Tot-ce-este-necesar-sa-stiti-despre-tiroida
Boli si afectiuni

Tot ce este necesar sa stiti despre tiroida

Chiroiu Mircea Ionut

Tiroida este o glanda in forma de fluture in partea din fata a gatului. Functia sa principala este de a produce hormonii triiodotironina (T3) si tiroxina (T4). Acesti hormoni calatoresc prin organism si ajuta la reglarea metabolismului.

De asemenea, ajuta la dezvoltarea creierului, la functia digestiva, la controlul muschilor si la reglarea dispozitiei.

Cand tiroida produce fie prea mult, fie prea putin din acesti hormoni, ea face ca glanda sa functioneze ineficient, rezulta tulburari precum hipertiroidismul si hipotiroidismul, cele mai frecvente doua tipuri de boli tiroidiene.

Alte afectiuni legate de tiroida includ tiroidita, nodulii tiroidieni, gusa si cancerul tiroidian.

Optiunile de tratament depind de forma specifica a bolii tiroidiene si includ medicamente, iod radioactiv si, uneori, interventii chirurgicale.

Simptomele bolii tiroidiene

Boala tiroidiana include mai multe afectiuni cu simptome care se suprapun. Hipertiroidismul (tiroida hiperactiva) si hipotiroidismul (tiroida subactiva) au adesea efecte opuse asupra acelorasi sisteme ale corpului. Unele probleme cu tiroida cum ar fi gusa, cancerul tiroidian si boala Graves au simptome unice.

Simptome frecvente

Tiroida afecteaza multe sisteme diferite ale corpului. Simptomele pe care le aveti pot fi un indiciu important pentru a afla daca tiroida dumneavoastra este hiperactiva sau subactiva.

Modificari de greutate

Modificarile inexplicabile ale greutatii pot fi un semn al unei probleme cu tiroida.bIn hipotiroidism, s-ar putea sa luati in greutate sau sa nu puteti pierde in greutate, chiar daca intensificati exercitiile si reduceti caloriile.

In hipertiroidism, s-ar putea sa slabiti chiar daca manancati normal. De asemenea, puteti pierde in greutate sau ramane subponderal daca mancati mai mult.

Nu toti cei cu boala tiroidiana vor avea aceste modificari. Puteti avea o tiroida subactiva si totusi sa slabiti sau sa fiti subponderal. Puteti avea o tiroida hiperactiva si puteti constata ca nu puteti pierde in greutate, chiar si cu o dieta sanatoasa si exercitii fizice.

Temperatura

Ambele forme de boala tiroidiana va pot face sensibil la temperatura. In hipotiroidism s-ar putea simtiti ca va este frig. In hipertiroidism, s-ar putea sa va simtiti fierbinti si transpirati in ciuda unei temperaturi normale in jurul vostru.

Oboseala si somnul

Problemele de somn si oboseala sunt frecvente in cazul problemelor cu tiroida. Oboseala se poate agrava fara o noapte buna de odihna. Uneori, poate fi atat de profunda incat va afecteaza viata de zi cu zi.

Sanatate mentala

Depresia, anxietatea si alte tulburari de dispozitie sunt frecvente cu problemele tiroidiene. In hipotiroidism, este posibil sa aveti depresie care nu raspunde la antidepresive. In hipertiroidism, este posibil sa aveti anxietate, 3 tulburare de panica sau atacuri de panica.

Gusa

Afectiunile tiroidiene pot cauza probleme la nivelul gatului sau gatului. Aceste tulburari pot provoca modificari pe care le puteti vedea sau simti:

  • Boala tiroidiana autoimuna.
  • Noduli.
  • Gusa sau tiroida marita.
  • Cancer tiroidian.

Urmariti:

  • Umflarea gatului.
  • senzatie de „plina” in gat.
  • Gat vizibil marit.
  • Dureri de urechi si maxilare.
  • Disconfort cu gaturile sau cravatele.
  • Dificultati la inghitire sau la respiratie.
  • Tandrete in gat.
  • voce ragusita.

Umflarea gatului este adesea un simptom al bolii tiroidiene. De asemenea, poate indica afectiuni grave, cum ar fi: cancer, infectie sau boala neurologica.

Obiceiuri intestinale

Afectiunile tiroidiene pot cauza probleme de digestie. In hipotiroidism, este posibil sa aveti constipatie severa sau persistenta. Este posibil sa nu raspunda la tratamente. In hipertiroidism este posibil sa aveti diaree, scaun moale sau sindrom de colon iritabil.

Menstruatia si Fertilitatea

Afectiunile tiroidiene va pot creste riscul de infertilitate. Acest lucru este valabil mai ales in cazul hipotiroidismului.

Poate face tratamentele de fertilitate mai putin eficiente. De asemenea, va poate creste riscul de avort spontan. Problemele cu tiroida va pot face si menstruatiile neregulate.

In hipotiroidism este posibil sa aveti menstruatii mai grele, mai multe dureri menstruale sau mai putin timp intre menstruatii. In hipertiroidism este posibil sa aveti perioade mai scurte, flux mai usor si mai putine menstruatii sau deloc.

Probleme cu ochii si modificari ale vederii

Afectiunile tiroidiene va pot afecta ochii. Ati putea avea simptome ca acestea:

  • Uscaciune.
  • Senzatie de mizerie in ochi.
  • Vedere incetosata.
  • Roseata.
  • Ochi umflati sau lacrimati.
  • Sensibilitate la lumina.
  • Vedere dubla.
  • Proptoza sau bombarea ochilor, un simptom al bolii Graves.
  • „Lid lag” – cand pleoapa superioara nu urmareste usor miscarea ochilor cand privesti in jos.

