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Hyperthyroidism can be done, and there are three main methods of hyperthyroidism commonly used in China: drugs, radioactive iodine (iodine-131) and surgery. 1. Drugs are the first choice for all kinds of hyperthyroidism, regular Western medicine**Hyperthyroidism can be divided into the initial treatment period, the reduction period and the maintenance period, the whole course of the disease is about 1-2 years, the course of the disease needs to be tested regularly, and according to the results of the test to adjust the medication, simple Western medicine **easy**, combined with traditional Chinese medicine ** can reduce ***, improve the **rate, it is recommended to use the combination of traditional Chinese and Western medicine**.
2. Radioactive iodine (iodine 131)** has the advantage of fast effect, generally 3-6 months can receive obvious results, the disadvantage is that it is easy to cause lifelong hypothyroidism, and it needs to be replaced by lifelong medication. According to statistics, the use of 131 iodine within 5 years leads to more than 60% of patients with lifelong hypothyroidism, and it is currently believed that 131 iodine has a certain impact on fertility, so it is currently believed that 131 iodine ** is considered to be used only by patients who have given birth on the basis of ineffective drug ** and are unwilling or unable to operate. 3. Surgery is generally not easy to use, because there are left and right common carotid arteries next to the thyroid gland, supralaryngeal and recurrent laryngeal nerves, parathyroid glands, and tracheoesophagus, etc., which may cause life-threatening if you are not careful, and are generally only used for goiter that seriously affects normal work and life or has the possibility of cancer.
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Hello, your current T3T4 is normal, TSH is high, you need to reduce the dosage of methimazole, it is recommended to reduce one tablet, once a day, one tablet at a time, check again after a month, you are now in the maintenance period of hyperthyroidism**, generally need to maintain for about half a year to a year, it is best to check TRAB before stopping the drug, if it is negative, you can stop the drug for observation.
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How long does it take for hyperthyroidism to be curedHealth problems become a problem that everyone wants to know, now many people have health problems, hyperthyroidism is a very common disease, hyperthyroidism can lead to protruding eyes, body fat problems, so how long can hyperthyroidism be cured, is also what everyone wants to know.
How long does it take for hyperthyroidism to be cured
It is recommended that after suffering from this disease, you should go to the hospital actively**, find a specialized doctor, and insist on taking medicine to be cured. The duration of hyperthyroidism** is relatively long, so everyone should take long-term medication. Many people say that after having hyperthyroidism, they have been taking medication, but Yamahashi is recurring, so you should go to the hospital to see if the medicine is more suitable, generally speaking, hyperthyroidism can be cured in about two years, if the drug ** still recurs, or should consider using radioactive iodine or surgical methods**, so that the effect will be more obvious.
If you have hyperthyroidism, it is also very necessary to adopt a better way. In fact, hyperthyroidism can be cured, so even if you have such a disease, you don't have to worry too much.
How long does it take for hyperthyroidism to be curedFor patients with this disease, everyone should adjust their mentality and be positive.
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Hyperthyroidism can be done, but it can also be later, and the main methods include drugs, radioactive iodine, and surgery. The details are as follows:
1.Drugs**: including thioureas and imidazoles, of which thioureas include methouracil, propylthiouracil and other drugs, and imidazoles include methimazole, carbimazole and other drugs.
**Cycles are generally 12 to 18 months, and thyroid-stimulating hormone receptor antibody (TRAB) is required to turn negative before discontinuation. **Thyroid function, thyroid antibodies, white blood cells, and liver enzyme levels are monitored.
2.Radioactive iodine**: Mainly refers to radioactive iodine 131, which can reduce the secretion function of the thyroid gland by selectively destroying the thyroid acinar epithelium, so that hyperthyroidism can be achieved**.
Iodine-131** hyperthyroidism, the rate of one-time ** is about 60-75%, and the effective rate is more than 90%. Generally, thyroid hormones such as FT3 and FT4 begin to decline and symptoms are reduced in 1 month after **, and FT3 and FT4 reach normal or close to normal in 2-3 months, symptoms are reduced or disappear, weight increases to normal levels, and physical performance status gradually recovers. If the first time is not possible, the second time can be carried out.
It should be noted that due to the destruction of thyroid cells and the release of thyroid hormones into the bloodstream, patients may experience aggravation of hyperthyroidism symptoms in the short term. In addition, this method will destroy thyroid function and may also cause permanent hypothyroidism.
3.Surgery**: For patients with severe goiter (80 g) with signs or symptoms of compression, or nodules with confirmed or suspected thyroid cancer; and patients with hyperthyroidism who are not candidates for drugs and i131** may be considered for surgery**.
Usually, oral compound iodine solution is required before surgery to reduce the volume of the thyroid gland and reduce blood flow, and then part of the tissue is removed by surgery to reduce thyroxine secretion to achieve the first goal.
