Tuesday, November 17, 2009

What is a Goiter?

It means an enlargement of the thyroid, and in Latin, means guttur neck.
What is iodine deficiency goiter?

It is caused by a lack of iodine in the diet of vegetables and / or water. It belongs to the people in the hills, where the iodine content of the soil is limited, perhaps because the soil erosion caused by persistent rains, etc. So it is endemic, ie in such a place, can be swollen more than one person with the search for common neck as a consequencean enlarged thyroid gland. Specifically, the disease is called endemic iodine deficiency goiter.

Thus, if the food / water by persons in areas where iodine deficiency, the supply of iodine to the thyroid suffers, and there is constant pressure on the gland normal amount of hormones. As a result, the gland goes on increasing in size, and even its shape may be distorted, and it may be nodular, called multinodularGoiter. In its early stages can be only a smooth enlargement of both lobes of the thyroid, as in puberty goiter.

Therefore, one can say that the thyroid gland is very loyal to the body, so that even if there is a constant that inadequate supply of iodine to the gland, it comes to the delivery / manufacture / production of sufficient quantities of the hormones for the normal operation of the body, although the gland enlarges enormously.

One can think of when theThyroid gland is enlarged, it should be a corresponding increase in the production of thyroid hormones. But that is not always so, although in some cases the gland can turn toxic or hyper or hypothyroidism, but in some other cases, malignancy can develop, as in cases of multinodular goiter. Therefore, the size of the thyroid can not indicate the true pathology of the development in the gland.

Practical approach and guidelines for investigating a case of goiter and / or lonelyNode / s:

In any event the Struma and / or solitary nodule / s in the thyroid, one must look for the following:

(i) Is it malignant?

(ii) If treatment is required?

(iii) Is it cause hyperactivity or under activity of thyroid function?

All the above points were explained, and they are necessary to ensure that nothing goes undetected, and the specific treatment is not delayed.

Although an enlarged thyroid (goiter) can not disruptthe functioning of the body, but due to his expanded weight / size so it can the underlying trachea (windpipe) or esophagus press (food pipe), so that the patient is some difficulty in breathing and swallowing. Cosmetic factors, especially among women, should also be considered. Thus, a part of the thyroid gland may have to be surgically removed in selected cases.

Prophylaxis for endemic iodine deficiency goitre:

As a prophylactic measure in the endemicAreas, should apply to all ordinary people / children, iodized salt is used as a matter of routine.

Other causes of goiter

An enlargement of the thyroid can also persons who appear addicted to heavy smoking, and those that are about PAS (paraaminosalicylic acid) for the treatment of tuberculosis.



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