Girl, the body has these manifestations, indicating that your thyroid is wrong!

Written by: Hexa Secretion | Editor-in-charge: Ah Yue | Image: Huang Zai

Hello everyone, I'm Ah Yue.

I believe that many friends will have a physical examination every year, right? It's just that whenever I get the results of the physical examination, I will tremble and tremble, afraid that I will suffer from some terrible disease.

This fear is not unfounded, and in recent years, some health problems have occurred frequently in young people, such as thyroid disease.

The thyroid gland is an " H" shaped , specific endocrine gland located in front of the trachea in our neck. The thyroid hormones produced play an important role in human growth and development, cell differentiation and regulation of various homeostatic functions of the body.

▲Image source: Baotu.com

With the improvement of people's health concepts and the progress of diagnosis and treatment, more and more patients with thyroid problems are now found, especially female patients, because of their physiological and psychological characteristics, they are more susceptible to various thyroid diseases.

So, how to identify thyroid problems, and what should female friends who care about health usually pay more attention to?

What manifestations mean that there is a problem with the thyroid gland?

After thyroid problems, the level of thyroxine in the human body will change, affecting the level of metabolism and sympathetic nervous system excitability in the body, resulting in symptoms of hyperthyroidism or hypothyroidism.

Female hyperthyroid patients may have symptoms such as palpitation, hand shaking, sweating, and wet skin in the early stages, and may also have symptoms such as menstrual irregularities, diarrhea, and weight loss.

Hypothyroidism-related symptoms are relatively lack of specificity, female patients may have fatigue, cold intolerance, slow heartbeat, poor appetite, weight gain, increased sleep, memory loss, constipation and other manifestations, while hypothyroidism will also affect women's menstruation, menstrual disorders and menstrual volume increase, and may even have anemia.

Thyroid disease is also a common disease in pregnant women in mainland China, thyroid hormones are particularly important for fetal growth and development, thyroid-related diseases can increase adverse pregnancy outcomes and increase the risk of neurointelligence developmental damage in offspring, and it is generally recommended to screen for thyroid function before pregnancy and during pregnancy.

It can be seen that there is a problem with the thyroid gland, which has a significant impact on the function of various systems of the body.

(Note: If you have the symptoms mentioned above, don't worry about anxiety and whimsy, if you suspect that you have thyroid function problems, please go to the hospital for medical examination, and the actual examination results shall prevail.) ）

▲ Image source: Giphy

What does thyroid nodule, diffuse thyroid lesion/diffuse enlargement, mean?

On our medical reports, many girls may have seen words such as "thyroid nodules" and "diffuse thyroid lesions/diffuse swelling", so what do these means?

Thyroid nodules are a common disease of the endocrine system, and their incidence and prevalence are currently on the rise overall. After thyroid nodules are detected, there are two main questions to consider: whether the nodules cause thyroid hormone overdose and the risk of malignancy.

Routine ultrasonography can classify the morphological and structural characteristics of thyroid nodules into TIRAIDS to distinguish patients with benign nodules, malignant nodules, and high risk of malignancy, and further tests to determine the diagnosis and then decide what treatment options to take next.

Diffuse thyroid lesions/enlargement are routine thyroid ultrasound descriptions, Graves disease, simple goiter, nodular goiter, subacute thyroiditis and chronic lymphoid thyroiditis can be presented as diffuse thyroid lesions and enlargement, and the specific diagnosis needs to be further diagnosed in combination with the patient's medical history, symptoms, signs, and laboratory results.

Do thyroid diseases such as hypothyroidism and hyperthyroidism affect the possibility of conceiving and having a child?

We have received a lot of messages from readers to ask this question, here we answer it. I believe that the small partner who carefully read also found that as mentioned earlier, thyroid hormones are very important for the normal physiology and fetal growth and development of pregnant women, and thyroid diseases such as hypothyroidism and hyperthyroidism that affect thyroid function will affect the preparation for pregnancy and childbirth.

Hypothyroidism during pregnancy refers to hypothyroidism or subclinical hypothyroidism detected during pregnancy. At the 3rd week of pregnancy, the fetal thyroid gland begins to develop, but only at week 11 does it have the ability to synthesize thyroid hormones. It can be seen that in the first 3 months of pregnancy, the fetus itself can not secrete thyroid hormones, the thyroid hormones required for development are from the mother, and the demand for thyroid hormones is significantly increased, so hypothyroidism is prone to occur in the first trimester.

