Hi, my name is Yajun Duan. Today I will continue to tell you about thyroid nodules.
Many people find breast nodules, thyroid nodules or lung nodules during physical examination, but they cannot understand the color Doppler ultrasound report. Don’t worry everyone, let me briefly talk about it and let my friends know what to do.
Our thyroid, breast, and lung color ultrasound examination results usually have a grade. Generally, categories 3 and 4 are more common. Let’s take a look at how many there are in total. Classes, how are they divided? Let’s take a thyroid nodule as an example to talk about it in detail.
First of all, Level 0 means that the inspection results are not meaningful, and other inspections are needed to assist in viewing.
A thyroid nodule grade 1 means no problem was found and the result is normal.
Thyroid nodules grade 2 are benign nodules with probability of malignancy almost 0, don’t worry too much, generally Cystic is more common, and it is enough to continue physical examination and observation every year.
Thyroid nodules have grade 3 malignancy with low probability, and most of them are benign nodules. The general recommendation is to continue to observe and pay attention to diet. The recommended intervention, do not ignore it, at the same time pay attention to the adjustment of mood and lifestyle, so that the continued growth of thyroid nodules can be inhibited.
Thyroid nodulesgrade 4 have the possibility of malignancy, grade 4 is divided into 4 a, 4 b and 4 c, 4 a has a malignant probability of about 5%, 4b has a 10%-50% chance of being malignant, 4c has a higher chance of being malignant, everyone should be very careful, 4a is the same as grade 3, observe and intervene in time to suppress the growth of nodules, 4b And 4c many will recommend puncture, determine the nature of the nodule, and then proceed to the next step of treatment.
Thyroid nodules of grades 5 and 6 have a very high probability of malignancy. We need to pay attention to them and treat them as soon as possible.
Next, I would like to share with you a case of a patient I met before. There were 3 types of thyroid nodules. When I came, I was very anxious and worried that my nodules would continue. Growing up, I don’t want surgery, and I still have scars, so I came to consult.
Ms. Wang, 35, was diagnosed with three types of thyroid nodules a few months ago. She had a 0.9 cm hypoechoic nodule in the left lobe of her thyroid at 7 o’clock. , the boundary is clear, the shape is irregular, and there is a small amount of blood flow signal. I see no obvious abnormality in the appearance of her neck. After palpation, it is a benign nodule. At a young age, she often feels upset, irritable, Not sleeping well, dry mouth and bitter taste.
Dialectically considers that she has liver stagnation and spleen deficiency, heart and kidney discord, qi stagnation and phlegm coagulation, so the conditioning ideas are: soothe the liver and strengthen the spleen, communicate with the heart and kidney, regulate qi and resolve phlegm, activate blood and remove blood stasis, Soft and firm. After three months of conditioning, all her distressing symptoms disappeared, she slept very well, and the report found that the nodule had shrunk to 0.4 cm. Ms. Wang said that she finally let go of her heart this time.
Speaking of promoting blood circulation and removing blood stasis, we often use a single herb, which is Salvia.
Traditional Chinese medicine believes that “the blood that separates from the meridian is blood stasis”, so “activating blood and removing blood stasis” is a common TCM conditioning method. And the salvia I am going to talk about next is a typical representative of this kind of therapy. Salvia miltiorrhiza is bitter in taste, slightly cold, enters the heart and liver meridians, and has the functions of clearing the meridian and relieving pain, promoting blood circulation and removing blood stasis, cooling blood and eliminating carbuncle, nourishing blood and soothing the nerves.
Danshen is known as the top grade with the effects of four things, and its efficacy was recorded in “Women’s Ming Li Lun”: “A single thing of Salvia has the power of four things”. Come, it is more effective than Angelica and Rehmannia in terms of nourishing and regenerating blood. It is better than peony in regulating blood and cooling blood. It is more effective than Chuanqiong in removing silt and creating a new system. Therefore, common gynecological diseases will use this medicine.
After talking about salvia, let’s talk about another flavor Sanjie master, which is very common for internal and external use, that is cat’s claw grass.
Cat’s claw is sweet, spicy and sexual Warm, belongs to the liver and lung meridians. It can dissolve phlegm and stasis, disperse stagnation, reduce swelling and detoxify. Cat’s claw contains a large amount of alkaloids and phenolic compounds, which can be antibacterial and anti-inflammatory, and also has strong detoxification ability, inhibiting various harmful substances in the body. When there are boils, swellings and lumps in the human body, it can also be applied externally, which can not only reduce inflammation but also relieve pain.
Let’s introduce a tea substitute for cat’s claw.
Usage: Take 15-30 grams of cat’s claw, wash it, decoct it in water or brew it in boiling water, and drink it in 2-3 times as a tea, one dose per day.
Remove stasis and swelling, and assist in eliminating nodules.
It can also be used externally. A proper amount of cat’s claw can be made into powder. Mix rice wine into a paste, apply it to the affected area, and take it orally or externally for better effect.
It can be effective for thyroid nodules, lymph nodes, breast nodules and lung nodules.
To the therapeutic effect.
Finally, I would like to remind everyone that if many people find out that the breast nodule is grade 3, the doctor said that regular observation is enough, but we want to prevent To prevent the nodule from getting bigger and prevent the nodule from getting worse, the following five points must be done well.
First Periodic Observation, review once every 3-6 months, and save the inspection report each time, so that it is convenient to compare before and after, and make dynamic observations.
Second, try not to smoke or drink alcohol, and eat less spicy and irritating food, because such food is not good for the nodules to dissipate.
Third, do not use hormone-containing health products, cosmetics and skin care products.
Fourth, maintain a good mood, stay up late, combine work and rest, and exercise properly to promote the circulation of qi and blood, which helps to dissipate thyroid nodules.
Fifth, pay attention to contraception, abortion will lead to changes in hormones in the body, thereby promoting or aggravating the growth of thyroid and breast nodules.
Ok, that’s it.