
Danang and Della finally arrive at the hospital. According to the schedule of appointments with the doctor who handled Della.
And after waiting for a while later, now came their time to do the checks according to the queue order they got.
"Good afternoon Doc" said Danang, as soon as he entered the doctor's room with Della.
"Good day Danang too, please sit down!" doctor Santi, please allow Danang and Della to sit in front of him.
Dr. Santi was a friend of Danang when he was at school in Junior High School. So, he can ask more about his wife's illness, and also do an appointment in accordance with the time they have agreed.
"So, are the complaints that are not felt by this mbak Della still the same?" ask the doctor Santi, looking at Danang and Della.
Finally, Della raised about the complaints experienced several times after the examination at the beginning of yesterday.
Doctor Santi finally explained that, Della is experiencing an excess of the thyroid gland. Not as expected at the beginning, which is a ganglion cyst.
And now, Santi's doctor gives an explanation about this thyroid gland.
The thyroid gland that functions to control hormones for the body's metabolism, can experience disorders or get diseases. So, when the thyroid gland is problematic, the performance of the organs of the body can be disrupted.
Supposedly, the thyroid gland that can be beneficial to the body, if it produces too much hormone is also not good, because the body can also use energy too quickly. This condition is called hyperthyroidism.
Conversely, when the thyroid gland produces too little hormones, the body can lack energy. This condition is called hypothyroidism.
Changes in Weight Loss can be one of the consequences of this thyroid gland excess. Thyroid hormones help to regulate body weight, food intake, and fat and sugar metabolism.
As a result, the symptoms that arise due to an excess of the thyroid gland are also very disturbing such as muscle and joint pain, goiter, feeling cold or overheating, problems in hair, skin and nails, digestive disorders, and, and disorders of irregular menstruation.
Symptoms that generally arise due to thyroid disease is the appearance of a lump in the neck. In addition to lumps, other symptoms that appear depend on changes in thyroid hormones. Whether hyperthyroidism or hypothyroidism. Patients with hyperthyroidism can experience symptoms such as, Tremor.
Therefore, it is recommended to reduce foods with high iodine content. For example, seaweed, which can increase the production of thyroid hormones. Add a portion of foods that contain high calcium and sodium. Routinely eating vegetables and fruit to slow the work of the thyroid gland to produce hormones.
The thyroid gland is located in the middle of the neck. If in men, a lump of the thyroid gland looks protruding just below the Jacoon.
Characteristic of thyroid lumps that lump will move along a person is swallowing food. Because this gland attaches to the cartilage, which serves to swallow.
People with hyperthyroidism should not eat food carelessly. The recommended diet for hyperthyroid sufferers is low in iodine. Avoid seafood high in salt and other foods high in iodine, namely milk, cheese, egg yolks, and iodized salt
One of the main causes of thyroid gland enlargement is iodine deficiency.
There are several factors that can cause a person susceptible to goiter, including heredity or a history of goiter in the family, lack of iodine intake, frequent exposure to radiation, pregnancy, and side effects of certain drugs.
Hyperthyroidism that is not treated immediately, can also cause bones to become weak and brittle (osteoporosis). The strength of these bones depends largely on the amount of calcium and other minerals they contain.
So excessive thyroid hormone, can interfere with the body's ability to insert calcium into the bones
Thyroid disease can not be completely cured, but the symptoms can be completely reduced so that the sufferer can undergo daily activities without interference. Thyroid hormone levels can also return to normal, but must be controlled by taking medication regularly for a long time, even for life.
If necessary, surgery should also be done so as not to get worse.
Thyroid surgery is generally done in thyroid diseases that are classified as severe, such as thyroid cancer or goiter that has caused interference when swallowing or breathing. Thyroid surgery is also used when medications or other treatment methods are not successful.
In women of productive age, thyroid disorders can also cause abnormal menstruation. Like very little menstruation, menstruation is very much, menstrual cycles are irregular, or not menstruating even though it has not been menopause
Cancer is a disease caused by the uncontrolled growth of abnormal cells. In thyroid cancer, cancer cells can appear first in the cells that make up the thyroid gland so that it damages the function of the gland.
The first treatment or subscription for hyperthyroidism is anti-thyroid drug therapy. This medicine may prevent thyroid hormones from overproducing hormones. Drug therapy is usually done for one to two years and will be discontinued once the hyperthyroidism is under control.
But each therapy is carried out on the basis of the consideration of the doctor about the patient's condition, and also based on the recommendation of the therapy of the disease.
Not all thyroid lumps need surgery. The type of surgery is also many kinds (some are removed only, some of the thyroid gland, to remove most of the thyroid gland), depending on the type of cell (benign or malignant) of the lump, and its size as well.
*Remarks about the thyroid gland are taken from various sources.
Danang and Della, finally returned home, after getting information and also further examination.
Della was advised to follow the advice of the doctor and asked to go back for a checkup one week later.
If there is no change, Della is recommended to perform surgery with a suction technique, to take the liquid. It's on Della's neck.
"Mas. I'm sorry, if it's because of this disease I can't have children."
Della apologized to her husband with a very sad feeling. Because she had not been able to give the offspring to her husband.
"Ck! By the way, you are Yang! his name is also a test so we should be able to pass this exam. You need to stay positive and stay calm. Otherwise, your hormones aren't normal later."
Della smiled, hearing the words of her husband who continued to provide support, as well as encouragement for her.
"We're so, stopping by Uncle's house?" danang asked, reminding his wife, to stop by his uncle's house who had just returned from a mental hospital.
"Yes Mas. We all stop by, we have time because we are on leave. Tomorrow we'll work again."
Finally, Danang steers his motorcycle towards his uncle's house. They stopped first to a fruit store, to buy souvenirs as a hand.
*****
At the stall, which was visited by his father Linda, there were two men who were talking while coffee.
Finally her father Linda Song joined them, while ordering warm tea.
He had a conversation with the two men, who were his neighbors as well.
"Tumben once Kang to the stall?"
"Yes, no one's home. Than to bengong himself, yes.here to find friends, all ngeteh," said his father linda lightly.
He who has not gone to the fields for a long time, of course, never listened to the news that happened around them.
For farmers, the rice field area can also be a land of gossip, and spread the news. Just like markets, stalls, and also cafes that are commonly used to hang out young people.
So, her father Linda could not keep up, what the two men were talking about.
Finally, not long after, he decided to go home first on the grounds that he wanted to rest. Because it was time for him to take medicine as well.
"I came back first yes, it's time to take this medicine," his father Linda told the two men.
After paying for the warm tea and two fried foods he had eaten, his father Linda went home alone.
When he saw the whereabouts of the school children who had just returned home, he smiled to himself, but with a sad face.
He remembers his grandson, Erli.
"You must have been home from school earlier yes, fine there, don't fuss yo Nok!"