不要忽(hu)視的(de)老年性甲狀腺功能(neng)亢進癥(zheng)
甲狀(zhuang)腺(xian)(xian)(xian)功(gong)能(neng)亢(kang)(kang)進癥(zheng)(簡稱(cheng)甲亢(kang)(kang)),多見于(yu)(yu)中(zhong)青年(nian)(nian)女性,其典型(xing)的癥(zheng)狀(zhuang)易于(yu)(yu)激動、多言、怕熱、甲狀(zhuang)腺(xian)(xian)(xian)腫(zhong)、食欲亢(kang)(kang)進、突眼、心動過速等。近年(nian)(nian)來發現老年(nian)(nian)人(ren)患甲狀(zhuang)腺(xian)(xian)(xian)功(gong)能(neng)亢(kang)(kang)進癥(zheng)的也不少;但是,老年(nian)(nian)甲狀(zhuang)腺(xian)(xian)(xian)功(gong)能(neng)亢(kang)(kang)進癥(zheng)病人(ren)缺乏以上典型(xing)癥(zheng)狀(zhuang),所以易于(yu)(yu)被(bei)誤診(zhen)。
老年性甲(jia)狀(zhuang)(zhuang)(zhuang)腺(xian)功(gong)能(neng)亢進(jin)癥(zheng)(zheng)以心(xin)(xin)(xin)(xin)臟病(bing)(bing)(bing)型(xing)多見,容易并發器質性心(xin)(xin)(xin)(xin)臟病(bing)(bing)(bing)。但(dan)很少有心(xin)(xin)(xin)(xin)動過速,而是出現(xian)心(xin)(xin)(xin)(xin)房(fang)撲動、心(xin)(xin)(xin)(xin)房(fang)顫動等(deng)多種(zhong)心(xin)(xin)(xin)(xin)律失常;也可呈現(xian)心(xin)(xin)(xin)(xin)力衰竭的(de)(de)癥(zheng)(zheng)狀(zhuang)(zhuang)(zhuang);有的(de)(de)表(biao)(biao)現(xian)為(wei)(wei)頻發心(xin)(xin)(xin)(xin)絞痛,甚(shen)至心(xin)(xin)(xin)(xin)肌梗塞。其中原因是大量甲(jia)狀(zhuang)(zhuang)(zhuang)腺(xian)素(su)的(de)(de)作用(yong),使心(xin)(xin)(xin)(xin)臟的(de)(de)負荷(he)加重所致(zhi)。上(shang)述癥(zheng)(zheng)狀(zhuang)(zhuang)(zhuang)很像冠(guan)心(xin)(xin)(xin)(xin)病(bing)(bing)(bing)。有的(de)(de)患者表(biao)(biao)現(xian)為(wei)(wei)厭食、惡心(xin)(xin)(xin)(xin)、嘔吐(tu)、腹瀉、消瘦,很像消化道癌癥(zheng)(zheng)的(de)(de)癥(zheng)(zheng)狀(zhuang)(zhuang)(zhuang)。少數(shu)病(bing)(bing)(bing)人(ren)表(biao)(biao)現(xian)為(wei)(wei)神(shen)情淡漠(mo)、兩眼發呆(dai)、反應遲(chi)鈍、嗜(shi)睡(shui)等(deng)神(shen)經癥(zheng)(zheng)狀(zhuang)(zhuang)(zhuang)。有時甚(shen)至昏迷(mi)。所以老年性甲(jia)狀(zhuang)(zhuang)(zhuang)腺(xian)功(gong)能(neng)亢進(jin)癥(zheng)(zheng)病(bing)(bing)(bing)人(ren)常被誤診(zhen)(zhen)為(wei)(wei)心(xin)(xin)(xin)(xin)臟病(bing)(bing)(bing)、胃癌和消化道疾病(bing)(bing)(bing),靠不典型(xing)的(de)(de)癥(zheng)(zheng)狀(zhuang)(zhuang)(zhuang)來診(zhen)(zhen)斷(duan)老年性甲(jia)狀(zhuang)(zhuang)(zhuang)腺(xian)功(gong)能(neng)亢進(jin)癥(zheng)(zheng)是很困(kun)難的(de)(de)。因此,必(bi)須提高警(jing)惕(ti),如(ru)有上(shang)述癥(zheng)(zheng)狀(zhuang)(zhuang)(zhuang)表(biao)(biao)現(xian),要及時去醫院診(zhen)(zhen)治(zhi),只要作甲(jia)狀(zhuang)(zhuang)(zhuang)腺(xian)功(gong)能(neng)檢(jian)查,診(zhen)(zhen)斷(duan)并不困(kun)難。
如(ru)果明確了診斷,合(he)(he)理服(fu)用(yong)抗甲狀腺藥物的(de)治療,一(yi)(yi)般(ban)不能少(shao)于一(yi)(yi)年(nian)(nian)半,患者平(ping)時仍應常去(qu)醫院再作詳細檢查,特(te)別(bie)是心臟方面(mian)的(de)檢查,以明了是否合(he)(he)并有老年(nian)(nian)人常患的(de)疾病(bing)———冠心病(bing)。
由于老年人全身情況較差,合并(bing)癥突出,在治療(liao)的(de)同時(shi),應注(zhu)意充分休息;給予(yu)高(gao)熱(re)量、高(gao)蛋(dan)白、高(gao)維生素飲食,以補充因代(dai)謝亢進而引起的(de)消(xiao)耗;及時(shi)控制各種(zhong)并(bing)發癥等,讓病人順利渡過難關(guan)。
什(shen)么是甲狀腺功能亢(kang)進癥(甲亢(kang))?
甲(jia)狀(zhuang)腺功能亢進(jin)癥(zheng),簡(jian)稱甲(jia)亢,是一種十分(fen)常見的內(nei)(nei)分(fen)泌(mi)疾病。它是由于體(ti)內(nei)(nei)甲(jia)狀(zhuang)腺激(ji)素(TH)合成或(huo)分(fen)泌(mi)過多(duo)而引(yin)起的以神經、循(xun)環、消化等(deng)系(xi)統(tong)興奮(fen)性(xing)增(zeng)高和代謝(xie)亢進(jin)為主要表現的一組疾病的總稱。本(ben)病可影響全身各個系(xi)統(tong),它也(ye)可以出現“三(san)多(duo)一少(shao)(shao)”癥(zheng)狀(zhuang):“多(duo)”汗(han)怕(pa)熱,“多(duo)”食易饑,大便次數增(zeng)“多(duo)”,體(ti)重減“少(shao)(shao)”。應注意的是,它的“三(san)多(duo)一少(shao)(shao)”與糖尿病的“三(san)多(duo)一少(shao)(shao)”有本(ben)質的區別。
患甲(jia)亢時(shi),一(yi)方面(mian),由(you)于甲(jia)狀(zhuang)腺(xian)激(ji)(ji)素太高可(ke)出(chu)現(xian)(xian)(xian)心(xin)(xin)(xin)慌(huang)、怕熱(re)多(duo)汗(han)、吃得多(duo),但(dan)(dan)體重反而(er)下降、疲乏無力、偶有低熱(re),嚴重時(shi)可(ke)出(chu)現(xian)(xian)(xian)高熱(re)等(deng)(deng)代謝加(jia)快的癥(zheng)狀(zhuang);另一(yi)方面(mian),由(you)于神(shen)(shen)(shen)(shen)經(jing)興(xing)奮性(xing)增高出(chu)現(xian)(xian)(xian)神(shen)(shen)(shen)(shen)經(jing)過(guo)敏,易于激(ji)(ji)動(dong),煩(fan)躁多(duo)慮(lv),失眠緊張,多(duo)言(yan)(yan)多(duo)動(dong),有時(shi)思想不(bu)集中(zhong)。但(dan)(dan)有些老(lao)年患者出(chu)現(xian)(xian)(xian)神(shen)(shen)(shen)(shen)情淡漠、寡言(yan)(yan)抑郁等(deng)(deng)神(shen)(shen)(shen)(shen)經(jing)精(jing)神(shen)(shen)(shen)(shen)系(xi)統(tong)表現(xian)(xian)(xian)。此外,還(huan)(huan)可(ke)影響(xiang)心(xin)(xin)(xin)血管系(xi)統(tong)、消化系(xi)統(tong)、生殖系(xi)統(tong)等(deng)(deng),出(chu)現(xian)(xian)(xian)心(xin)(xin)(xin)動(dong)過(guo)速(su)、房(fang)顫、心(xin)(xin)(xin)力衰竭、腹瀉、月經(jing)不(bu)調、閉經(jing)及不(bu)孕等(deng)(deng);還(huan)(huan)會出(chu)現(xian)(xian)(xian)脖(bo)子增粗、眼球突(tu)出(chu)、下肢腫脹(zhang)。由(you)于病因不(bu)同、輕重不(bu)同,每個人的癥(zheng)狀(zhuang)、體征也各不(bu)相(xiang)同。如果發現(xian)(xian)(xian)脖(bo)子變大、突(tu)眼、心(xin)(xin)(xin)慌(huang)手抖、煩(fan)躁失眠,不(bu)明原因的大便次(ci)數(shu)增多(duo)等(deng)(deng)癥(zheng)狀(zhuang),需考慮(lv)甲(jia)亢可(ke)能,應到醫院就診,檢查甲(jia)狀(zhuang)腺(xian)功能、相(xiang)關抗(kang)體及甲(jia)狀(zhuang)腺(xian)B超等(deng)(deng),以明確疾病的性(xing)質。
甲(jia)狀腺亢(kang)進常見癥狀有哪些?改善(shan)甲(jia)狀腺亢(kang)進,飲食禁忌與治療一次(ci)看(kan)!
