From the conversation with the endocrinologist of the First Moscow State Medical University A. I. Kuznetsova.
Autoimmune thyroiditis (Hashimoto thyroiditis) - This is a chronic inflammation of the thyroid gland, as a result of which self-destruction of its cells occurs.
This inflammation is triggered by infectious diseases, excess iodine, fluoride or chlorine intake from food. From these factors there is a failure in the immune system, it begins to confuse its own and others' cells, trying to destroy its own organ. Lymphocytes intensively produce antibodies - destroyers of thyroid cells. The thyroid first increases the production of hormones, and then is exhausted and can no longer produce them in the right quantity, hypothyroidism begins.
Symptoms of autoimmune thyroiditis.
First, Hashimoto's thyroiditis occurs without symptoms, it can be detected by examining the thyroid gland. Then you may experience symptoms of thyrotoxicosis: irritability, weight loss, tachycardia, diarrhea, sweating, fever. When, with the progression of thyroiditis, hormone production decreases, symptoms of hypothyroidism appear: constipation, weakness, pain in the joints, and swelling. Often the symptom of thyroiditis, which the patient notices first, and finally see a doctor, an increase in the neck is goiter.
Than thyroid thyroiditis is dangerous.
Autoimmune thyroiditis is harmless only if there is a normal amount of gomons in the blood. And the consequences of thyroiditis Hashimoto - hyper-and hypothyroidism - dangerous conditions. An excess of thyroid hormones is fraught with heart disease and bone fractures. And the lack of hormones necessary for normal metabolism leads to the launch of many other chronic diseases.
Diagnosis of autoimmune thyroiditis.
To identify the disease and evaluate the function of the thyroid gland, you need a survey. In addition to examining the endocrinologist, the diagnosis of autoimmune thyroiditis includes an ultrasound examination of the gland and a blood test to determine the level of hormones.
- Ultrasound helps to find out whether the size of the thyroid gland is enlarged or reduced and whether its structure has changed. If the nodules are found, the patient will have to be examined by an endocrinologist surgeon. For nodes greater than 1 cm, a puncture biopsy will be assigned.
- Serum analysis will show the level of thyroid-stimulating hormone (TSH), which is produced by the pituitary gland and causes the thyroid gland to create thyroxin and triiodothyronine, and the presence of antibodies.
- Complete blood count for the diagnosis of autoimmune thyroiditis important in that it records an increase in the number of lymphocytes with a decrease in the number of leukocytes.
- Endocrinologist will take into account the age, weight of the patient, associated diseases and prescribe treatment.
Treatment of autoimmune thyroiditis of the thyroid gland.
Autoimmune thyroiditis Hashimoto still remains an incurable disease. But you can live with him, while maintaining performance for many years. The lack of thyroid hormones can be replaced by modern medications. In terms of their composition, they exactly correspond to the hormones that are produced in the human body, so they are safe for long-term use. These medicines help to maintain optimal hormonal balance throughout life. This, in turn, provides the body with normal metabolic processes and vital functions of all organs, especially the cardiovascular system.
Treatment of autoimmune thyroiditis with reduced thyroid function, lack of hormones, endocrinologists prescribe levothyroxine (L-thyroxin or eutirox). Treatment begins with small doses and is brought to the optimal dose gradually. The optimal dose is usually 75-125 mg / day. For older people, treatment of autoimmune thyroiditis with a lack of hormones starts from 12.5-25 mg / day, increasing the dose every 12 weeks by 12.5 mg / day. The level of hormones using a blood test is controlled every 1.5-2 months.
Normalization of hormone levels does not cancel the treatment! Given the chronic nature of the disease, it will be necessary to take L-thyroxine for life, tracking hormone levels 1-2 times a year.
Treatment of autoimmune thyroiditis with increased thyroid function. If the level of hormones is elevated, it can be concluded that the disease has entered a thyrotoxic phase. With thyroiditis, even in this phase, no drugs are prescribed that suppress the activity of the thyroid gland and reduce the synthesis of hormones. Instead, use drugs and folk remedies that reduce the symptoms of the disease. When hyperthyroidism is often observed tachycardia, interruptions in the work of the heart. These symptoms can safely help to remove a simple folk remedy - a mixture of tinctures of Valerian, motherwort, peony and hawthorn. Each tincture take 30-40 drops, add 100 ml of water and mix. Take 1 tbsp. l 3-4 times a day, and the remains are taken overnight.
In case of violations of the work of the heart, the patient has to take beta-blockers. Reception of valocordin or Corvalol will ease the condition a bit, but with the appearance of heart symptoms, you should immediately consult a doctor.
With discomfort in the neck and antibody levels in the blood test above 1500, treatment of thyroiditis is supplemented with the administration of the drug selenium (selenium-active - 1 tablet per day), the duration of the course is 1 month. Selenium reduces the production of antibodies that are hostile to the patient’s body, which destroy the thyroid gland.
Treatment of autoimmune thyroiditis Endonorm.
In the treatment of autoimmune thyroiditis, the drug Endonorm in the form of capsules is successfully used. It is composed of extracts of white potentilla roots, extract of the herb series, kelp powder and licorice root extract. It is necessary to take it for a long time in courses of 2 months with intervals of 10 days between courses of treatment. Dosage - 1 capsule 3 times a day 10 minutes before meals.
Nutrition with Hashimoto thyroiditis.
A patient with thyroiditis may contribute to his recovery if he adheres to proper nutrition.
