What medications to take for hypothyroidism. Effective treatment of hypothyroidism with medications and herbs

A long-term and persistent decrease in hormonal levels due to a malfunction of the thyroid gland is called hypothyroidism. The initial stage of the disease, as a rule, passes without visible symptoms, but this does not mean that the solution to the problem can be postponed for a longer period. Late diagnosis of the disease, as well as delays in treatment, can lead to serious consequences for the entire body.

The treatment strategy for hypothyroidism is based on taking synthetic thyroid hormones. This method is considered the most effective and relatively safe. The success of the therapy depends on the individual characteristics of the body and how correctly the dosage of the drug is selected.

Prescribing the right treatment

When the thyroid gland is diseased, a metabolic disorder occurs, which negatively affects all organs and systems of the human body. As the clinical picture of the onset of hypothyroidism is determined, the attending physician may prescribe rather long-term replacement therapy.

Currently, medicine has not found ways to restore the natural function of thyroid hormone (TSH) production, so synthetic maintenance of hormonal levels can be lifelong. In addition, replacement therapy should be carried out against the background of a special diet.

Treatment begins with diagnosis

Establishing the cause of the disease is the initial stage of future treatment. Based on the results of the diagnostic study, the patient is prescribed a strictly individual regimen for taking the hormonal drug.

To make an accurate diagnosis, the following procedures can be performed:

• examination of the thyroid gland to determine the amount of autoimmune antibodies;
• blood test for TSH, T3 and T4 levels;
• X-ray of the thyroid gland;
• biopsy.

In addition, mechanical diagnostic methods are used to examine the thyroid gland:

• Thyroid scan using radioactive iodine. This method helps determine the rate of absorption of this trace element. Low levels detected as a result of the scan will indicate the presence of hypothyroidism.
• Ultrasonography is a safe method for mechanically diagnosing the disease. This method is used to identify pathological abnormalities, the degree of enlargement of the diseased organ and the presence of areas of compaction.
• When conducting a laboratory study of hormonal levels, it is also necessary to take into account the most obvious symptoms, which the patient himself must report.

A joint assessment of the results of laboratory tests and symptoms of the disease will help to obtain the clearest clinical picture.

Prescribing hormonal drugs

Treatment of hypothyroidism with hormonal drugs is by far the most effective way to solve the problem. The dosage of the required medication is prescribed by an endocrinologist based on test results. According to statistics, most often patients suffer from a deficiency of the hormone T4, which is responsible for protein synthesis and tissue metabolism. To restore it, endocrinologists prescribe L-thyroxine. If a laboratory test shows a lack of T4 and T3, then in this case it is recommended to take a combination drug - triiodothyronine. Replacement therapy requires quite a long period of use, so the prescribed dosage must be periodically adjusted based on the tests taken.

The drug L-thyroxine is a synthetic analogue of the T4 hormone. This medicine comes in tablet form of 50 and 100 mcg. While taking this drug, you should never change the dosage yourself. With proper treatment, the concentration of the replacement hormone should stabilize at a natural level.

The medication is taken 30 minutes before meals once a day. Visible results from replacement therapy can be noticed only six months after the start of hormonal adjustment. Drug treatment of hypothyroidism must necessarily be accompanied by dietary nutrition and vitamin complexes.

Treatment of iodine deficiency of the thyroid gland

The need to restore iodine in the body occurs with iodine deficiency hypothyroidism, so taking medications containing this microelement is mandatory for patients. The most effective medications are:

• Iodomarin is an effective prophylactic drug prescribed for thyroid dysfunction. If the thyroid gland is unable to maintain iodine production at the proper level, this microelement must be added to the body from the outside. Iodomarin is able to prevent many endocrine disorders and has several important indications for use.

1. First of all, such tablets are prescribed for hypothyroidism of the thyroid gland to correct hormonal levels.
2. Secondly, this drug is a preventive measure for relapse of the disease.

To prevent iodine deficiency, children are recommended to drink the drug 100 mg per day, adults – 200 mg. If, when diagnosing the disease, a chronic iodine deficiency was discovered, the dosage of the medicine is doubled. It is worth noting that the prescription of such a drug should only be carried out by a professional doctor.

