Host: Why is thyroid disease increasing in recent years?
Professor Xu Guangyu: In the past, people knew about thyroid disease, mostly because they knew that it was an endemic disease, and many of them were iodine deficiency goiter. Later, in order to prevent such diseases, our table salt was made into iodized salt, which prevented endemic thyroid disease to a certain extent. However, in recent years, due to the acceleration of the pace of life, the pressure of people's lives has also increased significantly, coupled with the unhealthy lifestyle of some people, so there are more thyroid diseases.
Iodine is not only the raw material for the thyroid gland to synthesize thyroxine, but also regulates the growth and secretion of the thyroid gland. Imbalance of iodine elements (iodine deficiency or hyperiodine) can cause some lesions of the thyroid gland, causing diseases such as hyperiodine goiter, hyperiodiodonia, hypoiodoid nail, hyperiodine autoimmune diseases, thyroid cancer and other diseases. That's why I often talk about "iodine" to the end. More or less is not good.
In addition, our research found that the high incidence of thyroid disease is not only related to the amount of dietary iodine, but also related to factors such as mental stress, mood, environmental pollution, electromagnetic radiation, etc. Medical research has found that stress can harm the health of 7 systems, including the nervous system, skeletal muscle system, and respiratory system. Stress and overwork can increase the burden on the thyroid gland and reduce human immunity. We have found that many hosts, showbiz and white-collar workers are susceptible to thyroid disease because of the stress of work. For example, the public knows Jet Li, Wang Nan and so on. So keeping a good mood, a good mindset, and reducing stress are effective ways to stay away from thyroid disease.
Host: What are the thyroid diseases? I heard that it is not easy to treat ah?
Professor Xu Guangyu: Thyroid disease is divided into two major blocks, functional changes and structural organic changes, the so-called functional changes such as hyperthyroidism called hyperthyroidism, hypothyroidism or hypothyroidism is called hypothyroidism, this kind of disease thyroid gland can not grow nodules and no tumors. Organic lesions of the thyroid gland are divided into thyroid nodules, thyroid cysts, and thyroid tumors. Thyroid cancer, of course, everyone knows that it is a malignant tumor, and there are many types of cancer, such as thyroid papillary adenocarcinoma, which is the most common thyroid malignancy, accounting for about 60%-70% of all thyroid cancers, which is a low-grade malignancy. Thyroid follicular adenocarcinoma, thyroid undifferentiated carcinoma, medullary thyroid carcinoma, primary squamous cell carcinoma of the thyroid gland, primary mucosal adenocarcinoma of the thyroid gland, malignant tumor of the thyroid interstitial. Every cancer is different after healing.
Hyperthyroidism, hypothyroidism, thyroiditis, thyroid nodules, thyroid tumors, indeed, are not easy to treat. But as long as the treatment is done properly, thyroid disease is not an incurable disease, and many can be cured.
Host: Thyroid cancer sounds terrible, does nodules turn malignant? What are the treatments?
Professor Xu Guangyu: Clinically, thyroid nodules have a cancerous rate of 10% to 15%. There is also Joe Ben's thyroiditis is an autoimmune disease, if there is a nodule, it may become cancerous, the relevant literature statistics have 15% to 35%. We can't have surgery as soon as we see a thyroid nodule, and we can't just ignore it because it's not painful or itchy. So if the physical examination finds nodules or feels the thyroid nodules yourself, it is best to go to the hospital to find a specialist doctor to see, to evaluate the thyroid nodules, we find through some examinations that it may be benign, we can dynamically observe, the conservative treatment effect of traditional Chinese medicine is very good, the ancient anti-gall soup, the yellow medicine of Chinese medicine, and the summer dry grass are all good drugs to eliminate thyroid nodule sac tumors. In years of clinical experience, we have also developed our own pure Chinese medicine thyroid special patch, which is combined with traditional Chinese medicine internal administration and conditioning, which has a very good effect on such diseases. Once the malignancy is suspected, surgical punctures should be used to confirm the diagnosis, and then consider whether to operate or not.
Moderator: Teacher Li, I remember that just now you introduced the thyroid gland as an endocrine engine, then the thyroid gland has a problem endocrine disorder, what to do?
