Can hyperthyroidism be cured? How is it treated?

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.

Before thyroid surgery, the endocrinologist must control and stabilize the hyperthyroidism, otherwise it is easy to develop hyperthyroid crisis. The general process of the programmed ** program for hyperthyroidism is as follows: 1. Use the drug for 2 to 3 months under the guidance of an endocrinologist.

If the drug** works well, a course of the drug** can be given in small doses**. 2. If the drug ** hyperthyroidism is unstable within half a year, you can try to switch to radioactive iodine** or surgery**. If there are no contraindications to radioactive iodine**, radioactive iodine** can be chosen; If radioactive iodine** is contraindicated, surgery may be an option**.

3. No matter which ** plan is adopted, you cannot go without seeing a doctor for a long time, and you need to follow up with an endocrinologist in order to better adjust the follow-up**. Many patients do not understand the relevant knowledge, see a doctor and ** very blindly, and often have unsatisfactory situations, such as improper grasp of the indication of radioactive iodine**, and hypothyroidism occurs soon after radiation**.

My mother has hyperthyroidism, the main thing is to pay attention to eating, eat more light, and there is basically no big problem with the diet control.

What should I do if I have hyperthyroidism? Is it antithyroid drugs, radioactive iodine-131**, or surgery?

The main measures of hyperthyroidism are drugs, radioactive iodine-131, surgery, etc.

Patients with hyperthyroidism will have symptoms of rapid heartbeat, and some patients will also have symptoms such as fatigue, hand tremors, diarrhea, and low-grade fever.

Drugs**:** The most commonly used hyperthyroidism is antithyroid drugs, which can directly reduce the synthesis of thyroid hormones and gradually normalize thyroid glandular hormone in the body.

Radioactive iodine-131**:

Radioactive iodine-131 is a type of iodine that can emit radiation and directly destroy thyroid follicles. Without follicles, you can't synthesize thyroid hormones, and you can ** hyperthyroidism.

Surgery**: Surgery may be required in patients with significant thyroid enlargement and a high suspicion of thyroid malignancy, or hyperthyroidism where the enlargement compresses the trachea and causes dyspnea.

The central idea of the surgery is to cut out part or even the entire thyroid gland. Specifically**Please follow your doctor's instructions.

At present, there are three main methods of hyperthyroidism, including internal medicine antithyroid drugs (ATD), nuclear medicine 131i, and surgery.

Internal medicine ATD** is effective and relatively mild, and the dosage can be adjusted in time during the process. The disadvantage is that the time course is long, and it usually takes 1-2 years to standardize the medication; During the period, ATD may cause damage to liver and kidney function and hematopoietic system, and frequent laboratory tests are required during the period, and if it occurs, the drug needs to be discontinued. In addition, the disadvantage of ATD** is that it is easy to hyperthyroidism when the drug is stopped or reduced**, and the ** rate of ATD** has been reported to be around 40 -60.

The method of 131i is simple, usually only one time to take 131i, the symptoms of hyperthyroidism begin to be effective and improve in 1 month after **, most of them reach clinical ** after 3 months after taking the drug, and can reach 90 in half a year. 131i** does not cause damage to liver and kidney function and hematopoietic function. Therefore, it is suitable for those patients with hyperthyroidism who have abnormal liver and kidney function or low blood cells due to ATD**.

Some patients with no significant improvement or incomplete remission of symptoms after half a year of 131i** can be retreated with 131i. A major complication of 131i** is hypothyroidism, which has been shown in most people after 131i** (early hypothyroidism) that occurs within one year of thyroid hormone replacement**; However, hypothyroidism (advanced hypothyroidism) that develops after 131i** one year often requires a longer period of conditioning or lifelong thyroid hormone replacement**.

Surgery ** usually uses subtotal thyroidectomy ** hyperthyroidism, which relieves the symptoms of hyperthyroidism quickly, suitable for patients with hyperthyroidism and nodules, the main disadvantage is that it is traumatic, and its ** effect is related to the clinical experience of the surgeon; In some cases, it may cause surgical complications such as recurrent laryngeal nerve damage and hypoparathyroidism. Some patients still have hyperthyroidism** or hypothyroidism after surgery.

There is no "acute phase" of hyperthyroidism from the point of view of the development of the disease. Clinically, thyroid storm is generally regarded as an acute and severe case of hyperthyroidism, which requires emergency medical treatment and timely rescue, which can be understood as the acute stage.

