{"id":539,"date":"2026-09-04T09:35:49","date_gmt":"2026-09-04T09:35:49","guid":{"rendered":"https:\/\/ziarulregional.ro\/?p=539"},"modified":"2026-09-04T09:35:49","modified_gmt":"2026-09-04T09:35:49","slug":"nodulii-tiroidieni-pot-fi-tratati-si-fara-operatie-in-anumite-cazuri-dr-ionut-sandu-explica-metoda-minim-invaziva","status":"publish","type":"post","link":"https:\/\/ziarulregional.ro\/?p=539","title":{"rendered":"Nodulii tiroidieni pot fi trata\u021bi \u0219i f\u0103r\u0103 opera\u021bie \u00een anumite cazuri. Dr. Ionu\u021b Sandu explic\u0103 metoda minim invaziv\u0103"},"content":{"rendered":"

Diagnosticul de nodul tiroidian nu \u00eenseamn\u0103 automat c\u0103 pacientul va ajunge la opera\u021bie. Tehnicile moderne de abla\u021bie permit tratarea anumitor forma\u021biuni printr-o procedur\u0103 minim invaziv\u0103, realizat\u0103 cu ajutorul unui ac introdus \u00een nodul sub ghidaj ecografic. Metoda poate reduce considerabil dimensiunea acestuia, p\u0103str\u00e2nd \u00een acela\u0219i timp \u021besutul tiroidian s\u0103n\u0103tos.<\/p>\n

Dr. Ionu\u021b Sandu, medic chirurg specializat \u00een chirurgia tiroidian\u0103 \u0219i endocrin\u0103, a explicat pentru Libertatea \u00een ce situa\u021bii poate fi utilizat\u0103 abla\u021bia \u0219i de ce evaluarea pacientului trebuie f\u0103cut\u0103 de o echip\u0103 format\u0103 din endocrinolog \u0219i chirurg. Medicul a abordat subiectul \u0219i \u00een cadrul celui de-al XIX-lea Congres al Asocia\u021biei de Endocrinologie Clinic\u0103 din Rom\u00e2nia, organizat la Craiova \u00een perioada 2-5 septembrie.<\/p>\n

Abla\u021bia nu presupune \u00eendep\u0103rtarea tiroidei<\/h2>\n

\u00cen cazul interven\u021biei chirurgicale, medicul poate \u00eendep\u0103rta o parte sau, atunci c\u00e2nd situa\u021bia o impune, \u00eentreaga gland\u0103 tiroid\u0103. Abla\u021bia func\u021bioneaz\u0103 diferit: un ac sau o anten\u0103 foarte sub\u021bire este introdus\u0103 direct \u00een nodul, iar energia transmis\u0103 prin radiofrecven\u021b\u0103 sau microunde produce distrugerea controlat\u0103 a \u021besutului vizat. Procedura este realizat\u0103 sub ghidaj ecografic.<\/p>\n

Nodulul nu dispare imediat dup\u0103 interven\u021bie. Organismul resoarbe treptat \u021besutul tratat, iar volumul forma\u021biunii se reduce \u00een lunile urm\u0103toare.<\/p>\n

Date recente provenite din primele 100 de proceduri de abla\u021bie cu microunde analizate \u00een Rom\u00e2nia au ar\u0103tat o reducere medie a volumului nodulilor de aproximativ 70% la \u0219ase luni \u0219i de aproape 80% la un an. Rezultatele difer\u0103 \u00eens\u0103 de la un pacient la altul \u0219i depind inclusiv de caracteristicile forma\u021biunii tratate.<\/p>\n

Nu orice nodul poate fi tratat prin aceast\u0103 metod\u0103<\/h2>\n

Selec\u021bia pacientului reprezint\u0103 una dintre cele mai importante etape. Pentru nodulii benigni, ghidurile europene recomand\u0103 confirmarea citologic\u0103 \u00eenaintea abla\u021biei, iar metoda este luat\u0103 \u00een calcul \u00een special atunci c\u00e2nd forma\u021biunea produce simptome de presiune sau probleme estetice \u0219i pacientul dore\u0219te s\u0103 evite interven\u021bia chirurgical\u0103. Abla\u021bia nu este recomandat\u0103 de rutin\u0103 pentru nodulii benigni care nu provoac\u0103 simptome.<\/p>\n