A diet for autoimmune thyroiditis should include: fish and sea kale, legumes, other products containing iodine, selenium, products that reduce cholesterol. In the diet with thyroiditis you need to use as much as possible vegetables and fruits rich in fiber. Fresh juices (carrot, beetroot, cabbage, and especially cucumber) are also very helpful.
2 times a go you need to take multivitamin preparations: Complivit, Alphabet, Vitrum, Centrum or Supradin. Vitamin C is especially useful - to support immunity and B vitamins - the need for them with autoimmune thyroiditis is increased.
These recommendations on nutrition should be adhered to not only by the patient, but also by any person for the prevention of thyroid disease.
In some areas there is a significant lack of iodine in the soil, water, products. In such areas, many people have an enlarged goiter. Therefore, those who do not live on the beach need iodized salt on the table. It makes no sense to add it when cooking food, because when boiling iodine evaporates. When stored in an open container of iodized salt, iodine also volatilizes. Therefore, it should be stored in a tightly closed container.
Pregnant women, children and teenagers need a dose of potassium iodide. After 50 years, the body's need for iodine is significantly reduced. It must, however, be remembered that an excessive amount of iodine in the diet can trigger the onset of autoimmune thyroiditis.
Autoimmune thyroiditis treatment of folk remedies.
- Potentilla white is the most famous folk remedy for autoimmune thyroid thyroiditis. , has been used for centuries. It normalizes hormone levels, and is used in hypothyroidism and hyperthyroidism. Based on it, the drug Endonorm was created, but grass extracts have been added to the endonorm, which are undesirable in hyperthyroidism.
Potentilla has especially useful roots, collected in the fall before frost. It is usually made from the tincture.
The recipe for this folk remedy: 40 g of crushed raw materials pour 400 ml of vodka, insist 14 days in a dark place, periodically shaking. 20-30 drops of tincture diluted in 50 ml of water and take 15-20 minutes before meals 3 times a day. The course of treatment is 1 month, the repetition is after a break of 7–10 days.
- Herbs with autoimmune thyroiditis. In folk medicine for the treatment of thyroiditis is used such a collection of herbs: sage, lemon balm, mint, hops, European zyuznik, motherwort, starroot, hodgepodge, hawthorn berries - everything is crushed and taken in equal shares. 1 tbsp. a spoonful of the mixture of these herbs should be poured 0.5 liters of hot water and bring to a boil, simmer on low heat for 15 minutes. Then insist 8 −12 hours in a thermos, strain. Take half a cup 3 times daily before meals.
- Amber. Many people believe that raw amber beads will help to establish the activity of the thyroid gland. The effect of this folk remedy in autoimmune thyroiditis is not proven, but there are no contraindications to it.
(HLS 2015, №5, pp. 26-27.)
Chronic autoimmune thyroiditis of the thyroid gland was cured by celandine.
The woman was diagnosed with chronic autoimmune thyroiditis, nodular form. Treatment of thyroiditis with drugs prescribed by the doctor turned out to be ineffective. An operation has been scheduled. But the woman refused the services of a surgeon, decided to treat thyroiditis at home with a celandine tincture.
- Recipe tinctures. To prepare the tincture, she collected the grass of celandine together with flowers, crushed it, tightly stuffed a bottle (a jar of dark glass could be) a little more than half, and poured vodka to the top. Insisted 2 weeks, periodically shaking, filtered.
- The regimen of this folk remedy for thyroiditis. The woman took the morning on an empty stomach 1 time per day, starting with two drops of 50-70 ml of boiled water, adding 2 drops each day.
On the eighth day I took 16 drops each and stopped at this amount. Took 16 drops in a month. After that, she took a break of 7-10 days, and then drank 16 drops in a month.
- The results of the treatment of thyroiditis celandine. After four months of taking celandine, a woman did an ultrasound of the thyroid gland. The ultrasound results convinced her of the correctness of the treatment. Nodes decreased. She continued to drink grass for up to 1 year and 3 months: During the next examination, the doctor did not find any pathology in the thyroid gland. Along the way, the liver and gallbladder returned to normal. And before that there were problems with them.
(HLS 2003, No. 22, p. 18, 2005, No. 7, p. 18-19, 2010, No. 7, p. 30-31)
Treatment of thyroiditis folk remedies - recall.
The woman had autoimmune thyroiditis. I decided to use folk remedies in the treatment, along with those prescribed by the doctor. She took soothing tinctures, put compresses from grated carrots and compresses with lard on the thyroid gland. As a result of treatment with these folk methods, the thyroid gland has decreased in size, it has been shaken, the state of the body has improved significantly. (HLS 2009, № 19, p. 10)
Treatment of thyroid thyroiditis at home with poplar kidneys.
A woman was operated on for a nodular goiter. Two years later, a node on the thyroid gland appeared again. The regional hospital was diagnosed with autoimmune thyroiditis with hypothyroidism. The operation was not shown. The doctor suggested treatment with L-teroxin to be supplemented with a folk remedy, a tincture of poplar buds, which will prevent the node from growing.
The woman used this method of treatment, and indeed, the ultrasound confirms that the node is not growing, although almost 30 years have passed.
The recipe of this folk remedy. You need to score 0.5 cups of poplar buds, sticky, rinse, lightly dry and pour vodka 2 cm above the kidneys. Put in a dark place for 3 months. After this period, for three months, take a poplar tincture of 2 drops in 0.5 glasses of water every morning on an empty stomach 30 minutes before breakfast. And so do 1 time per year. (HLS 2009, №10, p. 30)
These symptoms can be observed at different stages of AIT:
- loss of appetite
- swelling in other parts of the body
- hair loss
- joint stiffness
- dry hair
- reduced body coordination
- muscle atrophy, pain and cramps
In medicine, hormone replacement therapy is prescribed for the treatment of hypothyroidism - patients take synthetic thyroid hormones for the rest of their lives. This is due to the fact that the thyroid gland eventually produces less and less hormones T4 and T3, which the body badly needs.
