroidian normal este conservat, astfel c\u0103 nu este necesar\u0103 administrarea de hormoni tiroidieni.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Risc redus de complica\u021bii: Efectele secundare sunt minime, ceea ce face procedura sigur\u0103.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Poate fi repetat: \u00cen caz de recidiv\u0103, tratamentul poate fi repetat cu u\u0219urin\u021b\u0103, f\u0103r\u0103 a interfera cu tratamentele anterioare.<\/span><\/li>\n<\/ul>\n<p><span style=\"font-weight: 400;\">Aceste avantaje fac o diferen\u021b\u0103 semnificativ\u0103 \u00een compara\u021bie cu tratamentul chirurgical. Metodele non-chirurgicale atenueaz\u0103 at\u00e2t preocup\u0103rile fizice, c\u00e2t \u0219i pe cele estetice ale pacien\u021bilor. Tratamentul este apreciat de majoritatea pacien\u021bilor, av\u00e2nd rate ridicate de satisfac\u021bie.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Ofer\u0103 rezultate cosmetice satisf\u0103c\u0103toare \u0219i nu las\u0103 cus\u0103turi sau cicatrici, astfel \u00eenc\u00e2t pacien\u021bii pot parcurge procesul de tratament \u0219i perioada post-procedural\u0103 \u00eentr-un mod mai confortabil.<\/span><\/p>\n<h2><span class=\"ez-toc-section\" id=\"Riscurile_potentiale_ale_metodelor_de_tratament_non-chirurgical_pentru_guatr\"><\/span>Riscurile poten\u021biale ale metodelor de tratament non-chirurgical pentru guatr<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p><span style=\"font-weight: 400;\">De\u0219i metodele de tratament non-chirurgical pentru guatr sunt minim invazive, ele prezint\u0103 totu\u0219i unele riscuri. Complica\u021bii pot ap\u0103rea, de\u0219i rare, \u00een timpul procedurii. Anestezicele locale injectate pot avea efecte toxice locale sau sistemice.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">De asemenea, \u00een zona procedurii pot ap\u0103rea reac\u021bii locale, cum ar fi arsuri la nivelul pielii. Dup\u0103 procedurile de abla\u021bie cu microunde sau embolizare, se poate resim\u021bi durere \u00een zona tratat\u0103. \u00cen plus, nodulii trata\u021bi pot suferi fragmentare, ceea ce poate necesita tratamente suplimentare.<\/span><\/p>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">R\u0103gu\u0219eal\u0103 permanent\u0103 (1%)<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Leziuni nervoase<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Sc\u0103derea nivelurilor hormonale tiroidiene<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Hipertensiune<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">V\u0103rs\u0103turi<\/span><\/li>\n<\/ul>\n<p><span style=\"font-weight: 400;\">Aceste efecte apar la un procent foarte mic dintre pacien\u021bii trata\u021bi \u0219i complica\u021biile poten\u021biale sunt gestionate rapid.<\/span><\/p>\n<p><span data-sheets-root=\"1\">\n\t<section class=\"section\" id=\"section_1052894559\">\n\t\t<div class=\"section-bg fill\" >\n\t\t\t\t\t\t\t\t\t\n\t\t\t\n\n\t\t<\/div>\n\n\t\t\n\n\t\t<div class=\"section-content relative\">\n\t\t\t\n\n<div class=\"row\"  id=\"row-176080145\">\n\n\n\t<div id=\"col-879915592\" class=\"col small-12 large-12\"  >\n\t\t\t\t<div class=\"col-inner box-shadow-2\"  >\n\t\t\t\n\t\t\t\n\n<div class=\"row\"  id=\"row-757520685\">\n\n\n\t<div id=\"col-429372818\" class=\"col whatsapp-alani hide-for-small medium-3 small-12 large-3\"  >\n\t\t\t\t<div class=\"col-inner box-shadow-2\" style=\"background-color:rgb(37, 211, 102);\" >\n\t\t\t\n\t\t\t\n\n\t<div id=\"text-2563872867\" class=\"text\">\n\t\t\n\n<p><a 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class=\"wpcf7-response-output\" aria-hidden=\"true\"><\/div>\n<\/form>\n<\/div>\n\n\n\n\t\t<\/div>\n\t\t\t\t\n<style>\n#col-704585457 > .col-inner {\n  margin: 0px 0px -60px 0px;\n}\n<\/style>\n\t<\/div>\n\n\t\n\n\t<div id=\"col-83810030\" class=\"col small-12 large-12\"  >\n\t\t\t\t<div class=\"col-inner\"  >\n\t\t\t\n\t\t\t\n\n\t<div id=\"text-2783117930\" class=\"text\">\n\t\t\n\n<p>*V\u0103 recomand\u0103m s\u0103 completa\u021bi toate c\u00e2mpurile pentru a primi cel mai bun r\u0103spuns posibil.