What medicine to take for thyroid t3t4 high thyroid gland

Drugs may be antithyroid hormone drugs propylthiouracil or methimazole.

If the heart rate is high and palpitation is high, metoprolol or propranolol can be added symptomatically**.

After 2-3 months of symptom control, the dosage is maintained for 1-2 years.

It must be hyperthyroidism, take some methimazole first, control it, but see a doctor as soon as possible to help you adjust the dose.

It's hyperthyroidism. The main types of hyperthyroidism include surgery, medications, and iodine-131.

Drugs may be propylthiouracil or tambazole plus betalux or propranol**. After symptom control for the first 2 to 3 months, maintain with one dose and take the maintenance dose for 1 to 2 years to reduce**.

There are also many proprietary Chinese medicines, which can also be selected according to the situation.

With Eunaila or thyroxine tablets**.

Thyroid function.

T3 (triiodothyronine):

Clinical significance: the total serum T3 amount is generally consistent with the change of T4 amount, is a sensitive indicator for the diagnosis of thyroid function, especially for early diagnosis is of great significance, it is a specific diagnosis of T3 hyperthyroidism, but the diagnostic value of thyroid function is not large, for patients using antithyroid drugs, it is advisable to measure with TT4, if necessary, TSH should be measured at the same time, in order to help the judgment of thyroid function status.

T4 (thyroxine):

Clinical significance: The measurement of serum total T4 is the basic screening test for thyroid function, and the diagnosis of healthy people, hyperthyroidism and hypothyroidism can be more than 96% in healthy people, hyperthyroidism and hypothyroidism patients under the condition of normal thyroxine binding globulin (TBG) concentration. Changes in TBG concentration and binding capacity (such as pregnancy, lactation, liver cirrhosis, nephrotic syndrome, etc.) can cause meaningful changes in T T4, and a single serum T T4 measurement should not be used as a function index in the process of hyperthyroidism**.

Thyroid function test needs to draw blood for testing, generally test thyroid function when you need to check T3 and T4 values, T3 refers to triiodothyroid hormone, T4 refers to thyroid hormone, this is the level of thyroid hormone produced by the thyroid gland in the body, if it is too high or too low, it is not good, too high belongs to hyperthyroidism, too low belongs to hypothyroidism.

Problem analysis: Hello, the main methods of hyperthyroidism are: drugs; Radioactive iodine (iodine-131)**; Thyroid surgery**.

The three methods have their own advantages and disadvantages, and the choice of which ** needs to be made according to the specific situation of the patient to make a better choice, and it is necessary to determine which ** is more suitable after the identification of an endocrinologist who specializes in hyperthyroidism. For most patients with hyperthyroidism, it is advisable to use a programmed** regimen**, and it is not advisable to start with radioactive iodine** or surgery**. Because radioactive iodine is made of radioactive elements, the most residual problems are left, and the incidence of hypothyroidism after ** is more than 60.

Suggestions: At present, the method of hyperthyroidism is roughly the same, the drug is too long, repeatedly, and cannot be obtained, surgery or iodine 131**, which is easy to cause hypothyroidism, which does not heal for life, is too big, and it is recommended that traditional Chinese medicine **, **fast, and no longer after healing**. (3 to 6 months).

TSH is slightly lower, but it doesn't seem to be very low, and if it is, it's significantly lower. Thyroid-stimulating hormone is secreted by the pituitary gland and its role is to promote the secretion of thyroxine. If the body has too much thyroxine, mainly in the thyroid gland, then the pituitary gland will automatically reduce the secretion of thyroid-stimulating hormone even if the blood is still normal, so as to avoid excessive secretion of thyroxine.

However, even if the body repeatedly reduces thyroid-stimulating hormone secretion, if the thyroid gland continues to secrete thyroxine, then the body will decompensate, and the T3, T4, FT3, and FT4 in the blood will also increase, which is hyperthyroidism.

If the blood level is not high and there are no obvious clinical symptoms, but the TSH is already significantly low, it is subclinical hyperthyroidism.

Conversely, if thyroxine stores in the thyroid gland are low, the pituitary gland will automatically regulate and increase the secretion of thyroid-stimulating hormone (TSH), so hypothyroidism is a significant increase in TSH.

But we should pay attention to the fact that it should be significantly higher or lower, for example, the normal TSH is below 5UIU ML, but to diagnose hypothyroidism, it is generally 20UIU ML, if it is 10UIU ML, then we are just suspicious and need to be rechecked.

And I'm talking about common primary hypothyroidism and hyperthyroidism, as well as secondary hyperthyroidism and hypothyroidism, then it is due to the problem of the pituitary gland itself, resulting in too much or too little secretion of thyroid-stimulating hormone TSH, then it is completely different, TSH and thyroxine T3, T4, FT3 and FT4 in the blood are synchronized, that is, secondary hyperthyroidism, thyroid-stimulating hormone TSH is also high, secondary hypothyroidism, TSH is also low, and more rarely, tertiary hyperthyroidism and hypothyroidism, That's because there is a problem with the hypothalamus, the superior center of the pituitary gland, and the secretion of thyroid-stimulating hormone secreted by the secretion of thyroid-stimulating hormone is high, and I can't do it.

Depending on what is going on, if you have primary hyperthyroidism**, it may not be necessary to stop the drug sometimes, but it is necessary to reduce the dose of tamistazole or propylthiouracil (PTU) and use a thyroxine preparation in a small dose, which is more conducive to the stabilization of the hypothalamic-pituitary-thyroid endocrine axis. If hyperthyroidism or hypothyroidism is generally suspected, then no treatment is necessary, but the test is repeated at regular intervals. Because I still don't know the specifics, I can't go into details.

Specifically, please go to a regular hospital endocrinology to discuss in person.