What are the symptoms of early hyperthyroidism Treatment options for hyperthyroidism

Hyperthyroidism is generally polyphagia, short-tempered, emaciated, long course of disease, there will be proptosis symptoms, which is an endocrine level disorder, oral Western medicine to control the symptoms at the same time is recommended to cooperate with traditional Chinese medicine, while regulating mood, reducing stress is also very important.

The early symptoms of hyperthyroidism are as follows:

Most of them are diffuse and symmetrically enlarged, and a few are asymmetrical or markedly enlarged. At the same time, blood flow to the thyroid gland is increased, and vascular bruits and tremors can be heard on the lateral side of the upper and lower lobes, especially in the upper part of the gland. This sign is characteristic and important in diagnosis.

The early symptoms of hyperthyroidism include irritability, hypersensitivity, hyperactivity, insomnia, nervousness, lack of concentration, anxiety and irritability, suspicion, etc., sometimes hallucinations, mania, sometimes reticent, depression.

Patients with protruding eyes, eyes staring or frightened eyes, often photophobia, tearing, diplopia, vision loss, eye swelling and pain, stinging, foreign body sensation, etc., due to the high protrusion of the eyeball, the upper and lower eyes and face can not be closed, corneal ulceration, conjunctiva, corneal exposure and cause congestion, edema, etc., severe cases can lead to blindness.

In addition to affecting gonadal function, the adrenal cortex is often more active in the early stage of the disease, while in patients with severe disease (such as crisis), its function is relatively reduced or incomplete, menstrual irregularities, endocrine irregularities, etc.

The main manifestations are muscle weakness, hypokalemia, and a few hyperthyroid myopathies.

There are several types of traditional hyperthyroidism**:

The drug is mainly to inhibit the secretion of thyroid hormone, and the general cycle is relatively long, at least 2-3 years, during which the drug will damage liver and kidney function, reduce white blood cells, and it is easy to stop the drug, and the effect is not very ideal.

Through oral radioactive iodine concentrated in the thyroid tissue, part of the thyroid gland is destroyed and loses physiological function, thereby reducing the amount of thyroid hormone in the blood and tissues, most patients will be destroyed too much thyroid tissue to cause hypothyroidism, need to take hormone drugs for life to supplement. Some patients have hyperthyroidism due to too little intake**. International thyroid researchers agree that iodine is radioactive, and the damage to the human body is relatively large.

Part of the thyroid tissue is removed through the scalpel to achieve the purpose of reducing thyroid hormone in the blood and tissues, the surgical trauma is relatively large, there is a scar of about 10 cm, which affects the appearance, and there are abundant blood vessels and nerves around the thyroid gland, and the operation is easy to be injured by mistake, resulting in irreversible consequences. At the same time, the scope of surgical resection is difficult to grasp, and it is easy to get hypothyroidism if it is cut too much, and it is easy to hyperthyroidism if it is cut less.

Answer]: C surgery** is suitable for moderate and severe hyperthyroidism, and the medication is ineffective in the long term; The thyroid gland is large and compressive; Patients with nodular thyroid glanduloma, suspected malignant transformation, etc. [This question is aimed at the assessment of the knowledge points of "hyperthyroidism".

Typical symptoms of hyperthyroidism.

weight loss, emaciation, even if the amount of food is not reduced or even increased;

hyperphagia, increased bowel movements, increased frequency of stools, or diarrhea;

Sustained rapid heartbeat, usually more than 100 minutes, may cause palpitations;

Some patients may have arrhythmias such as atrial premature contractions and atrial fibrillation, and patients may feel palpitation and discomfort;

Patients may be nervous, anxious, insomnia, irritable, and inattentive;

Hand tremors, which can affect normal work and life in severe cases;

sweating, intolerant of heat;

Female patients may have changes in the menstrual cycle, which generally manifests as prolonged menstrual cycles, sparse menstrual flow, and even amenorrhea;

Most patients may have varying degrees of goiter, and in severe cases, "thick neck" may be seen;

Common**thin, smooth and delicate, warm and moist;

Some hair may fall out, and the hair will become thinner and more breakable.

Hyperthyroidism is the most common disease of the endocrine system, which can be caused by a variety of reasons, among which diffuse goiter with hyperthyroidism is the most common, accounting for about 88% and 90% of all patients with hyperthyroidism. The clinical manifestations of the disease are complex and diverse, most of which have a slow onset, and a few patients have an acute onset of stress after trauma or infection. Clinical manifestations vary widely, with significant variations in severity.

The disease typically presents with hypermetabolic syndrome due to thyroid hormone hypersecretion, goiter, and ophthalmologic signs. Hypermetabolic syndrome can manifest as heat intolerance and excessive sweating,**, palms, face, neck, armpits** ruddy and sweating. Low-grade fever is common, and high fever may occur in severe cases.

Patients often have tachycardia. Palpitations, marked hypernasia, but weight loss, fatigue and weakness. Goiter is often diffuse and symmetrically enlarged, and the degree of enlargement is not significantly related to the severity of hyperthyroidism, and can move up and down with swallowing.

Tremor on palpation and bruits on auscultation.

In layman's terms, the clinical manifestations of hyperthyroidism can be summarized as: proptosis, neck thickness, and excitability; heat intolerance, sweating, hand tremors; diarrhoea, hunger, muscle weakness; palpitations, weight loss, menstrual disorders; There is no sensation in benign exophthalmos, and there are many symptoms of malignant exophthalmos.

Fear of heat, sweating, fatigue, is it because the body is too weak? Shaking hands, hair loss, are you old? Is diarrhea and increased frequency of stools a gastrointestinal problem?

If you have these symptoms, it's most likely that hyperthyroidism is at fault! "Hyperthyroidism, short for hyperthyroidism, is a group of common endocrine disorders caused by excessive thyroid hormone secretion caused by a variety of causes. Director Zhang Jianhua said that there are many people suffering from hyperthyroidism, but people's understanding of the symptoms of hyperthyroidism often only stays on the "big neck" and "protruding eyes".

To be honest, hyperthyroidism has various manifestations, such as heat intolerance, excessive sweating, fatigue, weight loss, etc., and generally has symptoms of cardiovascular diseases, such as palpitations, irregular heartbeat, angina, etc., which can easily be mistaken for heart disease. There are also some patients with hyperthyroidism who have abnormal manifestations, such as becoming damp, itchy, muscle weakness, pain, etc. Most patients with hyperthyroidism have more than 3 of the above symptoms, and it is easy to think that the patient may have hyperthyroidism based on these symptoms.

Some patients will present with leukopenia, thrombocytopenia, anemia, etc., and these hyperthyroid manifestations are not easy to recognize. Director Zhang Jianhua pointed out that hyperthyroidism can also be manifested as irregular menstruation in women, and impotence or decreased fertility in men. It is precisely because of the diverse manifestations of hyperthyroidism that many patients are transferred to the endocrinology department after going through many departments, which makes the condition more difficult to increase the weight of the lesion. Oh.