Hyperthyroidism during pregnancy: ).
The accompanying pregnancy and hyperthyroidism is uncommon because the courses Allaibadip common in patients with thyrotoxicosis as an autoimmune disease that tends to remission during pregnancy. Hyperthyroidism is caused in almost all cases of Graves disease.
Treated hyperthyroidism Balcarpimasul or propyl Tjura_il which cross the placenta and fetus as well, which addresses the Gdth gland exposed to the influence of parental TRAb. It is important to use a smaller dose of medicine for anti-Drq (ideally less than 15 mg of Alcarpimasul per day) to maintain free of hormones and TSH in the mother (and presumably also when the fetus) within its own proper sphere in order to avoid hypothyroidism and goitre in the fetus.
The claim was for an association between the use of Alcarpimasul during pregnancy and distort the skin when the child is called non-woven leather Aplasia cutis. For this reason, some doctors recommend using propyl Tjura_il before and during any pregnancy planned.
Should review the patient the doctor every 4 weeks and preferably stop the medication 4 weeks before the expected date of delivery to avoid any risk of hypothyroidism occurs when the embryo at the stage of brain development maximum. If possible, estimate the measurement of TRAb in the serum of the mother in this stage is of great value as the high caliber of these antibodies identify fetuses at special risk of developing neonatal hyperthyroidism.
If hyperthyroidism parenting after the birth mother and wanted to follow the parental breastfeeding propyl Tjura_il is the drug of choice because excreted in milk less than Alcarpimasul.
If the gland under the complete eradication is necessary because of the poor plasticity of the drug or hypersensitivity, the best period safe to do so is one-third the average. The radioactive iodine is absolutely contraindicated because it causes a constant hypothyroidism when the fetus.
B. Medullary thyroid carcinoma in childhood:
The Graves disease is almost the only reason for thyroid poisoning in childhood and usually appears in the second decade of life. May be see a doctor because of behavior disorders or deterioration of school performance or a jump early growth.
Must be treated until the patient becomes Balcarpimasul up to the age of 18 years in an attempt to ensure that the critical stages of physical and educational development of the child.
C. Atrial fibrillation:
The hyperthyroidism a significant cause of atrial fibrillation. In a descriptive ventricle affected by the speed a little Baldijuksin but respond to add Mahsr beta.
There is an imbalance systems at about 10% of all patients with thyroid toxicity, but increases incidence with age progress so as to suffer almost half of males over the age of 60 years (see figure).
Format: The incidence of atrial fibrillation in patients with hyperthyroidism and its relationship to age.
I have been increasingly aware that under the clinical hyperthyroidism may be a risk factor for atrial fibrillation.
Can assess the heart rhythm Cardioversion to establish systems Jibia steady at about 50% of patients but should not be thinking about it so that the concentrations of thyroid hormone and TSH had returned to both.
The treatment of anti-clotting Ballwarvrin necessary only if there is contraindicated aspirin is used in this case.
D. Bout hyperthyroidism:
Is a rare and life-threatening place where the increasing intensity of clinical manifestations of hyperthyroidism. The most prominent signs are fever, agitation, confusion, tachycardia or atrial fibrillation in patients and elderly heart failure. This situation is a medical condition Isaavip mortality rate is 10%, despite the diagnosis and treatment Allbeckrin.
Precipitated by a heart hyperthyroidism commonly Balkhmj incident when a patient with an excessive thyroid unexplored or previously untreated enough. It can also develop after a short period of eradication of the thyroid in patients under total reflected badly for the surgery or within a few days of treatment with radioactive iodine 131I as this may lead to acute irradiation damage Transient elevations in serum thyroid hormone levels.
Must be hydrolyzed patients given antibiotics and a wide spectrum. Affect Albroobranolol quickly when given orally (80 mg every 6 hours) or intravenously (1-5 mg every 6 hours), and Giving Iiobodat Sodium Sodium iopodate Ä 500 mg daily by mouth to return to the levels of serum T3 levels during 48-72 hours.
This article is a mixed used in radiography and does not inhibit the release of thyroid hormones, but only decreases also convert T4 to T3 is why it is more effective than potassium iodide or a solution to Logol, Giving Alcarpimasul 40-60 mg daily by mouth to discourage the installation of hormones Parathyroid new, and if the patient is uncooperative or if the unconscious can give Alcarpimasul through the rectum and effectively good, and preparations are available which are used by injection Parenteral use.
Can be withdrawn Iiobodat sodium Albroobranolol after 10-14 days and to keep the patient on Alcarpimasul.
E. Under clinical hyperthyroidism:
Serum TSH is in this case is not detectable while the T3 and T4 in the serum on the upper limits of the area of your reference to them. This is often found in patients with coexisting nodular Baldrac.
If these patients are at increased risk of atrial fibrillation and osteoporosis Therefore, the consensus view is that these patients had mild hyper thyroid and in need of treatment, using 131I normally, and the annual review is essential since the rate of convergence hyperthyroidism with high concentrations of T4 and / or T3 is 5% each year.
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