What Is Thyroid Hypertension?

Hyperthyroidism patients often have abnormal blood pressure, which is manifested by an increase in systolic blood pressure (commonly known as high pressure), a decrease in diastolic blood pressure (commonly known as low pressure), and an increase in pulse pressure difference (systolic pressure-diastolic pressure).

Hyperthyroidism

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Patients with hyperthyroidism often have abnormal blood pressure, manifested as

The decrease in diastolic blood pressure is due to the dilation of peripheral blood vessels and decreased vascular resistance. During hyperthyroidism, hypermetabolism and increased oxygen consumption in peripheral tissues cause vasodilation and decreased resistance, leading to diastolic pressure in the diastolic arteries, which is diastolic blood pressure.

As the systolic blood pressure increases and the diastolic blood pressure decreases, the pulse pressure difference increases. Therefore, an increase in pulse pressure difference is a characteristic of hyperthyroidism hypertension, while hypertension such as hypertension generally does not have an increase in pulse pressure difference.

Hyperthyroidism is an autoimmune disease. Other autoimmune diseases are often associated with hyperthyroidism, such as myasthenia gravis, idiopathic Edison disease, malignant anemia, systemic lupus erythematosus, rheumatoid arthritis, Sjögren's syndrome, Hyperthyroidism with Graves disease, such as scleroderma, is not uncommon. The family with Down syndrome of trisomy 21 karyotype has a high incidence of hyperthyroidism.

The clinical manifestations of hyperthyroidism are: palpitation, tachycardia, fever, sweating, hyper appetite, weight loss, weight loss, fatigue and irritability, irritability, insomnia, lack of thought, prominent eyes, trembling tongue, goiter Or swelling. Women may have menstrual disorders or even amenorrhea, and men may have impotence or breast development. Goiter is symmetrical, and some patients are asymmetric. Goiter moves up and down with swallowing, and some patients with hyperthyroidism have thyroid nodules. Eye changes caused by hyperthyroidism. One type is benign exophthalmos, patients with prominent eyeballs, eyes staring or showing frightening eyes; the other is malignant exophthalmos, which can be transformed from benign exophthalmos. Patients with malignant exophthalmos often have fear. Light, tears, diplopia, vision loss, eye swelling, tingling, foreign body sensation, etc., because the eyeball is highly protruding, the eye cannot be closed, conjunctiva, corneal exposure causes congestion, edema, corneal ulceration, etc., and even blindness. There are also patients with hyperthyroidism who do not have ocular symptoms or their symptoms are not obvious. The above are the typical clinical manifestations of hyperthyroidism, but not all clinical symptoms of hyperthyroidism patients. Different types of hyperthyroidism have different clinical manifestations.

Hyperthyroidism does not heal for a long time, and a series of comorbidities may occur, such as hyperthyroid heart disease, hyperthyroid limb paralysis, hyperthyroid hypertension, hyperthyroid diabetes, hyperthyroid psychosis, etc. Those with severe conditions can cause hyperthyroid crisis, and emergency treatment is not urgent. Often life-threatening.

Hyperthyroidism crisis is a severe deterioration of the condition of hyperthyroidism, leading to severe disorders of the whole body's metabolism, severe functional disorders such as the cardiovascular system, digestive system, and nervous system, which are often life-threatening, such as untimely diagnosis and rescue measures, and extremely high mortality rates. Even if the diagnosis and treatment are timely, about 5 to 15% of patients are not immune.

The following people should be alert to hyperthyroidism and hypertension

1. Younger at the time of onset, especially hypertension before 30 years of age;

2. Hypertension progresses rapidly;

3. Application of antihypertensive drugs, the effect is not good, or even ineffective;

4, accompanied by other symptoms, such as the typical "headache, sweating, palpitations" triad, hypokalemia, etc .;

5. Pheochromocytoma has a certain heredity, so in patients with a family history of pheochromocytoma, screening for pheochromocytoma should be performed.

Hyperthyroidism is a chronic disease with no symptoms or atypical symptoms at an early stage. If it is not treated in time, there will be life-threatening dangers such as hyperthyroidism crisis and hyperthyroid heart disease. Even with regular treatment, some patients still fail to achieve good results after short-term treatment. Due to the lingering disease, long treatment course, recurrent attacks, and high mental stress, it has a great impact on life and work. Therefore, it is particularly important to take good care of patients while actively treating them. The focus of nursing is: 1. Relieve the mental and physical pain of the patient. 2. Prevent complications. 3. Provide life help to patients.

(I) General Nursing

1, appropriate rest and activities.

When clinical symptoms are significant, bed rest should be timely, especially when the activity is restricted from 1 to 2 hours after eating. When clinical symptoms are significantly improved, pay attention to rest while taking appropriate activities or physical exercise. Avoid overwork; All laboratory tests are normal and may not restrict activities.

2. Emotional Nursing Chinese medicine believes that a person's mental state is closely related to the body's internal organs, qi and blood, and a person's emotional activity is closely related to the function of mind-hiding, which is full of spirit. Patients with a cheerful mind generally have better curative effects. Worse. Therefore, it is necessary to care about the patient in nursing, talk to the patient, understand the patient's state of mind, and guide the patient to let go of his doubts.

3.Diet care

The diet should be based on the principles of high calories, high protein, high vitamins, and appropriate amounts of fat and sodium salt. Use less spicy and irritating condiments. The food should be soft and easy to digest, rich and nutritious. Do not eat high iodine foods, such as: Kelp, seaweed, jellyfish, seaweed and algae food, etc., to prevent poor control of hyperthyroidism. No smoking. No drinking. Strong tea and coffee.

(L) Give adequate carbohydrates and fats. Carbohydrates and fats have the effect of saving protein. If there is sufficient supply, proteins can exert their unique physiological functions. Give adequate vitamins and inorganic salts. Vitamins and inorganic salts can regulate physiological functions and improve body metabolism, especially vitamin b and vitamin C. Adequate calcium and iron should be given to prevent deficiency.

(2) Properly increase animal viscera, fresh green leafy vegetables, or supplement vitamin preparations.

(3) Appropriately control foods rich in cellulose. Patients with hyperthyroidism often have diarrhea. Excessive supply of fiber-rich foods can increase diarrhea.

4. Condition Nursing

It is mainly to observe whether the whole body has the manifestation of high metabolic comprehensive , whether the thyroid is swollen, whether the eyeballs are protruding, and the nervous system. Cardiovascular system. Digestive system. Blood system. Reproductive system. No edema, flushing, wet fingers, and other strange manifestations. Pay special attention to observe changes in body temperature and cardiovascular system to prevent the occurrence of hyperthyroidism crisis and hyperthyroid heart disease.

(1) Learn to relax and don't stress yourself too much. Maybe it s because I do nt know how to cherish myself, so my body is prone to disease and protest.

(2) Women who have a pregnancy plan should first discuss with their physician to determine the timing and whether adjustments to treatment are needed.

(3) Eat less irritating foods, especially coffee and tea, to avoid palpitations and hand tremors.

(4) Reduce the intake of foods containing iodine, such as kelp, seaweed, and laver. Avoid using iodized salts or use non-iodized salts instead.

(5) Be careful with warming supplements and dietary remedies with high iodine content.

(6) Be careful with food, such as small cocks and old geese.

(7) Check thyroid function regularly.