What to do if TSH rises after hemisection of thyroid cancer

Hemisection of thyroid cancer means that after hemisection of thyroid cancer, the serum TSH value is high, indicating that the postoperative thyroid hormone suppression effect is not good. It is necessary to take oral levothyroxine sodium tablets as prescribed by the doctor, and the thyroid function after thyroid cancer surgery should also be monitored.

1. Cause: After hemisection of thyroid cancer, the secretion of thyroid hormone will decrease because the thyroid tissue is removed. At this time, the TSH value in the blood is high, indicating that there is tumor cell growth, which in turn stimulates the secretion of thyroid hormone, resulting in an increase;

2. Treatment: First, you must take oral levothyroxine sodium tablets as prescribed by your doctor to supplement thyroid hormone. At the same time, you must monitor thyroid function after thyroid cancer surgery and adjust the dosage of levothyroxine sodium tablets. Generally, after adjusting the dosage for about a month, the patient can return to normal. If the patient's thyroid hormone level is still high after adjusting the dosage, it is necessary to consider whether it is a postoperative recurrence. Check indicators such as thyroglobulin antibodies and calcitonin to determine whether it is caused by tumor recurrence. If it is caused by recurrence, consider a second surgery or iodine-131 treatment;

3. Follow-up treatment: For patients who have undergone hemisection of thyroid cancer, it is usually necessary to continue monitoring thyroglobulin antibodies, calcitonin and other indicators. If abnormalities are found, timely treatment should be carried out, such as re-using thyroglobulin antibody inhibitors or iodine-131 treatment;

4. Lifestyle conditioning: After hemisection of thyroid cancer, patients should also pay attention to their daily diet, eat less spicy and irritating foods, and eat less iodine-containing foods such as kelp and seaweed. At the same time, they should pay attention to regular work and rest, maintain a happy mood, prevent calcium deficiency, and promote wound recovery.

Patients who have undergone hemisection of thyroid cancer are advised to strictly follow the doctor's instructions for treatment and avoid excessive tension and anxiety. At the same time, they should also pay attention to rest, avoid staying up late, and combine work and rest to help the body recover.