Treatment of hypothyroidism

Małecka Paulina, Małecka-Kacpura Justyna, Fabian-Danielewska Anna. Treatment of hypothyroidism. Journal of Education, Health and Sport. 2018;8(12):87-94. eISNN 2391-8306. DOI http://dx.doi.org/10.5281/zenodo.1931455 http://ojs.ukw.edu.pl/index.php/johs/article/view/6346 https://pbn.nauka.gov.pl/sedno-webapp/works/889853 The journal has had 7 points in Ministry of Science and Higher Education parametric evaluation. Part B item 1223 (26/01/2017). 1223 Journal of Education, Health and Sport eISSN 2391-8306 7 © The Authors 2018; This article is published with open access at Licensee Open Journal Systems of Kazimierz Wielki University in Bydgoszcz, Poland Open Access. This article is distributed under the terms of the Creative Commons Attribution Noncommercial License which permits any noncommercial use, distribution, and reproduction in any medium, provided the original author (s) and source are credited. This is an open access article licensed under the terms of the Creative Commons Attribution Non commercial license Share alike. (http://creativecommons.org/licenses/by-nc-sa/4.0/) which permits unrestricted, non commercial use, distribution and reproduction in any medium, provided the work is properly cited. The authors declare that there is no conflict of interests regarding the publication of this paper. Received: 05.11.2018. Revised: 25.11.2018. Accepted: 02.12.2018. Treatment of hypothyroidism Paulina Małecka1, Justyna Małecka-Kacpura2, Anna Fabian-Danielewska1,3 NZOZ Przychodnia Medycyny Rodzinnej, ul. Kadłubka 10-11, Szczecin NZOZ "Medyk" ul. Wojska Polskiego 5, Tczew Pomorski Uniwersytet Medyczny w Szczecinie, Studium Doktoranckie Wydziału Lekarskiego Key words: hypothyroidism, TSH, Hashimoto’s disease, L-thyroxine Abstract Hypothyroidism is a deficiency of thyroid hormones or their insufficient activity. The most common cause of this disease is chronic autoimmune thyroiditis (Hashimoto's disease), iodine deficiency, partial or complete thyroid removal, and some medicines. Congenital hypothyroidism - may be primary or secondary to disorders of the pituitary gland or hypothalamus. The most common symptoms in the newborn are: prolonged jaundice, dry skin, constipation, umbilical hernia, large tongue, hypotonia, hoarseness, large bloated stomach. Hypothyroidism in pregnancy can lead to such complications as: preeclampsia, hypertension in pregnancy, spontaneous abortion, habitual abortion and even fetal death. It is important to recognize hypothyroidism and start treatment as early as possible. In the elderly, intensive treatment of subclinical and clinical hypothyroidism is not recommended. Treatment should be considered for people > 85 years of age with TSH level> 10 mIU/l, the usual indication for treatment are clinical symptoms