【蘇柏儒、呂薏萱】許多人只知道甲狀腺生病有大脖子、眼球突出等癥狀,但甲狀腺疾病其實罹患率頗高,包括失眠、緊張焦慮、流汗、體重增加或減輕、心悸等都可能與甲狀腺疾病有關,武打巨星李連杰、歌手方季惟、藝人蝴蝶姐姐等都曾受到甲亢困擾,其中,李連杰近年來淡出演藝圈,他過去就自爆患有甲狀腺機能亢進,身形忽胖忽瘦,也無法做大量劇烈運動,必須服藥控制,病痛纏身。 其實甲狀腺亢進是可以獲得控制的,但是,如果病情控制不佳引起「甲狀腺風暴」,致死率則可能高達三成!甲狀腺亢進飲食該吃什么,當有甲狀腺腫大等問題時掛號又該看哪一科呢? 甲狀腺亢進癥狀 甲狀腺機能亢進會致使新陳代謝加快,造成全身性不適,它的主要癥狀有: 體重減輕:因代謝的速度加快,而讓體重快速掉落。 心跳過快、心房震顫:除了導致心跳加快,由于代謝過快、人體無法負荷,所以可能會出現心律不整,時間一長除了造成我們負擔,還會使全身的血液循環變差,甚至出現浮腫或是心衰竭的狀況。 食欲增加:為了維持身體所需能量,身體會想辦法要把代謝過快的能量補回來,而導致食欲上升。 眼球凸出:眼球凸是甲狀腺疾病的經典癥狀,然而并不適用于每個人,它比較常見在葛瑞夫茲氏病的患者身上,如果有這個癥狀的朋友應戒除菸癮,否則有惡化的可能性。 其他癥狀: 手指顫抖 出汗增加 排便頻率增加 甲狀腺腫大 皮膚變細變薄 緊張焦慮、失眠:甲狀腺素分泌過多,不只生理上,亦會影響到情緒。 骨質疏松 周期性四肢麻痹:這是比較罕見的并發癥,多發生在飯后或是運動后,患者會短暫無法使力,以男性居多。 甲狀腺風暴:一種罕見的嚴重并發癥,患者會出現高燒、心衰竭等等征象,如果沒有接受妥善的治療,致死率可能高達20~30%。 甲狀腺亢進飲食 美國國家糖尿病、消化道與腎臟疾病研究院(National Institute of Diabetes and Digestive and Kidney Diseases)指出,葛瑞夫茲氏癥患者以及患有其他類型自體免疫甲狀腺疾病的人,會比較容易受到碘的壞處影響,攝取富含碘的食物(昆布、海帶等藻類)可能引起甲狀腺亢進,或使得甲狀腺亢進更嚴重。服用碘補充品也可能有同樣的影響,建議向醫師或醫療團隊咨詢是否應避免相關營養補充品或飲食。 美國注冊家庭專科護理師 Shannon Johnson 也指出,雖然食物不能治療甲狀腺亢進,但補充正確的營養有助改善甲狀腺荷爾蒙的制造與甲狀腺的功能,因此有助控制癥狀的發生。除了控制碘攝取量以外,Shannon Johnson 也建議補充鈣質與維生素D,因為甲狀腺亢進常造成骨質密度上的問題;此外含有咖啡因的食物和飲料也可能加重甲狀腺亢進癥狀,也要小心。
甲狀腺亢進適合的飲食
低碘飲食:醫師可能要求預計接受放射性碘治療的甲狀腺亢進患者采行。 十字花科蔬菜:其中的成份有時會降低甲狀腺荷爾蒙的制造,以及甲狀腺對碘的吸收效果,因此甲狀腺亢進的患者可適量食用,甲狀腺低下的患者則應避免大量食用。 硒:這種微量營養素是身體代謝甲狀腺荷爾蒙所必需,研究認為硒能夠幫助改善部分自體免疫性甲狀腺疾病的癥狀。 鐵:全身包含甲狀腺在內的健康都與鐵有關,因為鐵能夠幫助紅血球攜帶氧氣并運送給全身細胞。也有研究者認為,鐵攝取不足可能與甲狀腺亢進有關。 鈣、維生素D:長期甲狀腺亢進可能降低骨質密度,并造成骨質疏松,因此患者需要適量補充。 香料:研究認為某些香料如:姜黃、青辣椒,可能有助降低甲狀腺疾病的頻率;此外姜黃也有抗發炎的好處。
甲狀腺亢進應避免的飲食
高碘食物:攝取過多的碘會使甲狀腺制造更多的荷爾蒙,而加重甲狀腺亢進的癥狀。 大豆:動物研究顯示,大豆可能干擾用于治療甲狀腺亢進的放射性碘的作用。 麩質:研究認為,自體免疫性的甲狀腺疾病(例如葛瑞夫茲氏病)更容易發生在有乳糜瀉疾病的人身上,目前原因不明,但可能是受到基因的影響。 咖啡因:可能加重甲狀腺亢進的癥狀,包括心悸、顫抖、焦慮、失眠等。 建議食物 低碘食物 無碘鹽/蛋白/蔬菜/茶、黑咖啡/香草與香料/植物性油脂/糖、果醬、果凍、蜂蜜/不加鹽的堅果和堅果抹醬/蘇打水、檸檬水/啤酒、紅酒/適量牛肉、雞肉、羊肉等/水果、果汁/ 十字花科蔬菜 高麗菜、抱子甘藍//芥藍菜、甘藍菜/白蘿卜、大頭菜/小白菜/白花椰菜/青花菜(綠花椰菜)、青花菜苗 硒 巴西堅果/鮪魚/蝦子/火腿/牛肉/火雞肉/雞肉/白米/雞蛋/水牛起司/菠菜/麥片 鐵 葡萄干/牡蠣、魚類/黑豆、腎豆等豆類/黑巧克力/牛肉、雞肉、豬肉、火雞肉/扁豆/菠菜/豆腐/沙丁魚/鷹嘴豆 鈣、維生素D 牛奶/起司/優格/沙丁魚/青花菜/羽衣甘藍/小白菜/豆腐 香料 姜黃、青辣椒等 避免食物 高碘食物 加碘鹽/魚類、貝類/海帶與藻類/乳制品/碘營養補充品/含有紅色食用色素的食品/蛋黃/卡膠(鹿角菜膠) 大豆 豆漿/豆腐/納豆/大豆油 麩質 小麥/大麥/黑麥/燕麥 咖啡因 一般咖啡/紅茶/汽水/巧克力/提神飲料【蘇柏儒、呂薏萱】許多人只知道甲狀腺生病有大脖子、眼球突出等癥狀,但甲狀腺疾病其實罹患率頗高,包括失眠、緊張焦慮、流汗、體重增加或減輕、心悸等都可能與甲狀腺疾病有關,武打巨星李連杰、歌手方季惟、藝人蝴蝶姐姐等都曾受到甲亢困擾,其中,李連杰近年來淡出演藝圈,他過去就自爆患有甲狀腺機能亢進,身形忽胖忽瘦,也無法做大量劇烈運動,必須服藥控制,病痛纏身。 其實甲狀腺亢進是可以獲得控制的,但是,如果病情控制不佳引起「甲狀腺風暴」,致死率則可能高達三成!甲狀腺亢進飲食該吃什么,當有甲狀腺腫大等問題時掛號又該看哪一科呢? 甲狀腺亢進癥狀 甲狀腺機能亢進會致使新陳代謝加快,造成全身性不適,它的主要癥狀有: 體重減輕:因代謝的速度加快,而讓體重快速掉落。 心跳過快、心房震顫:除了導致心跳加快,由于代謝過快、人體無法負荷,所以可能會出現心律不整,時間一長除了造成我們負擔,還會使全身的血液循環變差,甚至出現浮腫或是心衰竭的狀況。 食欲增加:為了維持身體所需能量,身體會想辦法要把代謝過快的能量補回來,而導致食欲上升。 眼球凸出:眼球凸是甲狀腺疾病的經典癥狀,然而并不適用于每個人,它比較常見在葛瑞夫茲氏病的患者身上,如果有這個癥狀的朋友應戒除菸癮,否則有惡化的可能性。 其他癥狀: 手指顫抖 出汗增加 排便頻率增加 甲狀腺腫大 皮膚變細變薄 緊張焦慮、失眠:甲狀腺素分泌過多,不只生理上,亦會影響到情緒。 骨質疏松 周期性四肢麻痹:這是比較罕見的并發癥,多發生在飯后或是運動后,患者會短暫無法使力,以男性居多。 甲狀腺風暴:一種罕見的嚴重并發癥,患者會出現高燒、心衰竭等等征象,如果沒有接受妥善的治療,致死率可能高達20~30%。 甲狀腺亢進飲食 美國國家糖尿病、消化道與腎臟疾病研究院(National Institute of Diabetes and Digestive and Kidney Diseases)指出,葛瑞夫茲氏癥患者以及患有其他類型自體免疫甲狀腺疾病的人,會比較容易受到碘的壞處影響,攝取富含碘的食物(昆布、海帶等藻類)可能引起甲狀腺亢進,或使得甲狀腺亢進更嚴重。服用碘補充品也可能有同樣的影響,建議向醫師或醫療團隊咨詢是否應避免相關營養補充品或飲食。 美國注冊家庭專科護理師 Shannon Johnson 也指出,雖然食物不能治療甲狀腺亢進,但補充正確的營養有助改善甲狀腺荷爾蒙的制造與甲狀腺的功能,因此有助控制癥狀的發生。除了控制碘攝取量以外,Shannon Johnson 也建議補充鈣質與維生素D,因為甲狀腺亢進常造成骨質密度上的問題;此外含有咖啡因的食物和飲料也可能加重甲狀腺亢進癥狀,也要小心。
甲狀腺亢進適合的飲食
低碘飲食:醫師可能要求預計接受放射性碘治療的甲狀腺亢進患者采行。 十字花科蔬菜:其中的成份有時會降低甲狀腺荷爾蒙的制造,以及甲狀腺對碘的吸收效果,因此甲狀腺亢進的患者可適量食用,甲狀腺低下的患者則應避免大量食用。 硒:這種微量營養素是身體代謝甲狀腺荷爾蒙所必需,研究認為硒能夠幫助改善部分自體免疫性甲狀腺疾病的癥狀。 鐵:全身包含甲狀腺在內的健康都與鐵有關,因為鐵能夠幫助紅血球攜帶氧氣并運送給全身細胞。也有研究者認為,鐵攝取不足可能與甲狀腺亢進有關。 鈣、維生素D:長期甲狀腺亢進可能降低骨質密度,并造成骨質疏松,因此患者需要適量補充。 香料:研究認為某些香料如:姜黃、青辣椒,可能有助降低甲狀腺疾病的頻率;此外姜黃也有抗發炎的好處。
甲狀腺亢進應避免的飲食
