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Hypothyroidism
The thyroid is a small, butterfly-shaped gland
located in the front of the neck, which produces hormones that increase oxygen
use in cells and stimulate vital processes in every part of the body. These
thyroid hormones have a major impact on growth, use of energy, heat production,
and infertility. They affect the use of vitamins, proteins, carbohydrates, fats,
electrolytes, and water, and regulate the immune response in the intestine. They
can also alter the actions of other hormones and drugs.
The two key thyroid hormones are thyroxine
(T4) and L-triiodothyronine (T3). Iodine is the raw material used in the
manufacture of these hormones; it is extracted from the blood and trapped by the
thyroid gland where 80% of the body's iodine is stored. The thyroid mostly
produces thyroxine, which in turn, is converted into T3, the more biologically
active thyroid hormone. Only about 20% of T3 is actually formed in the thyroid
gland, however; the rest is manufactured from circulating thyroxine in tissues
outside the thyroid. The whole process of iodine trapping and thyroid hormone
production is directly influenced by another important hormone,
thyroid-stimulating hormone (TSH or thyrotropin). This hormone is secreted by
the pituitary gland and monitored by thyrotropin-releasing hormone (TRH), which
is produced in the hypothalamus gland. Both glands are located in the brain. Any
abnormality in this intricate system of glands and hormone synthesis and
production can have far-reaching consequences.
When there is inadequate secretion of thyroid
hormones, hypothyroidism occurs and the body begins to slow down. It was first
diagnosed in the late nineteenth century when physicians observed that after
surgically removing the thyroid gland, a patient developed swelling of the
hands, face, feet, and tissues around the eye. They named this syndrome myxedema
and correctly concluded that it was the outcome of the absence of substances --
thyroid hormones -- normally produced by the thyroid gland, i.e.,
hypothyroidism. A number of conditions can cause this disorder, and it is
usually progressive and irreversible. Treatment for hypothyroidism, however, is
nearly always completely successful and allows a patient to live a fully normal
life.
Symptoms of Hypothyroidism
- exhaustion
- depression
- dry coarse skin
- weight gain
- cold and/or heat sensitivity
- poor memory and brain fog
- palpitations
- low basal temperature
- gynecological disorders
- lethargy
- need for sleep
- skin pallor
- nervousness
- hearing sensitivity
- skin becomes yellow
- muscle pain and swollen muscles
- constipation
- infertility and male impotence
- loss of outer third of eyebrow
- slow growing and brittle nails
- low libido
- headaches
- tinnitus or slight deafness
- deepening of the voice as the vocal chords thicken
- breathlessness
- low pulse rate
- loss of hair
...and many more.
If left undiagnosed, not only does your quality of life reduce, you are put
at risk from :
- high blood pressure
- diabetes
- emphysema
- arthritis
- depression
- constant weight problems
- migraine
- carpal tunnel syndrome
- death (if hypothyroidism progresses to myxedema: late stage
hypothyroidism)
Test / Name |
Normal Range |
Interpretation |
"TSH" Test -- Thyroid Stimulating
Hormone / Serum thyrotropin |
0.4 to 6 |
Under .4 can indicate possible
hyperthyroidism. Over 6 is considered indicative of hypothyroidism. Note:
increasing numbers of doctors are finding that a TSH of around 1 - 2
is optimal for most people to feel well and avoid having hypothyroid or
hyperthyroid symptoms. There is now research out that provides some
scientific basis for this, saying that values above TSH of 2 may in fact
represent abnormal levels. |
Total T4 / Serum thyroxine |
4.5 to 12.5 |
Less than 4.5 can be indicative of an under functioning
thyroid when TSH is also elevated. Over 12.5 can indicate
hyperthyroidism. Low T4 with low TSH can sometimes indicate a pituitary
problem. |
Free T4 / Free Thyroxine - FT4 |
0.7 to 2.0 |
Less than 0.7 is considered indicative of
possible hypothyroidism. |
T3 / Serum triiodothyronine |
80 to 220 |
Less than 80 can indicate hypothyroidism. |
(Source: Web MD)
MYXEDEMA (Gr.
myxa, "slime"; oidema, "swelling"), deficiency disease caused by
insufficient or lack of production of hormone by the thyroid gland .
Patients with myxedema complain of fatigue, lethargy, sleepiness, poor
tolerance to cold, mental sluggishness, a tendency to gain weight, and
generalized aches and pains. Their faces often look puffy and waxy.
Their skin is dry and coarse; their hair is coarse, dry, and brittle,
and it tends to fall out easily. Often patients also lose the outer
portion of their eyebrows. These and other symptoms are caused by a low
metabolic rate resulting from a deficiency of the thyroid hormone that
stimulates metabolism. Myxedema differs from cretinism in that it
develops after birth and produces less severe cerebral inadequacy. The
disease may occur in several members of a single family. Any condition
that decreases the elaboration of thyroid gland hormone may bring on
myxedema. The disease is treated by the administration of thyroxine,
other thyroid extracts, or a synthetic preparation such as levothyroxine.
(Source: Myxedema Article)
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Indian Health Council. All rights reserved.
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