Ms. THP (38 years old, Dong Nai) used to have a cheerful personality and a normal daily life. However, recently, Ms. P. only needs to climb 4-5 stairs to breathe, or when doing nothing, her heart beats rapidly and can be clearly felt, along with not sleeping deeply, feeling drowsy, tired...
Her rapidly declining health made her mentally irritable and unstable, even the smallest things made her upset.
Ms. P. felt she could not control her emotions, sometimes she spoke harshly to her relatives, when she calmed down she felt regretful and remorseful. Many times she wanted to cry to put out the "fire" inside her, she did not understand why her life had changed so much.
Ms. P. thought she had a “mental illness” due to her busy work schedule, so she sought out a psychologist. However, the doctor diagnosed Ms. P. with thyroid disease .
Master Doctor CKI Vo Dinh Bao Van - Department of Endocrinology - Diabetes, Tam Anh General Hospital, Ho Chi Minh City, said that the blood test results showed that Ms. P. had hyperthyroidism - increased thyroid hormone, because the thyroid gland plays an important role in metabolism. Increased thyroid hormone affects many functions such as: body temperature, cardiovascular system, nervous system, spirit, musculoskeletal system. Rapid changes in thyroid hormone levels can disrupt the patient's emotions , they may have symptoms such as: restlessness, mood swings, irritability, emotion, anger, if not treated early can lead to depression, mental disorders (less common).
In addition, the patient's liver enzymes are 7 times higher, requiring hospitalization. According to Dr. Van, hyperthyroidism can cause many dangerous complications, including high liver enzymes. Increased thyroid hormone levels lead to protein and lipid metabolism disorders, increased liver enzymes, and can recover when the hyperthyroidism is stable.
Ms. P. was treated with antithyroid drugs, thyroid hormone synthesis inhibitors, and high liver enzymes by an experienced specialist. After 1 week of treatment, liver enzymes were almost at a stable level, thyroid hormones were controlled, Ms. P. had a better appetite, was less tired, no longer had palpitations, and was in a happier mood. In addition, the patient was able to discuss, share, and receive counseling to stabilize her psychology again.
Doctor Van said people can recognize hyperthyroidism through symptoms such as always feeling hot, sweating a lot, possibly having a mild fever of 37.5°C - 38°C, and warm, moist palms.
About 50% of hyperthyroidism cases have diarrhea without colic, 5-10 times/day due to increased intestinal motility and decreased secretion of digestive tract glands. In addition, patients have palpitations, rapid heart rate; or may have headaches, dizziness, sleep disorders, fatigue, and reduced ability to work.