• Laminaria is an alternative substitute for iodomarin. In fact, kelp is a seaweed that is sold in a pharmacy in dried form. This herbal preparation must be added to daily meals. Pharmacists also offer various medications that contain kelp. In addition, this plant is an integral component of some dietary supplements.

Restoring iodine deficiency in the body is a very important procedure. Chronic deficiency of this element negatively affects the functioning of many organs and systems. It is especially important to maintain the natural balance of iodine in children.

Maintaining vitamin balance

When diagnosing hormonal imbalance, prescribing a vitamin complex is considered mandatory. Full restoration of metabolic processes is impossible with vitamin starvation. Patients with hypothyroidism need the following vitamins:

• Vitamins A and B – help restore immunity.
• Vitamin E – improves blood circulation in organs, which significantly speeds up the process of restoration of all body systems.
• Vitamin C – helps return the thyroid gland to normal functioning.
• Omega 3 – starts the process of regeneration of diseased cells, and also promotes the restoration of metabolic processes.

Complex vitamin preparations are quite widely represented among pharmaceutical products, so finding a suitable option is not difficult. Doctors pay special attention to a drug such as fish oil. This product contains most of the vital microelements and vitamins, and, therefore, will be a good preventative for hypothyroidism.

Therapeutic diet

The chances of successful restoration of hormonal levels increase significantly if the patient follows a certain therapeutic diet, which is developed in compliance with certain rules:

• Foods eaten daily should contain large amounts of vitamins and microelements.
• Fatty foods will have to be eliminated completely. To restore intercellular metabolism, foods that are easily digestible are needed.
• During treatment you will also have to exclude flour products and sweets.
• Soy is the main enemy of hypothyroidism, so it should also be removed from the daily menu.
• Every day the patient should consume iodine-containing foods, such as seaweed, walnuts, persimmons, and seafood. You also need to replace regular salt with iodized salt.
• For hypothyroidism, nutritionists recommend eating more vegetables and fruits, as well as protein foods.

Quite often, patients with hypothyroidism experience a phenomenon called constipation. To prevent such a problem, it is necessary to include foods with a high fiber content in your diet. Due to the slowdown in metabolic processes, fluid is removed from the body for quite a long time, resulting in swelling of tissues and internal organs. Due to this phenomenon, it is worth limiting the consumption of water and other liquids to 1.5 liters per day. With the right diet, not only metabolism improves, but also the psycho-emotional state of the patient.

ethnoscience

Treatment of endocrine disease with traditional methods should occur in conjunction with drug therapy. The use of herbal remedies and natural products is aimed at maintaining the immune system, stabilizing the psycho-emotional state and relieving visual symptoms of the disease.

Alternative medicine recipes can be used internally or externally. When using herbal medicine, it is important to maintain regularity. Herbal mixtures must be consumed in certain courses, between which there must be mandatory breaks.

To relieve symptoms such as swelling, you can use herbal remedies that have diuretic properties. Typically, such mixtures include St. John's wort, parsley, oregano, and mint. Also, when swelling occurs, careful therapeutic massage and various cosmetic baths and compresses are used.

In the plant world there are various types of herbs, the composition of which is identical to thyroid hormones (white cinquefoil, beaver uterus). Such plants are capable of taking an active part in restoring hormonal levels, so the use of traditional recipes must be agreed upon with the attending physician.

comes down to maintaining normal levels of thyroid hormones. The use of drugs for replacement purposes is the treatment of hypothyroidism. Unfortunately, in our time, hypothyroidism cannot be treated, and this is a fact. Good day, dear reader. In my previous article I talked about the disease itself, and in this article I am going to tell you how to cope with this disease.

The so-called hypothyroidism treatment consists of replenishing missing hormones with the help of synthetic analogues, as well as. Since we know that the thyroid hormones are triiodothyronine (T3) and thyroxine (T4), then they need to be replenished with similar synthetic drugs.

Manifest (overt) hypothyroidism is an absolute indication for replacement therapy, regardless of the age and other diseases of the patient. The difference may be in the choice of drug, the initial dose and the rate of its increase.

The issue of starting replacement treatment for subclinical hypothyroidism is still controversial. However, the absolute indication for starting treatment is subclinical hypothyroidism in a pregnant woman or in a woman who is planning a pregnancy in the near future.