Diagnostic procedures for detecting hypothyroidism are often unreliable, and several consecutive tests often give different results. In this regard, some people begin to drink hormonal drugs for the rest of their lives due to a disease that they do not actually get sick before they start using the medication regimen.
People taking pharmaceutical hormones are much harder to cure than those who did not start taking them, or those who immediately began using traditional medicine. The use of all natural hormones was prohibited by F.D.A., especially those that are not addictive. They follow the usual scheme of treating people with drugs that are practically impossible to refuse, for example, in cases of treating high cholesterol, treating diabetes, treating cancers, and treating mental disorders with antidepressants.
There are many ways to naturally control the symptoms of autoimmune thyroiditis. Although there is no treatment that can 100% save a person from this disease, many folk remedies are able to help those who suffer from this disease.
Coconut oil is one of the most powerful healers in the world of natural remedies. If you suffer from autoimmune thyroiditis or hypothyroidism, enriching your daily diet with coconut oil will be one of the best things you can do for your body.
Treatment of autoimmune thyroiditis with coconut oil
Coconut oil is a saturated fat, which mainly consists of medium chain fatty acids. These fatty acids in oil are known under the name medium chain triglycerides (SCT). These medium chain fatty acids help speed up your metabolism, increase your basal body temperature, reduce weight and increase energy.
Lauric acid accounts for more than 50% of SCT. Lauric acid is one of the most important fatty acids, and is used by your body to build and maintain the immune system. All of these factors together have a positive effect on the thyroid gland.
There are several other equally important fatty acids present in coconut oil, which help maintain the health of the body at a high level. Linoleic acid is a polyunsaturated fatty acid, which is one of the main products used in the manufacture of means to reduce weight, and is usually sold as a food additive called conjugated linoleic acid (CLA), usually sold in capsule form. This "good" fat, as was found in several clinical studies, helps to reduce fat mass.
Another important compound is oleic acid, which is an omega-9-unsaturated fatty acid. In addition to coconut oil, this acid is also the main compound of olive oil, which is also very useful to use in autoimmune thyroiditis. It was found that this acid increases the level of high-density lipoprotein (HDL - "good cholesterol") and at the same time reduces the level of low-density lipoprotein (LDL - "bad cholesterol").
For autoimmune thyroiditis or hypothyroidism, you need to consume at least 4 tablespoons of coconut oil per day. You may think that this is a fairly large amount of coconut oil, but in fact it is not.
With autoimmune thyroiditis and hypothyroidism, special attention should be paid to your diet, as some products can worsen your condition, while the inclusion of other products can significantly improve your condition. You can find out about what is good for autoimmune thyroiditis here - What you can eat with autoimmune thyroiditis, and what not.
This is a flower essences treatment method that is used to control many of the symptoms of autoimmune thyroiditis and hypothyroidism. The following three essences are most effective in treating patients with autoimmune thyroiditis.
- wild Rose. Take two drops of wild rose essence and mix them in water. Drink this water throughout the day. This remedy eliminates fatigue and depression associated with autoimmune thyroiditis.
- Elm. Take two drops of elm essence and mix them in water. Drink this water throughout the day. This tool helps to restore health in autoimmune thyroiditis.
- Wild apple tree. Take two drops of wild apple essence and mix it in water. Drink this water throughout the day to cleanse the body.
Alternative medicine does not completely cure the pathology, but it copes well with the function of replacement therapy. Its main goal is to restore the disturbed hormones. The advantage of some types of herbs is that they are able to play the role of immunomodulators and immunostimulants.
Juice therapy with thyroiditis
Juices due to their high content of nutrients can improve the functionality of the thyroid and strengthen the immune system. Most often, carrot, beetroot, potato, cabbage, and other vegetable juices are used to treat AIT. However, most experts are of the opinion that mixes made from various vegetables are of the greatest benefit.
- 3/4 cup of carrot juice is combined with 1/4 cup of beet juice. To the mixture add 2 tbsp. l flaxseed oil. The finished product is consumed 2 times a day for 1.5-2 months. This rule is designed for one application.
- Sea buckthorn is often used to treat thyroid pathologies. However, its juice due to its high concentration cannot be consumed in its pure form. It is best to dilute it with cooled boiled water. During the day, it is recommended to drink at least 300 ml of vitamin drink.
- 200 ml of cabbage leaf juice is mixed with 1.5 tbsp. l lemon juice. Ready drink is drunk throughout the day. Treatment in this way is recommended for a month. To improve the taste in the drink, you can add a spoonful of honey.
Enough iodine is also found in some fruits: bananas, persimmon, grapes, pineapples, lemons, oranges and strawberries. Therefore, their juices are also recommended for use in autoimmune thyroiditis.
AIT is well treated with medicinal herb oils. The most popular for this purpose: celandine, goiter, marsh chernobrivets, kirkazon. The chopped grass in crushed form is placed in a jar for “hangers”, the rest of the volume is filled with vegetable oil (preferably olive or corn). The mixture is cleaned for a month in a cool place. After the time the oil liquid is drained, the cake is squeezed out as much as possible. The finished product is rubbed into the thyroid once a day before bedtime. At a temperature of + 10ºС oil extracts can be stored for up to 2 years.
