science

Thyroid dysfunction: diagnosis and treatment

Sudden weight loss or unexplained weight gain can also depend on a change in the thyroid gland, which is a gland located at the base of the neck that performs various functions, including controlling certain metabolic activities.

The Thyroid Produced in Triodothyronine And the Teroxina, Because Hormones That affects us all Metabolism. if not “Works” And therefore Best, An excessive amount of hormones (hyperthyroidism) or an insufficient amount (hypothyroidism), which leads to Possible imbalances in body weight.

Who suffers from Hyperthyroidism, In fact, you often bump into one Low weight Because of the reduction Adipose tissue Based on Magra block; Who suffers from Hypothyroidism, Alternatively, she could accuse prof overweight determined by Insufficient Production / work Thyroid hormones This slows down the body’s functions and reduces energy use.

We have investigated Wave Of increase / decrease Weight Thyroid-related advice d. Vincenzo Break, specialized in nuclear medicine So Studio And the Care Thyroid diseases include metabolic radiotherapy and radio receptors inBuvalini Cesena Hospital.


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Doctor, explain to us how the thyroid gland regulates metabolism.

“The thyroid gland plays essential role at Modification The rate of basal metabolism, enzymatic activity and mitochondria prison cell. Thyroid hormones control both Energy expenditures That speed use From the same energy material All fabrics. The thyroid gland also comes Organize from U.S brain Which, through the pituitary axis, controls i Body hormone levels Through thyrotropin TSH which It stimulates the secretion of hormones Thyroid gland at our request Organism Normalize the Produce And consumption energy At the base Requirements. “

How does thyroid dysfunction affect weight change?

The bug is in Thyroid (With the exception of neoplastic and multi-nodular thyroid diseases and abnormalities during pregnancy) can create two pathologies: Hyperthyroidism, The production of an excessive amount of hormones and cause the body to use energy faster than normal, or hypothyroidism, which reduces energy metabolism. Hypothyroidism It can cause weight gain and adipose tissue also accompanied by water retention, while hyperthyroidism can lead to weight loss with a decrease in adipose tissue and lean mass (muscle mass). You can also get access to ‘Paradoxical cases’ In which A slight increase (Clinical) Thyroid hormones increase energy consumption while also the feeling of Fame, Thus stimulating food intake is higher than energy expenditure and leads to Is gaining weight. “


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Is thyroid dysfunction associated with obesity?

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Of course not! Thyroid dysfunction May be a cause the difference From A few kilograms More or less we weigh, however Not Certainly Administrator Of forms overweight It is always important to contact A suitable specialist“.

How are hypothyroidism and hyperthyroidism recognized?

Hyperthyroidism It can give typical symptoms Nervous Irritability, increased sweating, tachycardia, anxiety, Slimming Despite the good appetite Hypothyroidism, Instead, he submits Milder symptoms Like freezing cold, fatigue, depression, Constipation, Drowsiness For these symptoms the palace Often they can be placed side by side Important symptoms Come Hypertension Cardiomyopathy, Sterility In both males and females, conjunctivitis, Periorbital edema e Dysfunction Of the extra muscles of the eye. “

What is the correct treatment for thyroid disease?

Hypothyroidism Can be kept Completely under control Quantity substitution Hormones That the thyroid gland is no longer able to produce the exogenous thyroid hormone-based hormones that bring the values ​​back to normal. over there Processing In hyperthyroidism Anti-thyroid medicationsKnown K. Thyrostatic That inhibit hormone production Thyroid: Methimazole or propylthiouracil (PTU).

In the case of A. Hyperthyroidism this is important You cannot control With medications, it may be appropriate to intervene Radioactive iodine (131I). He. She iodine (For which the thyroid gland is very greedy) is administered in the form of RadioisotopeOr (in capsules or liquid) and has a function decrease Hormone production, destruction Part of the thyroid gland cells (of course, this treatment is performed only and exclusively in Licensed Nuclear Medicine Departments).

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Phil Schwartz

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