桥本甲状腺炎(HT)的危险因素、发病机制及综合治疗综述

Yash Srivastav, Akhandnath Prajapati, Kumari Meera, Kumar Madhaw
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摘要

在世界上碘含量丰富的地区,桥本甲状腺炎,也称为桥本病或自身免疫性甲状腺炎,是甲状腺功能减退的最常见原因。这是甲状腺的一种慢性炎症。其特点是自身免疫介导的甲状腺破坏,导致进行性甲状腺功能衰竭,伴或不伴甲状腺肿形成。在年轻至中年女性中,桥本甲状腺炎通常以无痛、弥漫性、坚固的甲状腺肿大开始,并发展为甲状腺功能减退。许多人最初并没有表现出甲状腺功能减退,有些人甚至没有甲状腺肿或可能有甲状腺萎缩。桥本甲状腺炎(HT),也称为慢性自身免疫性甲状腺炎,是一种以实质萎缩、纤维化和弥漫性淋巴细胞浸润为特征的炎症性疾病。是碘充足地区原发性甲状腺功能减退的主要病因。在各种标准的帮助下,如身体检查,甲状腺激素水平的血液测试(例如TSH低,T3和T4高),血清胆固醇和甘油三酯,血糖和放射性碘摄取,有可能区分感染和杂乱。根据几项甲状腺疾病研究的估计,印度估计有4 200万人患有这种疾病。本文就桥本甲状腺炎的发病原因、危险因素及联合治疗进行综述。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
General overview of the Risk factors, Pathogenesis, and Combined treatments for Hashimoto's Thyroiditis (HT)
In regions of the world where iodine is abundant, Hashimoto's thyroiditis, also known as Hashimoto's disease or autoimmune thyroiditis, is the most prevalent cause of hypothyroidism. It is a chronic inflammation of the thyroid gland. It is characterized by autoimmune-mediated thyroid gland destruction, which results in progressive thyroid failure, either with or without goiter formation. In young to middle-aged women, Hashimoto's thyroiditis typically starts as a painless, diffuse, firm thyroid gland enlargement that progresses to hypothyroidism. Many people don't initially exhibit hypothyroidism, and some don't even have a goiter or may have an atrophic thyroid gland. Hashimoto's thyroiditis (HT), also known as chronic autoimmune thyroiditis, is an inflammatory condition that is characterized by parenchymal atrophy, fibrosis, and diffuse lymphocytic infiltration. being the main source of primary hypothyroidism in regions with adequate iodine. With the help of various criteria, such as physical examination, blood tests for thyroid hormone levels (TSH is low, T3 and T4 are tall, for example), serum cholesterol and triglycerides, blood glucose, and radioactive iodine uptake, it is possible to distinguish between infections and clutter. According to estimates from several thyroid disease studies, 42 million persons in India are estimated to have the ailment. The pathogenesis causes, risk factors and combination therapy linked to Hashimoto's thyroiditis are discussed in this review study.
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