Tincture of seaweed
Sea kale is a good source of iodine, which is essential for normal thyroid function. Therefore, when thyroiditis it must be included in the patient's diet. To normalize the body can also tincture of kelp. You can prepare it according to the following recipes:
- Shredded pine buds, kelp, walnut shell partitions, a half-hatch, a whisk are mixed. All ingredients take on 1 part, and sea cabbage needs twice as much. Components pour 1 liter of boiling water and let simmer for 15 minutes over low heat. To the finished mass add 30 g of honey and minced lemon. The treatment mixture is allowed to sweat for another 10 minutes, and then insist under the lid until it cools. The finished mass is filtered and taken 15 ml 3 times a day. The course of treatment is from 4 to 6 weeks.
- In a thermos lay on 1 tsp. kelp, jellyfish and red capsicum. Mass pour a glass of boiling water and leave to infuse for 8-10 hours. Strained drink is divided into 3 parts and consumed during the day.
Alcohol tincture of lemongrass
Dried lemongrass is ground into powder and poured with alcohol (2 tablespoons of herb per 100 ml of liquid).
The drug is removed in a dark cool place and insist for 14 days.
Shake the bottle daily with the mixture. After the expiration of the infusion filter and take twice a day, 20-25 drops, dissolved in a small amount of water. The treatment will have more effect if the drug is taken 1 hour before meals. The course of treatment with lemongrass depends on the severity of the pathology and can last from 1 week to a month.
Tincture of pine buds
Pine buds (100 g) are pre-crushed, poured into a 0.7 liter jar and filled with vodka. Insist the remedy for 3 weeks. After the due time, the composition is filtered, the vegetable part is squeezed. Cooked tincture should be lubricated area of the thyroid gland. It is best to carry out the procedure 3 times a day until improvement.
Medicinal plants have long been used to treat thyroiditis. However, herbs need to be chosen correctly, considering their useful properties. Experts recommend using:
When autoimmune thyroiditis is often recommended herbal treatments. They can be purchased at the pharmacy or prepared at home. If the second option is chosen, then several types of herbs that positively affect the thyroid gland are crushed to the size of a buckwheat kernel and mixed in equal proportions. The total weight of the plant should vary from 500 to 700 g.
1 tbsp. l The prepared fito-collector is poured with 2 cups of water, brought to a boil and stewed under a lid for 7-10 minutes, then poured into a thermos and cleaned overnight to insist. Drink filter, add 1 tbsp. l Walnut tincture and 2-3 tbsp. l vegetable juice. The mixture begins to use 20-30 ml before each meal, gradually bringing the rate to 100 ml. One course is 1.5-2 months. It will take 3-4 courses with 2-week breaks in between.
Potentilla white is often used to treat AIT. Based on it, you can prepare the tincture, which has a beneficial effect on the patient's condition. 2 tbsp. l underground parts of the plant is poured with a bottle of vodka and cleaned in a dark place. After 21 days, the medium is filtered. The treatment is carried out three times a day, 20 ml. Drink medication should be within a month.
Konstantin, 49 years old, Omsk
For treatment, AIT took Potentilla tincture and lubricated the neck of celandine with oil. The work of the gland has improved.
Hope, 62 years old, Moscow
Laminaria infusion was used as an additional treatment for thyroiditis. Positive changes felt after a week of application.
How to treat the thyroid gland folk remedies
If autoimmune thyroiditis progresses, in fact, it is inflammation of the thyroid gland, which provokes the production of specific antibodies by the immune system that perceive gland tissues as foreign bodies. It is difficult to cure the characteristic ailment, therefore doctors attract not only the methods of official, but also alternative medicine. In the absence of therapeutic interventions, autoimmune thyroiditis only progresses.
Walnut septum from thyroid nodules
To remove inflammation, you can take anti-inflammatory drugs, but it is better to trust the treatment of folk remedies that are popular for more than a decade. For example, walnut septum with proper preparation of the drug inhibits the disease, successfully treat hypothyroidism, strengthen weakened immunity. The recipe is extremely simple, you will need to prepare:
- walnut partitions - 25 pcs.,
- medical alcohol - 100 ml.
- Grind the walls of walnuts, pour the specified amount of alcohol (vodka can).
- Insist 14 days in the dark.
- For the treatment of autoimmune thyroiditis take an infusion of 20-25 drops before each meal.
Tincture of pine buds
If the doctor finds problems in the endocrine system, treatment of autoimmune diseases with folk remedies necessarily includes this time-tested recipe. Pine buds quickly relieve inflammation, promote the resorption of thyroid nodes, normalize the production of natural hormones, regulate hormones. The following is an effective folk remedy with the participation of pine buds, you must have for it:
- vodka - 500 ml
- pine buds - 2 packs.
- In 500 ml of vodka pour 2 packs of pine buds, close with a cork, shake and infuse for 14 days.
- Strain the composition, free from slurry, rearranged in the refrigerator.
- When treating, rub the neck with tincture every night before going to bed until complete recovery.
Herbs for the thyroid gland
To facilitate the general condition of the patient, doctors recommend effective herbal medicine. The main purpose of plant components is to increase the intake of iodine in the body in order to stabilize the disturbed hormones. This is especially true of women of reproductive age, because autoimmune thyroiditis often prevails in female organisms. You can cure the disease with the following herbs:
- Motherwort, Cocktail - plant components for the normalization of the endocrine system.
- Yarrow, white mistletoe, celandine - herbs that prevent the formation and growth of malignant tumors.
- Calendula, potentilla, nettle - folk remedies to strengthen the immune system, accelerate the process of recovery of the patient with autoimmune thyroiditis.
