Hypothyroidism, abbreviated as hypothyroidism, is a disease caused by too little thyroid hormone produced by thyroid gland.
Thyroid hormone can play a role in various organs and tissues of the whole body (it is really a [amorous] hormone). Once hypothyroidism occurs, it may lead to problems in other organs and induce related diseases.
There are mainly 6 categories of diseases related to hypothyroidism, namely hyperlipidemia, coronary heart disease, anemia, osteoporosis, nephropathy and hyperuricemia.
Today, let’s gossip about hypothyroidism and the [ambiguous love history] of these diseases. If they hook up with each other, what should the patients do?
Ambiguous object: hyperlipidemia
Review of Love History:
Blood lipid itself is not a bad thing. It can provide energy for the human body and synthesize cell membranes and various hormones. To play these roles, it must cooperate with thyroid hormones.
When hypothyroidism occurs, thyroid hormone is lacking, the utilization rate of blood lipid decreases, and excretion also decreases, which naturally increases.
The ambiguity between hyperlipidemia and hypothyroidism follows suit.
Anti-ambiguity strategy:
1. By taking medicine to supplement thyroid hormone, hypothyroidism can be controlled, thyroid function can return to normal, and blood lipid level can be reduced accordingly.
2. Avoid obesity and exercise moderately.
3. Reduce the intake of animal oil, cholesterol and trans fatty acids.
- Replacing animal oil with vegetable oil; The daily dosage of cooking oil should be controlled below 25g (equivalent to 2.5 tablespoons); Olive oil with certain lipid-lowering effect can be selected. High cholesterol food mainly includes animal viscera, crab roe, egg yolk, squid, etc. Pay attention to eat less at ordinary times. The main source of trans fatty acid is food containing margarine (also called vegetable cream), such as cakes, biscuits, etc. Pay attention to the ingredient list before purchasing.
4. People with hyperlipidemia generally do not feel uncomfortable in what, and can only be found through blood tests. It is suggested that hypothyroidism patients should check their blood lipid at least once a year so as to find the problem in time.
5. If hyperlipidemia has already occurred, you can take lipid-lowering drugs for a short period of time, and check blood lipid and liver function every 1-3 months during the medication period.
Ambiguous object: coronary heart disease
Review of Love History:
Hypothyroidism causes hyperlipidemia, which causes coronary heart disease. At the same time, hypothyroidism is also easy to damage myocardium, affect normal cardiac function and cause cardiac ischemia.
All these are matchmaking for the arrival of coronary heart disease.
Anti-ambiguity strategy:
1. The most important thing is to treat hypothyroidism and control thyroid function.
2. Remind everyone in particular that if thyroxine tablets for hypothyroidism are excessive, they may aggravate the heart burden and induce coronary heart disease. Therefore, it is necessary to follow the doctor’s advice and return to the clinic on time, and adjust the drug dosage in time according to the disease condition.
3. Hypertension and hyperlipidemia are closely related to coronary heart disease, so blood pressure and blood lipid should be well controlled.
4. If symptoms such as palpitation, shortness of breath, chest tightness and chest pain occur, it may be the onset of coronary heart disease, pay attention to timely medical treatment.
5. When necessary, use antiplatelet drugs (such as aspirin) under the guidance of doctors to prevent coronary heart disease.
Ambiguous object: anemia
Review of Love History:
The lack of thyroid hormone inhibits hematopoietic function.
In addition, hypothyroidism patients’ appetite decreases, gastric acid secretion decreases, and some autoantibodies appear in the body, which hinders the absorption of iron, folic acid and vitamin B12 in gastrointestinal tract, resulting in insufficient hematopoietic raw materials.
In addition, female hypothyroidism patients will also suffer from menorrhagia, resulting in long-term blood loss.
So anemia took the opportunity to enter and flirted with hypothyroidism.
Anti-ambiguity strategy:
1. Yes, the most important thing is to control hypothyroidism as soon as possible, and anemia will be improved after thyroid function is normal.
2. Eat more lean pork, beef, milk, duck blood and green leafy vegetables to supplement hematopoietic raw materials.
3. Patients with menorrhagia need medical treatment.
4. If dizziness, palpitation, fatigue, pale complexion, etc. are manifestations of anemia, you should also seek medical treatment as soon as possible.