Treatment for hypothyroidism is as follows...

T3 drugs have a faster effect, but at the same time they also have stronger side effects. T4 drugs act more slowly, but give a smoother and milder effect. Therefore, preference is given to L-thyroxine. The prescription of these drugs requires a gradual increase in dose, starting with minimal doses.

This is done because prescribing the full dose at once or quickly increasing it can lead to undesirable consequences from the cardiovascular system in the form of palpitations, increased blood pressure, weakness, rhythm disturbances, shortness of breath, etc.

The average daily dose of L-thyroxine for women is 100 mcg, for men - 150 mcg. In general, the dose is calculated based on the patient’s body weight; it is 1.6 mcg/kg body weight. I described how to take thyroxine correctly in my article, I recommend you read it.

The drug is taken once a day in the morning, 30 minutes before meals. If this requirement is not met, then 50% of the drug is not absorbed and the expected effect will not be the same.

In young and middle-aged people without any disease hypothyroidism treatment starts with a dose of 25 mcg per day. If the drug is well tolerated, the dose can be increased every 7 days by 25 mcg per day to the final dose.

Elderly people are advised to start even more cautiously, with 12.5 mcg per day. The dose is increased even more slowly, by 12.5 in 10-14 days. When pain in the heart appears or becomes more frequent, the addition of the drug is stopped and hypothyroidism remains subcompensated (undercompensated).

TSH levels should be monitored 2 months after reaching the full dose. There is no need to watch T4, because it is inappropriate. If TSH has not decreased sufficiently, then the issue of increasing the dose of thyroxine is decided with repeated follow-up monitoring also after 2 months. If TSH was initially very high, then it can decrease only after 4-6 months. In each case, what to do is decided by your attending physician.

When a selected dose of L-thyroxine has a normal TSH, then this dose must be taken for a long time, and maybe even for life (it all depends on the cause of hypothyroidism).

It is important to remember that this drug is not addictive and you can stop taking it at any time. But when you do this, all the symptoms of hypothyroidism will gradually return and there will be a need to start treating hypothyroidism again.

The drug L-thyroxine does not cure hypothyroidism of the thyroid gland and, it maintains normal levels of thyroid hormones.

Treatment of hypothyroid coma

Hypothyroid coma is a fairly rare pathology. It develops very slowly, and it is very difficult not to notice the deterioration of the condition.

Treatment of hypothyroid coma is complicated not only by the critical severity of the patient and the need for complex therapeutic measures, but also sometimes by the advanced age of patients for whom it is impossible to quickly compensate for the deficiency of thyroid hormones.

Treatment is carried out in the intensive care unit of a medical institution. To treat coma, T3 drugs are most often used, because they act faster and penetrate well through the blood-brain barrier into the brain, but T4 drugs, which are administered intravenously, are also used.

Glucocorticoids and a set of measures to correct hemodynamic and electrolyte disorders are also widely used.

Prognosis for primary hypothyroidism

The quality of life in people with compensated thyroid hypothyroidism is no different from the life of healthy people; there are no restrictions. The only thing that distinguishes such people is the need to take L-thyroxine daily.

Hypothyroidism(myxedema) is a disease caused by insufficient supply of thyroid hormones to the organs. With hypothyroidism, practically nothing hurts, but life passes by: nothing makes you happy, the quality of life of patients with hypothyroidism leaves much to be desired. Patients with hypothyroidism often suffer from depression and often cannot understand what is happening to them.

Symptoms of hypothyroidism

Hypothyroidism is more common in women. Many people attribute the symptoms of hypothyroidism to fatigue, overwork, some other illness or current pregnancy, so hypothyroidism is rarely detected immediately. Only the sharp severity of symptoms and the rapid development of hypothyroidism make it possible to diagnose it on time. Subclinical hypothyroidism often remains unrecognized for a long time. A test with thyrotropin-releasing hormone will reveal hidden forms of primary hypothyroidism.

