Wherever I go lately, I hear coughing sounds, one after another. Many patients who come to my clinic, especially those with thyroid disease , are worried because they have accidentally been infected. They come to ask me various questions, the most common of which are "Can hyperthyroidism medicine be taken together with antipyretics?" "My nose is blocked like cement. Do I need to stop hyperthyroidism medicine and take cold medicine?" "Will being positive cause the recurrence of hyperthyroidism?"...
With the current adjustment of the new crown epidemic control policy, after full relaxation, the risk of infection for most people will increase significantly, but there is no need to panic excessively. The toxicity of the currently popular new coronavirus Mysterio Kron has been greatly weakened compared with previous new coronaviruses, but its contagion is still extremely strong, so daily protection is still necessary.
After becoming “yang”, how should patients with underlying thyroid diseases respond proactively?
1. Correct understanding and positive face
First of all, whether the patient is hyperthyroidism or hypothyroidism, if he accidentally becomes "yang", he should actively dispel the fear of the new crown and do not let himself fall into the emotions of fear and anxiety. These negative emotions will aggravate the condition of thyroid disease. , especially for patients with hyperthyroidism, the onset of hyperthyroidism is related to the disorder of the autoimmune system, and emotions such as fear and anxiety will aggravate the immune disorder of the body, thereby aggravating the condition of hyperthyroidism.
2. Take medication scientifically to control thyroid function
Secondly, if patients with thyroid diseases such as hyperthyroidism and hypothyroidism are not well controlled due to various reasons, infection with the new coronavirus may aggravate the disease to a certain extent. Therefore, it is recommended that everyone develop the habit of taking medication consistently and regularly to enhance their ability to resist viruses .
However, it should be noted that taking drugs with different functions at the same time may lead to interactions between drugs and cause some unpredictable side effects. Therefore, it is recommended that thyroid disease drugs and COVID-19 prevention and treatment drugs should be taken at least 61 to 2 hours apart.
Patients with thyroid disease need to use the following drugs with caution:
Generally thyroiditis can actually take aspirin, because aspirin itself is an anti-inflammatory and analgesic drug, so it can play a certain analgesic effect on mild subacute thyroiditis. But the effect only goes so far. Patients who have experienced hyperthyroidism crisis on are strictly prohibited from taking , and it is best to change to another drug. Because aspirin competes with thyroid hormone to bind to thyroxine globulin in the blood, causing an increase in thyroxine in the blood and aggravating the condition.
Chlorpheniramine is an anti-allergic drug that can relieve bronchial smooth muscle spasm, reduce capillary permeability, reduce nasal secretions, thereby relieving nasal congestion, coughing, sneezing, runny nose and other symptoms. However, patients with hyperthyroidism need to use with caution, as it can cause recurrence of hyperthyroidism.
Xylometazoline nasal drops are symptomatic drugs for nasal congestion. It can effectively shrink the turbinate mucosa, reduce congestion and hyperplasia of the turbinate mucosa, and has a good effect on nasal congestion and runny nose caused by rhinitis. When a patient has a cold and has severe nasal congestion, this medicine can also be used to relieve it. However, because it is an epinephrine drug, epinephrine drugs will cause heart rate to increase reaction, and hyperthyroidism patients themselves have heart rate faster, so its use is prohibited.
3. Self-management and pay attention to rest
Now is the stage of the spread of the new crown epidemic, and self-management of patients with chronic diseases at home is particularly important. Patients with thyroid disease should insist on taking medication, pay attention to rest, avoid strenuous exercise, ensure adequate sleep, strengthen nutrition, relax their mood, and avoid excessive stress and anxiety.You can take antipyretic, cough-relieving, phlegm-reducing and other drugs according to the symptoms. Do not stop taking thyroid medicine at will!
In addition, we must pay more attention to replenishing water. Drinking more water can not only replenish the body fluid loss caused by fever, but also help improve the body's immunity and enhance the clearance of viruses by the respiratory mucosa. Of course, don't overdo it, just the right amount. A normal person's daily water intake is generally around 2000ml. Just replenish water within the normal range. Excessive drinking of water can cause water poisoning .
Finally, I would like to remind everyone that if patients with thyroid disease develop severe symptoms such as shortness of breath and difficulty breathing after being infected with COVID-19, they must go to a regular hospital in time.