Can patients with hyperthyroidism eat iodized salt?

The induction of hyperthyroidism is closely related to autoimmune deficiency virus, among which autoimmune factors are the most important. Unfortunately, the development of thyroid autoimmunity remains unclear, making it difficult to find prevention guidelines. Can patients with hyperthyroidism eat iodized salt? Opinion: The general dietary principle is to use high-vitamin diluted vegetables, fruits and nutritious eggs, freshwater fish, etc., and should also be used to nourish yin and spleen, such as white fungus, mushrooms, mussels, bird's nests, etc.

Western medicine treatment of hyperthyroidism:

Treatment of Graves' hyperthyroidism aims to inhibit the synthesis and release of thyroid hormones or to reduce or destroy thyroid tissue, thereby blocking hormone secretion.

1. General treatment

After diagnosis, when the hyperthyroidism condition has not yet been controlled, it is necessary to obtain the patient's full understanding and close cooperation as much as possible, and arrange a reasonable diet, which requires a high-calorie, high-protein, high-vitamin and low-iodine diet; it is necessary and cannot be ignored to relax the mind, get adequate rest, and avoid heavy physical activity.

2. Drug treatment

Thiourea drugs: This is the main treatment method for hyperthyroidism in my country and many countries in the world. The characteristics of this treatment method are: it is an oral medication, which is easily accepted by patients; it will not cause irreversible damage after treatment; but the medication course is long and regular follow-up is required; the recurrence rate is relatively high. Even with reasonable and regular medication, there is still a recurrence rate of more than 20% after treatment.

Types of thiouracil drugs: The clinical selection order is usually methimazole (MMI), propylthiouracil (PTU), carbimazole (carbocyanine) and methylthiouracil. PTU and methylthiouracil are 10 times less potent than the others and should be used in 10 times larger doses.

Drug selection: Different doctors in different regions have different choices based on their habits and experience. PTU is often used in the United States, while MMI is more preferred in Europe. In my country, both PTU and MMI are widely used. The former is chosen because it can reduce the conversion of T4 in the circulation to T3, making it safer for pregnant women to use. The latter is chosen because it is believed to have fewer side effects and a longer-term inhibitory effect on the synthesis of thyroid hormones. Experience has shown that the drug only needs to be administered once a day, and patient compliance is good.

Auxiliary drugs: propranolol (Inderal), iodine and thyroid preparations.

(III) Surgical treatment

Subtotal thyroidectomy after drug treatment has good results, with a cure rate of over 90%, but there is a certain chance of surgical complications and recurrence.

(IV) Radioactive iodine therapy

This method is safe and convenient, with a cure rate of 85%-90% and a low recurrence rate. In recent years, more and more countries have begun to use this method to treat hyperthyroidism. Symptoms disappear slowly after treatment, and about 10% of patients develop permanent hypothyroidism, which can be treated with convenient thyroid hormone replacement therapy. This is a safe treatment. In the decades that this treatment has been used around the world, no increase in thyroid cancer and leukemia has been found in patients who have chosen this treatment compared to those who have not.

(V) Thyroid interventional embolization therapy

It is a new method for treating Graves' disease since the 1990s. Since the first case was reported in 1994, this treatment has been carried out in some parts of my country. The method is to insert a catheter into the superior thyroid artery through the femoral artery under the digital subtraction X-ray television, and slowly inject an embolic dose mixed with contrast agent - polyvinyl alcohol, gelatin sponge or bletilla powder - until the blood flow is basically stopped. Generally, the area of ​​thyroid embolism can exceed 80%-90%, which is similar to the amount of thyroid removed in subtotal surgery. This treatment method is indicated for patients with large thyroid glands who are not well responsive to antithyroid drugs or are allergic to them; patients who are not suitable for surgery or radioactive iodine; it can also be used for preoperative treatment of very enlarged thyroid glands. However, patients with newly diagnosed hyperthyroidism, mild thyroid enlargement, bleeding tendency and obvious large blood vessel sclerosis should not take this medicine.