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},
"code": "E02",
"name": "Йододифицитный гипотиреоз",
"icd_name": "Субклинический гипотиреоз вследствие йодной недостаточности",
"gender": 0,
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"slug": "e02_yododificitnyy_gipotireoz",
"lead": "специфическое состояние организма, связанное с реакцией на низкий уровень концентрации гормонов щитовидной железы из-за недостатка йода",
"description": "",
"etiology": "<p>Гипотиреоз в России встречается приблизительно с частотой 19 на 1000 у женщин и 1 на 1000 у мужчин. Несмотря на распространённость, гипотиреоз очень часто выявляется с опозданием.</p>\r\n<p>Это обусловлено тем, что симптомы расстройства имеют постепенное начало и стёртые неспецифические формы. Многие врачи расценивают их как результат переутомления или следствие других заболеваний, либо беременности, и не направляют пациента на анализ уровня тиреотропных гормонов в крови. Гормоны щитовидной железы регулируют энергетический обмен в организме, поэтому все обменные процессы при гипотиреозе несколько замедляются .</p>\r\n<p>Дефицит йода, избыток тиоционатов присутствующих в капусте, брюкве, репе, турнепсе, маниоке, избыток ионов кальция и лития блокирующих захват йода</p>",
"pathogenesis": "",
"diagnostics": "<p>Дифференциальная диагностика строится на основании клинических исследований пациента, в частности, уровней тиреоидных гормонов в течение некоторого времени. Определяют тироксин (Т4-норма для детей старше 2 мес 50-140 нмоль/л)и трийодтиронин (T3- 1,50-3,85 ммоль/л). При гипотиреозе их уровень снижается пропорционально тяжести заболевания, уровень ТТГ резко повышен. Определённые изменения уровней тиреоидных гормонов возможны под действием неблагоприятных экологических условий, под влиянием факторов профессиональной деятельности (химические вещества, радиация).</p>",
"treatment": "<p>Основная цель лечения йододефицитных заболеваний на ранних стадиях (в том числе заболеваний ЩЖ) - обеспечить адекватное поступление йода в организм и тем самым прервать цепь патологических реакций организма, направленных на компенсацию хронического йодного дефицита. В случае развития выраженных изменений (многоузловой эутиреоидный или токсический зоб и другие последствия йодного дефицита) целями лечения являются профилактика прогрессирования имеющейся патологии и лечение осложнений.</p>",
"prevention": "<p>Основным методом массовой профилактики ЙДЗ на территории РФ, соответствующим общепринятым международным стандартам, является употребление йодированной соли. Индивидуальная йодная профилактика и лечение в группах повышенного риска ЙДЗ проводится на фоне массовой йодной профилактики.</p>",
"clinical_picture": "<p>Жалобы часто скудны и неспецифичны, тяжесть состояния больных обычно не соответствует их жалобам: <a href=\"/symptom/vyalost/\" title=\"Перейти на страницу симптома Вялость\">вялость</a>, медлительность, <a href=\"/symptom/utomlyaemost/\" title=\"Перейти на страницу симптома Утомляемость\">снижение работоспособности</a> и быстрая <a href=\"/symptom/utomlyaemost/\" title=\"Перейти на страницу симптома Утомляемость\">утомляемость</a>, <a href=\"/symptom/sonlivost/\" title=\"Перейти на страницу симптома Сонливость\">сонливость</a>, снижение памяти, многие часто жалуются на <a href=\"/symptom/izmeneniya_struktury_kozhi/\" title=\"Перейти на страницу симптома Изменения структуры кожи\">сухость кожи</a>, одутловатость лица и отечность конечностей, грубый голос, ломкость ногтей, <a href=\"/symptom/vypadenie_volos/\" title=\"Перейти на страницу симптома Выпадение волос\">выпадение волос</a>, увеличение массы тела, ощущение зябкости, отмечаются парестезии, запоры, другие симптомы. Выраженность симптомов гипотиреоза во многом зависит от причины заболевания, степени тиреоидной недостаточности, индивидуальных особенностей пациента.</p>",
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