In order to figure out what is the diffuse w.evil goiter Code on the ICD 10 and what it means, you need to figure out what is the designation "MKB 10". It is deciphered as "International Classification of Diseases" and is a regulatory document, whose task is to combine methodical approaches and comparison of materials among the doctors of the whole world. That is, speaking simple languageThis is an international classification of all known diseases. And the figure 10 indicates the version of the revision of this classification, at the moment it is the 10th. And diffuse nodal goiter as pathology refers to the IV class comprising diseases endocrine system, Violation states exchange processes and digestion, which have alphanumeric codes from E00 to E90. Diseases of the thyroid gland occupy positions with E00 on E07.

If we talk about a diffuse nodal goiter, it should be remembered that the classification on the ICD 10 combines various pathology of the thyroids into the group, which differ in both the reasons for the appearance and morphology. These are both nodal neoplasms in the tissues of the thyroid gland (single-zone and multi-nominal), and the pathological growth of its tissues due to dysfunction, as well as mixed forms and clinical syndromes associated with diseases of the endocrine organ.

They can also be diagnosed in different ways, some pathologies visually "urged" neck, part can only be felt in the process of palpation, others, in general, are determined only when using ultrasound.

The morphology of disease allows you to highlight the following types: diffuse, nodal and diffuse nodal goiter.

One of the changes made by the 10 revision in the ICD was the classification of thyroid pathologies not only on morphological features, but for reasons of appearance.

Thus, the following types of goiter are distinguished:

• endemic origin due to iodine deficiency;
• euticoid or non-toxic;
• tireotoxicose states.

For example, if we consider the resulting yodode deficiency, the endemic goiter MKB 10 is assigned to it code E01. The official formulation sounds as follows: "Thyroid diseases associated with iodine deficiency and similar states." Since this group combines diffuse and nodular forms of endemic goiter, as well as their mixed forms, diffusely nodal goiter can be attributed to this code of international classification, but only the species that has developed due to the lack of iodine.

Code of ICD 10 E04 implies sporadic non-toxic forms of goiter. This includes both diffuse views and nodal - one node or a lot. That is, diffuse nodular goiter, which has no yododeficiency as a cause, and, for example, a genetic predisposition to the thyroid dysfunction, it is possible to "marked" by the alphanumeric Digital code E04.

If you pay attention to a group of diseases under the ICD code E05, thyrotoxicosis will be the main concept of these pathologies. Thyareotoxicosis is called a condition in which toxic poisoning of the body occurs due to excess of thyroid hormones in the blood, for example, the thyroid adenoma. The main causes of such processes are toxic types of goiter: diffuse toxic goiter, nodal toxic goiter (single and multicoral) and mixed form. So the toxic type of diffuser nodal goiter refers to the E05 group.

Diseases of the thyroid gland can be very dangerous for the body. Their number includes diffusely nodal goiter. Therefore, their timely diagnosis and treatment is a guarantee of a favorable forecast.

However, one doctor is not always possible to be observed. There are cases when there is a need to move to another city or country. Or an opportunity to continue treatment in a foreign clinic in more experienced specialists. And doctors need to share research data and laboratory tests. It is in such cases that the importance and usefulness of such a document, as the ICD 10. Due to it, the boundaries between doctors are erased. different countriesthat, naturally, saves both time and resources. And the time, as you know, is very expensive.

In order to figure out what is the diffuse node goiter on the ICD 10 and what it means, it is necessary to figure out what is the designation "MKB 10". It is deciphered as "International Classification of Diseases" and is a regulatory document, whose task is to combine methodical approaches and comparison of materials among the doctors of the whole world. That is, in simple language, it is an international classification of all known diseases. And the figure 10 indicates the version of the revision of this classification, at the moment it is the 10th. And diffuse nodal goiter as pathology refers to the IV class, including diseases of the endocrine system, the state of violation of metabolic processes and digestion, which have alphanumeric codes from E00 to E90. Diseases of the thyroid gland occupy positions with E00 on E07.

If we talk about a diffuse nodal goiter, it should be remembered that the classification on the ICD 10 combines various pathology of the thyroids into the group, which differ in both the reasons for the appearance and morphology. These are both nodal neoplasms in the tissues of the thyroid gland (single-zone and multi-nominal), and the pathological growth of its tissues due to dysfunction, as well as mixed forms and clinical syndromes associated with diseases of the endocrine organ.