How to treat autoimmune thyroiditis with fresh juices
Juice therapy is one of the most effective methods that has recently been used in the treatment of autoimmune thyroiditis. The use of fresh juices helps not only to reduce the process of large-scale cell destruction, but also to prevent their mutation into cancer structures. The main thing is to choose the right ingredients, find out which juice is best for which purpose. Here are valuable recommendations from endocrinologists:
- Sea buckthorn juice accelerates the thyroid gland, i.e. contributes to the stabilization of hormonal levels.
- Cabbage, lemon freshes stop the destruction of thyroid tissue, prevent the spread of the pathological process.
- Potato is especially useful in the treatment of autoimmune thyroiditis.
- Juices from beets, carrots, dandelion strengthen weakened immunity, restore the functionality of the endocrine system.
- Spinach juice, being a natural antioxidant and a source of vitamins, enhances the body's immune response.
To cure a disease in this way, it is necessary to determine with the doctor what natural ingredient should be involved in juice therapy for a specific clinical picture. Here are some effective recipes that have already helped many patients overcome recurrent autoimmune thyroiditis:
- Carrot-beet fresh. Connect 1 teas beet and 3 teas carrots. Take for breakfast instead of tea, providing an unobstructed flow of bile.
- Cabbage and lemon juice. Both ingredients must be taken in the same proportions, drink the drink in the morning and evening to activate the body's immune response.
- Mix The required ingredients are spinach, beet, cabbage and carrots, taken in proportions of 1: 1: 2: 4. To drink on an empty stomach, the course of treatment is 2-4 weeks for medical reasons.
Food with autoimmune thyroiditis
If goiter is increased, doctors suspect autoimmune thyroiditis. To accurately make the final diagnosis, diagnosis is necessary, after which treatment is prescribed. In order not to wait for medical appointments, already at the first symptoms of a characteristic illness, it is necessary to reconsider the diet, introduce products with a capacious iodine content into it. This is necessarily sea kale, tuna, herring, cod liver, bananas, strawberries, oranges, persimmon, lemons, grapes. With an enlarged goiter and progressive autoimmune thyroiditis, it is important to know the following rules of nutrition:
- Exclude fried, spicy and fatty foods from the daily ration.
- Reduce the consumption of salt, spices.
- Include in the daily diet of plant fiber - legumes and cereals.
- Drink up to 2 liters of water per day, but you can also choose medicinal decoctions.
- Take natural vitamins in juices, berries, fruits, vegetables.
Is it possible to cure autoimmune thyroiditis
The patient must understand: if the disease in the body has worsened once, then it is already impossible to get rid of it completely. However, this does not mean that a person with autoimmune thyroiditis in the future will face disability and death. The functionality of the thyroid gland can be adjusted, medical and popular ways to maintain at an acceptable level. It is important not only to choose medical and preventive measures, it is advisable to find out in detail why the characteristic disease has become aggravated.
When autoimmune thyroiditis is especially dangerous periods in the life of a woman - pregnancy, menopause. The fact is that with such events in the body, hormonal alteration predominates, which causes an unplanned relapse of the disease. During such periods of life, the patient should be under close medical supervision, take medicinal and folk remedies.
Karina, 33 years old I began to guess about the presence of autoimmune thyroiditis when I noticed hair loss, skin problems. I went to the doctor, turned out to be right. After a long hormonal treatment, it was possible to normalize the work of the thyroid gland. To avoid a new attack, the doctor advised taking a tablespoon of celandine decoction 4 times a day.
Marina, 37 years old From a biochemical blood test at a planned medical examination, I suddenly learned of the presence of autoimmune thyroiditis in my body. The doctor said that not everything is so tragic, and prescribed a folk remedy for the treatment. Henceforth, from the roots of Potentilla I prepare an oil extract, after using a folk remedy to rub the neck before going to bed.
Olga, 37 years old My mother has a chronic form of autoimmune thyroiditis, but folk remedies do not suit her for treatment. Every year there are 2 courses of hormone therapy. Only in this way maintains the general condition I tried Potentilla, celandine, juices were treated, these folk remedies, alas, in her case do not work.
Subacute Thyroiditis (de Querven thyroiditis)
The disease occurs, as a rule, as a result of past viral infections, after which an autoimmune process develops. More often women at the age of 30-50 years are ill.
There is pain in the neck, extending to the occipital region, lower jaw, ears, temporal region. Patients are worried about headache, weakness, apathy, fever. There may be heart palpitations, excessive sweating, weight loss, hand trembling. The thyroid gland is enlarged, painful when probing. With a prolonged course of the disease, drowsiness, lethargy, lethargy, chilliness, swelling of the face, dry skin may develop.
Thyroiditis chronic fibrous (goiter Riedel)
The disease occurs for reasons that have not been fully elucidated, it may be a consequence of infectious diseases, immunity disorders.
The thyroid gland is very dense, immobile, does not move when swallowed, merged with the surrounding tissues. At large gland sizes, hoarseness of voice appears, difficulty in swallowing, breathing.
Thyroid autoimmune chronic (Hashimoto thyroiditis)
The disease is based on an autoimmune damage to the thyroid gland - antibodies to the tissues that make up the gland are formed in the body, resulting in severe disruption of its activity. Initially, cells are attacked by antibodies and destroyed, which leads to the release into the blood of a large number of hormones. Subsequently, the number of thyroid cells decreases, and thyroid hormone deficiency, hypothyroidism, develops. The overwhelming majority of patients are women.
