The Thyroid Is A Unique Organ That Controls Metabolism

The Thyroid Is A Unique Organ That Controls Metabolism  



A tiny gland resembling a butterfly, the thyroid hangs over the front of the windpipe.

Your thyroid gland will slide beneath your fingertips.  When you swallow if you put them on the sides of your Adam's apple. If the quantity of thyroid hormones is very high (hyperthyroidism) or very low (hypothyroidism), the whole body is impacted.

Facts about  hypothyroidism

  • The secretion of thyroid hormone regulates metabolic rate and growth 
  • A small gland located in the center of your skull, the pituitary, secretes thyroid-stimulating hormone (TSH) and keeps tabs on your vital signs. Thyroid-stimulating hormone (TSH) prompts the thyroid gland to secrete thyroid hormone. 
  • Sometimes TSH levels grow, but the thyroid gland can’t produce additional thyroid hormone in response. The condition is referred to as primary hypothyroidism since it starts with the thyroid gland.

Types of Hypothyroidism

On the other hand, there are cases when TSH levels drop and the thyroid never gets the signal to produce more thyroid hormone. This is termed secondary hypothyroidism.

Hypothyroidism, sometimes known as "low thyroid," is characterized by an absence of the thyroid gland. You will learn how to identify and comprehend these consequences from this essay. It is more common in certain demographics.

Hypothyroidism affects women at a much higher rate than males. More patients with the condition are in the 60+ age group.

Potential causes of hypothyroidism 

  • A thyroid condition prior, such as a goiter
  • Had a thyroid issue treated with surgery or radioactive iodine.
  • Underwent radiation therapy for the thyroid, neck, or chest
  • Background of thyroid illness in the family
  • Expectant during the last six months
  • As a woman, you have Turner syndrome, a hereditary condition.

The thyroid is underactive.

  • When you have other health issues, your thyroid is more likely to be underactive.
  • Gluten intolerance
  • Dry eyes and mouth are symptoms of Sjögren's syndrome.
  • A vitamin B12 insufficiency causes pernicious anemia.
  • Diabetes mellitus type 1 or type 2
  • Rheumatoid arthritis is a medical condition in which the body's immune system attacks the joints, resulting in inflammation and pain.
  • Lupus is an inflammatory disorder characterized by chronic immunological dysfunction

Possible pregnancy-related hypothyroidism 

Hypothyroidism during pregnancy is harmful to the mother and the unborn child if the condition is not managed. However, thyroid drugs may help avoid issues and are safe to use throughout pregnancy. Many women using thyroid hormone therapy require a larger dosage during pregnancy

Difficulties caused by low thyroid levels

Cholesterol levels might be elevated due to hypothyroidism. Hypothyroidism testing should be considered if you have elevated cholesterol levels. Myxedema coma is a rare but potentially fatal outcome of untreated severe hypothyroidism. It causes the body's processes to slow down to a dangerous level. Quick medical attention is necessary in cases with myxedema coma.

A list of hypothyroidism symptoms

Depending on how bad hypothyroidism is, several symptoms may manifest. It usually takes a while for problems to manifest, sometimes even years.

Fatigue and weight gain, which are indications of hypothyroidism, may not be immediately apparent. You can also dismiss them as inevitable consequences of growing older. However, more noticeable issues may arise as your metabolism keeps slowing down.

  • Lethargic state.
  • Feeling chilly more easily.
  • Irregular stool.
  • Skin that is parched. 
  • Putting on more pounds.
  • Floozy visage.
  • Sibilant voice.
  • Dull coat and skin.
  • Laxity in the muscles.
  • Muscle soreness, inflammation, and rigidity.
  • "Heavy or irregular menstrual periods" would be a clearer way of expressing the same idea.
  • A loss of hair density.
  • Heart rate slowdown, medically known as bradycardia.
  • Feeling down.
  • Memory issues.

Fetal hypothyroidism

Babies with thyroid problems or those born without a thyroid gland often show no symptoms right away. The symptoms of hypothyroidism will not go away, however, unless the condition is identified and treated. Possible examples are:

  • Feeding issues.
  • Sluggish development.
  • Slow weight increase.
  • Jaundice, characterized by a yellowing of the skin and eye whites, is a medical disorder.
  • Irregular stool.
  • Muscle tone is lacking.
  • Skin that is parched. 
  • A raspy sob.
  • Tongue enlargement.
  • An umbilical hernia is a disorder characterized by a soft protrusion or swelling close to the belly button.

What causes hypothyroidism?

Among the many potential reasons for hypothyroidism are

  • Diabetes mellitus type 2
  • Hypothyroidism is usually caused by an autoimmune illness. The immune system mistakenly targets the thyroid in this condition. When this happens, the thyroid becomes irritated and unable to produce adequate thyroid hormones.
  • Inflammation of the thyroid, also known as thyroiditis
  • Present at birth hypothyroidism, often known as congenital hypothyroidism
  • Surgery to remove the thyroid gland in its whole or part
  • Thyroid radiation therapy
  • Certain medications
  • Rarely, hypothyroidism may be brought on by dietary iodine levels that are too high or too low, as well as by problems with the hypothalamus or pituitary gland. On the other hand, iodine deficiency is very uncommon in the US.