<\/p>\n\t\t\n<style>\n#text-2783117930 {\n  font-size: 0.85rem;\n  line-height: 1.5;\n}\n@media (min-width:550px) {\n  #text-2783117930 {\n    line-height: 0.75;\n  }\n}\n<\/style>\n\t<\/div>\n\t\n\n\t\t<\/div>\n\t\t\t\t\n<style>\n#col-83810030 > .col-inner {\n  margin: 0px 0px -40px 0px;\n}\n<\/style>\n\t<\/div>\n\n\t\n\n<\/div>\n\n\t\t<\/div>\n\t\t\t\t\n<style>\n#col-1605039749 > .col-inner {\n  padding: 0px 0px 0px 0px;\n  margin: 0px 0px -20px 0px;\n}\n@media (min-width:550px) {\n  #col-1605039749 > .col-inner {\n    padding: 20px 0px 0px 0px;\n    margin: 0px 0px -66px 0px;\n  }\n}\n<\/style>\n\t<\/div>\n\n\t\n\n<\/div>\n\n\t\t<\/div>\n\t\t\t\t\n<style>\n#col-879915592 > .col-inner {\n  padding: 30px 10px 0px 10px;\n  border-radius: 30px;\n}\n@media (min-width:550px) {\n  #col-879915592 > .col-inner {\n    padding: 0px 20px 0px 0px;\n  }\n}\n<\/style>\n\t<\/div>\n\n\t\n\n<\/div>\n\n\t\t<\/div>\n\n\t\t\n<style>\n#section_1052894559 {\n  padding-top: 30px;\n  padding-bottom: 30px;\n}\n<\/style>\n\t<\/section>\n\t<\/span><\/p>\n<h2><span class=\"ez-toc-section\" id=\"Exista_necesitatea_tratarii_nodulilor_si_a_guatrului\"><\/span>Exist\u0103 necesitatea trat\u0103rii nodulilor \u0219i a guatrului?<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p><span style=\"font-weight: 400;\">Tratamentul guatrului este important deoarece aceast\u0103 afec\u021biune poate duce, \u00een timp, la complica\u021bii grave. Interven\u021bia asupra nodulilor tiroidieni atunci c\u00e2nd sunt mici poate reduce semnificativ dificult\u0103\u021bile ulterioare. Nodulii netrata\u021bi, pe m\u0103sur\u0103 ce cresc, pot conduce la:<\/span><\/p>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Agravarea problemelor cosmetice,<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Dificult\u0103\u021bi la alimenta\u021bie \u0219i \u00eenghi\u021bire,<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">R\u0103gu\u0219eal\u0103 care poate deveni permanent\u0103,<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Apari\u021bia problemelor respiratorii, cum ar fi dispneea,<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Leziuni cauzate de compresia nervilor,<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Necesitatea de a efectua mai mult de o \u0219edin\u021b\u0103 de tratament.<\/span><\/li>\n<\/ul>\n<p><span style=\"font-weight: 400;\">Aceste probleme devin mai complexe \u00een timp, iar procesul de tratament se complic\u0103. Prin urmare, interven\u021bia timpurie minimizeaz\u0103 astfel de riscuri \u0219i men\u021bine calitatea vie\u021bii pacien\u021bilor.<\/span><\/p>\n<h2><span class=\"ez-toc-section\" id=\"Tratamentul_guatrului_non-chirurgical_Necesitatea_biopsiei_si_a_ecografiei\"><\/span>Tratamentul guatrului non-chirurgical: Necesitatea biopsiei \u0219i a ecografiei<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p><span style=\"font-weight: 400;\">\u00cen procesul de tratament non-chirurgical al guatrului, este necesar\u0103 efectuarea unei biopsii. Acest pas este obligatoriu pentru a identifica eventuale condi\u021bii canceroase \u0219i pentru a stabili un plan de tratament adecvat. \u00cenainte de \u00eenceperea tratamentului, este de mare importan\u021b\u0103 determinarea dac\u0103 nodulii tiroidieni sunt benigni sau maligni.