高碘食物:攝取過多的碘會使甲狀腺制造更多的荷爾蒙,而加重甲狀腺亢進的癥狀。 大豆:動物研究顯示,大豆可能干擾用于治療甲狀腺亢進的放射性碘的作用。 麩質:研究認為,自體免疫性的甲狀腺疾病(例如葛瑞夫茲氏病)更容易發生在有乳糜瀉疾病的人身上,目前原因不明,但可能是受到基因的影響。 咖啡因:可能加重甲狀腺亢進的癥狀,包括心悸、顫抖、焦慮、失眠等。 建議食物 低碘食物 無碘鹽/蛋白/蔬菜/茶、黑咖啡/香草與香料/植物性油脂/糖、果醬、果凍、蜂蜜/不加鹽的堅果和堅果抹醬/蘇打水、檸檬水/啤酒、紅酒/適量牛肉、雞肉、羊肉等/水果、果汁/ 十字花科蔬菜 高麗菜、抱子甘藍//芥藍菜、甘藍菜/白蘿卜、大頭菜/小白菜/白花椰菜/青花菜(綠花椰菜)、青花菜苗 硒 巴西堅果/鮪魚/蝦子/火腿/牛肉/火雞肉/雞肉/白米/雞蛋/水牛起司/菠菜/麥片 鐵 葡萄干/牡蠣、魚類/黑豆、腎豆等豆類/黑巧克力/牛肉、雞肉、豬肉、火雞肉/扁豆/菠菜/豆腐/沙丁魚/鷹嘴豆 鈣、維生素D 牛奶/起司/優格/沙丁魚/青花菜/羽衣甘藍/小白菜/豆腐 香料 姜黃、青辣椒等 避免食物 高碘食物 加碘鹽/魚類、貝類/海帶與藻類/乳制品/碘營養補充品/含有紅色食用色素的食品/蛋黃/卡膠(鹿角菜膠) 大豆 豆漿/豆腐/納豆/大豆油 麩質 小麥/大麥/黑麥/燕麥 咖啡因 一般咖啡/紅茶/汽水/巧克力/提神飲料 甲狀腺在哪里? 甲狀腺位于脖子氣管兩旁,是負責身體整體的新陳代謝的重要角色,而甲狀腺產生激素的多寡,會決定腦下垂體前葉分泌的促甲狀腺(THS)的分泌量,他們就像蹺蹺板一樣會維持在一定平衡的量,當甲狀腺激素分泌過多時,THS的量就會減少,反之亦然。 甲狀腺的疾病有哪些? 日本內分泌科醫師丸屋純表示,男生之中每50~100人就會有1個人有甲狀腺相關病癥的困擾,而女生更多30~60人就有一人。其中最常見的,即是甲狀腺機能亢進以及甲狀腺機能低下癥。 甲狀腺機能亢進癥 :因甲狀腺素分泌過多而導致心跳加快、 眼球突出、體重變輕等現象。 甲狀腺機能低下癥 :因甲狀腺素分泌過少而導致倦怠、 怕冷、 嗜睡、 體重變重等現象。 甲狀腺結節 :因甲狀腺內的局部腫瘤,而致使脖子腫大,可以透過用肉眼觀察或是實際觸摸知道,腫瘤有分良性以及惡性的,另外由于征狀不明顯,而不容易被查知。 甲狀腺癌 :甲狀腺內的惡性腫瘤,可能會導致患者在確診數月后死亡。
甲狀腺機能亢進原因
甲(jia)(jia)(jia)(jia)(jia)(jia)(jia)狀(zhuang)(zhuang)(zhuang)(zhuang)(zhuang)(zhuang)(zhuang)(zhuang)(zhuang)(zhuang)(zhuang)腺(xian)(xian)(xian)(xian)(xian)(xian)(xian)(xian)(xian)(xian)(xian)機(ji)能(neng)(neng)(neng)(neng)亢(kang)(kang)(kang)(kang)(kang)進(jin)(jin)(jin)指的(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)是(shi)(shi)(shi)(shi)人(ren)體(ti)(ti)(ti)內的(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)甲(jia)(jia)(jia)(jia)(jia)(jia)(jia)狀(zhuang)(zhuang)(zhuang)(zhuang)(zhuang)(zhuang)(zhuang)(zhuang)(zhuang)(zhuang)(zhuang)腺(xian)(xian)(xian)(xian)(xian)(xian)(xian)(xian)(xian)(xian)(xian)素(su)(su)生(sheng)(sheng)(sheng)(sheng)產(chan)過(guo)(guo)(guo)(guo)多(duo)(duo)(duo)的(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)疾(ji)(ji)(ji)病(bing)(bing),過(guo)(guo)(guo)(guo)多(duo)(duo)(duo)的(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)甲(jia)(jia)(jia)(jia)(jia)(jia)(jia)狀(zhuang)(zhuang)(zhuang)(zhuang)(zhuang)(zhuang)(zhuang)(zhuang)(zhuang)(zhuang)(zhuang)腺(xian)(xian)(xian)(xian)(xian)(xian)(xian)(xian)(xian)(xian)(xian)素(su)(su)會(hui)(hui)(hui)(hui)(hui)加(jia)速身(shen)體(ti)(ti)(ti)的(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)新陳代(dai)謝(xie),引(yin)(yin)起(qi)患(huan)(huan)者的(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)某(mou)些不(bu)(bu)(bu)適(shi)(shi),而(er)(er)導(dao)(dao)致(zhi)甲(jia)(jia)(jia)(jia)(jia)(jia)(jia)狀(zhuang)(zhuang)(zhuang)(zhuang)(zhuang)(zhuang)(zhuang)(zhuang)(zhuang)(zhuang)(zhuang)腺(xian)(xian)(xian)(xian)(xian)(xian)(xian)(xian)(xian)(xian)(xian)亢(kang)(kang)(kang)(kang)(kang)進(jin)(jin)(jin)的(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)病(bing)(bing)因(yin)有(you)(you)(you)(you)很多(duo)(duo)(duo),必須就醫(yi)(yi)獲得(de)專業的(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)檢(jian)(jian)(jian)查和(he)診(zhen)斷才(cai)能(neng)(neng)(neng)(neng)找出(chu)背后(hou)的(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)原(yuan)因(yin)。 美國國家糖(tang)尿病(bing)(bing)、消化道(dao)與(yu)腎臟(zang)疾(ji)(ji)(ji)病(bing)(bing)研究院指出(chu),甲(jia)(jia)(jia)(jia)(jia)(jia)(jia)狀(zhuang)(zhuang)(zhuang)(zhuang)(zhuang)(zhuang)(zhuang)(zhuang)(zhuang)(zhuang)(zhuang)腺(xian)(xian)(xian)(xian)(xian)(xian)(xian)(xian)(xian)(xian)(xian)亢(kang)(kang)(kang)(kang)(kang)進(jin)(jin)(jin)最常(chang)(chang)見的(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)原(yuan)因(yin)是(shi)(shi)(shi)(shi)葛瑞(rui)夫(fu)茲(zi)氏(shi)病(bing)(bing),其(qi)他甲(jia)(jia)(jia)(jia)(jia)(jia)(jia)狀(zhuang)(zhuang)(zhuang)(zhuang)(zhuang)(zhuang)(zhuang)(zhuang)(zhuang)(zhuang)(zhuang)腺(xian)(xian)(xian)(xian)(xian)(xian)(xian)(xian)(xian)(xian)(xian)的(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)疾(ji)(ji)(ji)病(bing)(bing)亦(yi)有(you)(you)(you)(you)可(ke)能(neng)(neng)(neng)(neng)導(dao)(dao)致(zhi)甲(jia)(jia)(jia)(jia)(jia)(jia)(jia)狀(zhuang)(zhuang)(zhuang)(zhuang)(zhuang)(zhuang)(zhuang)(zhuang)(zhuang)(zhuang)(zhuang)腺(xian)(xian)(xian)(xian)(xian)(xian)(xian)(xian)(xian)(xian)(xian)機(ji)能(neng)(neng)(neng)(neng)亢(kang)(kang)(kang)(kang)(kang)進(jin)(jin)(jin): 葛瑞(rui)夫(fu)茲(zi)氏(shi)病(bing)(bing)Graves's disease: 患(huan)(huan)者自(zi)身(shen)的(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)免(mian)疫系統發(fa)生(sheng)(sheng)(sheng)(sheng)異(yi)常(chang)(chang), *** 甲(jia)(jia)(jia)(jia)(jia)(jia)(jia)狀(zhuang)(zhuang)(zhuang)(zhuang)(zhuang)(zhuang)(zhuang)(zhuang)(zhuang)(zhuang)(zhuang)腺(xian)(xian)(xian)(xian)(xian)(xian)(xian)(xian)(xian)(xian)(xian)使(shi)其(qi)過(guo)(guo)(guo)(guo)度活化。 