disease occurs in the postpartum period in women with antibodies to the antigen's own thyroid gland.The presence of these antibodies is not a guarantee of the disease.Half of carriers of the disease does not develop.But often enough birth stress is a risk factor that provokes the development of destructive process in the gland.
Postpartum thyroiditis is a similarity with autoimmune thyroiditis and subacute thyroiditis with.As in subacute thyroiditis, the destruction of thyroid follicles causes a massive release of hormones into the bloodstream.
Therefore, the initial phase of the disease is characterized by the classical signs of excessive production of thyroid hormone (hyperthyroidism): loose stools, sweating, rapid weight loss, anxiety, insomnia.Similar phenomena in the postpartum period (up to one year) are more likely to tal
As in subacute thyroiditis, hyperthyroidism phase is replaced by hypothyroidism, thyroid hormone deficiency.This is due to organ destruction and depletion of functional cells.
Symptoms of hyperthyroidism are replaced by opposite: lethargy, drowsiness, weight gain, sensitivity to cold, apathy, tendency to constipation.In severe cases, the autoimmune response leads to irreversible destruction of the gland and its atrophy.These effects cause a woman to take hormones for life.
But, in most cases, a benign course of the disease, an autoimmune lesion gland subsides, and the level of hormones in the blood to normal.Treatment as in Hashimoto's thyroiditis, only symptomatic.The hyperthyroidism phase blockers help ease the condition.In hypothyroidism phase sometimes prescribe hormone replacement therapy, but this is usually not required.
ultrasound and thyroid scans helps to confirm the diagnosis in women post-partum period.In the course of the disease requires constant monitoring of hormone levels.But the symptoms are lost among the numerous complaints lactating women.In the postpartum period, women can lose weight, experience anxiety, suffer from insomnia and sweating.These complaints may be associated with a change in a woman's body or stressful period in my life.
Prevention of postpartum thyroiditis is problematic.To predict the behavior of the immune system after birth stress is not possible, can only monitor the antibody to the antigen carriers thyroid.But povalny blood test for these antibodies is hardly possible for all young women.
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