Treatment of thyroiditis, how to treat thyroiditis

Dr. Ma from Chongqing National Defense Hospital introduced that there are a variety of ** measures for subacute thyroiditis, including thioureas, thyroid-stimulating hormone and thyroid hormone that suppresses the amount. The evidence that the use of these drugs affects the disease process is not convincing.

**Includes two areas: to alleviate local symptoms and to target the effects of thyroid dysfunction. In general, most patients are treated symptomatically only.

Aspirin or other analgesics are used in mild cases. Symptoms can be controlled with p-acetaminophen or salicylate; In severe cases, such as pain and fever, other non-steroidal anti-inflammatory drugs can be used for a short period of time, or glucocorticoids, such as prednisone, which can quickly relieve the clinical manifestations, and about 5% of patients need corticosteroids to reduce symptoms, continue to take the drug for 1 2 weeks or even 4 8 weeks and then reduce the dose for a total of 6 8 weeks. If the patient does not respond to prednisone for 24 to 48 hours, the diagnosis of subacute thyroiditis should be reassessed.

In **, with the change of erythrocyte sedimentation rate, it can guide the medication if the condition requires, and the restart of prednisone is still effective, but corticosteroids do not affect the natural course of the disease, if the corticosteroid is withdrawn too much and too quickly, it will worsen the condition. It has also been suggested that if glucocorticoids are used continuously, the dose used to keep the patient asymptomatic until the rate of radioactive iodine uptake returns to normal may avoid the use of antithyroid drugs** in patients with hyperthyroidism, usually with nonspecific drugs such as the oral blocker propranolol. Because hyperthyroidism is temporary, and low iodine uptake by the thyroid gland is not an indication for radioactive iodine**.

These drugs disrupt the synthesis of thyroid hormones, but the excess thyroid hormone in the blood of subacute thyroiditis is due to the leakage of T4 and T3 from the destroyed follicles, not due to increased synthesis and secretion, and thiourea antithyroid drugs are not required. The hypothyroid phase of the disease is also often temporary, and there are usually few symptoms of hypothyroidism, so thyroid hormone replacement is not required**, and increased TSH secretion is important for the recovery of thyroid function. Thyroid hormones** should be contraindicated unless the patient has significant symptoms of hypothyroidism.

Patients with mild hypothyroidism do not need to be treated. However, it has been argued that thyroid agents such as L-thyroxine sodium can be used in patients with hypothyroidism to prevent recurrence of the condition caused by elevated TSH. In more severe cases, thyroid hormones may be replaced for a period of time.

About 10% of patients can develop permanent hypothyroidism, and long-term thyroid replacement is required**It is said that traditional Chinese medicine has a good ** effect on the acute phase of the disease.

At present, the most advanced and effective, it is recommended to use the characteristic Chinese medicine TH magnetic medicine immune balance, inherit the traditional Chinese medicine to treat both the symptoms and the root causes, pure Chinese medicine extraction technology, syndrome differentiation, green, effectively avoid surgical trauma, Western medicine, not thorough.

The TCM includes instruments, TCM acupuncture, drug cupping, acupuncture, TCM dressing penetration, fumigation and absorption, internal and external treatment, etc., and you can choose the most suitable way for you according to your condition.

Thyroiditis is a relatively common disease, it occurs more in women, and it is still necessary to know about it in time, so how to take a look at thyroiditis.

1.First, hyperthyroidism should be treated conservatively** and usually only blockers are required. Antithyroid drugs, surgical, and radiation** are contraindications.

Transient hypothyroidism may require thyroid hormone replacement**. Although some can be permanently hypothyroid, most thyroid function returns to normal, so thyroid function is reassessed after 6 to 12 months.

2.Second, patients with mild goiter and asymptomatic can not be **, and should be followed up for observation. Thyroid preparations should be given when the thyroid gland is markedly enlarged or hypothyroid, even if only serum TSH is elevated**.

Rapid goiter enlargement, pain, or compression may be treated with short-term glucocorticoids**. Hashimoto's hyperthyroidism should be treated with low-dose antithyroid drugs**, generally without 131 iodine and surgery**, so as not to cause severe hypothyroidism.

3.Third, corticosteroids are recommended for more severe and prolonged cases, which will disappear completely within two days after use, but this will have a certain amount of ***. When the thyroid radioactive iodine uptake returns to normal, it will be over and the condition will get better.

Precautions. Patients with thyroiditis must pay attention to their diet and do not eat salty food, nor do they eat seafood and other foods. Don't eat spicy food, don't drink alcohol, and don't eat fatty and greasy foods.

Does your neck still hurt?

Treating the disease is actually very simple, but it requires frequent follow-up.