甲(jia)(jia)(jia)(jia)(jia)(jia)(jia)狀(zhuang)(zhuang)(zhuang)(zhuang)(zhuang)(zhuang)(zhuang)(zhuang)(zhuang)(zhuang)(zhuang)腺(xian)(xian)(xian)(xian)(xian)(xian)(xian)(xian)(xian)(xian)(xian)結(jie)(jie)節(jie): 通常(chang)(chang)甲(jia)(jia)(jia)(jia)(jia)(jia)(jia)狀(zhuang)(zhuang)(zhuang)(zhuang)(zhuang)(zhuang)(zhuang)(zhuang)(zhuang)(zhuang)(zhuang)腺(xian)(xian)(xian)(xian)(xian)(xian)(xian)(xian)(xian)(xian)(xian)結(jie)(jie)節(jie)為(wei)(wei)良性(xing)(xing)(xing)(xing),但(dan)當一(yi)(yi)(yi)顆(ke)或(huo)多(duo)(duo)(duo)顆(ke)結(jie)(jie)節(jie)過(guo)(guo)(guo)(guo)于活躍、制(zhi)造過(guo)(guo)(guo)(guo)多(duo)(duo)(duo)的(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)甲(jia)(jia)(jia)(jia)(jia)(jia)(jia)狀(zhuang)(zhuang)(zhuang)(zhuang)(zhuang)(zhuang)(zhuang)(zhuang)(zhuang)(zhuang)(zhuang)腺(xian)(xian)(xian)(xian)(xian)(xian)(xian)(xian)(xian)(xian)(xian)荷(he)爾(er)(er)蒙(meng)時(shi)(shi)(shi)(shi),可(ke)能(neng)(neng)(neng)(neng)引(yin)(yin)起(qi)甲(jia)(jia)(jia)(jia)(jia)(jia)(jia)狀(zhuang)(zhuang)(zhuang)(zhuang)(zhuang)(zhuang)(zhuang)(zhuang)(zhuang)(zhuang)(zhuang)腺(xian)(xian)(xian)(xian)(xian)(xian)(xian)(xian)(xian)(xian)(xian)亢(kang)(kang)(kang)(kang)(kang)進(jin)(jin)(jin)。這類(lei)型常(chang)(chang)見于較(jiao)年長的(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)成(cheng)人(ren)。 甲(jia)(jia)(jia)(jia)(jia)(jia)(jia)狀(zhuang)(zhuang)(zhuang)(zhuang)(zhuang)(zhuang)(zhuang)(zhuang)(zhuang)(zhuang)(zhuang)腺(xian)(xian)(xian)(xian)(xian)(xian)(xian)(xian)(xian)(xian)(xian)炎(yan)(yan): 甲(jia)(jia)(jia)(jia)(jia)(jia)(jia)狀(zhuang)(zhuang)(zhuang)(zhuang)(zhuang)(zhuang)(zhuang)(zhuang)(zhuang)(zhuang)(zhuang)腺(xian)(xian)(xian)(xian)(xian)(xian)(xian)(xian)(xian)(xian)(xian)發(fa)炎(yan)(yan)時(shi)(shi)(shi)(shi),甲(jia)(jia)(jia)(jia)(jia)(jia)(jia)狀(zhuang)(zhuang)(zhuang)(zhuang)(zhuang)(zhuang)(zhuang)(zhuang)(zhuang)(zhuang)(zhuang)腺(xian)(xian)(xian)(xian)(xian)(xian)(xian)(xian)(xian)(xian)(xian)內儲存(cun)的(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)荷(he)爾(er)(er)蒙(meng)會(hui)(hui)(hui)(hui)(hui)被釋放,因(yin)而(er)(er)引(yin)(yin)起(qi)甲(jia)(jia)(jia)(jia)(jia)(jia)(jia)狀(zhuang)(zhuang)(zhuang)(zhuang)(zhuang)(zhuang)(zhuang)(zhuang)(zhuang)(zhuang)(zhuang)腺(xian)(xian)(xian)(xian)(xian)(xian)(xian)(xian)(xian)(xian)(xian)亢(kang)(kang)(kang)(kang)(kang)進(jin)(jin)(jin),時(shi)(shi)(shi)(shi)間(jian)可(ke)能(neng)(neng)(neng)(neng)長達3個月;且其(qi)后(hou)也(ye)(ye)會(hui)(hui)(hui)(hui)(hui)出(chu)現甲(jia)(jia)(jia)(jia)(jia)(jia)(jia)狀(zhuang)(zhuang)(zhuang)(zhuang)(zhuang)(zhuang)(zhuang)(zhuang)(zhuang)(zhuang)(zhuang)腺(xian)(xian)(xian)(xian)(xian)(xian)(xian)(xian)(xian)(xian)(xian)機(ji)能(neng)(neng)(neng)(neng)低(di)下的(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)癥(zheng)(zheng)(zheng)狀(zhuang)(zhuang)(zhuang)(zhuang)(zhuang)(zhuang)(zhuang)(zhuang)(zhuang)(zhuang)(zhuang),持(chi)續時(shi)(shi)(shi)(shi)間(jian)多(duo)(duo)(duo)為(wei)(wei)12~18個月,但(dan)也(ye)(ye)可(ke)能(neng)(neng)(neng)(neng)導(dao)(dao)致(zhi)永久性(xing)(xing)(xing)(xing)的(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)甲(jia)(jia)(jia)(jia)(jia)(jia)(jia)狀(zhuang)(zhuang)(zhuang)(zhuang)(zhuang)(zhuang)(zhuang)(zhuang)(zhuang)(zhuang)(zhuang)腺(xian)(xian)(xian)(xian)(xian)(xian)(xian)(xian)(xian)(xian)(xian)低(di)下。