Determining factors of the effectiveness of medical rehabilitation of patients with autoimmune thyroiditis

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چکیده

Background: One of the most important issues in the treatment of autoimmune thyroid diseases is the choice of tactics of the physician in relation to high levels of antithyroid antibodies. Do they actively eliminate them from the body or not? We belong to the group of researchers who believe that the antithyroid antibody titer has a significant effect on the activity of the autoimmune process and accelerates the progression of the disease. Therefore, the inclusion of methods that allow the removal of antibodies from the body is an important component of treatment. In addition, these methods must be effective and safe. Methods: 124 patients with the diagnosis of autoimmune thyroiditis with the formation of functional insufficiency were examined and treated. The observation group proposed a method of stimulating lymphatic drainage in the form of complex comprising components of plant origin. In the comparison group, the treatment complex included plasmapheresis. Results: It was found that the high activity of the autoimmune process influences both the preservation of the secretory mechanisms and the preservation of the organ structure. Exceeding this level triggers a cascade of mechanisms, the external control of which is practically impossible. Inclusion in the therapeutic complex of stimulating lymphatic drainage of plant origin according to the developed scheme allows reducing the activity of the autoimmune process and improving the prognosis. Conclusions: Rehabilitation methods based on stimulation of lymphatic drainage are highly effective against autoimmune diseases of the thyroid gland.

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تاریخ انتشار 2017