They can also be diagnosed in different ways, some pathologies visually "urged" neck, part can only be felt in the process of palpation, others, in general, are determined only when using ultrasound.

The morphology of disease allows you to highlight the following types: diffuse, nodal and diffuse nodal goiter.

One of the changes made by the 10 revision in the ICD was the classification of thyroid pathologies not only on morphological features, but for reasons of appearance.

Thus, the following types of goiter are distinguished:

• endemic origin due to iodine deficiency;
• euticoid or non-toxic;
• tireotoxicose states.

For example, if we consider the resulting yodode deficiency, the endemic goiter MKB 10 is assigned to it code E01. The official formulation sounds as follows: "Thyroid diseases associated with iodine deficiency and similar states." Since this group combines diffuse and nodular forms of endemic goiter, as well as their mixed forms, diffusely nodal goiter can be attributed to this code of international classification, but only the species that has developed due to the lack of iodine.

Code of ICD 10 E04 implies sporadic non-toxic forms of goiter. This includes both diffuse views and nodal - one node or a lot. That is, diffuse nodular goiter, which has no yododeficiency as a cause, and, for example, a genetic predisposition to the thyroid dysfunction, it is possible to "marked" by the alphanumeric Digital code E04.

If you pay attention to a group of diseases under the ICD code E05, thyrotoxicosis will be the main concept of these pathologies. Thyareotoxicosis is called a condition in which toxic poisoning of the body occurs due to excess of thyroid hormones in the blood, for example, the thyroid adenoma. The main causes of such processes are toxic types of goiter: diffuse toxic goiter, nodal toxic goiter (single and multicoral) and mixed form. So the toxic type of diffuser nodal goiter refers to the E05 group.

However, one doctor is not always possible to be observed. There are cases when there is a need to move to another city or country. Or an opportunity to continue treatment in a foreign clinic in more experienced specialists. And doctors need to share research data and laboratory tests. It is in such cases that the importance and usefulness of such a document, as the ICD 10, thanks to it, the boundaries are erased between doctors of different countries, which, naturally, saves both time and resources. And the time, as you know, is very expensive.

ICB-10: Types of goiter

ICD 10 - International Classification 10th review of the revision was created to systematize data on illness according to their type and development.

To refer to diseases, a special encoding has been developed, in which the capital letters of the latice and numbers are used.

Thyroid diseases assigned class IV.

Goz, as a type of thyroid disease, is also included in the ICD 10 and has several types.

Types of goiter on the ICD 10

Goble - a clearly pronounced increase in the tissues of the thyroid gland, which occurs due to disorders of the function (toxic form) or due to changes in the structure of the organ (eutheroid form).

The classification of ICD 10 provides for the territorial foci of iodine deficiency (endemic), due to which pathologies are possible.

The inhabitants of the regions with poor iodine soils are most often affected by this disease - these are mountainous areas, areas far from the sea.

The endemic type of goiter can seriously affect the function of the thyroid gland.

Classification of goiter on the ICD 10 Next:

1. Diffuse endemic;
2. Multi-nose endemic;
3. Non-toxic diffuse;
4. Non-toxic one-zone;
5. Non-toxic multicoral;
6. Other refined species;
7. Endemic uncomfortable;
8. Non-toxic uncomfortable.

The non-toxic form is the one, which, unlike toxic, does not affect the normal production of hormones, the causes of the increase in the thyroid lies in the morphological changes in the body.

The increase in volume most often talks about the development of goiter.

Even with visual defects, it is impossible to immediately establish the cause and type of disease without additional analyzes and research.

For accurate diagnostics, all patients need to be studied ultrasound research, pass the blood to hormones.

Diffuse endemic process

Diffuse endemic goiter has a code on the ICD 10 - E01.0, represented by the most frequent form of the disease.

At the same time, the entire parenchym of the organ is increased due to the acute or chronic lack of iodine.

Patients have:

• weakness;
• apathy;
• headaches, dizziness;
• suffocation;
• hoping;
• problems with digestion.

Later they can develop painfulness In the region of the heart due to the reduced concentration of thyroid hormones in the blood.

In severe cases, surgical intervention and removal of goiter are shown.

Residents of iodine deficiency areas are proposed to regularly take iodine-containing products, vitamins, regularly undergo a survey.

Multi-nose endemic process

This species has code Е01.1.