這類(lei)型的(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)甲(jia)(jia)(jia)(jia)(jia)(jia)(jia)狀(zhuang)(zhuang)(zhuang)(zhuang)(zhuang)(zhuang)(zhuang)(zhuang)(zhuang)(zhuang)(zhuang)腺(xian)(xian)(xian)(xian)(xian)(xian)(xian)(xian)(xian)(xian)(xian)炎(yan)(yan),包(bao)括(kuo)亞急(ji)性(xing)(xing)(xing)(xing)甲(jia)(jia)(jia)(jia)(jia)(jia)(jia)狀(zhuang)(zhuang)(zhuang)(zhuang)(zhuang)(zhuang)(zhuang)(zhuang)(zhuang)(zhuang)(zhuang)腺(xian)(xian)(xian)(xian)(xian)(xian)(xian)(xian)(xian)(xian)(xian)炎(yan)(yan)(會(hui)(hui)(hui)(hui)(hui)有(you)(you)(you)(you)甲(jia)(jia)(jia)(jia)(jia)(jia)(jia)狀(zhuang)(zhuang)(zhuang)(zhuang)(zhuang)(zhuang)(zhuang)(zhuang)(zhuang)(zhuang)(zhuang)腺(xian)(xian)(xian)(xian)(xian)(xian)(xian)(xian)(xian)(xian)(xian)腫(zhong)大與(yu)疼痛的(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)癥(zheng)(zheng)(zheng)狀(zhuang)(zhuang)(zhuang)(zhuang)(zhuang)(zhuang)(zhuang)(zhuang)(zhuang)(zhuang)(zhuang),常(chang)(chang)與(yu)病(bing)(bing)毒或(huo)細菌(jun)有(you)(you)(you)(you)關)、產(chan)后(hou)甲(jia)(jia)(jia)(jia)(jia)(jia)(jia)狀(zhuang)(zhuang)(zhuang)(zhuang)(zhuang)(zhuang)(zhuang)(zhuang)(zhuang)(zhuang)(zhuang)腺(xian)(xian)(xian)(xian)(xian)(xian)(xian)(xian)(xian)(xian)(xian)炎(yan)(yan)、沉默型甲(jia)(jia)(jia)(jia)(jia)(jia)(jia)狀(zhuang)(zhuang)(zhuang)(zhuang)(zhuang)(zhuang)(zhuang)(zhuang)(zhuang)(zhuang)(zhuang)腺(xian)(xian)(xian)(xian)(xian)(xian)(xian)(xian)(xian)(xian)(xian)炎(yan)(yan)(無(wu)痛但(dan)可(ke)能(neng)(neng)(neng)(neng)有(you)(you)(you)(you)甲(jia)(jia)(jia)(jia)(jia)(jia)(jia)狀(zhuang)(zhuang)(zhuang)(zhuang)(zhuang)(zhuang)(zhuang)(zhuang)(zhuang)(zhuang)(zhuang)腺(xian)(xian)(xian)(xian)(xian)(xian)(xian)(xian)(xian)(xian)(xian)腫(zhong)大)。 碘(dian)(dian)(dian)(dian)攝取(qu)過(guo)(guo)(guo)(guo)多(duo)(duo)(duo): 碘(dian)(dian)(dian)(dian)是(shi)(shi)(shi)(shi)甲(jia)(jia)(jia)(jia)(jia)(jia)(jia)狀(zhuang)(zhuang)(zhuang)(zhuang)(zhuang)(zhuang)(zhuang)(zhuang)(zhuang)(zhuang)(zhuang)腺(xian)(xian)(xian)(xian)(xian)(xian)(xian)(xian)(xian)(xian)(xian)制(zhi)造荷(he)爾(er)(er)蒙(meng)所需(xu)的(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)原(yuan)料(liao)(liao),而(er)(er)碘(dian)(dian)(dian)(dian)攝取(qu)量也(ye)(ye)會(hui)(hui)(hui)(hui)(hui)影響甲(jia)(jia)(jia)(jia)(jia)(jia)(jia)狀(zhuang)(zhuang)(zhuang)(zhuang)(zhuang)(zhuang)(zhuang)(zhuang)(zhuang)(zhuang)(zhuang)腺(xian)(xian)(xian)(xian)(xian)(xian)(xian)(xian)(xian)(xian)(xian)荷(he)爾(er)(er)蒙(meng)的(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)制(zhi)造量。部(bu)份的(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)人(ren)攝取(qu)大量的(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)碘(dian)(dian)(dian)(dian)時(shi)(shi)(shi)(shi),可(ke)能(neng)(neng)(neng)(neng)導(dao)(dao)致(zhi)甲(jia)(jia)(jia)(jia)(jia)(jia)(jia)狀(zhuang)(zhuang)(zhuang)(zhuang)(zhuang)(zhuang)(zhuang)(zhuang)(zhuang)(zhuang)(zhuang)腺(xian)(xian)(xian)(xian)(xian)(xian)(xian)(xian)(xian)(xian)(xian)分泌過(guo)(guo)(guo)(guo)多(duo)(duo)(duo)的(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)荷(he)爾(er)(er)蒙(meng)。除(chu)了(le)海(hai)帶等(deng)藻(zao)類(lei)食(shi)(shi)(shi)物(wu)或(huo)營養補充品以(yi)(yi)外,感冒糖(tang)漿、藥(yao)(yao)物(wu)也(ye)(ye)可(ke)能(neng)(neng)(neng)(neng)含有(you)(you)(you)(you)碘(dian)(dian)(dian)(dian)。 甲(jia)(jia)(jia)(jia)(jia)(jia)(jia)狀(zhuang)(zhuang)(zhuang)(zhuang)(zhuang)(zhuang)(zhuang)(zhuang)(zhuang)(zhuang)(zhuang)腺(xian)(xian)(xian)(xian)(xian)(xian)(xian)(xian)(xian)(xian)(xian)癌(ai) 甲(jia)(jia)(jia)(jia)(jia)(jia)(jia)狀(zhuang)(zhuang)(zhuang)(zhuang)(zhuang)(zhuang)(zhuang)(zhuang)(zhuang)(zhuang)(zhuang)腺(xian)(xian)(xian)(xian)(xian)(xian)(xian)(xian)(xian)(xian)(xian)腫(zhong)大 甲(jia)(jia)(jia)(jia)(jia)(jia)(jia)狀(zhuang)(zhuang)(zhuang)(zhuang)(zhuang)(zhuang)(zhuang)(zhuang)(zhuang)(zhuang)(zhuang)腺(xian)(xian)(xian)(xian)(xian)(xian)(xian)(xian)(xian)(xian)(xian)機(ji)能(neng)(neng)(neng)(neng)亢(kang)(kang)(kang)(kang)(kang)進(jin)(jin)(jin)高危險群 甲(jia)(jia)(jia)(jia)(jia)(jia)(jia)狀(zhuang)(zhuang)(zhuang)(zhuang)(zhuang)(zhuang)(zhuang)(zhuang)(zhuang)(zhuang)(zhuang)腺(xian)(xian)(xian)(xian)(xian)(xian)(xian)(xian)(xian)(xian)(xian)機(ji)能(neng)(neng)(neng)(neng)亢(kang)(kang)(kang)(kang)(kang)進(jin)(jin)(jin)的(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)風險因(yin)子很多(duo)(duo)(duo),包(bao)括(kuo)性(xing)(xing)(xing)(xing)別、遺傳、飲食(shi)(shi)(shi)及(ji)藥(yao)(yao)物(wu)等(deng)等(deng): 剛生(sheng)(sheng)(sheng)(sheng)產(chan)完的(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)婦女(nv)(nv) 