Diffusion toxic craw (Greyvs's disease, Bazedova a disease) – the disease which is followed by increase in sizes of a thyroid gland and excess production of hormones therefore there is a disturbance of all types of energy and a metabolism in an organism, and also functions of various bodies and systems.
The reason of development of the Bazedovy disease is precisely unknown. The leading role is assigned to disturbance of immune system.
Most often the disease develops as a result of autoimmune processes in an organism when in addition to normal cells of a healthy organism the immune system synthesizes the specific antibodies injuring healthy cells. So, at Greyvs's disease there is a synthesis of abnormal protein which provokes a thyroid gland to hard work.
The disease is followed by a syndrome of the thyrotoxicosis caused by long and resistant excessive quantity in an organism of hormones of thyroxine and triiodothyronine.
It is possible to meet a diffusion toxic craw at women, approximately by 8 times more often more often than at men. Preferential the disease develops in the middle age (30-50 years), but occurs also at teenagers and young people, during pregnancy and a menopause.
On weight of a course of a thyrotoxicosis distinguish three degrees of a diffusion toxic craw: easy, average and heavy. And on degree of an enlargement of the thyroid gland the disease is divided into 5 stages:
At easy degree of a diffusion toxic craw are noted the increased nervous irritability, decrease in working capacity, tachycardia (to 100 beats per minute), decrease in body weight (for 10-15% from initial).
At a moderately severe disease the increased nervous irritability belongs to characteristic symptoms of a diffusion toxic craw significantly, tachycardia makes up to 120 beats per minute, working capacity is practically lost, the person grows thin for 20% and more from initial body weight.
The heavy thyrotoxicosis is characterized by strong weight loss (50% of body weight), severe tachycardia (more than 120 beats per minute), heavy nervous irritability. The ciliary arrhythmia, psychoses, heart failure, thyrocardiac damage of a liver is also characteristic of patients with a heavy thyrotoxicosis.
Besides, symptoms of a diffusion toxic craw are expressed by the following manifestations which are classified as:
The heaviest complication of a disease is thyrocardiac crisis. Its emergence is promoted by the following factors:
At thyrocardiac crisis the excessive amount of thyroid hormones comes to blood that causes extremely severe defeats of cardiovascular and nervous systems, a liver and adrenal glands.
To define a disease does not present special difficulty. Confirm the diagnosis by means of laboratory blood analyses on the level of content of thyroid hormones. Also in blood the increased concentration of iodine and reduced amount of cholesterol is observed.
If in the presence of thyrotoxicosis symptoms the thyroid gland is not probed, its atypical arrangement is probable. However it is necessary to know that symptoms of a thyrotoxicosis can be shown also at other diseases: the mixed and nodal craw, a thyroiditis, cancer and a tumor of a thyroid gland.
For performing effective therapy it is extremely important to provide to the patient quiet conditions and to adjust a healthy sleep. Food has to be full, with the increased content of vitamins and proteins. Treatment of a diffusion toxic craw can be medicamentous or using a radioiodine. At severe forms of a disease the surgical method of treatment is preferable.
Drug treatment of a diffusion toxic craw, as a rule, quite long. The doctor appoints anti-thyroid drugs, the potassium drugs derivative of thiouracil and an imidazole, iodine drugs, demulcents. The minimum duration of therapy makes half a year. Generally the patient accepts medicines for 1 - 1,5. If medicamentous therapy does not yield positive takes, it is necessary to consider other methods of treatment.
Radioyodoterapiya – quite effective method of treatment which has, however, a set of contraindications which the peptic ulcer, tuberculosis, mental disorders, pregnancy and the period of feeding by a breast are among.
Surgical treatment of a diffusion toxic craw is preferable in the presence of allergic reactions, too big increase in a craw (the 3rd degree above), and also at too expressed symptoms of cardiovascular insufficiency.
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