Professor Xu Guangyu: The thyroid gland itself is the largest endocrine organ of the human body, and the thyroxine it secretes is a hormone that the human body does not lack. If a thyroid problem inevitably leads to endocrine problems, the body will have a series of symptoms of multisystem diseases. Common hyperthyroidism, hypothyroidism (also known as hypothyroidism) is hyperthyroidism, and one is hypothyroidism. No matter how high or low it is, it will cause a series of problems such as heart, digestion, and nervous system. Western medicine treatment of hyperthyroidism is mainly methimazole and other drugs that inhibit nail work, as well as iodine-131 nuclear radiation therapy, the advantages are fast downgrade indicators, the disadvantage is that the recurrence rate is high, and it is easy to lead to hypothyroidism. Western medicine treatment of hypothyroidism mainly relies on the replacement treatment of synthetic thyroid hormones. It is easy to form a lifelong dependence. At present, traditional Chinese medicine is used to dialectical treatment, tonify qi and blood, tonify the liver and kidneys, improve immunity, regulate the balance of yin and yang, can be two-way endocrine balance, and restore the good nature of jiagong. And the medication cycle is shorter than that of Western medicine, and there are no side effects. I have also published a number of papers that illustrate the irreplaceable advantages of TCM in the treatment of thyroid disease.
Host: What's going on with thyroiditis? What causes inflammation?
Professor Xu Guangyu: It is seen in the induction of epistaxis, there are symptoms such as high fever and sore throat, many people are easy to mistake it for a cold, but as long as you pay attention to the patient's neck, there is swelling, or touch pain. Ultrasound and laboratory tests can be done immediately to confirm the diagnosis. Traditional Chinese medicine and Western medicine are effective in treatment. But Hashimoto's thyroiditis is different, it is an autoimmune or deficient disease, also known as chronic lymphocytic thyroiditis. In the early days, there are almost no symptoms, and some people have slightly thicker necks, and most of them are paying attention to them when they cause hyperthyroidism or hypothyroidism. That's why I often suggest that during the physical examination, we must pay attention to the lower neck and pay attention to the changes in the thyroid gland. Hashimoto thyroid because it is an autoimmune problem, Western medicine has no specific drug methods, it is best to use traditional Chinese medicine treatment, by regulating the function of the internal organs, can completely improve the thyroid autoimmunity. At the same time, it regulates hyperthyroidism, eliminates goiter and nodules, etc.
Host: I heard that you have cured thousands of thyroid patients through WeChat videos, can you explain the detailed process?
Professor Xu Guangyu: With the development of Internet technology, it has become fashionable to find the doctor you need without leaving home. The Internet and reality are the same, and they are also achieved through "looking, hearing and cutting".
This "hope" can also be called face-to-face consultation. To achieve the "hope" of remote diagnosis and treatment, the main thing is to see her face and tongue through the patient's self-taken photos, or directly through the video. It is also necessary to combine the examination data of the hospital sent by her, so that the accuracy is greatly improved. For example, through the photo, "look" at her tongue moss, found that the tongue moss has obvious tooth marks, which means that her moisture is very heavy; look at her tongue moss thick, indicating that not only wet, but also at the same time there is depression; the two veins under the tongue moss become black and thick, indicating that there is a bruise.
This "smell" is mainly to listen to her voice and judge her mental state.
The so-called "ask", through the "ask" of WeChat text and video, I learned about her diet, bitter mouth performance, sleep dreams, normal feeling of warmth and cold, normal urination, normal sweating, menopause, etc. At the same time, through asking, I learned about her past history, allergy history, etc.
Moderator: Thank you for introducing us to this thyroid knowledge. Finally, can you tell you a little about the knowledge of maintaining the thyroid gland and preventing thyroid disease?
Professor Xu Guangyu: To prevent thyroid disease, in addition to eating a balanced diet and paying attention to the amount of salt, we must also maintain an optimistic mood and pay attention to rest and sleep. Here I would also like to emphasize that attention should be paid to avoiding electromagnetic radiation as much as possible. Growth and development of children in the long-term ionizing radiation will have an impact on human organs, especially the thyroid gland is very fragile, such as children to do radiation examination, do neck CT the probability of cancer is very large, so now if you play the computer, play mobile phone, it is best to have restrictions, and at night a lot of people play mobile phones, play the mobile phone next to the bed This is very bad.
Moderator: I am very grateful to Xu Guangyu for his wonderful answers and popularizing some knowledge of thyroid disease for us. Thank you again for coming to our section and look forward to seeing you next time.
Professor Xu Guangyu: Thank you, thank you, goodbye!