How to suspect hypothyroidism

With hypothyroidism, you have been worried about:

• Drowsiness (patients with hypothyroidism can sleep 12 hours a day for several days in a row). Hypothyroidism causes daytime sleepiness.
• Chilliness without the presence of any colds, decreased body temperature, increased sweating.
• Decreased immunity, frequent colds, including infectious diseases (for example, ).
• General lethargy, seizures not uncommon in hypothyroidism.
• Emotional lability: irritability, tearfulness.
• Decreased memory and performance, fast fatiguability.
• Difficulty in perceiving new information.
• Decreased reaction speed, slowed reflexes.
• Swelling of the face and limbs (unlike other edema, hypothyroidism does not leave a hole when pressing on the front surface of the leg).
• Pale skin, possibly with a yellowish tint.
• Dull eyes, brittleness and .
• Tendency to hypotension (low blood pressure).
• Thickening of the tongue, teeth marks along its edges (a symptom characteristic not only of hypothyroidism, but also of diseases of the pancreas).
• Impaired gastric motility (gastrostasis). At the same time, gastric emptying slows down, belching, and a feeling of heaviness in the stomach area are disturbing.
• Feeling of a lump in the throat and discomfort in the neck (optional symptom).
• Palpitations or slow heartbeat, pain in the heart area.
• Unexplained weight gain despite not exceeding daily calorie intake. Hypothyroidism causes a sharp slowdown in metabolism; losing weight with hypothyroidism becomes problematic, but this is possible if you follow the doctor’s instructions and the following .
• Elevated levels of cholesterol in the blood can trigger the development of atherosclerosis.
• Sometimes patients with hypothyroidism experience arthralgia (joint pain).

The severity of hypothyroidism symptoms depends on the degree of thyroid deficiency and the individual characteristics of the body.

In the presence of concomitant diseases, the clinical picture of hypothyroidism is supplemented by additional symptoms.

Is there a connection between hypothyroidism and breast cancer?

Hypothyroidism, like other chronic diseases, increases the risk of developing . Women over forty years old must have an annual mammogram of the mammary glands in two projections in order to catch the disease at the very beginning and begin treatment on time. After 50 years, mammography is performed once every six months, even if the woman is not worried about anything and does not suffer from hypothyroidism.

How does hypothyroidism occur during pregnancy?

Symptoms of hypothyroidism may worsen during pregnancy.

In the absence of treatment or improper treatment of hypothyroidism, hypothyroid (myxedematous) coma may develop. Mortality (mortality) reaches 80% in the absence of adequate treatment.

Congenital hypothyroidism is especially dangerous in children; it must be recognized and treated as early as possible, and even better, latent hypothyroidism must be identified in preparation for pregnancy and childbirth. .

Causes of hypothyroidism

Hypothyroidism is distinguished between primary and secondary.

1. Primary hypothyroidism develops against the background of pathology of the thyroid gland itself:

• For congenital anomalies or surgical removal of the thyroid gland
• Inflammation of the thyroid gland (thyroiditis)
• In case of damage of an autoimmune nature or after the administration of radioactive iodine
• For nodular or endemic goiter
• Chronic infections in the body
• With a lack of iodine in the environment
• When treated with thyreostatics (Mercazolil - active ingredient Thiamazol).
• When eating foods and medications that inhibit the function of the thyroid gland (for example, rutabaga, cabbage, turnips, salicylates and sulfonamides, thyme herb with long-term use).

Primary autoimmune hypothyroidism can be combined with insufficiency of the adrenal glands, parathyroid and pancreas. With hypothyroidism, iron deficiency anemia often develops. A combination of hypothyroidism, lactorrhea (as a result of hyperprolactinemia) and amenorrhea (absence of menstruation) is possible.

1. Secondary and tertiary (central) hypothyroidism is caused by dysfunction of the pituitary gland and hypothalamus.
2. With tissue resistance to thyroid hormones, inactivation of T3 circulating in the blood ( triiodothyronine) and T4 ( thyroxine ) or TSH ( thyroid-stimulating hormone ) peripheral hypothyroidism occurs. Symptoms of hypothyroidism often occur when levels are elevated. and, the latter stimulate the production of thyroxine-binding globulin (TBG) in the liver, and can weaken the effects of thyroid hormones.

