If you suspect that you have a problem with the thyroid gland or you just want to have a preventive examination, call us and in one hour do one of the thyroid examination packages that we offer, and immediately start therapy if it is necessary (info at tawilstitnjaca@gmail.com):
1. Thyroid gland MINI-package - examination by a specialist in nuclear medicine and thyroid hormones, 100.00 KM
2. Thyroid OPTIMUM package -special examination of nuclear medicine, hormones and thyroid ultrasound, 120.00 KM
3. Thyroid MAXI package -examination of spec. nuclear medicine, hormones and thyroid ultrasound, ATP/ATG antibodies, tumor markers (Tg, calcitonin), 240.00 KM
Do additional tests if necessary: antibodies, tumor markers, puncture of changes in the thyroid gland, elastography!
Also, if you have dilemmas regarding therapy, the proposed surgical procedure, you are interested in a second opinion regarding treatment, come for a consultative examination with all the documentation!
The price of a consultative examination is 50.00 KM!
Inspection and consultation can be done every working day from 9 am to 3 pm!
More information and orders on tel. 067/1300-196 or email: tawilstitnjaca@gmail.com!
Services of our polyclinic in the field of thyroid and parathyroid gland diseases
- Prevention
- Diagnostic laboratory processing of blood samples for thyroid hormones (T3, FT3, T4, FT4, TSH), parathyroid hormone, ANTIBODIES (anti-TPO, anti-Tg), tumor markers-thyroglobulin, calcitonin
- thanks to the modern and fast laboratory, the result of the analysis of thyroid hormones, antibodies and thyroglobulin is ready in 60 minutes specialist examination by nuclear medicine specialist,
- ultrasound examination of the thyroid gland, parathyroid glands, neck lymph nodes,
- elastography of suspicious nodules in the thyroid gland
- targeted cytopuncture under ultrasound control medical treatment of thyroid disease
- Echo-laser and micro-wave ablation of thyroid nodules/minimally invasive procedures under local anesthesia
You can get more information by email: tawilstitnjaca@gmail.com
Thyroid
The thyroid gland is a gland located in the neck, and its role is to regulate metabolism. It controls the heart, intestinal peristalsis, enhances muscle strength, regulates blood fat levels and is essential for the normal development of the infant brain. Thyroid disease is among the most common disorders of glands with internal secretion.
Struma or enlarged thyroid gland
The cause of thyroid enlargement in the past was lack of iodine in the diet. However, since the introduction of mandatory salt iodization, this cause of goiter has almost completely disappeared. Today, the most common cause of goiter is autoimmune thyroid disease. Other causes include taking drugs that favor thyroid changes, hereditary disorders, and the appearance of thyroid nodules that may be benign or malignant. An enlarged thyroid that secretes hormones is also called euthyroid struma. A small struma has no symptoms, and if it is larger, it can cause problems in the sense of pressure in the garden, difficulty swallowing, suffocation etc. It is diagnosed by examination of the neck, ultrasound of the neck, scintigraphy and, if necessary, puncture of the node in the neck.
Hypothyroidism or poor thyroid function
Hypothyroidism is one of the most common thyroid diseases. It occurs when the body does not have sufficient production of thyroid hormone. It occurs more frequently in women. The most common cause is an autoimmune thyroid disease in which thyroid antibodies attack the thyroid gland. The thyroid gland can function normally for a long time with the antibodies present, and then it can gradually weaken in some patients. Symptoms of lower thyroid function include permanent fatigue, exhaustion, dry and dandruff skin, swelling around the eyes, thin hair falling off and thinning, deeper voice, slowness, lower concentration and forgetfulness, constipation, menstrual disorders, muscular weakness, moderate gaining on the body mass. In addition to chronic thyroid inflammation caused by an autoimmune disease, hypothyroidism can also be caused by thyroid surgery, radiation in the neck, and taking medications that affect thyroid function (the most important being amiodarone). Hypothyroidism is diagnosed by measuring thyroid hormone from the blood. The increase in thyroid-stimulating hormone (TSH) concentration generated by the pituitary gland is the first and most significant laboratory disorder expected in the thyroid function. Hypothyroidism is treated by using thyroid hormone in tablet form. Patients undergoing substitution therapy are monitored for blood hormone concentration (TSH is the most important factor) and the therapeutic dose is determined according to the measured values.
Hyperthyroidism or increased thyroid function
Hyperthyroidism is a condition where there is too much thyroid hormone in the body. Like hypothyroidism, it occurs more frequently in women and is most commonly caused by an autoimmune disorder. Symptoms of hyperthyroidism are: emotional instability, insomnia, excessive sweating and poor tolerance of heat, rapid work and palpitations, trembling of hands, high blood pressure, frequent stools, increased appetite, weight loss, irregularities of the menstrual cycle, thin and thin hair, thin and thin hair , brittle nails, fatigue, exhaustion, nausea. In addition to hyperthyroidism (if it is caused by an autoimmune disorder), changes in the eyes that can become "bulging" can occur. Other causes of hyperthyroidism are the presence of one or more hyperactive nodes in the thyroid gland that secretes hormones, the use of drugs that affect thyroid function (the most significant is iodine), viral thyroid inflammation, or drug overdose in the treatment of hypothyroidism. Hyperthyroidism is treated with drugs that reduce the production of thyroid hormone, drugs that slow down heart rate, and tranquilizers. If this does not cure hyperthyroidism, thyroid surgery or administration of radioactive iodine is considered.
Metabolic bone diseases and osteoporosis
Osteoporosis is a disease characterized by reduced bone mass and disturbed microarchitecture of bone beds, and consequently an increased risk of fractures. Bone mass is assessed using densitometric methods, where the density of minerals in the bone is measured.
We talk about osteoporosis when the bone density is lower by more than 2.5 standard deviations of the peak bone mass of the population of the same age. The term osteopenia is used for a smaller loss of bone density, i.e. from -1 to -2.5 standard deviations.
Osteoporosis is one of the most important public health problems in the developed world. It is a disease of the elderly population, particularly important due to its frequent association with bone fractures that can lead to disability and generate significant treatment costs.
The most common bone fractures in osteoporosis are compression fractures of the spine, fracture of the neck of the femur and the lower part of the forearm. Hip fracture in old age is accompanied by increased mortality, and half of the survivors cannot move without assistance. An important factor for the occurrence of fractures in the elderly is the tendency to fall.
The loss of bone mass begins around the age of 30, so reaching the highest possible peak bone mass in youth is of decisive importance for bone mass in old age. Many factors affect the speed of bone loss, and the following categories are particularly at risk: white women, women who entered menopause early, people with a low body mass index, people with a lack of calcium and vitamin D in their diet, smokers, patients with poor mobility and those who consume alcohol excessively or are treated with corticosteroids for a long time. In the treatment of osteoporosis, it is very important to remove factors that favor bone loss (e.g. stop smoking), increase physical activity, pay attention to the patient's environment (e.g. remove architectural barriers that increase the risk of falling) and ensure sufficient dietary intake of calcium and vitamin D. Today, we have a number of medications at our disposal that slow down bone loss and maintain bone mass.
Hyperparathyroidism
Hyperparathyroidism is a disease of the parathyroid glands in which these glands are overactive. The parathyroid glands regulate the level of calcium in the blood. If an adenoma forms in one of the four parathyroid glands, which secretes parathyroid hormone (PTH) more, the level of calcium in the blood will rise. At the same time, there is a decrease in the amount of calcium in the bones, that is, bone demineralization. The treatment of hyperparathyroidism is based on the surgical removal of the parathyroid adenoma.