Three methods for the treatment of hyperthyroidism

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The commonly accepted methods of treating hyperthyroidism include drug therapy, subtotal thyroidectomy and radioactive iodine 131 treatment.

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The commonly accepted methods of treating hyperthyroidism include drug therapy, subtotal thyroidectomy and radioactive iodine 131 treatment.

1, antithyroid drugs, mainly methimazole (methimazole or propylthiouracil). The utility model has the advantages of small possibility or resulting in hypothyroidism, temporary hypothyroidism, but drugs can be restored. Antithyroid drugs for most people. Disadvantages: uncertain efficacy, easy to relapse, have reported recurrence rate 50%-60%; treatment for a long time, the majority of 2-3 years, more side effects (especially the inhibition on the blood system, skin allergies have influence on liver, etc.) need to periodically check the T3, T4, TSH, liver function, blood routine by adjusting antithyroid drugs dose. At present, many areas and hospitals in the country as an anti thyroid drugs or as a basic treatment of hyperthyroidism, is widely used.

2, the advantages of surgical treatment: clear curative effect, short treatment cycle. The biggest shortcoming: the hyperthyroidism surgery risk is bigger, the surgery wound is bigger, the expense is high. After surgery, there will be a scar left, affecting the appearance. Parathyroid injury leads to hypoparathyroidism and recurrent laryngeal nerve injury, the incidence rate is 1% ~ 2%, and the occurrence of complications is related to the doctor's skill and experience. The recurrence rate was 10%. 5% to 10% of patients in the postoperative thyroid function. Europe and the United States and other countries and some large hospitals endocrine professional doctors are no longer recommended surgery for hyperthyroidism.

3, radioactive iodine 131 do not have to operate, but can achieve the same effect, eliminate the swelling of the thyroid. Three months after the first treatment. The advantage is that 131 iodine treatment of other body tissues without damage, the cure rate is high, so the American Society of Clinical Endocrinology (AACE) and the American Society of thyroid (ATA) recommended 131 iodine as the first choice for the treatment of hyperthyroidism. Hyperthyroidism in elderly patients with multiple diseases, can not adhere to medication or can not tolerate surgery, 131 iodine treatment is also an ideal treatment option. The biggest advantage: a drug, curative effect is clear, suitable for most people (pregnant women is not appropriate). A cure rate of more than 90%, the total effective rate of more than 95%, the recurrence rate was only from 1% to 4%, the ineffective rate was about 2% ~. There were no side effects such as no allergy, white blood cell decrease, liver damage, and low cost. The disadvantage is: most patients will appear hypothyroidism (hypothyroidism), but can take thyroid tablets to maintain thyroid function, as long as the early detection, treatment is simple and effective. The patients with absolute contraindication were hyperthyroidism and pregnancy; patients younger than 5 years old.

 

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