擁有(you)(you)(you)(you)某(mou)些會(hui)(hui)(hui)(hui)(hui)導(dao)(dao)致(zhi)甲(jia)(jia)(jia)(jia)(jia)(jia)(jia)狀(zhuang)(zhuang)(zhuang)(zhuang)(zhuang)(zhuang)(zhuang)(zhuang)(zhuang)(zhuang)(zhuang)腺(xian)(xian)(xian)(xian)(xian)(xian)(xian)(xian)(xian)(xian)(xian)亢(kang)(kang)(kang)(kang)(kang)進(jin)(jin)(jin)的(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)疾(ji)(ji)(ji)病(bing)(bing)家族(zu)史的(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)人(ren):例(li)(li)如(ru)葛瑞(rui)夫(fu)茲(zi)氏(shi)癥(zheng)(zheng)(zheng)和(he)甲(jia)(jia)(jia)(jia)(jia)(jia)(jia)狀(zhuang)(zhuang)(zhuang)(zhuang)(zhuang)(zhuang)(zhuang)(zhuang)(zhuang)(zhuang)(zhuang)腺(xian)(xian)(xian)(xian)(xian)(xian)(xian)(xian)(xian)(xian)(xian)炎(yan)(yan)等(deng)等(deng) 60歲(sui)以(yi)(yi)上的(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)老人(ren) 女(nv)(nv)性(xing)(xing)(xing)(xing) 服用(yong)(yong)過(guo)(guo)(guo)(guo)多(duo)(duo)(duo)含有(you)(you)(you)(you)碘(dian)(dian)(dian)(dian)的(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)食(shi)(shi)(shi)物(wu)或(huo)藥(yao)(yao)劑(ji)(ji):例(li)(li)如(ru)咸水(shui)魚或(huo)碘(dian)(dian)(dian)(dian)劑(ji)(ji) 甲(jia)(jia)(jia)(jia)(jia)(jia)(jia)狀(zhuang)(zhuang)(zhuang)(zhuang)(zhuang)(zhuang)(zhuang)(zhuang)(zhuang)(zhuang)(zhuang)腺(xian)(xian)(xian)(xian)(xian)(xian)(xian)(xian)(xian)(xian)(xian)檢(jian)(jian)(jian)查要(yao)(yao)(yao)(yao)(yao)去(qu)醫(yi)(yi)院掛哪一(yi)(yi)(yi)科(ke)(ke)? 要(yao)(yao)(yao)(yao)(yao)注(zhu)(zhu)意(yi)(yi)些什(shen)么? 丸屋醫(yi)(yi)生(sheng)(sheng)(sheng)(sheng)表示,常(chang)(chang)常(chang)(chang)有(you)(you)(you)(you)人(ren)會(hui)(hui)(hui)(hui)(hui)因(yin)為(wei)(wei)甲(jia)(jia)(jia)(jia)(jia)(jia)(jia)狀(zhuang)(zhuang)(zhuang)(zhuang)(zhuang)(zhuang)(zhuang)(zhuang)(zhuang)(zhuang)(zhuang)腺(xian)(xian)(xian)(xian)(xian)(xian)(xian)(xian)(xian)(xian)(xian)所出(chu)現的(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)單一(yi)(yi)(yi)癥(zheng)(zheng)(zheng)狀(zhuang)(zhuang)(zhuang)(zhuang)(zhuang)(zhuang)(zhuang)(zhuang)(zhuang)(zhuang)(zhuang),而(er)(er)不(bu)(bu)(bu)小心(xin)(xin)掛錯科(ke)(ke),例(li)(li)如(ru)心(xin)(xin)臟(zang)過(guo)(guo)(guo)(guo)快(kuai)就跑(pao)到(dao)心(xin)(xin)臟(zang)科(ke)(ke),體(ti)(ti)(ti)重變(bian)化過(guo)(guo)(guo)(guo)快(kuai)而(er)(er)跑(pao)到(dao)腸胃科(ke)(ke),然而(er)(er)事實上,甲(jia)(jia)(jia)(jia)(jia)(jia)(jia)狀(zhuang)(zhuang)(zhuang)(zhuang)(zhuang)(zhuang)(zhuang)(zhuang)(zhuang)(zhuang)(zhuang)腺(xian)(xian)(xian)(xian)(xian)(xian)(xian)(xian)(xian)(xian)(xian)的(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)所有(you)(you)(you)(you)疾(ji)(ji)(ji)病(bing)(bing)首要(yao)(yao)(yao)(yao)(yao)掛的(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)科(ke)(ke)是(shi)(shi)(shi)(shi)「 新陳代(dai)謝(xie)科(ke)(ke) 」,可(ke)以(yi)(yi)幫助(zhu)確診(zhen)以(yi)(yi)及(ji)藥(yao)(yao)物(wu)治(zhi)療,另(ling)外如(ru)果(guo)是(shi)(shi)(shi)(shi)需(xu)要(yao)(yao)(yao)(yao)(yao)動(dong)刀的(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)情形,醫(yi)(yi)生(sheng)(sheng)(sheng)(sheng)也(ye)(ye)會(hui)(hui)(hui)(hui)(hui)協助(zhu)轉診(zhen)外科(ke)(ke)。 而(er)(er)在(zai)(zai)確診(zhen)之前,患(huan)(huan)者會(hui)(hui)(hui)(hui)(hui)需(xu)要(yao)(yao)(yao)(yao)(yao)調(diao)整(zheng)體(ti)(ti)(ti)內激素(su)(su)平衡,花上一(yi)(yi)(yi)周到(dao)一(yi)(yi)(yi)個月的(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)時(shi)(shi)(shi)(shi)間(jian)做血液上的(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)檢(jian)(jian)(jian)查,或(huo)是(shi)(shi)(shi)(shi)甲(jia)(jia)(jia)(jia)(jia)(jia)(jia)狀(zhuang)(zhuang)(zhuang)(zhuang)(zhuang)(zhuang)(zhuang)(zhuang)(zhuang)(zhuang)(zhuang)腺(xian)(xian)(xian)(xian)(xian)(xian)(xian)(xian)(xian)(xian)(xian)超音波(bo)、斷層掃描(miao)、x光以(yi)(yi)及(ji)顯(xian)像檢(jian)(jian)(jian)查等(deng)檢(jian)(jian)(jian)查,另(ling)外如(ru)果(guo)患(huan)(huan)者有(you)(you)(you)(you)藥(yao)(yao)物(wu)過(guo)(guo)(guo)(guo)敏狀(zhuang)(zhuang)(zhuang)(zhuang)(zhuang)(zhuang)(zhuang)(zhuang)(zhuang)(zhuang)(zhuang)況,也(ye)(ye)要(yao)(yao)(yao)(yao)(yao)記(ji)得(de)要(yao)(yao)(yao)(yao)(yao)在(zai)(zai)醫(yi)(yi)生(sheng)(sheng)(sheng)(sheng)問診(zhen)時(shi)(shi)(shi)(shi)提出(chu)。 