שאלה עם סבלנות

[DESTINY17NK]

שאלה עם סבלנות

אני מנסה לעזור לידידה טובה בעקבות זריקה שקיבלה בתקופת ההיריון שלה וסיבכה לה את המערכת אם אפשר לקרא ולהגיב האם יש קשר בין הזריקה למה שקרה לה.... תודה To Whom it May Concern: I will introduce myself and provide you with my background as briefly as possible, so that you may comment on my query. I was diagnosed hypothyroid in July of last year - 7 months after the birth of my daughter. My general practitioner seemed to think that this was a temporary, post-partum condition, and that she would be able to get my TSH and Free T4 levels back to normal in a short period of time. I requested being referred to an endocrinologist in December that year, frustrated that my doctor failed to see any way out other than increasing my prescribed dose of Levothyroid. Up to this point, my TSH and Free T4 levels were up and down and she didn't seem to be the least bit interested in how I had become hypothyroid. Once I was referred to the endocrinologist, they pretty much handled my treatment in the same manner - increasing the dose of Levothyroid, watching my levels approach normalcy, only to fluctuate again. They also advised me that my antibodies were high, that I have Hashimoto's Thyroiditis and that at best, I will have to take this medication for the rest of my life. I am currently taking 125 mcg of Levothyroid and will have my TSH and Free T4 levels tested again this week. When I was tested in March they were out of the normal range. {TSH: 6/ Free T4: 1.01.} I have been doing my own research online and in the library for the past several months, however, something just occurred to me today, that I have failed to address with the doctors. I am sure that the failure is on their part as well, for not having looked at any of the factors that may have contributed to the onset of this auto-immune disease. I am RH-negative. When I was pregnant, I was administered several rounds of Rhogam shots. I am now wondering if this has anything to do with my antibodies having gone out of wack, and if perhaps there may be other underlying causes - such as high mercury and the like - that may have led to this problem. I am not asking for a diagnosis, as I know that would not be possible to do over the web. I am only asking if you could either let me know if I am on the right path in terms of tracking this down and also to request any advice or referrals you have to offer in terms of my treatment and (hopefully) my full recovery from this series of health problems that I have incurred over the past year. It would be wonderful to get back to normal again. Thanks for your time. I look forward to hearing from you. Best Regards, Julie

 

[דר קרן תורגמן]

Pretty trivial

Dear Julie I am sorry to disappoint you, but I will have the same reaction as your local internist and endocrinologist. You have a completely trivial case of Hashimoto's thyroiditis. The fact that it was diagnosed 7 months post-partum is at best coincidental. Many women who have Hashimoto's thyroiditis (you never had the antibodies measured before that, therefore you were unaware of the condition) , are diagnosed after delivery, as this is a period that can cause major disturbances in the thyroid function, especially in women who are prone to develop this condition. The fact that more than a year after you delivered the thyroid function has not returned to normal is indicative of the fact that this was not merely a transient post-partum event. To the best of my knowledge, it has absolutely nothing to do with the shot you received while pregnant. It also has no connection with any exposure to mercury, however if you were exposed to dangerous levels of mercury I would advise you to seek advice for this, simply because it is highly toxic, not because of your thyroid function. In closing, what I can advise you is to come to terms wiht the fact that you have hypothyroidism. It is a lifelong condition, but it has no true impact on life expectancy Instead of wasting time and energy on trying to understand why it happened or on blaming your physicians for not treating you appropriately, just accept it. It may take some time to find the appropriate dose. I am confident that they will find it. Once adequately controlled, this condition should have almost no impact on your life. I can only hope for you that this will be the worst disease you have ever. All the best. Karen Tordjman, MD