hello.I'm Risa Kirimura, a doctor and a preventive medical specialist.
During menopause, symptoms that suddenly palpitations and sweating often occur.It is not unusual for you to have hyperthyroidism and graves that need treatment if you think, "Is it a menopause?"
It is famous for the onset of singer Ayaka, but hyperthyroidism and bassedo disease can also occur in menopause.
Let's talk about hyperthyroidism and bassedo disease, which is difficult to distinguish between menopause.
table of contents
1.Menopause and hyperthyroidism
A 40 -year -old woman suddenly began to sweat with her chest and became tired.She tends to think, "Oh, this is a menopause!?"Certainly, even for menopause, her autonomic nervous dysfunction causes palpitations and sweating, and makes it easier to feel tired than before.
Of course, there is a possibility of menopause, but at the same time it is necessary to make sure that hypery of thyroid function is likely to occur.A definitive diagnosis can be made by blood tests or ultrasonic tests.
2.What is thyroid gland?
The thyroid gland is located slightly to the left and right, slightly under the throat of the neck, and secretes hormones (thyroid hormones) that play an important role for the body.
Thyroid hormone is a hormone that controls metabolism.It creates the energy necessary for people to work well, breaks old cells, renews new cells, and enhances metabolism.
Therefore, if thyroid hormone is insufficient and metabolism is reduced, various functions of the body will also decrease.Previously, I talked about hypothyroidism.
▼ Surprisingly few women's "thyroid functional hypothetic" mechanism
https: // wellmethod.JP/Hypothyroidism/
3.Hyperthroidism is always a marathon state
The meaning of the word "enhancement" is high.In other words, hyperthyroidism is a situation where the metabolism of the thyroid hormone has increased and a lot of hormones are coming out.
When you hear "metabolism up", it tends to be a good thing.However, if thyroid hormone overflows on the body, the metabolism will be too high and you will always be in a marathon.
A marathon consumes energy.The cells require a lot of oxygen and nutrition, so the heart works a lot to promote blood flow and increase the pulse.When energy production increases, sweating occurs.The coldness heals and becomes hot.It is energetic and active, but does not rest.The heart becomes soy sauce, frustrated and restless, and becomes overactive.
Even if you are sleeping, you will be insomnia if you are in a 24 -hour marathon.Energy is always consumed and weight is lost.The appetite increases, but even if you eat it, you will lose weight.This may seem like a nice thing, but it will be a big burden on your body.
At the end of the face, the eyes, and the end of the year, about 30 % of the eyeballs will protrude.Some people are happy with their eyes growing, but eventually their white eyes will be exposed.
As the thyroid gland grows, the throat becomes swollen and thicker.It may not be noticeable.
4.What is Bassedo disease?
"Basedow disease" that you often hear is a type of hyperthyroidism.A typical disease that increases the thyroid function is Graves' disease.
Bassedo disease is one of the unique autoimmune diseases of the thyroid gland, with a relatively large population, 2-6 out of 1,000.Among them, the feature is that women are 5 times more than men.It occurs well in your 20s and 40s.
An autoimmune disease creates a autoantibody in which immunity attacks your organization.It is usually that you attack yourself and decrease the function of the organization.
However, in the case of Bassedo disease, the thyroid gland is stimulated by the autoantibody, and the thyroid hormone is excessively created, and conversely, the function is enhanced.
Self -immune diseases in the thyroid glands may cause a decrease in function, which hits "Hashimoto disease".In the case of Hashimoto disease, autoantibodies attack thyroid cells and their cells are broken, resulting in thyroid hormones and reduced function.However, in the early stages of the onset, broken cells may overflow with thyroid hormones and temporarily enhance the function.
4-1.Diagnosis of Bassedo disease
Diagnosis of Bassedo disease is performed by symptoms and tests.
a）症状（臨床所見）
1.Thyroid poisoning findings such as tachycardia, weight loss, finger shy, increased sweating, etc..Bimen Thyroid Large 3.Eye protruding or unique eye symptoms
b）検査所見
1.Thyroid hormone: Spiling T4, auspicious T3 on the other hand or both high price 2.Thyroid stimulus hormone: TSH Low value (0).1 μU/ml or less) 3).Opportic antibody: Anti -TSH receptor antibody (Trab) positive or thyroid stimulation antibody (TSAB) positive 4.Radioactive iodine (or technesium) thyroid intake rate high, scinning graphic findings
In addition to one or more of the definitive diagnosis of Bassedo disease ... a), Basedo disease, which has four B), in addition to one or more, B) 1, 2).Things with 3, suspected of Bassedo's disease ... A), with 1 and 2 of B), and the high -priced T4 and free T3 high prices last 3 months.
5.Other hyperthroidism
In addition to Bassedo disease, there are diseases that increase thyroid function.
