Hashimoto's thyroiditis - when the body attacks the thyroid gland

by admin / Sep 16, 2016 / 0 comments

In 1912, Japanese doctor Hakaru Hashimoto published discoveries about thyroid four women, namely white cell-cell tissue replacement had to be found not there, demonstrating the change in connective tissue and glands decrease their in volume. Dr. Hashimoto was the first to describe the most common form of abnormal inflammation of the thyroid gland.

Causes: it appears this condition?
Through the work published, Hashimoto described in detail the characteristics of this abnormality. White blood cells, lymphocytes, there always appears a body's immune system is active. Sometimes, however, the body detects own tissue as foreign and begin to attack (autoantibodies).

Through this process, in this case, thyroid gland enters a state of inflammation (thyroiditis) that destroys the cells and affects function. The glands are replaced with fibrous tissue and gland volume decreases. As the disease is longer, the cells are less functional, leading to a hypofunction of the gland. Often gland symptoms are those that allow the doctor to establish the first diagnosis. There are forms in which the thyroid gland volume increases, although its function decreases.

Affected people
Reasons not yet known, but the number of people affected by this anomaly is 10 times higher among women compared with men, especially in middle age. Frequently, the clinical picture is completed by the presence of other diseases in which the body attacks its own tissues event (eg, Addison's disease, diabetes, celiac disease). These are known as autoimmune diseases.

Hashimoto appears to have a hereditary component, which discovered relatively recently.

What are the symptoms?
Inflammation often appears and is not accompanied by pain or other discomforts. After a while, the volume may increase thyroid gland, which often goes undiscovered individual. Sometimes in acute inflammatory attacks they are released into the blood large amounts of thyroid hormones, accompanied by symptoms of hyperfunction. Hypofunction is felt only after a while.

The symptoms of Hashimoto's thyroiditis
Hyperfunction symptoms: rapid and irregular heart rate, tremors of the hands, sensitivity to hot and sweating. The skin is hot and humid, frequent and watery stools, weight loss despite big appetite and hair loss. The muscles can become sore and in women menstrual disturbances occur. Affected people are nervous, irritable and suffer from sleep disorders.
Hypofunction symptoms: Deficiency of thyroid hormones leads to increased sensitivity to cold body, heart rate decreases, heart size increases, decreases appetite but those affected continue to gain weight. The skin is cold and dry, nails break easily, hair becomes thin, the voice becomes hoarse and rough. Sufferers become slow, lethargic, often depressed, libido decreases. And in this case are possible menstrual irregularities. Often, blood cholesterol is high.
Various antibodies and hormonal imbalance can affect fertility in women and may increase the risk of losing the tasks.

How is it diagnosed?
Besides history and examination of the thyroid gland, blood tests are the center of attention when the diagnosis as it allows observation of any hormonal changes and the presence of specific antibodies that attack the thyroid gland tissue. However, hormonal values not always correspond with current symptoms and antibodies are not always present in the same number. With an ultrasound may be determined by the size and structure of the thyroid gland.

What treatment there?
The goal of treatment is to normalize the metabolic situation. This required the administration of hormones to start with a small amount that can be increased gradually. Once stabilized hormonal values, the patient should see your doctor to annual inspections. Drugs should be administered during pregnancy and to be able to closely control the function of the thyroid - the gland involved in nervous system development in the fetus.
Unlike other diseases characterized by thyroid hyperfunction in Hashimoto's thyroiditis does not recommend taking iodine pills because the immune system reacts largely sensitive patients. Instead, many doctors recommend taking selenium and vitamin D, antioxidants meant to normalize the immune system and basic elements in the normal functioning of the thyroid gland.

Currently, due real- immunity- system attack may be inhibited only with immunosuppressive drugs. Such treatment is not recommended due to the large number of side effects, the risk of therapy outweigh the benefits. Besides other therapeutic measures, experts recommend lifestyle changes one less stressful to prevent disease progression.