Subacute thyroiditis has viral pharyngitis, mumps, measles, viral upper respiratory tract infection (i.e., viral infection) 1 to 3 weeks before the onset of the disease. The thyroid area is obviously painful and tender, and the pain is aggravated when turning the head and especially when swallowing, and there may be general malaise, loss of appetite, muscle pain, fever, and excessive sweating. There may be symptoms of hyperthyroidism during this period, but not hyperthyroidism!

Unilateral thyroid enlargement is a self-limiting disease with a good prognosis.

Take dexamethasone and viralin, and recheck after 20 days. When symptoms decrease, the drug is gradually reduced to discontinued. During this period, thyroid function is monitored and adjusted in time.

Medication adjustments should be made as directed by a doctor, as dexamethasone cannot be increased or decreased on its own. So as not to bring bad effects.

It is better to take traditional Chinese medicine, hormone drugs have a great negative effect, I have had this disease, and I saw it in the Sino-Japanese Friendship Traditional Chinese Medicine Surgery Department in Beijing, and the effect is good.

Right-sided thyroid pain for more than a month.

Subacute thyroiditis is a self-limiting disease, most of which can be cured, and the general course of the disease is 2 to 3 months, but it can also be more than a few weeks to more than half a year, and a few patients**. There is no specific approach to subacute thyroiditis, and the goal is to eliminate symptoms and correct thyroid dysfunction.

1) In the early stage, it is mainly to reduce inflammation and relieve pain. For mild cases, nonsteroidal anti-inflammatory drugs such as aspirin (1 3 g orally divided doses), indomethacin (75 150 mg orally divided doses), or cyclooxygenase-2 inhibitors (caution should be used in patients with cardiovascular predisposition).

2) For patients with severe pain, elevated body temperature, and ineffective use of the above drugs, adrenal corticosteroids can be used. It can significantly relieve pain and thyroid swelling a few hours after administration, and is used in patients with severe symptoms. Such as prednisone 20 40 mg a day, taken in divided doses.

The dose can be tapered after complete remission of symptoms for 1 to 2 weeks, and then slowly reduced according to changes in symptoms, signs, and ESR for a total duration of 6 to 8 weeks. Rapid dose reduction and premature discontinuation of the drug can cause the disease to recur, and care should be taken to avoid it. After discontinuation of the drug, such as**, it can be repeated**.

3) When methylene inflammation has symptoms of hyperthyroidism, propranolol (propranolol)**, 10 20 mg times, 3 times a day, once the thyroid function returns to normal, it can be stopped.

4) For patients with hypothyroidism, thyroid hormone can be added, thyroid tablets 40 120 mg or L-T4100 200 micrograms a day, pay attention to avoid suppressing TSH too low. After a few months, the dose is tapered and finally discontinued.

5) The prognosis of methyleneitis is good, generally there is no **, and surgery is generally not required. Severe anti-** painful methyleneitis, when other ** are ineffective, or accompanied by thyroid tumors, surgical resection can occasionally be considered.

Western medicine**: pay attention to rest, choose sensitive antibiotics according to the type of bacteria in the concentrated fluid, and when the concentrated liquid cannot be formed or conserved** to make the infection subside, surgical incision and drainage should be performed.

Guiding opinions: 2) Traditional Chinese medicine**: This disease book is a carbuncle, and it should be eliminated internally. Puji disinfection drink is the best prescription for warm diseases, the medicine has obvious antiviral and antibacterial effects, because it contains cimicifuga, bupleurum, and bellflower, the medicinal power rises and rises, and reaches the sick place, so it is more powerful for the gall of the neck, and it is better than the five-flavor disinfection drink.

Emphasis is placed on early diagnosis and treatment. In the early stage, it is advisable to apply cold compresses locally, and hot compresses in the later stage.

Hello, it is recommended that you have further examination in a regular hospital, do 7 thyroid skills, and follow the doctor's instructions according to the indicators of the drug, and do not use the drug privately**.

Hello, according to the question you asked, subacute thyroiditis, not every other can be fully manifested, but if the pain is severe, it must be necessary to use hormones**, if it is not painful, he can be better.

Hello, it is recommended to check thyroid function, thyroid ultrasound and blood image, etc., and need to consider medication in combination with the results of the examination, such as the combination of glucocorticoids and antibiotics.

Hello, according to your situation, you now have subacute thyroiditis, this disease is clinically manifested as fever, body aches and other symptoms, it is recommended that you should prescribe the right medicine in the process, you should go to a large hospital for examination, and then follow the doctor's instructions, take medicine in time. Most people can be ** good, mild patients can be suppressed with drugs such as aspirin, in the case of the doctor's instructions.

Go to the hospital to find out the situation, in progress**.