Challenges in the care of hypothyroidism

Hyderabad: The treatment of hypothyroidism becomes a challenge because it is often found that despite a drug treatment, there is no correlation between the degree of the disease and the symptoms.

There is a demand for National Advisory Council on Hypothyroidism in order to understand the gaps in the diagnosis and treatment of the disease in India, as it turns out that it is misdiagnosed and over-processed.

It is estimated that in India, 42 million people suffer from thyroid diseases. The prevalence of hypothyroidism in India in the adult population is 10.95%.
Hypothyroidism is caused when the cells of the thyroid gland are not able to produce enough thyroid hormones. In maximal cases, it has been found that the production of thyroid hormones stops abruptly. This autoimmune disease is found more in women than in men. During a viral infection, it has been found that the gland releases all the hormones in the blood, thus causing excessive activity, and then becomes insufficient.

Dr. Sreedevi Patnala, Endocrinologist Consultant at Apollo Hospitals, said, "The biggest challenge is subclinical diagnosis and its treatment. We find patients overtreated for the disease that becomes a major problem. There is a need to bridge the gap and empower GPs who treat these disorders. This will eliminate unnecessary processing. "

There is currently only one type of treatment that replaces the deficient thyroid hormone. Despite treatment, the effect of drugs is not desired in some cases. The experts said that it was necessary to continue the research.

While iodine deficiency is one of the causes of disease, an experienced endocrinologist explained, "We have iodized salt that supports the deficiency. But we also observe if there are in some patients too much iodine which is at the origin of these problems? In some cases, when the disease is not controlled, patients are asked to stop iodized salt. Therefore, overconsumption is also a reason. "

Dr. Sudhakar Reddy, Senior Endocrinologist at Sunshine Hospitals, explains that the thyroid gland plays an important role in the readjustment of hormones during aging.

" Properly because there are changes in the production of hormones. Thyroid hormones, which affects their metabolism. The aging population suffers from concomitant diseases such as diabetes, hypertension and even diseases such as cancer treatment or transplant. These need to be evaluated closely before giving the dosage, "said Dr. Reddy.

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