Pregnancy with hyperthyroidism is the most common, in addition to other causes of hyperthyroidism include Hashimoto's thyroiditis, toxic nodular goiter and so on. When pregnancy is complicated by hyperthyroidism, some of the hypermetabolic symptoms of pregnant women are similar to those of hyperthyroidism, often with symptoms such as heat intolerance, hyperhidrosis, tachycardia, and goiter.

In this case, abortion is generally not required, and antithyroid drugs can be used. In the choice of drug, prothiopyrimidine is generally used because methimazole is more likely to pass through the placenta and has a risk of fetal malformations. It is clinically recommended to use effective maintenance dosing in small amounts as much as possible, thereby reducing the risk of fetal hypothyroidism.

If surgery is necessary, it is usually in the 4th to 6th month of pregnancy. It should be noted here that the treatment of pregnancy with hyperthyroidism requires that the total T4 be controlled at a normal high level, so as to avoid the risk of hypothyroidism and miscarriage in pregnant women.

In combination, it is recommended that all pregnant women undergo routine thyroid function screening before and during the first trimester of pregnancy, and if abnormalities are found: both hyperthyroidism and hypothyroidism need to be treated as soon as possible. How to treat it is still based on personal circumstances and follow the doctor's instructions.

The body's postpartum needs for thyroid hormones are reduced, and some patients may return to normal.

Do hyperthyroidism, hypothyroidism, etc. require lifelong medication?

Hyperthyroidism is a curable disease and generally does not require lifelong medication.

For common causes of hyperthyroidism such as Graves disease, there are multiple treatment modalities, each with its own advantages and disadvantages, and the average patient generally prefers drug therapy. After intensive and maintenance pharmacotherapy, most patients are almost curable, but the risk of recurrence after discontinuation is high, and it may be necessary to retake oral medications or change to another treatment.

Hypothyroidism is mainly a reduction in thyroid hormones caused by various etiologies, the treatment method is mainly hormone replacement therapy, the vast majority of hypothyroidism patients need to take lifelong medication, generally choose levothyroxine sodium. During the period of taking the drug, the drug cannot be stopped without authorization, and it is necessary to regularly monitor the A Gong and adjust the drug according to the situation of the Jia Gong as appropriate. Some patients with subacute thyroiditis may have transient hypothyroidism, and oral medication may not be required after the condition improves and the thyroid function returns to normal.

The onset of hypothyroidism during pregnancy is due to the increase in overall thyroid hormone requirements during pregnancy, which requires active treatment during pregnancy, and drug reduction or discontinuation can be considered according to the condition after childbirth.

Considerations in daily life, and habits to develop

In order to monitor the health of the thyroid gland, we usually need regular physical examinations, regular thyroid ultrasound and thyroid function. If there is a goiter or a thyroid nodule is touched, with or without dyspnea, dysphagia, and hoarseness, it is necessary to seek medical attention in time to confirm the condition.

So what should we pay attention to in our daily lives?

In the fast pace of life, work pressure now, we must pay attention to a good rest, reduce staying up late. Cultivating good work and rest habits can build a better immune system and reduce the occurrence of diseases.

In addition, thyroid disease and emotional relations are close, when the mental pressure is too high or encounter stimulation, thyroid hormone levels will also fluctuate, so maintaining a good attitude is also particularly important for the care of the thyroid gland.

There is also a diet to pay attention to nutritional balance, regular meals, usually more exercise, enhance physical fitness.

Ordinary people usually maintain normal iodine intake in their diet, and it is advisable to eat foods rich in fiber. Patients with hyperthyroidism should pay attention to avoid eating foods that are too rich in iodine, and patients with iodine deficiency-related hypothyroidism can usually increase their iodine intake appropriately.

For patients who already have thyroid disease and are being treated with oral medications, do not be anxious and do not take it lightly. Pay attention to regular review of nail function, if necessary, communicate with the doctor to adjust the drug measurement in time, most thyroid diseases can be well controlled ~ ~

Seeing this, how many people have touched their thyroid and shivered, but don't be afraid, start to pay attention to diet and living habits now, and you can also avoid the risk of disease as soon as possible.

Moreover, the sixth secretion teacher in the text also emphasizes the importance of regular physical examination, and it must be right to pay attention to it at all times. Even if the diagnosis is confirmed, you can also treat according to the classification of thyroid diseases, and do not scare yourself.

For the health of yourself and your family, welcome to forward more to the family group or circle of friends, so that more people can see it!

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