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Эти гормоны отвечают за обмен веществ, работу сердца, нервной системы, мышц и репродуктивную функцию [2](https://genez.by/diagnoses/tireotoksikoz/). Когда их слишком много, организм начинает работать с перегрузкой: сердце бьётся быстрее, обмен веществ ускоряется, появляются нервозность и слабость [2](https://genez.by/diagnoses/tireotoksikoz/). \n\n**Тиреотоксикоз — не самостоятельное заболевание, а синдром** — комплекс симптомов, возникающих из-за разных нарушений в работе щитовидной железы или других органов [2](https://genez.by/diagnoses/tireotoksikoz/).\n\n## Причины\nНекоторые причины тиреотоксикоза: \n* **Диффузный токсический зоб** — аутоиммунный процесс, при котором в организме образуются антитела, действующие против собственных клеток щитовидной железы [3](https://www.fdoctor.ru/bolezn/tireotoksikoz/). \n* **Узлы щитовидной железы** — единичные или множественные образования в ткани органа, которые вырабатывают избыток тиреоидных гормонов [3](https://www.fdoctor.ru/bolezn/tireotoksikoz/). \n* **Приём препаратов** — некоторые медикаменты могут способствовать деструкции фолликулов щитовидной железы, что приводит к выбросу тиреоидных гормонов в кровь [3](https://www.fdoctor.ru/bolezn/tireotoksikoz/). \n* **Новообразования гипофиза** — опухоли нарушают выработку ТТГ — гормона, регулирующего работу щитовидной железы, и как результат — избыточный синтез тиреоидных гормонов [3](https://www.fdoctor.ru/bolezn/tireotoksikoz/).\n\n## Симптомы\nТиреотоксикоз проявляется нарушениями в работе практически всех систем организма [9](https://gemotest.ru/info/spravochnik/zabolevaniya/tireotoksikoz/). Некоторые симптомы: \n* **Сердечно-сосудистая система**: тахикардия (учащённое сердцебиение), нарушения ритма (аритмии), повышается артериальное давление [9](https://gemotest.ru/info/spravochnik/zabolevaniya/tireotoksikoz/). \n* **Нервная система**: повышается возбудимость, появляются перепады настроения, бессонница, тремор пальцев на вытянутых руках [9](https://gemotest.ru/info/spravochnik/zabolevaniya/tireotoksikoz/). \n* **Обмен веществ**: человек теряет вес при сохранённом или даже повышенном аппетите, может беспокоить учащённый стул (диарея) [9](https://gemotest.ru/info/spravochnik/zabolevaniya/tireotoksikoz/). \n* **Опорно-двигательный аппарат**: нарастает слабость, появляется тремор мелких мышечных групп по всему телу («симптом телеграфного столба») [9](https://gemotest.ru/info/spravochnik/zabolevaniya/tireotoksikoz/). \n* **Внешний вид**: кожа становится тёплой и влажной, волосы — тонкими и ломкими, может ухудшиться состояние ногтей [9](https://gemotest.ru/info/spravochnik/zabolevaniya/tireotoksikoz/).\n\n## Диагностика\nДиагностикой тиреотоксикоза занимается врач-эндокринолог [3](https://www.fdoctor.ru/bolezn/tireotoksikoz/). Для подтверждения диагноза могут назначить: \n* **Анализ крови на гормоны**: ТТГ, Т4 св., Т3св. [3](https://www.fdoctor.ru/bolezn/tireotoksikoz/). При тиреотоксикозе ТТГ будет снижен, а Т4 и Т3 — нормальные или повышены [3](https://www.fdoctor.ru/bolezn/tireotoksikoz/). \n* **УЗИ щитовидной железы** — позволяет оценить локализацию, форму, размер, структуру органа, а также выявить в нём доброкачественные и злокачественные новообразования, воспалительные процессы [10](https://www.labstori.ru/book/tireotoksikoz/).\n\n## Лечение\nТактика лечения зависит от результатов диагностики [14](https://www.smclinic.ru/diseases/tireotoksikoz/). Некоторые методы: \n* **Медикаментозная терапия** — препараты, подавляющие избыточную выработку гормонов [3](https://www.fdoctor.ru/bolezn/tireotoksikoz/). \n* **Терапия радиоактивным йодом** — пероральный приём препаратов, содержащих радиоактивные изотопы йода, которые концентрируются в железе и снижают её функциональность [14](https://www.smclinic.ru/diseases/tireotoksikoz/). \n* **Хирургическое лечение** — оперативное удаление тканей щитовидной железы применяют в случаях, когда зоб расположен за грудиной либо сдавливает окружающие ткани [14](https://www.smclinic.ru/diseases/tireotoksikoz/). \n\n**Важно вовремя выявить тиреотоксикоз**, чтобы скорректировать его и избежать серьёзных осложнений 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