Unmasking the Silent Thief: Recognizing and Managing Hashimoto’s Thyroiditis

  Sometimes when chatting with friends, I often hear them mention that they are not in good health. Among them, the most talked about is that the memory is getting worse and worse, and it is always difficult to remember things; despite efforts to lose weight, the weight has not been significantly reduced. There is also obvious hair loss, and even the temper is getting worse and worse, and it is easy to get emotional. and grumpy. I went to the hospital for a routine checkup, but no obvious problems were found. In this case, it is important to note that you may have Hashimoto’s thyroiditis.
  The thyroid gland is located in the front of the neck and is shaped like a butterfly. It mainly secretes thyroid hormones to regulate the body’s metabolism. Hashimoto’s thyroiditis is an autoimmune thyroid disease, also known as chronic lymphocytic thyroiditis, and is the most common cause of primary hypothyroidism. The incidence of this disease has increased rapidly in recent years. It is more likely to occur in young and middle-aged people, especially women aged 30 to 50. It has a certain hereditary nature and has become the most common thyroid inflammation.
  Generally speaking, the onset of Hashimoto’s thyroiditis often involves family genetic phenomena, and is often combined with other autoimmune diseases, such as pernicious anemia, diabetes, adrenal insufficiency, etc. In addition, internal and external factors such as excessive iodine intake and metabolic disorders, bacterial and viral infections, excessive mental stress, selenium deficiency, pregnancy, etc. can also lead to the occurrence of Hashimoto’s thyroiditis. Therefore, Hashimoto’s thyroiditis is often thought to be the result of a combination of environmental factors and genetic factors, but in fact, the underlying cause of the disease has not yet been completely elucidated.
  In the diagnosis of Hashimoto’s thyroiditis, on the one hand, the thyroid gland is diffusely enlarged, and ultrasound diagnosis shows a tough texture, uneven surface or nodules, and irregular gland surface; on the other hand, thyroglobulin antibody (TPO-Ab) and thyroid peroxidase antibodies (TG-Ab) were significantly elevated and lasted for a long time. Among them, TPO-Ab is considered to be the signature antibody of Hashimoto’s thyroiditis and an important reference indicator for clinical diagnosis.
  For most patients with Hashimoto’s thyroiditis, there are often no obvious clinical symptoms at first. Because its early manifestations are often atypical, with only thyroid enlargement, no obvious subjective symptoms, and slow progression, it is highly concealed. When Hashimoto’s thyroiditis develops to an advanced stage, the thyroid gland becomes significantly enlarged, which can cause compression of the trachea and esophagus, causing difficulty in breathing and swallowing.
  The course of typical Hashimoto’s thyroiditis can be divided into hyperthyroidism, stable, and hypothyroidism. A small number of patients with Hashimoto’s thyroiditis mainly present with enlargement and toughening of the thyroid gland, or abnormal thyroid function. A large number of patients with Hashimoto’s thyroiditis are diagnosed by finding increased thyroid-related antibodies, or by finding uneven echoes and diffuse lesions through ultrasound. Symptoms mainly include neck swelling, hyperthyroidism, hypothyroidism, fatigue, low body temperature, weight gain, memory loss, loss of appetite, slow heart rate and other symptoms.
  Patients with Hashimoto’s thyroiditis who have normal thyroid function generally do not need special treatment as long as they avoid high-iodine foods and medications. At present, there is no radical cure for Hashimoto’s thyroiditis. There is no drug that can safely and effectively reduce the antibody concentration and turn it negative. Due to the lack of etiological treatment and effective drugs, clinical treatment mainly adopts symptomatic treatment and follow-up observation to correct thyroid dysfunction and The main goal is to reduce the size of the enlarged thyroid gland.
  In terms of symptomatic treatment, it is necessary to maintain a low-iodine diet; follow the doctor’s advice and supplement Euthyrox in an appropriate amount to relieve the symptoms of hypothyroidism and shrink the thyroid gland; reasonably supplement selenium to regulate thyroid hormone levels; and monitor various body functions and indicators. Including blood routine, liver function, kidney function, heart function, etc. It can also be combined with external treatment of traditional Chinese medicine, such as external application of traditional Chinese medicine, encapsulation to eliminate galls and dissipate stagnation, to promote the shrinkage of the enlarged thyroid gland. In addition, auricular acupuncture (pressing beans on ear points) can also be used to soothe the liver and regulate qi, soothe the mind, promote sleep, and regulate autonomic nerve function. Traditional Chinese medicine acupoint application can also help regulate immunity and thyroid function. All of these can be treated comprehensively under the guidance of a physician, taking into account both the symptoms and root causes to improve clinical efficacy.
  In addition to drug intervention, a multi-pronged approach should be taken in life to provide comprehensive treatment.
●Balanced diet