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">De asemenea, este obligatorie efectuarea unei ecografii tiroidiene care s\u0103 fi fost realizat\u0103 cu cel mult trei luni \u00eenainte de procedur\u0103. Aceast\u0103 ecografie:<\/span><\/p>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Ofer\u0103 o imagine detaliat\u0103 a st\u0103rii actuale a glandei tiroide,<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Determin\u0103 loca\u021bia \u0219i dimensiunea nodulilor care vor fi trata\u021bi,<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Ajut\u0103 la stabilirea clar\u0103 a zonei \u00een care se va efectua procedura.<\/span><\/li>\n<\/ul>\n<p><span style=\"font-weight: 400;\">Astfel, fiecare etap\u0103 a procesului de tratament este planificat\u0103 cu aten\u021bie.<\/span><\/p>\n<h2><span class=\"ez-toc-section\" id=\"Detalii_despre_tratamentul_nodulilor_toxici_prin_RF-MWA_ablatie_tiroidiana\"><\/span>Detalii despre tratamentul nodulilor toxici prin RF-MWA abla\u021bie tiroidian\u0103<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p><a href=\"https:\/\/my.clevelandclinic.org\/health\/treatments\/17411-radiofrequency-ablation\" target=\"_blank\" rel=\"noopener\"><span style=\"font-weight: 400;\">Studiile \u0219tiin\u021bifice recente arat\u0103 c\u0103 metoda de abla\u021bie RF-MWA tiroidian\u0103 reprezint\u0103 o alternativ\u0103 eficient\u0103 \u00een cazul nodulilor toxici care secret\u0103 hormoni.<\/span><\/a><span style=\"font-weight: 400;\"> \u00cen special, aceast\u0103 metod\u0103 este frecvent recomandat\u0103 pacien\u021bilor tineri. Sc\u0103derea nivelului de hormoni tiroidieni ce poate urma interven\u021biilor chirurgicale \u0219i tratamentului cu iod radioactiv poate necesita administrarea de medicamente pe via\u021b\u0103. Din acest motiv, procedura de abla\u021bie RF-MWA, fiind minim invaziv\u0103, atrage aten\u021bia. Acest tratament:<\/span><\/p>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Are riscuri reduse de complica\u021bii postoperatorii.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Accelereaz\u0103 procesul de revenire la via\u021ba normal\u0103.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Nu las\u0103 cicatrici permanente.<\/span><\/li>\n<\/ul>\n<h3><span class=\"ez-toc-section\" id=\"Procedurile_care_vor_fi_aplicate_in_tratamentul_guatrului_non-chirurgical\"><\/span>Procedurile care vor fi aplicate \u00een tratamentul guatrului non-chirurgical<span class=\"ez-toc-section-end\"><\/span><\/h3>\n<p><span style=\"font-weight: 400;\">Procesul de tratament \u00eencepe cu preg\u0103tirea \u00een condi\u021bii sterile. Ve\u021bi fi a\u0219ezat pe un pat \u00eentr-un mediu steril. Se administreaz\u0103 anestezice locale \u0219i sedative prin perfuzie. \u00cen aceast\u0103 etap\u0103, nu se aplic\u0103 anestezie general\u0103 deoarece aceasta implic\u0103 riscuri suplimentare.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">\u00cen primul r\u00e2nd, se evalueaz\u0103 starea glandei tiroide prin ecografie. \u00cen aceast\u0103 etap\u0103 de planificare, se determin\u0103 loca\u021bia nodulilor \u0219i structurile adiacente. Se iau m\u0103suri pentru a preveni disconfortul prin anestezie local\u0103. Procedura se efectueaz\u0103 utiliz\u00e2nd urm\u0103toarele metode:<\/span><\/p>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Anestezicele locale pot provoca o senza\u021bie de arsur\u0103, \u00eens\u0103 aceasta este de scurt\u0103 durat\u0103.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Pentru protejarea structurilor critice, se injecteaz\u0103 ap\u0103 \u00eendulcit\u0103 \u00een \u021besuturile adiacente pentru a crea o zon\u0103 de protec\u021bie (hidrodisec\u021bie).