Thyroid storm is more common in patients with hyperthyroidism or insufficiency, and should be rescued in time once it occurs. First of all, the water and electrolytes are quickly corrected.

and acid-base balance disorders, keeping vital signs light. At the same time by drugs (propylthiouracil, iodine, propranolol.

Glucocorticoids, etc.) inhibit the synthesis and release of thyroid hormones and fight stress states, and if necessary, reduce the level of thyroid hormone in the blood by dialysis.

Patients with comorbidities and complications should be given symptomatic conditions, including oxygen supply, prevention and treatment of infection, etc. Patients with high fever should be given physical cooling.

Avoid acetylsalicylic acid.

Drugs (eg, aspirin, because acetylsalicylic acid can increase the level of free thyroid hormone in the blood.

What are the general** measures for hyperthyroidism?

Generally** symptoms of hyperthyroidism include rest, regular exercise, quitting smoking and limiting alcohol, supplementing with adequate calories and nutrients, and controlling the amount of iodine in the diet.

Care should also be taken to avoid the use of iodine-containing drugs (eg, amiodarone.

and iodine-containing contrast agents to reduce the intake of foods high in iodine such as kelp.

Hyperthyroidism, or hyperthyroidism, is a manifestation of hyperthyroxinemia caused by excessive thyroid hormone secretion, which is secreted and synthesized from thyroid cells. **Mainly includes the following:

1. Oral anti-hyperthyroidism drugs**: that is, ATD, inhibits the thyroid synthesis pathway;

2. Iodine-131 radionuclide**: mainly through thyroid cells, the molecules containing nuclides are absorbed into the thyroid gland to cause short-distance destruction, and thyroid function hormones will be reduced in the long run;

3. Surgery**: The thyroid gland is removed, and the symptoms of hyperthyroidism can be relieved at this time.

Different patients have different drug sensitivities, and patients who are sensitive to drugs can take drugs**, and if the drug** is not effective, iodine-131 or surgery** can be selected to alleviate the condition.

For different causes of hyperthyroidism, it is effective and safe to be individualized. If it is diagnosed that hyperthyroidism is thyrotoxicosis caused by various inflammations and destruction of the thyroid gland, the doctor will recommend that you do not need special drugs**, do not intervene, and have regular follow-ups, because it can completely resolve on its own. If it is due to the most common such as diffuse goiter with hyperthyroidism, or if there is hyperthyroidism after many years of thyroid nodules, or if there is a hyperthyroid nodule with hyperthyroidism, or if there is a thyroid nodule with hyperfunction.

For the different reasons for the diagnosis of the diagnosis, the doctor will communicate with us and choose an individualized approach.

The most common hyperthyroidism is called diffuse goiter with hyperthyroidism, and there are three methods, including surgery, drugs or nuclear medicine, of course, these three methods are carried out on the basis of general.

First of all, it is necessary to avoid overexertion, because excessive tension and exertion is not conducive to the recovery of hyperthyroidism. In addition, we must pay attention to the iodine-free diet, but iodine-containing salt does not necessarily have to be replaced with iodine-free salt, kelp seaweed can not be eaten, and at the same time add a variety of fresh vegetables, fruits, meat, eggs and milk, increase nutrition, but also moderately, because the weight will recover after hyperthyroidism is controlled to prevent further weight gain. Also, be sure to quit smoking, as smoking can aggravate thyroid proptosis.

When choosing drugs, surgery or isotopes, the doctor will tell us when there are contraindications, such as drug allergies, you can't use drugs **hyperthyroidism, or if you have a serious ***, you should avoid antithyroid drugs, such as pregnancy and lactation, you can't choose isotopes**, or if you have a severe thyroid proptosis, isotopes** may also be aggravated. The doctor will evaluate the pros and cons of the method, and at the same time, the doctor will instruct us to have regular check-ups, for example, if you can't use antithyroid drugs and don't come to the hospital for examination after the last dose, you may not be able to evaluate the efficacy, and you can't grasp the safety.

Therefore, different causes of hyperthyroidism, the method of choice is not the same, the best way to hyperthyroidism must be their own **different, individualized at the same time**program is also individualized, the most important thing is effective safety, prevention**.

Hyperthyroidism is the abbreviation of diffuse goiter with hyperthyroidism, hyperthyroidism is a disease that can be the best disease, there are currently three ways to hyperthyroidism: 1. Oral drugs, mainly to inhibit thyroid hormone synthesis to achieve the purpose of hyperthyroidism, because the drug has an inhibitory effect on the synthesis of new thyroid hormones, and has no effect on the thyroid hormone that has been synthesized, so it takes effect 3 weeks after medication, because the half-life of thyroid hormone is 2-3 weeks. 2. Nuclide iodine-131**, which uses radionuclides to destroy thyroid cells to achieve the purpose of high and low rate.

