What can't you eat after total thyroidectomy

For patients with thyroid disease, they may face the situation of total thyroidectomy during treatment. Although total thyroidectomy will not affect the patient's life too much, the patient still needs to take long-term medication for conditioning. So, do you know what foods you cannot eat after a total thyroidectomy? Today we will give you a brief introduction, and we also hope that thyroid patients can pay attention to their diet.

Thyroidectomy mainly involves removing part of the thyroid tissue, which may lead to insufficient secretion of thyroid hormones, causing hypothyroidism, mental depression, decreased appetite, fatigue and other discomforts. Oral medication is needed to maintain thyroid function after the operation. At the same time, do not eat spicy, irritating, or cold foods after the operation. Eat more lean meat, milk, etc. to supplement protein and promote wound healing.

After undergoing total thyroidectomy, pay attention to a light diet and avoid spicy and irritating foods. The dosage of thyroxine tablets needs to be determined according to the patient's specific physical condition. It is recommended to consult the attending physician after surgery.

What to eat after thyroidectomy

1. After complete thyroidectomy, patients need to take Euthyrox for life. No special attention is required in diet. Because you don't have a thyroid gland, you don't need to pay attention to iodine intake. Of course, a balanced diet is recommended, and iodine intake is not recommended to be too much or too little. Patients who have had part of their thyroid removed or one side of their thyroid lobe removed are advised to eat less iodized salt, less seafood such as kelp and seaweed, and less radish and cabbage. If there are still a few small nodules on the thyroid gland, you can take Prunella Vulgaris granules or ointment orally for one month to prevent the nodules from growing again.

2. You can eat raw, cold and spicy food after thyroid surgery, but it is not recommended to eat too much. You can take some throat-clearing medicines or Huang's Xiangsheng Pills and B vitamins. It is beneficial for alleviating the damage to the tracheal and pharyngeal mucosa caused by endotracheal intubation during anesthesia after thyroid surgery.

3. It is advisable to eat more foods that have anti-thyroid cancer effects

Such as Poria cocos, yam, shiitake mushroom, Hericium erinaceus, fig, arrowhead, radish, water chestnut, apricot, konjac, sea cucumber, kelp, and the fat of cattle, sheep, deer and other animals.

4. Eat more foods that enhance immunity

Such as sweet almonds, persimmons, asparagus, coix seeds, soft-shelled turtle, tortoise, walnuts, shiitake mushrooms, and mushrooms.

5. It is advisable to eat foods that have the effect of strengthening the spleen and promoting diuresis

Such as walnuts, black soybeans, yam, leek, lychee, mulberry, herring, shrimp, mussels, pork and sheep kidneys, sparrow meat, quail eggs, pomegranate, plum, coix seed, lentil, yam, and konjac.

Diet after thyroidectomy

1. 60g of clam meat with shell, 30g of seaweed. After boiling, eat the meat and the vegetables, one dose per day, one month as a course of treatment, rest for 7 days, and can be used for three courses of treatment.

2. 30g each of sea sparrow or sea snake, stew with 100g of lean meat, once a day, or take alternately with Chinese medicine.

3. Shouwu porridge: 60g of Shouwu, decoct the juice and remove the residue, add 60g of polished rice and cook into porridge, take in the morning and evening. After thyroidectomy, deficiency of both Qi and blood or deficiency of Yin and hyperactivity of liver are common symptoms, and this porridge can be used as medicine.

4. Yam porridge: chop 100g of fresh yam (50g of dried yam) and cook it with 60g of polished rice into porridge.

What to eat after thyroidectomy

5. Lily porridge: add 30g dried lily (or 60g fresh lily) to appropriate amount of rock sugar and 60g polished rice to cook porridge, take in the morning and evening.

What to eat after thyroidectomy

Nursing before and after thyroidectomy

1. Preoperative care

1.1 Psychological care

Warmly welcome patients and introduce the hospital environment. Inform patients about thyroid tumors and surgery, explain the necessity of surgery and the significance of preoperative preparation, talk more with patients to eliminate their concerns and fears; understand their feelings and understanding of the disease and their ideas about the proposed treatment plan.

1.2. Instruct the patient to practice surgical posture (place a soft pillow on the shoulders, keep the head low and the neck hyperextended) to facilitate exposure of the surgical field during surgery.

1.3. Instruct patients to take deep breaths and learn how to cough effectively.

1.4. For patients who are overly nervous or insomniac, appropriate sedatives or sleeping pills should be used as prescribed by the doctor to put them in the best physical and mental state for surgery.

1.5. Adequate and complete preoperative preparation and care are the key to ensuring the smooth progress of the operation and preventing postoperative complications of thyroid surgery.

2. Postoperative care

2.1 Body position: The patient should lie flat on his back after returning to the ward. When his blood pressure is stable or he wakes up from general anesthesia, he should lie on a high slope to facilitate breathing and drainage. Instruct the patient to keep his head and neck in a comfortable position. When changing lying position, standing up or coughing, he can use his hands to fix his neck to reduce vibration and maintain comfort.

2.2. While paying attention to the patient's main complaint after surgery, closely observe the patient's vital signs, breathing, pronunciation and swallowing conditions to detect common complications after thyroid surgery as early as possible, notify the physician promptly and cooperate with rescue efforts; routinely place a sterile tracheotomy bag next to the bed; and administer oxygen as ordered by the doctor.

2.3. Diet: Patients who have undergone cervical plexus anesthesia can take a small amount of warm or cool liquids starting from 6 hours after the operation. Avoid taking overheated liquids to avoid inducing vasodilation at the surgical site and aggravating wound bleeding. Appropriately limit the intake of foods high in phosphorus, such as meat, milk crystals and eggs, to avoid affecting calcium absorption.

2.4. For those who have rubber sheets or drainage tubes placed in the surgical field, keep the drainage unobstructed and regularly observe whether the drainage is effective; 5. Strengthen the monitoring of dynamic changes in blood calcium concentration; Treatment of convulsions: Immediately follow the doctor's orders to intravenously inject 10% calcium gluconate 10-20ml.