Diagnosis and treatment of hyperthyroidism (hyperthyroidism)

  The incidence of hyperthyroidism (referred to as hyperthyroidism) is a common disease of the endocrine system. With the development of social and economic development, the accelerated pace of life, the increase of work tension and mental stress, the change of ecological environment, and the change of individual immune function, the incidence of this disease is on the rise.  What kind of symptoms should we consider when we have hyperthyroidism? Generally, when there is a fear of heat, more sweating, thinness, hunger, weakness, second-hand shaking, palpitations, protruding eyes, increased number of stools, thickening of the front of the head and neck, etc., you should go to the hospital for relevant examinations, including blood tests for T3, T4, FT3, FT4, TSH, and ultrasound examination of the thyroid gland. Since there are many causes of elevated T3, T4, FT3 and FT4 values, such as thyroiditis, pituitary hyperthyroidism, thyroid cancer with hyperthyroidism, etc., sometimes isotope, CT, MRI, thyroid aspiration and other tests are needed for further differential diagnosis.  In clinical practice, we found that among hyperthyroidism patients, adolescents have milder self-conscious symptoms, while middle-aged and elderly patients have more obvious self-conscious symptoms, and sometimes elderly patients have atypical symptoms and are often missed.  What should I do if I have hyperthyroidism? Western medicine prefers conservative therapy, such as internal antithyroid drugs, commonly used are propylthioxypyrimethamine, etc. Other isotope or surgical treatment is also available. From our clinical observation, many patients’ laboratory indexes can be improved faster with the conservative treatment of western medicine, but some middle-aged and elderly patients are slow to relieve symptoms such as weakness, dry mouth, palpitations and restless sleep at night, etc. Some patients also have symptoms such as white blood cell drop and itchy skin after taking medicine. The effect is twice the result with half the effort.  Chinese medicine has long been aware of thyroid disorders and has divided them into “gas galls” and “meat galls”, etc. By looking, smelling, asking and cutting the symptoms and signs of hyperthyroidism, Chinese medicine practitioners can identify the causes and examine them for treatment. We have used it in several thousand cases clinically, and it can significantly alleviate the clinical symptoms and signs of patients, and also reduce or alleviate the effects of antithyroid drugs on patients’ white blood cell drop and itchy skin.  Patients with hyperthyroidism should also pay attention to diet and life conditioning, such as treating the disease correctly and actively cooperating with doctors for clear diagnosis and treatment, because hyperthyroidism is a syndrome, it can be combined with myopathy, diabetes, liver damage, etc. These are best understood before formal treatment to facilitate correct medication treatment. After treatment, the medication should not be stopped at will, but the dosage should be adjusted according to the symptoms, signs and laboratory tests, and when the dosage is adjusted to the maintenance amount, it should be maintained for a certain period of time, during which regular check-ups and follow-ups should be conducted to avoid recurrence of the disease. In addition, patients should not be irritable, but should keep their mood calm and happy. A good state of mind is the first step to treat the disease, and secondly, we should pay attention to the combination of work and rest. In addition, we should also pay attention to diet, avoid spicy food, and avoid coffee and strong tea for patients who have restless nights and palpitations; hyperthyroidism patients should pay attention to iodine-containing food intake, and avoid iodine-containing salt, kelp and nori. Through treatment and life conditioning, the condition of most hyperthyroid patients can be well controlled and cured through conservative treatment.