A goiter is an enlargement of the thyroid gland, often due to iodine deficiency. The thyroid gland needs iodine to produce hormones, and a lack of it forces the gland to work harder, resulting in swelling.
weight gain due to low metabolic rate that encourages food to be stored as fat instead of burned energy ......encourage passive exercise to burn the fat, monitor weight daily
constipation related to depressed GIT functioning evidence by patient verbalise of taking long time to the toilet........assist patient with exercise to promote bowel movement ,provide high fiber diet to patient to assist in easy peristalsis movement
feeling cold due to low iodine levels as evidence by patient wearing too much and verbalising of feeling cold..........assist patient by providing warm diet and diet with average iodine to keep patient warm ,provide more blankets to cover patients
Fatigue due to low iodine levels in the body as evidence by patient needs assistance when doing basic needs ........assist patient with basic needs
PHARMACOLOGY
radioactive iodine used to treat an over action thyroid gland ,it is taken orally and reaches thyroid gland through blood stream destroying thyroid cell ,it diminishes the size of the goiter
surgery to remove all or partial of the thyroid gland (total or partial thyroidectomy)
asprin or corticosteroids to treat inflammation
thyroid hormone replacement with LEVOTHYROXINE will resolve the symptoms of hypothyroidism and slow releasing of THS from patient pitituary gland
observations if goiter is small,not painful,does not have problems doctor may suggest to wait and see /monitor
It depends to the severity of the goiter eg signs and symptoms and underlying causes
CLINICAL MANIFESTATION
difficult thinking and understanding
hair loss
unexpected weight gain
fatigue
constipation
enlarged thyroid
neck lump or swelling
Main topic
AETIOLOGY
It is the swelling un the front of the neck or a goiter ,it occurs when thyroid gland is forced to make thyroid hormones when there is a low supply of iodine in the body
It is an insufficient amount of iodine in the body .
REFERENCEES :SMELZER AND BARE ,GOOGLE
HEALTH EDUCATION
if pregnant or lactating it is important to take high iodised food
avoid using too much salt use recommended dosage to avoid hypertrhyroidism not more than half a teaspoon a day.
if patient leaves near the sea must grow vegetables and fruit ,they will contain more iodine
encourage to eat sea food ,seaweed e.g. sushi
use iodized salt
high iodine diet
DIAGNOSTIC FINDINGS
a biopsy
thyroid scan
ultrasonography
A hormone test :ia a blood test that can determine the amount of hormones produced by thyroid and pituitary gland