Thyroiditis treatment guide, teach you how to classify and treat

Thyroiditis is a relatively serious type of disease clinically. When treating it, patients often pay special attention to the guidelines for treating thyroiditis. The following article will introduce them to you.

1. Static lymphocytic thyroiditis

Transient disease, lasting only a few months; the hyperthyroidism phase should be treated conservatively, usually only with beta-blockers. Antithyroid drugs, surgery, and radiation therapy are contraindications. Short-term hypothyroidism may require thyroid hormone replacement therapy. Although some cases of permanent hypothyroidism, most thyroid function returns to normal, so thyroid function should be reassessed after 6 to 12 months.

2. Subacute thyroiditis

For more severe and delayed cases, corticosteroids are recommended, and all symptoms disappear within 24 to 48 hours. When the thyroid gland's radioactive iodine uptake returns to normal, treatment is terminated.

3. Acute thyroiditis

Cold compress is suitable for local treatment in the early stage, hot compress is suitable for late stage, and antibiotics are given to the whole body. In case of abscess, incision and drainage should be performed early to prevent abscess from rupturing into the trachea, esophagus, and diaphragm. Treatment includes antibiotics and local incision and drainage. It is best to culture the puncture fluid and blood, and do drug sensitivity tests, and then choose sensitive antibiotics, so that the bacteria can be eliminated more effectively. Thyroid inflammation will form abscesses after a few days, so incision and drainage of thyroid abscesses must be performed to effectively remove pus and control local inflammation as soon as possible. Because of obvious neck pain, some analgesics can be used.

4. Hashimoto's thyroiditis

Patients with mild thyroid enlargement and no symptoms may not be treated and should be observed during follow-up visits. When the thyroid is significantly enlarged or there is hypothyroidism, even if only serum TSH is elevated, thyroid preparations should be given for treatment. Patients with rapid thyroid enlargement, pain, or compression symptoms can be treated with short-term glucocorticoids. Hashimoto's hyperthyroidism should be treated with small doses of antithyroid drugs, and generally do not use 131 iodine and surgery to avoid causing severe hypothyroidism.