Probleme cognitive

„Ceata creierului” este o incetinire a abilitatilor de gandire. Este un simptom comun cu hipotiroidismul. Ceata cerebrala implica:

  • Probleme de concentrare.
  • Probleme de memorie pe termen scurt si pe termen lung.
  • Uitare.
  • Lipsa de concentrare.
  • Senzatie de „distanta”.
  • Confuzie.
  • Probleme in a gandi clar.

Sistemul musculoscheletal

Daca tiroida este hiperactiva, este posibil sa aveti dureri musculare si de articulatii.  Bratele si picioarele au adesea cele mai multe probleme. De exemplu, este posibil sa aveti dureri sau slabiciune in partea superioara a bratelor sau a gambelor.

Durerea asemanatoare fibromialgiei este frecventa pentru persoanele cu tiroida subactiva. Aceasta include durere larg raspandita, dureroasa pe tot corpul. De asemenea, este posibil sa aveti un risc mai mare de sindrom de tunel carpian in maini. Aceasta afectiune poate provoca slabiciune si durere in antebrate, incheieturi, maini si degete.

Tunelul tarsal este de asemenea, un risc. Provoaca slabiciune si durere la nivelul tibiei, gleznelor, picioarelor si degetelor de la picioare.

Simptome rare

Semnele si simptomele enumerate mai jos sunt rare, dar ar putea fi unele dintre primele indicii ca tiroida nu functioneaza asa cum ar trebui.

Hipotiroidismul

  • Colesterol ridicat: Nivelul de colesterol poate ramane ridicat chiar si dupa ce va schimbati dieta, exercitiul fizic sau luati medicamente, cum ar fi statine.
  • Mixedema: O substanta numita hialuronicacidul se poate acumula in stratul inferior al pielii. Rezultatul este parul si pielea aspra, umflaturi, marirea limbii si raguseala.

Hipertiroidismul

  • Colesterol scazut: Colesterolul poate ramane prea scazut in ciuda dietei, greutatii si exercitiilor fizice.
  • Oftalmopatia lui Graves: Cel mai notabil simptom este reprezentat de ochii bombati. Este posibil ca ochii sa nu fie complet acoperiti atunci cand pleoapele se inchid.
  • Eruptii cutanate: Hipertiroidismul si boala Graves pot provoca mixedem pretibial. Este cunoscuta si sub denumirea de dermopatie tiroidiana. Pielea de pe tibie se poate umfla si deveni rosie. In unele cazuri, o eruptie cutanata cunoscuta sub numele de miliariapoate aparea si pe fata.

Complicatii ale tiroidei

Unele simptome ale tiroidei pot parea mai enervante decat daunatoare. Dar glanda tiroida produce hormoni care iti afecteaza inima, digestia, creierul, oasele si multe altele.

Hipotiroidismul

Neuropatie: Nivelurile scazute de hormoni tiroidieni pot duce la deteriorarea nervilor. Este posibil sa simtiti furnicaturi si amorteala in maini si picioare. O afectiune dureroasa cunoscuta sub numele de fasciita plantara se poate dezvolta si in picioare. Este cauzata de acumularea de lichid in jurul nervilor.

Probleme la conceperea unui copil: Chiar si o tiroida usor subactiva poate afecta ovulatia, eliberarea unui ou in fiecare luna. De asemenea, poate impiedica implantarea unui embrion in uter.

Complicatii ale sarcinii: Hipotiroidismul creste riscul de avort spontan, abrupt de placenta, nastere prematura si deces neonatal.

Hipertiroidismul

Osteoporoza: Oasele slabe cresc riscul de fracturi sau rupturi chiar si cu lovituri sau caderi minore.

Fibrilatie atriala: Aceasta aritmie cardiaca poate duce la probleme grave, cum ar fi accident vascular cerebral sau insuficienta cardiaca. Este mai frecventa la persoanele in varsta.

Complicatii ale sarcinii: Hipertiroidismul moderat pana la sever poate duce la nastere prematura si tulburari de nastere.

Cand trebuie mers la medic?

Daca aveti simptome tiroidiene, vizitati medicul. Pentru a afla ce se intampla, acesta poate:

  • Efectua un examen fizic.
  • Pune intrebari despre istoricul tau medical.
  • Solicita detalii despre simptomele dumneavoastra.
  • Va face un test de sange pentru a va verifica nivelul tiroidei.

In cele mai multe cazuri, afectiunile tiroidiene pot fi tratate eficient. Anumite simptome ale tiroidei necesita ingrijiri medicale de urgenta.

Furtuna tiroidiana este o afectiune rara, dar foarte grava. Apare atunci cand hipertiroidismul nu este tratat. Evenimentele stresante precum interventia chirurgicala, trauma sau infectia pot declansa acest lucru.

Intr-o furtuna tiroidiana, simptomele cresc la niveluri periculoase, chiar mortale. Ati putea avea: un ritm cardiac foarte rapid, febra mare, agitatie, delir, pierderea cunostintei.

Hipotiroidismul poate duce la o alta urgenta medicala. Se numeste coma mixedemica. Coma mixedema este rara. Este declansata de traume, infectie, raceala si unele medicamente. Determina scaderea temperaturii corpului si a tensiunii arteriale. Va puteti pierde cunostinta. Aceasta conditie poate provoca moartea.

Acest articol este unul pur informativ. In cazul in care considerati ca aveti probleme cu glanda tiroida, mergeti la medic.

In, , , ,

43 thoughts on “Tot ce este necesar sa stiti despre tiroida”

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