The thyroid gland is unevenly enlarged, with palpation, it is mobile, elastic. When the gland is large, difficulty in breathing and swallowing appear. Sometimes iron, on the contrary, decreases in size, nodes may appear. In the early stages of the disease, symptoms similar to thyrotoxicosis - irritability, nervousness, sweating, weight loss, heart palpitations can occur. As the disease progresses, they are replaced by signs of hypothyroidism — weight gain, chilliness, dry skin, hair loss, coarsening of the voice, and sexual dysfunction.
Treatment of thyroiditis.
In acute thyroiditis, antibiotics, sedatives, vitamins C, and groups B are prescribed. In subacute thyroiditis, prolonged use of corticosteroids and thyroid hormones. Thyroid hormones are also prescribed for chronic fibrous and autoimmune thyroiditis. In severe cases, with an excessive enlargement of the thyroid gland, surgical treatment is carried out.
Autoimmune thyroiditis is not completely curable, the patient needs a lifelong observation of the endocrinologist and control of thyroid function. During treatment, it is possible to achieve a state of euthyroidism (normal hormone levels) and to keep the level of antibodies under control.
MEDICINES USED IN TREATMENT (ON APPOINTMENT AND OBSERVATION OF THE ENDOCRINOLOGIST)
Amoxicillin (Amine, Amoxiclav, Ospamox)
Ampicillin (Ampic, Dedompil, Docillin, Roscillin, Semicillin) Doxycycline (Doxybene, Doksinat, Medomitsin, Unidox
Solutab) Penicillin (Benzylpenicillin sodium salt, Phenoxymethylpenicillin)
Ceftriaxon (Megion), Ofrakson, Rotsefin, Cefaxon; Ploks, Ziprinol)
Dexamethasone (Daxine, Dexazone, Cortidex, Novometazon,
Prednisolone (Decortin, Metipred) Triamcinolone (Berlicort, Delphicort, Kenalog)
Thyroid hormone drugs
Liothyronine (Tirecomb, Triiodothyronine) Thyroidin (Tyranon, Tiraton)
Nonsteroidal anti-inflammatory drugs
Diclofenac (Voltaren, Diklonat, Dikloran, Naklofen,
Ketoprofen (Ketonal, Profenid) Klofeson (Perklyuzon) Naproxen (Naprobene) Piroxicam (Pyroreum, Felden, Erazon)
Folk remedies for thyroiditis only alleviate the symptoms, but do not cure the underlying disease.
When nerve symptoms are used soothing herbs and fees, with weight changes - special diets.
Everything related to the diagnosis of subacute thyroiditis, treatment, diagnosis, etiology of the disease lies in the field of the endocrine medicine, because it is directly related to the inflammation of the thyroid gland. It occurs most often in women under 50 years of age and is believed to be of viral origin. Men suffer from this disease 5 times less. In children and the elderly, it is extremely rare.
It occurs most often in women under 50 years of age and is believed to be of viral origin. Men suffer from this disease 5 times less. In children and the elderly, it is extremely rare.
It is believed that de Querven thyroiditis (another name for the disease) occurs after viral infections. As a rule, an acute respiratory viral infection, preceding thyroiditis, proceeds as usual: there is weakness in the whole body, a general deterioration of health, the temperature rises, there are aches, disorders of the gastrointestinal tract. And after some time after recovery (from several weeks to 2-3 months), the patient is diagnosed with subacute thyroiditis. This is confirmed by medical statistics, which captures a significant increase in the incidence of this endocrine disease during periods of outbreaks of viral infections. Some doctors criticize and subject this theory to doubt, but have not yet put forward their versions.
At risk are people who have already had cases of subacute thyroiditis or other endocrine pathologies. If at the same time they have weakened immunity and are subject to frequent colds, the danger of the disease becomes even greater.
With de Kerven's thyroiditis, the inflammatory focus is small, the thyroid gland is enlarged moderately, but its inflamed follicles are damaged and ruptured.
At this point, thyroid hormones (colloids) are released into the blood, the excess of which in the blood causes thyrotoxicosis symptoms. The amount of hormones ejected depends on the size of the inflammatory focus, and the severity of the disease, in turn, on the amount of hormones emitted. Pituitary hormones with subacute thyroiditis do not change, remaining within the normal range, and antibodies to TPO (thyroperoxidase) increase. During treatment, the affected area heals.
The defeat of the thyroid gland with subacute thyroiditis is focal or diffuse (uniform), respectively, the disease can proceed in a severe or mild form.
In severe cases, there is a significant increase in temperature (up to 38-39 ° C), pain in the thyroid gland, which is first localized in one area, then transferred to another. Sometimes painful sensations are given in the ears, lower jaw, aggravated during swallowing. Symptoms of mild thyrotoxicosis may occur: sweating, weakness, hand tremor, unmotivated nervousness. A visual inspection shows an enlargement of the thyroid gland, tuberosity.
In severe cases, there is a significant increase in temperature (up to 38-39 ° C), pain in the thyroid gland, which is first localized in one area, then transferred to another.
The course of the disease is considered easy, in cases where after a certain time after a viral infection has passed, you feel unwell, there is a persistent low-grade temperature, the analysis shows an increased ESR in the blood. Symptoms of thyrotoxicosis are not observed.
The course of thyroiditis involves several stages. The first (acute) lasts 1-1.5 months and is characterized by:
- high content of T3 and T4,
- increased antibodies to TPO,
- enlarged thyroid gland
- increase in ESR up to 70-80 mm / h
- reduced capture of iodine on scintigraphy.
After 1.5-2 months, the level of hormones normalizes, the pain goes away, the symptoms of thyrotoxicosis also disappear, only an increased ESR remains. After about 4 months, during the recovery period, mild symptoms of hypothyroidism may appear, but they soon pass by themselves. Approximately by 7-8 months the level of thyroid hormones and THG is normalized, the ESR decreases, pain completely disappears, the gland is restored to its former size.
