Hypothyroidism occurs when the thyroid gland does not produce enough thyroid hormone. It is the most common endocrine disorder, affecting females more than males. Symptoms include fatigue, weight gain, dry skin and hair, and feeling cold. It can be caused by autoimmune disease, iodine deficiency, or drugs/radiation treatment affecting the thyroid. Diagnosis involves blood tests to check TSH, T3 and T4 levels. Standard treatment is levothyroxine medication. Unani medicine interprets it as impaired cold temperament and treats it with diet, herbs, and lifestyle changes to correct temperament.
Thyroid, Its Disorders & The Homoeopathic TreatmentGyandas Wadhwani
Thyroid is the most well known endocrine gland, which has been identified since antiquity, especially by the more commonly known name, Goiter. Thus it has adorned some of paintings, art works and even writings.
Thyroid disorders are the most prevalent endocrine disorders known to mankind.
Understanding the entire history, evolutionary biology, embryological development, its role in psychiatry is crucial for its successful treatment.
With the development of Psychoneuroendocrinology we understand how a variety of psychobiological factors interact and result in illnesses and how a state of physiological wellness is so intimately connected with our emotional proclivities.
It refutes the mind/body dichotomy as it is never a mind OR body rather always a mind-body event, which is a fundamental teaching of Homoeopathy.
Some clinical tips on thyroid along with two case studies (one of hyperthyroidism and another of hypothyroidism) are added along with their reports.
lecture class for 4th year MBBS students. this lecture is based on the book 'Robbins' Pathologic basis of disease'. This is delivered by Dr. Umme Kulsum Munmun, Assistant professor (pathology) to the 4th year MBBS students of Chandpur Meducal College, Bangladesh
- Video recording of this lecture in English language: https://youtu.be/lK81BzxMqdo
- Video recording of this lecture in Arabic language: https://youtu.be/Ve4P0COk9OI
- Link to download the book free: https://nephrotube.blogspot.com/p/nephrotube-nephrology-books.html
- Link to NephroTube website: www.NephroTube.com
- Link to NephroTube social media accounts: https://nephrotube.blogspot.com/p/join-nephrotube-on-social-media.html
Thyroid, Its Disorders & The Homoeopathic TreatmentGyandas Wadhwani
Thyroid is the most well known endocrine gland, which has been identified since antiquity, especially by the more commonly known name, Goiter. Thus it has adorned some of paintings, art works and even writings.
Thyroid disorders are the most prevalent endocrine disorders known to mankind.
Understanding the entire history, evolutionary biology, embryological development, its role in psychiatry is crucial for its successful treatment.
With the development of Psychoneuroendocrinology we understand how a variety of psychobiological factors interact and result in illnesses and how a state of physiological wellness is so intimately connected with our emotional proclivities.
It refutes the mind/body dichotomy as it is never a mind OR body rather always a mind-body event, which is a fundamental teaching of Homoeopathy.
Some clinical tips on thyroid along with two case studies (one of hyperthyroidism and another of hypothyroidism) are added along with their reports.
lecture class for 4th year MBBS students. this lecture is based on the book 'Robbins' Pathologic basis of disease'. This is delivered by Dr. Umme Kulsum Munmun, Assistant professor (pathology) to the 4th year MBBS students of Chandpur Meducal College, Bangladesh
- Video recording of this lecture in English language: https://youtu.be/lK81BzxMqdo
- Video recording of this lecture in Arabic language: https://youtu.be/Ve4P0COk9OI
- Link to download the book free: https://nephrotube.blogspot.com/p/nephrotube-nephrology-books.html
- Link to NephroTube website: www.NephroTube.com
- Link to NephroTube social media accounts: https://nephrotube.blogspot.com/p/join-nephrotube-on-social-media.html
Basavarajeeyam is an important text for ayurvedic physician belonging to andhra pradehs. It is a popular compendium in various parts of our country as well as in andhra pradesh. The content of the text was presented in sanskrit and telugu language (Bilingual). One of the most famous book in ayurvedic pharmaceutics and therapeutics. This book contains 25 chapters called as prakaranas. Many rasaoushadis were explained, pioneer of dhatu druti, nadi pareeksha, mutra pareeksha etc. Belongs to the period of 15-16 century. New diseases like upadamsha, phiranga rogas are explained.
