What causes hyperthyroidism?

Many people often suffer from hyperthyroidism in their daily lives. After suffering from hyperthyroidism, it will cause a big neck, that is, the neck becomes thicker. At this time, you don’t need to worry too much. It is very important to choose the right method to actively deal with it. Generally, after suffering from hyperthyroidism, the key is treatment.

Causes

Causes of hyperthyroidism include diffuse toxic goiter (also called Graves' disease), inflammatory hyperthyroidism (subacute thyroiditis, painless thyroiditis, postpartum thyroiditis, and Hashimoto's hyperthyroidism), drug-induced hyperthyroidism (levothyroxine sodium and iodine-induced hyperthyroidism), hCG-induced hyperthyroidism (transient hyperthyroidism due to vomiting of pregnancy), and pituitary TSH tumor hyperthyroidism.

Clinically, more than 80% of hyperthyroidism is caused by Graves' disease, which is an autoimmune disease of the thyroid gland. The patient's lymphocytes produce thyroid-stimulating immunoglobulin-TSI. Clinically, the TSI we measure is the thyrotropin receptor antibody: TRAb.

The cause of Graves' disease is currently unclear. It may be related to factors such as fever, lack of sleep, and mental stress, but clinically the cause of the disease cannot be found in the vast majority of patients. Graves' disease is often combined with other autoimmune diseases, such as vitiligo, alopecia, type 1 diabetes, etc.

treat

Treatment strategy

Anti-hyperthyroidism treatment is mainly used for patients with hyperthyroidism to improve symptoms and reduce the occurrence of complications.

Drug treatment

There are two types of antithyroid drugs - imidazoles and thiouracils, and the representative drugs are methimazole and propylthiouracil respectively.

Surgery

Surgical treatment is suitable for patients with significant thyroid enlargement, those with highly suspected thyroid malignancy, or those with thyroid enlargement that compresses the trachea and causes breathing difficulties.