Hypothyroidism Signs and Symptoms, Causes, and Risk factor

HYPOTHYROIDISM

Hypothyroidism gland

Image source:Hypothyroidism (Thyroid gland)

Definition:-Hypothyroidism is the inability of the thyroid gland to supply sufficient thyroid hormone. Mild, clinically insignificant can’t forms cause varying degrees of hypothyroidism that are extreme for life.




Signs and symptoms:-

Initial clinical features are somewhat unclear:

∗Lethargy

∗fatigue

∗depression

∗amnesia

∗sensitivity to cold

∗unexplained weight gain, and constipation.

Progressively, distinct features of myxedema emerge:

∗unskilled skin

∗Rough hair

∗Slow speech and thought Hoarseness

∗Puff y face ,hands, and feet

∗Eyelid fall

The risk factor:-

∗Although anyone can develop hypothyroidism, if you are at a risk:

∗Mainly in woman

∗Aging more than 60 years

∗Have a family history of thyroid disease

∗Autoimmune disease, such as type 1 diabetes or celiac disease

∗Have been treated with radioactive iodine or anti-thyroid drugs

∗Your neck or upper chest received radiation

∗Have had thyroid surgery



Causes: –

Hashimoto thyroiditis:- a chronic lymphocytic thyroiditis, is considered an autoimmune complaint.

Treatment of hyperthyroidism:- for example, radioactive iodine treatment, subtotals thyroidectomy, or administration of anti-thyroid agents

Surgical excision:- of thyroid gland

Goiter:- (enlargement of thyroid gland) Endomic goiter results from insufficient intake of dietary iodine. This common with iodine deficient soil and in areas of endemic malnutrition.

Sporadic goiter:- may follow ingestion of certain drugs or progatrin-containing foods (L-5-vinyl-2 thiosazolidone), which are inactive and converted to goitrin by hydrolysis.

»Inhibition of iodine in the iodine of goitron inhibits the binding of iodide to oxidized thyroglobulin, thereby              reducing the production of thyroid hormone.

»Probutrin has been isolated in cabbage, bananas, peanuts, Brussels sprouts, mustard, rutabaga, kohlrabi, spinach,    cauliflower and horseradish.

»Goitrogenic drugs include propilotrasil (PTU), iodides, amiodarone, and lithium.

Less common causes: – This includes acute (usually painful) and sub-acute thyroiditis, nodules, nodular goiter and thyroid cancer.

Amiodarone: – Its high iodine content can cause thyroid dysfunction (both hypothyroidism and hyperthyroidism) along with the effects of internal medication.

»This has direct toxic effects on T3 production, T3 receptor binding, and thyroid follicular cells.

»The iodine content of amiodarone has a direct toxic on the thyroid, and can cause both hypothyroidism and              hyperthyroidism depending on other underlying disease conditions.

Classification: –

Primary hypothyroidism:-

(> 90% cases of hypothyroidism) Gland destruction or dysfunction caused by disease or medical treatment

»Failure of gland development or congenital disability.

Secondary hypothyroidism: –

»Result of a pituitary disorder that inhibits TSH secretion. The thyroid gland is normal but lacks proper stimulation by TSH.

 Tertiary hypothyroidism: –

»Refers to a condition in which the pituitary – thyroid axis remains intact, but the hypothalamus lacks the ability to  stimulate the pituitary for TRH.

Subclinical hypothyroidism: –

»Refers to patients without clinical symptoms, a normal FT4, and elevated TSH levels. Currently, there is              insufficient  evidence to support treatment as non-treatment outcomes are minimal. However, pregnant women      with subclinical hypothyroidism may benefit from T4 replacement.

Read More- hypothyroidism Diagnosis, Treatment ,Prevention and Life style changes



Conclusion:-

I love sharing basic knowledge occurs when people are honestly interested in helping each other develop new experiences learning processes.

If you have any questions and complaints and more information for consult your “Family Doctor” or “Personal “Doctor”.

Please leave a comment!

Thank you.

Post Author: surya20

Leave a Reply

Your email address will not be published. Required fields are marked *