In pathology, several well-defined neoplasms appear on the tissues of the organ.

Goz grows due to the iodine deficiency characteristic of a particular area. Symptoms allocate the following:

• sipd, hoarse voice;
• sore throat;
• breath is difficult;
• dizziness.

It should be noted that only when progressing the disease, the symptoms become pronounced.

On the initial stage Possible fatigue, drowsiness, such signs can be attributed to overwork or a number of other diseases.

Non-toxic diffuser process

Code in MKB 10 - E04.0.

An increase in the entire thyroid area with the lack of changes in functionality.

This happens due to autoimmune disorders in the structure of the body. Signs of the disease:

• headaches;
• suffocation;
• characteristic deformation of the neck.

Possible complications in the form of hemorrhages.

A number of doctors believe that the euticoid goiter can not be treated until it narrows the esophagus and the trachea and does not cause pain and spastic cough.

Non-toxic single-pointed process

Code E04.1.

For this type of goiter is characterized by the appearance of one clear neoplasm on the field of thyroid.

The node brings discomfort with improper or late treatment.

As the disease progressing, a pronounced bulge appears on the neck.

In the expanding of the node, squeezing of close-based organs, which leads to serious problems:

• voices violations, breathing;
• swallowing difficult, problems with digestion;
• dizziness, headaches;
• wrong work of the cardiovascular system.

The site of the node can hurt much, this is due to the inflammatory process and swelling.

Goiter unspecified endemic

Code of the ICD 10 - E01.2.

This type is due to the territorial iodine deficiency.

It does not have certain pronounced symptoms, the doctor cannot determine the type of illness, even after the analysis.

The disease is assigned to the endemic sign.

Non-toxic multicoral process

Non-toxic multicolored type has code E04.2. In ICD 10.

Pathology of the structure of the thyroid gland. In which pronounced nodal neoplasms are several.

Foci are usually located asymmetrically.

Other types of non-toxic goiter (refined)

To other refined forms of non-toxic goiter diseases, which are assigned the E04.8 code include:

1. The pathology at which the diffuse growth of the tissues is revealed and the formation of nodes is the diffuse unit.
2. Expanding and spike multiple nodes - conglomerate form.

Such formations are found in 25% of cases of the disease.

Uncomfortable non-toxic goiter

For this type of goiter, I code E04.9 is provided in the ICD 10.

It is applied in cases where the doctor as a result of the examination deflects the toxic form of the disease, but cannot determine which pathology of the structure of the thyroid gland is present.

Symptoms in this case are versatile, the analyzes of the full picture are not submitted.

What will help the ICD 10?

This classification is designed primarily for accounting and comparing the clinics of diseases, for statistical analysis of mortality in individual territories.

The classifier benefits a doctor and patient, helps to make an accurate diagnosis faster and choose the most advantageous treatment strategy.

Nodal and diffuse yard of the thyroid gland

Characteristics

Damage features are read from its name:

• Diffuse - means that there is no clear macroscopic (observed naked eye) boundaries between affected and healthy sites glands. On the early stages It is hardly visible when conducting a microscopic study. Sick cells and their groups are almost evenly arranged among healthy.
• Zob involves the tendency of pathological sites to collect together in the so-called nodes. They become visible when ultrasound exam Immediately before the start of the disease.

The mechanism of development of the disease is associated with an increased influence on the tissue of the thyrotropic hormone gland (TSH). It is produced in the pituitary. This hormone stimulates the growth and development of gland cells. In pathology, an increase in its cells is observed, and then the tissue itself (hypertrophy). This leads to the fact that the number of hormones produced by the thyroid gland (tironin) increases. At the first stages, their allocation is controlled by the work of the hypothalamic-pituitary system of the brain. A few years later (time depends on external factors) immune cells due to the failure of the protective system begins to attack hypertrophied gland cells. This is called an autoimmune process. The wall of the cells is destroyed, the hormones are massively entered into the blood.

Causes of pathology

Development diffuse Zoba Connected only with autoimmune processes, the predisposition to which is inherited. This proves the fact that in children, in the families of which there is an endocrine pathology, the nodal goiter occurs more often. The disease itself occurs under the action of external factors. Therefore, the timing of it will be born. Middle age is considered to be a gap from 30 to 50 years. Women suffer from this pathology 8 times more often.

External factors provoking the development of the disease:

• stress;
• injuries;
• chronic pathologies of the upper respiratory tract.