Dr. Ionu\u021b Sandu explic\u0103 \u0219i c\u0103 nodulul trebuie s\u0103 poat\u0103 fi vizualizat complet ecografic. Forma\u021biunile care se extind retrosternal sau \u00een zone care nu pot fi abordate \u00een siguran\u021b\u0103 nu reprezint\u0103 candida\u021bi potrivi\u021bi pentru aceast\u0103 tehnic\u0103.<\/p>\n

\u00cen anumite situa\u021bii atent selectate, tehnicile ablative pot fi luate \u00een considerare \u0219i pentru noduli autonomi func\u021bionali, \u00eens\u0103 alegerea tratamentului trebuie f\u0103cut\u0103 individual, \u00een func\u021bie de dimensiune, func\u021bia tiroidei \u0219i alternativele disponibile.<\/p>\n

Chirurgia nu dispare din tratamentul bolilor tiroidiene<\/h2>\n

Dezvoltarea abla\u021biei nu \u00eenseamn\u0103 c\u0103 opera\u021biile clasice nu mai sunt necesare. Dimpotriv\u0103, chirurgia continu\u0103 s\u0103 aib\u0103 un rol esen\u021bial \u00een numeroase afec\u021biuni ale tiroidei.<\/p>\n

Dr. Ionu\u021b Sandu subliniaz\u0103 \u00eens\u0103 principiul unei interven\u021bii c\u00e2t mai conservatoare: pacientului s\u0103 \u00eei fie \u00eendep\u0103rtat doar \u021besutul care trebuie eliminat, atunci c\u00e2nd situa\u021bia medical\u0103 permite acest lucru. Scopul este p\u0103strarea unei cantit\u0103\u021bi c\u00e2t mai mari de \u021besut tiroidian func\u021bional.<\/p>\n

Abla\u021bia nu este indicat\u0103, potrivit medicului, \u00een cancere tiroidiene avansate cu metastaze ganglionare, \u00een gu\u0219i polinodulare bilaterale de dimensiuni mari sau \u00een boala Basedow atunci c\u00e2nd situa\u021bia necesit\u0103 tratament chirurgical.<\/p>\n

Metoda \u00eencepe s\u0103 fie folosit\u0103 \u0219i \u00een cazuri oncologice atent selec\u021bionate<\/h2>\n

O direc\u021bie aflat\u0103 \u00een dezvoltare este utilizarea abla\u021biei \u00een anumite forme de cancer tiroidian cu risc redus. Dr. Ionu\u021b Sandu spune c\u0103 metoda poate fi luat\u0103 \u00een considerare pentru unele microcarcinoame papilare atent selec\u021bionate.<\/p>\n

Localizarea tumorii este esen\u021bial\u0103. Medicul precizeaz\u0103 c\u0103 forma\u021biunea trebuie s\u0103 fie pozi\u021bionat\u0103 astfel \u00eenc\u00e2t abla\u021bia s\u0103 poat\u0103 fi efectuat\u0103 \u00een siguran\u021b\u0103 \u0219i s\u0103 existe \u021besut s\u0103n\u0103tos \u00een jurul acesteia. Dac\u0103 tumora este amplasat\u0103 \u00eentr-o zon\u0103 care face procedura riscant\u0103 sau exist\u0103 semne de extindere a bolii, chirurgia r\u0103m\u00e2ne solu\u021bia indicat\u0103.<\/p>\n

Aceast\u0103 utilizare nu trebuie \u00eens\u0103 confundat\u0103 cu tratamentul obi\u0219nuit al tuturor cancerelor tiroidiene. Decizia se ia individual, dup\u0103 evaluarea oncologic\u0103 \u0219i endocrinologic\u0103.<\/p>\n