Grave thyroid condition

Leakage of stored thyroid hormone from the thyroid gland occurs as a result of thyroiditis, an inflammation of the thyroid. Thyrotoxicosis, a disorder characterized by elevated thyroid hormone levels, is the first outcome of hormone leakage. Many months may pass as you deal with thyrotoxicosis. Your thyroid may become inactive, and eventually, you may need to replenish your thyroid hormone since the problem is permanent.

Thyrotoxicosis and hypothyroidism may be caused by three different kinds of thyroiditis.

A painfully swollen and inflamed thyroid is the hallmark of subacute thyroiditis.
After giving delivery, a woman may develop postpartum thyroiditis.
You may have an enlarged thyroid, yet silent thyroiditis is painless. According to the experts, it is likely an autoimmune disorder.

Low thyroid function during birth

An underdeveloped or malfunctioning thyroid might be present at birth in some infants. Failure to develop normally or intellectual incapacity may result from congenital hypothyroidism if the condition is left untreated. Preventing these issues requires prompt medical attention. The majority of American infants have a thyroid screening at birth for this same reason.

Surgery to remove the thyroid gland in its whole or part

Even after a thyroidectomy, the residual gland may continue to secrete a healthy dose of thyroid hormone. The risk of hypothyroidism, however, is real for certain patients undergoing this procedure. The condition known as hypothyroidism is a certain outcome after thyroidectomy.
When treating hyperthyroidism, surgeons may choose to remove some or all of the thyroid.
Quite a huge tumour
Overproduction of thyroid hormone may be caused by benign thyroid nodules or tiny thyroid malignancies. 

Thyroid radiation therapy

Treatment for hyperthyroidism often involves the use of radioactive iodine, which kills thyroid cells over time. It is quite probable that hypothyroidism will develop in patients who undergo radioactive iodine therapy. Thyroid damage is another potential side effect of the external radiation therapy that doctors use to treat head and neck tumors (NIH external link).
Medication Interference with thyroid hormone synthesis may cause hypothyroidism. Some medications that fall under this category are various

Cardiovascular medications

Treatments for bipolar illness funded by the National Institutes of Health (NIH)
Cancer treatments
For instance, several newly developed cancer medications have the potential to harm the pituitary gland, which in turn may have an indirect effect on the thyroid.

Here are the steps to diagnose hypothyroidism:

  1. Taking a patient's blood sample is a common practice among female medical professionals.
  2. Hypothyroidism may be confirmed with a blood test.
  3. Along with taking your vitals, your doctor will review your medical history. The symptoms of hypothyroidism are similar to those of other disorders, making a diagnosis based on them alone impossible. The diagnosis and underlying cause of your thyroid condition may be determined by your doctor via a battery of imaging and blood testing.
  4. Women who are having trouble conceiving are routinely checked for thyroid issues since hypothyroidism may affect fertility.

Approach to treating hypothyroidism

  1. To treat hypothyroidism, the hormones that the thyroid is unable to produce are substituted. A drug that mimics the action of a healthy thyroid, levothyroxine, will be prescribed to you. Although pills are the most common delivery method, this medication is also available in liquid and soft gel capsule forms. Those who have trouble digesting traditional thyroid hormone medications may find relief with these more modern formulations. The morning, before meals, is when your doctor may advise you to take the medication.
  2. About 6 to 8 weeks after starting the medication, your doctor will check your blood to see whether the dosage has to be adjusted. You can expect to have another blood test for each dosage adjustment. Your doctor will likely recheck your blood levels every six months and then annually when you have found an effective dosage.
  3. If you take your thyroid hormone medication exactly as prescribed, your hypothyroidism should be well managed. You must see your physician before discontinuing any medication. Atrial fibrillation and osteoporosis are among the major complications that might arise from using thyroid hormone medication in excess. 

For hypothyroidism, what role do food, eating habits, and nutrition play?

Thyroid hormones are produced by your thyroid gland using iodine. On the other hand, iodine's negative effects could be too much for those with Hashimoto's disease or other autoimmune thyroid problems. Hypothyroidism may be caused or worsened by consuming foods high in iodine, including seaweed (kelp, dulse, etc.). You may get the same result by taking iodine pills.

Have a conversation with your healthcare provider.

Restrict or abstain from using
Keep iodine supplements out of your system.
You should know that iodine may be an ingredient in certain cough syrups you consume.
Iodine is essential for the developing baby, thus increasing your dietary intake is a good idea when you are pregnant. To find out how much iodine you should take, see your physician.

Conclusion

Blood tests are used to diagnose hypothyroidism. Treatment with thyroid hormone medicine is usually simple, safe, and effective once you and your healthcare provider find the right dosage.




No comments:

Post a Comment