If you have hyperthyroidism, do not massage your neck. It can cause an overproduction of thyroid hormone and lead to symptoms. Recurrent episodes of hyperthyroidism may be related to autoimmune system function. Where is the best place for hyperthyroidism massage? It is recommended that in addition to hyperthyroidism drugs, some traditional Chinese medicine can be used to regulate the body's immune function and fundamentally change this situation. Doctor asks: Opinion and suggestion: Recurrent episodes of hyperthyroidism are likely related to the function of the autoimmune system. In addition to taking medication for hyperthyroidism, it is recommended that hyperthyroidism be treated. Hyperthyroidism is a disease caused by excessive thyroid hormone secretion by the thyroid gland. This disease is more common in women. 2. Classification of hyperthyroidism (1) Hyperthyroidism: The thyroid gland itself is overactive and the synthesis and secretion of hormones increase. ① Diffuse goiter with hyperthyroidism: also known as toxic diffuse goiter, exophthalmos, Graves' disease, Basedow's disease, etc. This type is the most common type of hyperthyroidism, accounting for about 90%. It is mainly caused by autoimmune mechanism. Thyroid stimulating hormone (TSH) receptor antibodies (TRAb) can often be detected in patients. Clinically, there are often typical symptoms such as hypermetabolic signs, exophthalmos, diffuse thyroid enlargement, etc. ② Multinodular goiter with hyperthyroidism: also known as toxic multinodular goiter, Plummer's disease. The cause of this type is unknown. It is common in patients who have suffered from thyroid nodules for many years. It is more common in middle-aged and elderly people. The onset is slow, the symptoms are mild, and exophthalmos is rare. Thyroid radionuclide imaging can show that the thyroid gland absorbs 131 iodine with a mild diffuse increase, but there are scattered nodular concentrations. TSH or exogenous thyroid hormone cannot change its iodine absorption function. ③ Autonomous hyperfunctional thyroid adenoma or nodule: The cause of this type is unknown. The vast majority of patients present with solitary adenomas, and occasionally multiple nodules. It is more common in middle-aged women, with a slow onset, mild symptoms, and no exophthalmos. T3 type hyperthyroidism is more common. Thyroid radionuclide imaging can show a single "hot nodule" in the thyroid gland (131 iodine is concentrated in the nodule), and occasionally multiple "hot nodules" may be present, while the iodine absorption function of the remaining glandular tissues is reduced or absent; this type of nodule is not regulated by TSH, so it is called autonomous hyperfunctional. ④ Neonatal hyperthyroidism: Babies born to pregnant women with hyperthyroidism may suffer from hyperthyroidism. The incidence is closely related to the TRAb concentration in the mother's body, because TRAb can pass through the placenta and cause hyperthyroidism in the fetus. However, the hyperthyroidism of the child can often be relieved on its own 1 to 3 months after birth. A very small number of children's mothers have no history of hyperthyroidism, which may be related to the child's own immune disorder. ⑤ Iodine-induced hyperthyroidism (abbreviated as iodine-induced hyperthyroidism): It is caused by long-term excessive iodine intake. It is more common in areas with endemic goiter and occasionally in areas with non-endemic multinodular goiter. Long-term use of iodine-containing drugs such as amiodarone (ethamidofuran) is also a common cause of this disease. The thyroid gland of patients with this disease may have been defective, and excessive iodine intake is only a trigger. Clinically, the symptoms of hyperthyroidism are mild, exophthalmos is rare, and thyroid nodules are common (see other types of hyperthyroidism·iodine-induced hyperthyroidism). ⑥Primary thyroid cancer causes hyperthyroidism: Some primary thyroid cancers can secrete a large amount of thyroxine, thus leading to hyperthyroidism. (2) Secondary hyperthyroidism: Various reasons lead to an increase in TSH concentration in the blood, which in turn causes hyperthyroidism. ① Pituitary hyperthyroidism: It is caused by pituitary tumors secreting large amounts of TSH. It is extremely rare. Many patients also have hyperprolactinemia or acromegaly. ② Ectopic TSH secretion syndrome: extremely rare, occasionally seen in women with choriocarcinoma or hydatidiform mole, or in men with testicular choriocarcinoma; sometimes bronchial cancer and digestive tract cancer can also cause it, because the above-mentioned cancer tissues can secrete TSH-like substances, thus leading to hyperthyroidism. (3) Heterologous hyperthyroidism: There are tissues in other parts of the body that secrete thyroid hormones, but the thyroid gland itself is not diseased. |
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