3. Thyroid surgery, resection of a part of thyroid tissue to achieve the best effect. At present, the first of the above three methods is the first of the three methods, and the specific method is formulated by clinicians according to the patient's symptoms, signs, and laboratory tests.

Hello! Regarding the ** method of hyperthyroidism, there are generally three methods, one is medication**, one is surgery**, and the other is radioactive iodine**. There are a number of factors that should be taken into account in how to use and which method to choose.

If it is a sudden hyperthyroidism or an adolescent, mild thyroid enlargement, and the condition is relatively mild, drugs should be chosen**. If the thyroid gland is obvious after the drug, there is hyperthyroid heart disease or impaired liver function, radioactive iodine should be used at this time. If the thyroid gland is large, and there is a nodular goiter with hyperthyroidism, or if hyperthyroidism with nodules cannot be ruled out as malignant, then it is necessary to actively undergo surgery**.

There are three main aspects of hyperthyroidism:

1. Drug**: Drug** is more common, and there are currently two main drugs for the thyroid gland, one is methylthiouracil, also called saizhi, and the other is propylthiouracil, also called propylthiohydride. Methylthiouracil is usually chosen, unless propylsulfide is chosen during pregnancy.

Usually hyperthyroidism can be cured, it can be completely **, the drug ** takes about two years, most people have no problem stopping the drug, and 30%-40% of people will ** after stopping the drug for 2-3 years. If **, the duration of use of the drug can be prolonged.

Methylthiouracil cannot be used during pregnancy because it can pass through the placental barrier and affect the child. The problem with the drug is that it can cause liver damage and can also lead to a decrease in white blood cells, so the liver function will be monitored when using the drug, and if the white blood cells are low, corresponding measures will be taken. For example, according to the laboratory indicators, methylthiouracil is used, 3 times a day, 1 tablet at a time, and rechecked after 1 month, the indicators are better, and it can be reduced to 2 times a day, 1 tablet at a time, and then blood will be drawn after 1 month, and then it will become 1 tablet 1 time a day.

If you draw blood every month, the index is not bad, it will be reduced to half a tablet or even 1 4 tablets, and the last 1 4 tablets or half a tablet will be maintained**, ** for a long time, this is the most common method, there is no harm to the human body;

2. Radioactivity of iodine-131**: iodine-131** kills all thyroid cells through radiation, which has the advantage of being convenient, one-time solution, and no need to repeatedly check**, but the disadvantage is that it is easy to kill too many thyroid cells and become hypothyroid. Hypothyroidism is a lifelong condition that requires lifelong medication;

3. Surgery**: iodine-131** and surgery**, which is destructive**, the thyroid gland is cut off by surgery, and it will not be hyperactive after being cut off, which is also a destructive method, unless there is a tumor, nodules, etc., surgery will be selected**.

There are three main types of hyperthyroidism: oral medication, radioactive iodine, and surgery.

Patients with hyperthyroidism are generally the first choice of anti-hyperthyroidism drugs**, anti-hyperthyroid drugs mainly include methimazole and propylthiouracil, liver function and blood routine need to be monitored during the taking process, some people taking anti-hyperthyroid drugs will cause a decrease in white blood cells or an increase in liver function, timely detection and give the corresponding hepatoprotective and white-white drugs, if there is a serious abnormal liver function or white blood cell decline, anti-hyperthyroid drugs need to be stopped. During the course of taking antihyperthyroid drugs**, thyroid function needs to be monitored regularly and the dosage of the drug should be adjusted. Generally, it takes more than one and a half years for hyperthyroidism to take anti-hyperthyroidism drugs, and there is a certain rate after stopping the drug.

For adverse reactions to taking anti-hyperthyroidism drugs, or if taking drugs for hyperthyroidism does not heal, it is recommended to undergo iodine 131** or surgery**. Iodine-131** hyperthyroidism is usually a one-time dose of isotope iodine, which is simple and convenient, but the incidence of permanent hypothyroidism is high, and it is not suitable for patients with exophthalmos.

Hyperthyroidism can also be treated with a large thyroidectomy**, and surgery**Hyperthyroidism may have surgical complications, such as the possibility of mistaking the parathyroid glands, resulting in hypoparathyroidism, or damage to the recurrent laryngeal nerve, resulting in hoarseness. Therefore, patients with hyperthyroidism must choose carefully under the guidance of a doctor according to their own hyperthyroidism.