Algorithm of stepwise medical rehabilitation of patients with differentiated thyroid cancer

Opuholi Golovy i Šei

G. A. Tkachenko¹  A. M. Mudunov²  S. B. Shakhsuvaryan³  T. I. Grushina⁴  Yu. V. Alymov⁵  S. O. Podvyaznikov⁶  A. V. Ignatov⁶ 

[1] Central Clinical Hospital with polyclinic of the Office of the President of the Russian Federation;Clinical Hospital Lapino;Federal Bureau of Medical and Social Expertise, Ministry of Labor of Russia;Moscow Research and Practical Centre of Medical Rehabilitation, Restorative and Sports Medicine, Moscow Healthcare Department;N.N. Blokhin National Medical Research Center of Oncology, Ministry of Health of Russia;Russian Medical Academy of Continuing Professional Education, Ministry of Health of of Russia;

关键词: thyroid cancer;    rehabilitation;    laryngeal paresis;    hypoparathyroidism;    plexopathy;    thyroid storm;    lymphedema;    radioiodine therapy;    hormone therapy;   

DOI  :  10.17650/2222-1468-2021-11-1-122-133

来源: DOAJ

【 摘 要 】

Four stages of medical rehabilitation of patients with differentiated thyroid cancer in Russia are described. Specific rehabilitation programs and methods are described for every stage. The pre-rehabilitation program includes psychological and nutritional support, exercise therapy, consultations by the surgeon and anesthesiologist, correction of concomitant disorders, prevention of thromboembolic complications and local hemodynamic abnormalities. At the rehabilitation stage in the ICU antibacterial therapy, patient positioning, percussion massage of the chest, passive mobilization, massage of the extremities are performed. The rehabilitation program at the specialized surgical department includes psychological rehabilitation, adequate pain management, exercise therapy, massage, nutritional support, prevention of thromboembolic complications, treatment of early postoperative complications. The in-hospital rehabilitation at medical facilities additionally includes treatment of delayed and late surgical complications, correction of radioiodine therapy consequences. The outpatient rehabilitation program also involves correction of hypothyroidism and minimization of adverse effects of suppressive hormone therapy, health resort treatment.

【 授权许可】

Unknown