原發性甲亢是怎么引起的
原發性甲狀腺功能亢進癥,主要指的是病變部位在甲狀腺所致的甲亢,也就是指甲狀腺腺體本身產生過多的甲狀腺激素,而引起的甲狀腺毒癥,導致身體代(dai)(dai)謝活(huo)動加快,神經、循環、消(xiao)化等(deng)系(xi)統興奮性增高和代(dai)(dai)謝亢進的(de)臨床綜合征(zheng),常常會伴有(you)多食、消(xiao)瘦、心悸、出汗等(deng)主要(yao)的(de)臨床表現。
原發性甲亢嚴重嗎
該疾病一(yi)般不嚴重,但需要積極配(pei)合治療,以(yi)免(mian)耽誤(wu)病情。患(huan)者可以(yi)在醫生的指(zhi)導下服用(yong)丙硫氧嘧啶片、卡比馬唑片、酒石酸(suan)美托洛爾片等(deng)藥物改善癥狀。
治療期間,患(huan)者(zhe)應保證充足的睡眠時間,避免熬夜,飲食應以(yi)清淡、高(gao)營養、高(gao)維生(sheng)素為主,如豆制品、雞蛋(dan)、西紅柿、獼猴桃(tao)等,還應多(duo)飲水,從而改善不適癥狀。
原發性甲亢疾病有哪些
原發性(xing)(xing)甲(jia)(jia)亢(kang)(kang)可(ke)分(fen)為(wei)彌(mi)漫(man)性(xing)(xing)毒(du)(du)性(xing)(xing)甲(jia)(jia)狀(zhuang)腺(xian)(xian)腫(zhong)、自主(zhu)性(xing)(xing)甲(jia)(jia)亢(kang)(kang)、碘性(xing)(xing)甲(jia)(jia)亢(kang)(kang)、橋本(ben)甲(jia)(jia)亢(kang)(kang),濾泡(pao)性(xing)(xing)甲(jia)(jia)狀(zhuang)腺(xian)(xian)癌、新生兒甲(jia)(jia)狀(zhuang)腺(xian)(xian)機能亢(kang)(kang)進癥、妊娠期一過性(xing)(xing)甲(jia)(jia)狀(zhuang)腺(xian)(xian)毒(du)(du)癥、垂體促(cu)甲(jia)(jia)狀(zhuang)腺(xian)(xian)激素腺(xian)(xian)瘤等。
原發性甲亢是遺傳嗎
原(yuan)發性(xing)(xing)甲狀腺功能亢(kang)進癥有(you)(you)一定的遺傳性(xing)(xing),但是(shi)并(bing)不代表甲亢(kang)生下(xia)來的孩(hai)子一定會得甲亢(kang),只(zhi)是(shi)得病的幾率(lv)比沒有(you)(you)家族(zu)史的人(ren)高一些而(er)已(yi)。和自身(shen)免疫性(xing)(xing)異常有(you)(you)更大的關系。
原發性甲亢和繼發性甲亢的區別
1、發病原理
原發性(xing)甲(jia)(jia)(jia)狀(zhuang)(zhuang)(zhuang)(zhuang)腺(xian)(xian)(xian)功(gong)能亢(kang)進癥(zheng)的(de)發病(bing)部位為(wei)甲(jia)(jia)(jia)狀(zhuang)(zhuang)(zhuang)(zhuang)腺(xian)(xian)(xian),由于甲(jia)(jia)(jia)狀(zhuang)(zhuang)(zhuang)(zhuang)腺(xian)(xian)(xian)病(bing)變造(zao)成甲(jia)(jia)(jia)狀(zhuang)(zhuang)(zhuang)(zhuang)腺(xian)(xian)(xian)激(ji)(ji)素合成與分泌增(zeng)多(duo),機體(ti)出現甲(jia)(jia)(jia)狀(zhuang)(zhuang)(zhuang)(zhuang)腺(xian)(xian)(xian)功(gong)能亢(kang)進癥(zheng)。而繼發性(xing)甲(jia)(jia)(jia)狀(zhuang)(zhuang)(zhuang)(zhuang)腺(xian)(xian)(xian)功(gong)能亢(kang)進癥(zheng)是由于甲(jia)(jia)(jia)狀(zhuang)(zhuang)(zhuang)(zhuang)腺(xian)(xian)(xian)以外的(de)組(zu)織發生病(bing)變,刺(ci)激(ji)(ji)甲(jia)(jia)(jia)狀(zhuang)(zhuang)(zhuang)(zhuang)腺(xian)(xian)(xian)組(zu)織增(zeng)生,進而產(chan)生過多(duo)的(de)甲(jia)(jia)(jia)狀(zhuang)(zhuang)(zhuang)(zhuang)腺(xian)(xian)(xian)激(ji)(ji)素,發生甲(jia)(jia)(jia)狀(zhuang)(zhuang)(zhuang)(zhuang)腺(xian)(xian)(xian)功(gong)能亢(kang)進癥(zheng)。
