1. Indications (1) Patients with moderate hyperthyroidism over 30 years old; (2) those who are allergic to antithyroid drugs can't continue to use them, or those who are ineffective after long-term treatment, or those who relapse after treatment; (3) Patients with heart, liver and kidney diseases are not suitable for surgery, or relapse after surgery, or are unwilling to have surgery; (4) Some patients with nodular hyperthyroidism.
2. Contraindications (1) Pregnant women and lactating women (13 1 can enter placenta and milk); (2) Persons under the age of 20; (3) Patients with severe heart, liver and renal failure or active pulmonary tuberculosis; (4) White blood cells are less than 3x 10/l or neutrophils are less than1.5x10/L; (5) Severe infiltrative exophthalmos; (6) thyroid crisis; (7) In the past, people who used a lot of iodine could not take iodine for their thyroid.
3. According to the estimated thyroid weight and the highest uptake rate 13 1, the dose and therapeutic dose are generally about 1850-3700kBd per gram of thyroid. Patients with severe illness were treated with antithyroid drugs for 3 months. After the symptoms were relieved, they were treated with drugs for 3-5 days, and then took 13 1. After 2 14 weeks of treatment, symptoms were relieved, thyroid gland shrank and weight increased. After 14 months, about 60% of them were completely relieved. If it is still not relieved after half a year, the second treatment can be carried out, and antithyroid drugs can be added before treatment.
4. The main complication (1) is hypothyroidism. 1 year, the reported incidence rate in China is 4.58%-5.4%, and will increase at the rate of 1%-2% every year, which is lower than that in foreign countries. There is temporary and permanent hypothyroidism. The early stage is caused by gland destruction, and the later stage may be caused by autoimmune reaction. Once it happens, it must be treated with thyroid cord; (2) Radiation thyroiditis occurred 7- 10d after treatment, which may induce crisis in some cases. Therefore, antithyroid drugs should be used before the treatment of 13 1 to prevent rabbits from crisis; (3) It may lead to aggravation of exophthalmos, but opinions are different. Suggest Chinese medicine treatment. Doctors use their spare time to answer your questions for free. If you are satisfied with the answer, please take it away in time. If you need treatment, you can contact us and we will try our best to help.