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What are the symptoms of hyperthyroidism? And what are the main types?Hyperthyroidism ( PHT), refers to the thyroid function enhancement, secretion of hormones increase caused by a group of common endocrine disease. 甲状腺As a result of excess thyroid hormone, applied to various body organs, resulting in symptoms varied. Hyperthyroidism is more common in women, the ratio of male to female is 1 ∶4~ 1∶ 6, age groups can be onset, with 20 ~40 to see. Onset is generally slow, and cannot be determined in most of time, a few mental irritation or infection after disease, the clinical manifestations varying it. Typical performance, high metabolic syndrome, goiter and eye syndrome three aspects 杭州市同济医院 are obvious, but if the illness lighter can be confused with neurosis, some patients can be a certain ( some ) specific symptoms such as exophthalmos, cachexia or myopathy as the main performance. The elderly and children patients with atypical manifestations. In recent years, because of the diagnostic level increases gradually, mild and atypical patients found to have been increasing. Typical cases are often the following expression: ( 1) high metabolic syndrome: the patient can be expressed as heat sweating, skin, hands, face, neck, axillae hyperhidrosis skin ruddy. Often have low heat, serious when can appear fever. Patients often have a heartbeat tachycardia, heart palpitations, appetite hyperfunction significantly, but the weight loss, fatigue weakness.
( 2) goiter: many patients with thyroid enlargement as the chief complaint, diffuse symmetrical enlargement, soft, swallowing moves up and down.杭州市同济医院电话地址 A minority of patients with thyroid enlargement asymmetric, or swelling is not obvious. ( 3) eye syndrome: eye syndrome are the following:①palpebral fissures broadening, little wink and gaze; the eye inner polymerization difficulties or poor;③eye look down, upper eyelid retraction and not follow because of eye drops; the eye to see, not wrinkled forehead skin. ( 3) nervous system: Neuroticism, nervousness, irritability much tension, insomnia, many words hyperactivity, sometimes not in the mind, but occasionally looked indifferent, quiet depression. ( 4) the cardiovascular system: due to metabolic hyperactivity, causing the heart rate, heart stroke volume increased, blood circulation accelerates, 杭州市同济医院甲状腺科 pulse pressure increase, the majority of patients with palpitations, chest tightness, speak shortness of breath, activities after the increase, there may be various beats and atrial fibrillation. ( 5) the digestive system: hyperthyroidism appetite, but significant weight loss is a hallmark of this disease. Two concomitant, is suggestive of the disease or diabetes may. The disease cause of diarrhea is caused by eating more easily, and hunger, coupled with excessive secretion of thyroxine, excited gastrointestinal smooth muscle motility to make faster, causing indigestion, stool frequency. In general the stool was paste, containing more not digest food, sometimes accompanied by fat digestion and absorption in steatorrhea. Due to malabsorption of nutrients and hormones directly, the liver can be slightly larger, liver function is normal, a few may have jaundice and vitamin B deficiency symptoms. Hyperthyroidism caused by mild diarrhea are relatively common, but usually not associated with spastic abdominal pain, food digestion and no obvious obstacles, only individual cases to more severe diarrhea as the chief complaint, then, hyperthyroidism common symptoms and signs can not obviously, the patient may manifest as hypoesthesia type of hyperthyroidism, height tired and weak, sometimes without apparent thyroid enlargement, can result in missed diagnosis. The patient is very similar to advanced cancer or other causes of cachexia, if not timely diagnosis and treatment, prognosis. In addition to typical clinical hyperthyroidism, common are: ( 1) T3 hyperthyroidism. T3 hyperthyroidism refers to the clinical manifestations of hyperthyroidism, but the serum TT4 and FT4 in normal or even low, only T3 heighten class of hyperthyroidism.
( 2) T4 hyperthyroidism. With the clinical 杭州市同济医院甲状腺专科怎么样manifestation of hyperthyroid, alone or with increased serum T4, FT4 increased, T3 normal. Such as: iodine hyperthyroidism, thyroiditis, subacute or chronic systemic diseases caused by T4 hyperthyroidism. ( 3) children with hyperthyroidism. With onset after age 3 increased, 11-16 years the highest incidence, more girls than boys, a few calls all patients have diffuse thyroid enlargement and typical high metabolic syndrome is more common, exophthalmos. ( 4) of senile hyperthyroidism. Because the elderly physiological changes, its systemic organ function have varying degrees of decline, thyroid tissue in a certain degree of fibrosis and atrophy, thyroid hormone is secreted decrease, peripheral tissue responsiveness to thyroid hormone changes, senile hyperthyroidism clinical characteristics of thyroid enlargement: often, or mild swelling, accompanied by multiple nodules exophthalmos is not obvious; with or without proptosis, high metabolic syndrome is not clear, the lack of appetite hyperthyroidism, heat sweating and irritability and other symptoms; often associated with other cardiovascular diseases such as angina, and myocardial infarction, easy occurrence of arrhythmias and heart failure, see more persistent atrial fibrillation patients showed no desire; cool shape, weight lethargy, coma or stupor. For senile hyperthyroidism treatment, the expert emphasizes " Jiakang Ling Decoction " in the long term efficacy. ( 5) apathetic hyperthyroidism. This type is the special manifestation of hyperthyroidism. With typical symptoms of hyperthyroidism symptoms instead, neuropsychological performance as a depression of a hyperthyroidism. Apathetic hyperthyroidism clinical manifestations: loss of appetite, nausea, chills, dry skin, looked indifferent depression, to be indifferent to spiritual things around; thinking retardation, also answer questions retardation, sometimes difficult to focus attention, less lazy language; palpitations is more common, often accompanied by cardiac enlargement, congestive heart failure, atrial fibrillation, enophthalmos, binocular Gao lag atheism, or even a drooping eyelid. The disease in the treatment of experts to chang the selection of traditional Chinese medicine " Jiakang Ling Decoction" in the treatment of,杭州市同济医院治甲状腺 in order to achieve a balance of yin and yang balance between specimens of efficacy, treatment methods and the same general hyperthyroidism. ( 6) latent hyperthyroidism. Latent hyperthyroidism refers to no typical symptoms of thyrotoxicosis, and to a system for outstanding performance in a class of hyperthyroidism. Clinical classification of spirit. With mental disorder as outstanding performance, with symptoms of inattention, attention deficit disorder, hallucinations, paranoia, depression, dementia, paranoid rage, even the Dutch act concept, anger etc.. ②gastrointestinal type. Often diarrhea as the outstanding performance. In this news has a total of 2 page of
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