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Prevention

Prevention. Can Thyroid Disease Be Prevented ?. 
According to Dr. Cooper, there are three different ways a disease is "prevented:" primary prevention (preventing the disease in healthy people) adequate iodine Avoid radiation exposure

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Prevention

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  1. Prevention

  2. Can Thyroid Disease Be Prevented? 
According to Dr. Cooper, there are three different ways a disease is "prevented:" • primary prevention (preventing the disease in healthy people) • adequate iodine • Avoid radiation exposure • secondary prevention(preventing mild, latent or subclinical disease from progressing to more severe levels) • TSH, FT3, FT4 • FNAB, Ultrasound • tertiary prevention prevents an existing disease from worsening • "monitoring for disease progression with clinical and laboratory assessment, • avoiding iatrogenic disease (inadvertent illness induced by the doctor), such as prescribing too much thyroid hormone.”

  3. Prevention • Thyroid nodulescannot be prevented. • The American Thyroid Association recommends adults, particularly women, be screened for thyroid problems every 5 years, beginning at age 35.

  4. Prevention • If you have a thyroid nodule that is being watched, schedule regular medical checkups to see whether there are any changes. • Take your medicine at the same time each day and do not miss a dose. • Take only your regular dose, even if you miss a dose. Do not "double up" the next day. • Call your doctor if you have symptoms of hyperthyroidism • Eg. feeling nervous, having a fast heartbeat, sweating more than usual, and losing weight • Ask your doctor or pharmacist if your thyroid medicine can be safely mixed with other prescription or nonprescription medicines you take. • If you have had radioactive iodine treatment for thyroid nodules, call your doctor if: • You have neck pain(may mean your thyroid gland is swollen) • You have symptoms of hypothyroidism • Eg. feeling tired, feeling cold when others do not, and gaining weight

  5. Genetic Screening • Most cases of thyroid cancer cannot be prevented. • medullary thyroid cancer(MTC)due to gene change called an RET mutation. • History of conditions called MEN 2a, MEN 2b, or FMTC (familial medullary thyroid carcinoma) in your family, a • genetic test is advised to determine risk for MTC • If genetic testing shows an increased risk for MTC, you can have your thyroid gland to help prevent future MTC.

  6. PotassiumIodide (KI) Pills • Radioactive iodine released in the air and taken in by the lungs. It may also contaminate the local food supply and get into the body through food or through drink. • thyroid gland quickly absorbs radioactive iodine and can then injure the gland. • KI pills acts by blocking radioactive iodine from being taken into the thyroid gland, it can help protect this gland from injury

  7. PotassiumIodide (KI) Pills • The thyroid gland cannot tell the difference between stable and radioactive iodine and will absorb both. • KI contains so much stable iodine, the thyroid gland becomes “full” and cannot absorb any more iodine—either stable or radioactive—for the next 24 hours. • KI can protect only the thyroid from radioactive iodine, not other parts of the body.

  8. Very high prevalence of thyroid nodules detected by high frequency (13 MHz) ultrasound examination. • Papillon study 7.5 MHz 33% prevalence of detecting thyroid nodules • 13 MHz technology has a substantially higher prevalence of thyroid nodules 68% • In all age group

  9. Why Are Thyroid Cancer Rates So High in Southeast Asian Women Living in the United States? The Bay Area Thyroid Cancer Study • TmirahHaselkorn, Susan L. Stewart, and Pamela L. Horn-Ross • Among younger women, a history of goiter or thyroid nodules and lower consumption of isoflavones from soy-based foods account for 66% of the difference in incidence between SA and Northern Asian women • comparing SA with Caucasian women, goiter/nodules and lower consumption of carotenoids explained 67% of the difference in incidence in younger women • goiter/nodules and socioeconomic variables explained 81% of the difference in incidence in older women. • Dietary patterns also contribute to the rate differences.

  10. Malunggay as food supplement, prevention and cure • Malunggayor Moringaoleiferacontains essential and nonessential amino acids • TRYROSINE - promotes the healthy functioning of the thyroid, adrenal, and pituitary glands. • No studies on human for its efficacy

  11. Use of Oral Contraceptives, Intrauterine Devices and Tubal Sterilization and Cancer Risk in a Large Prospective Study, from 1996 to 2006 • TsogzolmaaDORJGOCHOO et al • Contraceptive methods, including oral contraceptives (OC), intrauterine devices (IUD) and tubal sterilization (TS) • was associated with increased risk of rectal cancer and reduced risk of thyroid • IUD use was associated with a possible reduced risk of thyroid cancer • Longer duration of IUD use decreased risk for breast, thyroid, and lung cancers.

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