Mental disorders associated with hypothyroidism
Introduction
Introduction to mental disorders associated with hypothyroidism Hypothyroidism is a systemic disease caused by thyroid deficiency or deficiency. Mental disorders are common signs of hypothyroidism. According to the age of onset, there are three types of clinically: cretinism (small disease). Juvenile mucous edema, adult hypothyroidism. The etiology of this disease is still unclear. There are three theories such as autoimmune theory, cerebral circulatory disorders, and developmental defects. 1. Autoimmune theory: High-valent thyroid antibodies have been shown in the blood of patients with cretin; the main immune function of hypothyroidism is lymphocytes, suggesting that the antigenic antibodies of B lymphocytes and T lymphocytes are abnormal. 2, cerebral circulatory disorders said: According to research, in the absence or lack of thyroxine metabolism disorders, cerebral blood flow decreased, vascular resistance increased, so oxygen consumption and glucose consumption are reduced, leading to cerebral hypoxia and glucose metabolism Obstacles, cerebral edema may be associated with decreased mental activity; hypoxemia also occurs in the heart and other organs. 3, developmental defects said: Some studies have found that the patient's brain protein synthesis and fat synthesis are abnormal, and there are defects in cell dysplasia and myelination. basic knowledge The proportion of illness: 0.005% Susceptible people: no specific population Mode of infection: non-infectious Complications: edema, hypothyroidism
Cause
Causes of mental disorders associated with hypothyroidism
The etiology of this disease is still unclear. There are three theories such as autoimmune theory, cerebral circulatory disorders, and developmental defects.
1. Autoimmune theory: High-valent thyroid antibodies have been shown in the blood of patients with cretin; the main immune function of hypothyroidism is lymphocytes, suggesting that the antigenic antibodies of B lymphocytes and T lymphocytes are abnormal.
2, cerebral circulatory disorders said: According to research, in the absence or lack of thyroxine metabolism disorders, cerebral blood flow decreased, vascular resistance increased, so oxygen consumption and glucose consumption are reduced, leading to cerebral hypoxia and glucose metabolism Obstacles, cerebral edema may be associated with decreased mental activity; hypoxemia also occurs in the heart and other organs.
3, developmental defects said: Some studies have found that the patient's brain protein synthesis and lipid formation are abnormal, and there are defects in cell fat dysplasia and myelination.
Prevention
Prevention of mental disorders associated with hypothyroidism
(1) Cause prevention of hypothyroidism:
1 The cause of prevention of small diseases
Local stagnation, iodine deficiency in pregnant women is the key to the onset of the disease, sporadic stagnation, mostly caused by certain autoimmune thyroid diseases in pregnant women, clear cause of prevention, anti-thyroid drugs taken during maternal pregnancy Try to avoid overdosing, use a small dose of dry thyroid preparations, and avoid other drugs that cause goiter
2 prevention of adult hypothyroidism
Timely treatment of thyroid disease that is prone to hypothyroidism, prevention of hand surgery for the treatment of thyroid disease or radioactive 131 iodine treatment of hyperthyroidism caused by hyperthyroidism.
(2) Actively prevent the deterioration of hypothyroidism
Early diagnosis. Early and timely effective treatment is the key to prevent the deterioration of hypothyroidism. Early treatment with traditional Chinese medicine can effectively prevent the occurrence of complications, and pay attention to the stimulation of life conditioning to avoid aggravating the disease.
(C) to prevent recurrence after hypothyroidism
After the hypothyroidism, the body is still in the conditioning of yin and yang, taking the stage of "flat". At this time, the diet of the spirit and medicated diet exercises and other comprehensive conditioning. Enhancing physical fitness and improving the ability to prevent disease is an important measure to prevent recurrence after the disease.
Complication
Complications of mental disorders associated with hypothyroidism Complications, edema, hypothyroidism
Mental disorders are common signs of hypothyroidism. Depending on the age of the disease, there are three types of clinically: cretinism (small ailments), juvenile mucous edema, and adult hypothyroidism.
Symptom
Symptoms of mental disorders associated with hypothyroidism Common symptoms Mental disorders Drowsiness gait instability Suspected dysarthria suspicion Vision shrinking Purposeless chewing lip "indifferent" hyperthyroidism
(a) cretinism.
1. Short body development and intelligent defects.
2. Slow action.
3, slow thinking and inflexibility, less abstract thinking ability.
4, easy to provoke, suspicious.
(B) mucus edema .
1. The will of thinking and the process of activity are gradually slowing down, lacking driving force and spontaneous activity.
2, wilting is easy, lack of cold, lethargy.
3, mood depression, depression, suspicion, delusion.
4, hearing loss, dysarthria, reduced visual field.
5, adults can see facial paralysis, dysregulation, tremors, gait instability, convulsions and so on.
Examine
Examination of mental disorders associated with hypothyroidism
1, serum TSH, T3, T4 examination.
2. EEG examination.
3. Determination of basal metabolic rate.
4, thyroid iodine test.
5, X-ray inspection.
6, ECG examination.
7, echocardiography.
8, blood lipids, creatine phosphokinase detection.
9, glucose tolerance determination.
Diagnosis
Diagnosis and diagnosis of mental disorders associated with hypothyroidism
diagnosis
Diagnosis can be based on medical history, clinical symptoms, and laboratory tests.
Differential diagnosis
Exclude other organic mental disorders, affective disorders, schizophrenia and neurosis.
