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甲状腺功能亢进症中西医治疗对比

来源:杭州同济甲状腺医院 发布时间:2012-09-24 16:57 点击量:

    Hyperthyroidism treated by Integrative Chinese and Western medicine comparison of hyperthyroidism ( PHT), commonly known as " big neck disease ". Is a kind of common disease, frequently-occurring disease, clinical can be divided into primary and secondary two classes. Primary hyperthyroidism is the most common, is an autoimmune disease, secondary hyperthyroidism is rare, by nodular goiter transformation. Hyperthyroidism is a relatively difficult to cure difficult miscellaneous diseases, although is not the problem, but as a result of thyroid hormone secretion caused by excessive high metabolic diseases. Clinical manifestations of five respects: 1, thyroid enlargement; 2, sympathetic nerve function in patients with excessive excitement, many words, quick-tempered, irritability, insomnia, eyes and tongue, feet appear rapid fibrillation, easy sweating, often heat; 3, exophthalmos: bilateral proptosis, ocular crack width, the pupil the casual, even difficulty in closing the eyes; 4, the circulatory system: the patient often has flustered, chest discomfort, pulse rate accelerated, so the appearance of cardiac arrhythmias, atrial fibrillation, and heart failure; 5, basal metabolic rate increased significantly, the degree and severity of clinical symptoms by.


    Hyperthyroid patients commonly described emaciated body tired, weak, but appetite instead hyperfunction, moreover due to endocrine disorder can also present the menopause, rates of impotence, also some patients with diarrhea, periodic paralysis, pretibial myxedema and other symptoms. It can occur at any age, but is most common in young women. At present our country female prevalence rate was 2%, and there is a trend of increasing year by year. Due to the lack of understanding of the prevention, often neglect can cure. The reason of thyrotoxic symptoms suddenly increased reaching crisis one kind of life ( the main manifestations as fever, sweating, extreme heartbeat tachycardia, vomiting and diarrhea, irritability, or coma, if not timely rescue, can lead to death. ) Therefore, the hyperthyroid disease prevention knowledge, seek the effective treatment method has been a very important thing.


    Graves' disease induced autoimmune, genetic and environmental factors are closely related, with autoimmune factors are the most important. Unfortunately, thyroid autoimmune occurrence, development so far is not clear, it is difficult to find preventive methods. Genetic factors are also important, but genetic background and genetic methods have not been elucidated, it is also very difficult from genetic aspects of prevention. Environmental factors include the incidence of hyperthyroidism induced by various factors, such as trauma, mental stimulation, infection, although many hyperthyroidism induced mainly associated with autoimmunity, genetic factors, but not the pathogenesis and environmental factors have close relationship. Such as the predisposing factors regarding the pathogenesis, and avoidance of precipitating factors do not get sick. Thus, part of hyperthyroidism patients the incidence of may in the avoidance of precipitating factors under the conditions of prevention.


    In the process of patients with hyperthyroidism treatment, diet is especially important. Because patients with hyperthyroidism hyperthyroidism due to metabolism, nutrient demand increases obviously, if a nutritional supplement insufficiency, weight loss will become more apparent, appear even similar symptoms of advanced cancer, therefore, eating properly is very important. Diet should focus on the following aspects of attention: the daily consumption of calories, males at least 2400000 cards, women with at least 2000000 card. Eat more high protein food, young patients need to eat fatty foods, eat vitamin-rich fruits, vegetables, eat less spicy food, such as pepper, onion, ginger, garlic and other. Eating iodine-containing much food, such as kelp, shrimp, fish and so on. Try not to smoke, drink tea, do not bring wine, coffee, with special attention to psychological and spiritual life level of self-regulation, to maintain ease of mind, spiritual pleasure, emotional stability, to avoid the wind cold, overwork, height have a fever.


    Patients in the treatment process, should not be ignored in traditional Chinese medicine treatment, according to many years of clinical experience, as well as on thyroid disease deeper research, mastery of specific thyroid disease induced by etiology and pathology. Graves' disease induced and mental factor is most closely relationship, emotional discomfort, hepatic stagnation, liver stagnation and spleen deficiency, or liver fire retarding can be condensed into the disease. Condensation on the eye eye protrusion; anger Wangshengze disposition is impatient, irritability; fire fill Shangyin gas consumption; spleen stomach adversity is excessive; deficiency of heart Yin is afraid of heat, palpitations; and kidney yin, later period kidney yin deficiency symptoms.


    Graves' disease pathological changes can be said to be the actual situation mixture, when the early onset mostly due to qi stagnation, phlegm qi4 condensation in the anterior cervical and disease, or due to Ganhuo Kang-sheng, blood stasis and disease, these are empirical, long illness into Qi deficiency, yin deficiency and Qi and yin deficiency syndrome, such as two, us according to Graves' disease pathological changes in gas for the first, namely by qi stagnation, phlegm, blood stasis, anger, until the yin deficiency, and the pathological changes of liver, heart, and relates to the kidney, spleen and other organs, so we in the treatment from liver Qi stagnation, blood stasis, Qi live at the same time, focus on Nourishing Yin and invigorating vitality, adjust the internal organs function, to restore the body each system function, especially the recovery of immune function, the only way to consolidate the curative effect, administer thoroughly.


