Is there a foreign body sensation for a long time?It is recommended to do a thyroid examination

The thyroid gland located below the thyroid of the human neck and the sides of the trachea, its shape is like a butterfly opened with wings. Once a problem with the thyroid gland, it may cause a series of "butterfly effects" throughout the body. Because the main function of the thyroid gland is synthesis, storage and secreting thyroxine, helping the body to control body temperature, improve heart rate, stimulate myocardial contraction, manage the energy consumption of the body, and regulate the function of gastrointestinal tract. The reporter recently interviewed experts in thyroid treatment in our city to make related popularity and reminders on the prevention and treatment of common thyroid diseases.

Thyroid nodules

Case

Sound is hoarse and does not see the improvement of the nodules of thyroid gland.

At the beginning of the year, Ms. Huang, a 35 -year -old citizen, found thyroid nodules during the physical examination organized by the unit. At that time, the doctor of the medical examination suggested that she would go to the hospital for further examination. Ms. Huang didn't care too much. At that time, she was busy at the time, so she did not listen to the doctor's advice.

Not long ago, Ms. Huang suddenly became hoarse. Despite drinking plenty of water and taking measures such as reducing fire and increasing sleep. Her hoarseness never improved. Recently, I went to the hospital for examination and was diagnosed with hoarseness caused by thyroid nodules to compress the throat nerve.

analyze

Most of the symptoms of a small number of symptoms that occur on hyperthyroidism

Huang Kunzhai, director and chief physician of Xiamen First Hospital, said that thyroid nodules are the most common clinical thyroid diseases, and most of them have no obvious symptoms. The cause may be related to factors such as excessive or lack of "iodine", thyroid degeneration, endocrine disorders, bad living habits, and family genetic factors.

According to Huang Kunzhai, a few long -term thyroid nodules may produce autonomous functions, and symptoms of hyperthyroidism occur, manifested as: feeling anxiety, anxiety, or sleep problems.

The larger nodules may have corresponding compression symptoms due to compression of the surrounding tissues, compression of the trachea, and the feeling of insufficient gas. It will feel hoarse, breathing difficulties, or swallowing difficulties.

Female patients are three times that of men are related to endocrine hormone changes

According to statistics, at least one of the five adults get thyroid nodules, and the proportion of women in the patients is 3 times that of men. Why do women patients more? Huang Kunzhai explained that the thyroid gland is easily affected by hormones. The greater the hormone fluctuations in the body, the greater the thyroid impact. Compared with men, women's estrogen levels are higher and endocrine hormones are greater, which is easier to cause nodules.

Pregnant women are a relatively special group of people. Pregnant women with thyroid nodules can still be born, as long as the thyroid function is adjusted to normal.

treat

The key is benign malignant judgment

Receive surgical treatment if necessary

Huang Kunzhai reminded that after checking the thyroid nodules, do not panic first, and can be done for further examination, such as thyroid function tests, thyroid ultrasound examination, thyroid needle suction biopsy, etc. As long as early detection and standardized treatment, the prognosis is good. Most thyroid nodules are benign, and malignant nodules (that is, thyroid cancer) only account for 5%.

The key to thyroid nodule therapy is the judgment of nodule benign malignant. Most thyroid nodules are observed regularly and follow -up. The benign nodules of thyroid gonads that have obvious compression symptoms are produced on the trachea and esophagus. Surgical treatment can be considered. Traditional thyroid surgery has caused a great psychological burden on female patients due to a surgical scar on the neck. Today's axillary or perium mirror -like gland surgery can not only meet the patient's needs for aesthetic, but also make the doctor's vision more clear during surgery.

Clinical hypothyroidism in pregnancy

Case

Increased thyroid function found in pregnancy tests

Need to supplement thyroxine therapy

Ms. Zheng, 28, found that the thyroid peroxidase antibody was high and positive during pregnancy. She went to the Department of Endocrinology, the Department of Endocrinology and Chief Physician of the Department of Endocrinology. , Treatment of medication (supplementation of thyroxine) during pregnancy.

Hu Tianchi introduced that although the normal range of thyroid hormones (TSH) is 0.49-4.91uiu/ml, for pregnant women with a positive or previous history of pregnancy, the upper limit of TSH should be

treat

Replenish thyroxine during pregnancy

It is conducive to the development of the fetus

Hu Tianchi pointed out that for women during pregnancy, there are more common situations like Ms. Zheng. Drug treatment of thyroxine during pregnancy will not only affect the child, but also help the development of the fetus, as well as preventing premature birth and miscarriage, and avoiding the risk of embryos. The clinical hypothyroidism during pregnancy is very harmful to mothers and babies, and the disease rate of the disease is higher. Therefore, women should be screened as soon as possible during pregnancy and pregnancy.

Holiday hormone and Chinese medicine treatment

Can effectively improve clinical symptoms

Hu Tianchi introduced that at the time of pregnancy, other women also often occurred in the positive and high TSH of thyroid peroxidase antibodies. If TSH exceeds 10UIU/ml, it means that the thyroid dysfunction is severe and is severe in the subtraction of severe sub -clinical clinical. Regardless of whether the peroxidase antibody is positive, it is necessary to actively treat it.

For patients with thyroid -related antibodies, the department is currently undergoing some exploratory treatment, such as thyroid immunosuppressive injection method. It uses local pins to reduce inflammatory response, and then use Chinese medicine to cooperate with some effects. For patients with abnormal nail exercises, if there are obvious anxiety, enlarged thyroid gland, foreign body sensation, prone to depression, poor sleep, etc., you can also cooperate with Chinese medicine treatment to improve clinical symptoms. 【remind】

Quit smoking decompression, sleep, sleep

Perform appropriate outdoor sports

For thyroid nodules, Huang Kunzhai said that a healthy lifestyle is important, especially paying attention to quitting smoking, reducing life pressure, and regular sleep.

Hu Tianchi, director of the Department of Endocrinology of Xiamen Hospital of Traditional Chinese Medicine, said that in order to prevent the occurrence of thyroid diseases, it is necessary to maintain a happy mood and conduct appropriate outdoor sports activities to avoid staying up late. If you are irritable and depressed, you can take some Chinese patent medicines such as Xiaoyao Pills and Danzang Xiaoyao Pills to improve their emotions. When regulating the aircraft and relieving the liver, we must also pay attention to maintaining the spleen and stomach. In the usual food therapy, you can consume Huaishan, Codonopsis, Poria, and Four God Chinese Medicine for a long time.

Positive peroxidase antibody

Try not to eat seafood with high iodine

Huang Kunzhai reminded that in terms of diet, do not blindly supplement iodine. It is important to note that some types of nodules or hyperthyroidism should be taboo strictly. It is recommended to consult a professional doctor.

Hu Tianchi said that there are many thyroid diseases in the coastal area, especially the high incidence of nodules, and it is related to eating high iodine -containing diet for a long time. Positive people with thyroid peroxidase antibodies do not eat seafood and seafood with high iodine content.

In addition, Director Hu reminded that as long as the emotional fluctuations are often fluctuated, or those who have a foreign body in the throat, they must do thyroid function tests.

Text/Xiamen Evening News reporter Wang Yanni Gong Xiaoguan Correspondent Jiang Changming Comics/Mavericks

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