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There are three standard methods of hyperthyroidism to choose from:
1. Antithyroid drugs All patients can be controlled by antithyroid drugs. Should be used as the preferred method for hyperthyroidism. Methylthiouracil and propylthiouracil in thioureas are commonly used; Dibazole in the imidazole class is equal to hyperthyroidism.
The pharmacological effect of thioureas and imidazole antithyroid drugs is to inhibit the peroxidase system in the thyroid gland and inhibit the conversion of iodine ions into new ecological iodine or active iodine, thereby hindering the combination of iodine and cooline and inhibiting the synthesis of thyroxine. Propylthiouracil also inhibits the conversion of T4 to T3 in peripheral tissues. This class of drugs is easy to absorb orally.
After absorption, it is distributed in the tissues of the whole body and can pass through the placenta, and the concentration in milk sweat is 3 times the concentration of blood. The drug is metabolized mainly in dirty, and the half-life of a single oral dose is 1 to 2 hours. About 60 percent of the drug is destroyed in the body, and the rest is mostly excreted in the urine in a bound form.
For patients with poor liver and kidney function, the dose should be reduced.
1) Indications: Patients with mild disease, mild to moderate thyroid enlargement; adolescents under 20 years of age, children, and elderly patients; pregnant women; Subtotal thyroidectomy, postoperative**, and not suitable for radioactive 131 iodine**; Preparation before surgery**; adjuvant radioactivity 131 iodine**; With exophthalmos.
2) Dose and course of treatment ** In the initial stage, the dose should be determined according to the severity of the disease, methyl or propylthiouracil is 150 450mg d, methimazole or hyperthyroidism is 10 45mg d, divided into 2 3 oral doses, until the symptoms are relieved, BMR drops below 20, or T3 and T4 return to normal is reducible, each time methylthiouracil is reduced by 50 100mg, and methimazole or hyperthyroidism is reduced by 5 10mg, 2 3 times a day. When symptoms have completely resolved and the BMR is normal, the minimum dose can be switched to continue**, methyl or propylthiouracil is 50 100 mg per day, and methimazole or hyperthyroidism is 5 10 mg per day for at least 1 3 2 years, and can even be extended to 2 years or more, and the dose can be smaller. **, there may be symptom relief and disappearance, but proptosis is aggravated, which may be due to the decrease of blood T3 and T4 and the increase of TSH, at this time, the release of thyroid hormone can be appropriately added and stored in the thyroid acinar, thereby delaying the effect of antithyroid drugs.
And the ** rate is high after stopping the drug.
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Do 5 points of care and heal, no problem.
Hyperthyroidism is an endocrine disorder that occurs more frequently in women than in men. The pathogenesis is a group of common endocrine diseases caused by excessive secretion of thyroid hormones caused by a variety of reasons, and the main symptoms of hyperthyroidism are enhanced metabolic capacity, goiter and protruding eyes. Specific manifestations include hypermetabolic syndromes such as polyphagia, weight loss, heat intolerance, excessive sweating, palpitations, and agitation.
For hyperthyroidism, the hospital's ** is important, but it is also important to do a good job of home care.
1. Eat a reasonable diet.
Because the metabolic function of hyperthyroidism patients becomes stronger and the consumption increases, there will be different nutrient deficiencies and a large amount of rich nutrients are needed, so in terms of diet, patients must require them to supplement more high-calorie, high-protein, high-vitamin and foods rich in potassium, calcium and phosphorus. Foods high in iodine, such as kelp, fish, and jellyfish, should be forbidden.
2. Adjust the state of life.
Patients should not put too much pressure on themselves in the early stage of the disease, allocate time reasonably at work, and pay attention to the rhythm of work. After the patient controls the condition, he can do more exercises to enhance his physical fitness. In addition, the work and rest should be regular, and the three meals should be stable.
Pay attention to the regulation of emotions in daily life, reduce stress state, and maintain a good mood.
3. Psychological nursing.
Patients with hyperthyroidism often show symptoms of emotional instability, irritability, nervousness, and sensitivity, so it is necessary to pay more attention to the patient's psychological state and pay attention to the way of communication with the patient to ensure the smoothness of the patient. In this process, family members should be considerate to relieve the patient's anxiety and nervousness, so that he can face it optimistically. In addition, patients may experience insomnia, so try to create a good rest environment for patients.
4. Take medicine as prescribed.
Some patients stop taking medication or change medication when their condition improves, which is likely to worsen their condition. Patients should strictly follow the doctor's instructions for medication and do not change the way of medication without authorization. In addition, it is important to observe the patient's reaction to the medication and bring him or her to the doctor immediately if there is any abnormality**.
5. Pay attention to the progress of the disease.
Infection or fatigue are predisposing factors for hyperthyroidism, and while avoiding these triggers, patients should be closely observed for changes in body temperature, pulse, mental state, and consciousness, and should be sent to the hospital immediately if abnormalities occur.