    According to this argument, from Chinese medicine, pharmacology, pathology, anatomy and other multidisciplinary in-depth study, found in Chinese traditional medicine ingredients, can be different from the pharmacological effects of iodine, iodine and overcome ills on hyperthyroidism play a very good therapeutic effect, to each of a set of effective treatment options are repeated comparison of, and then to composition, pharmacological experiment and the clinical observation, will be the most effective way, from nearly 30 kinds of rare Chinese herbal medicine, clinical indication, selection, it can be in response to hyperthyroidism disease from liver qi, nourishing Yin, activating blood, removing blood stasis and Tonifying Qi Ning Xin, Ruanjiansanjie etc effectively treatment, in order to administer thoroughly, but also can effectively overcome the antithyroid drug therapy to a series of side effects and symptoms of discomfort, avoid operation caused by the treatment of irreversible and debilitating consequences. Treatment of hyperthyroid disease, unique effect, remarkable, non-toxic side effects, to patients with hyperthyroidism treatment provides great convenience.


    Experts after more than 20 years of painstaking research, summary of tens of thousands of cases of successful experience, developed by a variety of 30 rare pure traditional Chinese medicine composition of the hyperthyroidism special medicine, not only has the Qi Sanjie, Fuzheng Huatan Ruanjian, astringing Yin, regulating body immunity function rule gives treatment. But don't conquer hyperthyroidism, thyroid cyst operation, adenoma, nodules, thyroid disease, successfully resolved the thyrotoxicosis induced by thick neck, exophthalmos and other problems, and in clinical application, achieved detumescence, tranquilizing mind. Significantly reduce the metabolic basis for the good effect. Pure Chinese medicine treatment of the disease is comparatively good, administer thoroughly, the traditional Chinese medicine therapy, therapeutic effect is stable, ideal and without any side effects, no recurrence after cure. Traditional Chinese medicine according to the patient's symptom and syndrome differentiation, develop treatment regimens, control disease, remission of symptoms, the patient recovered, patients life should pay attention to health. Hyperthyroidism with radioactive iodine 131 scintigraphy in patients with hyperthyroidism hyperthyroidism, referred to as. According to etiology is divided into Graves disease and autonomously functioning thyroid tumors ( mainly treated with operation ).


    Hyperthyroidism ( Graves ) treatment in three ways: Department of internal medicine medication, operation treatment and radioactive iodine 131 therapy. Radionuclide therapy principle: radioactive iodine is thyroid tissue using, in which radioactive causing thyroid aseptic inflammation, make partial follicular atrophy, decreased function, so as to achieve the purpose of cure of hyperthyroidism. At present, radionuclide therapy with its simple, convenient, safe, good curative effect, little side effect, low cost by more and more doctors and patients with hyperthyroidism attention, is considered to be the most preferred treatment for adult Graves hyperthyroidism. The following was concerned about several issues for a simple introduction. (1 ): the United States of America have radioactive problem has made 30 years of follow-up, the results showed that: the 131I of patients after treatment for the cancer and other cancer incidence and the general population of the same; the incidence of thyroid carcinoma is lower than the term antithyroid drug therapy in patients with hyperthyroidism. ( 2): radionuclide therapy in Hyperthyroidism Hypothyroidism only side effect is low ( mainly refers to the permanent hypothyroidism ).


    Permanent hypothyroidism occurred had been considered and the amount of 131I, but recently there are many reports in the literature : the dose of individual cases, hypothyroidism occurs depends on the patient's individual sensitivity. Graves disease spontaneous hypothyroidism rate is as high as 16-20%, and any treatment method could not avoid hypothyroidism. The twenty-sixth European Thyroid Association Annual Meeting on the balance of refractory hyperthyroidism incidence, mortality and 131I after treatment with T4 replacement therapy for hypothyroidism incidence, comments that a better relative to the recurrence of hyperthyroidism. ( 3) the cure rate and recurrence rate: only extremely individual patients was not sensitive to 131I, literature reports of hyperthyroidism 1 cure rate was 52.9-77%, the total effective rate all be in 90% above, the recurrence rate is 1-4%.

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擅长治疗:应用中西医结合诊治疑难杂症,对内分泌甲亢、甲减、甲状腺腺瘤、囊肿、甲状腺肿大……[详细]

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杭州同济甲状腺医院是浙江颇具规模的中西医结合医保定点医院,是杭州市医保定点单位、上海同济大学医学技术指导医院、全国中医yao中医名院、全国百姓放心示…[详情]

杨国平 专家

杨国平,医学硕士,1991年毕业于第二军医大学,后于北京...【详细介绍】

张建华 [主任]

毕业于军区军医学校,擅长应用中西医结合诊治疑难杂症...【详细介绍】

问:什么是甲亢??

答: 什么是甲亢?杭州同济甲状腺医院张建华教授指出:甲亢病若长期不愈...[详细]

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答: 甲亢 是甲状腺功能亢进的简称,是由多种原因引起的甲状腺激素...[详细]

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