„Exist\u0103 un electrod inclus \u00een tubul de intuba\u021bie, o sond\u0103 de stimulare care genereaz\u0103 un semnal sonor \u0219i un grafic ce ghideaz\u0103 chirurgul \u00een disec\u021bie conduc\u00e2nd la minimizarea leziunilor nervoase \u00een cursul opera\u021biilor pe tiroid\u0103”, a spus dr. Flaviu Pi\u021bu.<\/p><\/blockquote>\n
Cu ajutorul acestui aparat, care nu se afl\u0103 \u00een dotarea multor spitale din \u021bar\u0103, riscurile operatorii \u00een interven\u021biile pe tiroid\u0103 sunt mult mai mici.<\/p>\n
Medicii \u00eel folosesc, spre exemplu, c\u00e2nd opereaz\u0103 gu\u0219a, definit\u0103 ca o m\u0103rire \u00een volum a glandei tiroide peste volumul s\u0103u normal, fiind o patologie larg r\u0103sp\u00e2ndit\u0103 la nivelul popula\u021biei.<\/p>\n
„Cauza apari\u021biei gu\u0219ii este de obicei deficitul de iod din alimenta\u021bie. Un aport adecvat de iod este condi\u021bia necesar\u0103 elabor\u0103rii hormonilor tiroidieni. Daca aportul de iod este redus \u0219i cantitatea de hormoni tiroidieni produ\u0219i este sc\u0103zut\u0103, glanda tiroid\u0103 reac\u021bioneaz\u0103 prin cre\u0219terea num\u0103rului celulelor produc\u0103toare de hormoni tiroidieni \u0219i implicit prin cre\u0219terea \u00een volum a \u00eentregii glande”, a mai spus dr. Flaviu Pi\u021bu.<\/p><\/blockquote>\n
Potrivit medicilor, cre\u0219terea \u00een volum a glandei poate duce la tulbur\u0103ri de degluti\u021bie (\u00eenghi\u021bire), senza\u021bie de corp str\u0103in \u00een gat sau respira\u021bie dificil\u0103. Simptomele difer\u0103 \u00een func\u021bie de nivelul hormonilor tiroidieni. \u00cen cazul unui deficit de hormoni (hipotiroidism), poate ap\u0103rea cre\u0219terea \u00een greutate, c\u0103derea parului, constipa\u021bie, intoleran\u021b\u0103 la frig, oboseal\u0103, \u00eencetinirea g\u00e2ndirii (dar \u0219i alte simptome), \u00een timp ce \u00een cazul unui exces de hormoni (hipertiroidism) apare nelini\u0219te, sc\u0103dere ponderal\u0103, transpira\u021bii, palpita\u021bii diaree.<\/p>\n
Pacien\u021bii trebuie s\u0103 \u0219tie c\u0103 atunci c\u00e2nd tratamentul medicamentos e\u0219ueaz\u0103 ori \u00een cazul suspiciunii sau descoperirii unui cancer tiroidian este indicat\u0103 chirurgia tiroidian\u0103.<\/p>\n
De cele mai multe ori este indicat\u0103 extirparea \u00een totalitate a glandei tiroide, acest lucru prevenind o reapari\u021bie (recidiv\u0103) a gu\u0219ii. \u00cen alte cazuri, c\u00e2nd leziunile sunt limitate pe o parte a glandei, se extirp\u0103 doar jum\u0103tate din gland\u0103 (hemitiroidectomie). \u00cen acest caz se realizeaz\u0103 un examen histopatologic extemporaneu (imediat) pentru a exclude prezen\u021ba de celule maligne \u00een jum\u0103tatea extirpat\u0103, \u00een caz contrar fiind necesar\u0103 l\u0103rgirea interven\u021biei la \u00eentreaga glanda tiroida.<\/p>\n
Durata spitaliz\u0103rii este de 2-3 zile, cicatricea postoperatorie este minim\u0103 iar ca medica\u021bie postoperatorie, \u00een func\u021bie de nivelul hormonilor tiroidieni, se va indica o tablet\u0103 zilnic\u0103 cu hormoni tiroidieni. Alimenta\u021bia cu lichide se va relua chiar din ziua opera\u021biei. Recuperarea \u0219i reintegrarea socio-profesional\u0103 este rapid\u0103, pacien\u021bii revenind \u00een c\u00e2teva zile la regimul normal de via\u021b\u0103.<\/p>\n
