Since the summer of this year, sustained high temperature heat brought hundreds of tough, sweating, but also to the season of high incidence
Since the summer of this year, sustained high temperature heat brought hundreds of tough, sweating, but also to the season of high incidence of hyperthyroidism. We found in the clinic, with the hot weather, to the hospital the recurrence of hyperthyroidism and new patients increased gradually, nearly half of the old patients with hyperthyroidism symptoms have increased, and multiple at the age of 20 - 50 year old female, the incidence rate of female is higher than male.
Temperature is an important Troubles start inside the house., predisposing factors of hyperthyroidism
From the outpatient treatment of recent summer, Shanghai entered a period of high incidence of hyperthyroidism, number of patients than in autumn and winter increased, patients include three parts: one is primary hyperthyroidism, two is the recurrence of hyperthyroidism, hyperthyroidism is three increase. Hyperthyroidism is due to thyroid function increase, excessive secretion of thyroid hormone, caused by the oxidation process accelerated, a common disease of the thyroid metabolic rate increased, patients mainly increased nerve excitability, a high metabolic state, will appear palpitations, insomnia, tremor, sweating, heat intolerance, fever, fatigue, eat lean other symptoms. As we all know, the summer human metabolism will accelerate, the body's stress situation increased, thyroid hormones also change. Hyperthyroidism itself is a metabolic disease, so in the summer is more likely to attack or recurrence. The heat will make it easier for people to mood swings, will the occurrence or aggravation of symptoms induced by hyperthyroidism, hyperthyroidism patients are prone to sweating, irritability. In patients with hyperthyroidism in young female is much, probably due to the pressure of work life, great mental stimulation and inducement effect, more women than men are more prone to autoimmune dysregulation, caused by excessive secretion of thyroid hormone and cause hyperthyroidism, and hormone level disorder is one of the incentives. Hyperthyroidism may also cause severe hyperthyroidism crisis, fever, tachycardia, shock, coma and other serious life-threatening conditions. For older people, may not have typical symptoms of palpitation, emaciation, diarrhea, but heart uncomfortable may be the first manifestation of hyperthyroidism, when the elderly suffer from atrial fibrillation and other health problems, also need to be excluded if caused by hyperthyroidism.
A matter of expediency, hyperthyroidism patients how to survive the summer
Because in the summer easy to attack or recurrence of hyperthyroidism, the summer should avoid high temperature, avoid long time under high temperature outdoors; don't stay up late, schedule to the law; try to resolve work, life stress and anxiety, avoid excessive emotional fluctuations; try not to smoke, reduce the incidence of hyperthyroidism.
Because of too much thyroid hormone leads to increased metabolism in patients with hyperthyroidism. Therefore, it is very important for the patients with hyperthyroidism to have enough and balanced diet. We suggest to control the intake of iodine containing food and drug, iodine is thyroid hormone synthesis of raw materials, can be induced by hyperthyroidism, should reduce the high iodine content in foods such as kelp, seaweed and other various iodine contrast agent, also should be used with caution; avoid spicy food, smoke, wine, drink coffee, tea, because eating spicy food is easy to cause the body fever sweating; exophthalmos patients should have a low salt diet or with diuretics to reduce the swelling in the eye, go out wearing dark glasses anti glare; restriction of dietary fiber, enhance gastrointestinal peristalsis, should be limited to a high fiber diet; ensure the supply of protein, animal protein has the effect of stimulation, should eat less, in soybean and vegetable protein, meat and milk. For pork, goose, duck, rabbit meat, fish, milk, egg and so on; to increase the supply of heat, should be given enough carbohydrates to increase vitamin; The supply of patients with hyperthyroidism should choose more B1 vitamins and vitamin B2 and vitamin C rich food, appropriate to eat animal offal, eat fresh green leafy vegetables; trace elements, due to increased intestinal peristalsis, hyperthyroidism diarrhea caused by reducing the absorption of trace element, barium, magnesium, manganese, zinc, antimony etc. significantly reduced, hyperthyroidism and low potassium periodic paralysis, which can choose orange, apple and other potassium, sugar can cause blood potassium into the cell, leading to low blood potassium, should eat less sweets.
The long term, select the appropriate method of radical
For the treatment of hyperthyroidism, there are three methods: drug treatment, surgical treatment, isotope iodine -131 treatment, the three treatment methods have their own advantages and disadvantages. Is the most commonly used drugs, because the endocrine mechanism is very complex, a lot of details of the medical profession has not yet clear, drug treatment is usually required a longer time, the basic course of 1-2 years or more, and a high rate of recurrence. At present, whether it is anti thyroid drugs (such as thyrozol) or imidazole thiourea (such as PTU) have a certain probability to cause leucopenia or neutropenia, liver function damage, vasculitis and teratogenic and other adverse reactions or events.
Hyperthyroidism can also be treated with surgery, it seems as long as the simple removal of some thyroid glands can be. However, there is a certain risk of surgery, and the recurrence rate is not low, because there are a lot of important vessels and nerves around the thyroid gland, especially the recurrent laryngeal nerve. If the injury of the nerve in the operation, the patient will appear hoarseness sequelae, anesthesia accident and surgical scar is also the patients do not want to see.
Hyperthyroidism treatment there is a better "weapon", that is, isotope iodine -131, called hyperthyroidism treatment "magic weapon", the method is simple, economical, convenient, cure rate is high, and the recurrence rate is low. At present, most countries have been included in the preferred method of hyperthyroidism. Why have so isotope iodine 131 treatment effect? Because the process of thyroid hormone synthesis, iodine is the essential raw materials, which must be used in the treatment of 131 isotopes of iodine and iodine with human physiological and biochemical characteristics of the same, so the same of thyroid tissue isotope iodine 131 absorption and enrichment ability height. 25 times in the thyroid iodine concentration in general can reach the plasma concentration in patients with hyperthyroidism, because of the speed and quantity of thyroid hormones are added, at this time of the isotope of iodine 131 concentration higher, up to 80 ~ 90%. The effective half-life of isotope iodine 131 in thyroid gland was 3.5-4.5 days. A large number of concentrated isotope iodine 131 makes the thyroid radiation, part of the thyroid tissue is destroyed, so that the reduction of thyroid hormone production, hyperthyroidism remission or cure.