How to treat subclinical hyperthyroidism?

summary

The onset of hyperthyroidism is relatively slow and needs active treatment. Therefore, in the early stage of the disease, patients and their families are hardly aware of the disease, and often delay the disease. Hyperthyroidism is a disease with strict dietary requirements. Today, let me share with you how to treat subclinical hyperthyroidism?.

How to treat subclinical hyperthyroidism?

First: drug therapy. Drug therapy for hyperthyroidism refers to the treatment of antithyroid drugs. Its therapeutic principle is to inhibit the activity of thyroid hormone synthase, so as to reduce the biosynthesis of thyroid hormones (T3, T4) and achieve the purpose of treating hyperthyroidism. The treatment time of hyperthyroidism in internal medicine: a course of regular treatment in internal medicine is generally about 2 years of medication. In the first 2-3 months, blood routine examination should be conducted every week or two weeks, T3, T4, TSH, etc. should be reviewed every month, and the dosage should be adjusted in time according to the re examination results. In the later period of medication maintenance, regular re examination should be conducted from February to march to adjust the dosage in time. The main disadvantages of medical treatment: most people will relapse after drug withdrawal and need to be treated again. Only a few people can get long-term remission. According to domestic literature, only 5-10% of them will not relapse after a course of drug treatment.

Second: surgical treatment, surgical treatment of hyperthyroidism, surgical resection of thyroid treatment, its treatment principle is through surgical resection of part of thyroid tissue, so that the total thyroid follicular cells reduce, the synthesis of thyroid hormones (T3, T4) reduce, so that the blood T3, T4 return to normal level, to achieve the purpose of treatment of hyperthyroidism. Treatment time of surgical treatment of hyperthyroidism: the time of surgical treatment of hyperthyroidism depends on the recovery of patients, because surgical treatment involves one-time treatment, and the operation is very traumatic. After treatment, patients should get good care, so as to better recover.

Third: iodine 131 treatment, iodine 131 treatment, iodine 13I treatment principle is the use of thyroid follicular cells on the specific uptake of 131, 131 decay produced β The particle ionization effect destroys the thyroid follicular cells and reduces the synthesis of thyroid hormones T3 and T4, so as to achieve the purpose of treating hyperthyroidism.131 treatment time of hyperthyroidism: 13I treatment is a one-time treatment, only one oral administration of 131 solution is needed. The symptoms can be improved after two to three weeks of medication, reduction period, maintenance period (half a year to one year), The main disadvantages of the total course of 13I treatment from one to two years are as follows: a few hours after oral administration of 13I, the thyroid gland swells, the follicular cells appear vacuoles and abnormal nuclei, and some cells die after a few days; Then follicular cells divide, thyroid tissue is destroyed and replaced by connective tissue. At this time, the secretion function of thyroid is inhibited, and hypothyroidism may occur in severe cases.

matters needing attention

Patients with palpitation and arrhythmia should pay attention to the pulse rate and rhythm when measuring the pulse, deal with the abnormal in time, and pay attention to the change of heart rate after using the drugs to control the heart rate, such as commonly used drugs β- Whether the heart rate in 48 hours decreased significantly, and whether the symptoms such as palpitation, sweating and finger tremor improved.