Hypermetabolic syndrome

Introduction

Introduction The so-called high-metabolic syndrome refers to a series of syndromes caused by abnormal metabolism of the body's thyroid hormones, resulting in hypermetabolism of the body, leading to abnormal metabolism of carbohydrates and proteins. As the patient's metabolism increases, the heat production and heat dissipation increase significantly. Patients often complain of heat and sweat, fatigue and weakness, and the skin is warm and humid.

Cause

Cause

The so-called high-metabolic syndrome refers to a series of syndromes caused by abnormal metabolism of the body's thyroid hormones, resulting in hypermetabolism of the body, leading to abnormal metabolism of carbohydrates and proteins. The induction of the disease is closely related to autoimmune, genetic and environmental factors, among which autoimmune factors are the most important, and genetic factors are also important. Environmental factors mainly include various factors that induce the onset of hyperthyroidism, such as trauma, mental stimulation, and infection.

Examine

an examination

Related inspection

Thyroid B-mode ultrasonography serum total thyroxine (TT4) total triiodothyronine (TT3)

First, high thermal energy metabolism

The basal metabolism of patients with hyperthyroidism is significantly increased, which increases oxygen consumption and heat production, and accelerates heat dissipation. Therefore, hyperthyroidism is afraid of heat, sweating, weight loss, and low work efficiency.

Second, high protein conversion

Hyperthyroidism secretes too much thyroxine, which accelerates the decomposition of protein, increases excretion, and has a negative nitrogen balance; muscle tissue is consumed, and the patient is fatigued and loses weight.

Third, high fat metabolism

A large amount of thyroxine promotes fat mobilization, accelerates fat oxidation and decomposition, and accelerates the synthesis of cholesterol, which promotes the conversion of cholesterol into bile acid excreted and increases the utilization of cholesterol. Therefore, patients with hyperthyroidism have low cholesterol and are low.

Fourth, high carbon hydrate

Thyroxine can promote the absorption of carbohydrates in the intestines, cause glucose to enter the cells to be oxidized, stimulate the decomposition of hepatic glycogen and muscle glycogen, accelerate the gluconeogenesis, cause impaired glucose tolerance, and easily aggravate or induce diabetes. Therefore, many patients with hyperthyroidism usually have a tendency to increase blood sugar.

Five, high water salt metabolism

The large amount of thyroxine produced by hyperthyroidism is beneficial to urinary potassium excretion, promotes osteoporosis, accelerates the rate of calcium and phosphorus, and increases urinary excretion, but the blood concentration is still normal or slightly higher.

Six, high vitamin metabolism

The B vitamins and vitamin C consumed by hyperthyroidism patients also increase significantly, and these vitamin deficiency are prone to occur.

Seven, high digestion

When hyperthyroidism is increased in patients with hyperthyroidism, it will accelerate the peristalsis of the intestines, resulting in increased frequency of bowel movements and even diarrhea.

Diagnosis

Differential diagnosis

Identification:

Metabolism is strong: metabolism is a general term for all chemical reactions in living cells. It includes both material metabolism and energy metabolism. The metabolism of various organisms is different in the stages of growth, development and aging. In the process of growing up the body, young babies and adolescents need more material to build their own body, so the metabolism is strong and assimilation plays a dominant role. In the old age and old age, the human body function is deteriorating, the metabolism is gradually slow, and the primary and secondary relationship between assimilation and alienation is also transformed.

Low systemic metabolism: mainly manifested by slowing down the systemic metabolic rate. It is a systemic manifestation of endocrine and metabolic diseases. Lack of tissue specificity and organ specificity in endocrine and metabolic diseases. The hormone secreted by the endocrine glands enters the blood circulation and exerts its physiological effects as it reaches the various organs and tissues of the body. A hormone can act on multiple sites, and multiple hormones can also act on the same organ tissue. Therefore, the clinical manifestations of a certain endocrine gland dysfunction will involve multiple systems and organs throughout the body, unlike other systems with more common symptoms associated with this system.

Lack of nutritional metabolism: evidence of disease-deficient disease, such as dystrophic vitamin B1 and folate deficiency, and lack of nutritional metabolism leading to symptoms and signs of dysfunction, which can be used as a mental disorder associated with nutritional metabolic diseases. Diagnostic conditions. Nutritional metabolic diseases associated with mental disorders mostly refer to neuropsychiatric disorders caused by vitamins or other nutrients lacking metabolic disorders and insufficient energy supply, such as niacin, vitamin B1 and folic acid deficiency. It meets the diagnostic criteria for mental disorders caused by physical illness and has evidence of nutritional metabolic diseases. The mental symptoms vary with the severity of the primary disease.

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