Thyroid Disorders
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Thyroid Disorders - Bonnie Juettner
FOREWORD
INTRODUCTION
A Hidden Cause of Fatigue
CHAPTER 1
The Speed Control for the Body
CHAPTER 2
Hypothyroidism: An Underactive Thyroid
CHAPTER 3
Hyperthyroidism: An Overactive Thyroid
CHAPTER 4
Thyroid Nodules and Thyroid Cancer
CHAPTER 5
The Future of Thyroid Research: Brain Chemistry
NOTES
GLOSSARY
ORGANIZATION OF CONTACT
FOR MORE INFORMATION
INDEX
PICTURE CREDITS
ABOUT THE AUTHOR
© 2013 Gale, Cengage Learning
ALL RIGHTS RESERVED. No part of this work covered by the copyright herein may be reproduced, transmitted, stored, or used in any form or by any means graphic, electronic, or mechanical, including but not limited to photocopying, recording, scanning, digitizing, taping, Web distribution, information networks, or information storage and retrieval systems, except as permitted under Section 107 or 108 of the 1976 United States Copyright Act, without the prior written permission of the publisher.
Every effort has been made to trace the owners of copyrighted material.
LIBRARY OF CONGRESS CATALOGING-IN-PUBLICATION DATA
Juettner, Bonnie.Thyroid disorders / by Bonnie Juettner. p. cm.-- (Diseases & disorders)Includes bibliographical references and index.ISBN 978-1-4205-0223-7 (hardcover)1. Thyroid gland--Diseases. I. Title.RC655.J82 2010 616.4'4--dc22
2010004753
Lucent Books
27500 Drake Rd.
Farmington Hills, MI 48331
ISBN-13: 978-1-4205-0223-7
ISBN-10: 1-4205-0223-9
Printed in the United States of America 1 2 3 4 5 6 7 14 13 12 11 10
Table of Contents
FOREWORD
INTRODUCTION
A Hidden Cause of Fatigue
CHAPTER 1
The Speed Control for the Body
CHAPTER 2
Hypothyroidism: An Underactive Thyroid
CHAPTER 3
Hyperthyroidism: An Overactive Thyroid
CHAPTER 4
Thyroid Nodules and Thyroid Cancer
CHAPTER 5
The Future of Thyroid Research: Brain Chemistry
NOTES
GLOSSARY
ORGANIZATION OF CONTACT
FOR MORE INFORMATION
INDEX
PICTURE CREDITS
ABOUT THE AUTHOR
FOREWORD
The Most Difficult Puzzles Ever Devised
Charles Best, one of the pioneers in the search for a cure for diabetes, once explained what it is about medical research that intrigued him so. It’s not just the gratification of knowing one is helping people,
he confided, although that probably is a more heroic and selfless motivation. Those feelings may enter in, but truly, what I find best is the feeling of going toe to toe with nature, of trying to solve the most difficult puzzles ever devised. The answers are there somewhere, those keys that will solve the puzzle and make the patient well. But how will those keys be found?
Since the dawn of civilization, nothing has so puzzled people— and often frightened them, as well—as the onset of illness in a body or mind that had seemed healthy before. A seizure, the inability of a heart to pump, the sudden deterioration of muscle tone in a small child—being unable to reverse such conditions or even to understand why they occur was unspeakably frustrating to healers. Even before there were names for such conditions, even before they were understood at all, each was a reminder of how complex the human body was, and how vulnerable.
While our grappling with understanding diseases has been frustrating at times, it has also provided some of humankind’s most heroic accomplishments. Alexander Fleming’s accidental discovery in 1928 of a mold that could be turned into penicillin has resulted in the saving of untold millions of lives. The isolation of the enzyme insulin has reversed what was once a death sentence for anyone with diabetes. There have been great strides in combating conditions for which there is not yet a cure, too. Medicines can help AIDS patients live longer, diagnostic tools such as mammography and ultrasounds can help doctors find tumors while they are treatable, and laser surgery techniques have made the most intricate, minute operations routine.
This toe-to-toe
competition with diseases and disorders is even more remarkable when seen in a historical continuum. An astonishing amount of progress has been made in a very short time. Just two hundred years ago, the existence of germs as a cause of some diseases was unknown. In fact, it was less than 150 years ago that a British surgeon named Joseph Lister had difficulty persuading his fellow doctors that washing their hands before delivering a baby might increase the chances of a healthy delivery (especially if they had just attended to a diseased patient)!
Each book in Lucent’s Diseases and Disorders series explores a disease or disorder and the knowledge that has been accumulated (or discarded) by doctors through the years. Each book also examines the tools used for pinpointing a diagnosis, as well as the various means that are used to treat or cure a disease. Finally, new ideas are presented—techniques or medicines that may be on the horizon.
Frustration and disappointment are still part of medicine, for not every disease or condition can be cured or prevented. But the limitations of knowledge are being pushed outward constantly; the most difficult puzzles ever devised
are finding challengers every day.
INTRODUCTION
A Hidden Cause of Fatigue
Iwas... feeling tired, really tired, going around from doctor to doctor trying to figure out what was wrong, talk show host Oprah Winfrey told her audience in 2007.
I finally figured out that I had literally sort of blew out my thyroid." ¹
The thyroid is a small gland located in the throat, just below the larynx, or voice box. It is wrapped around the windpipe on three sides. The ancient Greeks thought that the thyroid gland looked like a shield, so they named it shield-shaped.
(The English word for thyroid is derived from the Greek word for shield-shaped.) The Adam’s apple is made of thyroid cartilage, but the thyroid gland is below the Adam’s apple. Most people never notice it unless it swells from infection or they develop a goiter (an enlarged thyroid gland).
The Endocrine System
The thyroid gland, along with other glands in the body, is part of the endocrine system. This means that it makes hormones. The endocrine system can be hard to understand. It does not work in ways that are obvious to most people, the way some of the body’s other systems do. The endocrine system is harder to understand because people cannot see it or feel it in everyday life—they can only see its effects.
The hormones made by the endocrine system are chemicals that travel throughout the body. These chemicals stimulate growth and development, and they help to keep the body in balance. An imbalance in hormone levels can cause all kinds of symptoms, such as feeling dizzy or nauseated, feeling tired and sleepy, finding it difficult to concentrate, or finding it hard to fall asleep. (Puberty and pregnancy as well are governed by hormones—but these conditions are not disorders, just a normal part of human growth and development.)
Thyroid disorders are one kind of hormone imbalance. But there are others, too, such as diabetes. This is a disease that develops when the pancreas, a gland connected to the digestive system, does not make enough insulin—a hormone that removes sugar from the blood and