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Of every hue hyperthyroidism type typeIn our front neck, throat, a pair of like ancient armor shaped glands, called the thyroid. The thyroid gland is the largest endocrine glands, can secrete thyroxine, on normal human甲状腺 growth and development regulation, the new supersedes the old. Hyperthyroidism, referred to as " haughty ", is the most common endocrine disease. Typical symptoms of hyperthyroidism goiter, exophthalmos, emotional irritability, say more active, eat easy to hunger, weight loss, heat, easy to sweat. Then the 杭州医院专看甲状腺 new supersedes the old. Examination, thyroid iodine isotopes 131 examination, determination of T3, T4, most of it is not difficult to diagnose.
However, there are 20% hyperthyroidism patients with atypical symptoms, easily misdiagnosed as other diseases, so as to delay treatment, must cause the grass-roots medical attention.Hyperthyroid heart disease with 5%~10% hyperthyroidism patients may present with symptoms of heart disease, such as arrhythmia, heart enlargement and heart failure. The part of the patient with cardiac symptom, other symptoms not obviousMost of the various kinds of arrhythmia, such as heartbeat ( some as paroxysmal tachycardia, atrial fibrillation, ventricular premature beat ).
Younger patients are often misdiagnosed as rheumatic heart disease, myocarditis, and easily misdiagnosed as coronary heart disease in elderly patients. These patients if not in accordance with hyperthyroidism treatment, cardiac symptoms is not easy to control, and often prone to drug poisoning. In the final diagnosis, application of antithyroid drug treatment, can obtain satisfactory effect. Therefore, for unknown reasons, premature beat heartbeat tachycardia or atrial fibrillation in patients with thyroid function tests should be performed. Hyperthyroid diarrhea in some patients with hyperthyroidism diarrhea as the outstanding performance, stool 1 day several times to more than 10 times, thin or in water, no pus and blood. The patient is often misdiagnosed as chronic bacillary dysentery, chronic colitis.
Some patients with abdominal symptoms more prominent misdiagnosed as acute abdomen. There are some patients with severe vomiting as the main performance, is often misdiagnosed as gastroenteritis. This type of hyperthyroidism is found mostly in young, middle-aged man. So for unexplained chronic diarrhea, especially in routine examination of stool, stool cultures were negative, should be suspected in patients with hyperthyroidism may. Thyrotoxic exophthalmos hyperthyroid patients is about 50% ~ 70% of patients with hyperthyroidism exophthalmos, some with proptosis as the main performance, and bilateral exophthalmos is often asymmetric, one side is more obvious, eyelid and orbital around杭州医治甲状腺结节最好的医院 the swelling, conjunctival hyperemia edema. Because of exophthalmos, lid not closed, corneal exposure outside, prone to corneal ulcer, inflammatory infection. These patients often to see doctor in the Department of Ophthalmology and easily misdiagnosed as orbital tumors of posterior. Thyrotoxic myopathy thyrotoxic myopathy with periodic paralysis and myasthenia gravis is most common.
Periodic paralysis manifesting as sudden bilateral limb symmetry paralysis, unable to move. Examination can be found in serum potassium decreased, the electrocardiogram may also have low potassium, may also be associated with cardiac arrhythmias. Usually last a few hours to 2~ 3 days of recovery, but recurrent episodes. When excessive fatigue, mental stress, fever, after a meal in. Thyrotoxic periodic paralysis in patients with thyrotoxic symptoms are often not apparent, thyroid or swelling, so it is easy to be misdiagnosed as other causes of periodic paralysis. Only in hyperthyroidism is controlled, the periodic paralysis can heal. Thyrotoxic periodic paralysis in the incidence of hyperthyroidism in 3% ~6.8%, occurred in young adults. Therefore, for about 30 years, with no family history of patients with periodic paralysis, should think of thyrotoxic periodic paralysis may. Myasthenia gravis manifested as systemic muscle is extremely prone to abnormal exhaustion. The earliest effects appear ophthalmoplegia, ptosis and diplopia (i.e. eyelids as doze off like open, as will a as two ). Then gradually causing dysphagia, when eating cough, don't speak clearly and with a twang, masticatory weakness, these symptoms often morning and evening light weight, such as a little nap, then the afternoon can be improved significantly.
Hyperthyroidism in 3% to 5% of people with myasthenia gravis, in hyperthyroid symptoms appear before and after, can also occur at the same time, in the treatment of hyperthyroidism can be improved. Apathetic hyperthyroidism is part of elderly female patients with hyperthyroidism, without proptosis, thyroid enlargement is not obvious, but the slow, slow, less words, apathy, depression, lethargy, haggard, darkish complexion, skin wrinkles, emaciated old. Because this kind of hyperthyroidism and hyperthyroidism symptoms distinct, easily misdiagnosed as other diseases. Nerve-spirit hyperthyroidism has some female patients can neuropsychiatric symptom. Manifestations of neuroticism, attention is not centered, disposition is impatient irritability, insomnia, be on tenterhooks, and even the emergence of manic, hallucinations and other psychotic symptoms. These patients are often misdiagnosed as neurosis, menopausal syndrome.
About half of low-calorie hyperthyroidism hyperthyroidism patient has fever, body temperature is at 37.5℃ ~ 38 ℃. Some patients with long-term fever as the main manifestation of hyperthyroidism, other obvious symptoms, often accompanied by palpitations, heart rate, easily misdiagnosed as other diseases caused by low heat, such as tuberculosis, rheumatic fever, typhoid fever, urinary tract infection. This type of hyperthyroidism, more common in young women. So for the unexplained prolonged fever, especially accompanied by heart rate was significantly faster for people, should be further examination. Hyperthyroidism caused by low heat use antipyretics, antibiotics are ineffective, with.杭州有彻底治疗甲亢医院吗 antithyroid drug therapy effect. Dian Jiakang is the raw material of thyroxine iodine, iodine deficiency can cause thyroid deficiency in the diet. But in the supplement of iodized salt for the treatment of endemic goiter, or in the diet dietary iodine excess areas, can be caused by excessive iodine intake due to hyperthyroidism, called radioiodine. Radioiodine can have typical thyrotoxic manifestations, such as heat, hot, eat, emaciation, but generally no exophthalmos. Radioiodine in stop feeding iodine-containing foods, most can be restored, only a few symptoms persist only requires the use of antithyroid drug therapy, and these may have potential for hyperthyroidism.
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