另(ling)外最需(xu)要(yao)(yao)(yao)(yao)(yao)注(zhu)(zhu)意(yi)(yi)的(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)一(yi)(yi)(yi)點是(shi)(shi)(shi)(shi),在(zai)(zai)甲(jia)(jia)(jia)(jia)(jia)(jia)(jia)狀(zhuang)(zhuang)(zhuang)(zhuang)(zhuang)(zhuang)(zhuang)(zhuang)(zhuang)(zhuang)(zhuang)腺(xian)(xian)(xian)(xian)(xian)(xian)(xian)(xian)(xian)(xian)(xian)檢(jian)(jian)(jian)查之前,可(ke)能(neng)(neng)(neng)(neng)會(hui)(hui)(hui)(hui)(hui)針(zhen)對(dui)合(he)成(cheng)甲(jia)(jia)(jia)(jia)(jia)(jia)(jia)狀(zhuang)(zhuang)(zhuang)(zhuang)(zhuang)(zhuang)(zhuang)(zhuang)(zhuang)(zhuang)(zhuang)腺(xian)(xian)(xian)(xian)(xian)(xian)(xian)(xian)(xian)(xian)(xian)素(su)(su)原(yuan)料(liao)(liao)的(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)礦物(wu)質「碘(dian)(dian)(dian)(dian)」,進(jin)(jin)(jin)行飲食(shi)(shi)(shi)上的(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)限制(zhi)。日常(chang)(chang)生(sheng)(sheng)(sheng)(sheng)活中(zhong)常(chang)(chang)吃的(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)含碘(dian)(dian)(dian)(dian)食(shi)(shi)(shi)物(wu),在(zai)(zai)這時(shi)(shi)(shi)(shi)都(dou)可(ke)能(neng)(neng)(neng)(neng)需(xu)要(yao)(yao)(yao)(yao)(yao)避吃或(huo)減少(shao)食(shi)(shi)(shi)用(yong)(yong),包(bao)括(kuo): 應(ying)該避免(mian)的(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)食(shi)(shi)(shi)物(wu): 昆布 海(hai)苔 海(hai)帶 寒天 應(ying)減少(shao)食(shi)(shi)(shi)用(yong)(yong)的(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)食(shi)(shi)(shi)物(wu): 蛋 魚類(lei) 豬肉 白飯(fan) 奶類(lei) 甲(jia)(jia)(jia)(jia)(jia)(jia)(jia)狀(zhuang)(zhuang)(zhuang)(zhuang)(zhuang)(zhuang)(zhuang)(zhuang)(zhuang)(zhuang)(zhuang)腺(xian)(xian)(xian)(xian)(xian)(xian)(xian)(xian)(xian)(xian)(xian)亢(kang)(kang)(kang)(kang)(kang)進(jin)(jin)(jin),懷孕(yun)及(ji)生(sheng)(sheng)(sheng)(sheng)產(chan)時(shi)(shi)(shi)(shi)應(ying)注(zhu)(zhu)意(yi)(yi)的(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)事情 由于女(nv)(nv)性(xing)(xing)(xing)(xing)相較(jiao)于男性(xing)(xing)(xing)(xing)比較(jiao)容易有(you)(you)(you)(you)甲(jia)(jia)(jia)(jia)(jia)(jia)(jia)狀(zhuang)(zhuang)(zhuang)(zhuang)(zhuang)(zhuang)(zhuang)(zhuang)(zhuang)(zhuang)(zhuang)腺(xian)(xian)(xian)(xian)(xian)(xian)(xian)(xian)(xian)(xian)(xian)癥(zheng)(zheng)(zheng)的(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)困擾,如(ru)果(guo)是(shi)(shi)(shi)(shi)有(you)(you)(you)(you)計畫要(yao)(yao)(yao)(yao)(yao)生(sheng)(sheng)(sheng)(sheng)小孩(hai)或(huo)是(shi)(shi)(shi)(shi)已經(jing)懷孕(yun)的(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)女(nv)(nv)性(xing)(xing)(xing)(xing)朋(peng)友,必須注(zhu)(zhu)意(yi)(yi)以(yi)(yi)下事項: 不(bu)(bu)(bu)論是(shi)(shi)(shi)(shi)甲(jia)(jia)(jia)(jia)(jia)(jia)(jia)狀(zhuang)(zhuang)(zhuang)(zhuang)(zhuang)(zhuang)(zhuang)(zhuang)(zhuang)(zhuang)(zhuang)腺(xian)(xian)(xian)(xian)(xian)(xian)(xian)(xian)(xian)(xian)(xian)機(ji)能(neng)(neng)(neng)(neng)是(shi)(shi)(shi)(shi)亢(kang)(kang)(kang)(kang)(kang)進(jin)(jin)(jin)或(huo)是(shi)(shi)(shi)(shi)低(di)下的(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)女(nv)(nv)性(xing)(xing)(xing)(xing),都(dou)會(hui)(hui)(hui)(hui)(hui)比一(yi)(yi)(yi)般(ban)女(nv)(nv)性(xing)(xing)(xing)(xing)更難以(yi)(yi)懷孕(yun),因(yin)此如(ru)果(guo)有(you)(you)(you)(you)計畫要(yao)(yao)(yao)(yao)(yao)生(sheng)(sheng)(sheng)(sheng)育(yu)的(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)朋(peng)友,應(ying)盡(jin)量和(he)醫(yi)(yi)生(sheng)(sheng)(sheng)(sheng)討論、幫助(zhu)調(diao)整(zheng)身(shen)體(ti)(ti)(ti)狀(zhuang)(zhuang)(zhuang)(zhuang)(zhuang)(zhuang)(zhuang)(zhuang)(zhuang)(zhuang)(zhuang)況,提高成(cheng)功受(shou)孕(yun)、養育(yu)健康(kang)孩(hai)子的(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)機(ji)會(hui)(hui)(hui)(hui)(hui)。 