Pacientul poate pleca acas\u0103 \u00een aceea\u0219i zi<\/h2>\n

Unul dintre avantajele abla\u021biei este recuperarea rapid\u0103. Procedura poate fi realizat\u0103 cu anestezie local\u0103 \u0219i, \u00een cazurile potrivite, nu necesit\u0103 internare prelungit\u0103. Dr. Ionu\u021b Sandu spune c\u0103 pacien\u021bii pe care \u00eei trateaz\u0103 sunt supraveghea\u021bi aproximativ o or\u0103 dup\u0103 interven\u021bie, dup\u0103 care pot pleca acas\u0103.<\/p>\n

La Spitalul Universitar de Urgen\u021b\u0103 Bucure\u0219ti au fost realizate \u00een 2026 mai multe proceduri de abla\u021bie cu microunde sub ghidaj ecografic. Datele comunicate de echipa medical\u0103 indicau, la pacien\u021bii urm\u0103ri\u021bi la \u0219ase luni, reduceri ale volumului nodulilor de aproximativ 50-70%, \u00eempreun\u0103 cu ameliorarea simptomelor de compresie.<\/p>\n

Dup\u0103 procedur\u0103, monitorizarea endocrinologic\u0103 r\u0103m\u00e2ne necesar\u0103. Ecografiile efectuate \u00een lunile urm\u0103toare permit medicului s\u0103 urm\u0103reasc\u0103 modul \u00een care nodulul \u00ee\u0219i reduce volumul \u0219i s\u0103 stabileasc\u0103 dac\u0103 evolu\u021bia este cea a\u0219teptat\u0103.<\/p>\n

Pentru pacient, principalul avantaj al tehnicii este posibilitatea de a trata anumite tipuri de noduli f\u0103r\u0103 o opera\u021bie clasic\u0103 \u0219i f\u0103r\u0103 \u00eendep\u0103rtarea inutil\u0103 a \u021besutului tiroidian s\u0103n\u0103tos<\/strong>. Abla\u021bia nu este \u00eens\u0103 o solu\u021bie universal\u0103, iar alegerea \u00eentre monitorizare, tratament medicamentos, iod radioactiv, abla\u021bie \u0219i chirurgie trebuie f\u0103cut\u0103 dup\u0103 stabilirea exact\u0103 a tipului de nodul \u0219i evaluarea de c\u0103tre speciali\u0219ti.<\/p>\n

Sursa foto + text: Libertatea.ro<\/p>\n","protected":false},"excerpt":{"rendered":"

Diagnosticul de nodul tiroidian nu \u00eenseamn\u0103 automat c\u0103 pacientul va ajunge la opera\u021bie. Tehnicile moderne de abla\u021bie permit tratarea anumitor forma\u021biuni printr-o procedur\u0103 minim invaziv\u0103, realizat\u0103 cu ajutorul unui ac introdus \u00een nodul sub ghidaj ecografic. Metoda poate reduce considerabil dimensiunea acestuia, p\u0103str\u00e2nd \u00een acela\u0219i timp \u021besutul tiroidian s\u0103n\u0103tos. Dr. Ionu\u021b Sandu, medic chirurg specializat<\/p>\n","protected":false},"author":1,"featured_media":540,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[6],"tags":[93,90,92,89,91],"class_list":["post-539","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-sanatate","tag-ablatia","tag-dr-ionut-sandu","tag-metoda-minim-invaziva","tag-noduli-tiroidieni","tag-operatie"],"yoast_head":"\nNodulii tiroidieni pot fi trata\u021bi \u0219i f\u0103r\u0103 opera\u021bie \u00een anumite cazuri. Dr. Ionu\u021b Sandu explic\u0103 metoda minim invaziv\u0103 - Ziarul Regional<\/title>\n<meta name=\"description\" content=\"Nodulii tiroidieni pot fi trata\u021bi \u0219i f\u0103r\u0103 opera\u021bie \u00een anumite cazuri. 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