Treatment of hypothyroidism

After an examination of the level of thyroid-stimulating hormone, thyroxine and triiodothyronine prescribed by the endocrinologist, according to indications Replacement therapy for hypothyroidism with synthetic thyroid hormones is carried out. The dosage of levothyroxine or Euthyrox for the treatment of hypothyroidism is determined only by a doctor. In the absence of cardiac pathology, during pregnancy, or the patient is under 50 years of age, a full replacement dose (without a gradual increase) is prescribed to achieve a euthyroid state. In case of secondary hypothyroidism, treatment of existing adrenal insufficiency must be carried out even before the appointment of L-thyroxine in order to prevent the development of acute adrenal insufficiency.

If the recommendations for taking the drug are not followed, it is difficult to achieve full compensation. This is further aggravated by the fact that patients with hypothyroidism are often depressed, do not listen to what they are told, and skip medications. Therefore, treatment of hypothyroidism should be comprehensive, including correction of the patient’s psychological state.

For hypothyroidism caused by iodine deficiency, the drug Endorm (contains organic iodine) is effective. There are contraindications for the use of Endorm; consult your doctor.

The method of computer reflexology and acupuncture (a type of reflexology) performed by competent specialists help quite well with hypothyroidism. But provided that hypothyroidism is not caused by organic damage to the thyroid tissue.

What vitamins can you take extra for hypothyroidism?

Thyroid function is normalized And .

Diet for hypothyroidism

In case of hypothyroidism, it is necessary to exclude from the diet foods that inhibit thyroid function (listed above). Preparations containing soy may reduce the absorption of levothyroxine, and the treatment of hypothyroidism will not be effective.

The intake of fats during hypothyroidism should also be limited, since they are poorly absorbed by tissues and can lead to the development of atherosclerosis.

Nutrition for hypothyroidism should be balanced, rich in vitamins and microelements (especially selenium). To improve your mood, it is advisable to include in your diet foods containing .

It is called a decrease in thyroid function caused by an imbalance of thyroid hormones. The disease leads to disruption of metabolic processes in the body, causes deterioration in health, and can cause serious complications. Hypothyroidism is treated with hormone replacement therapy with thyroxine preparations.

The disease mainly affects women. In the initial stages, the pathology is practically asymptomatic, so patients perceive it as ordinary overwork. If the lack of hormones persists for a long time, the following symptoms appear:

• lethargy, drowsiness;
• muscle pain;
• yellowness of the skin;
• chilliness of the limbs;
• swelling of the face;
• apnea;
• increase in the size of the tongue, with marks from teeth;
• dry mucous membranes, skin;
• deterioration of memory, concentration;
• decreased blood pressure;
• increase in liver size;
• decreased appetite;
• disorders of the digestive tract: constipation, nausea, vomiting;
• anemia;
• hearing impairment;
• hoarseness of voice;
• bile duct dyskinesia;
• ovarian dysfunction in women;
• hair loss and fragility on the face and body;
• layering of nails.

The severity of symptoms depends on the form of the disease and the duration of hormonal imbalance. Without timely treatment, patients lose motor reflexes, and may develop paresthesia of the limbs, polyneuropathy, and heart disease. In women, menstrual irregularities provoke infertility and miscarriage.

The most severe form of hypothyroidism is myxedematous coma, which is fatal in 40%. This condition develops in elderly patients who have not undergone treatment for a long time, or the therapy has not produced results. Coma can be triggered by a sharp weakening of the immune system, stress, viral, infectious diseases, alcohol abuse, and taking sedatives.

Types of hypothyroidism

There are primary and secondary forms of the disease. Primary develops against the background of pathological processes in the tissues of the thyroid gland, leading to the destruction of the functional cells of the organ. As a result, the glandular tissue produces insufficient quantities. The cause of this form of hypothyroidism may be:

• surgical;
• autoimmune reaction of the body ();
• congenital pathologies of the thyroid gland;
• severe iodine deficiency or excess;

Central or secondary hypothyroidism develops when there is insufficient secretion of thyrotropin by the pituitary gland. Thyroid-stimulating hormone signals the thyroid gland to produce T3 and T4 when there is a lack of them in the blood.

