西医治疗甲亢简介与患者关心问题

    Traditional Chinese and Western medicine treatment of patients with hyperthyroidism and issues concerned

    Traditional Chinese medicine and Western Medicine on treating hyperthyroidism with control is not ideal, and there are many side effects. Current treatment consists of antithyroid drug therapy, radioactive iodine treatment and operation treatment in three. Anti thyroid drugs cannot cure hyperthyroidism, and the course is too long, the recurrence rate is high, easy to make thyroid enlargement, congestion and the occurrence of allergic and toxic reactions. Radioactive iodine in the treatment of primary hyperthyroidism is only effective for secondary hyperthyroidism, the curative effect is not obvious, has caused by hypothyroidism and carcinogenic potential side effects ( such as leukemia, thyroid cancer ). Operation therapy itself is a kind of trauma to the body of operation, complications such as hoarseness, aphonia, difficulty breathing or choking, postoperative bleeding, tetany, thyroid gland, thyroid dysfunction, such as postoperative malignant exophthalmos, and there is a certain degree of postoperative recurrence rate. Hyperthyroidism with radioactive iodine 131 scintigraphy in western medicine in the treatment of 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 scintigraphy in patients. Radioactive iodine 131 scintigraphy in patients with radioactive iodine is the principle: 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. The radioactive iodine 131 scintigraphy in patients with 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 patients concerned about several issues are briefly introduced in the paper. (1 ): the United States of America have radioactive problem has made 30 years of follow-up, the results found that:

       after 131 I therapy in patients with leukemia and other cancers incidence in general population and the same; the incidence of thyroid carcinoma is lower than the term antithyroid drug therapy in patients with hyperthyroidism. ( 2): hypothyroidism, hypothyroid iodine 131 radionuclide therapy in hyperthyroidism only side effect is hypothyroidism, hypothyroid ( mainly refers to the permanent hypothyroidism hypothyroidism ). Permanent hypothyroidism, hypothyroid occurrence had been considered and iodine 131 was related to the dosage, 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 iodine 131 therapy after T4 replacement therapy after low incidence, comments that a better relative to the recurrence of hyperthyroidism. ( 3) the cure rate and recurrence rate: only extremely individual patients on iodine 131 insensitive, 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%.