<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Senza\u021biile asem\u0103n\u0103toare \u0219ocului electric sau sc\u00e2nteile auzite \u00een timpul abla\u021biei sunt normale \u0219i tranzitorii, neprovoc\u00e2nd durere.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Dac\u0103 sim\u021bi\u021bi durere \u00een timpul procedurii, nivelul de energie este ajustat pentru a asigura confortul.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Sunetul bulelor de aer din noduli indic\u0103 faptul c\u0103 procedura este efectuat\u0103 corect.<\/span><\/li>\n<\/ul>\n<p><span style=\"font-weight: 400;\">Dup\u0103 finalizarea procedurii, se aplic\u0103 ghea\u021b\u0103 pe zona g\u00e2tului pentru a reduce edemul. Dup\u0103 procedur\u0103, este posibil s\u0103 \u00eent\u00e2mpina\u021bi urm\u0103toarele situa\u021bii:<\/span><\/p>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">\u00cen primele 24 de ore pot ap\u0103rea furnic\u0103turi, amor\u021beal\u0103, umflare \u0219i s\u00e2nger\u0103ri u\u0219oare.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Pot ap\u0103rea temporar dificult\u0103\u021bi la \u00eenghi\u021bire, disconfort \u00een timpul meselor \u0219i tuse.<\/span><\/li>\n<\/ul>\n<p><span style=\"font-weight: 400;\">Dup\u0103 tratament, ve\u021bi fi externat \u00een decurs de 1-2 ore. Procesul de tratament continu\u0103 cu monitorizare regulat\u0103 \u0219i administrare de medicamente.<\/span><\/p>\n<h3><span class=\"ez-toc-section\" id=\"Guatrul_care_se_extinde_in_cavitatea_toracica_plonjantmediastinal_multipli_noduli_mari_si_boala_Graves-Basedow_Embolizare\"><\/span>Guatrul care se extinde \u00een cavitatea toracic\u0103 (plonjant\/mediastinal), multipli noduli mari \u0219i boala Graves-Basedow: Embolizare<span class=\"ez-toc-section-end\"><\/span><\/h3>\n<p><span style=\"font-weight: 400;\">\u00cen cazul guatrului \u0219i nodulilor care se extind \u00een cavitatea toracic\u0103, cea mai eficient\u0103 metod\u0103 non-invaziv\u0103 este embolizarea arterei tiroidiene. Prin aceast\u0103 procedur\u0103, vasele afectate sunt ocluzionate, ceea ce duce la mic\u0219orarea nodulilor. To\u021bi nodulii sunt trata\u021bi \u00een aceea\u0219i sesiune; riscul de r\u0103gu\u0219eal\u0103 este absent, \u00eens\u0103, dac\u0103 nodulul este \u00een mare parte chistic, efectul este limitat. Nodulii inaccesibili pentru acul cu microunde sunt mic\u0219ora\u021bi prin restric\u021bionarea aportului sanguin.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Aceste metode de tratament, dezvoltate ca alternative la chirurgie \u0219i orientate spre confortul pacientului, sunt rezumate \u00een urm\u0103torii pa\u0219i:<\/span><\/p>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">\u00cen primul r\u00e2nd, se efectueaz\u0103 embolizarea arterei tiroidiene, bloc\u00e2nd fluxul sanguin c\u0103tre noduli.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Dup\u0103 embolizare, se a\u0219teapt\u0103 mic\u0219orarea nodulilor.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">\u00cen cazul guatrului foarte mare, dac\u0103 r\u0103m\u00e2ne un nodul, poate fi aplicat tratamentul cu abla\u021bie cu microunde.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Boala Graves-Basedow, caracterizat\u0103 prin m\u0103rirea glandei tiroide \u0219i secre\u021bia excesiv\u0103 de hormoni, poate beneficia de embolizare, care reduce dimensiunea glandei \u0219i scade nivelul hormonilor.<\/span><\/li>\n<\/ul>\n<p><span style=\"font-weight: 400;\">Aceste metode de tratament ofer\u0103 o solu\u021bie eficient\u0103 pentru guatrul extins \u00een cavitatea toracic\u0103 \u0219i pentru nodulii tiroidieni.