Hashimoto’s thyroiditis, the most common cause of hypothyroidism in the US
Hashimoto’s thyroiditis is an autoimmune disorder in which your immune system attacks your thyroid. It is the most common cause of under-active thyroid or hypothyroidism in the US.
Hashimoto’s thyroiditis is an autoimmune disorder in which your immune system attacks your steroid it is the most common cause of underactive thyroid or hypothyroidism in the united states to help you better understand this medical condition i will first describe the function of the steroid and how the production of steroid hormones is regulated in human body the
Thyroid is a small butterfly shaped gland at the base of your neck and below your adam’s apple the thyroid which is part of your endocrine system makes two hormones thyroxine also called t4 and triadoceronine are t3 they are carried to the cells and tissues all over your body through blood circulation the t4 has only minimum biological activity the t4 is converted
Into the biologically active t3 in your liver and other tissues the t3 controls your metabolic rate and coordinates the activities and functions of all the cells and tissues in your body the production of steroid hormones by the thyroid is regulated by pituitary gland and hypothalamus which is a part of the brain they increase or decrease the stimulation on the
Thyroid depending on the levels of steroid hormones in the circulation for example if your steroid hormone levels are below the normal range the secretion of steroid stimulating hormone or tsh from pituitary gland will increase the tsh will prompt your thyroid to produce more steroid hormones we do not know exactly what triggers your immune system to attack your
Thyroid gland we do know several risk factors for the development of hashimoto’s thyroiditis the risk factors include females in their middle age although hashimoto’s steroids can occur in men and women at any age it primarily affects middle aged women it is 4 to 10 times more common in women than in men heredity you are at higher risk for hashimoto’s thyroiditis
If thyroid or other autoimmune diseases occur in your family other autoimmune diseases if you have another autoimmune disease such as rheumatoid arthritis type 1 diabetes or loopers you are at higher risk of developing hashimoto’s thyroiditis previous radiation exposure also increases your risk of developing hashimoto’s thyroiditis studies have found infiltration
Of t cells and b cells in a thyroid of patients with hashimoto’s thyroiditis it was believed that cytotoxic t lymphocytes play an important role in the destruction of thyroid gland auto antibodies may also be involved in the dyes of steroid cells many people with hashimoto’s steroidities have no symptoms in the early stage some people may have a painless firm
Enlargement of the thyroid gland or have a feeling of fullness in the neck rarely people with hashimoto’s steroidities can have an overactive steroid or hyperthyroidism which causes heart palpitation anxiety sweating and heat intolerance as hashimoto’s peroiditis progresses with more thyroid damage you may have one or more of the symptoms of hypothyroidism signs
And symptoms are illustrated in this cartoon higher loss increased sensitivity to cold a puffy phase goiter or enlarged steroid enlargement of the tongue fatigue and sluggishness depressed mood memory loss etc untreated hypothyroidism can lead to an enlarged heart and possibly heart failure females can have excessive and prolonged menstrual bleeding hypothyroidism
Can cause decreased sexual desire in both men and women it can also cause infertility when women with uncontrolled hypothyroidism do get pregnant their children can suffer from lower iq and impaired mental and motor development rarely patients with chronic severe and uncontrolled hypotheroidism can develop mixed edema it is a rare but life-threatening condition
And requires emergency medical treatment the diagnosis of hashimoto’s steroid dietitis is based on your clinical signs and symptoms such as an enlarged thyroid fatigue etc and positive antibodies against steroid peroxidase if your thyroid is underactive your blood tests will show low levels of t4 and t3 an elevated level of tsh because your pituitary glands
Decrease more tsh to stimulate your steroid gland to produce more steroid hormones thanks to the availability of sensitive tsh tests steroid disorders can now be diagnosed much earlier often before you experience any symptoms occasionally steroid ultrasound is needed to rule out other thyroid conditions it is worth to note that not everyone with hashimoto’s
Steroids had a positive antibody against steroid peroxidase many people with a positive antibody against steroid peroxidase do not have a goiter hypothyroidism or other thyroid problems the treatment for hashimoto’s thyroiditis include observation and oral steroid medications your doctor will monitor your disease progression if your steroid hormone levels are
Normal avoid iodine supplements or eating foods such as kelp dolls or other kinds of seaweed which contain large amount of iodine excessive iodine intake may cause hypothyroidism or make it worse although synthetic level thyroxine is the standard treatment for hypothyroidism synthetic level xyroxin is identical to cyroxine or t4 produced by your thyroid gland
Level xyroxin is converted to the biologically active t3 in your body the oral level thyroxine can normalize hormone levels and resolve the symptoms of hypothyroidism in most patients some patients may continue to have unresolved symptoms of hypothyroidism while on level thyroxine some of these patients may need to take a small amount of lyocyonin for symptom
Relief although most clinical studies fail to demonstrate the advantage of this method of treatment older people people with cardiovascular disease or severe hypothyroidism may need to start with a lower dose of level thyroxine and the dosage will be increased gradually to allow your body to adjust to the increase in metabolism although the standard treatment
For hypothyroidism is level zeroxin armor thyroid is also available it is the extract from the thyroid glands of peaks which contains both t4 and t3 people should be aware that the ratio of t4 to t3 in peaks is not the same as in humans in addition the amount of t4 and t3 in each batch of armor thyroid may not be consistent pregnant women with hypothyroidism
Require an increase of the dose of levothyroxine by about 30 percent to meet the higher demand for thyroid hormone during pregnancy if you are on steroid medication treatment your doctor will check your tsh level periodically to make sure you are on the right dosage of steroid medication over treatment with thyroid hormone can accelerate bone loss leading to
Osteoporosis or make osteoporosis worse level heroxin overdose can also cause arrhythmias certain medications supplements and foods may decrease the absorption of levothyroxine here are some examples please be aware that aluminum hydroxide magnesium hydroxide calcium carbonate and the mexican are the common ingredients in some over-the-counter antihises taking
Level xeroxin four hours before or after these foods and medications can minimize the problem of decreased absorption with that i will conclude today’s video thank you for watching
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Hashimoto's thyroiditis, the most common cause of hypothyroidism in the US By Dr. Chen’s Medical Videos