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People who are always sleepy, it's time to go to the hospital to check the "thyroid gland"

Along with the spring, there is also "spring sleepiness", fatigue and sleepiness, constant yawning, listlessness ... But some people still feel tired and sleepy after eight or nine hours of sleep.

People who are always sleepy, it's time to go to the hospital to check the "thyroid gland"

In fact, some sleepiness is not because of not sleeping well, the root of the disease may be on the "thyroid gland".

Experts interviewed

Gao Ying, Chief Physician, Department of Endocrinology, Peking University First Hospital

Li Chenzhong, Chief Physician, Department of Endocrinology, Third Affiliated Hospital of Southern Medical University

Always sleepy beware of "hypothyroidism"

The thyroid gland is the largest endocrine organ in the human body, located 2~3 cm below the "Adam's apple", shaped like a butterfly.

People who are always sleepy, it's time to go to the hospital to check the "thyroid gland"

The thyroid hormone secreted by it can promote the body's metabolism, growth and development, and have a regulating effect on the functions of various systems throughout the body, such as cardiovascular, digestive tract, hematopoietic system, nervous system, etc.

More or less thyroid hormones can have an impact on the body:

If you secrete more, it will make people excited; If the secretion is less, the person will languish, always want to sleep, obviously sleep for seven or eight hours, still feel very sleepy.

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Hypothyroidism, that is, a condition in which thyroid hormone synthesis, secretion, or tissue utilization disorders lead to decreased systemic metabolism, commonly known as "hypothyroidism", that is, insufficient thyroid hormones in the body.

After hypothyroidism, it can affect the dysfunction of various systems and organs in the whole body, and in severe cases, edema, heart failure, coma, etc. can occur, but the onset of early hypothyroidism is insidious and the clinical symptoms are not specific, the progress is slow, and most patients are difficult to find.

Common symptoms of hypothyroidism include: cold intolerance, fatigue, easy fatigue, weight gain, memory loss, unresponsiveness, lethargy, constipation, bloating, menstrual irregularities, chest tightness, shortness of breath, facial puffiness, slowed heart rate, etc.

Therefore, if you often feel sleepless, sleepy, and not motivated to do anything, you should consider the possibility of hypothyroidism.

3 preliminary self-test hypothyroidism

If you are not sure whether you have hypothyroidism, you can first use the following methods to initially self-test.

 1 

Pull-out experiment

Keep 3~5 days without washing your hair, pull out a lock of hair (40~60), and then pull slightly hard from the root to observe hair loss.

Hair loss of more than 5 can indicate pathological hair loss, which is one of the typical symptoms of hypothyroidism.

 2 

Test your temperature

When thyroid hormone production is insufficient, hypothermia occurs.

For 3 consecutive days, basal body temperature was measured without eating or moving in the morning. Under normal circumstances, the axillary body temperature is 36 °C ~ 37 °C, if the test result is lower than 36 °C, there may be a risk of hypothyroidism.

 3 

Self-test of symptoms

Low levels of thyroid hormones can implicate almost all organs throughout the body, such as affecting blood lipids, skin, intestines, and heart disease, anemia, osteoporosis and other conditions.

People who are always sleepy, it's time to go to the hospital to check the "thyroid gland"

If these symptoms meet more than 5, hypothyroidism may occur.

Weight gain;

Often feel cold;

Increased cholesterol levels;

Increased blood pressure or slower heartbeat;

The skin becomes dry, the nails are gray and easy to break;

stiffness and pain in muscles and bones, numbness in the hands;

There are many negative thoughts, often depressed and depressed;

Often feel fatigue, often sleepy, lack of physical strength and energy;

Feeling that the bowel function and metabolic level are running slowly, and sometimes constipation;

Slow thinking, difficulty concentrating, memory loss, slower movement and reactions.

It should be reminded that the above is only a preliminary self-test, if you need to diagnose, it is recommended to go to the hospital to check thyroid function by drawing blood.

Thyroid function includes items such as thyroid-stimulating hormone TSH, thyroxine T4, and triiodothyronine T3. With prompt and effective treatment, partial hypothyroidism can be cured.

How to protect the thyroid gland at ordinary times

After the diagnosis of hypothyroidism, the patient can help improve as long as formal treatment + dietary adjustment. Dietary considerations for hypothyroidism are as follows:

Adequate protein supplementation

You can eat more lean meat, fish, skinless poultry, egg white, soy products, etc.

Control fat and cholesterol intake, limit egg yolks, cream, nuts, tahini, fatty meat, pork belly and other foods.

It is best to control the daily cooking oil within 20 grams.

Replenish iron and vitamins

Patients with hypothyroidism are prone to anaemia. Also, reduced iron absorption in patients with hypothyroidism may further exacerbate the tendency to anaemia.

People who are always sleepy, it's time to go to the hospital to check the "thyroid gland"

Pay attention to the intake of iron-rich foods, such as lean meat, animal blood, etc. At the same time, pay attention to supplementing folic acid, vitamin B12, vitamin C to promote hemoglobin synthesis and iron absorption.

Eat less salt

Hypothyroidism often manifests as swelling of the hands and feet, and physical well-being, which is related to the occurrence of myxedema. Excessive salt intake can cause water and sodium retention in the body and aggravate edema.

In addition to salt, some foods also contain more sodium, such as pickles, bacon, sauces, etc.

Consume more dietary fiber

Patients with hypothyroidism are prone to constipation and bloating, so choose foods rich in dietary fiber, such as various grains, fresh vegetables and fruits.

To protect your thyroid gland, you can focus on the following things in your life:

Radiation is a definite cause of thyroid cancer, stay away from the radiation environment, and try to avoid the thyroid area when taking X-rays.

Many patients with thyroid disease have problems such as staying up late, nervousness, anxiety, and stress. It is necessary to live a regular life, avoid overwork, and maintain good spirits.

After the age of 35, especially women, it is best to do thyroid function tests and thyroid ultrasound every 5 years; Women should have their thyroid function checked before becoming pregnant.

Avoid environmental "toxins" such as heavy metals and pesticides; Avoid estrogen abuse and be wary of estrogen-containing cosmetics and health products.

In addition to hyperthyroid patients and people living in areas with high water iodine, ordinary people should eat iodized salt and eat some seafood appropriately to avoid iodine deficiency. At the same time, it is necessary to avoid iodine overdose and use iodine-containing drugs reasonably under the guidance of doctors. ▲

Editor of this issue: Wang Xiaoqing

People who are always sleepy, it's time to go to the hospital to check the "thyroid gland"

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