Ozempic: Preoperative Management of Patients on GLP-1 Receptor Agonists Saeid Safari
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ARTIFICIAL INTELLIGENCE IN HEALTHCARE.pdfAnujkumaranit
Artificial intelligence (AI) refers to the simulation of human intelligence processes by machines, especially computer systems. It encompasses tasks such as learning, reasoning, problem-solving, perception, and language understanding. AI technologies are revolutionizing various fields, from healthcare to finance, by enabling machines to perform tasks that typically require human intelligence.
Report Back from SGO 2024: What’s the Latest in Cervical Cancer?bkling
Are you curious about what’s new in cervical cancer research or unsure what the findings mean? Join Dr. Emily Ko, a gynecologic oncologist at Penn Medicine, to learn about the latest updates from the Society of Gynecologic Oncology (SGO) 2024 Annual Meeting on Women’s Cancer. Dr. Ko will discuss what the research presented at the conference means for you and answer your questions about the new developments.
MANAGEMENT OF ATRIOVENTRICULAR CONDUCTION BLOCK.pdfJim Jacob Roy
Cardiac conduction defects can occur due to various causes.
Atrioventricular conduction blocks ( AV blocks ) are classified into 3 types.
This document describes the acute management of AV block.
Ethanol (CH3CH2OH), or beverage alcohol, is a two-carbon alcohol
that is rapidly distributed in the body and brain. Ethanol alters many
neurochemical systems and has rewarding and addictive properties. It
is the oldest recreational drug and likely contributes to more morbidity,
mortality, and public health costs than all illicit drugs combined. The
5th edition of the Diagnostic and Statistical Manual of Mental Disorders
(DSM-5) integrates alcohol abuse and alcohol dependence into a single
disorder called alcohol use disorder (AUD), with mild, moderate,
and severe subclassifications (American Psychiatric Association, 2013).
In the DSM-5, all types of substance abuse and dependence have been
combined into a single substance use disorder (SUD) on a continuum
from mild to severe. A diagnosis of AUD requires that at least two of
the 11 DSM-5 behaviors be present within a 12-month period (mild
AUD: 2–3 criteria; moderate AUD: 4–5 criteria; severe AUD: 6–11 criteria).
The four main behavioral effects of AUD are impaired control over
drinking, negative social consequences, risky use, and altered physiological
effects (tolerance, withdrawal). This chapter presents an overview
of the prevalence and harmful consequences of AUD in the U.S.,
the systemic nature of the disease, neurocircuitry and stages of AUD,
comorbidities, fetal alcohol spectrum disorders, genetic risk factors, and
pharmacotherapies for AUD.
TEST BANK for Operations Management, 14th Edition by William J. Stevenson, Ve...kevinkariuki227
TEST BANK for Operations Management, 14th Edition by William J. Stevenson, Verified Chapters 1 - 19, Complete Newest Version.pdf
TEST BANK for Operations Management, 14th Edition by William J. Stevenson, Verified Chapters 1 - 19, Complete Newest Version.pdf
2. HYPO - MEANS - REDUCED
THYREOS - MEANS - SHIELD
EIDOS - MEANS - FORM
THE WORD HYPOTHYROIDISM IS
DERIVED FROM GREEK
3. Hypothyroidism is a disorder of the endocrine system in which the
thyroid gland does not produce enough thyroid hormone for prolonged
periods, or rarely from resistance of the peripheral tissues to the
effects of thyroid hormone. Amongst all the endocrine disorder
Hypothyroidism is the most common and usually affects females.
