What is the balance of the thyroid?
Dr. Brigitte Delemer: The balance of the thyroid can be made from a blood test. It measures the levels of thyroid hormones into the bloodstream and the rate of a pituitary hormone, called TSH, which reflects the thyroid function.When is high, we think of hypothyroidism. Conversely, when it is low, we think of hyperthyroidism.
This blood test is performed when a patient presents with symptoms suggestive of hypothyroidism or hyperthyroidism (see below). We check and if the symptoms correspond to a disease of the thyroid.
One can also achieve such balance, in case of anomalies suggestive of an association with thyroid disease such as hypercholesterolemia or diabetes mellitus type 1.
One can also achieve such balance, in case of anomalies suggestive of an association with thyroid disease such as hypercholesterolemia or diabetes mellitus type 1.
The other record is morphological. The doctor feels the gland thyroid, located at the base of the neck. It can then identify an anomaly, like a goiter (which means big thyroid) or a nodule. The patient is sometimes embarrassed at the neck or can detect a lump in front of her mirror.
Then performed an ultrasound of the gland thyroid, from which we measure the size of the thyroid, it evaluates its échogénéicité, locating the nodules and were able.
From time to time, second line, we practice a scan, to determine if the identified nodule is hyper-functional, that is to say if the product catches on scintigraphy injected, then it is a nodule hot or if it is hypo-functional, in this case it does not pick up the product injected.
Then performed an ultrasound of the gland thyroid, from which we measure the size of the thyroid, it evaluates its échogénéicité, locating the nodules and were able.
From time to time, second line, we practice a scan, to determine if the identified nodule is hyper-functional, that is to say if the product catches on scintigraphy injected, then it is a nodule hot or if it is hypo-functional, in this case it does not pick up the product injected.
If a goiter or a nodule is found, performs a blood test to determine whether this morphological abnormality of the gland, thyroid is also accompanied by a hormonal abnormality.
When complete these two assessments of the Thyroid?
Dr. Brigitte Delemer: The balance of the thyroid is not justified in the absence of symptoms.
Currently, the only prevention is performed in newborns: measuring the TSH level to determine if the child has a hypothyroid newborn. Screening is mandatory in the 3rd day of life, and involves depositing a drop of blood on a blotter. And we identify this disease which strikes completely normal baby's future development, particularly in terms of his brain. In France, hypothyroidism affects a newborn baby in 4,000.
There is no screening in adults, or even during pregnancy or after menopause, although it is a question that might be asked.
Currently, the only prevention is performed in newborns: measuring the TSH level to determine if the child has a hypothyroid newborn. Screening is mandatory in the 3rd day of life, and involves depositing a drop of blood on a blotter. And we identify this disease which strikes completely normal baby's future development, particularly in terms of his brain. In France, hypothyroidism affects a newborn baby in 4,000.
There is no screening in adults, or even during pregnancy or after menopause, although it is a question that might be asked.
What are the symptoms of thyroid disease?
Dr. Brigitte Delemer: Tired, depressed, nervous or hyperactive, significant change in weight, sexual dysfunction, etc.. are all outsourced disorders often wrongly or rightly to the thyroid. For indeed, it is a set of nonspecific signs that leads to seeking a functional abnormality of the thyroid.
The two main signs of hyperthyroidism are palpitations and tachycardia, and weight loss, while the subject continues to eat normally. These symptoms are accompanied by a nervous, highly unstable nature and a permanent hyperarousal. It then searches for abnormal thyroid function. But besides the two major factors cited above, we see that nervousness is not a very specific symptom. We need to know the position next to a fast heartbeat or weight loss, which can be very moderate. It may therefore be required to make assays to test the hypothesis involving the thyroid.
Concerning the hypothyroidism, the symptoms are rather tired and a little weight gain because the body turns more slowly, like slow motion. In some patients, these symptoms are amplified to the point they can no longer live a normal life. They are extremely tired, suffering from cramps in the muscles, nervousness, constipation, feeling bloated and slow their heart. The lack energy, they suffer from slow.
Before these symptoms nonspecific, it obviously makes a screening for hypothyroidismwith a TSH.
Before these symptoms nonspecific, it obviously makes a screening for hypothyroidismwith a TSH.
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