<\/span><\/p>\n<h3><span class=\"ez-toc-section\" id=\"Tratamentul_guatrului_non-chirurgical_Riscul_de_cancer_asociat_cu_metoda_cu_microunde\"><\/span>Tratamentul guatrului non-chirurgical: Riscul de cancer asociat cu metoda cu microunde<span class=\"ez-toc-section-end\"><\/span><\/h3>\n<p><span style=\"font-weight: 400;\">\u00cen tratamentul guatrului non-chirurgical cu metoda cu microunde, poate ap\u0103rea \u00eengrijorarea privind dezvoltarea cancerului \u00een zona tratat\u0103. Totu\u0219i, dup\u0103 aceast\u0103 procedur\u0103, \u021besutul tratat se mic\u0219oreaz\u0103 treptat \u0219i devine fibrotic. Formarea \u021besutului fibrotic \u00eempiedic\u0103 dezvoltarea de noi vase, elimin\u00e2nd astfel mediul necesar pentru apari\u021bia cancerului.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Riscul de dezvoltare a cancerului \u00een zona tratat\u0103, \u00een afar\u0103 de regiunea ablat\u0103, \u00een restul glandei tiroide, este urm\u0103torul:<\/span><\/p>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">\u00cen zona ablat\u0103: Nu exist\u0103 risc de cancer, deoarece \u021besutul devine fibrotic \u00een timp.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">\u00cen \u021besutul tiroidian netratat sau la al\u021bi noduli: Riscul de cancer este similar cu cel observat la indivizii normali.<\/span><\/li>\n<\/ul>\n<h3><span class=\"ez-toc-section\" id=\"Tratamentul_nodulilor_toxici_prin_RF-MWA_ablatie_tiroidiana\"><\/span>Tratamentul nodulilor toxici prin RF-MWA abla\u021bie tiroidian\u0103<span class=\"ez-toc-section-end\"><\/span><\/h3>\n<p><a href=\"https:\/\/my.clevelandclinic.org\/health\/treatments\/17411-radiofrequency-ablation\" target=\"_blank\" rel=\"noopener\"><span style=\"font-weight: 400;\">Studiile \u0219tiin\u021bifice recente arat\u0103 c\u0103 metoda de abla\u021bie RF-MWA tiroidian\u0103 reprezint\u0103 o alternativ\u0103 eficient\u0103 \u00een cazul nodulilor toxici care secret\u0103 hormoni.<\/span><\/a><span style=\"font-weight: 400;\"> \u00cen special, aceast\u0103 metod\u0103 este frecvent recomandat\u0103 pacien\u021bilor tineri. Sc\u0103derea nivelului de hormoni tiroidieni ce poate urma interven\u021biilor chirurgicale \u0219i tratamentului cu iod radioactiv poate necesita administrarea de medicamente pe via\u021b\u0103. Din acest motiv, procedura de abla\u021bie RF-MWA, fiind minim invaziv\u0103, atrage aten\u021bia. Acest tratament:<\/span><\/p>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Are riscuri reduse de complica\u021bii postoperatorii.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Accelereaz\u0103 procesul de revenire la via\u021ba normal\u0103.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Nu las\u0103 cicatrici permanente.<\/span><\/li>\n<\/ul>\n<h3><span class=\"ez-toc-section\" id=\"Procedurile_care_vor_fi_aplicate_in_tratamentul_guatrului_non-chirurgical-2\"><\/span>Procedurile care vor fi aplicate \u00een tratamentul guatrului non-chirurgical<span class=\"ez-toc-section-end\"><\/span><\/h3>\n<p><span style=\"font-weight: 400;\">Procesul de tratament \u00eencepe cu preg\u0103tirea \u00een condi\u021bii sterile. Ve\u021bi fi a\u0219ezat pe un pat \u00eentr-un mediu steril. Se administreaz\u0103 anestezice locale \u0219i sedative prin perfuzie. \u00cen aceast\u0103 etap\u0103, nu se aplic\u0103 anestezie general\u0103 deoarece aceasta implic\u0103 riscuri suplimentare.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">\u00cen primul r\u00e2nd, se evalueaz\u0103 starea glandei tiroide prin ecografie. \u00cen aceast\u0103 etap\u0103 de planificare, se determin\u0103 loca\u021bia nodulilor \u0219i structurile adiacente. Se iau m\u0103suri pentru a preveni disconfortul prin anestezie local\u0103. Procedura se efectueaz\u0103 utiliz\u00e2nd urm\u0103toarele metode:<\/span><\/p>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Anestezicele locale pot provoca o senza\u021bie de arsur\u0103, \u00eens\u0103 aceasta este de scurt\u0103 durat\u0103.