To sum up, hyperthyroidism is a frequent disease, and patients should take good care of themselves at home to ensure the patient's status after the onset of the disease. In home care, it is necessary to take into account all aspects of the patient's situation and ensure that the diet is reasonable and effective. Family members should take care of the patient's psychological feelings, advise the patient to take medicine, and supervise the patient's condition at all times to ensure that the patient can maintain a good state in nursing.
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The certificate of merit is possible, now that medicine is so developed, there is no problem with hyperthyroidism, if you want to be complete, it may be longer, so since you have hyperthyroidism, don't worry, this disease can be done in our country.
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Yes, drugs** There are two types of antithyroid drugs - imidazoles and thiouracils, and the representative drugs are methimazole and propylthiouracil respectively.
Surgery** Surgery** is indicated for patients with significant thyroid enlargement, or a high suspicion of thyroid malignancy, or if the thyroid gland compresses the trachea causing dyspnea.
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I am 25 years old, and I have been taking medicine for almost 2 years since I found my hyperthyroidism, and the symptoms are gone. The doctor said that the drug should be able to be stopped in 2 years, this disease is afraid of being tired and afraid of getting angry, pay more attention to the body and don't get angry, and have the confidence to come on!
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Did you go for a blood test? Is the indicator still high? I was diagnosed with hyperthyroidism in June this year, and then I took medicine and took it until October, and the blood test was done every month, and each time the index dropped, I calculated that it would be fine in two months, but I didn't take it again when I was pregnant in November, and I went to check it next month to see how the situation was.
It is said that hyperthyroidism can be cured, but it will last for two or three years after the indicators are normal.
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For this type of disease, there are two major aspects to consider, one is to be able to completely improve. The second is that there is no *** in the human body, and it does not affect pregnancy, and there are no genetic factors. These are all important. Therefore, general drugs should not be used casually.
Traditional Chinese medicine believes that hyperthyroidism is caused by the imbalance of the body's internal organs, the deviation of the circulatory system, and the excessive secretion of thyroxine. Li Xiaoping's hyperthyroidism prescription, traditional Chinese medicine regulates immunity, alleviates autoimmune damage, accelerates the degradation of thyroxine, and reduces the sensitivity of thyroid hormone target organs and tissues to hormones. Achieve the recovery of the function of the internal organs and promote the repair of the body's own immune system.
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You can try the most effective**ligand introduction without flat**.
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Hyperthyroidism is not a terminal disease, as long as it is reasonably positive**It is completely okay** landlord don't worry.
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The ** here is not very expensive, and the prescribing of drugs will also prescribe a set of special medicines for the symptoms, which is more intimate.
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Dr. Ma from Chongqing National Defense Hospital introduced that there are three methods of hyperthyroidism, antithyroid drugs, radioactive iodine and surgery.
There are two types of antithyroid drugs - imidazoles and thiouracils, which are represented by methimazole (also known as "methimazole") and propylthiouracil (also known as "propyne").
The drug is suitable for pregnant women, children, and patients with mild thyroid enlargement, and generally takes 1 or 2 years, and the dose of the drug needs to be increased or decreased according to thyroid function. There are some drugs **, including granulocytopenia, drug allergy, impaired liver function, joint pain and vasculitis, and the initial stage of the drug needs to be closely monitored, especially agranulocytosis, and the patient needs to be warned that once fever and sore throat appear, granulocytes need to be checked immediately to determine whether there is agranulocytosis, once it appears. Discontinue the emergency department immediately.
Another disadvantage of the drug is that the rate is high after discontinuation, which is about 50%.
Radioactive iodine** and surgery** are both destructive**, hyperthyroidism is not easy**, **only needs one time. Radioactive iodine is suitable for patients with moderate thyroid enlargement or hyperthyroidism**, and doctors calculate the dose of radiation required for each patient based on the rate of uptake of radioactive iodine by the patient's thyroid gland. Radioactive iodine is an absolute contraindication to pregnant and lactating women.
Because there is a delaying effect of radioactive iodine, hypothyroidism occurs at 3% to 5% per year with follow-up over time. Radioactive iodine** is not suitable for patients with hyperthyroidism who have thyroid eye disease, as the posterior eye disease may be exacerbated.
Surgery** is suitable for those who have significant thyroid enlargement, or who have a high suspicion of thyroid malignancy, or who have difficulty breathing due to thyroid enlargement that compresses the trachea. Before surgery, it is necessary to control thyroid function within the normal range with drugs, and oral compound iodine solution is also required to prepare for surgery.
It is recommended that you go to the orthopedic clinic of the hospital to have a doctor examine it in person, and if it is confirmed to be torticollis, depending on your age, if it is not severe, surgery is generally not given**, because the facial asymmetry may be more obvious after surgery. The effect of TCM massage should not be good. Surgery** can solve the torticollis problem, but the facial asymmetry will be more noticeable, and you need to make your own decision.
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