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治疗甲亢有哪些方法Treatment of hyperthyroidism which method

来源:杭州同济甲状腺医院 发布时间:2013-07-27 16:19 点击量:

    There are three main treatment hyperthyroidism: 1 antithyroid drugs in general, about taking a year to a year and a half. Disadvantages are recurrent high. Approximately one half to 1/3 of the population will be issued, and then the time is not necessarily, some people after stopping a month again, some years after the. Subject to periodic detection of blood thyroxine concentrations, to adjust the dosage, long-term daily medication, some patients is difficult to fully comply with. Very few patients may cause skin itching or a low white blood cell count, if a large number of long-term use may cause abnormal liver function, but these problems after stopping medicine can restore. Treatment of hyperthyroidism with antithyroid drug propylthiouracil, methimazole: can cause leukopenia, generally occurs in the first few months after medication, such as timely withdrawal, in 1~2 weeks recovery, so during the dosing period to periodically check the blood.


    Treatment of hyperthyroidism and antithyroid drug therapy in the most serious side effect is neutropenia, agranulocytosis, due to granulocytic small systemic resistance decreased significantly, resulting in severe systemic infection, the threat to life great. Therefore, during the dosing period should pay attention to whether the occurrence of agranulocytosis, if found in time, the chance of cure is more. Agranulocytosis occurred in L of medication for a period of 3 months, but may also be seen after administration of any time. Therefore, use L during March should be particularly vigilant.
Agranulocytosis in two ways, one is sudden, generally can not prevent.


    The other is a gradually occurred, the first general neutropenia, if continue to use, can be transformed into agranulocytosis. After the onset of a way, can be in use during the regular examination of white blood cells to prevent. In use during the week, you can check the white blood cell 1 times, if white cell counts less than 3×109/ L, generally need to stop drug observed, if the white cell count in 3-4 ×109/, every 1-3 days to check 1, and rising leukocyte drugs such as Leucogen, turtle liver alcohol, necessary with hormone therapy, the most good for another kind of antith
yroid drug, after these measures, leukocyte continues to decline, will be deactivated antithyroid drug, to switch to the other methods in the treatment of hyperthyroidism.


    Agranulocytosis occurs, discontinue use of antithyroid drug, and sent to the hospital for emergency treatment. Because the resistance is very weak, should be in the aseptic isolation ward rescue, given a lot of corticosteroid and antibiotic therapy. After cure patients cannot reoccupy antithyroid drug therapy of hyperthyroidism. 2 of radioactive iodine 131 radionuclide therapy of traditional Chinese and Western medicines the relative safety of radioactive iodine 131 scintigraphy in patients with easily lead to hypothyroidism / A, mainly refers to the permanent hypothyroidism / A. Usually only need to take the radioactive iodine once, economy, convenience, some people if the first good result, half a year after taking second times. Radioactive iodine treatment principle, is the use of iodine thyroid need to synthetic thyroxine, so when the radioactive iodine after entering the body, will gather to the thyroid gland, damage to the thyroid gland, making the original hyperthyroidism cases reduce. Common complications are too much damage, caused by hypothyroidism, which must then be lifelong thyroxine supplementation ( one day medicine can).


    Most people worry about radioactive iodine can cause cancer, but according to the United States for more than 40 years experience, tracking of 10000 cases of case study showed that the use of radioactive iodine, and generally occur in cancers did not differ. Operation treatment of 3 part to improve operation excision of thyroid, hyperthyroidism cases. Some people even after operation will be issued, must then antithyroid drug therapy. Major com杭州同济甲状腺医院怎么样
plications included, vocal cord damage, causing hoarseness. In addition there are about 1/1000 people would be hurt because of thyroid operation by the parathyroid gland, caused by impaired thyroid function, must lifelong calcium supplement, otherwise it will cause convulsions.

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张建华 教授

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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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:专家介绍你不得不知的?

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]

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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