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The graves disease has become a dangerous disease which effects to the human life and is more dangerous with its serious complication.
Graves disease diet is one of the important things which promotes and supports for Grave disease treatment. This article will discuss all things about the grave disease and will show you the necessary Graves disease diet and treatment that you need to know.
What is Graves disease?
Graves disease, also known as Basedow disease or Parry disease, disseminated thyroid nodules, autoimmune thyroid disease is an autoimmune disease that usually affects the thyroid gland, resulting in hypertrophy of thyroid gland or more times of goiter .
Hyperthyroidism (or overactive thyroid gland), with associated symptoms such as increased heart rate, muscle weakness, insomnia or sleep disturbance, and irritability. It can also affect the eye, causing protrusion and affect other organs, including the skin, heart, circulatory and nervous.
The graves disease is the most common form of hyperthyroidism (over 90% of hyperthyroid events, including the following:
- Goiter (goiter)
- Eye disease (eye infection)
- Skin disease (tibial edema)
Who can suffer from the Graves disease?
The graves disease is a typical disease. The disease often affects women more than men. Women are 5 to 10 times more likely to have men. The disease can occur at any age but most between 20 and 40 years old. You can limit your chances by reducing risk factors.
Approximately 2% of women suffer from the Graves disease, which occurs after birth, with a female prevalence of 7: 1 to 8: 1 . Genetic factors are the main risk factor for the ability to develop the Grave disease, with 79% of the causes of the disease being hereditary.
What can cause Graves disease?
The Graves disease is considered as an autoimmune disease but unknown cause. In Graves disease, T lymphocytes are sensitive to antigens in the thyroid gland. One of these antibodies acts on the TSH receptor on the thyroid membrane, stimulating the thyroid cells to develop and function (TSH-RAB).
There are a number of risk factors that are thought to trigger the immune response of Graves disease:
- Family history: you are at higher risk if your family has someone with Graves disease
- Gender: Women are more likely to develop Grave disease than men
- Age: Widespread botulism usually occurs in people younger than 40
- Other immune disorders: People with immune system disorders such as type 1 diabetes or rheumatoid arthritis have an increased risk of developing the disease
- Stress or mental stress
- Pregnant, especially postpartum
- Eat too much iodine, especially in areas lacking iodine
- Treatment of lithium, probably due to this drug changes the immune response
- Infection with bacteria or viruses
- Stop corticosteroid treatment
Pathophysiology of eye disease may be related to T killer and susceptible antibodies that are sensitive to common antigens likely TSH-R in fibroblasts and muscles in the eye sockets .
Cytokines from lymphocytes cause muscle inflammation and fibrous cell inflammation in the eye sockets, causing swelling of the muscles in the eye’s ophthalmic canal which cause convex eye, double vision, as well as red-eye, congestion, edema and anterior tibial edema.
The pathogenesis of tibial edema may be due to the cytokine of the lymphocytes that stimulate the fibrous tissue at these sites.
There are many symptoms of thyroiditis suggestive of elevated catecholamines, such as tachycardia, tremor, sweating, etc., but tests show normal levels of epinephrine rather than increase.
This can only be explained by the increased catecholamine activity. It is also possible that part of the thyroid hormone increases catecholamine receptors at the heart.
What are Graves disease symptoms?
Diagnosis is usually done on the basis of symptoms, although thyroid hormone tests may also be helpful, especially in the course of follow-up therapy .
Some common signs that you can recognize at home which include:
- Weight loss is a common sign, which decreases 3 to 20 kilograms in a few weeks – a few months, although it may still eat well. Some young women sometimes gain weight because they eat a lot.
- Disorders and mood: anxiety, irritability, irritability, crying, difficulty concentrating, feeling tired but difficult to sleep.
- Hypothermia disorder: There are hot flushes, sweat is highest in the chest and hands (hand signs Grave disease), afraid of heat. Patient thirst and drink plenty of fluids.
- Heart-circling: palpitations, palpitations, chills, pain in the area of the heart.
- Gastrointestinal disturbances: Multiple decays caused by increased bowel movement, found in 20% of Grave’s patients. Patients may experience nausea, vomiting, abdominal pain.
There are various symptoms in the other organs that you need to concern.
- Rapid heart rate> 100 b/min often even during rest, exertion or faster heartbeat often causes shortness of breath. Hearing sounds can be seen in the subluxation of the heart. Outdated or atrial fibrillation occurs in about 10% patients, mostly in people over 40 years of age, atrial fibrillation may be the first symptom of the Grave disease.
- Systolic hypertension increased, diastolic blood pressure did not increase.
- The blood vessels throb. Large blood vessels (pulse, lower pulse, abdominal and thigh veins) can be seen, showing signs of agitation: abdominal thrust, visible and palpable. There may be subluxation of increased supply.
- Congestive heart failure usually occurs in older people or in people with pre-existing heart disease. Hyperthyroidism usually is resistant to digitalis.
- Run the limb, small amplitude, fast frequency, tremor increased when touched or trying to concentrate work so patients difficult to do the delicate work such as writing, sewing…
- Reflex veins tend to increase, sensitive to the rapid recovery phase.
