Seemingly humble life of thyroid shoulder important responsibilities source of power. In recent years, continued high incidence of thyroid disease caused by medical experts and patient concerns.
Physical examination found a small nodule in the how to do, how to correctly treat and prevent thyroid disease? Reporters interviewed the name of Shanghai Traditional Chinese Medicine, Shanghai TCM University Affiliated Longhua Hospital, Professor Tang Hanjun.
Thyroid gland is an important human endocrine organs, at about two leaves in the middle connected to the isthmus. Adult thyroid gland weighs 25 grams, women's thyroid than men slightly heavy, and in the menstrual period and the pregnancy will be increased slightly.
The main function is synthesis of thyroid hormone, thyroxine is the hormone the body is one of the most important, it directly into the blood or lymph to participate in the metabolism of the body to promote growth and development. Thyroid gland to the maintenance of normal physiological function of the human body is extremely important, there is human life, known as the power source.
As the thyroid gland involved in the body of sugar, fat and protein metabolism, as long as the central nervous system, hypothalamus, pituitary regulation, and with the iodine intake is closely related to, so thyroid is actually quite sensitive and fragile, and prone to many diseases.
Should first rule out the cancerous nodules found
Nodular goiter is now more prevalent thyroid disease, usually manifested as unilateral or bilateral thyroid showed diffuse swelling, and a single or multiple nodules, nodules like soya beans or bean size, texture, soft and tough, and will move up and down with swallowing activity. The majority of patients are inadvertently discovered, or in physical examination detected by ultrasound.
Shanghai Traditional Chinese Medicine University Affiliated Longhua Hospital, Chief Physician Professor Tang Hanjun reminder, thyroid disease, thyroid cancer, and many will be manifested as nodular goiter, thyroid nodules once they found that not only do not have too much tension can not be wrong about, first of all should be excluded from whether there are cancerous thyroid gland.
Sudden short period of time if the nodule mass increased, and the mobility of small or fixed, texture hardening, uneven sharp, hoarse voice, swallowing, there is a sense of obstruction, we must guard against the possibility of cancer. Need to go to the hospital in time through color Doppler ultrasound, isotope scan or CT, etc. Check to make further assessment.
Over the past 10 years, the incidence of thyroid cancer, there is a growing trend, its causes have not yet clear, but predisposing factors may be related to innate genetic factors, X ray-rays, environmental pollution, diet, and excessive fatigue, poor mood and other relevant. At present, surgical treatment is the treatment of choice for thyroid cancer, with Chinese medicine treatment can improve the quality of life of patients and long-term survival.
Do not be mistaken for thyrotoxic thyroiditis
If you exclude thyroid cancer, thyroid patients need further diagnostic is won thyroiditis. Right now the most common sub-acute thyroiditis and thyroiditis, including chronic lymphocytic thyroiditis or Hashimoto's disease, the symptoms of inflammation due to these two types of more hidden, it is easy to be misdiagnosed or missed.
Subacute thyroiditis patients prior to the onset or early onset tend to have viral influenza, viral pharyngitis, mumps virus infection and other symptoms of fever, general malaise, sore throat, neck pain, stuffy nose, runny nose, etc. Subsequently significant thyroid enlargement, pain, tenderness, and back of the neck, ears, neck and shoulder pain, arm radioactive. As measured through blood, you will find patients in the early stage FT3, FT4 increased, TSH decreased signs of hyperthyroidism, and accompanied by elevated thyroglobulin, the latter is converted to FT3, FT4 decrease, TSH increased signs of hypothyroidism. Most of the patients without obvious symptoms early in the illness, or show palpitation, weight loss, trembling, digestive symptoms of hyperthyroidism such as hyperthyroidism, it can easily be misdiagnosed as primary hyperthyroidism.
Chronic lymphocytic thyroiditis, also known as Hashimoto's thyroiditis is an autoimmune disease, more common in middle-aged women, its performance is similar to subacute thyroiditis, but not accompanied by pain and fever, and the course of development is relatively slow . Patients often unwittingly or a medical examination found that goiter as large as two to three times the original, hard and tough, such as rubber, the surface smooth and few nodules, but no tenderness, will be up and down with swallowing sports activities, enlargement will be a serious affect swallowing. Patients with serum TG-A, TM-A, TPO-Ab increased, the early signs of hyperthyroidism may be mild, and later to signs of hypothyroidism. Subacute thyroiditis and chronic lymphocytic thyroiditis use of Chinese medicine in patients with hormone and thyroxine therapy can reduce the dosage, and can improve the symptoms of throat discomfort and systemic health.
Professor Tang Hanjun proposal won thyroiditis should pay attention to regular follow-up, if the color Doppler ultrasound examination revealed the uneven texture of tumor nodules, there cancer-like calcification and blood flow abnormalities and other signs of wealth, it may be cancerous signal, need to heighten our vigilance.
Disease prevention to start in four areas
Everyday living environment and is closely related to the occurrence of thyroid disease. Thyroid gland in the human body is very sensitive to the endocrine organs, external environmental factors, such as air, soil, water and food of harmful chemical substances will stimulate the thyroid gland, causing thyroid disease. Therefore, the prevention of environmental pollution, stay away from harmful chemical substances, for the prevention of thyroid disease are important.
Dietary iodine on the thyroid greatest impact insufficient or excessive iodine intake will cause thyroid disease. Iodine deficiency is the main cause goiter, plateau, mountain populations iodine diet is often inadequate, should be iodized salt cooking, coastal population iodine intake should be controlled.
Overworked thyroid will add to the burden, reduce the body's immune system. If things go on in a precarious state of thyroid gland, in being under the influence of external factors, such as chemical irritants or bacteria viruses violated, it prone to disease. Therefore, the work and rest, maintain a healthy life and work, but also an effective way to prevent thyroid disease.
TCM believes that the incidence of thyroid disease more closely related with emotional disorders. Maintain a good attitude, optimistic attitude towards life can significantly reduce the incidence of thyroid disease.
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