Clinic Disease

Diffuse goiter proceeds hidden for several years. Often it is revealed already with certain complications. All of them are associated with increased production of thyroid hormones. As a result, it is manifested not positive, but toxic effect on the body.

Early signs

You can suspect the disease in early symptoms. They are considered obvious only in the presence of shifts in the level of hormones of the thyroid gland and TSH. In the early stages, all signs may unexpectedly appear and also disappear (unstable).

To the first symptoms include:

• tachycardia (increasing heartbeat);
• body weight deficit with good nutrition;
• cappy headaches;
• sweating.

Late symptoms and complications

In the patient's rank stage, the patient marks the resistance of these signs. A number of new symptoms appear. All of them are grouped as follows:

• Endocrine. High metabolism causes a decrease in body weight against the background of increasing appetite. Women up to 40-45 years old are noted menstrual cycle. Also for them is characterized by the early beginning of menopause.
• Neurological. Patients are irritable and with an unstable psyche. Often there are tremor limbs, insomnia and weakness when driving (especially when trying to get out of the chair or bed).
• Cardiology. Various violations heart Rhythm (Tahikarada, extrasystolia, cleaning arrhythmia), arterial hypertension and heart failure. The latter joins the later stages of the disease. It is characterized by shortness of breath, swelling on the legs, an increase in the abdomen due to ascites (the accumulation of fluid in the abdominal cavity).
• Dermatological. Increased sweating over time leads to dermatitis (inflammation of the skin) in the natural folds of the body. With a long-lasting diffuse zob, the changes relate to nails. They become brittle, deform.
• Ophthalmological. Patients are issued from orbits. This makes them visually big. The upper and lower eyelids due to the constant tension acquire an exhausted look.

Diagnosis and increment of the gland

To form a diagnosis, a combination of several symptoms is needed with an increase in the number of thyroid hormones. The TSH level can be both elevated and lowered.

Important clinical significance is distinguished in the degrees of an increase in the gland. Before the widespread spread of laboratory and instrumental research methods, they were considered the main criterion for the stage of the disease and the effectiveness of treatment. These include:

• The 0th degree is placed when there are no changes in the thyroid gland. At the same time there are clinical and / or laboratory data on improving the production of its hormones.
• 1st degree is exhibited with a minor increase in the gland. Externally, it is not defined. This can only be seen palpatorially (with your fingers).
• The 2nd degree means that the increase in the gland can be determined during swallowing. A number of patients feels a lump in the throat.
• The 3rd degree is a constant visual increase in the gland. The patient always feels a lump in her throat.
• The 4th degree is exhibited by increasing the gland leading to the deformation of the neck. A number of authors allocate another 5th degree when the changes affect not only the front, but also the side surfaces of the neck.

Treatment

Therapy of diffuse goiter implies three options:

• conservative medicia treatment;
• radiooderate;
• surgery.

The choice of method depends on the stage of the disease, state and individual characteristics of the patient. Sometimes their combination is used.

Medicase treatment implies the reception of drugs that reduce the production of thyroid hormones and / or blocking their action. The main means is Mercazolyl. He prevents the synthesis of hormones. His reception is carried out under the control of the level of tironin. Beta blockers (Concor, Egil, Anaprilin, Bidop, etc.) are prescribed as auxiliary therapy, potassium preparations (asparks, Panangin) and sedative plant origin (Valerian, etcher).

Radioiodterepia is used in the progression of the disease (clinical and laboratory and instrumental deterioration) throughout the year, despite the proceedable medication treatment. The procedure is carried out by Iod-131 isotope. It selectively accumulates in the thyroid gland. When decaying, its nuclei is emitted by radioactive radiation. It destroys the cells of the gland. This is especially true of those who have high level Metabolism. The result of therapy is to remove all hypertrophied tissue.

Surgical treatment is carried out only in the absence of the effect of drug therapy and the rapid (1-2 months) increasing the gland. The purpose of the method is the excision of hypertrophied tissue. Sometimes they resort to complete resection (removal) of the gland.

All these methods should be carried out when adhere to a special diet. It implies an exception of oily, fried and smoked food. Salt is limited to 6-8 g per day (if available arterial hypertension - until 3). Only chicken and low-fat varieties of beef are allowed from meat. Fish (preference is given to freshwater) you can eat in stewed with vegetables. All gray porridge are allowed (buckwheat, pearl, barley).

