What is the best treatment for hyperthyroidism?

In fact, there are still individual differences in patients with hyperthyroidism**, and it is recommended to find a professional doctor to evaluate according to the specific situation of the individual. If there is a need for the fastest curative effect, it is of course the first method of surgical excision or iodine-131. However, these two methods, although fast, also have some drawbacks, such as easy hypothyroidism or **, as well as some complications, etc., so it is still necessary to weigh the pros and cons.

Approaches to hyperthyroidism include antithyroid drugs to reduce thyroid hormone synthesis, iodine-131** to reduce thyroid tissue, or subtotal thyroidectomy. In Europe and Japan, antithyroid drugs are predominantly used, while radioactive iodine is the first-line option in North America, and these differences in choice reflect the lack of an ideal regimen for hyperthyroidism. At the same time, patients may need a variety of ** to alleviate the condition, so everyone's ** is different, in general, relatively mild hyperthyroidism, if there is no adverse reaction after taking medicine, you can choose oral medication**.

If hyperthyroidism is repeated, radioactive iodine can be recommended at present, and surgery is suitable for patients who are antithyroid drugs, but are unwilling to undergo radioiodine.

What is the convenience of hyperthyroidism** is better, hyperthyroidism has the disease of hyperthyroidism. You have to go through a professional doctor to give you **, otherwise, the consequences are really serious.

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

Hello, for hyperthyroidism, we must first judge the degree of the condition and, according to thyroid ultrasound and specific thyroid function, the method is generally oral antithyroid drugs, and secondly, severe hyperthyroidism patients can also be iodine 131 radiation** and surgery**, depending on the patient's condition.

There are three approaches to hyperthyroidism, antithyroid drugs, radioactive iodine, and surgery.

Antithyroid drugs** are suitable for a wide range of applications, whether adults and children, men or women, mild or severe hyperthyroidism, the first onset or hyperthyroidism**, pregnant women or breastfeeding women can use drugs for hyperthyroidism**. 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.