・ Planmer disease
Many of the elderly, rarely young people.A lot of nodes in the thyroid gland are formed, and the nodules are secreted by excessive thyroid hormones, resulting in enhanced thyroid function.In the case of general thyroid segments, there is no excessive secretion of thyroid hormone.Tumor resection by surgery is basic.Most are benign tumors, and malignant tumors such as thyroid cancer are extremely rare.
・ Thyroiditis
Thyroid inflammation caused by viral properties.Sarchy thyroiditis that tends to develop after virus infection.There are painless lymphocyte thyroiditis, which is an autoimmune thyroiditis that develops after childbirth.
In addition, when it occurs with drug properties, hypertheum may occur due to a pituitary tumor that secretes hormones that stimulate the thyroid gland, but it is rare.
6.Menopause and hyperthyroidismの見分け方
6-1.Menopause and hyperthyroidismの共通点
There are various symptoms common to menopause and hyperthyroidism.
・ Palpitations, shortness of breath, hot flashes, sweating ・ Throat feeling ・ Easy to get tired ・ Frustration ・ Dry skin ・ Increase in hair removal ・ Passion ・ blood pressure rising ・ Menstrual menstruation irregular
Menstruation may be disturbed due to abnormal thyroid function.In the case of hypothyroidism, the mentality is rather declined and the depression is used, but it is not in the case of hyperthyroidism.
6-2.Menopause and hyperthyroidismを見分けるポイント
In the case of menopausal symptoms, palpitations are caused by autonomic imbalance, so basal metabolism does not increase.If anything, metabolism will decrease with age, so even if you live the same life, your weight will increase.
If you have hyperthyroidism, you will lose weight even if you live in the same life and do not diet.At this time, don't think you're lucky!
In addition to the above symptoms, if the fingers shake small and the swelling of the neck, you will want to suspect hyperthyroidism rather than menopause.
Mental symptoms are more likely to decrease in the case of menopause, but in the case of hyperthyroidism, it is generally active and overactive.Because you are physically like a marathon, you will feel tired.
If a blood test is performed, a definitive diagnosis can be made by detection of thyroid hormones and autoantibodies.Even at a stage without special inspections, general blood tests include cholesterol, neutral fats, which should increase from menopause to menopause, and lower liver function numbers, increasing their metabolism.It may seem that the numerical value that should be worse is improved.You need to be careful if you have these signs, even though you have not improved your lifestyle.
7.Treatment in the case of Bassedo disease
In the case of frequent basal disease, among the hyperthyroidism, the treatment is mainly oral treatment.Adminish anti -pyroid drugs.If you control thyroid hormones normally, you can live as usual.
Surgery or isotope treatment may be recommended if you can not take an oral treatment due to side effects, or if you wish to heal early, or if the thyroidoma is large.
In the case of Graves' disease, it is not uncommon for remission to remain by continuing to take oral treatment.If you leave it alone, the burden on the whole body, including the heart, may cause heart failure, so be sure to have a confirmed diagnosis after consultation.
Even if you visit a gynecology department for menopause, you usually measure thyroid hormones to differentiate from thyroid disorders.If necessary, you will be introduced to internal medicine, endocrinology, and thyroid specialists.In some cases, menopause and thyroid disease may be merged, in which case gynecological and internal medicine is required.
8.In the case of menopause
If menopause is not hyperthyroidism, it will be treated in gynecology.
Treatment options include hormone replenishment therapy (HRT), Chinese medicine treatment, and equol.Of these, treatments that meet the symptoms and needs are generally recommended in combination.
As a self -management at home, Equol, which can be taken as a food, is the ally of fluctuating generations.After menopause and after menopause, it will support the success of women in the 100 years of life.
9.summary
Menopause, hyperthyroidism, and bassedo disease are difficult to distinguish.Thy thyroid disease is more likely to occur in menopause, so let's make it clear in a definitive diagnosis without deciding on "menopause" by self -judgment.
On top of that, you can choose a treatment method or self -management method with confidence.
The writing of this article is Dr. Risa Kirimura
医師Risa Kirimura
General supervisor
Internal medicine physician / certified industrial physician TENRAI Co., Ltd. President and CEO of Japan Society of Internal Medicine, Japan Diabetes Society, Japan Anti -aging Medical Society
Graduated from Ehime University School of Medicine.After dermatology and diabetes metabolism, she gains a wide range of medical treatments, from lifestyle -related diseases to home medical care, molecular consistency nutritional therapy, biological medical care, and outpatient female outpatients.Her health projects in her supervised company won the 1st Health Science Business Best Selections (Health Science Business Promotion Organization).She is currently writing healthcare information and supervision of products for writing, media, and lectures.She appeared as an intestinal environmental critic on Fuji TV "Honma Dekka!? TV".She has many other media appearances such as "Tokudane!"
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