A special case, hyperthyroidism with severe potassium loss.

Postoperative hyperthyroidism recurred in the patient. Hypokalemic paralysis and hypersexuality are the clinical manifestations of hyperthyroidism. Emaciation is related to hyperthyroidism, hypermetabolism and excessive sexual life. We must treat hyperthyroidism regularly, avoid alcohol and tobacco, prevent hypokalemia, reduce sexual intercourse (per week 1 time), do more meaningful things, divert attention, and separate husband and wife.

First, the periodic paralysis of hyperthyroidism mostly occurs in young men in Asia, and most patients rely on this to find hyperthyroidism. Periodicity refers to the periodic attack of hyperthyroidism without treatment. The disease is common in clinic, with an incidence rate of 3.8% ~ 6%, especially among young men. Most of them have no obvious premonitory symptoms before the attack, and often attack under certain incentives such as satiety, fatigue, mental tension, high-sugar diet, cold, glucose injection and insulin. Paralysis of both lower limbs or limbs during the attack can cause respiratory muscle paralysis in severe cases. This disease is not only similar to the clinical symptoms of periodic paralysis, but also can be quickly relieved after potassium supplementation, so it can be considered that the onset of this disease is related to abnormal potassium metabolism and distribution in the body. The onset time of periodic paralysis of hyperthyroidism is varied, ranging from tens of minutes to several days in the elderly, and the frequency of onset can be several times a day or once every few years. The severity of muscle paralysis varies from person to person. Light limbs can only move, not sit up or stand. In severe cases, limbs can't move at all. During physical examination, the patient was conscious, without sensory disturbance and cranial nerve involvement, and tendon reflex weakened or disappeared. Blood potassium decreased, and electrocardiogram showed hypokalemia. Don't worry, as long as hyperthyroidism is under control, it won't be paralyzed again. Hyperthyroidism can be cured, that is, the treatment process is long, so don't go to see a doctor indiscriminately. In a regular hospital, find a fixed endocrinologist, take medicine on time, and review it on time. Don't stop taking drugs or increase or decrease the dosage without authorization. The treatment of hyperthyroidism is the most taboo to fish for three days and dry the net for two days. Intermittent treatment will only prolong the treatment time. After the hyperthyroidism is cured, the disease no longer occurs, and a few patients still have authors, which may be the coexistence of hyperthyroidism and periodic paralysis.

Second, 20% of hyperthyroidism patients will have hypersexuality. Hypersexuality has some reasons:

1, the main cause of hypersexuality is endocrine disorder. For example, there are some tumors in the testis, pituitary gland or hypothalamus, which will cause hypersexuality. About 10% ~ 20% of hyperthyroidism patients have early sexual desire.

2. Mania of mental patients also has some manifestations of hypersexuality. Due to mental disorder, the ability to suppress sexual excitement is reduced. About 65% people, both men and women, will have a tendency to be hyper-sexual.

In addition, the long-term bad environment and repeated strong sexual stimulation make people with weak sexual will indulge in pornography, which is also the cause of hypersexuality.

Three, hyperthyroidism caused by hypersexuality treatment suggestions:

1. Separate couples appropriately, and put more energy into study and work to avoid the phenomenon of "full of warm colors". This is the best way to overcome hypersexuality.

Don't be too addicted to pornographic novels and movies, you should take part in some relaxing and healthy entertainment activities to transfer your emotions.

4. Suggestions for the treatment of hyperthyroidism and hypokalemic paralysis: potassium supplementation is the main method. Onset: You can take potassium chloride 4- 10g orally once (65,438% potassium chloride 4- 10 tablets), and continue to take potassium chloride 1-2 tablets every time, 3-4 times a day after your condition improves. Stop taking medicine after full recovery. In case of serious illness, add 30ml of 10% potassium chloride into 1000ml physiological saline and drip slowly. The total amount of potassium chloride should not exceed 8 g within 24 hours. If you have difficulty breathing, you should inhale oxygen and sputum, and give artificial respiration if necessary. In case of arrhythmia, 30ml of 10% potassium chloride should be given. Insulin 10u was added to 5% glucose solution 1000ml for slow intravenous drip. Intermittent period: avoid full meals, eating a large number of high-sugar diets, fatigue and other incentives. If necessary, take orally 10% potassium chloride 10ml( 1 branch) three times a day. In order to prevent seizures, it can also be used. You can eat more foods with high potassium, such as bananas and oranges.

Generally, with the gradual improvement of hyperthyroidism, periodic paralysis will also improve. The attack interval is longer and longer, the paralysis procedure is lighter and lighter, and the attack time will be shorter and shorter until it is cured and no longer attacks.