Jobben s thyroiditis, thyroid nodules Joben s thyroiditis

Hashimoto's thyroiditis is a type of chronic lymphocytic thyroiditis, **unknown, with the interaction of genetic factors and autoimmune factors, and some can be accompanied by pernicious anemia, systemic lupus erythematosus, rheumatoid arthritis, etc. More than 90 of this disease occurs in women, clinical can be asymptomatic, the main manifestation of thyroid ** diffuse enlargement, a few (less than 5) can have hyperthyroidism, the course of the disease is long, most of them can gradually develop and appear hypothyroid. **There are several aspects to pay attention to:

Goiter enlargement or hypothyroidism requires thyroid tablets or L-T4 replacement**; Patients with mild hyperthyroidism can be treated symptomatically with oral receptor blockers, and slightly severe patients can be treated with oral thioureas or imidazoles according to hyperthyroidism**; If the thyroid gland is small and there is no obvious compression symptom, it can be observed regularly without other treatment.

Anti-TG antibody Thyroid peroxidase autoantibody TPO, most of the reasons are caused by inflammation of the thyroid gland and increased release of thyroid hormone into the blood. Traditional Chinese medicine can be antiviral, can clean up the release of thyroid hormones into the blood, can start from the patient's local lesions and systemic symptoms, from the overall regulation of clinical symptoms to improve or even disappear, re-examination of thyroid function TG TPO within the normal range, then the dose of traditional Chinese medicine can be reduced and stopped. In order to **.

We have the same symptoms, I went to Chengdu West China Hospital for treatment, and I just started going, but I am younger than you, and I will be 18 years old in Chongqing, China.

Hello, "thickened neck, significantly elevated anti-TPO and anti-TG, normal thyroid function, ultrasound showed goiter and increased blood flow", which is consistent with the diagnosis of "Hashimoto's thyroiditis";

Hashimoto's thyroiditis is a chronic inflammatory autoimmune disease that uses its own thyroid tissue as the antigen, some patients will manifest as hyperthyroidism in the early stage, most of the thyroid function has no change, and there are no abnormal symptoms, but with the prolongation of the course of the disease, most of them will develop hypothyroidism, which cannot be interrupted temporarily, and thyroid hormone supplementation is required during hypothyroidism**;

1) Hashimoto's thyroiditis for iodine intake should be based on the level of thyroid function, Hashimoto hyperthyroidism must not be eaten, Hashimoto hypothyroidism can be eaten, and there is no need to pay special attention when thyroid function is normal;

2) Eunaila is a sodium levothyroxine tablet, an artificially synthesized thyroid hormone, which is harmless to the human body if it is not excessive;

3) The thyroid function of patients with hypothyroidism is not controlled, and it will affect the child's intellectual development after pregnancy, but from the current point of view, your thyroid function is normal, and there is no sign that it will progress to hypothyroidism in the short term, so it is recommended that you recheck thyroid function (thyroid function five or seven) and thyroid B ultrasound every 3 months.

You are Hashimoto's thyroiditis with nodules, the condition of the nodules is not very good, and it is a hormone drug, long-term use is relatively large, some patients have obesity, etc., the imbalance of hormone levels does not affect the development of the child, it is recommended that the patient adjust the condition of the body before conceiving. You are symptomatic**, take medication and diet as recommended by your doctor.

Hashimoto's thyroid disease is autoimmune thyroiditis, also known as chronic lymphocytic thyroiditis. Laboratory tests in the early stages of the disease include elevated titers of normal T3, T4, and thyroid peroxidase antibodies and, less commonly, thyroglobulin antibodies. Thyroid radioactive iodine uptake can be elevated, most often because thyroid iodine organicization disorder is accompanied by continuous iodine uptake by the thyroid gland.

Later stages of the disease develop hypothyroidism with decreased T4, decreased radioactive iodine uptake by the thyroid gland, and increased TSH. The patient presents with a goiter in the anterior neck. **This disease is mostly treated with oral thyroid tablets and adrenocorticosteroids.

