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Это приводит к нарушению обмена веществ, а затем и к осложнениям на сердце, сосуды, нервную и репродуктивную систему [4](https://gemotest.ru/info/spravochnik/zabolevaniya/gipotireoz/). \n\nГипотиреоз может быть первичным и вторичным [3](https://www.fdoctor.ru/bolezn/gipotireoz/)[9](https://citilab.ru/articles/gipotireoz/): \n* **Первичный** — нарушения возникают непосредственно в щитовидной железе, которая не может вырабатывать достаточное количество гормонов [3](https://www.fdoctor.ru/bolezn/gipotireoz/). \n* **Вторичный** — возникает при нарушении выработки гормонов, которые влияют на функционирование щитовидной железы [3](https://www.fdoctor.ru/bolezn/gipotireoz/). Например, если гипофиз вырабатывает недостаточно тиреотропного гормона (ТТГ), то щитовидная железа также снижает выработку своих гормонов [3](https://www.fdoctor.ru/bolezn/gipotireoz/).\n\n\n\n## Причины\nНекоторые причины гипотиреоза: \n* **Аутоиммунный тиреоидит** — иммунная система ошибочно атакует собственные клетки щитовидной железы, постепенно хроническое воспаление повреждает ткань железы и снижает её способность производить гормоны [3](https://www.fdoctor.ru/bolezn/gipotireoz/). \n* **Удаление щитовидной железы (тиреоидэктомия)** — полное или значительное удаление железы при лечении рака, узлового зоба или тиреотоксикоза снижает выработку гормонов [3](https://www.fdoctor.ru/bolezn/gipotireoz/). \n* **Лечение радиоактивным йодом** — такая терапия нередко разрушает ткань железы и вызывает гипотиреоз [3](https://www.fdoctor.ru/bolezn/gipotireoz/). \n* **Выраженный дефицит йода в питании** — обычно в регионах, где йод не добавляют в соль и продукты [3](https://www.fdoctor.ru/bolezn/gipotireoz/). \n* **Врождённые нарушения развития или функции щитовидной железы** — такой гипотиреоз диагностируют в детском возрасте [3](https://www.fdoctor.ru/bolezn/gipotireoz/).\n\n## Симптомы\nНекоторые симптомы гипотиреоза: \n* постоянная усталость, слабость, сонливость [3](https://www.fdoctor.ru/bolezn/gipotireoz/); \n* зябкость, повышенная чувствительность к холоду [3](https://www.fdoctor.ru/bolezn/gipotireoz/); \n* сухость и бледность кожи [3](https://www.fdoctor.ru/bolezn/gipotireoz/); \n* ломкость, сухость и выпадение волос [3](https://www.fdoctor.ru/bolezn/gipotireoz/); \n* беспричинная прибавка в весе или трудности с его снижением [3](https://www.fdoctor.ru/bolezn/gipotireoz/); \n* замедление сердечного ритма [3](https://www.fdoctor.ru/bolezn/gipotireoz/); \n* запоры [3](https://www.fdoctor.ru/bolezn/gipotireoz/); \n* мышечная слабость, боли в мышцах [3](https://www.fdoctor.ru/bolezn/gipotireoz/); \n* нарушения менструального цикла у женщин [3](https://www.fdoctor.ru/bolezn/gipotireoz/). \n\nНередко симптомы гипотиреоза маскируются под проявления других заболеваний [3](https://www.fdoctor.ru/bolezn/gipotireoz/).\n\n## Диагностика\nПри подозрении на гипотиреоз необходимо обратиться к эндокринологу [12](https://ozerki.ru/articles/gipotireoz-simptomy-obsledovanie-lechenie/)[14](https://alfazdrav.ru/zabolevania/zabolevaniy-shchitovidnoy-zhelezy/gipotireoz/). Диагностика включает: \n* **Анализ крови на ТТГ (тиреотропный гормон)** — основной маркер заболевания, при гипотиреозе уровень ТТГ выше нормы [12](https://ozerki.ru/articles/gipotireoz-simptomy-obsledovanie-lechenie/). \n* **Анализ на Т4** — уровень свободного тироксина позволяет оценить функцию щитовидной железы, при гипотиреозе гормонов Т4 в крови меньше нормы [12](https://ozerki.ru/articles/gipotireoz-simptomy-obsledovanie-lechenie/). \n* **Анализ на антитела к щитовидной железе (АТ-ТПО, АТ-ТГ)** — обнаруживает аутоиммунные заболевания, например аутоиммунный тиреоидит, который бывает причиной гипотиреоза [12](https://ozerki.ru/articles/gipotireoz-simptomy-obsledovanie-lechenie/).\n\n## Лечение\n**Основной метод лечения** — **заместительная гормональная терапия** препаратами левотироксина (синтетическим аналогом гормона тироксина) [4](https://gemotest.ru/info/spravochnik/zabolevaniya/gipotireoz/)[17](https://Megapteka.ru/specials/simptomy-i-lechenie-3020). Дозировку врач подбирает индивидуально, с учётом возраста пациента, массы его тела и уровня гормонов [4](https://gemotest.ru/info/spravochnik/zabolevaniya/gipotireoz/). \n\nТерапию, как правило, назначают пожизненно, так как в большинстве случаев гипотиреоз — необратимое состояние [3](https://www.fdoctor.ru/bolezn/gipotireoz/). 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