Diseases

Hashimoto's thyroiditis

Hashimoto's thyroiditis


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Autoimmune thyroid inflammation, autoimmune thyroiditis, Hashimoto's disease

Hashimito's thyroiditis, also known as chronic lymphocytic thyroiditis, is an inflammatory disease that often results in hypothyroidism (hypothyroidism). It is an autoimmune disease in which the body attacks and destroys its own thyroid tissue. Hashimoto's thyroiditis owes its name to the Japanese doctor Hakaru Hashimoto, who first described this form of thyroid inflammation in 1912.

In the past 20 years, Hashimoto's thyroiditis has been diagnosed with increasing frequency. The percentage of sick people in Western Europe is said to be 1 to 2%, whereby women are particularly affected. Another autoimmune disease (rheumatism, neurodermatitis, etc.) is not uncommon. The disease is particularly common in women after childbirth.

Definition

Autoimmune thyroiditis describes inflammation of the thyroid gland due to immune system disorders that produce antibodies in the blood that attack the thyroid gland. The subsequent inflammation of the thyroid gland causes a disturbance in thyroid hormone production, which in turn can trigger the typical symptoms. According to the German Society for Endocrinology, the most important features for Hashimoto's thyroiditis are the antibodies in the blood against thyroid peroxidase (TPO-AK) and the antibodies against thyroglobulin (Tg-AK).

Symptoms

First, the autoimmune processes convert the thyroid tissue into non-functional connective tissue, whereby symptoms of hyperthyroidism (hyperthyroidism) can temporarily occur. Here are inner restlessness, sleep disorders, night sweats or rapid heartbeat and cardiac arrhythmia. Examples from a variety of complaints with an overactive thyroid. Later, however, there is a regular underactive thyroid (hypothyroidism), which can be associated with symptoms such as listlessness, fatigue, a feeling of lump in the throat, depressed mood, hair loss, a reduced heart rate or growth disorders in children and adolescents.

Since the role of thyroid hormones is of great importance for the entire metabolism, disorders can have far-reaching consequences, such as increased blood lipids and associated arteriosclerosis. In many cases, however, there are almost symptom-free, long, unnoticed courses.

Diagnosis: information from the laboratory

The suspicion of Hashimoto's thyroiditis often arises from the symptoms that occur, however, as already mentioned, these are not always present and, in theory, they can also be due to other thyroid diseases. In the blood of patients with Hashimoto's thyroiditis - despite sufficient iodine intake - there is a deviation in hormone levels (T3 and T4 decreased, TSH increased) and an increased occurrence of the above-mentioned antibodies (TPO-AK and Tg-AK; also called MAK and TAK ) that work against the thyroid. The extent of thyroid destruction can be visualized on ultrasound. You can also see a characteristic restless fabric pattern there.

Conventional treatment and naturopathic perspectives

Conventional treatment compensates for the underactive thyroid by giving thyroid hormones (T3, T4) with regular monitoring of the blood values.

Therapists with a naturopathic approach often give selenium, vitamin D and omega-3 fatty acids, with the dose being determined and monitored individually according to blood values. This is to lower the antibody levels in the blood.
The causes of the derailment of our immune system, which attacks the body's own tissue in the disease, are largely unknown. Often there are chronic inflammatory processes, especially in the head area, which can be involved in the development of Hashimoto's disease from a naturopathic perspective. Chronic exposure to viruses and bacteria (such as Yersinia, Epstein-Barr virus, herpes viruses) is also suspected Inflammation of the thyroid gland with causing. The same applies to a possibly increased iodine intake due to iodization of the table salt.

Diagnostically in naturopathy, EAV, bioresonance or by rubbing in microbiological preparations is used to look for the inflammation focus and treat it accordingly. Examination with the dark field microscope primarily reveals microbial contamination and is in turn balanced with microbiological medication. At the same time, detoxification and elimination can be used to combat the autoimmune reaction. As long as there is a need for hormone administration, this should of course also be maintained with naturopathic treatment and advice. (jvs, fp)

Literature:

  • Hp Peter Germann: Thyroid diseases, from: "Der Heilpraktiker & Volksheilkunde" 7/2009, pp. 12-14
  • Dr. Volker Schmiedel: "Hashimoto's thyroiditis widespread disease", from:
    Naturopathic newsletter of the Habichtswald Clinic Kassel, April 2007

Author and source information

This text corresponds to the specifications of the medical literature, medical guidelines and current studies and has been checked by medical doctors.

Jeanette Viñals Stein, Barbara Schindewolf-Lensch

Swell:

  • Professional Association of German Internists e.V .: Hashimoto's thyroiditis (accessed: 13.08.2019), internisten-im-netz.de
  • Merck and Co., Inc .: Hashimoto's thyroiditis (accessed: August 13, 2019), msdmanuals.com
  • German Society for Endocrinology: Autoimmune thyroiditis (Hashimoto's thyroiditis) (accessed: August 13, 2019), endokrinologie.net
  • Amboss GmbH: Hashimoto's thyroiditis (autoimmune thyroiditis) (accessed: August 13, 2019), amboss.com
  • Mayo Clinic: Hashimoto's disease (accessed: August 13, 2019), mayoclinic.org
  • American Thyroid Association: Hashimoto's Thyroiditis (Lymphocytic Thyroiditis) (accessed: August 13, 2019), thyroid.org

ICD codes for this disease: E06ICD codes are internationally valid encryption codes for medical diagnoses. You can find e.g. in doctor's letters or on disability certificates.


Video: What is Hashimotos thyroiditis? (May 2022).