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Hypothyroidism
Hypothyroidism Means…
  • Hypothyroidism Is A Condition Characterized By Abnormally Low Thyroid Hormone Production. There Are Many Disorders That Result In Hypothyroidism. These Disorders May Directly Or Indirectly Involve The Thyroid Gland.
    Thyroid Gland
  • Women, Especially Those Older Than 50, Are More Likely To Have Hypothyroidism. Hypothyroidism Upsets The Normal Balance Of Chemical Reactions In Your Body.
Why It Occurs?
  • Hypothyroidism Is The Condition In Which The Thyroid Gland Fails To Produce Enough Hormones. There Are Number Of Different Factors, Which Cause This Disease, They Are….
  1. Autoimmune Disease (Hashimoto Thyroiditis): Autoimmune Disease Means In Which Your Body Produces Antibodies That Attack Your Own Tissues. It Is Not Found, Why Body Started Producing Antibodies Against Its Own Cells. These Antibodies Affect The Thyroid’s Ability To Produce Hormones.
  2. Thyroid Surgery: Removing All Or A Large Portion Of Your Thyroid Can Diminish Or Halt Hormone Production. In That Case, You'll Need To Take Thyroid Hormones For Life.
  3. Radiation Therapy: Radiation Therapy Is Used To Treat Cancers Of The Head And Neck Can Affect Your Thyroid Gland And May Lead To Hypothyroidism.
  4. Treatment For Hyperthyroidism: The Patients Who Produce Too Much Thyroid Hormone Is Often Treated With Radioactive Iodine Or Anti-thyroid Medications To Reduce And Normalize Their Thyroid Function. However In Some Cases, Treatment Of Hyperthyroidism Can Result In Permanent Hypothyroidism.
  5. Medications: A Number Of Medications Can Contribute To Hypothyroidism. One Such Medication Is Lithium, Which Is Used To Treat Certain Psychiatric Disorders.
  6. Iodine Deficiency:
  7. Pregnancy:Some Women Develop Hypothyroidism During Or After Pregnancy (postpartum Hypothyroidism), Often Because They Produce Antibodies To Their Own Thyroid Gland. Left Untreated, Hypothyroidism Increases The Risk Of Miscarriage, Premature Delivery And Preeclampsia — A Condition That Causes A Significant Rise In A Woman's Blood Pressure During The Last Three Months Of Pregnancy. It Can Also Seriously Affect The Developing Fetus.
  8. Congenital Disease:
  9. Pituitary Disorder: Pituitary Gland Fails To Produce Enough TSH- Usually Due To Benign Tumour Of The Pituitary Gland.
 
Classification Of Hypothyroidism:
  1. Primary Hypothyroidism: Hypothyroidism Results Due To Some Disturbance Occure In The Thyroid Gland Itself. The Most Common Forms Include Hashimoto’s Thyroiditis, Radioiodine Therapy For Hyperthyroidism.
  2. Secondary Hypothyroidism: It Occurs When The Pituitary Gland Does Not Create Enough TSH To Induce The Thyroid Gland To Produce Enough Thyroxine And Triiodothyronine. Although Not Every Case Of Secondary Hypothyroidism Has A Clear-cut Cause, It Is Usually Caused By Damage To The Pituitary Gland, As By A Tumour, Radiation, Or Surgery.
  3. Tertiary Hypothyroidism: It Results When The Hypothalamus Fails To Produce Sufficient TRH. TRH prompts The Pituitary Gland To Produce TSH. Hence May Also Be Termed Hypothalamic Pituitary Axis Hypothyroidism.
 
Symptoms Of Hypothyroidism:
  • Fatigue
  • Sluggishness
  • Increased Sensitivity To Cold
  • Constipation
  • Pale, Dry Skin
  • A Puffy Face
  • Hoarse Voice
  • An Elevated Blood Cholesterol Level
  • Unexplained Weight Gain
  • Muscle Aches, Tenderness And Stiffness
  • Pain, Stiffness Or Swelling In Your Joints
  • Muscle Weakness
  • Heavier Than Normal Menstrual Periods, Irregularity In Menstrual Periods, Increased Tendency Of Miscarriages.
  • Brittle Fingernails And Hair
  • Depression.
 
