Table of contents:
- Causes of Deep Goiter or Goitre Basedow
- Other Factors That Can Cause Thyroid Enlargement
- Symptoms of Deep Goiter or Goitre Basedow
- Deep Goiter or Goitre Diagnosis Basedow
- Inner Goiter Treatment
Deep goiter or goiter basedow is one of the causes of enlargement of the thyroid gland. This condition is characterized by characteristic eye disorders and an increase in the amount of thyroid hormone. If left untreated, this type of goiter can be dangerous and even life threatening
Enlargement of the thyroid gland due to a goiter or goiter baseow is not always visible from the outside and is painful. This is what makes sufferers often do not realize that they are suffering from a goiter or goiter.
However, the larger the size of the goiter can cause other symptoms, such as coughing, difficulty swallowing, or even difficulty breathing.
Causes of Deep Goiter or Goitre Basedow
Medically, there is actually no term goiter inside. Indonesian people describe this condition as a goiter that widens to the side accompanied by bulging eyes.
Goiter itself is an enlargement of the thyroid gland located in the neck, precisely under the Adam's apple. This condition can be caused by various things and one of them is an autoimmune disease, such as Graves' disease.
Graves' disease is an immune disorder that causes the body to produce too much thyroid hormone, causing the thyroid gland to appear enlarged.
Other Factors That Can Cause Thyroid Enlargement
In addition to Graves' disease, there are several conditions that can also cause swelling of the thyroid gland and resemble a goiter, namely:
1. Iodine deficiency
Iodine deficiency can be a cause of goiter. Because iodine is an important substance that plays a role in the formation of thyroid hormones in the body. When iodine levels decrease, the thyroid gland enlarges in response to getting more iodine.
2. Hashimoto's Disease
Hashimoto's disease is an inflammation of the thyroid gland which results in the body's inability to produce thyroid hormone, resulting in too little or hypothyroidism.
Low thyroid hormone causes the pituitary gland to produce thyroid-stimulating hormone or thyrotropin to stimulate thyroid production. This then causes the thyroid gland to enlarge.
3. Multinodular goiter
In this condition, several solid or fluid-filled lumps, called nodules, develop on both sides of the thyroid gland. The lump causes the size of the thyroid gland to become larger.
The exact cause of a multinodular goiter is not known. However, this condition is associated with other thyroid diseases, such as Hashimoto's disease, iodine deficiency, and thyroid cancer.
4. Solitary thyroid nodule
Unlike a multinodular goiter, a solitary thyroid nodule occurs in only one part of the thyroid gland. However, the underlying cause is generally the same as for a multinodular goiter.
5. Thyroid cancer
Thyroid cancer is an abnormal cell growth that occurs in the thyroid gland. This type of cancer is more common than thyroid nodules.
Mumps are more common in women than men. In addition, pregnancy, age over 40 years, family history of autoimmune disease, radiation exposure, and use of certain medications can also increase the risk of goiter, including deep goiter or goiter basedow.
Symptoms of Deep Goiter or Goitre Basedow
Deep goiter is often asymptomatic or causes characteristic symptoms at first. However, there are some common symptoms that can occur due to a goiter, such as:
- Swelling in the neck, to be precise under the Adam's apple
- Stiffness or lump in throat
- Hoarse voice
- Difficulty swallowing
- Difficulty breathing
In Graves' disease, several other symptoms that can appear besides an enlarged thyroid gland can include shaking hands and fingers (tremors), bulging or bulging eyes, weight loss, changes in the menstrual cycle, reddened skin on the feet, palpitations. irregular heart, and decreased libido.
Of all these symptoms, the most typical symptom felt by people with Graves' disease is protruding eyes or exophthalmos. This condition is generally followed by a burning sensation and pain in the eyes, swollen eyelids, inflamed eyes, and more sensitivity to light.
In severe cases of exophthalmos, the swollen eye muscles can put intense pressure on the optic nerve. This allows the occurrence of blindness in one eye (partial).
The eye muscles that experience long-term inflammation will slowly lose the ability to control movement, causing double vision.
Deep Goiter or Goitre Diagnosis Basedow
In determining the diagnosis of a goiter or goiter Basedow, the first step taken by the doctor is to trace the patient's medical history. Next, the doctor will perform the following examinations:
This examination is carried out to check for clinical signs, including checking blood pressure and heart rate, as well as a physical examination by palpating the thyroid gland.
The doctor will also recommend a blood test to determine the levels of thyroid stimulating hormone (TSH) and thyroid hormone. People with Graves' disease generally have TSH levels below normal and thyroid hormone levels above normal.
The next type of examination is the administration of iodine. The doctor will inject or give iodine, then count the amount.
The amount of iodine in the thyroid gland determines whether a goiter is caused by Graves' disease or another disease. Radiological examinations, such as ultrasound, CT scan, and MRI, may also be required for a more accurate diagnosis.
Inner Goiter Treatment
Treatment of a deep goiter or goiter based on the size, signs and symptoms that appear, and the underlying cause. The goal of treatment is to inhibit the production of excess thyroid hormone and inhibit the effects of these hormones on the body.
Some of the treatments for Basedow's goiter or goiter include:
1. Giving symptom relief medication
To treat inflammation of the thyroid gland, the doctor will give pain relievers and anti-inflammatory drugs, such as aspirin and corticosteroids. In addition, the doctor will also give beta blockers to treat tremors and irregular heartbeats.
2. Radioactive iodine therapy
This therapy aims to destroy overactive thyroid cells so that swelling can reduce and other symptoms will gradually decrease.
3. Antithyroid medication
This drug works by controlling thyroid hormone levels. Antithyroid drugs can be used before or after radioactive iodine therapy as an adjunct treatment.
4. Thyroid gland surgery
Surgery is the last resort when the various treatment methods above are not effective or the symptoms that appear are very disturbing. The operation step is to remove all or part of the thyroid gland.
The procedure for removing the thyroid gland or thyroidectomy is quite risky, because it can damage the nerves that control the vocal cords and the parathyroid glands, which are small glands adjacent to the thyroid gland.
Deep goiter or goiter basedow generally can be treated medically. However, this disease carries the risk of dangerous complications, namely thyrotoxicosis or thyroid storm. This condition is characterized by thyroid hormone levels that are too high, endangering body functions.
The risk of complications increases with discontinuation of antithyroid drugs without a doctor's advice, metabolic diseases, emotional stress conditions, and even thyroid surgery. Therefore, you will be hospitalized until your condition is stable and it is recommended to check with the doctor regularly.
If you experience swelling of the neck accompanied by dizziness, difficulty swallowing, hoarseness, shortness of breath, visual disturbances, or any of the symptoms mentioned above, immediately consult a doctor because it could be a symptom of a deep goiter.
In this way, deep goiter or goiter can be detected early and treatment steps can be taken immediately to prevent the development of the disease and complications.