The International Statistical Classification of Health Conditions and Problems is a document developed under the guidance of WHO to ensure a single approach to methods and the principles of disease treatment.

Once at 10 years it is revised, changes and amendments are made. To date, there is an ICD-10 classifier, which makes it possible to determine the International Protocol for the treatment of one or another disease.

Principles of classification of endocrine diseases

Class IV. E00 - E90. Diseases of the endocrine system, nutrition disorders and metabolic disorders, also includes diseases and pathological states of the thyroid gland. Nonzology code according to the ICD-10 - from E00 to E07.9.

• Congenital iodine deficiency syndrome (E00 - E00.9)
• Sound diseases associated with iodine deficiency and similar states (E01 - E01.8).
• Subclinical hypothyroidism due to iodine deficiency (E02).
• Other forms of hypothyroidism (E03 - E03.9).
• Other forms of non-toxic goiter (E04 - E04.9).
• Thyrotoxicosis (hyperthyroidism) (E05 - E05.9).
• Thyroiditis (E06 - E06.9).
• Other diseases of the thyroid gland (E07 - E07.9).

All these nosological units are not one disease, but a number of pathological conditions that have their own characteristics - both in the causes of the occurrence and in the methods of diagnosis. Consequently, the protocol of treatment is determined by the totality of all factors and taking into account the severity of the state.

Disease, its causes and classic symptoms

Initially, we remember that the thyroid has a special structure. It consists of follicular cells, which are microscopic balls filled with a specific liquid - keloid. Due to pathological processes, these balls begin to grow in size. It is because of what character is the growing, whether it has an impact on the production of hormone hormones, and developing disease will depend.

Despite the fact that the diseases of the thyroid gland are diverse, often the causes of their occurrence of similarity. And in some cases, it is definitely not possible to establish it, since the mechanism of action of this gland is still not fully studied.

• Heredity is called the fundamental factor in the development of pathologies of the domestic secretion.
• Environmental impact is an unfavorable environmental situation, radiological background, iodine deficiency in water and food products, food chemistry, additives and GMOs.
• Diseases immune systemViolations of exchange processes.
• Stresses, psycho-emotional instability, chronic fatigue syndrome.
• Age changes associated with hormonal rearrangements of the body.

Often, symptoms of thyroid diseases also have a general trend:

• feeling of discomfort in the neck, compresses, difficulties in swallowing;
• weight loss without changing the diet;
• violation of the sweat glands - can observe excessive sweating or dryness of the skin;
• sharp change of mood, depression exposure or excessively nervousness;
• reducing the severity of thinking, memory deterioration;
• complaints of the work gastrointestinal tract (constipation, diarrhea);
• failures in the work of the cardiovascular system - tachycardia, arrhythmia.

All these symptoms should suggest that it is necessary to consult a doctor - at least a plot therapist. And he, having conducted primary research, if necessary, will send to the endocrinologist.

Some diseases of the thyroid gland are less common due to various objective and subjective reasons. Consider those that are most common according to statistics.

Types of thyroid pathologies

Cyst thyroid gland

Little size benign tumor. It is believed that the cyan can be called an education that exceeds 15 mm. in diameter. All that below this border is the expansion of the follicle.

This is a mature benign tumor, which many endocrinologists are classified as a cyst. But the difference is that the cavity cystic education filled with kelloid, and adenoma is epithelial cells of the pin.

Autimmune thyroiditis (AIT)

The thyroid disease characterized by inflammation of its tissue caused by a violation of the work of the immune system. Due to this malfunction, antibodies are produced, which begin to "attack" own cells thyroid glands, saturated with leukocytes, which causes inflammatory processes. Over time, its own cells are destroyed, cease to produce the desired number of hormones and the pathological state occurs, referred to as hypothyroidism.

Eutheriosis

This is a practically normal state of the thyroid gland, in which the function of producing hormones (TSH, T3 and T4) is not violated, but there are already changes in the morphological state of the organ. Very often, such a state can proceed asymptomatic and lasting all his life, and a person will not even suspect the presence of a disease. Specific treatment This pathology does not require and often detected by chance.

Zob Uzlovoy

Nodal goiter Code on the ICD 10 - E04.1 (with a single node) - a neoplasm in the thicker of the thyroid gland, which can be both harsh and epithelial. The unit node is rarely formed and indicates the beginning of the process of neoplasms in the form of multiple nodes.