Hypothyroidism may vary from mild illness to severe life threatening
complication like Myxoedema and coma.
4. The thyroid gland is located in the
anterior neck and pass over the C5 to
T1 vertebrae.
It consist of two lobes [Rt and Lt] which
are connected by central isthmus
anteriorly.
This produces a butterfly- shaped
appearance.
5. The lobes of thyroid gland are
wrapped around the cricoid cartilage
and superior rings of the trachea.
The glands are located with in
visceral compartment of the neck
along with the trachea, oesophagus,
and pharynx.
6. P
H
Y
S
I
O
L
O
G
Y
The tissue of the thyroid gland is
composed mostly by thyroid follicle.
The follicles are made up of a central
cavity filled with sticky fluid called
colloid surrounded by a wall of
epithelial follicle cell.
The follicles are the center of thyroid
hormone production.
The production of thyroid hormone is
dependent on the hormones essential
and unique component - IODINE
7. THYROID HORMONES
RELEASE
Thyroid hormone are released as part
of the hypothalamic pituitary thyroid
axis.
The hypothalamus detects a low
plasma concentration of thyroid
hormone and release TRH
{Thyrotropin Releasing Hormone} into
the hypophyseal portal system.
8. TRH binds to receptor found on thyrotrophic cells
of the anterior pituitary gland. causing them to
release TSH { thyroid stimulating hormone} into
the systemic circulation.
TSH bind to TSH receptors on the basolateral
membrane of thyroid follicular cells and induces
the synthesis and release of thyroid hormone.
Two types of hormone
release from thyroid
gland.
T3 –
TRIIDOTHYRONIN
T4 - THYROXIN
9. COMMON CAUSE OF HYPOTHYROIDISM
AUTO IMMUNE DISEASE –
- HASHIMOTO’S THYROIDITIS
- ATROPHIC THYROIDITIS
IATROGENIC –
- RADIO ACTIVE IODINE ABLATION
- THYROIDECTOMY
- DRUGS (CARBIMAZOLE,
METHIMAZOLE,
PROPILETHEOURACIL)
TRANSIENT THYROIDITIS –
- SUBACUTE THYROIDITIS
- POST-PARTUM THYROIDITIS
IODINE DEFICIENCY –
- EX - IN MOUNTANIOUS REGION
CONGENITAL –
- DYSHORMONOGENESIS
- THYROID APLASIA
10. SIGN AND
SYMPTOMS
The sign and symptoms of
hypothyroidism vary, depending on
the severity of the hormone
deficiency.
Problems tend to develop slowly.
FATIGUE
INCREASE SENSITIVITY
TO COLD
DRY HAIR AND SKIN
WEIGHT GAIN
ELEVATED BLOOD
CHOLESTEROL LEVEL
MUSCLES ACHE, JOINT
STIFFNESS, JOINT PAIN
PUFFY FACE
IRREGULAR
MENSTRUAL PERIOD OR
HEAVIER THAN NORMAL
DEPRESSION
IMPAIRED MEMORY
SLOWED HEART RATE
ENLARGED THYROID
GLAND
CONSTIPATION
CLINICAL FEATURES
11. The prevalence of hypothyroidism in India is 11%, compared with other
country, In the UK- Only 2%, In the USA – 4.6%
Compared with costal cities( ex. MUMBAI, GOA, and CHENNAI)
City located in Land (KOLKATA, DELHI, AHMEDABAD, BANGALORE, and
HYDERABAD) have higher prevalence (11.7% vs 9.5% ).
The highest prevalence of hypothyroidism (13·1%) is noted in people aged
46–54 years, with people aged 18–35 years being less affected (7·5%).
EPIDEMIOLOG
Y
E
12. OTHER CAUSE OF PREVALENCE OF HYPOTHYROIDISM
Environmental factors such as:
Use of Goitrogens and cyanogenic compounds
Use of unregulated pesticides
Unclean drinking water
Iodin supplementation can also induce or aggravate autoimmunity, resulting in
goiter and thyroid dysfunction.
