Symptoms of thyroid disease: when the body that something is wrong

Symptoms of thyroid disease: when the body that something is wrong
Treatment
Kinds
Autoimmune thyroiditis

Treatment of hypothyroidism

The urgency of the problem of endocrine diseases requires the development of effective therapeutic measures to achieve the compensation of hormonal activity. Treatment of diseases of the thyroid gland consists of several basic methods, each of which has its own strict indications and contraindications. The choice of treatment tactics should take into account an individual approach, as this is entirely dependent on the achievement of positive results, the recovery of the patient.

Probably, the doctor will prescribe you a thyroid hormone tablets. Their method usually leads to a marked improvement in a couple of weeks. The result of long-term care will be a burst of energy, cholesterol-lowering Cholesterin and gradual weight loss. Most patients have to take thyroid hormone for life.

Treatment of hyperthyroidism

More often than prescribed in hyperthyroidism, antithyroid drugs. They reduce the production of thyroid hormones. Even after the improvement of the patient for a long time have to take medication. Can be assigned to other drugs, to remove symptoms such as rapid heart rate and tremor. Another option - treatment with radioactive iodine. It destroys the thyroid gland during the course of treatment, which lasts 6-18 weeks. Once iron is destroyed or surgically removed, most patients have to take synthetic thyroid hormone.

Surgical methods for diseases of the thyroid gland

Removal of the thyroid gland - a reliable way to treat hyperthyroidism, but it is recommended only in case of intolerance to antithyroid drugs, or if formed a large goiter. To avoid development of hypothyroidism after thyroidectomy patient needs a daily intake of thyroid hormones.

A thyroid cancer?

Thyroid cancer is rare and is one of the least deadly. The main symptoms - bumps, bulges in the neck, but only 10% of them have cancerous. Most often, the cancer of the thyroid gland is surgically removed, and then continue treatment with radioactive iodine or external beam radiation therapy.

Methods of correction of excessive secretion of hormones

All existing therapies toxic goiter aim to reduce elevated levels of circulating thyroid hormones. To this end, not only to apply the methods of conservative treatment (medication drugs) and surgery (subtotal resection of the prostate holding). The doctor chooses the treatment policy taking into account the severity and nature of the clinical picture, the degree of increase in cancer, existing pathology of other organs and systems. It must take into account the patient's age.

Drug correction is in the craw of the appointment of agents that will block the production of thyroid hormones.

For this purpose, widely used Mercazolilum, methylthiouracil. In practice, these drugs have been used for over forty years, have proven their efficiency and reliability. Appointment therapeutic dose merkazolila allowed at any level of severity of toxic goiter. This drug has some advantages over other drugs, as has diverse effects on the body. Currently, there is evidence that Mercazolilum has the ability to influence the immune system. When its use is not only suppression of thyroid hormone synthesis, as well as immunosuppressive effects. This feature allows Mercazolilum considered the drug of choice in the treatment of toxic goiter. Other known immunosuppressive agents from the group not able to accumulate in the thyroid gland and block the synthesis of hormones.

The tolerability of therapy patients

Success ongoing drug therapy depends on the degree of increase in cancer. The maximum permissible increase is considered to III degree. If the size of the thyroid gland exceed these values, the reception merkazolila should be considered as a preparatory treatment before the upcoming surgery or radioiodine. This will compensate for the time and the state to spend at a favorable background operation that determines the effectiveness of the course of treatment, the rapid recovery of the patient.

In the course of therapy should be the control of body weight, heart rate and blood. One of the serious complications can be the development of agranulocytosis, so your doctor should monitor the indicators of the level of white blood cells in peripheral blood. If the patient who receives Mercazolilum, complains about the appearance of pain in the throat, something that should not be overlooked. This feature is one of the first symptoms of agranulocytosis, dynamically recommended blood tests and doctors say about the appearance of any complaints.

They can be used as drugs from other pharmacological groups for the treatment of toxic goiter. Self-healing method is considered to be receiving lithium carbonate, are widely used corticosteroids. The greatest difficulty is the treatment of thyrotoxic ophthalmopathy. The mechanism of this complication is complex, respectively approach to treatment should be complex.

Replacement therapy with thyroid hormones

Reach compensate deficiency states in hypothyroidism Hypothyroidism possibly with the help of prescribing thyroid replacement therapy. This type of therapy should be performed for patients throughout their lives, that is for life, except in cases of transient hypothyroidism (for example, in the early period after surgery on the gland). On the pharmacological market best-known drug for the treatment of hypothyroidism is considered thyroidin. It is obtained by processing the thyroid (when dried) in cattle. There is also a combination of drugs that most effectively suppress the secretion of thyroid-stimulating hormone (drugs "tireotom", "tireotom fort").

Treatment of hypothyroidism is based on the following principles:

initiation of medication should be cautious, gradual. It is especially important to follow it at the beginning of therapy
take into account the patient's age. It is impossible to practice active use of thyroid drugs at a young age, mistakenly thinking that the young people it is permissible
a defining moment for the choice of medical tactics is the severity and duration of illness without treatment

The more severe hypothyroidism occurs and the longer time the patient received no corrective therapy, the more gradual adaptation period to be in the early replacement therapy.

This is due to increased susceptibility to myocardial action thyroid preparations. The only exception is the development of coma, which requires urgent measures to provide medical assistance.

Providing emergency relief

In critical situations, when a patient is a threat to hypothyroid coma or already has its clinical manifestations, rapid therapeutic effect is achieved by the appointment of triiodothyronine. The biological activity of this preparation is many times more potent than thyroxine, thus there is almost 100% absorption of the dose. Not recommended for triiodothyronine alone, because to achieve a stable concentration of drug in the blood methods should be frequent and fractional.

According to foreign scientists thyroxine initial dose may be in the range of 10 to 25 micrograms. Every four weeks the dose can be increased to 25 mcg. Any proposed scheme is estimated as the dose is calculated for each specific clinical situation. If hypothyroidism is combined with pregnancy, the replacement therapy with the aim must be assigned in full to prevent the negative impact of deficiency of hormones on the developing fetus (prevention of congenital malformations).

Side effects during thyroid therapy are heart palpitations and high blood pressure. For this reason, it is recommended to combine the administration of hormones with drugs from the group of B-blockers in low doses. This drug combination, protects the heart and shortens the adaptation period to hormonal therapy.