Postpartum Thyroid Disease Symptoms Signs
Published on Jun 03 2010, in the categories: Tyroid Disease & SYmptoms
Toxic thyroid adenoma (Plummer's disease) is a benign thyroid tissue characterized by formation of nodules in the thyroid gland that causes excessive production of thyroid hormones.
Investigations:-Determination of T3, T4, TSH: serum levels of T3 and T4 are increased and the secretion of TSH is low, even undetectable (usually less than 0.1 MUI / l);
-Scintigrama Thyroid homogeneous capture;
-Exfoltamy Graduation (with exoftalmetre Herta);- Presence of anti-thyroid;-Determination of iodine protein;- Aspiration cytology with fine needle;
-Tests to reflect the use of peripheral thyroid hormone: ECG, basal metabolism, reflexograma achileana, cholesterol;
- Thyroid function tests: the test of inhibition in T3 (Werner test), the TSH stimulation test (test-Stanbury Querido).
-Differential diagnosis:
-Simple goiter, thyroid, thyroid cancer;
-Nodular goiter (heterogeneous capture the scintigraphic);
-TB (weight loss, diaphoresis, tachycardia, feverish);
- Pheochromocytoma.
-Treatment for postpartum thyroid disease symptoms and signs:
- Medical: Antithyroid agents, beta blockers;
-Surgery: subtotal thyroidectomy with preservation of the two blades poster interne thyroid tissue (to protect para-thyroids laryngeal nerve and recurrent) and rigorous preoperative preparation;
-Ablation with radioactive iodine 131.
-Complications:Surgery may occur: local complications (bleeding, laryngeal nerve recurrent), thyroids crisis, hyperparathyroidism, and hypothyroidism.
-Evolution:Toxic thyroid adenoma may develop into thyroids, installed suddenly or gradually (slowly). Rarely, the disease may progress to cystic degeneration, which heals spontaneously.
-Treatment for Plummer's disease symptoms:treatment modalities include medical treatment, surgery and treatment with radio-iodine.Drug treatment consists of administration of preparations, such as carbimazol, methimazole, metiltiouracil, etc...
-Surgical treatment of toxic nodular goiters:Hyperthyroidism (or thyrotoxicosis) is associated with clinical manifestations related to an excess of thyroid hormones.Although there are many causes, three are of primary concern to the surgeon. Excluding Graves disease, the other two relevant causes of hyperthyroidism are toxic nodular goiter and a single toxic nodule.Here is the most efficient treatment against Plummer's disease symptoms. It seems that radioactive iodine is the most powerful solution against thyroid's disease. But also, a diet based on certain products will help all the patients who suffer of Plummer's disease.
-Radioactive iodine treatment is based on the following principle: that captures the functional thyroid tissue lyses radio-iodine hormono-sinthesion proportional to the intensity of thyroid. Iodine is only capturing autonomous tissue.Patient's diet should be supplemented with protein, carbohydrates, vitamins and minerals. It also should avoid condiments, excitants neuropsychological (alcohol, nicotine, caffeine) and food ingested iodine (iodized salt, seafood, nuts, green) or medication.
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