Hashimoto’s thyroiditis will cause continuous damage to the thyroid gland and affect thyroid function, but this process is relatively slow. According to the development of the disease, it is mainly divided into four stages:
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1. Normal thyroid function period
①The thyroid function is normal and there are almost no symptoms.
②The results of anti-thyroglobulin antibody and/or anti-thyroid peroxidase antibody will increase during blood test
③ thyroid color Doppler ultrasound showed that the thyroid parenchyma changed unevenly.
Some people’s disease will continue to develop downward, but some people will stay in this stage for a lifetime.
2. Hyperthyroidism stage
① Mild symptoms: mild symptoms of hyperthyroidism, such as good appetite and easy Tiredness, mild insomnia, irritability, etc.
②Severe: Obvious symptoms of hyperthyroidism, such as weight loss, proptosis, eyelid edema, vision loss, etc.
This period is usually only a few months, and a large proportion of mild patients pass without awareness at all.
3. Coexistence period of hyperthyroidism and hypothyroidism
① If there are symptoms of hyperthyroidism, the blood test indicators may be slightly high or normal.
② Symptoms of hypothyroidism appear.
At this stage, the thyroid is still struggling to maintain normal function.
4. Hypothyroidism
①Due to the decreased secretion of thyroxine, there is obvious hypothyroidism Manifestations, such as anorexia, memory loss, lethargy, unresponsiveness, dizziness, headache, tinnitus, etc.
②Some patients with hypothyroidism may feel neck discomfort even though the test indicators are normal after supplementing thyroxine, which may be due to long-term repeated inflammation, which may cause the thyroid to become hard and shrink. or growing up.
③ Some patients may have hyperthyroidism indicators and symptoms due to aggravation of inflammation.
As the condition may continue to worsen, when the thyroid finally fails to maintain normal function, it will enter the hypothyroidism stage, which is likely to last for life.
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