13. DIAGNOSIS
Blood test
Measure T3, T4, and TSH level.
A normal level of Thyroxine and high level of TSH indicate an underactive
thyroid .
14. LABORATORY
ASSESSMET
REFERENCE VALUES OF THYROID FUNCTION
TEST
TEST RENGE
TSH
T3
T4
0.5 -4.7mIU/L
0.92- 2.78 ng/dL
58-140nmol/L
THYROID RELEASE 100-125nmol OF T4 DAILY
ONLY SMALL AMOUNT OF T3
HALF LIFE OF T4- 7- 10 DAYS
HALF LIFE OF T3 – ONLY 1 DAY
COMPENSATORY MECHANISMS MAINTAIN T3 LEVELS
15. Standard treatment for hypothyroidism in modern medicine is
Levothyroxine.
This oral medication restores adequate hormone levels, reversing the
signs and symptoms of hypothyroidism.
Determining proper dosage may take time.
To determine the right dosage of levothyroxine initially, generally checks
level of TSH after six to eight weeks.
After that, blood levels are generally checked six months later.
TREATMENT
16. Excessive amounts of the hormone can cause side effects, such as:
• Increased appetite
• Insomnia
• Heart palpitations
• Shakiness
SIDE EFFECTS OF LEVOTHYROXINE
17. The history of thyroid gland and its swelling are interwind and go back several
centuries. Some of the earliest recorded descriptions of the thyroid gland
originated from China, but most of the information was confined to Chinese
sub- continent.
The first description of goiter dates back to 2700 B.C., when people living in
the mountainous region of China were described to have both goiter and
baldness, and were treated with a combination of burnt sponge, algae and
seaweeds. The Chinese had developed the practice of treating children with
Cretinism with sheep and deer thyroid. They also recognised various forms of
benign and malignant goiters.
HISTORY OF THE HYPOTHYROIDISM IN CLASSICAL LITRETURE
18. Ayurveda, the ancient medical science of India, used the
term ‘galaganda’ to goiter as early 1400 B.C. The word
‘galaganda’ when translated, means the gland in the neck.
Ancient Ayurvedic texts have described remedies for the
treatment of goiter.
Aurellius Celsus and Gaius Plinius were the main
contributors to the understanding of thyroid disease in the
Greeco- Roman period which extended till around 500 A.D.
19. UNANI PHILOSOPHERS WHO TREATED SIMILAR DISEASES
LIKE
HYPOTHYRODISM
BUQRAT (460-377BC) named the GOITER as
“STRUMA”. around that period, GOITER was also
referred as “CHORION” and “GONGROMA”.
JALINUS (GALLEN 130-200 AD) was a great Greek
roman physician, who hypothesized that the secretion
from thyroid gland was important for lubrication of
larynx. he also documented that surgery in the area of
thyroid gland made many patients mute by damaging
the laryngeal nerve.
20. ALI IBN ABBAS MAJUSI (930-994 AD)
described surgery of GOITER early in 990’s in his
BOOK KAMIL-AL-SANA’T.
ABUL QASIM ZUHRAWI (936-1036 AD)
he was eminent surgeon of his era who is
considered “THE FATHER OF SURGERY”
has successfully operated a swelling of
throat which was in fact a goiter.
IBN-HUBUL-BAGDADI (1122-1213 AD)
has mentioned ‘hujuzul ain’ (exophthalmic goitre)
in his book ‘KITAB-UL-MUKHTARAT-FIL –TIB’.
21. The description of hypothyroidism as a disease is not directly found in
Unani Literature. But the clinical features of Hypothyroidism is quiet
similar to the SU E MIZAJ BARID MADDI/ SU E MIZAJ BALGHAMI
(Impaired substantial cold temperament/impaired phlegmatic
temperament) .