  In terms of diet, reduce overeating and focus on light nutrition. It is necessary to eat in moderation and moderation, and avoid overeating or overeating. Pay special attention to iodine intake, and control iodine intake under the advice of a doctor. An individualized plan can be developed based on the urinary iodine concentration level.
●Smooth your emotions

  Traditional Chinese medicine believes that Hashimoto’s thyroiditis belongs to the category of “gall disease”. In the early stage, it is mostly caused by liver qi stagnation and phlegm and blood stasis. In the later stage, it is more common with Qi and Yin deficiency, spleen and kidney Yang deficiency and other syndromes. Therefore, regulating Qi and calming emotions is the key. In fact, emotions have a particularly prominent impact on thyroid disease. Therefore, you must keep a happy mood and relieve bad emotions and stress in a timely manner; actively participate in social activities, maintain communication and communication with others, and strengthen your ability to adapt to changes in the surrounding living environment. This is an important way and method to prevent and treat Hashimoto’s thyroiditis.
●Regular schedule

  It is necessary to form good living habits, pay attention to the balance between work and rest, ensure adequate sleep and adequate rest, and avoid staying up late for a long time. Follow the laws of the changing seasons, maintain inner stability and harmony, and at the same time maintain harmony and unity with the external environment.
●Enhance physical fitness

  Strengthen physical exercise, actively exercise, maintain sufficient physical fitness and energy, avoid overexertion, and enhance the body’s immunity.
●Early detection and early treatment

  The symptoms of Hashimoto’s thyroiditis are atypical and insidious, with slow onset and long course. Pay attention to regular check-ups of the thyroid gland, especially those with related family genetic history. Once found, they should be reviewed regularly to prevent the disease from developing and provide timely and reasonable treatment.
  Hashimoto’s thyroiditis is mostly benign and has a slow course, so patients don’t need to be too worried or nervous. The core of intervention for Hashimoto’s thyroiditis is to reduce the antibody concentration. If the antibody concentration decreases, there is a possibility of turning negative. For patients with Hashimoto’s thyroiditis, there is a complete chance that they will not develop hypothyroidism, or develop hypothyroidism late, or even reverse the condition.
  Women aged 30 to 50 are at high risk for Hashimoto’s thyroiditis. So, will having Hashimoto’s thyroiditis affect pregnancy and childbirth? Although Hashimoto’s thyroiditis may increase the risk of miscarriage, premature birth, stillbirth, gestational hypertension, etc., women of childbearing age can become pregnant. It should be noted that before preparing for pregnancy, thyroid function and antibodies should be checked first, and medication should be taken under the guidance of a doctor. Generally, it is necessary to control the thyroid-stimulating hormone level below 2.5 milli-International Units/ml before starting pregnancy preparations. After pregnancy, it is also necessary to regularly review thyroid function and adjust drug dosage to maintain thyroid-stimulating hormone levels within the target range during pregnancy, avoid hypothyroidism, and reduce the impact on the mother and fetus.
  Although Hashimoto’s thyroiditis cannot be cured, it is not terrible. Early detection and early intervention, adhering to the correct treatment plan, preventing the disease from getting worse, and maintaining a healthy and reasonable lifestyle can help the condition improve.