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yxfbbiedtj
Wysłany: Pią 18:30, 25 Mar 2011
Temat postu: Abortion induced thyroiditis _4740
Thyroiditis induced abortion
Reduce symptoms, the clinical occurrence, development and evolution process and Hashimoto's thyroiditis easily confusion, PPT few reports on domestic cases. Curcuma hospital in 19g1 to 1993 Report of 1 case observed in patients, such as F, female, 2B years. Chills, sodium reduction, constipation. 1 month f1gg1 edema in B on treatment. Patients who 1gg1 l Mindanao in March of production, almost 'getting even months, chills, sodium reduction. Constipation, fatigue, auditory hallucinations, menstruation for anemia. Edema,
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, physical examination: Ta6 ℃, BP1a. 5/7kPa appearance of severe anemia. Expression yam desert, face, limbs, edema, swelling of the thyroid I even, soft, no hiding retention of urine, heart rate 60 beats / min, heart flowers low blunt, breath sounds low, soft abdomen, liver and spleen ribs did not search, laboratory friction check : Hb60g / L. L urine: protein (A), isotope serum TTa. TT. Below normal. TSH. TGAb. TMAb high-lf normal. B-spot display of thyroid enlargement, enhancement. Thyroid tissue biopsy smear drawn, to be diagnosed clinically suspected infiltration of lymphocytes: Hashimoto's thyroiditis (hypothyroidism of) anemia secondary to blood loss, to give L-} p-like! I5} tablets orally. Clinical symptoms disappeared after three months. Hb95 / L blood elimination TT,. TT. TBH, TGAb, TMAb were normal. Open by the beginning of tough ongoing medication dose. 10 months allegiance to progressive m wizard palpitations span. Hyperhidrosis. Polydipsia, weight loss and other symptoms of disc, Ran measured serum TT. . TT. Increased, TGAb. TMAb normal. TSH decreased, ECG showed: sinus tachycardia, symptomatic treatment of propranolol plus services, and gradually reduce the hydrazone Cable of the thyroid halo, Code 1B months after treatment discontinuation. The withdrawal 6 brushes, 6 months. 【2 months later and the key indicators of blood iE often requested. Evidence of thyroid dysfunction in particular, review diagnosis: PPT PPT postpartum appeared to discuss the humoral and cellular immune anti-jump pulp) R7} - ≥. cells and a small amount of polymorphonuclear leukocytes, usually occur within one year postpartum thyroid dysfunction, Fatigue, transient mild symptoms of hyperthyroidism, followed by an improvement phase, and then chills, anorexia, constipation. Edema, anemia, hypothyroidism and a series of symptoms, most patients with hypothyroidism in the postpartum 5 to 10 months and relieve itself, 25% to 30% of patients in the PPT to 4 years after the onset of a still hypothyroidism performance. Only 3.5% developed persistent hypothyroidism PPT rhyme both immunological and clinical manifestations with a strong show that has many similarities to Hashimoto's thyroiditis, but in the treatment and prognosis but there are differences. The absence of cases of hyperthyroidism. When there are clinical manifestations of hypothyroidism treatment, according to Hashimoto's hypothyroidism treatment. Although the initial treatment before the effect is obvious, but the latter stages thyrotoxicosis, hypothyroidism and Hashimoto's disease does not match. Serological tests also supported the diagnosis of PPT. Therefore, gradually tapered to discontinuation of drug therapy, Serum TT., TT., TSHTGAb, TMAb concentration, once diagnosed with hypothyroidism of PPT, hormone replacement therapy should be given to ensure the body has the right amount of thyroid Faso, to improve the low basal metabolism, and close observation of their blood concentration, to prevent excessive thyroid hormone causes thyrotoxicosis and osteoporosis, and note the amount of time until the termination of the reduction of drug dosage, to avoid unnecessary life in patients with a turnip.
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