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Tireoidit, symptoms and treatment tireoidita

Tireoidity - illnesses of a thyroid gland, various on an aetiology and patogenezu the Inflammation diffuzno the increased thyroid gland name strumitom.

Sharp tireoidit - purulent or not purulent. Can be diffuznym and ochagovym. Sharp purulent tireoidit develops against a sharp or chronic infection (a tonsillitis, a pneumonia, etc.) . Symptoms: a pain in the field of a forward surface of a neck, irradiirujushchaja in a nape, the bottom and top jaw, amplifying at head movement, swallowing. Increase in cervical lymph nodes. Rise in temperature, a fever. At palpatsii-painful increase in a part or the whole share of a thyroid gland, at the generated abscess - fluctuation. High lejkotsitoz, shift lejkotsitarnoj formulas to the left, raised SOE. At thyroid gland scanning "the cold area", not absorbing an isotope and corresponding to the inflammatory centre is defined. Sharp not purulent tireoidit can develop after a trauma, a hemorrhage in gland, beam therapy. Proceeds on type asepticheskogo inflammations. The semiology is less expressed, than at a sharp purulent inflammation thyroid zhelezy.

podostryj tireoidit (tireoidit de Kervena). Women at the age of 30-50 years fall ill more often. Develops after virus infections. Symptoms: Pain in the field of a neck, irradiirujushchaja in occipital area, the bottom jaw, ears, temporal area. A headache, weakness, adinamija. Rise in temperature. Increase SOE, lejkotsitoz. Can proceed without changes from blood. In the disease beginning (gipertireoidnaja, a sharp stage) symptoms tireotoksikoza can be observed: a tachycardia, potlivost, a weight loss, a tremor of hands. In blood - the raised levels tireoidnyh hormones, at scanning-decrease of capture of isotopes thyroid zhelezoj.

Pri a long current can develop symptoms gipotireoza (gipotireoidnaja a stage), drowsiness, slackness, block, zjabkost, puffiness of the person, dryness of a skin, a bradycardia, locks. The thyroid gland is increased (more often only the right share), a dense consistence, is not soldered to surrounding fabrics, is painful at palpatsii. In blood - the low maintenance tiroksina and trijodtironina and high - tireotropnogo gormona.

V recover stages disappears morbidity of a thyroid gland, are normalised SOE, levels tireoidnyh hormones and tireotropina in krovi.

Zabolevanie is inclined to retsidivirovaniju, especially at repeated virus infections, pereohlazhdenii.

Hronichesky fibrous tireoidit (craw Ridelja)-disease of an unknown aetiology. Symptoms: diffuznoe, is more rare ochagovoe thyroid gland increase. Gland very dense, motionless, is not displaced at swallowing, soldered to surrounding fabrics. Progressing and process distribution on all gland is accompanied by development gipotireoza. At the big sizes of gland symptoms sdavlenija neck bodies are observed: osiplost voices, difficulty of swallowing, breath. The important diagnostic method - punktsionnaja biopsija.

Autoimmunnyj chronic tireoidit (tireoidit Hashimoto)-disease in which basis autoimmun th defeat of a thyroid gland lays, antibodies to various components of a thyroid gland - tireoglobulinu, mikrosomalnoj fractions, to receptors to tireotropinu-with education of a complex an antigene-antibody, development of destructive changes and limfoidnoj infiltratsii thyroid zhelezy. Simptomy are formed: diffuznoe, sometimes non-uniform increase in a thyroid gland, at palpatsii gland of densely-elasticheskoj consistence, mobile. At the big sizes of gland there are symptoms sdavlenija neck bodies. In process of disease development destructive changes lead to infringement of function of gland - in the beginning to the phenomena gipertireoza owing to receipt in blood of a considerable quantity before the synthesised hormones, in further (or passing gipertireoidnuju a phase) - to gipotireozu. The maintenance tireoidnyh hormones in blood is lowered, tireotropnogo a hormone - exceeds normu. V to diagnostics great value data punktsionnoj biopsii, scanning (non-uniformity of absorption of an isotope is characteristic) have definition titra antitireoidnyh antibodies. Absorption 131I a thyroid gland can be lowered, is normal or is raised (at the expense of weight of gland).

Treatment tireoidita

Pri sharp tireoidite-antibiotics (penicillin, oletetrin, etc.), symptomatic means (sedative, etc.) Vitamins C, V.Pri`s groups abstsedirovanii - surgical treatment. At podostrom tireoidite - long application kortikosteroidov (prednizolon, dexamethasone, triamtsinolon), preparations salicylic or pirazolonovogo a number against decrease kortikosteroidov, at the phenomena gipertireoza - r-blokatory, gipotireoza - small doses tireoidnyh gormonov.

Pri chronic fibrous tireoidite - in the presence of the phenomena gipotireoza replaceable therapy tireoidnymi hormones, at symptoms sdavlenija neck bodies-operative lechenie.

Pri chronic autoimmunnom tireoidite - treatment tireoidnymi hormones (trijodtironin, tiroksin, tireotom, tireotom-forte). In the absence of reduction of a craw against adequate replaceable therapy {3-4 mes) appoint kortikosteroidy (prednizolon 30-40 mg with gradual decrease in a dose) to 2-3 months At fast-growing, painful forms of a craw, the big sizes of a thyroid gland with the phenomena sdavlenija neck-operative bodies pechenie.



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