甲状腺功能过高
在PubMed上查看摘要
概括
此摘要是机器生成的。甲状腺毒性或甲状腺过度活跃, 诊断包括甲状腺激素水平和抗体测试, 治疗包括药物,放射性或手术.
科学领域
- 内分泌学
- 内部医学
背景情况
- 甲状腺毒性包括甲状腺功能过高 (甲状腺激素过度合成) 和甲状腺炎 (甲状腺炎).
- 常见的原因包括甲状腺功能障碍的Graves病和有毒结节,甲状腺炎的自身免疫或病毒因素.
研究的目的
- 概述甲状腺毒性病的诊断方法和治疗策略.
- 根据临床表现和诊断标记来区分甲状腺功能过高和甲状腺炎.
主要方法
- 诊断依赖于抑制的甲状腺刺激激素 (TSH) 含量和增加的自由甲状腺素和三甲状腺素.
- 进一步评估包括临床评估,TSH受体抗体检测和放射性核酸甲状腺扫描.
- 治疗方法包括抗甲状腺药物,放射性和甲状腺切除术治疗甲状腺炎;症状治疗或甲状腺炎治疗.
主要成果
- 过度甲状腺炎症显示甲状腺激素水平升高,而亚临床甲状腺炎症尽管抑制了TSH,但水平正常.
- 格雷夫斯病通常用抗甲状腺药物治疗,而有毒结节/可能更喜欢放射性或手术.
- 长期的抗甲状腺药物治疗是支持格雷夫斯病和有毒结节.
结论
- 准确诊断甲状腺毒性需要评估TSH,甲状腺激素和特定抗体.
- 治疗选择取决于潜在的原因,患者因素和疾病的严重程度.
- 对于甲状腺功能过高和甲状腺炎都有有效的治疗策略,改善了患者的治疗结果.
相关概念视频
Low blood levels of the thyroid hormones — triiodothyronine (T3) and thyroxine (T4) — signal the hypothalamus to release the thyrotropin-releasing hormone (TRH). TRH then reaches the pituitary gland and stimulates the release of thyroid-stimulating hormone(TSH) into the bloodstream.
Upon reaching the thyroid gland, TSH stimulates the follicular cells' active uptake of iodide ions from the blood. The ions diffuse to the apical surface of the cells and are oxidized to iodine. The...
The thyroid hormone (TH) plays a pivotal role in the intricate orchestration of physiological processes, exerting profound effects on development, metabolism, and homeostasis throughout different life stages.
TH is indispensable for the normal development and maturation of the skeletal, muscular, and nervous systems during fetal and childhood growth. It facilitates bone mineral turnover and regulates protein synthesis in developing tissues, contributing significantly to overall growth and...
The thyroid gland is a small, butterfly-shaped gland located in the neck and covers the anterior surface of the trachea. The gland has two lateral lobes connected by a thin tissue mass called the isthmus. Internally, each lobe comprises many small spherical structures known as thyroid follicles, surrounded by a network of blood vessels.
The follicles have a central cavity lined by simple cuboidal to squamous epithelial cells called follicular cells. These cells produce the glycoprotein...
Hormones, the biochemical messengers produced by endocrine glands, are pivotal in regulating bodily functions and maintaining homeostasis. Each hormone's balance is crucial; imbalances can lead to significant physiological disruptions. Major hormones include oxytocin, cortisol, epinephrine, estrogen, testosterone, thyroxine, growth hormone, insulin, and glucagon.
Oxytocin, produced in the hypothalamus and released by the pituitary gland, plays a role in social bonding, childbirth, and...
Tachycardia is a condition marked by an abnormally fast or irregular heart rate, surpassing the typical resting rate. In adults, tachycardia is characterized by a pulse rate ranging from 100 to 180 beats per minute. The increased heart rate can result in inadequate blood flow to various body parts, ultimately diminishing the oxygen supply to organs and tissues.
Many factors can elevate the risk of developing tachycardia. These include advanced age, a family history of arrhythmias, and an...
Adrenal gland disorders manifest when the production of adrenal hormones deviates from the norm, resulting in either excessive or insufficient concentrations.
Adrenal insufficiency, characterized by insufficient cortisol and aldosterone production, leads to conditions like Addison's disease. This disorder, affecting the adrenal cortex, exhibits symptoms such as skin bronzing, dehydration, low blood pressure, fatigue, and weight loss. Congenital adrenal hyperplasia, a genetic ailment causing...

