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Некоторые формы: \n* **Аутоиммунный тиреоидит (тиреоидит Хашимото)** — иммунная система атакует клетки собственной щитовидной железы [5](https://fomin-clinic.ru/zabolevaniya/tireoidit/)[6](https://www.MedCentrServis.ru/disease/tireoidity/). \n* **Подострый тиреоидит (тиреоидит де Кервена)** — как правило, развивается после вирусных инфекций [5](https://fomin-clinic.ru/zabolevaniya/tireoidit/). \n* **Тиреоидит Риделя** — редкая форма, при которой нормальная ткань щитовидной железы замещается плотной фиброзной тканью [5](https://fomin-clinic.ru/zabolevaniya/tireoidit/).\n\n\n\n## Причины\nНекоторые причины тиреоидита: \n* **Инфекции** (особенно вирусные) [6](https://www.MedCentrServis.ru/disease/tireoidity/). Вирусы, попадая в щитовидную железу, вызывают воспаление [6](https://www.MedCentrServis.ru/disease/tireoidity/). \n* **Радиационное воздействие** — облучение головы и шеи (например, при радиотерапии), применение радиоактивного йода [6](https://www.MedCentrServis.ru/disease/tireoidity/). \n* **Приём некоторых лекарственных препаратов** — например, амиодарона, йодсодержащих препаратов, препаратов лития [6](https://www.MedCentrServis.ru/disease/tireoidity/). \n* **Наследственные факторы** — генетическая предрасположенность, семейный анамнез аутоиммунных заболеваний [6](https://www.MedCentrServis.ru/disease/tireoidity/).\n\n## Симптомы\nПроявления тиреоидита зависят от формы заболевания [1](https://www.fdoctor.ru/bolezn/tireoidit/)[10](https://www.labstori.ru/book/tireoidit/). Например: \n* **Острый тиреоидит** — повышение температуры тела, головная боль, дискомфорт на шее [1](https://www.fdoctor.ru/bolezn/tireoidit/). \n* **Подострый тиреоидит** — боль в области щитовидной железы, часто отдающая в уши, челюсть или горло, иногда — боль при глотании и поворотах головы [1](https://www.fdoctor.ru/bolezn/tireoidit/). \n* **Хронический тиреоидит** — постепенное увеличение щитовидной железы за счёт разрастания соединительной ткани, со временем появляются другие симптомы: затруднение глотания, одышка, осиплость голоса, шумное дыхание [1](https://www.fdoctor.ru/bolezn/tireoidit/).\n\n## Диагностика\nПри появлении симптомов нужно обратиться к врачу-терапевту, который проведёт осмотр и при необходимости направит к профильному специалисту — эндокринологу [1](https://www.fdoctor.ru/bolezn/tireoidit/). Некоторые методы диагностики: \n* **Анализ крови на гормоны щитовидной железы** (ТТГ, Т3, Т4) [1](https://www.fdoctor.ru/bolezn/tireoidit/). \n* **Анализ на антитела к тиреопероксидазе** — выявляет специфические антитела и подтверждает аутоиммунную природу заболевания [1](https://www.fdoctor.ru/bolezn/tireoidit/). \n* **Ультразвуковое исследование щитовидной железы** — позволяет оценить размеры, структуру органа, выявить признаки воспаления, узлы или другие изменения [1](https://www.fdoctor.ru/bolezn/tireoidit/).\n\n## Лечение\nЛечение тиреоидита направлено на снижение активности воспалительного процесса и коррекцию гормонального фона [1](https://www.fdoctor.ru/bolezn/tireoidit/). Например: \n* **При повышенной функции щитовидной железы** применяют препараты, снижающие выработку гормонов или блокирующие их действие [1](https://www.fdoctor.ru/bolezn/tireoidit/). \n* **Чтобы уменьшить воспаление и боль**, назначают противовоспалительные средства [1](https://www.fdoctor.ru/bolezn/tireoidit/). \n* **Хирургическое лечение** проводят редко — только при значительном увеличении щитовидной железы, которое приводит к сдавлению трахеи и пищевода, затрудняет дыхание и глотание [1](https://www.fdoctor.ru/bolezn/tireoidit/). 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