In Unani Medicine, Hypothyroidism is also known as Qillat-e- Afraj
Darqiyah.
The literal meaning of Qillat-e-Darqiyah is the decreased secretion of
Ghudda-Darqiyah.
In Qillat-e-Darqiyah, Mizaj of body is corresponds to SU E MIZAJ
INTERPRETATION OF HYPOTHYROIDISIM IN
UNANI
MEDICINE
22. In Unani medical system, the basic cause of disease are grouped
under three headings:-
Su’-e- Mizaj (Impaired temperament)
Su –e- Tarkib (Abnormal structure)
Tafarruq- e- Itisaal(discontinuity)
Su-e- Mizaj(impaired temperament) is divided into two types:-
1) Su-e- Mizaj Sada ( simple impaired temperament )
2) Su-e-Mizaj Maddi (impaired substantial temperament)
23. Su’-e Mizaj sada mufrad is divided into four types:-
1. Su’-e-Mizaj Harr ( impaired hot temperament)
2. Su’-e-Mizaj Barid (impaired cold temperament)
3. Su’-e-Mizaj Ratab (impaired moist temperament)
4. Su’-e-Mizaj Yabis (impaired dry temperament)
TYPES OF SU’E MIZAJ
SADA
1) Su’ e Mizaj sada mufrad
2) Su’ e Mizaj sada murakab
24. Any types of Su’-e-Mizaj produces particular clinical feature which are
determined to it, and help the Physician in Diagnosis and management of
the particular disease.
The signs and symptom of Su’e mizaj Barid Maddi/Su’e Mizaj balghami
are:-
Kusul - wa -mandgi (Lethargy),
Thakan (Fatigue),
Tahabbuj ( Puffiness),
du’f al- Ishtiha (loss of appetite),
Nind ki jeyadti (excessive sleep),
kund zehni (decreased intellectual function),
burd – atraaf (cold extremities) ,
Qabd (constipation)
Nabd Bati wa Mutafawit
.
25.
26. Usul –e- ilaj (Line of treatment)
Eliminate the Asbab -e Maraz
Identify the age, diets, Occupation, Routine activities, Mizaj
etc. of individual for appropriate treatment.
Istifragh Madda by Munzij and Mushil(evacuation of matter
by concoctive and pergative)
To correct the Mizaj-e-A ‘da’ (temperament of organ)
27. TREATMENT OF HYPOTHYROIDISM IN UNANI
SYSTEM
Ilaj bil Ghiza – Dietotherapy
Ilaj bil Dawa – Parmacotherapy
Ilaj bil Tadbeer- Regimental therapy
Ilaj bil ghiza
Leafy greens, whole grains ,nuts, seeds and zinc-rich legumes like peas, lentils,
chickpeas, and beans – these foods contain amino acids like tyrosine, B- Complex
vitamins, minerals like selenium, and antioxidants – all of which supports thyroid
health.
28. FOOD THAT SHOULD TO BE AVOIDED IN
HYPOTHYROIDISM
SOY
Soy is a big source of plant oestrogens also knows phytoestrogens.
Research shows that plant oestrogens may inhibit the activity of enzymes
that helps in the production of thyroid hormones.
Soy food includes: Tofu, Soy Milk and Soy sauce.
GOITROGENS
Goitrogens, which can inhibit the function of the thyroid gland, including
cruciferous vegetables such as – Broccoli, Brussels, Sprout, Cauliflower
and fruits like – peaches, pears, plums, raspberries and strawberry.
29. Ilaj bil Dawa- Pharmacotherapy
Some compound medicine which is used in Management of
Hypothyroidism.
Itrifal Ghududi
Jawarishe Bisbasa
Jawarish Jalinoos
Dawaul kurkum Kabeer
Jawarishe mastagi banusqa kalan
Habbul Ghaar
Sufoof e kachnal
30. Ilaj bil Tadabeer
Increase the physical activities
Increase Mental activities
Fast running
Exercise
yoga