There is also a hypothalamic form of the disease; its main cause is dysfunction of the hypothalamus of the brain, which ensures the stability of the internal environment of the body. Peripheral hypothyroidism is characterized by resistance of peripheral tissues to thyroid hormones. Pathology develops due to congenital gene mutation. Such patients are lagging behind in physical and mental development, and all other symptoms of hypothyroidism are present.

Classification of hypothyroidism by severity

The primary form of the disease is divided into:

• characterized by elevated levels of thyroid-stimulating hormone (TSH) and normal levels of thyroxine (T4). Clinical manifestations are scant or absent.
• In the manifest form, a high concentration of TSH with a low T4 is diagnosed, and characteristic symptoms of hypothyroidism are present.
• The compensated stage is observed with successful treatment of the disease. The laboratory test result is within normal limits.
• Decompensated hypothyroidism is difficult to treat; there is a deficiency of thyroxine with elevated thyroid-stimulating hormone.
• A complicated form develops with prolonged decompensation of the disease. Possible complications include insufficiency of the thyroid gland, heart,. leads to pathologies of fetal development.

When a hypothyroid coma occurs, patients experience a decrease in body temperature, palpitations, shortness of breath, urinary retention, body edema, confusion, intestinal obstruction, and fainting.

The main diagnostic methods include laboratory testing of blood for the level of free blood. The doctor interviews the patient, examines, and palpates the thyroid gland.

Additionally they do, the organ, to the hormonal receptors of the gland (,). The results of a biochemical blood test reveal an increase in the level of triglycerides, low-density cholesterol compounds, and a decrease in hemoglobin concentration.

Ultrasound examination allows you to evaluate the size and structure of the gland. A tissue biopsy is taken for histological examination to determine the content of cancer cells. necessary to determine active and inactive, the presence of inflammatory foci.

It can be detected using neonatal screening in the first days of a child’s life. Hypothyroidism is differentiated from Down syndrome, rickets, encephalopathy, and chondrodystrophy.

Replacement therapy

To compensate for hypothyroidism in the manifest stage, hormone replacement therapy is carried out. The main goal is to normalize the levels of thyroxine, triiodothyronine, thyrotropin, and eliminate pathological symptoms. Use natural or synthetic ones. The dosage and treatment regimen are selected individually for each patient.

Replacement therapy for hypothyroidism is carried out to compensate for the manifest form of the pathology. At the subclinical stage, taking thyroxine drugs is indicated only for pregnant women and women during family planning.

Medicines containing the T4 hormone include:

• L-thyroxine-Akri (L-tiroxin-akri);
• Levothyroxine;
• Eutiroks (Eutirox);
• Bagothyrox.

How to properly treat hypothyroidism with thyroxine preparations, are there any side effects? Tablets are started with a minimum physiological dosage, which corresponds to the level of hormones in the body. The drug is drunk once a day before meals; it is less absorbed on an empty stomach.

It is necessary to take thyroxine for a long period, without allowing breaks. In case of a chronic, progressive course of the disease, therapy is carried out for life. In other cases, the duration of treatment is determined by the doctor based on hormonal studies. The medicine should not be taken with substances that have absorbent properties; an interval of at least 4 hours must be taken between tablets used.

Treatment regimen for hypothyroidism with thyroxine preparations

Treatment for hypothyroidism begins with a starting dose of 25 mcg per day. For patients suffering from diseases of the cardiovascular system, the dosage is increased gradually over 10–14 days. For young people, the dose is increased faster; pregnant women and patients are immediately prescribed the maximum effective amount of the drug.

Every 2 months, a control blood test is performed to determine the level of thyroid hormones. Based on the results obtained, the dosage is adjusted and the effectiveness of treatment is assessed. Then the tests are repeated every 6 months. If therapy for a long time does not allow achieving compensation for the condition, a decision is made on surgical intervention.

Hormonal treatment for hypothyroidism in pregnant women does not have a negative effect on the development of the fetus, since the medicine does not penetrate the placental barrier. Thyroxine can pass into breast milk, so the possibility of taking pills during lactation is discussed with your doctor.

Contraindications to the use of thyroxine:

• individual intolerance;
• renal failure;
• myocardial infarction;
• diabetes.