Goiter multicoral

Multi-melanoma goiter MKB 10 - E04.2 is an uneven increase in the thyroid with the formation of several nodes that can be as cystic, the same and epithelial. As a rule, this type of goiter is characterized by increased activity of the internal secretion body.

Diffuse Goob.

It is characterized by uniform growth of the thyroid gland, which affects the decrease in the secretory function of the organ.

Diffuse toxic goiter is an autoimmune disease for which the diffuse increase in the thyroid glands and the persistent pathological development of an excessive amount of thyroid hormones (thyrotoxicosis).

This increase in the size of the thyroid gland, which does not affect the production of the normal number of thyroid hormones and is not the consequence of inflammation or neoplastic formations.

Disease of thyroid disease caused by iodine deficiency in the body. There are euticoid (increasing the size of the organ without affecting the hormonal function), hypothyroid (reduction of hormone products), hyperthyroid (increase in hormone products) endemic goiter.

An increase in the size of the organ, which can be observed both in a sick person and in healthy. The neoplasm is benign and is not considered a tumor. Specific treatment does not require until the moment changes in the body or an increase in education.

Separately, it is necessary to mention such a rare disease as the thyroid hypoplasia. This innate disease, which is characterized by the underdevelopment of the body. If this disease occurs during the life, it is called the thyroid atrophy of the thyroid gland.

Thyroid cancer

One of the low-prolonged pathologies, which is detected only through specific diagnostic methods, as the symptomatics is similar to all other diseases of the threshold.

Diagnostic methods

Almost all pathological neoplasms are rarely discarded in a malignant form (thyroid cancer), only with very large sizes and late treatment.

For diagnostics use such methods:

• medical examination, palpation;
• analysis of the titer of antibodies to the tissue tissue
• ultrasonic examination of the pin;
• hormone analysis;
• if necessary, a thin game biopsy.

In some cases, treatment may not be required at all if the size of the neoplasms is very small. The specialist is simply observing the state of the patient. Sometimes neoplasms are spontaneously resolved, and sometimes rapidly begin to increase in size.

Most effective ways of treatment

Treatment can be conservative, that is, drug. Preparations are prescribed in strict accordance with laboratory studies. Self-treatment is unacceptable, since the pathological process requires control and correction of a specialist.

If there are clear indications, operational measures are carried out when a part of the organ is removed, which is subject to the pathological process, or the entire organ.

Treatment autoimmune diseases Through has several differences:

• medical - aims to destruction surplus hormones;
• treatment with radioactive iodine or operation - leads to the destruction of the gland, which entails hypothyroidism;
• computer reflexotherapy is designed to restore the work of the gland.

Diseases of the thyroid gland, especially in the modern world, the phenomenon is quite common. If you turn to a specialist in time and carry out all the necessary therapeutic measures, you can significantly improve the quality of life, and in some cases completely get rid of the disease.

A simple non-toxic goiter, which can be diffuse or nodal, is the non-troop hypertrophy of the thyroid gland without the developing state of hyperthyroidism, hypothyroidism or inflammation. The reason is usually unknown, but it is believed that this may be the result of a long-term hyperstimulation by thyroid-stimulating hormone, most often in response to iodine deficiency (endemic colloid goiter) or reception of various nutritional components or drugs inhibiting the synthesis of thyroid hormones. Except for cases of pronounced iodine deficiency, the function of the thyroid gland is normal and patients are asymptomatic, is determined noticeably increased, dense thyroid. The diagnosis is established on the basis of clinical examination data and laboratory confirmation of the normal function of the thyroid gland. Medical events Aims to eliminate the leading cause of the disease, in the case of the development of too large goiter, it is preferable to surgical treatment (partial thyroidectomy).

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Code of the ICD-10

E04.0 non-toxic diffuse goiter

Causes of simple non-toxic goiter (eutheroid goiter)

A simple non-toxic goiter is the most common and typical reason for increasing the thyroid gland, most often revealed in a pubertal period, period of pregnancy and in menopause. The reason for the present time is not clear in most cases. Specific reasons - established defects of products of thyroid hormones in the body and iodine deficiency in certain countries, as well as eating food containing components, overwhelming the synthesis of thyroid hormones (so-called zobogenic food components, such as cabbage, broccoli cabbage, cauliflower, manica). Other known causes are due to the use medicinal preparationsreducing the synthesis of thyroid hormones (for example, amiodarone or other iodine-containing drugs, lithium).