It should always be remembered that de Querven's subacute thyroiditis is prone to relapses, especially with hypothermia and recurrent infections. Often, when diagnosing this disease is difficult to distinguish from diffuse toxic goiter, cancer of the thyroid gland, acute thyroiditis, which require a completely different therapy.
Subacute thyroiditis de Kerven: conservative treatment
Timely diagnosis with the correct definition of the stage of the disease allows you to choose the most effective course of therapy. At the initial stages, symptomatic treatment is carried out to eliminate the main signs of the disease. Later, to alleviate the patient’s condition, a whole set of measures is prescribed:
- drug treatment using salicylates, glucocorticoids, steroids, thyroid and anti-inflammatory nonsteroid drugs,
- physiotherapeutic methods
- local application of ointments, creams, etc.,
- immunomodulatory therapy
- operational methodology.
Subacute thyroiditis is treated with the use of salicylates, glucocorticoids, steroids, thyroid and anti-inflammatory nonsteroidal drugs.
Glucocorticoid therapy is aimed at eliminating inflammatory processes, removing intoxication and pain, eliminating the formation of antibodies in the thyroid gland, suppressing autoimmune reactions. Usually, soon after starting prednisone, symptoms of the disease subside and disappear.
Local treatment quickly normalizes the function of the thyroid gland, eliminating inflammatory processes in it. With this technique, butadionic or indomethacin ointments or gels based on diclofenac are used. These funds not only eliminate inflammation, but also enhance the effect of other pharmacological drugs entering the body.
Sometimes, when diagnosed with de Kerven's thyroiditis, short-term hormone therapy is prescribed.
After relief of pain, the dosage begins to be reduced, and the total duration of treatment should be no more than 2 weeks.
Operative measures are resorted to only in extreme cases: with tissue necrosis, severe destructive changes in the thyroid gland, the presence of large nodes, squeezing of the esophagus and trachea, the transition of the disease to the chronic stage.
Acute purulent and purulent thyroiditis. Subacute thyroiditis de Kerven
Inflammation of the thyroid gland. Thyroiditis de Kerven
Treatment of thyroid folk remedies
Treatment of subacute thyroiditis folk remedies
For traditional medicine to become a faithful ally in the treatment of this disease, it must always be used under the supervision of an endocrinologist.
Most physicians have a positive attitude to popular folk remedies, including phytotherapeutic methods, recognizing their effectiveness.
- Walnut tincture. Grind 30 pcs. green walnuts, add a glass of natural honey and a liter of vodka, mix, put in a dark place for 2 weeks. After insisting strain. Drink before meals in small doses (the exact dosage should be agreed with your doctor).
- Tincture of seaweed. Mix a teaspoon of chopped seaweed, red pepper (capsicum), herbs Lunitz. All this pour 250 g of boiling water, cover, insist 8 hours. Take three times a day.
- Juice therapy has long been a great highly effective folk remedies. For the treatment of subacute thyroiditis use a mixture of carrot and beet juice in a ratio of 3: 1.
- Tincture of pine buds. 0.5 kg of pine buds grind in a meat grinder, pour with vodka and insist 2 weeks in a dark cool place. Lubricate the thyroid gland 3 times a day.
Be sure to consult your doctor, who will help you calculate the correct dose of medication, take into account individual intolerance, if any, eliminate the negative impact that may be caused by folk remedies.
All these recipes are presented for informational purposes only.
Inflammatory diseases of the thyroid gland occupy a significant place among the endocrine pathology
Subacute thyroiditis de Kerven - an infectious-inflammatory disease that occurs with the gradual destruction of thyroid cells and hormonal imbalance. Like most other endocrine diseases, it is more common in women than in men (approximate ratio –5: 1).
Useful information, photos and videos in this article will help to understand what constitutes subacute thyroiditis: treatment + symptoms, causes and mechanism of development of this pathology are of serious scientific interest.
Interesting fact. The Swiss surgeon de Kerven, after whom the disease was later named, described the typical manifestations of subacute thyroiditis in 1904.
Causes and pathogenesis: how the disease develops
Most often, de Kerven's thyroiditis complicates the course of infection caused by the influenza virus, Coxsackie, ECHO, rotavirus, and develops 2-3 weeks after the infection process. The defeat of the thyroid gland in this case is associated with a violation of the protective processes in the body.
Immunity cells that are activated to combat the virus, for an inexplicable reason, begin to attack the healthy tissues of the thyroid gland.
There are three consecutive stages of the disease. A detailed description of each of them is presented in the table below.
Table 1: Pathogenesis of subacute thyroiditis:
|Stage 1 - local inflammation||Stage 2 - damage to the thyroid tissue (thyrotoxicosis)||Stage 3 - exhaustion (hypothyroidism)||Stage 4 - Recovery|
|Description||The first attack of the immune cells on the thyroid gland occurs, and an active organ inflammation develops with its typical manifestations: pain, redness, swelling and fever.||Due to the damaging effects, the follicles of the thyroid gland burst (collapse), and a large amount of thyroid hormones are released into the blood. Thyrotoxicosis develops||In the future, the content of hormones with thyroid disease is depleted, and their pronounced deficiency is observed in the body - hypothyroidism||Damaged follicles are scarred by connective tissue, inflammation subsides, the functional activity of the thyroid gland and hormones are gradually restored.|
|Duration||2-3 days||1-2 months||2-3 months||Up to 4 months|
|Laboratory tests||Usually within normal limits||Increased T3, T4||Gradual return to normalcy|
Note! In the absence of the necessary treatment, subacute thyroiditis can become chronic.