- Weak limbs, especially in the lower limbs, so that patients are difficult in climbing stairs when sitting on the standing up position, they have to be forced to use the hand push (stamping sign). There are cases of weakness in the body, neck, leg muscles. The electrocardiogram shows muscle damage by hyperthyroidism. Severe muscle weakness affects both respiratory muscles causing shortness of breath. Cramps may be present.
Goiter is a common sign, occurring in about 80% of the Grave’s patients, usually in the second degree, with diffuse, soft or firm densities, moving swallowing. Goiter actions in Grave disease are benign tumors that can feel palpitations and/or hear subluxation or continuous blast.
The signs and symptoms of Grave are mostly due to the direct and indirect effects of hyperthyroidism, with the exception of Graves’ ophthalmopathy, goiter, and tibia edema.
The complications of Graves disease
The most feared complication of high mortality. The acute thyroid is actually an aggravation of all symptoms of toxicity.
Usually occurs after surgery, after treatment with radioactive Iodine or during birth in patients who are not treated well or who are not treated well. It can also be encountered when these patients have severe stress, severe illness such as trauma, acute infection, myocardial infarction…
- Clinical manifestations in the typical case include high fever 38 -41 °C, or in combination with hot flushes, sweating. Severe loss of water.
- Cardiovascular: very fast heart rate> 150 c/ph, can be sinus rhythm, vibration – atrial ectasia, ventricular tachycardia…, heart failure, hypotension.
- Mind – Neurology: Stimulation, confusion, agitation, hyperthermia, coma.
- Digestion: Nausea, vomiting, diarrhea, jaundice, abdominal pain.
If not treated well, the patient quickly goes to heart failure, and shock and death.
- Arrhythmia: Atrial ectopic, atrial ectasia… but the most common is atrial fibrillation. Less ventricular arrhythmias
- Congestive heart failure, the first stage is heart failure with increased supply. Often initially left heart failure, followed by complete heart failure.
The rapid protrusion can completely remove the eyeball from the blinded eye or ulcer causing secondary blindness.
Graves disease treatment
You will be given beta blockers in cases of abnormal heart beat, sweating, and anxiety. Graves’ disease of hyperthyroidism can be treated by reducing the amount of thyroid hormone in the body through methods such as the use of drugs, radioactive iodine or surgery.
However, in the case of radiation therapy or surgery, you will have to use thyroid hormone replacement lifelong.
Some eye diseases caused by Grave can be treated by radioactive iodine, medication or surgery. However, the method of iodine radioactivity is often not effective and sometimes causes eye damage.
Doctors will give you a steroid medication that suppresses the immune system (prednisone) or other eye drops to reduce eye irritation or swelling of the eye.
Also, you should also use a clean cloth to cover your eyes when sleeping to avoid dry eyes. Your doctor will also perform surgery or other radiation treatments to treat your eyes as needed.
What medical techniques are used to diagnose?
Your doctor will diagnose your family history and the symptoms you have. If there are clinical signs of atopic dermatitis, and at least one in three of the symptoms of biliary obstruction, prolapse, and tibia edema allow for diagnosis of Grave disease without further testing.
Your doctor will also have a blood test to check for the disease. Test of FT4 increased and TSH decreased are performed. Some early stage patients have only increased FT3. Test of TSH-RAB antibody concentrations increase .
Test of Thyroid Radiology: The thyroid gland arrests radioactive Iodine or Technetium. In addition, X-rays or CT scans or iodine radiation will also be performed as needed.
Graves disease Diet
The body of a patient with the underlying disease is more susceptible to weight loss and should be encouraged to eat a high protein diet, rich in calories, and drink plenty of fluids.
In addition, need to strengthen the diet, specifically eat liquid and cool, easy to digest, divided into several small meals, accompanied by a lot of fruit.
Enhance calorie supplements
People with underlying illness often have higher metabolic rates which cause the body to “lose weight without breaking”, causing fatigue, fatigue, etc.
Therefore, – Grave patients should eat a diet rich in energy, protein, carbohydrates and should drink plenty of water, should provide extra vitamins and minerals especially water-soluble vitamins due to their normal absorption capacity.
To limit weight loss, need to eat a high protein diet, rich in calories, drink more water. Eat soft, liquid and cool foods (watermelon, bean, vegetables, mushrooms) that are easy to digest, divided into small meals.
Eat more fruits, especially fruits that are rich in potassium, phosphorus (bananas, coconut milk), goitrogenic foods such as cabbage, cauliflower, curly leaves, radishes.
If patients are in poor eating, they can drink milk to improve the state. Note that in the first month of treatment, patients with IBS should abstain from high-iodine foods such as seafood, seaweed… because iodine is the raw material for the thyroid gland to use hormone synthesis.
Hyperthyroid diet plan with foods that Enriched calcium and zinc minerals
Being sick with underlying illness causes a serious shortage of nutrients, vitamins, and minerals needed for the body.
Hence, the diet of a learner should increase the amount of lean meat, spinach, chopped bananas, etc., to help replenish the amount of zinc and calcium needed for the functioning of the parts in the body.
