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Md. Naim Hasan Student
Jul 06, 2022
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Ye Meicheng pointed out that patients usually do not have all symptoms, mild cases only have 1 or 2 symptoms, and severe cases will have multiple and more severe symptoms. The symptoms of hyperthyroidism are not specific, and often appear slowly and gradually increase, which can easily be ignored and delayed treatment. For example, if you are easily fatigued, you mistakenly think that it is due to work tiredness; if you become afraid of heat, you will think it is due to the hot weather. There are three treatments for hyperthyroidism: 1. Taking "anti-thyroid drugs ": Inhibit the thyroid from producing too much thyroxine, which can control the disease but cannot cure it. When the condition is relatively stable, the doctor will consider stopping the drug according to the blood value, but there is still a possibility of relapse. Some patients need to continue the drug for a lifetime, and some patients can stop the drug for several years. Some people with special constitution will have serious drug side effects such as allergy, jaundice, hepatitis, and leukopenia. 2. Radioactive iodine therapy : Eating radioactive iodine will slowly destroy thyroid cells, and eventually hypothyroidism will occur. Supplementary thyroxine drugs must be taken for Photo Restoration Service life to maintain the normal metabolic balance of the human body. Usually, hyperthyroidism will not recur. 3. Thyroidectomy : After thyroidectomy, if too much is removed, hypothyroidism may occur; if too little is removed, the therapeutic effect is limited. In addition, thyroidectomy may also injure the recurrent laryngeal nerve, causing hoarseness, or injuring the parathyroid gland, with an incidence ranging from 1 to 3%. Ye Meicheng pointed out that the three treatment methods have their own advantages and disadvantages. Currently, oral drugs are the first-line treatment. If the drugs cannot be controlled, or if there are serious drug side effects due to personal constitution, then consider whether surgery is necessary. Ye Meicheng emphasized that mild hyperthyroidism is not life-threatening, but if it is not treated for a long time, the disease will become more and more serious, and it may deteriorate into a "thyroid storm". When a thyroid storm occurs, in addition to a number of symptoms, in severe cases, there will be heart failure, respiratory failure, and even multiple organ failure, and the fatality rate is extremely high. "Thyroid storm" usually occurs when the patient has been ill for a period of time but has not received treatment; or has received treatment but failed to take medicine on time; recent trauma, surgery (thyroid or non-thyroid surgery), infection, childbirth and other stress; It is caused by accidentally ingesting a large amount of iodine and other inducing factors. In addition, some patients with hyperthyroidism will be combined with "periodic paralysis of hypokalemia", and they will suddenly experience weakness in both lower limbs when they wake up in the morning. This is because potassium ions temporarily run into the cells, causing the extracellular potassium ions to be too low, resulting in hypokalemia and weakness in the lower extremities, which are more common in men.
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Md. Naim Hasan Student

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