Typical manifestations of subacute thyroiditis: what patients most often complain
Subacute thyroiditis of the thyroid gland is less common and makes up only 1-2% of all endocrine disorders. Most often, they are sick women aged 30-50 years.
The disease begins with common symptoms of intoxication:
- general weakness
- lack of appetite
- decrease in working capacity.
Then signs of subacute thyroiditis correspond to the stage of the disease.
Stage of local inflammation
The subacute thyroiditis begins with it: the symptoms of this stage are associated with active inflammation of the thyroid gland:
- Sore throat and anterior surface of the neck, which can migrate to the right or left side, give to the lower jaw or ear, aggravated by turning the neck and bending the head.
- Temperature increase to 39.0-40.0 ° С.
- Redness and swelling of the skin in the projection of the thyroid gland.
- An enlarged thyroid that the doctor may notice when visually inspected or palpated.
Due to pronounced symptoms, patients go to a doctor already at an early stage of the disease.
When a large amount of thyroid hormones begins to enter the blood, the patient develops severe symptoms of hyperthyroidism:
- Irritability, mood swings, nervousness.
- Trouble sleeping
- Convulsive contractions of muscles, trembling of finger-tips, tongue.
- The feeling of sand and eyes.
- Loose stools.
- Constant increase in body temperature at 37.0-37.5 ° C.
- Poor tolerance to high temperatures.
At the hypothyroidism stage, on the contrary, the signs of thyroid insufficiency and thyroid hormone deficiency come to the fore:
- Weakness, fatigue, decreased performance.
- Impaired memory and concentration.
- Pallor of the skin, swelling of the face, palms and feet.
- Slow metabolism, bloating.
Drowsiness is not only a sign of chronic fatigue, but also a symptom of thyroid disease
Stage of recovery
This stage is characterized by a gradual return to normal impaired functions and the disappearance of any symptoms of the disease. Almost all patients are fully restored after subacute thyroiditis, only a small part of them encounters post-infectious persistent hypothyroidism and needs lifelong replacement therapy.
Note! Another variant of the disease is subacute thyroiditis with a recurrent course. This form of inflammation of the thyroid gland is undulating, and several months after recovery, the patient reappears the symptoms of de Kerven thyroiditis.
Often patients are forced to consult a doctor with severe neck pain and symptoms of intoxication.
Medical instructions prescribes the following diagnostic algorithm:
- Collecting complaints and anamnesis (be sure to tell your doctor about recently transferred viral infections).
- Examination of the neck for the presence of redness and swelling.
- Palpation - when you try to probe the thyroid gland, a sharp pain is felt.
- General clinical tests of blood and urine.
- Laboratory analyzes: determination of the level of TSH, T3, T4, Anti-TPO, Anti-TG.
- Thyroid ultrasound to assess the shape, size and extent of inflammatory changes in the tissues of the organ.
- Scanning (scintigraphy) is used for differential diagnosis. In subacute thyroiditis, the seizure of radioiodine molecules by the cells of the thyroid gland is always disturbed.
The price of complex laboratory tests for thyroid hormones in private laboratories is 2000-3000 r.
Note! Many patients with subacute thyroiditis, having come to the doctor's office, complain of sore throat. The task of an experienced specialist is not only to examine the pharynx, which will be calm, but also to inspect and palpate the neck.
Principles of Therapy for Thyroid Inflammation
Treatment of subacute thyroiditis includes a whole range of measures, including effects on the cause of the disease, as well as combating the main clinical symptoms. With your own hands and folk remedies here just can not do.
The disease therapy program includes:
- Purpose of glucocorticosteroids (Prednisolone, Dexamethasone). These drugs quickly relieve inflammation and swelling, relieve pain and intoxication, suppress autoimmune processes in the thyroid gland. Treatment with prednisolone subacute thyroiditis can significantly improve the prognosis of the disease. The standard initial dosage is 30-40 mg (hereinafter it is adjusted by the attending physician), the treatment course is 1-2 months.
- Reception of NSAIDs (Indomethacin, Diclofenac) also helps relieve pain, swelling and inflammation. Group drugs are indicated for mild forms of subacute thyroiditis, severe pain in the neck.
- Metronidazole (Trihopol) appointed in case bacterial anaerobic flora accumulates on the viral infection causing the thyroid inflammation. The drug has pronounced bactericidal properties.
- Thyroid preparations (Eutirox, L-thyroxin) assigned to the stage of hypothyroidism (usually after 4-6 weeks from the onset of the disease, when the symptoms of thyrotoxicosis subside). They allow you to quickly restore hormonal levels.
- Immunomodulators (Timolin, T-activin) recommended for prolonged prolonged course of the disease to restore the normal functioning of the body's defense system and obstacles to autoimmune processes.
- Local treatment (applications with indomethacin ointment, diclofenac-sodium, Dimexide, half-alcohol compresses) are recommended to reduce pain and inflammation directly in the area of the thyroid gland.
The main drug for the treatment of subacute thyroiditis remains Prednisone
Note! To date, the use of glucocorticosteroids is considered the most effective treatment for thyroiditis de Kerven. If Prednisolone therapy is ineffective, the question of the operation to remove the thyroid gland is resolved.
Be sure to consult your doctor if the symptoms described above occur. Early diagnosis and timely treatment improve the prognosis and allow patients to quickly recover from the disease. De Querven's subacute thyroiditis requires careful attention from both the doctor and the patient.