如(ru)果(guo)已經(jing)懷孕(yun)的(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)話,請(qing)記(ji)得(de)一(yi)(yi)(yi)定要(yao)(yao)(yao)(yao)(yao)再復診(zhen), 因(yin)為(wei)(wei)一(yi)(yi)(yi)般(ban)的(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)甲(jia)(jia)(jia)(jia)(jia)(jia)(jia)狀(zhuang)(zhuang)(zhuang)(zhuang)(zhuang)(zhuang)(zhuang)(zhuang)(zhuang)(zhuang)(zhuang)腺(xian)(xian)(xian)(xian)(xian)(xian)(xian)(xian)(xian)(xian)(xian)亢(kang)(kang)(kang)(kang)(kang)進(jin)(jin)(jin)藥(yao)(yao)物(wu),以(yi)(yi)及(ji)給懷孕(yun)婦女(nv)(nv)的(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)藥(yao)(yao)物(wu)是(shi)(shi)(shi)(shi)不(bu)(bu)(bu)一(yi)(yi)(yi)樣的(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de), 如(ru)果(guo)持(chi)續服用(yong)(yong)原(yuan)有(you)(you)(you)(you)藥(yao)(yao)物(wu),可(ke)能(neng)(neng)(neng)(neng)會(hui)(hui)(hui)(hui)(hui)讓(rang)胎兒有(you)(you)(you)(you)健康(kang)上的(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)疑慮(lv)。 在(zai)(zai)生(sheng)(sheng)(sheng)(sheng)產(chan)之后(hou),體(ti)(ti)(ti)內的(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)荷(he)爾(er)(er)蒙(meng)可(ke)能(neng)(neng)(neng)(neng)會(hui)(hui)(hui)(hui)(hui)短暫失調(diao),所以(yi)(yi)可(ke)能(neng)(neng)(neng)(neng)會(hui)(hui)(hui)(hui)(hui)讓(rang)甲(jia)(jia)(jia)(jia)(jia)(jia)(jia)狀(zhuang)(zhuang)(zhuang)(zhuang)(zhuang)(zhuang)(zhuang)(zhuang)(zhuang)(zhuang)(zhuang)腺(xian)(xian)(xian)(xian)(xian)(xian)(xian)(xian)(xian)(xian)(xian)亢(kang)(kang)(kang)(kang)(kang)進(jin)(jin)(jin)或(huo)是(shi)(shi)(shi)(shi)低(di)下的(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)機(ji)率升高,如(ru)有(you)(you)(you)(you)出(chu)現身(shen)體(ti)(ti)(ti)不(bu)(bu)(bu)適(shi)(shi),必須嚴(yan)加(jia)注(zhu)(zhu)意(yi)(yi)。 甲(jia)(jia)(jia)(jia)(jia)(jia)(jia)狀(zhuang)(zhuang)(zhuang)(zhuang)(zhuang)(zhuang)(zhuang)(zhuang)(zhuang)(zhuang)(zhuang)腺(xian)(xian)(xian)(xian)(xian)(xian)(xian)(xian)(xian)(xian)(xian)機(ji)能(neng)(neng)(neng)(neng)亢(kang)(kang)(kang)(kang)(kang)進(jin)(jin)(jin)要(yao)(yao)(yao)(yao)(yao)如(ru)何治(zhi)療? 甲(jia)(jia)(jia)(jia)(jia)(jia)(jia)狀(zhuang)(zhuang)(zhuang)(zhuang)(zhuang)(zhuang)(zhuang)(zhuang)(zhuang)(zhuang)(zhuang)腺(xian)(xian)(xian)(xian)(xian)(xian)(xian)(xian)(xian)(xian)(xian)機(ji)能(neng)(neng)(neng)(neng)亢(kang)(kang)(kang)(kang)(kang)進(jin)(jin)(jin)的(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)治(zhi)療以(yi)(yi)藥(yao)(yao)物(wu)為(wei)(wei)主(zhu),少(shao)數(shu)情況才(cai)會(hui)(hui)(hui)(hui)(hui)采取(qu)外科(ke)(ke)手(shou)術 放射性(xing)(xing)(xing)(xing)碘(dian)(dian)(dian)(dian)治(zhi)療 :口服藥(yao)(yao)物(wu)的(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)形式,吸收放射性(xing)(xing)(xing)(xing)碘(dian)(dian)(dian)(dian)的(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)甲(jia)(jia)(jia)(jia)(jia)(jia)(jia)狀(zhuang)(zhuang)(zhuang)(zhuang)(zhuang)(zhuang)(zhuang)(zhuang)(zhuang)(zhuang)(zhuang)腺(xian)(xian)(xian)(xian)(xian)(xian)(xian)(xian)(xian)(xian)(xian)會(hui)(hui)(hui)(hui)(hui)逐漸萎(wei)縮(懷孕(yun)中(zhong)的(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)女(nv)(nv)性(xing)(xing)(xing)(xing)不(bu)(bu)(bu)適(shi)(shi)用(yong)(yong)) 抗甲(jia)(jia)(jia)(jia)(jia)(jia)(jia)狀(zhuang)(zhuang)(zhuang)(zhuang)(zhuang)(zhuang)(zhuang)(zhuang)(zhuang)(zhuang)(zhuang)腺(xian)(xian)(xian)(xian)(xian)(xian)(xian)(xian)(xian)(xian)(xian)藥(yao)(yao)物(wu) 口服Beta阻滯(zhi)劑(ji)(ji) :針(zhen)對(dui)心(xin)(xin)率過(guo)(guo)(guo)(guo)快(kuai)的(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)癥(zheng)(zheng)(zheng)狀(zhuang)(zhuang)(zhuang)(zhuang)(zhuang)(zhuang)(zhuang)(zhuang)(zhuang)(zhuang)(zhuang)治(zhi)療 外科(ke)(ke)手(shou)術切(qie)除(chu)甲(jia)(jia)(jia)(jia)(jia)(jia)(jia)狀(zhuang)(zhuang)(zhuang)(zhuang)(zhuang)(zhuang)(zhuang)(zhuang)(zhuang)(zhuang)(zhuang)腺(xian)(xian)(xian)(xian)(xian)(xian)(xian)(xian)(xian)(xian)(xian) :少(shao)數(shu)情況才(cai)會(hui)(hui)(hui)(hui)(hui)采用(yong)(yong)的(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)治(zhi)療,例(li)(li)如(ru)某(mou)些懷孕(yun)而(er)(er)無(wu)法服藥(yao)(yao)的(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)(de)患(huan)(huan)者 參考資料(liao)(liao): medicalnewstoday/articles/326275.php 美國國家糖(tang)尿病(bing)(bing)、消化道(dao)與(yu)腎臟(zang)疾(ji)(ji)(ji)病(bing)(bing)研究院[連結(jie)(jie)]
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