Este necesar\u0103 o colaborare str\u00e2ns\u0103 \u00eentre medicul de familie, medicul endocrinolog si medicul chirurg \u00een evaluarea pacien\u021bilor, \u00een stabilirea diagnosticului, a indica\u021biei chirurgicale, a urm\u0103ririi, respectiv a controalelor postoperatorii.<\/p>\n
Internarea \u00een spital se face cu bilet de trimitere de la medicul de familie sau medicul endocrinolog.<\/p>\n
Sec\u021bia chirurgie general\u0103 are un num\u0103r de 60 de paturi, iar anual, \u00een medie, peste 2.500 de pacien\u021bi beneficiaz\u0103 de serviciile ei. \u00cen prezent, colectivul medical este format din unsprezece medici.<\/p>\n
Spectrul de interven\u021bii cuprinde \u00eentreaga patologie a chirurgiei viscerale, iar o mare parte din interven\u021bii sunt reprezentate de interven\u021biile chirurgicale de urgen\u021b\u0103.<\/p>\n
Pe l\u00e2ng\u0103 chirurgie general\u0103, din cadrul sec\u021biei Chirurgie face parte un compartiment de chirurgie plastic\u0103 \u0219i microchirurgie reconstructiv\u0103, un compartiment de chirurgie vascular\u0103 \u0219i un compartiment de neurochirurgie.<\/p>\n
De asemenea, sec\u021bia ofer\u0103 condi\u021bii de spitalizare moderne, fiind complet renovat\u0103 \u00een anul 2015. Saloanele au patru paturi, \u00eens\u0103 exist\u0103 \u0219i rezerve, cu un singur pat.<\/p>\n
Biroul de pres\u0103 al SJU Alba Iulia\u00a0<\/em><\/p>\n","protected":false},"excerpt":{"rendered":"Medicii chirurgi de la Spitalul Jude\u021bean de Urgen\u021b\u0103 (SJU) Alba Iulia, forma\u021bi \u00een clinici universitare din Cluj-Napoca, dar \u0219i \u00een spitale din Fran\u021ba \u0219i Germania, efectueaz\u0103 opera\u021bii de tiroid\u0103 cu ajutorul unui aparat modern de neuromonitorizare, care reduce semnificativ riscurile interven\u021biilor chirurgicale. Nu multe servicii de chirurgie din \u021bar\u0103 au \u00een dotare un asemenea aparat. …<\/p>\n","protected":false},"author":17,"featured_media":22360,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"inline_featured_image":false,"footnotes":""},"categories":[255],"tags":[16562,16564,16561,16563,6289,308,76],"class_list":["post-68754","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-sanatate","tag-aparat-modern-de-neuromonitorizare","tag-interventii-chirurgicale","tag-operatii-pe-tiroida","tag-reducere-riscuri","tag-spitalul-judetean-de-urgenta-alba","tag-stiri","tag-urbea-mea"],"yoast_head":"\n
Opera\u021bii de tiroid\u0103 cu aparat modern de neuromonitorizare, la Spitalul Jude\u021bean de Urgen\u021b\u0103 Alba Iulia - Revista Urbea Mea - Revista de Alba<\/title>\n<meta name=\"description\" content=\"Medicii chirurgi de la Spitalul Jude\u021bean de Urgen\u021b\u0103 (SJU) Alba Iulia, forma\u021bi \u00een clinici universitare din Cluj-Napoca, dar \u0219i \u00een spitale din Fran\u021ba \u0219i\" \/>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/urbeamea.ro\/albaiulia\/operatii-de-tiroida-cu-aparat-modern-de-neuromonitorizare-la-spitalul-judetean-de-urgenta-alba-iulia\/\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<meta