53. Alterations of the Thyroid Function Flashcards

1
Q

what is the Thyroid Function

A

The thyroid gland is an essential endocrine gland located in the front of the neck, just below the Adam’s apple. It produces hormones that play a vital role in regulating metabolism, growth, and development in the body. The two main hormones produced by the thyroid gland are thyroxine (T4) and triiodothyronine (T3)

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2
Q

Thyroid Hormone Production

A

The thyroid gland takes up iodine from the diet and uses it to produce T4 and T3. The production and release of these hormones are regulated by the hypothalamus and pituitary gland through a feedback loop:
Hypothalamus: The hypothalamus releases thyrotropin-releasing hormone (TRH) in response to low levels of thyroid hormones.
Pituitary Gland: TRH stimulates the pituitary gland to release thyroid-stimulating hormone (TSH).
Thyroid Gland: TSH then acts on the thyroid gland, stimulating the production and release of T4 and T3 into the bloodstream.

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3
Q

what diseases are related to thyroid

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Hypothyroidism:

Hypothyroidism occurs when the thyroid gland does not produce enough thyroid hormones, particularly T4 and T3. This can result from various causes, including:
Primary Hypothyroidism: The most common cause is an autoimmune disorder called Hashimoto’s thyroiditis, where the immune system mistakenly attacks and damages the thyroid gland. Other causes include thyroid surgery, radiation therapy, certain medications, and congenital thyroid disorders.
Secondary or Tertiary Hypothyroidism: These types of hypothyroidism occur due to dysfunction in the hypothalamus or pituitary gland, leading to decreased production or release of TRH or TSH, respectively.
Hypothyroidism leads to a decreased metabolic rate, resulting in symptoms such as fatigue, weight gain, sensitivity to cold, dry skin, constipation, and impaired cognitive function.

Hyperthyroidism:
Hyperthyroidism refers to the excessive production of thyroid hormones, mainly T4 and T3. The most common cause of hyperthyroidism is an autoimmune disorder called Graves’ disease, in which the immune system stimulates the thyroid gland to overproduce hormones. Other causes include toxic thyroid nodules and thyroiditis.

Hyperthyroidism causes an increased metabolic rate, resulting in symptoms such as weight loss, increased appetite, heat intolerance, rapid heartbeat, tremors, anxiety, and irritability.

Thyroid Nodules and Thyroid Cancer:
Thyroid nodules are growths or lumps that form within the thyroid gland. Most thyroid nodules are benign (non-cancerous) and do not cause significant problems. However, some nodules can be cancerous. Thyroid cancer can develop from thyroid cells and is usually treatable if detected early.

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