(内分泌系统）Thyroid Diseases.ppt

Treatment Patients should be informed of side effects of antithyroid drugs and the necessity of informing the physician promptly if they should develop pruritic rash, jaundice, acolic stools or dark urine, arthralgias, abdominal pain, nausea, fatigue, fever, or pharyngitis. Before starting antithyroid drugs and at each subsequent visit, the patient should be alerted to stop the medication immediately and call their physician when there are symptoms suggestive of agranulocytosis or hepatic injury. HYPERTHYROIDISM MANAGEMENT GUIDELINES. THYROID. 2011; 21, 6, Treatment Prior to initiating antithyroid drug therapy for GD, we suggest that patients have a baseline complete blood count, including white count with differential, and a liver profile including bilirubin and transaminases. PTU( propylthiouracil):second choice,special condition HYPERTHYROIDISM MANAGEMENT GUIDELINES. THYROID. 2011; 21, 6, Treatment Other Drugs Other drugs called beta-blockers (e.g. Propranolol, Nadolol) can be given in the early stages to control the symptoms of hyperthyroidism. They have no effect on the thyroid gland and do not treat the cause of the problem. When the symptoms have settled these drugs are usually stopped whilst the antithyroid drugs are continued. Treatment 2.Radioactive iodine (131I) therapy:核医学老师讲 Radioiodine treatment is often recommended once the overactive thyroid is brought under control with tablets. The great advantage of radioiodine is that it is given at an outpatient visit, as a single tasteless drink. It has little or no side effects but smoothly and painlessly cures the thyroid condition. Radioiodine is the most common form of treatment worldwide and has been in safe and effective use for 50 years. Treatment Radioactive iodine is not given to pregnant women. Dosage of 131I is difficult to gauge. The response of the gland cannot be predicted. If sufficient 131I is given to produce euthyroidism,25% of the patients will become hypothyroi