If there is a simple goiter, what to do if there is a simple goiter

Redness and swelling are not caused by the thyroid gland, cervical lymphadenopathy or folliculitis, etc., simple goiter can be taken with more iodine, but it is necessary to evaluate whether there is a lump in the thyroid gland and the nature of the lump. Inflammation on the body surface can be treated with oral anti-inflammatory drugs**, but further evaluation of the nature of the goiter is required, and surgery is usually required if there are symptoms of compression or if malignancy is suspected**, and postoperative medication is taken to replace hormones.

Answer] :d simple goiter, also known as nontoxic goiter, refers to a non-neoplastic, non-inflammatory, or nodular goiter with basically normal thyroid function. The causes of the disease include iodine deficiency, iodine disorders, thyroid growth immunoglobulin abnormalities, thyroid hormone synthesis and secretion disorders, and food and water.

Answer]: C Simple sail goiter is a goiter caused by a variety of reasons. It is not accompanied by manifestations of hyperthyroidism or hypothyroidism and does not include thyroiditis or tumors.

Often, the suffocation hinders thyroid hormone synthesis for some reason, resulting in compensatory goiter. It can be endemic and is often caused by high iodine deficiency and is called endemic goiter. It can also be distributed, caused by congenital disorders of thyroid hormone synthesis or goiter-causing substances, etc., and is called goiter.

But there is no obvious reason.

Simple goiter presents with two symptoms, as follows:

1. Neck thickening: neck enlargement and thyroid mass appear; It is common in adolescents, especially girls, during puberty, and some necks are thick and swollen; No fever, no local sensation, tenderness, simple goiter;

2. Compression: If the enlargement is very obvious, it may cause compression of surrounding organs or adjacent tissues, including direct compression of the trachea, causing dyspnea or exertional dyspnea; compression of the recurrent laryngeal nerve causing hoarseness; Compression of veins, including the jugular vein, subclavian vein, and even into the mediastinum, causes edema of the head and face, and jugular vein dilation, leading to hiccups or diaphragm elevation; Compression of the sympathetic nerves is uncommon, causing sweating of half of the limbs, face, or body, half of which is not sweating, and some of the eyelids are drooping.

The main symptom of simple goiter is that some patients may have a thickened neck, which can be accompanied by mild pain and discomfort in the neck.

There are also some patients who have a severe goiter and may have obvious symptoms of compression, such as mild dyspnea, difficulty swallowing, suffocation or hoarseness.

Some patients may present with symptoms of hyperthyroidism, such as fear of fever, palpitations, hand tremors, irritability, etc.

Of course, there are also some patients who will show symptoms of hypothyroidism, such as edema, sensitivity to cold, and poor spirits. Therefore, once the patient has such symptoms, it is necessary to go to the nail and breast surgery department of a regular hospital for treatment in time.

Clinical examination may reveal normal or rarely low basal metabolic rate; plasma protein binding to iodine and T4 is generally normal or slightly lower or slightly higher; Thyroid iodine uptake is often higher than normal, but peaks rarely occur earlier; The T3 inhibition test shows an inhibitory response, and the thyroid scan shows diffuse enlargement or uneven radioactivity.

In addition, patients with simple goiter and neurosis should be distinguished from hyperthyroidism, which has palpitation, excitement, excessive sweating, heat intolerance, and hyperthyroidism. Bleeding and pain in the thyroid gland should be distinguished from thyroiditis. Compressive symptoms should be differentiated from neck or upper mediastinal tumors.

The ** of simple goiter has an essential raw material for the synthesis of thyroxine, an iodine deficiency; The body's need for thyroid hormones increases, such as: pregnancy, lactation, puberty; Thyroid hormone synthesis disorders: including iodine transport disorders in the thyroid gland, lack of peroxidase activity, iodide tyrosine coupling disorders, abnormal thyroglobulin formation, or streptothyroglobulin hydrolysis disorders, deiodinase deficiency, etc.; Thyroid-causing trouser adenoma substances, goiter-causing drugs, and iodine overdose in food.

Yuhong answer] :d

Simple goiter is a non-toxic goiter, which refers to a goiter that is not inflammatory, has no neoplastic cause, and is not accompanied by abnormal clinical thyroid aneurysis.

The thyroid gland is mostly diffusely enlarged; Some may be nodules, painless, and generally have no systemic symptoms; Some people have temporary symptoms of hyperthyroidism, and those who have been ill for a long time may have some symptoms of hypothyroidism, such as decreased stomach intake, weakness, mild edema, etc., which are more common in middle-aged women.

From the clinical manifestations, simple goiter is generally asymptomatic, and severe goiter only has compression symptoms and no other discomfort; Hyperthyroidism has symptoms such as heat intolerance, excessive sweating, hyperphagia, weight loss, diarrhea, irritability, emotional instability, and if the condition is severe, there can also be exophthalmos.

If the above manifestations are atypical and not easy to identify, it is best to go to the hospital to take blood to test thyroid function (T3, T4, TSH), and simple goiter has no increased thyroid function.

In addition, it is necessary to pay attention to physiological hyperthyroidism, including adolescent hyperthyroidism, pregnancy and lactation. All of them are temporary, and they can be cured after this special physiological period, so those who are not seriously ill do not need to **.