How is child thyroid disease caused?
summary
Goiter can be divided into three degrees: I can't see goiter but can be touched; The swelling can be seen and touched, but it is grade II within the sternocleidomastoid muscle; It was grade III when it was over the outer edge of sternocleidomastoid muscle. The common diseases causing goiter are as follows:
How is child thyroid disease caused?
Hyperthyroidism and enlargement of the thyroid texture is soft, palpation may have tremor, may hear "humming" like vascular murmur, is the result of vascular increase, thickening, blood flow growth. Simple goiter has prominent glandular enlargement, which can be diffuse or nodular, without signs of hyperthyroidism.
Chronic lymphocytic thyroiditis (Hashimoto's thyroiditis) is characterized by diffuse or nodular enlargement, which is easily confused with thyroid cancer. Because the swollen inflammatory gland can push the common carotid artery to the rear, the common carotid artery pulsation can be felt at the posterior edge of the gland, while thyroid cancer often surrounds the common carotid artery in the cancer tissue, and the common carotid artery pulsation can not be felt during palpation, so it can be used for identification.
When palpating thyroid cancer, the mass may be nodular, irregular and hard. Because of its slow development and small size, it is easy to be confused with thyroid adenoma and anterior cervical lymph node enlargement. Parathyroid adenoma the parathyroid gland is located behind the thyroid gland. When the adenoma occurs, it can make the thyroid protrude and move with swallowing. It should be differentiated according to the clinical manifestations of hyperparathyroidism.
matters needing attention
Keep quiet and rest: the patients should be placed in the ward with good ventilation and quiet environment, and try not to be placed in the same room with the emergency and critical patients, so as to reduce the stimulation to the patients; Focus on nursing, reduce the patient's activities, avoid excessive physical consumption. Diet: give high protein, high calorie, high vitamin diet, encourage a small amount of more meals, more water, as far as possible to supplement the body's excessive consumption. Strong tea, coffee, tobacco, alcohol and spicy food are prohibited.