5. For severe anemia, drugs to correct anemia can be used under the guidance of doctors.
Ambiguous Object: Osteoporosis
Review of Love History:
If hypothyroidism is not controlled for a long time, the metabolic rhythm in the body will slow down, and the metabolism of bone tissue will also slow down, becoming more and more [aging] and gradually thinning and loosening.
Osteoporosis just climbed to hypothyroidism.
Anti-ambiguity strategy:
1. The first is to control hypothyroidism, regularly monitor thyroid function, and avoid taking insufficient or excessive thyroxine, which will lead to drug-induced hyperthyroidism and osteoporosis.
2. Eat foods rich in calcium and protein, such as milk and egg white, to avoid foods that are easy to cause osteoporosis, such as coffee, strong tea, carbonated drinks, etc.
3. Quit smoking.
4. Carry out more outdoor activities and physical exercises, and ensure sufficient sun exposure.
5. Postmenopausal women and the elderly should supplement 600 ~ 900 mg of calcium in addition to their normal diet every day. They can choose calcium carbonate sold on the market. They can also take vitamin D preparations under the guidance of doctors.
6. If conditions permit, do bone mineral density examination once a year to find osteoporosis as early as possible.
Ambiguous Object: Nephropathy
Review of Love History:
Many hypothyroidism patients have a variety of antibodies, such as thyroglobulin antibody TgAb, thyroid peroxidase antibody TPOAb, etc. These antibodies can be deposited in the kidney, causing kidney damage.
At the same time, hypothyroidism slows down the metabolism of the body and reduces the blood flowing through the kidney, resulting in a decline in renal function.
Poor renal function can be manifested as protein in urine or creatinine in blood.
This kind of nephropathy, which has a special liking for hypothyroidism, has a somewhat long name and is called [autoimmune thyroid disease-related nephropathy].
Anti-ambiguity strategy:
1. Controlling hypothyroidism is the same theme. If there is hyperlipidemia, hypertension and hyperglycemia, active treatment should also be carried out, because these three will also damage the kidney.
2. The diet should be light and the daily salt intake should not exceed 5g.
3. Ensure adequate sleep.
4. Nephropathy in the early stage, there is no discomfort symptoms, can only be found through urine test, blood test nephropathy. Therefore, when hypothyroidism is just diagnosed, it is advisable to check urine routine and renal function once.
5. Even if nephropathy occurs, the kidneys of most patients can gradually return to normal after thyroid function returns to normal.
Ambiguous Object: High Uric Acid
Review of Love History:
As mentioned earlier, the metabolism of hypothyroidism patients will slow down by a beat, the blood flowing through the kidney will also decrease, the excretion capacity of the kidney will also decrease, and uric acid in the blood cannot be excreted from the kidney.
Unnoticed, high uric acid and hypothyroidism held hands.
Anti-ambiguity strategy:
1. As the saying goes, thyroxine is supplemented to restore thyroid function to normal. If uric acid rises simply due to hypothyroidism, uric acid will return to normal after thyroid function is normal.
2. People with high uric acid should eat less high purine foods, such as seafood, animal viscera, thick broth, wine (especially beer and white wine), and eat less salt (including soy sauce and sauce).
3. After diagnosis of hypothyroidism, it is better to draw blood to check uric acid once.
The above is the ambiguous history of hypothyroidism and 6 major diseases.
It is worth mentioning that there is a mild degree of hypothyroidism called [subclinical hypothyroidism]. It is characterized by only the increase of thyrotropin TSH, while T3 and T4 are within the normal range.
Although the condition of subclinical hypothyroidism is slightly lighter than that of thyroidism, it is also possible to have the above-mentioned 6 major diseases. Patients with subclinical hypothyroidism should also be paid attention to!
Hypothyroidism and subclinical hypothyroidism will only be entangled with the above diseases when they are not controlled for a long time, so patients who seriously treat hypothyroidism as soon as they are found need not worry too much!
Finally, I reiterate that timely supplement of thyroxine, timely monitoring of thyroid function and keeping it normal can end the ambiguous love history of hypothyroidism.