Section 77

"Where do you feel uncomfortable?" Zhang Yi asked.

While asking, he scanned the whole body of the high school student.

There is no problem with the blood vessels, bones, brain development, and physiological development.

However, there is a problem with the thyroid gland in the neck.

Could it be hyperthyroidism?

Chen Fang saw that the boy seemed very weak, and immediately lifted a stool for him.

The boy did not speak, and his mother quickly replied:

"Doctor, my son has been very strange in the past three months! His legs and feet are always numb and weak, and he can't even raise his hands in class..."

"Wow... Doctor, I searched on Baidu, and it said that this disease seems to be ALS or Parkinson's disease? It can't be true, right?"

"What should I do? My son is only in the second year of high school..."

As the boy's mother spoke, her eyes gradually became red.

Zhang Yi handed her a piece of paper:

"Family member, please stop crying and explain the child's problem first."

Then he asked: "Do you usually have a situation where you can't get out of bed after waking up from a nap?"

The boy's mother was thinking, and the boy nodded quickly:

"Yes... It happens often... It feels like a ghost is pressing on the bed."

"Do you have convulsions when you feel weak in your limbs?"

The boy shook his head: "No..."

"Have you lost weight recently?"

The boy shook his head: "I don't know..."

The boy's mother nodded suddenly: "It seems so! There was still some flesh on my face a few months ago, and now you ask me, I feel that I have lost some weight."

"Diarrhea?"

The boy nodded: "Diarrhea, often."

At this point, Zhang Yi had almost decided what the problem was.

Hyperthyroidism, plus weakness in the limbs, a blood potassium and electrocardiogram test will basically confirm the diagnosis.

Zhang Yi tapped the keyboard in front of the computer and wrote down the examination list.

Chen Fang glanced at the family members and then at Zhang Yi.

He was a little confused.

What's going on?

What happened?

How come you seem to know everything after just a few questions?

Zhang Yi saw Chen Fang's puzzled look and explained:

"The child's neck is a little swollen, not obvious. An electrocardiogram, hyperthyroidism and blood potassium can basically confirm the diagnosis."

This sentence woke Chen Fang up again.

He knew!

It's hyperthyroidism hypokalemia periodic paralysis!

No wonder the child's limbs are weak.

If it's ALS, there will be tremors and muscle atrophy at the same time as paralysis.

This child had paralysis symptoms three months ago, but there is no muscle atrophy at present.

He can walk and talk.

In addition, the neck is slightly swollen, thin, and the limbs are paralyzed and weak.

The above symptoms are very close to hyperthyroidism hypokalemia periodic paralysis.

If it is really hyperthyroidism hypokalemia periodic paralysis, potassium supplements must be taken quickly.

The age of onset of this disease is mostly adolescents, and the highest incidence rate is between 7-21 years old.

First of all, why does hyperthyroidism cause hypokalemia?

Because hyperthyroidism can reduce thyroid hormones and cause sodium potassium ATPase dysfunction.

Excessive potassium in the blood is transferred into the cells, resulting in transfer hypokalemia.

In addition, patients with hyperthyroidism will also have elevated blood sugar. Once blood sugar is high, it will stimulate beta cells to secrete a large amount of insulin, which will accelerate the sugar metabolism process.

In this way, it can also promote the transfer of potassium ions outside the cells into the cells, resulting in abnormal blood potassium distribution and hypokalemia.

Then hyperthyroidism can cause diarrhea.

Long-term diarrhea will also cause a certain loss of blood potassium.

Once the blood potassium in the human body is low, it will cause symptoms such as muscle weakness, fatigue, and dizziness.

In this way, hyperthyroidism causes hypokalemic periodic paralysis.

Hypokalemia is still very dangerous.

It is easy to cause respiratory muscle weakness, leading to suffocation.

It is also easy to cause heart function disorders and sudden death.

But it is easy to treat.

Just add potassium and it's done.

Swish.

Write a list for examination.

The family members helped the boy to go for the examination.

...

Came back half an hour later.

Take a look at the examination list.

Electrocardiogram: U wave increases and merges with T wave.

This is a typical electrocardiogram manifestation of hypokalemia.

Blood potassium: 2.4mmol/l (normal 3.5-5.5mmol/l)

If it is lower than 3.5, it is hypokalemia.

Five thyroid function tests: five red arrows pointing upward, all positive.

Blood sugar: 10.1mmol/l (fasting 3

This can be confirmed.

"Your child does not have ALS, but hyperthyroidism hypokalemic periodic paralysis."

Chapter 64 Doctor, I don't want to lose my child, please help me

The boy's mother was stunned:

"What? Hyperthyroidism what paralysis?"

Obviously she couldn't believe it.

"My child eats well and sleeps well at home, how could he get hyperthyroidism?"

Zhang Yi explained: "It's not all because of food problems. Poor rest or trauma, cold, infection, mental stress, etc. can all be inducing factors, but yours is hyperthyroidism hypokalemic periodic paralysis, which is more serious and complicated than hyperthyroidism. This disease is divided into primary and secondary.

Primary means hereditary. Someone in the family history has had this potassium-deficient periodic paralysis, so your son also has it.

Secondary means that hyperthyroidism causes hypokalemic periodic paralysis. Yours belongs to the latter. You can take potassium supplements and anti-thyroid treatment at the same time."

"Doctor, is my son's problem serious? Will it affect his studies?"

The boy's mother asked worriedly.

"It's okay. His condition is mild. Just take potassium supplements to fight thyroid. He'll be fine after the treatment. Don't worry."

Zhang Yi began to give medical advice:

Propylthiouracil three times a day, 100 mg each time. (Inhibits the peroxidase system in thyroid cells)

Methimazole three times a day, 10 mg each time. (Inhibits the synthesis of thyroxine (T4) and triiodothyronine (T3))

The best and safest way to take potassium supplements is orally.

(Taking a large amount of potassium supplements in a short period of time will cause high blood pressure and cardiac arrest, which can be fatal!)

However, in order to relieve the boy's symptoms of weakness as soon as possible.