2、激素水平
促甲(jia)狀(zhuang)(zhuang)腺(xian)(xian)(xian)(xian)(xian)激(ji)(ji)素(su)(su)(su)與(yu)甲(jia)狀(zhuang)(zhuang)腺(xian)(xian)(xian)(xian)(xian)激(ji)(ji)素(su)(su)(su)之間為負反饋調節機制(zhi),對于原發性甲(jia)狀(zhuang)(zhuang)腺(xian)(xian)(xian)(xian)(xian)功能亢進癥患者來說,甲(jia)狀(zhuang)(zhuang)腺(xian)(xian)(xian)(xian)(xian)激(ji)(ji)素(su)(su)(su)升高(gao),抑(yi)制(zhi)促甲(jia)狀(zhuang)(zhuang)腺(xian)(xian)(xian)(xian)(xian)激(ji)(ji)素(su)(su)(su)的(de)釋放和分(fen)泌,造(zao)成促甲(jia)狀(zhuang)(zhuang)腺(xian)(xian)(xian)(xian)(xian)激(ji)(ji)素(su)(su)(su)水(shui)平(ping)數(shu)值(zhi)較低。而(er)繼發性甲(jia)狀(zhuang)(zhuang)腺(xian)(xian)(xian)(xian)(xian)功能亢進癥多數(shu)是由于下丘腦或(huo)垂(chui)體(ti)發生炎癥、腫瘤等因素(su)(su)(su),引起促甲(jia)狀(zhuang)(zhuang)腺(xian)(xian)(xian)(xian)(xian)激(ji)(ji)素(su)(su)(su)水(shui)平(ping)明(ming)顯升高(gao),同時甲(jia)狀(zhuang)(zhuang)腺(xian)(xian)(xian)(xian)(xian)激(ji)(ji)素(su)(su)(su)水(shui)平(ping)合(he)成、分(fen)泌增(zeng)多,這時血液(ye)檢(jian)查(cha)促甲(jia)狀(zhuang)(zhuang)腺(xian)(xian)(xian)(xian)(xian)激(ji)(ji)素(su)(su)(su)、甲(jia)狀(zhuang)(zhuang)腺(xian)(xian)(xian)(xian)(xian)激(ji)(ji)素(su)(su)(su)的(de)水(shui)平(ping)均在高(gao)水(shui)平(ping)狀(zhuang)(zhuang)態(tai)。
3、治療原則
原發性甲狀腺功能亢進癥主要針對原發病進行治療,繼發性甲狀腺功能亢進(jin)癥的(de)患者一般針對下丘腦或垂(chui)體進(jin)行針對性的(de)治療。
4、臨床表現
原發性(xing)甲狀腺功能亢進癥(zheng)(zheng)的(de)患(huan)者通常發病較(jiao)迅速(su),且會出(chu)(chu)現(xian)(xian)突眼癥(zheng)(zheng)狀,而(er)繼發性(xing)甲狀腺功能亢進癥(zheng)(zheng)的(de)患(huan)者病程相對(dui)較(jiao)慢,且較(jiao)少(shao)出(chu)(chu)現(xian)(xian)突眼癥(zheng)(zheng)狀。但均可(ke)出(chu)(chu)現(xian)(xian)高(gao)代謝癥(zheng)(zheng)候群,主要(yao)包括(kuo)心(xin)慌(huang)、出(chu)(chu)汗、消瘦、食欲亢進等(deng)(deng),由于神經肌肉的(de)興奮(fen)性(xing)增高(gao),患(huan)者還可(ke)出(chu)(chu)現(xian)(xian)手(shou)抖、雙手(shou)震顫等(deng)(deng)癥(zheng)(zheng)狀,應及時就(jiu)醫進行鑒別(bie)診(zhen)斷。