The drug is prescribed with caution for arrhythmia, coronary heart disease, complicated hypothyroidism, and arterial hypertension. A side effect of L-thyroxine may be an allergic reaction; in other cases, dose adjustment is necessary.

The need for the drug increases when:

• prolonged diarrhea;
• liver cirrhosis;
• inflammation of the intestinal mucosa;

Such conditions impair the absorption of the hormone into the bloodstream and accelerate its elimination from the body, so treatment may be ineffective.

Treatment of iodine deficiency hypothyroidism

Long-term lack of iodine in the body leads to a decrease in the secretion of thyroxine and triiodothyronine by thyroid tissues. This leads to an increase in the level of thyroid-stimulating hormone in the blood, and symptoms of hypothyroidism develop. Additionally, the size of the gland may increase and pain may occur on palpation.

The main treatment for hypothyroidism caused by iodine deficiency is carried out by prescribing complex preparations of thyroxine with triiodothyronine.

• Thyroidin;

It is useful for patients to add foods high in iodine to their diet: seaweed, herbs, fresh vegetables and fruits, mineral water.

Computer reflexology

An alternative to traditional treatment is reflexology. This is a method of applying electrical impulses to biologically active areas of the body, which are responsible for the functioning of the endocrine, nervous and immune systems. Using a computer program, the doctor determines the necessary points and monitors the process.

The main advantages of computer treatment for hypothyroidism:

• restoration of hormonal balance;
• gradual reduction in the dosage of hormonal drugs;
• strengthening the body's protective properties;
• the ability to avoid complications and surgical intervention.

There are several methods of reflexology: acupuncture, heat, acupressure. Treatment can be carried out only after determining the diagnosis, TSH, T3, T4 levels. This method is used in combination with traditional methods of therapy and after the approval of the attending physician. Contraindications include the autoimmune form of the disease, the need for surgery, epilepsy, fever, skin inflammation, cancer and benign tumors.

Replacement treatment for hypothyroidism allows you to restore the balance of thyroid hormones, the functioning of the thyroid gland, and normalize metabolic processes in the body. Thyroxine preparations used to treat the manifest form of the disease help achieve stable compensation for the disease, have virtually no side effects, and are allowed during pregnancy.

Bibliography

1. Kholmogorov, V.V. All about diseases of the thyroid gland and its treatment / V.V. Kholmogorov. - M.: Phoenix, 2008. - 192 p.
2. Uzhegov, G.N. Thyroid diseases: Types of diseases; Treatment with traditional medicine; Medical / G.N. Uzhegov. - Moscow: Russian State University for the Humanities, 2014. - 144 p.
3. Danilova, N. A. Diseases of the thyroid gland. Effective methods of treatment and prevention / N.A. Danilova. - M.: Vector, 2012. - 160 p.

⚕️Melikhova Olga Aleksandrovna - endocrinologist, 2 years of experience.

Deals with issues of prevention, diagnosis and treatment of diseases of the endocrine system: thyroid gland, pancreas, adrenal glands, pituitary gland, gonads, parathyroid glands, thymus gland, etc.

• Drug treatment with drugs that increase thyroid hormone levels

  Taking artificial hormones allows you to replace the missing thyroid hormones to normal levels. Usually the minimum dose is 25 mcg, it is gradually increased until drug compensation occurs, that is, until T4 increases and TSH decreases within normal limits.

  If subclinical hypothyroidism develops, then after 3-6 months it is necessary to conduct a repeat hormonal study to confirm the persistent nature of thyroid dysfunction. Persistent subclinical hypothyroidism (TSH rises above 10 mU/l) requires replacement therapy with hormone replacement drugs.

  If a patient is diagnosed with “chronic autoimmune thyroiditis,” it means that he will be forced to take hormone replacement therapy with hormone replacement drugs throughout his life, and constantly increasing the dosage of the medication. This is explained simply: receiving hormones from the outside, our body begins to produce its own hormones in even smaller quantities, while The thyroid gland gradually decreases in size and atrophies, and artificial hormones provoke chronic diseases and cause negative side effects:
  

  • headache;
  • high pressure;
  • angina pectoris and arrhythmia;
  • allergies;
  • menstrual irregularities in women;
  • nervous disorders;
  • life expectancy decreases;
  • In this case, hormonal medications are taken for life, because the missing hormones are being replaced, rather than eliminating the cause of the stoppage of their production.