How Can It Be Diagnosed?
  • As We Discussed Above That Hypothyroidism Is Of Primary Type, Secondary Type And Tertiary Type.
  • According To The Type Of Hypothyroidism The Levels Of T3, T4 And TSH Is Different.
  • In Primary Hypothyroidism, There Is High Level Of TSH As There Is Lower Level Of T3 And/or T4 In The Body Which Gives Rise To Stimulation Of Pituitary Gland To Produce More Amount Of TSH, Which Ultimately Normalize The Level Of T3 And T4 In The Body. Thus Even If There Is Normal Level Of T3 And T4 Can’t Rule Out Hypothyroid Condition Of The Body. We Have To Check TSH Level To Diagnose Primary Hypothyroidism.
  • In Case Of Secondary Hypothyroidism Pituitary Gland Is Not Functioning Well And Is Not Able To Produce Enough Amount Of TSH Leads To Lower Level Of T3 And/or T4 In The Body.
  • So To Diagnose Hypothyroidism With Its Type, Your Physician Will Ask You To Do Following Tests…
  1. free Triiodothyronine (fT3)
  2. free Levothyroxine (fT4)
  3. total T3
  4. total T4
  5. Additionally, The Following Measurements May Be Needed:
  6. 24 Hour Urine Free T3
  7. Antithyroid Antibodies
  8. Serum Cholesterol-which May Be Elevated In Hypothyroidism
  9. Prolactine- As A Widely Available Test Of Pituitary Function.
How Can It Be Treated?
  • Thyroid Hormone Replacement Is Used To Treat Hypothyroid Patients.
  • Usually T4 Is Given As It Is Long Acting Thyroid Hormone In Compare To T3 Which Is Short Acting Thyroid Hormone.
  • Now Synthetic T4 Is Available, Before It Was Obtained From Animal Thyroid Gland Which Was Known As Desiccated Thyroid Extract.
  • Except Some Cases Thyroid Hormonal Replace Treatment Should Be Continued Life Long.
  • The Average Dose Of T4 Replacement In Adults Is Approximately 1.6micrograms Per Kg Per Day. Children Require Larger Doses. In Young, Healthy Patients, The Full Amount Of T4 Replacement Hormone May Be Started Initially.
  • In Patients With Preexisting Heart Disease, This Method Of Thyroid Replacement May Aggravate The Underlying Heart Condition In About 20% Of Cases.
  • Certain Medications, Supplements And Even Some Foods May Affect Your Ability To Absorb Hormone. Talk To Your Physician If You Are Taking Larger Amounts Of Soy Products Or A High Fiber Diet Or You Take Other Medications Such As:
  • Iron Supplements
  • Cholestyramine (Questran)
  • Aluminium Hydroxide, Which Is Found In Some Antacids
  • Calcium Supplements
  • To Know That You Are Receiving Proper Amount Of Thyroxine , Your Physician Will Got Checked Your TSH Level.
  • If You Are Feeling Better And Your TSH Also Showed Normal Level Then Also Don’t Stop Medication On Your Own, It Can Be Harmful To You. Your Physician Will Better Tell You What To Do Ahead.
Homoeopathic Treatment:
  • Yes Homoeopathy Can Help You In This Condition.
  • If You Are Diagnosed In Early Stage And Not Started Yet Any Hormonal Therapy, Then You Can Rely On Homoeopathic Medication For Hypothyroidism. Your Symptoms Can Be In Control With Homoeopathic Medication.
  • Even If You Are Chronic Hypothyroid Patient And On Hormone Therapy, You Can Start Homoeopathic Treatment Which Can Help You To Gradually Lower Down The Dose Of Hormone Therapy. It Is Better To Let Your Physician Decide How And When To Lower Down The Dose Of Medicines.
  • For Homoeopathic Treatment You Have To Give The Detailed History Of Your Complains Along With The Treatment Taken In The Past.
  • In Homoeopathic Science Along With Your Physical Symptoms, Your Nature, Attitude In Life, Dreams, Etc Are Also Important. So Give The Details Of These Particulars To Your Homoeopath And Have some Patience During The Treatment. Because, ‘Slow And Steady Wins The Race’.
 
Complications:
  • Following Are The Complications Of Hypothyroidism:
  • Goiter
  • Infertility
  • Birth Defects Of Neonate In Case Of Hypothyroid Pregnant Mother.
  • Mental Health Problems
  • Myxoedema
  • Heart Problems.
 
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