Hashimoto-Thyreoiditis is the in this country most common reason for an underactive thyroid. Women are more likely to be affected than men and most of them get sick between the ages of 30 and 50. But the disease can also occur in children or in old age.
- What is Hashimoto?
- Causes and course
- Consequences and treatment
- Diet and the desire to have children
What is Hashimoto’s Thyroiditis?
Hashimoto’s thyroiditis is the disease Chronically inflamed thyroid gland. The cause is one Autoimmune reactioncausing the gland to stop producing enough hormones. Normally, the thyroid gland, among other things, forms the Hormones T3 (triiodothyronine) and T4 (thyroxine)that control many processes in the body. Due to the disease, these are no longer available in sufficient quantities.
At the onset of the disease, the inflammation is temporary Hyperthyroidism possible. In the course of this, there is usually an underactive function, which is associated with fatigue and skin changes.
These Subfunction must be compensated by tablets, which usually make the symptoms go away.
When too few hormones are produced by the thyroid gland impaired many body functions, and it comes to different complaints.
Affected feel generally weakened, are common tired and freeze easy. In addition, the body can change visibly: the neck can become thicker because the inflammation sometimes makes the thyroid gland larger. But it can also be that the thyroid is shrinking significantly. The skin may become drier or thickened, and weight gain may occur.
Other symptoms are hoarseness, constipation, a slow pulse rate, menstrual problems or psychological problems such as low mood and listlessness.
Causes and course of the autoimmune disease
The inflammation of the thyroid in Hashimoto’s thyroiditis is triggered by an autoimmune reaction. The immune system is directed against its own body and attacks thyroid tissue. As a result, there is chronic inflammation of the gland. In some sufferers, more and more thyroid tissue is lost and is replaced by connective tissue. However, it is still unclear like it to such a Misjudgment of the immune system comes, genetic causes may play a role.
In Hashimoto’s thyroiditis, the amount of thyroid hormones in the blood initially remains normal, although thyroid cells die. In order to be able to keep the hormone level in the normal range, the functioning tissue grows. The hormone production is increased at the beginning and the thyroid gland therefore often becomes larger at the beginning. However, so much thyroid tissue can be lost over a long period of time that not enough thyroid hormones are produced. This leads to a subfunction.
Rarely does one occur at the onset of the disease Hyperfunction on what complaints how Racing heart, nervousness or increased sweating brings with it. This happens because the thyroid gland stores a certain amount of hormones, all of which are released at once when the thyroid tissue dies.
Diagnostics at Hashimoto
If Hashimoto is suspected, the doctor will scan the thyroid gland and, if necessary, examine it using ultrasound.
Then show whether a diagnosis of Hashimoto’s thyroiditis is given Blood tests. The Schildrüsenwerte measured, to which the thyroid hormones themselves and the hormone TSH belong. The TSH is produced in the pituitary gland and controls the function of the thyroid gland. It is also examined whether in the blood typical antibody against the thyroid tissue, which are caused by the dysregulation of the immune system.
Hashimoto’s thyroiditis can also occur with other autoimmune diseases. If there is any suspicion, further examinations are therefore necessary, such as tests for celiac disease or diabetes mellitus.
Consequences and treatment
If Hashimoto’s thyroiditis leads to an underactive thyroid, is one Treatment important. Otherwise, long-term complications such as cardiovascular diseases or concentration, memory or consciousness disorders can occur.
The one caused by the chronic inflammation Loss of thyroid tissue can no longer be undone. The missing thyroid hormone T4 (also called thyroxine) can be easily replaced by the active ingredient levothyroxine / L-thyroxine, which the Normalized hormone levels. The symptoms usually go away completely, but it can take two to three months for the hormone level in the body to level off. To keep the complaints away permanently, is one lifelong use of thyroid hormones unavoidable.
Diet and the desire to have children
So far there is no confirmed scientific evidence that a special diet Hashimoto could improve. But what is important is to one balanced and healthy diet * to pay attention that at least contributes to a healthy body weight and that Supply of all important micronutrients ensures to support the thyroid gland as well as possible.
At the beginning of the disease, a low-iodine diet is advisable, but this should be discussed with your doctor beforehand. Sometimes selenium is also prescribed temporarily, as it has a beneficial effect on the antibodies at the beginning. However, this may only be carried out on the advice of a doctor.
Since the Thyroid as key gynecological organ holds, Hashimoto’s thyroiditis can have a major impact on fertility. Thyroid hormones influence the sex hormones progesterone and estrogen, among other things. Hashimoto can therefore become one irregular cycle or prevent ovulation at all. The likelihood of pregnancy is lower, but it cannot be ruled out. For this, the intake of thyroid hormones must be adjusted. Pregnancy also increases the need for thyroid hormones. Diet can also have a positive effect on fertility. So there are also ways for people with Hashimoto to increase the chances of conceiving. Tip: You can read here what a suitable diet can look like if you want to have children.
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