Supplements of functional foods
Nowadays, medical experts advise Grave’s patients to combine medication prescribed by a doctor and functional foods to make the disease more stable.
Graves foods with low blood glucose levels
These foods can restore healthy levels of the hormone in the body, including thyroid hormones.
The best diet for a dependable Grave patient includes brown rice, barley, wheat bread…
Graves eye disease diet with foods rich in vitamins A, E
Enhanced supplement foods rich in vitamin C, E such as oranges, apples, carrots, papaya, mango… will help patients against the fatigue symptoms of hyperthyroidism.
Limit diuretic drinks
Maintaining weight and minerals for a dependency is an important and relatively difficult issue. Along with providing more energy, patients should abstain diuretic drinks such as coffee, carbonated drinks… to avoid urinary nutrient excretion.
Graves disease foods to avoid
- Limit the food with high iodine content: Because iodine is the raw material for the thyroid gland to use hormone synthesis, so Grave patients should limit and avoid foods high in iodine such as seafood and seaweed.
- Avoid red meat: Red meat is high in saturated fat and cholesterol, and eating red meat when taken by a heart attack can lead to heart disease and type 2 diabetes. Reducing red meat can help reduce symptoms of hyperthyroidism.
- Decrease milk and dairy products: In some people, the disease causes the body lactose intolerance or inability to digest milk or dairy products.
Therefore, if you notice or have indigestion, flatulence, or fatigue after eating milk, eating cheese, cream and yogurt, limit your intake of these foods to underlying conditions.
- Limit sugar: High blood sugar can also increase anxiety levels in patients with underlying disease, so people with this condition should limit high sugar foods such as cakes, soft drinks, jams, etc.
- Try to limit: Spices, stimulants spices such as peppers, ginger… and stimulant drinks such as coffee, carbonated water stimulate the thyroid gland to release too much thyroid hormone. Unusually fast, leading to a lot of heat so people are always hot. Therefore, these are foods that patients with the Grave disease diet need to limit.
- Give up alcoholic Beverages: This beverage can break down energy levels and exacerbate sleep problems, increasing the risk of osteoporosis in patients with the Grave disease. Therefore, patients with Grave should limit or avoid alcohol, beer, cocktails and other alcoholic beverages.
Grave disease and pregnant women
Initial manifestations are difficult to distinguish because they are similar to hyperglycemia or morning sickness, as in the case of other normal pregnancies, especially in the first trimester.
It should be noted for people: a family history of autoimmune thyroid disease (autoimmune thyroiditis, Grave disease); Have goiter; Eye sign; Afraid of heat, warm and moist hands; fast heart beat; weight loss; Vomiting at several times began to get pregnant. Thyroid function should be checked for all severe morning sickness .
Diagnosis based on clinical signs and tests T4 and T3 free rise, TSH decreased, TSH-RAB test. Do not use radioactive Iodine for diagnosis.
If hyperthyroidism is not controlled, during the third trimester of pregnancy, hyperthyroidism can be detected by ultrasonography: fast heart beat; slow-growing; Pregnancy increases; Bone age grows faster than normal.
For pregnant women, if the mother is treated well, the risk of complications of pregnancy doubled compared with normal mother, and if the mother is not treated, the risk increased 7 times.
For a mother who has had a pregnancy without treatment, it is almost 100% certain that she will suffer from complications such as miscarriage, premature delivery, and hyperthyroidism while having good risk management.
Lifestyle and living habits
The habits and lifestyle below will help you limit the course of Grave disease:
- Take your medication exactly as prescribed. Missing doses will make the drug ineffective;
- Exercise daily if your doctor allows.
- Get an eye exam at least once a year or more if needed.
The treatment for Graves disease by the drug is quite safe, the rate of side effects is <5% and mostly mild. So, if a person with a tired-looking illness, poor diet is more likely to be poorly controlled, especially in the first weeks after treatment, while still having severe hyperthyroidism.
As a result, patients with substance abuse need to adhere to the drug regimen, and have a maximum rest (especially when the disease progresses), avoid physical exercise, avoid emotions or stress.
Natural treatment for Graves disease
How to treat Graves disease with lemon
Lemon shell is an amazing Graves disease natural treatment that you should know. Lemon peel contains essential enzymes, vitamins, minerals vitamin C, vitamin P, calcium, potassium, fiber, limonene….that are very good for Graves disease.
To use this herb for Graves disease, you just take only the outer shell. Do not take directly into the intestine, stomach or intestinal tract. You should put in the kettle to boil for 20 minutes, then take that, drink water instead. Use daily, if the water can be placed as possible.
How to cure graves disease with sorrel leaves
Sorrel leaves is one of the incredible natural remedies for Graves disease.
So to perform this remedy, firstly you should crushed sage leaves to make the dough. Then, add the olive oil to the flour, mix well. Paste this mixture on the neck. Next, leave for 15-20 minutes. After all, rinse with water and wipe dry.
Note: Whenever you apply to the neck, you should lie down and then stick it on your neck to keep it in place.
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