Subscribe
56
Luo Juan
Endocrinology
About me
Associate Chief Physician, Department of Endocrinology, Hunan People's Hospital, Master's degree. Youth Committee Member of the Hunan Diabetes Professional Committee. Member of the Women's Endocrine Disease Prevention and Treatment Professional Committee of the Hunan Female Physician Association.
Proficient in diseases
Diagnosis and treatment of diabetes, thyroid disease, and adrenal gland diseases.
Voices
Can people with hyperlipidemia eat walnuts?
People with hyperlipidemia can eat walnuts. Primarily, walnuts contain unsaturated fatty acids, which can lower plasma cholesterol levels, low-density lipoprotein levels, and increase high-density lipoprotein levels in the blood. However, as these unsaturated fatty acids are high in calories, excessive intake can lead to overweight or obesity. Therefore, even the unsaturated fatty acids in the diet should not be consumed in excess. Thus, people with hyperlipidemia can eat walnuts, but they should not consume them in large quantities. Moderate consumption is advised, as excessive intake could lead to excessive calories, causing obesity or overweight.
Is thyroid cyst calcification serious?
Is severe calcification of a thyroid cyst serious? It depends on the situation. Firstly, a thyroid cyst is not an independent disease; it develops from a simple goiter, nodular goiter, or regressive changes in a thyroid adenoma, some of which may be due to bleeding or necrosis caused by thyroid cancer, forming a thyroid cyst. Therefore, a thyroid cyst could potentially be a malignant indicator. Moreover, the calcification of thyroid cysts mainly depends on the description of the calcification. For instance, some are fine punctate microcalcifications, which are less than or equal to 1mm, while others are larger, coarse calcifications larger than 1mm, and there are even some annular calcifications. Thus, thyroid cyst calcification is not necessarily cancerous, and the likelihood of malignancy varies with each type of calcification, generally, the potential for malignancy is microcalcification greater than coarse calcification, greater than annular calcification. Therefore, whether calcification of a thyroid cyst is serious mainly depends on whether it is a malignant lesion.
Can people with obesity eat pork?
Obesity can include pork in the diet, but it is important to limit the amount consumed. A primary method in managing obesity is to restrict calorie intake. Generally, this involves adopting a diet that is low in calories or fat, with fat content less than 25%, regular physical exercise, monitoring food portions and physical activity, and keeping an eye on weight. Generally, it's essential to reduce energy intake by consuming low-calorie or very low-calorie diets, and eating lean meats and poultry, as these foods also have a higher proportion of protein but lower fat content. Therefore, those with obesity can consume pork, but it is advisable to focus on lean cuts to minimize fat intake.
Do thyroid cysts hurt?
Thyroid cysts sometimes hurt and sometimes do not. A thyroid cyst refers to a round, fluid-containing cystic structure found in the thyroid, generally 2-5 centimeters in diameter, smooth, usually painless or with mild pain, and can move up and down with swallowing. If the cyst is large or there is bleeding inside the cyst, it may cause some compressive symptoms such as pain, difficulty swallowing, breathing difficulties, and hoarseness. Therefore, whether a thyroid cyst is painful generally depends on the size of the cyst and whether there is bleeding inside it.
What should be noted in the diet for hyperkalemia?
In cases of hyperkalemia, it is important to avoid eating foods high in potassium, such as corn, lettuce, carp, eel, lamb, beef, pork, as well as dates, bananas, and others. These foods are rich in potassium and should be consumed less or not at all. Additionally, a diet high in sugar and fat should be provided, or some intravenous nutrition may be used, to ensure sufficient caloric intake and prevent the release of potassium from metabolic breakdown, which could lead to an increase in blood potassium levels. Also, it is important to avoid certain medications high in potassium, such as traditional Chinese medicines. (Medication use should be under the guidance of a professional doctor.)
Obesity.
Obesity is a metabolic disease that occurs when the caloric intake of the human body exceeds the calories burned. The surplus calories are stored in the body as fat. When the amount of accumulated fat exceeds the normal physiological needs and reaches a certain level, it develops into obesity. Therefore, obesity is the manifestation of excess calories stored as fat in the body. There are many methods to assess obesity, with the Body Mass Index (BMI) being one of the most common. The formula for calculating BMI is weight divided by height squared. In China, a BMI of 28 or greater is generally considered obese.
Can pregnant women with gestational diabetes eat dragon fruit?
For patients with gestational diabetes, it is permissible to eat dragon fruit. Since dragon fruit contains relatively low sugar levels, it can be consumed. However, it should not be eaten in excess, as excessive consumption can still lead to fluctuations in blood sugar levels. In the treatment of gestational diabetes, we should not cause the pregnant woman's weight to decrease, hence a low-calorie treatment is not advocated. Generally, the total calories are calculated based on standard weight, approximately 30 to 35 kcal per kilogram of body weight per day. Sugars should make up about 50%, proteins 20%-25%, and fats 25%-30%. It is best to divide these into three main meals and three snacks, adjusting the proportion and calorie content of the diet according to body type. Therefore, patients with gestational diabetes can eat dragon fruit, and it can be consumed as a snack between main meals.
How to treat thyroid cystic tumors?
Thyroid cysts refer to fluid-filled sac-like formations or lumps found in the thyroid, generally round in shape, typically painless or only mildly painful, and move up and down with swallowing. Most are solitary nodules, with multiple nodules being less common. Most thyroid cysts do not exhibit obvious clinical symptoms unless the cyst is large or there is bleeding within the cyst, which may lead to symptoms of compression such as pain, difficulty swallowing, difficulty breathing, and hoarseness. Therefore, the treatment of thyroid cysts primarily involves understanding their nature. If a thyroid cyst is malignant, prompt surgical removal should be undertaken; if benign, generally it is sufficient to monitor the cyst through follow-up observations.
Can thyroid cysts become cancerous?
Thyroid cysts can potentially become cancerous. Initially, thyroid cysts may arise from various thyroid diseases such as nodular goiter, Hashimoto's disease, thyroid adenoma, and thyroid follicular cancer, which form through degeneration, liquefaction, and hemorrhage. They are one of the common diseases of the thyroid. In the population, at least 4% of people can feel thyroid nodules larger than one centimeter. Among these nodules, about 5% to 20% are cystic. Statistics show that even benign lesions causing cysts have a 4%-5% chance of becoming cancerous when the diameter of the individual exceeds 4 centimeters. Therefore, thyroid cysts can potentially become cancerous.
Is Hashimoto's thyroiditis easy to treat?
Regarding whether Hashimoto's thyroiditis is easy to treat, it needs to be analyzed based on specific circumstances. Generally, after diagnosing Hashimoto's thyroiditis, the treatment decision depends on the size of the thyroid and whether there are any symptoms. For patients with a smaller thyroid who do not have noticeable compression symptoms, follow-up observation without immediate treatment is possible. However, for patients with significant thyroid enlargement and compression symptoms, treatment with levothyroxine can be adopted to reduce thyroid size. In some patients who develop hypothyroidism, thyroid hormone replacement therapy is used. Moreover, some patients with Hashimoto's thyroiditis may also develop thyroid nodules. It is necessary to dynamically track changes in the morphology of the thyroid nodules. Patients with obvious compression symptoms, significant local pain, progressive enlargement of the nodules, or suspected malignant changes should undergo surgical treatment.