What are the treatments for hypothyroidism after thyroidectomy?

Surgery is widely used in clinical treatment of thyroid diseases, but surgery also has some drawbacks. For example, after the thyroid tissue is removed, the patient is likely to suffer from hypothyroidism. In more serious cases, it may cause lifelong hypothyroidism and require lifelong medication to lead a normal life. So, how to treat hypothyroidism after thyroidectomy?

1. General treatment:

Supplement iron, vitamin B12, folic acid (vitamin B9), etc. If you have a poor appetite, supplement dilute hydrochloric acid appropriately.

2. Replacement therapy: TH replacement therapy.

Levothyroxine (L-T4, Euthyrox) 25-50ug/d (day) once a day, and adjust the dosage according to thyroid function test after 2 to 3 months for long-term maintenance.

Dry thyroid: 20-40 mg/d (day) once orally. Adjust the dosage based on thyroid function test after 2-3 months for long-term maintenance.

3. Treatment of mucoedema coma:

Intravenous injection of L-T3.40-120ug, then 5-15ug every 6 hours, and then oral administration after the patient wakes up. For those who do not have injections, give T4 tablets 25-50ug (micrograms)/time or dry thyroid 30-60mg (milligrams)/time, through a stomach tube, once every 4-6 hours (hours), and then switch to conventional replacement therapy after awakening. Appropriate fluid supplementation and etiology treatment.