How is the diagnosis of hyperthyroidism
hypothyroidism, thyroid symptoms zhedlezy increased activity more specific. but
not always, these symptoms are pronounced, especially in the elderly.
In addition, there are cases when patients do not carry them to some
or pathology, and by age-related changes in an organism.
feeling the heat, "tides", which are the classic symptoms
thyrotoxicosis, often regarded as a manifestation of the ensuing
menopause. In other patients, the disease is often confused with various
mental disorders, heart disease and so on.
hypothyroidism, patients with hyperthyroidism is sometimes difficult
remember all the symptoms as inability
concentrate or irritability are some of his
symptoms. In this case it is convenient to keep a diary and record all
harassing you symptoms or questions you want to ask your doctor.
objective examination of the doctor should pay attention to your appearance,
body weight, condition of skin, hair, nails, eyes, your communication style
or conversation. For example, a quick and hasty statement of the complaints can
bring the doctor to the idea of thyrotoxicosis. Next, the doctor will
the whole body examination. It is mandatory to define
state of the thyroid gland, counting pulse rate, blood pressure measurement.
Depending on the results of hormonal assays doctor may also prescribe you some additional research:
- US - A method based on the formation pattern
the test body on the basis of ultrasound reflected from structures
waves. The method is safe for both of the subject and the physician. at
diffuse toxic goiter determined by diffuse enlargement of the thyroid
gland in nodular and multinodular goiter may be determined
the number and size of nodules.
- scan (scintigraphy) thyroid gland
the use of radioactive iodine or technetium - method based on
assessment of the capture of radioactive substances by the thyroid gland. Indications
for this study is to detect when
thyrotoxicosis nodules in the thyroid gland. Besides,
a method widely used in thyroid nodules
to eliminate their independent functioning.
- Fine-needle aspiration biopsy (FNA) of the thyroid gland - cell harvesting from any part of the thyroid zhelezys using a thin needle for the purpose of
further study them under a microscope. The procedure is painless and
informative in the hands of an experienced specialist. The indication for
this study is the detection of nodal education
the thyroid gland, which is well palpated or exceeds according
US 1 cm in diameter.
- computer or magnetic resonance imaging - Methods of diagnosis, usually carried out in the presence of endocrine ophthalmopathy or suspected pituitary disease.
How is the treatment of hyperthyroidism
Treatment of patients
thyrotoxicosis is much more complicated than the treatment of patients with
hypothyroidism. There are three main methods of treatment of hyperthyroidism. On
the first stage of the doctor is likely to prescribe you one of thyreostatic
drugs. For many patients, it is sufficient to
eliminate the symptoms of the disease. However, with the abolition of
thyreostatics even after long-term treatment
frequency of disease recurrence is 50%. In such cases, patients
illustrated surgery or radioiodine therapy.
medications that suppress the activity of the thyroid gland - thyreostatics -
is the treatment of choice for diffuse toxic goiter in our and most countries
Europe with newly diagnosed diffuse toxic goiter small
sizes. When treating thyreostatics very important
right and take the drug in a timely manner and regularly
to be screened.