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Pentru protejarea structurilor critice, se injecteaz\u0103 ap\u0103 \u00eendulcit\u0103 \u00een \u021besuturile adiacente pentru a crea o zon\u0103 de protec\u021bie (hidrodisec\u021bie).<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Senza\u021biile asem\u0103n\u0103toare \u0219ocului electric sau sc\u00e2nteile auzite \u00een timpul abla\u021biei sunt normale \u0219i tranzitorii, neprovoc\u00e2nd durere.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Dac\u0103 sim\u021bi\u021bi durere \u00een timpul procedurii, nivelul de energie este ajustat pentru a asigura confortul.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Sunetul bulelor de aer din noduli indic\u0103 faptul c\u0103 procedura este efectuat\u0103 corect.<\/span><\/li>\n<\/ul>\n<p><span style=\"font-weight: 400;\">Dup\u0103 finalizarea procedurii, se aplic\u0103 ghea\u021b\u0103 pe zona g\u00e2tului pentru a reduce edemul. Dup\u0103 procedur\u0103, este posibil s\u0103 \u00eent\u00e2mpina\u021bi urm\u0103toarele situa\u021bii:<\/span><\/p>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">\u00cen primele 24 de ore pot ap\u0103rea furnic\u0103turi, amor\u021beal\u0103, umflare \u0219i s\u00e2nger\u0103ri u\u0219oare.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Pot ap\u0103rea temporar dificult\u0103\u021bi la \u00eenghi\u021bire, disconfort \u00een timpul meselor \u0219i tuse.<\/span><\/li>\n<\/ul>\n<p><span style=\"font-weight: 400;\">Dup\u0103 tratament, ve\u021bi fi externat \u00een decurs de 1-2 ore. Procesul de tratament continu\u0103 cu monitorizare regulat\u0103 \u0219i administrare de medicamente.<\/span><\/p>\n<h3><span class=\"ez-toc-section\" id=\"Guatrul_care_se_extinde_in_cavitatea_toracica_plonjantmediastinal_multipli_noduli_mari_si_boala_Graves-Basedow_Embolizare-2\"><\/span>Guatrul care se extinde \u00een cavitatea toracic\u0103 (plonjant\/mediastinal), multipli noduli mari \u0219i boala Graves-Basedow: Embolizare<span class=\"ez-toc-section-end\"><\/span><\/h3>\n<p><span style=\"font-weight: 400;\">\u00cen cazul guatrului \u0219i nodulilor care se extind \u00een cavitatea toracic\u0103, cea mai eficient\u0103 metod\u0103 non-invaziv\u0103 este embolizarea arterei tiroidiene. Prin aceast\u0103 procedur\u0103, vasele afectate sunt ocluzionate, ceea ce duce la mic\u0219orarea nodulilor. To\u021bi nodulii sunt trata\u021bi \u00een aceea\u0219i sesiune; riscul de r\u0103gu\u0219eal\u0103 este absent, \u00eens\u0103, dac\u0103 nodulul este \u00een mare parte chistic, efectul este limitat. Nodulii inaccesibili pentru acul cu microunde sunt mic\u0219ora\u021bi prin restric\u021bionarea aportului sanguin.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Aceste metode de tratament, dezvoltate ca alternative la chirurgie \u0219i orientate spre confortul pacientului, sunt rezumate \u00een urm\u0103torii pa\u0219i:<\/span><\/p>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">\u00cen primul r\u00e2nd, se efectueaz\u0103 embolizarea arterei tiroidiene, bloc\u00e2nd fluxul sanguin c\u0103tre noduli.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Dup\u0103 embolizare, se a\u0219teapt\u0103 mic\u0219orarea nodulilor.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">\u00cen cazul guatrului foarte mare, dac\u0103 r\u0103m\u00e2ne un nodul, poate fi aplicat tratamentul cu abla\u021bie cu microunde.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Boala Graves-Basedow, caracterizat\u0103 prin m\u0103rirea glandei tiroide \u0219i secre\u021bia excesiv\u0103 de hormoni, poate beneficia de embolizare, care reduce dimensiunea glandei \u0219i scade nivelul hormonilor.