The iodine deficiency is rarely found in North America, but remains the main cause of the serve epidemic around the world (called endemic goiter). There are compensatory low rates of TSH, preventing the development of hypothyroidism, but TSH-stimulation itself speaks in favor of non-toxic nodal goiter. Nevertheless, the true etiology of the majority of non-toxic gobles found in the regions where iodine is unknown.

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Symptoms of simple non-toxic goiter (euticide goiter)

Patients may have an anamnesis of the small intake of iodine into the body with food or high content in the food of the zobogenic components, but in North America, this phenomenon is rare. In the early stages, the increased thyroid gland is usually soft and smooth, both shares are symmetrical. Multiple nodes and cysts can develop later.

Determined accumulation radioactive iodine thyroid gland, scanning and determination of laboratory indicators of the function of the thyroid gland (T3, T4, TG) are carried out. In the early stages, the accumulation of radioactive iodine the thyroid gland can be normal or high with a normal scintigraphic picture. Laboratory indicators are usually normal. The antibodies to the tissue of the thyroid gland are determined to identify differences with thyroidite Hashimoto.

In case of endemic zob, whey TSH can be slightly elevated, and serum T3 - on the lower boundary of the norm is either slightly reduced, but the level of T3 in serum is usually normal or slightly elevated.

Treatment of simple non-toxic goiter (euticoid goiter)

In regions with iodine deficiency, salt iodization is used; oral or intramuscular purpose of iodine oil solutions annually; Water iodization, chub or the use of animal feed (foose) reduce cases of the development of iodine deficient goiter. Reception should be excluded in food of bogged components.

In other regions, the suppression of the hypothalammopofizar zone by thyroid hormones, blocking TGG products (hence and stimulation of the thyroid gland) is used. TTG-suppressive doses of L-thyroxine, necessary for its complete suppression (100-150 μg / day orally, depends on the level of serum TG), are particularly effective in young patients. The purpose of L-thyroxine is contraindicated in people of elderly and senile age, with non-toxic nodal zobamiSince these types of goiter are rarely reduced in size and can contain areas with autonomous (non-TG-dependent) function, in this case the reception of L-thyroxine can lead to the development of a hyperthyroid state. Patients with large sizes often require surgical treatment Or the purpose of radioiodterepia (131-I) in order to reduce the size of the gland sufficient to prevent the development of breathing difficulties or swallowing or problems associated with cosmetic correction.

It's important to know!

The vascularization of the thyroid gland can be estimated during color streaming and pulsed dopplerography. Depending on the clinical problem (diffuse or focal disease of the thyroid gland) the purpose of the study may be a quantitative assessment of the vascularization of the thyroid gland or the definition of its vascular structure.

The international classifier of diseases in the tenth revision or ICD 10 is designed to group information about diseases depending on the type and stage of progression. Created special encoding from numbers and uppercase latin letters For the designation of pathologies. The ailments of the thyroid gland is assigned to section IV. The nodal goiter has its own codes on the ICD 10, as the form of an endocrinological disease.

The regulatory volume of the thyroid gland is considered 18 cm in women and 25 - in men. Excess size usually indicates the development of goiter.

The disease is a significant growth of the thyroid cells, provoked by its dysfunction or deformation of the structure. In the first case, a toxic form of the disease is diagnosed, in the second - eutheroid. This ailment often amazes people living in areas with land, poorly disabled.

Nodal goiter is not a single ailment, but rather clinical syndromewhich includes various education and structure of education formed in the area of \u200b\u200bthe thyroid gland. Diagnostics also uses the medical term "Struma", denoting the increase in the thyroid.

Classification goiter on the ICD 10 is:

1. Diffuse endemic goiter;
2. Multicate endemic goiter;
3. Goiter endemic uncomfortable;
4. Non-toxic diffuse goiter;
5. Non-toxic single-pointed goiter;
6. Non-toxic multicolor goiter;
7. Other refined species;
8. Non-toxic unspecified goiter.

The non-toxic form in contrast to the toxic does not affect the production of hormones, and the provocative of the growth of the thyroid gland is its morphological changes.

Even when the defect becomes noticeable by the naked eye, it is impossible without additional examination and laboratory tests to identify sources and the form of pathology. To establish a reliable diagnosis, the passage of ultrasound and the result of blood test for hormones is required.