How to treat hyperthyroidism in children?

Hyperthyroidism is relatively common among children. The accompanying symptoms of neck swelling, weight loss and sweating are very obvious, which hinders the growth and development of children. However, parents do not need to have too much psychological burden because of this. As long as they take their children to treatment in time, they will recover. Next, the editor will explain the commonly used treatments in detail.

1. General treatment. During the illness, you should pay attention to rest, relieve mental stress and burden, and avoid emotional fluctuations. Students are exempted from physical education classes to prevent them from participating in strenuous physical activities. Avoid external stimulation and stress. The diet should be rich in various nutrients such as protein, carbohydrates and vitamins, and ensure balanced and comprehensive nutritional supplements. Do not be picky about food or overeat.

2. Propylthiouracil or methylthiouracil: 300-450 mg/d, methimazole or carbimazole: 30-40 mg/d, orally in 2-3 doses. The dosage can be reduced when symptoms are relieved or T3 and T4 return to normal. The dosage should be reduced every 2 to 4 weeks: 50 to 100 mg/d for propylthiouracil or methylthiouracil, and 5 to 10 mg/d for methimazole or carbimazole. The dosage should be reduced to the minimum maintenance dose after the symptoms are completely eliminated and the physical signs are significantly improved.

3. Methimazole. This drug can inhibit the combination of iodine and tyrosine and inhibit the synthesis of thyroid hormones. It takes effect quickly and lasts for a long time after oral administration (half-life is 6 to 8 hours). It can be taken orally at 0.4 to 0.6 mg/kg per day, divided into 2 or 3 times. After 1 to 3 months of medication, the condition is basically under control, the heart rate drops to 80 to 90 beats/min, and the blood T3 and T4 also drop to normal. The dosage can be reduced by 1/3 to 1/2. If it is still stable, gradually reduce it to the maintenance dose. Generally, it is appropriate to use the medication for 2 to 3 years.

In general, the treatment of hyperthyroidism requires a comprehensive and systematic implementation. The editor reminds parents that while urging their children to take medication on time and according to the dosage, they should also actively take care of their children in daily life, especially in terms of diet and daily routine. They must not let their children follow their own temper, so as not to affect the normal recovery of the disease.