<\/span><\/li>\n<\/ul>\n<p><span style=\"font-weight: 400;\">Aceste metode de tratament ofer\u0103 o solu\u021bie eficient\u0103 pentru guatrul extins \u00een cavitatea toracic\u0103 \u0219i pentru nodulii tiroidieni.<\/span><\/p>\n<h3><span class=\"ez-toc-section\" id=\"Tratamentul_guatrului_non-chirurgical_Riscul_de_cancer_asociat_cu_metoda_cu_microunde-2\"><\/span>Tratamentul guatrului non-chirurgical: Riscul de cancer asociat cu metoda cu microunde<span class=\"ez-toc-section-end\"><\/span><\/h3>\n<p><span style=\"font-weight: 400;\">\u00cen tratamentul guatrului non-chirurgical cu metoda cu microunde, poate ap\u0103rea \u00eengrijorarea privind dezvoltarea cancerului \u00een zona tratat\u0103. Totu\u0219i, dup\u0103 aceast\u0103 procedur\u0103, \u021besutul tratat se mic\u0219oreaz\u0103 treptat \u0219i devine fibrotic. Formarea \u021besutului fibrotic \u00eempiedic\u0103 dezvoltarea de noi vase, elimin\u00e2nd astfel mediul necesar pentru apari\u021bia cancerului.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Riscul de dezvoltare a cancerului \u00een zona tratat\u0103, \u00een afar\u0103 de regiunea ablat\u0103, \u00een restul glandei tiroide, este urm\u0103torul:<\/span><\/p>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">\u00cen zona ablat\u0103: Nu exist\u0103 risc de cancer, deoarece \u021besutul devine fibrotic \u00een timp.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">\u00cen \u021besutul tiroidian netratat sau la al\u021bi noduli: Riscul de cancer este similar cu cel observat la indivizii normali.<\/span><\/li>\n<\/ul>\n","protected":false},"excerpt":{"rendered":"<p>Tratamentul nechirurgical al gu\u0219ei este o metod\u0103 modern\u0103 care permite reducerea volumului tiroidian f\u0103r\u0103 interven\u021bie chirurgical\u0103 clasic\u0103. Aceasta se aplic\u0103 pacien\u021bilor cu simptome compresive sau probleme estetice. Tehnica de abla\u021bie prin radiofrecven\u021b\u0103 sau laser este utilizat\u0103 pentru distrugerea selectiv\u0103 a \u021besutului tiroidian. Procedura este minim invaziv\u0103, sigur\u0103 \u0219i cu efecte secundare reduse. Pacien\u021bii sunt evalua\u021bi [&#8230;]\n","protected":false},"author":2,"featured_media":9329,"comment_status":"closed","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[321],"tags":[],"class_list":["post-9448","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-tratamente"],"_links":{"self":[{"href":"https:\/\/ozgurkilickesmez.com\/ro\/wp-json\/wp\/v2\/posts\/9448","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/ozgurkilickesmez.com\/ro\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/ozgurkilickesmez.com\/ro\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/ozgurkilickesmez.com\/ro\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/ozgurkilickesmez.com\/ro\/wp-json\/wp\/v2\/comments?post=9448"}],"version-history":[{"count":2,"href":"https:\/\/ozgurkilickesmez.com\/ro\/wp-json\/wp\/v2\/posts\/9448\/revisions"}],"predecessor-version":[{"id":12078,"href":"https:\/\/ozgurkilickesmez.com\/ro\/wp-json\/wp\/v2\/posts\/9448\/revisions\/12078"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/ozgurkilickesmez.com\/ro\/wp-json\/wp\/v2\/media\/9329"}],"wp:attachment":[{"href":"https:\/\/ozgurkilickesmez.com\/ro\/wp-json\/wp\/v2\/media?parent=9448"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/ozgurkilickesmez.com\/ro\/wp-json\/wp\/v2\/categories?post=9448"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/ozgurkilickesmez.com\/ro\/wp-json\/wp\/v2\/tags?post=9448"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}