OVERVIEW
OVERVIEW
Non-thyroidal morbid syndrome is the effect of acute and chronic non-thyroidal disorders of the organism in severe disease, trauma, stress, etc. on the functional parameters of the normal thyroid gland, which itself is not diseased.
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Department
Endocrinology
Synonyms
Normal Thyroid Function Morbid Syndrome
Clinical symptoms
Usually there are no obvious clinical symptoms, mainly manifested as symptoms of the primary disease.
Hazards
A persistent decrease in thyroid hormones may cause a critical condition.
Examination
Physical examination, thyroid hormone examination, etc.
Diagnosis
Diagnosis is made on the basis of medical history and thyroid hormone examination.
Treatment
Treat the primary disease.
Curability
Aggressive treatment of the primary disease may improve symptoms.
Dietary recommendations
Nutritionally balanced diet.
Etiology
Etiology
Often associated with serious illness, trauma, stress, medications, etc.
Symptoms and Diagnosis
Typical symptoms
Generally there are no obvious clinical symptoms, mainly manifested as symptoms of the original disease, without thyroid function abnormalities.
Diagnostic basis
1. Medical history: history of non-thyroidal diseases with clear diagnosis. 2. Clinical manifestations: symptoms of primary disease without hypothyroidism. 3. Thyroid stimulating hormone levels are approximately normal. 4. (1) Low T3 syndrome: TT3 and FT3 are decreased, TT4 and FT4 are normal, TSH is normal, and rT3 is elevated. (2) Low T4 syndrome: TT4 and FT4 are lowered, while TT3 and FT3 are also lowered, TSH is normal or lowered, and rT3 may be elevated. (3) High T4 syndrome: less common, TT4 is elevated, FT4 is normal, TT3 may be normal, FT3 is normal or decreased, and rT3 is elevated.
Treatment
Treatment guidelines
Treatment of the primary disease is the main focus.
Drug therapy
Aggressive treatment of the primary disease, thyroid hormone therapy should not be given until it is clear that the thyroid gland itself is diseased or that there is a non-thyroidal morbid syndrome.
Prognosis
Prognosis is related to the primary disease, and aggressive treatment of the primary disease may improve the prognosis. Low T4 syndrome has a high mortality rate, and severe low T3 with low T4 syndrome has the worst prognosis.
Nursing care
Daily care
1. Open windows and ventilate regularly, keep the environment quiet and clean, and maintain appropriate temperature and humidity. 2. Live a regular life, avoid staying up late at night and overworking, and exercise appropriately to enhance body resistance. 3. Release worries, enhance confidence, maintain an optimistic attitude, and learn to self-adjustment, so as to avoid bad moods from triggering or exacerbating the disease. 4.
Dietary management
Nutritional balanced diet.