Cold is not always easy to be careful

Cold is not always easy to be careful
It has turned cool recently, the division of endocrinology of large hospital meets the patient who examines 4 cases of sub-acute thyroiditis continuously in Southeast China University attaches to, mostly middle aged women, pain behind shown as the shank, ear. The money sunshine associate professors of treatment of this courtyard of divisions of endocrinology remind, if " cold " for a long time Not healing, there is shank paining or thyroid gland that presents the piece of the bag at the same time, must go to the division of endocrinology to go to a doctor, in order to get rid of thyroiditis.
A little more than a month ago, the shank presented intermittent pain after 40 -year-old Ms Zhang was at a cold, will all feel indistinct pain to connect with ears, chin, tooth, brisket and shoulder,etc. when being serious. Ms Zhang has been to many hospitals to go to a doctor, the physician says first is overbearing, respiratory medicine is regarded as upper respiratory tract inflammation, medicine of all kinds of try on, antibiotic has spent a moment, the result is still not all right. Division of endocrinology of large hospital in Ms Zhang comes to Southeast China University to attach to finally, the expert has carried on the physical examination to the patient, find patient's thyroid gland is swelling slightly, and there is obvious tenderness, it is the sub-acute thyroiditis caused by the fact that the virus is infected to make a definite diagnosis of finally, abbreviated as " inferior first inflammation " ,Consider relating big with several recent weather warm changes. After drug therapy of a few days, Ms Zhang's various uncomfortable symptoms totally disappear, the shank does not pain either.
The expert introduces, the inferior morbidity of first inflammation has the tendency to increase, see more the adult 20- 50 years old in recent years, meet more with middle aged women. It is reported, this disease often takes place after upper airway infection or tonsillitis, influenza, the properties of having small scale that prevails sometimes. It is generally acknowledged that relates to virus infecting or allergy, mainly display generating heat, whole body discomfort, has sore throat, the bloated pain of shank, symptoms such as the tears,etc. flow, similar upper airway infection or throat inflammation. Send symptom in head that sub-acute thyroiditis has illness coming on that the shank pains frequently, general the lighter only has shank discomfort, there is sense of foreign matter to feel the shank while eating or drinking the water, the ones that press are light to ache; Getting serious pain difficult to bear shank, to lower jaw, behind the ear and posterior military press or pairs of shoulder radiate, can display continuation pain popping to aggravate, when pain terribly, insufferable, fidgety. Behavior of the thyroid gland malicious disease that many patients can also present palpitation, neurotic,etc., but duration is relatively short, do not generally exceed 2 weeks.
Associate professor of treatment introduces the gold sunshine, inferior first inflammation mostly only last several weeks, can relieve by oneself, but can recur, in sustainable several months of whole course of disease, it is generally 2- 3 months, a few patients can also delay until 1- 2, but generally can full restoration without influence thyroid gland function. Should divide to treat sub-acute thyroiditis into the situation and make too, generally speaking, it is not very difficult to treat. Generally the sub-acute thyroiditis caused by viral infection has illness coming on more seriously, can treat with hormone, certainly this should have a chronic and acute difference too, use medicine stage by stage, if is not very serious, it is all right to treat to the ill only with antiviral medicine. (Cui YuYan Bi XiaoHong)
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