  Fortunately, there is a 2nd one, completely safe treatment method hypothyroidism without medication!

  • Computer reflex therapy

    Main reason development of hypothyroidism is chronic autoimmune thyroiditis. In turn, the cause of autoimmune thyroiditis is a malfunction of the immune system. Therefore, in order for the thyroid gland to begin producing its own hormones, it is necessary to normalize the immune system. Unfortunately, the immune system has not yet been restored with medications, despite numerous studies in this direction.

    The goal of computer reflex therapy is to restore the patient’s own hormonal levels and immune system.

    The coordinated work of the internal organs of our body is regulated by the coordinated interaction of 3 main control systems: nervous, immune And endocrine. It is on their synchronous and well-coordinated work that a person’s physical condition and health depend. Any disease progresses and the body cannot cope with it on its own precisely because failure in the synchronous operation of these systems.

    Rebooting the body's three main regulatory systems to a state active fight against harmful external environmental influences, internal diseases, is the main goal of therapy focused on influencing the body via the autonomic nervous system.

    There are many methods of influencing the nervous system, but, today, only computer reflex therapy acts through the nervous system so that 93% In cases of patients, the neuro-immuno-endocrine regulation of the body is completely restored and, as a result, many endocrine and neurological diseases that were previously not amenable to drug “treatment” recede and completely disappear.

    Efficiency therapy also lies in the fact that the doctor acts on the patient’s body not “blindly”, but, thanks to special sensors and a computer system, sees what points nervous system and How many required to operate a medical device.

    An indicative result of CRT for one of our patients, who once again double-checked the results for hormones in her regional clinic:

    FULL NAME - Fayzullina Irina Igorevna

    Laboratory research BEFORE treatment M20161216-0003 from 16.12.2016 ()

    Thyroid-stimulating hormone (TSH) - 8,22 µIU/ml

    Laboratory research AFTER 1 course of CRT M20170410-0039 from 10.04.2017 ()

    Thyroid-stimulating hormone (TSH) - 2,05 µIU/ml

    Free thyroxine (T4) - 1,05 ng/dl

    

    

    Before each procedure, the doctor diagnoses the patient, based on the results of which he creates an individual prescription of points for the procedure in accordance with the treatment plan. During the procedure itself, every second scanning of the patient’s current state allows for precise dosing of the effect, which is, in principle, absent when exposed to any other methods.

    Of course, this treatment method, like any other, has restrictions and contraindications- This oncological diseases And mental disorders, cardiac dysfunction (presence pacemaker, flickering arrhythmia And myacardial infarction in the acute period), HIV-infection and congenital hypothyroidism, the thyroid gland is completely atrophied or the patient underwent a course of “treatment” with radioactive iodine. If you do not have the above contraindications, then getting rid of hypothyroidism using this method has been a common practice in our clinic for many years.

    For a good 20 years now, the Gavrilova Clinic in Samara has been performing thyroid rehabilitation without hormones or surgery. The author and developer of the method is Natalya Alekseevna Gavrilova. Associate Professor, Ph.D. with general medical experience since 1968, awarded the Order for Medical Merit. If you wish, you can take a closer look at bioelectrophysical the basics of the therapeutic effects of reflex therapy and specific examples of treatment.

    Using the method of computer reflex therapy, the doctor restores the neuro-immuno-endocrine regulation of the patient’s entire body. Restoring the structure and function of the thyroid gland is a manifestation of how the body, using the internal reserves and capabilities inherent in it, self-heals in a natural way.

    Treatment of hypothyroidismcomputer reflex therapy method without side effects leads to the following results:

    • Restores the volume and structure of the thyroid gland;
    • The thyroid gland restores the production of its own hormones;
    • The patient stops dependence on hormonal therapy (taking artificial hormones);
    • Relapses of the disease stop and recovery occurs.
    • U better ogeneral well-being to the state of a healthy person;
    • Often, after a course of treatment, diseases associated with the functioning of the nervous system, allergic and other autoimmune diseases disappear.

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    Head of the department, endocrinologist, reflexologist, candidate of medical sciences.