Get to know Goit In or Struma Basedow

Mumps is an enlarged condition of the thyroid gland. However, the enlargement of the thyroid gland is not always visible from the outside, so you may not notice being hit by a goiter. One type of dangerous goiter is deep goat or goitre based. This condition is characterized by distinctive eye disorders and an increase in thyroid hormone. The thyroid gland is a butterfly-shaped gland located under the Adam's apple in the neck. The thyroid gland produces hormones whose function is to regulate the body's metabolism. An enlarged thyroid gland called mumps is an abnormal condition. Although usually not painful, mumps can cause coughing, difficulty swallowing, or difficulty breathing, if they are large.

Causes of Goiters or Struma Basedow

Mumps occur due to interference with the thyroid gland. The reason could be because the thyroid gland produces too much thyroid hormone (hyperthyroidism) or lack of thyroid hormone (hypothyroidism). Medically speaking, there is no term goiter. By Indonesians, goiter is defined as a goiter condition that widens to the side accompanied by bulging eyes. This condition resembles the signs and symptoms of one thyroid disease, Graves' disease. Graves' disease is a thyroid disease caused by an immune system that produces excessive thyroid hormones (hyperthyroidism). Thyroid produces hormones after getting orders from thyroid stimulating hormone (TSH) released by the pituitary gland in the brain. In Graves' disease, damage in the immune system releases abnormal antibodies that mimic TSH function. Encouraged by these false signals, the thyroid gland then produces excessive amounts of the hormone. This excessive stimulation can cause an enlarged thyroid gland.

Other factors that can cause thyroid enlargement

Conditions that can also cause swelling of the thyroid gland and resemble deep goiter conditions, namely:

• Iodine deficiency

Iodine is a chemical that plays an important role in the formation of thyroid hormones in the body. In people who are iodine deficient, goiter is formed because the thyroid is enlarged in an effort to get more iodine.

• Hashimoto's disease

Hashimoto's disease is a disease caused by inflammation of the thyroid gland so that it produces too little hormone (hypothyroidism). Low thyroid hormone makes the pituitary gland produce TSH to stimulate thyroid production. This is what then causes the thyroid gland to enlarge.

• Multinodular goiter

In this condition, several dense or fluid-filled lumps called nodules develop on both sides of the thyroid gland. This causes enlargement of the thyroid gland. The cause of multinodular goiter is not known with certainty, but this condition is associated with other thyroid diseases, such as Hashimoto's disease, iodine deficiency, to thyroid cancer.

• Solitary thyroid nodules

In this condition, thyroid lumps only occur in one part of the thyroid gland.

• Thyroid cancer

Thyroid cancer is an abnormal cell growth that occurs in the thyroid gland. Thyroid cancer is more common than thyroid nodules.

Mumps are more often found in women than men. In addition, people who are pregnant, over the age of 40, have a family with a history of autoimmune disease, are using certain medications (such as medications for heart disease or lithium to treat mental health disorders), and are exposed to radiation, are also more at risk of developing mumps.

Symptoms of Goiters or Struma Basedow

Not all goiters give rise to typical symptoms and signs. However, common symptoms that can appear in goiter include:

• Neck swells.
• Stiff or lumpy feeling in the throat.
• Hoarseness.
• Cough.
• Difficulty breathing.
• Trouble swallowing.

In Graves' disease, several other symptoms that can appear besides enlargement of the thyroid gland are trembling hands and fingers (tremors), bulging or visible eyes such as bulging, weight loss, menstrual cycles changing, skin on the legs turning red, irregular heartbeat, and decreased libido. Of all the symptoms, the most typical felt by sufferers of Graves' disease is a protruding eye (exophthalmos). This condition is generally accompanied by painful sensations and pain in the eyes, swollen eyelids, inflamed eyes, and becoming more sensitive to light. In cases of severe exophthalmos, swollen eye muscles can exert strong pressure on the optic nerve. This allows partial (partial) blindness. The eye muscles that experience long-term inflammation will slowly lose the ability to control movement, causing double vision.

Diagnosis of Deep Mumps or Struma Basedow

In determining the diagnosis of deep goitre or goose-based trauma, the first step taken by the doctor is to trace the patient's medical history. Next, a physical examination is carried out to check for clinical signs, including checking blood pressure and heart rate, as well as palpation of the thyroid gland. Because Graves' disease is related to thyroid hormone, your doctor will recommend a blood test to determine the level of thyroid stimulating hormone (TSH) and thyroid hormone. Graves disease sufferers generally have TSH levels below normal and thyroid hormone above normal. Further examination is done by giving iodine. You do this by measuring iodine found in the thyroid gland after iodine is given by injection into a vein or orally. The amount of iodine in the thyroid gland determines whether goitre is caused by Graves' disease or hypertrophic disorders due to other reasons. Radiological examination, such as ultrasound, CT scan, and MRI, may also be needed for more accurate diagnosis.

Deep Mumps Treatment

Treatment of deep goitre is very dependent on the size, signs and symptoms that appear, as well as the underlying cause. The goal of treatment of deep goitre or goose-based trauma is to inhibit the production of excess thyroid hormones and block the effects of these hormones on the body. Handling in mumps includes:

• Giving medicine

To treat inflammation of the thyroid gland, the doctor will give pain relievers and anti-inflammatory drugs, such as aspirin and corticosteroids. To overcome hyperthyroidism that occurs due to goose based trauma, drugs are needed to control hormone levels.

• Radioactive iodine therapy

Radioactivity works by destroying overactive thyroid cells. The result is the swelling will shrink and other symptoms gradually decrease.

• Antithyroid treatment

This drug works by blocking the use of iodine to produce thyroid. Antithyroid drugs can be used before or after radioactive iodine therapy as an additional treatment.

The surgical procedure is the last resort to remove the entire thyroid gland (total thyroidectomy) or a portion of the thyroid (subtotal thyroidectomy), depending on the stage of the disease. This procedure is quite risky, because it can damage the nerves that control the vocal cords and small glands that are adjacent to the thyroid gland (parathyroid gland). After surgery, you may need thyroid hormone replacement therapy. Another very dangerous risk for thyroid removal surgery is thyrotoxicosis or thyroid storm (thyroid storm). This condition has a fairly high mortality rate. Immediately consult a doctor if you experience neck swelling accompanied by dizziness, difficulty swallowing, weight loss, vision problems, and hoarseness. If left unchecked, deep or goitre-based goiter can compress the jugular veins (blood vessels that drain blood from the face, head, brain, and neck, toward the heart), throat, esophagus, or nerves in the throat voice box. Early detection is very important so that treatment can be done immediately to prevent the development of disease and complications.