After getting hyperthyroidism and drinking sugar -containing drinks all day, Miao Ling daughter entered the rescue room

Author:Xiamen Daily Time:2022.09.17

Xiaomei (pseudonym) found hyperthyroidism three or four years ago. For various reasons, there were no standardized treatment, and the neck was swollen for a long time. Recently, Xiaomei, who returned to Xiaxia from other places, suddenly pulled diarrhea, vomiting, and unconsciousness. When he went to the hospital for examination, the antibody indicators of hyperthyroidism were thousands of times the normal value, and the blood sugar value soared to six or seven times the normal value. Xiaomei, who was in a coma, was sent to the intensive care unit for rescue. Fortunately, the rescue was successful. Doctors remind: patients with hyperthyroidism must be regulated for treatment and do not stop medicine without authorization.

Blood glucose soaring heartbeat and lost control girl entered the intensive care room

Three or four years ago, Xiaomei was still in high school. During the physical examination, hyperthyroidism was detected. The treatment was not effective after the drug treatment, and the drug allergic response also occurred. The doctor suggested that she take iodine 131 treatment, but Xiaomei and her family heard that the treatment of iodine 131 may lead to hypothyroidism and unwilling to take this therapy. The family inquired about the treatment method. Since then, Xiaomei has taken Chinese medicine intermittently and sought some folk remedies.

Later, Xiaomei took a university in a foreign country. Recently, after returning to Xiamen from the school, she always felt thirsty, and her family told her to drink plenty of water. As a result, Xiaomei was holding sugary drinks all day, but the more thirsty, the more thirsty, and the symptoms of diarrhea and vomiting. When I went to the Zhongshan Hospital of Xiamen University, the blood sugar actually exceeded 38mmol/L, while the normal value of an an adult's empty stomach was not more than 6.1mmol/L. This soaring blood sugar value made the Xiaomei family very worried. Not only that, Xiaomei's heartbeat is scary. The heart rate of ordinary people is generally within 100 times/min, but she is as high as 146 times/minute. Her hyperthyroidism -related antibody indicators are also very high. Soon, Xiaomei became blurred. Doctors diagnose hyperthyroidism, diabetic keto acid poisoning.

After the endocrine department was hospitalized, Xiaomei's blood glucose value dropped, acid poisoning was corrected, and people gradually woke up. But it didn't take long for her heartbeat to get faster and faster, the whole person was almost in a coma, and was transferred to the intensive care unit for treatment. At this time, her hyperthyroidism -related antibody indicators rose thousands of times the normal value! The crisis of hyperthyroidism was diagnosed. The doctor urgently implemented the plasma replacement and filtered out the excessive antibodies in her body. After rescue, Xiaomei's life signs stabilized.

Hyperglycemia and hyperthyroidism must be treated with standardized treatment

Xiaomei did not expect that her hyperthyroidism would be serious to this extent, let alone she had diabetes at a young age. She asked the doctor in doubt, "I was normal for my physical examination of blood glucose last year. Is this the results of this inspection wrong?" Chen Xiaomin, director of the Department of Endocrinology of Zhongshan Hospital affiliated to Xiamen University, said that Xiaomei's hyperglycemia and hyperthyroidism have a close relationship. "Her hyperthyroidism It is related to the autoimmune disease, and it takes a long time to damage the pancreas. If you treat hyperthyroidism at the beginning, the blood sugar is not high now. "

When he was discharged, the doctor repeatedly told Xiaomei to regulate the treatment of hyperthyroidism and diabetes. Diabetes can be controlled by injecting insulin. If the islet function improves, it can be changed to take hypoglycemic drugs, otherwise it may need to be treated by insulin for a long time. As for hyperthyroidism, considering that Xiaomei is allergic to hyperthyroidism, iodine 131 can be treated. The radioactivity of iodine 131 is small and the range is only 2 mm. As long as it is not pregnant and breastfeeding, this therapy can be used. Another method is surgical treatment. Both iodine 131 and surgical treatment can easily lead to hypothyroidism. "Don't ignore hyperthyroidism because of fear of hypothyroidism. Once hypothyroidism occurs, it can be used to restore hormones to normal levels through drugs. For the development of hyperthyroidism, it will not only lead to hyperthyroidism and cause diabetes. In the future "Chen Xiaomin said.

[Doctor's Notes] Suddenly thinning is to check if you have hyperthyroidism

>> Chen Xiaomin, Director of the Department of Endocrinology, Zhongshan Hospital affiliated to Xiamen University

Hyperthyroidism is a common disease that has a high incidence among the crowd, which is related to factors such as the fast pace of life, high competition pressure, and mental tension.

There are many women in patients with hyperthyroidism, and there are not a few male patients. A while ago, we diagnosed a male patient. He lost 20 kilograms in half a year, especially in the past month, and he was particularly obvious, and there were symptoms of discomfort such as palpitations. He was busy losing weight in the past two years. He thought it was a successful weight loss, and he found that hyperthyroidism was found. And his thinness is caused by hyperthyroidism.

The typical symptoms of hyperthyroidism include decreased weight, diarrhea, fast heartbeat, and even palpitations, irritability, insomnia, and shaking hands. Most patients can have different degrees of excitement and thyroid enlargement. In severe cases, they can see "thick neck". If you suddenly become irritable and difficult to fall asleep, you will lose more than ten pounds a month, and check whether there are hyperthyroidism and diabetes. In addition to drug treatment, hyperthyroidism also has iodine 131 treatment and surgical treatment. The main purpose is to reduce the level of thyroid hormone.

Hyperthyroidism has a long treatment time. Do not stop the medicine without authorization. Find a specialist to evaluate it before deciding whether to stop the medicine. After stopping the drug, regular follow -up to avoid repeated diseases without knowing it.

(Xiamen Daily reporter Chu Yan Correspondent Shi Qingqing)

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