name=\"twitter:title\" content=\"Opera\u021bii de tiroid\u0103 cu aparat modern de neuromonitorizare, la Spitalul Jude\u021bean de Urgen\u021b\u0103 Alba Iulia - Revista Urbea Mea - Revista de Alba\" \/>\n<meta name=\"twitter:description\" content=\"Medicii chirurgi de la Spitalul Jude\u021bean de Urgen\u021b\u0103 (SJU) Alba Iulia, forma\u021bi \u00een clinici universitare din Cluj-Napoca, dar \u0219i \u00een spitale din Fran\u021ba \u0219i\" \/>\n<meta name=\"twitter:image\" content=\"https:\/\/urbeamea.ro\/albaiulia\/wp-content\/uploads\/2016\/04\/spital.jpg\" \/>\n<meta name=\"twitter:creator\" content=\"@urbeameaweb\" \/>\n<meta name=\"twitter:site\" content=\"@urbeameaweb\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\\\/\\\/schema.org\",\"@graph\":[{\"@type\":\"Article\",\"@id\":\"https:\\\/\\\/urbeamea.ro\\\/albaiulia\\\/operatii-de-tiroida-cu-aparat-modern-de-neuromonitorizare-la-spitalul-judetean-de-urgenta-alba-iulia\\\/#article\",\"isPartOf\":{\"@id\":\"https:\\\/\\\/urbeamea.ro\\\/albaiulia\\\/operatii-de-tiroida-cu-aparat-modern-de-neuromonitorizare-la-spitalul-judetean-de-urgenta-alba-iulia\\\/\"},\"author\":{\"name\":\"Cristina Ganga\",\"@id\":\"https:\\\/\\\/urbeamea.ro\\\/albaiulia\\\/#\\\/schema\\\/person\\\/9700d21fae21c4f038b0b56f4506264a\"},\"headline\":\"Opera\u021bii de tiroid\u0103 cu aparat modern de neuromonitorizare, la Spitalul Jude\u021bean de Urgen\u021b\u0103 Alba Iulia\",\"datePublished\":\"2018-11-07T08:26:53+00:00\",\"mainEntityOfPage\":{\"@id\":\"https:\\\/\\\/urbeamea.ro\\\/albaiulia\\\/operatii-de-tiroida-cu-aparat-modern-de-neuromonitorizare-la-spitalul-judetean-de-urgenta-alba-iulia\\\/\"},\"wordCount\":770,\"commentCount\":0,\"image\":{\"@id\":\"https:\\\/\\\/urbeamea.ro\\\/albaiulia\\\/operatii-de-tiroida-cu-aparat-modern-de-neuromonitorizare-la-spitalul-judetean-de-urgenta-alba-iulia\\\/#primaryimage\"},\"thumbnailUrl\":\"https:\\\/\\\/urbeamea.ro\\\/albaiulia\\\/wp-content\\\/uploads\\\/2016\\\/04\\\/spital.jpg\",\"keywords\":[\"aparat modern de neuromonitorizare\",\"interventii chirurgicale\",\"operatii pe tiroida\",\"reducere riscuri\",\"spitalul judetean de urgenta alba\",\"stiri\",\"Urbea Mea\"],\"articleSection\":[\"S\u0103n\u0103tate\"],\"inLanguage\":\"ro-RO\",\"potentialAction\":[{\"@type\":\"CommentAction\",\"name\":\"Comment\",\"target\":[\"https:\\\/\\\/urbeamea.ro\\\/albaiulia\\\/operatii-de-tiroida-cu-aparat-modern-de-neuromonitorizare-la-spitalul-judetean-de-urgenta-alba-iulia\\\/#respond\"]}]},{\"@type\":\"WebPage\",\"@id\":\"https:\\\/\\\/urbeamea.ro\\\/albaiulia\\\/operatii-de-tiroida-cu-aparat-modern-de-neuromonitorizare-la-spitalul-judetean-de-urgenta-alba-iulia\\\/\",\"url\":\"https:\\\/\\\/urbeamea.ro\\\/albaiulia\\\/operatii-de-tiroida-cu-aparat-modern-de-neuromonitorizare-la-spitalul-judetean-de-urgenta-alba-iulia\\\/\",\"name\":\"Opera\u021bii de tiroid\u0103 cu aparat modern de neuromonitorizare, la Spitalul Jude\u021bean de Urgen\u021b\u0103 Alba Iulia - 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