
of the thyroid hormone thyroxine which is the main metabolic hormone secreted by the thyroid glands; also known as T4. Thyroxine is produced in the thyroid gland by a synthesis of iodine with the amino acid tyrosine. The thyroid gland also requires dietary iodine to produce thyroxine. Thyroxine molecules are composed of two joined tyrosine amino acids combined with four iodine atoms. The synthesis and secretion of thyroxine are regulated by TSH (thyroid stimulating hormone), a hormone from the pituitary gland, and by thyrotropin-releasing hormone (TRH), a hormone produced in the hypothalamus. Thyroxine regulates the formation of the two pituitary hormones. Thyroxine is released by the thyroid in combination with the plasma protein globulin in the blood and distributed to tissues that require the hormone in order to function. In the tissues, thyroxine is converted to triiodothyronine (T3) by removal of one iodine atom. Thriiodothyronine is a more powerful hormone than thyroxine. Thyroid hormone promotes the metabolism of glucose and fat by the liver and increases the release of cholesterol by the liver. It also regulates carbohydrate metabolism and the synthesis and breakdown of protein. In the digestive system, the hormone promotes the contractions of the smooth muscles and regulates the secretion of digestive juices. Thyroxine aids in the normal growth, tone, and function of the muscles associated with the skeleton and the heart. Bone growth and regulation of the growth of the nervous system involve thyroxine; it also regulates the rate of oxygen use by the cells and the generation of body heat. Thyroxine is involved in infertility and the secretion of milk from the breasts of a lactating woman. Thyroid hormone also has a role in skin hydration, hair growth, and endocrine gland secretions. The thyroid itself is a pear shaped gland located in the front of the lower part of the neck that produces thyroxine to regulate the metabolism of the body. When this hormone is decreased the abnormally low levels lead to a slowing in metabolism. The decrease in energy production disrupts many vital functions, including heart rate and the ability to regulate temperature. Older people tend to be more vulnerable to hypothyroidism than their younger counterparts. What are the causes? Virtually all instances of hypothyroidism are caused by underproduction of thyroxine as a result of a disorder within the thyroid gland that inhibits its ability to make enough thyroid hormone. This may be due to complications of thyroid surgery or treatments for hyperthyroidism (over activity of the thyroid gland), including radioactive iodine therapy. Autoimmune disorders that make antibodies which attack the thyroid gland may also cause hypothyroidism. Rarely, a congenital defect in the gland may cause hypothyroidism in newborns. Transient episodes of hypothyroidism are generally caused by inflammation of the tissue or viral infections of the thyroid gland. Less commonly, hypothyroidism may result when the hypothalamus or pituitary gland is not functioning properly. The hypothalamus stimulates the pituitary to release TSH (thyroid stimulating hormone) in a chain reaction that activates the thyroid hormone. When there is a disruption in this chain reaction, the thyroid gland may be capable of functioning properly but is not receiving the signal from the pituitary gland to produce thyroxine. This is called secondary hypothyroidism and is usually the result of impaired pituitary function caused by a tumor, an infection, sarcoidosis, or spreading cancer. In rare instances, secondary hypothyroidism is caused by impairment of the hypothalamus. Looking for symptoms
on the magnitude of thyroxine deficiency. The symptoms of a mild insufficiency may include sensitivity to cold temperatures, dry skin, constipation, and forgetfulness. Symptoms of more sever hypothyroidism include (in addition to mild symptoms) chronic fatigue, muscle stiffness and cramping, poor appetite combined with weight gain, hair loss, hoarseness, decreased heart rate, and depression and other psychological problems. Untreated, advanced hypothyroidism may produce myxedema.
enlarged tongue; shortness of breath; severe lethargy; cool thickened skin; dementia; and even coma. Newborn babies with hypothyroidism may have a hoarse cry and difficulty feeding; they are often constipated and less active. Untreated, this congenital form of hypothyroidism produces abnormally shorter stature, thin hair, bulging abdomen, delayed dental development, and impaired mental functioning. In older children, hypothyroidism causes delayed puberty and symptoms similar to those of an adult. Diagnosis and Convention Treatment When hypothyroidism is suspected, a doctor evaluates the person’s medical history and conducts a physical examination. As part of the examination the doctor feels the thyroid gland, which may be enlarged. The skin, hair, abdomen, heart, neurological system, and musculoskeletal system are also examined carefully. Blood samples are taken to measure the levels of thyroid hormones and TSH in the bloodstream. An elevated TSH level indicates an abnormally functioning thyroid gland. The blood may also be tested for cholesterol and other abnormalities associated with hypothyroidism. Cardiac tests, including the electrocardiogram, may be done if there are physical findings involving the heart. If your physician determines that the cause is infection or inflammation of the thyroid gland generally treatment is based on a wait and see approach because hormone levels typical return to normal levels in a few months. Additional testing probably will be required to confirm this. Chronic forms of hypothyroidism from other cause are lifelong disorders that are usually treated with synthetic forms of thyroxine such as levothyroxine, liothyronine, and liotrix. As is the case so often with conventional methods of treatment dosages must be monitored closely to keep the dial from being turned too far in the other direction. If the hypothalamus or pituitary gland is involved, hydrocortisone may need to be taken to prevent the risk of adrenal deficiency caused by replacing the depleted thyroxine. Thyroid hormone replacement therapy usually relieves symptoms of hypothyroidism quickly. Senior citizens and people with heart problems may need to take the hormone replacement medication in small, progressive increments to prevent overstimulation of the heart, so they will experience improvement more gradually. Can Exercise Help? Perhaps, according to the Encyclopedia of Natural Health. They state that exercise is considered to be an important part of overall health and particularly important in any treatment program for hypothyroidism. Exercise stimulates thyroid gland secretion and increases tissue sensitivity to thyroid hormone. They go on to say that many of the health benefits of exercise may be a result of improved thyroid function.
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