在医学上还没有解释过甲状腺功能低下症的症状
Laszlo Hegedüs1, Christina M Van Der Feltz-Cornelis2, Enrico Papini3
1Department of Endocrinology, Odense University Hospital, Odense, Denmark. Laszlo.hegedus@rsyd.dk.
Nature reviews. Endocrinology
|August 13, 2024
概括
持续的症状,称为医学上尚未解释的症状 (MNYES),在甲状腺功能低下症中很常见. 认识MNYES可以导致更好的患者护理,而不是过度调查或过度治疗.
科学领域:
- 内分泌学 在内分泌学.
- 内部医学 内部医学
- 精神病体医学是一种精神病体医学.
背景情况:
- 持续性症状在一般人群中普遍存在,并且在甲状腺功能低下症患者中明显更为常见.
- 医学上尚未解释的症状 (MNYES) 是患者,护理人员和专家经常遇到和喜欢的,而不是其他描述符.
- 内分泌学家可能会忽视MNYES或错误地将其归因于甲状腺功能低下症,导致患者管理不足最佳.
研究的目的:
- 强调在出现不明原因症状的患者中识别医学上尚未解释的症状 (MNYES) 的重要性.
- 倡导从潜在有害的过度调查和过度治疗甲状腺功能低下症转向有效的MNYES管理.
- 确定内分泌学家在承认和管理MNYES方面的关键作用.
主要方法:
- 在内分泌学中对医学上尚未解释的症状 (MNYES) 的文献综述和专家意见的综合.
- 对低甲状腺患者无法解释的症状的当前诊断和治疗范式的分析.
- 在管理MNYES时,制定一个"双轨方法"的框架,考虑身体和心理社会因素.
主要成果:
- 与目前的做法相比,对MNYES的认识可以促进更有效和更少有害的干预措施.
- 有效的内分泌学家参与包括承认MNYES,明确的沟通,以及对身体和心理社会贡献者的平衡方法.
- 根据症状恶化风险对患者进行分类有助于量身定制治疗策略.
结论:
- 内分泌学家必须认识到并承认医学上尚未解释的症状 (MNYES) 作为患者表现的潜在潜在原因.
- 为了管理MNYES,必须采用"双轨方法",将身体和心理社会方面结合起来,并进行有效的沟通.
- 优化MNYES的管理需要专门的时间,专业培训,临床专业知识和足够的医疗资源.
相关概念视频
Synthesis and Regulation of Thyroid Hormones
4.3K
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...
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...
4.3K
Major Hormones and Their Functions
356
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...
Oxytocin, produced in the hypothalamus and released by the pituitary gland, plays a role in social bonding, childbirth, and...
356
Myasthenia Gravis: Diagnostic Tests
714
Myasthenia gravis is an autoimmune condition affecting neuromuscular transmission, causing generalized weakness in skeletal muscles. Initial diagnoses rely on patients' signs, symptoms, and medical history. The challenge lies in distinguishing myasthenia from other muscular dystrophies. An important diagnostic feature is the significant improvement of symptoms after administering anticholinesterase inhibitors.
The edrophonium test is a diagnostic tool for myasthenia gravis. It involves...
The edrophonium test is a diagnostic tool for myasthenia gravis. It involves...
714
Irritable Bowel Syndrome II: Clinical Features and Diagnostic Evaluation
154
Irritable Bowel Syndrome II: Clinical Features and Diagnostic Evaluation
Irritable Bowel Syndrome (IBS) is classified into subtypes based on the predominant bowel habits as determined by the Bristol Stool Form Scale (BSFS). The subtypes are:
Irritable Bowel Syndrome (IBS) is classified into subtypes based on the predominant bowel habits as determined by the Bristol Stool Form Scale (BSFS). The subtypes are:
154
Irritable Bowel Syndrome I: Introduction
264
Irritable Bowel Syndrome (IBS) is characterized by functional disturbances in the gastrointestinal system, presenting a cluster of symptoms without evident structural or biochemical abnormalities. It primarily affects the large intestine and may cause abdominal pain, bloating, excessive gas, diarrhea, constipation, or both.
IBS is a chronic condition that can persist over a long period or recur frequently.
The pathogenesis of IBS involves a complex interplay of the following factors:
Altered...
IBS is a chronic condition that can persist over a long period or recur frequently.
The pathogenesis of IBS involves a complex interplay of the following factors:
Altered...
264
Alterations in Blood Pressure
1.2K
Alterations in blood pressure, such as hypertension (high blood pressure) and hypotension (low blood pressure), significantly affect human health. Understanding these conditions' classifications, causes, and symptoms is essential for effective management and treatment.
Hypertension (High blood pressure)
Hypertension occurs when blood pressure readings consistently exceed the normal range. It is diagnosed when systolic blood pressure (the top number, indicating pressure while the heart...
Hypertension (High blood pressure)
Hypertension occurs when blood pressure readings consistently exceed the normal range. It is diagnosed when systolic blood pressure (the top number, indicating pressure while the heart...
1.2K


