Quite often at a disease there are no expressed symptoms, except feeling of pressure and weight in a thyroid gland, and also increased fatigue. This illness has also other name - limfomatozny tireoidit. It is connected with that in process of pathology in an organism of the patient lymphocytes and antibodies which fight against cells of a thyroid gland are formed. This pathology promotes that the struck cells of a thyroid gland start perishing gradually. Statistically in 30% of cases of diseases of a thyroid gland, tireoidit it is presented in an autoimmune form. It should be noted that if to tighten treatment of pathology, it can outgrow in strumit is a disease at which in the thyroid gland increased in sizes inflammatory process develops.
Tireoidit will call not single pathology, but the whole group of diseases more correctly, each of which differs in the symptoms and unites one general process.
Today distinguish some forms of a tireoidit: sharp, subsharp and chronic. The sharp form of pathology in turn can be not purulent or purulent. The subsharp form of a tireoidit is called sometimes de Quervena tireoidit. As for a chronic form of a tireoidit, it can be autoimmune or fibrous.
The sharp form of a purulent tireoidit, as a rule, develops in the presence of chronic infectious process. As for a chronic form of a purulent tireoidit, it usually arises against sharp infectious process or in the presence of a chronic infectious disease. In particular, such diseases is tonsillitis, sepsis and .
Hemorrhage in a thyroid gland or a trauma can quite become the reason of emergence of a sharp form of not purulent tireoidit. As for the reasons of development of a subsharp form of a disease, usually viral infections belong to them. Besides a purulent and not purulent form of this disease, distinguish also focal and diffusion sharp tireoidit.
Symptoms of a tireoidit directly depend on a concrete form of a course of this disease. The main symptoms of a purulent form of a disease is pain in the field of a forward surface of a neck. Thus pain can quite give to a nape, and also to the lower or top jaw. It is also necessary to note that pain usually amplifies when swallowing and at the movement of the head. In addition, at patients it is also quite often noted the lymph nodes increased in sizes, a fever and of a body. If to probe area of a thyroid gland, it is possible to find increase in its part.
The sharp not purulent tireoidit is shown is usually less expressed, than a sharp purulent form. At a subsharp tireoidit patients complain of pain in a neck which often gives to the lower jaw, a nape, temporal area. Also at a disease there are such symptoms as a frequent , weakness, temperature increase of a body and decrease of physical activity. At the initial stages of a disease such symptoms as perspiration, the speeded-up warm reduction, weight loss, the increased perspiration and trembling of hands are sometimes noted. In blood increase of level of hormones of a thyroid gland is noted. At a long course of disease, hypothyroidism symptoms often develop, patients have a slackness, drowsiness, a chill, block of movements, dryness of skin, hypostases on a face, rare warm reduction.
At a disease usually thyroid gland increases in sizes, and only its right part most often increases. To the touch it painful and dense. In blood of the patient the low maintenance of hormones of a thyroid gland is noted. When the patient is on the mend, morbidity of a thyroid gland disappears, and also returns to normal the level of its hormones. It should be noted that quite often it is impossible to recover from an illness forever. After all it can come back, the probability of return of pathology when overcooling is especially great and at repeated viral infections.
At a chronic fibrous tireoidit the thyroid gland considerably increases in sizes. Thus the thyroid gland very dense, motionless is also not displaced when swallowing. If the sizes of a thyroid gland rather big, are observed such symptoms of squeezing of bodies of a neck as the complicated swallowing and breath, and also a voice osiplost.
At an autoimmune chronic tireoidit during the first years of a course of a disease typical symptoms of pathology and the complaint at patients are absent. Over time there can be a diffusion, uneven increase in a thyroid gland. Thus it mobile and dense. At the considerable sizes symptoms of squeezing of bodies of a neck are shown. Eventually changes which destroy a thyroid gland, as a result provoke emergence of violation of functions of a thyroid gland. Initially it is shown in the form of increase in quantity of hormones in blood, and further quantity of hormones on the contrary, there is less norm. When carrying out diagnostics here considerable value has definition of a caption of antitireoidny antibodies against hormones of a thyroid gland.
The current of a sharp form of a tireoidit can lead to that in tissues of a thyroid gland there will be an abscess which develops further by several main options as a result. The best outcome is considered here if the abscess breaks outside. Much worse if this abscess breaks in surrounding fabrics or pus will appear too close to heart.
To confirm tireoidit the autoimmune, there is enough that in the high level of antibodies which counteract proteins of a thyroid gland was observed. To make the final diagnosis, carrying out a biopsy of a thyroid gland is required.
For confirmation of a subsharp tireoidit it is enough that at blood there was an increased level of hormones. Besides at this disease the SOE level usually more than 80.
Mirsovetov notes that treatment of a tireoidit in many respects depends on its form. So, at a sharp form is usually appointed. Besides, the preparations eliminating the accompanying disease symptoms are applied. In addition, to the patient preparations of vitamin C and vitamins of group B are appointed. At abscess the question of need of treatment by means of a surgical method is raised. At a subsharp tireoidit to the patient treatment by hormonal preparations is usually appointed.
As for treatment of an autoimmune tireoidit, at this pathology special medicines - tireoidny hormones are usually appointed. If the thyroid gland gets the considerable sizes, expeditious treatment often is required.
Timely treatment often leads to that symptoms of a sharp tireoidit disappear, and the person as a result completely recovers. In the future of recurrence usually does not happen. As for a subsharp form, it also most often comes to an end with an absolute recovery. Though in a thyroid gland there can sometimes be after recovery consolidations which are often regarded as the harmless knots which are not demanding treatment.
If the diagnosis is made to the patient autoimmune tireoidit, there is a gradual deterioration of functions of a thyroid gland. It leads to that at the patient resistant hormonal deficiency of a thyroid gland develops. In this case to the patient treatment by means of special tireoidny hormones is usually appointed.