HÜMEYRA YAKA
1. Edition/ November 2024/ ISBN 978-605-9259-78-1 Baskı: O’TIP KİTABEVİ ve YAYINCILIK
Dokuz Eylül Üniversitesi Tıp Fakültesi Hastanesi Poliklinik Giriş Katı İnciraltı Yerleşkesi Balçova/ İzmir
Şaireşref Bulvarı 86/A – Alsancak – İzmir Tel. (0)232 412 2050 – (0)532 214 43 16
Sertifika No: 41985
Ofset Hazırlık: Zübeyde Aktaş
CLINICAL APPROACH TO HYPOTHYROIDISM IN PRIMARY HEALTH CARE
ABBREVIATIONS
CHAPTER-1
THYROID ANATOMY AND PHYSIOLOGY …………………………………………….. 1
CHAPTER-2
HYPOTHYROIDISM …………………………………………………………………………. 5
Definition ………………………………………………………………………….. 5
Etiology …………………………………………………………………………….. 6
Epidemiology……………………………………………………………………… 6
Genetic Epidemiology………………………………………………………….. 7
Screening ………………………………………………………………………….. 7
Diagnosis …………………………………………………………………………… 9
Symptoms and Findings …………………………………………………….11
Treatment ………………………………………………………………………..12
When is A Referral to a Higher-Level Health Center Necessary? . 14
Subclinical Hypothyroidism …………………………………………………15
The Relationship between Iodine and Hypothyroidism…………….18
Euthyroid Diffuse Goitre ……………………………………………………..20
CHAPTER-3
HYPOTHYROIDISM IN PREGNANCY ………………………………………………….23
Importance of Iodine in Pregnancy ……………………………………….24
Diagnosis of Hypothyroidism in Pregnancy …………………………….25
What Are the Consequences of Overt Hypothyroidism During
Pregnancy? ………………………………………………………………………………….26
What are the Consequences of Subclinical Hypothyroidism During
Pregnancy? ………………………………………………………………………………….26
Hypothyroidism Treatment During Pregnancy ………………………..27
Hypothyroidism Follow-up During Pregnancy …………………………27CHAPTER-4
CONGENITAL HYPOTHYROIDISM …………………………………………………….29
Screening and Diagnosis ……………………………………………………..30
Symptoms and Findings………………………………………………………32
Cretinism………………………………………………………………………….33
Treatment ………………………………………………………………………..34
Follow-up …………………………………………………………………………34
REFERENCES …………………………………………………………………………………37