The thyroid gland is an organ of the endocrine system, it produces two main hormones, T3 and T4, which play an important role in regulating the activity of some organs in the body such as the cardiovascular system, nervous system and system. digestion … as well as metabolism of carbohydrates, fat, protein … When chronic thyroiditis (Hashimoto thyroiditis) often leads to the result of gradual damage to the thyroid gland, the ability to produce thyroid hormones hypothyroidism.
Hashimoto’s thyroiditis has many symptoms but none of them are specific. The disease usually progresses silently over many years, progressing gradually to hypothyroidism. At that time, the patient showed symptoms of abnormalities and mainly symptoms of hypothyroidism. The symptoms are more or less severe or severe depending on the degree of hypothyroidism. At first, patients often just feel tired, light weight gain, which many people think is a sign of old age. But when the disease gets worse, more and more severe symptoms cause the patient to see a doctor, which is: Fatigue; Scare cold; Severe constipation; Dry, pale skin; The face is round; Raucous; Unexplained weight gain despite anorexia, the level of weight gain usually ranges from 5 to 10 kg, mainly due to fluid retention; Muscle pain, stiffness in the shoulder and thigh muscles accompanied by muscle weakness, especially the lower extremities; Menstrual disorders, usually menstruation; Depression, drowsiness; The thyroid gland is often large (causing a goiter) but may also shrink, so a special examination of the thyroid will not reveal anything special.
If left untreated, symptoms will worsen and the thyroid gland enlarges with amnesia, impaired memory, sluggish functioning, etc., which can be confused with mental illness. Some patients, especially older patients, may be comatose due to hypothyroidism (very severe). There are also patients who were discovered by accident when testing found high blood fat, ineffective treatment. At that time, the physician was looking for the cause of dyslipidemia and detected hypothyroidism.
What are the complications of Hashimoto’s thyroiditis?
If left untreated, Hashimoto’s thyroiditis can greatly affect the health of the patient and cause complications such as goiter, cardiovascular disease, mental illness, edema and may cause birth defects in mothers. Hashimoto disease without treatment.
– The direction of Hashimoto thyroiditis depends on whether or not the patient has hypothyroidism. If there is no evidence of thyroid hormone deficiency, the patient does not need any treatment but needs regular examinations for early detection and timely treatment of hypothyroidism. So far, no medicine has the effect of treating Hashimoto’s thyroiditis.
– For patients with hormone deficiency (with hypothyroidism) will be treated with synthetic thyroid hormone replacement, the drug has the same structure and effects of natural hormones produced by the thyroid.
– Usually after a short treatment, patients will feel less tired but to completely improve symptoms and test results (T4, TSH, cholesterol …) to normal, it takes 3-6 months.
–Adjust the dose: Once hypothyroidism has occurred, patients with Hashimoto thyroiditis need lifetime replacement hormone therapy. To make sure the dose works, patients need to be assessed regularly, perhaps monthly during the initial period until the appropriate dose is determined and then annually. Taking too high or too low doses of thyroxin is not good and can affect health. Often patients start using low doses and then increase based on test results. The target and also the thyroxin dose adjustment indicator is blood TSH, preferably at 0.5 – 2.5 U / l. Patients should remember that medication should not be taken in the morning on the day of the examination for accurate testing.