Hashimoto's thyroiditis requires lifelong thyroid hormone replacement to reduce thyroid hypertrophy and hypothyroidism, which is occasionally transient. The average T4 dose is 75 150 g d

1. Give thyroid tablets or thyroxine sodium**. 2. Patients with hyperthyroidism can be given antithyroid drugs and thyroid tablets at the same time. 3. If the thyroid gland is obviously enlarged or accompanied by compression symptoms, corticosteroids can be used for a short time**.

4. If the compression symptoms are obviously ineffective by the above-mentioned **, surgery can be considered**.

Hashimoto thyroiditis, also known as chronic lymphocytic thy-roiditis, is an autoimmune disease.

It is more common in women aged 30 to 50, with insidious onset, slow development and long course of disease, mainly manifested as goiter, most of which are diffuse, a few can be localized, and some of them start with swelling of the face and limbs. The disease can be divided into eight types: (1) Hashimoto's hyperthyroidism

Patients have typical symptoms of hyperthyroidism and positive laboratory test results, and hyperthyroidism and Hashimoto's disease can occur at the same time or sequentially, coexisting with each other, and transform into each other. (2) Pseudohyperthyroidism: a small number of symptoms of hyperthyroidism may be present, but there is no evidence of hyperthyroidism in thyroid function tests, and TGAB and TMAB are positive.

3) Exophthalmos: proptosis, thyroid function can be normal, hyperactive or reduced. (4) Subacute thyroiditis type:

Onset is acute, goiter pain, with fever, and increased erythrocyte sedimentation rate, but the iodine intake rate of 131 is normal or elevated, and thyroid antibody titers are positive. (5) Juvenile type: accounting for about 40% of juvenile goiter, with normal thyroid function and low antibody titers.

6) Fibrotic type: the course of the disease is long, and extensive or partial fibrosis of the thyroid gland, thyroid atrophy, and hypothyroidism may occur. (7) With thyroid adenoma or cancer:

It is often a solitary nodule with high TGAB and TMAB titers, and (8) it is accompanied by other autoimmune diseases.

Most of Hashimoto's disease is self-limited, and if thyroid function is stable within the normal range, it does not affect the growth and development of children. There are no obvious contraindications to diet. This disease is the destruction of thyroid tissue by lymphocytes, if the function is low, a small dose of oral thyroid gland tablets is OK, its practical use is not to take traditional Chinese medicine, the composition of traditional Chinese medicine is not clear, on the contrary, it will not be ***.

For me, it's more convenient to choose a small dose of thyroid gland tablets taken by mouth. FYI.

Reply expert: Deputy Chief Physician Zhang Jianhua of the Second Artillery General Hospital - General Surgery.

At present, oral thyroid tablets and prednisone hormone are mostly used for this disease, and the effect is not ideal for reducing these two pits; Traditional Chinese medicine can be antiviral, can clean up the thyroid hormone released into the blood, can start from the patient's local lesions and systemic symptoms, from the overall regulation of clinical symptoms to improve or even disappear, and recheck thyroid function TG

If the TPO is within the normal range, the dose of traditional Chinese medicine can be reduced and discontinued.

In order to **. In particular, it provides new hope for patients with long-term disease prolongation and difficulty in hormone removal. If you are satisfied with the answer, please promptly. If necessary, please contact us and we will do our best to help.

Analysis: Chronic thyroiditis is a non-infectious autoimmune disease, also known as Jobben's disease or Jobben's thyroiditis. Chronic thyroiditis develops slowly, and most people have no special feelings, so that they already have symptoms of hypothyroidism at the time of presentation, and a few people may have mild hyperthyroidism in the early stage of the disease.

Advice: Although some patients with chronic thyroiditis have indicators and symptoms of hyperthyroidism in the early or early middle stage, surgery or isotopes** should never be administered, which will make the patient become a heavier hypothyroidism very quickly.

Nodules are one of the features of chronic thyroiditis and are the result of fibrosis following the disintegration of thyroid follicles. Because nodules are easily misdiagnosed as nodular hyperthyroidism, surgery is still performed as early hypothyroidism.