HIPERTIROIDISMO

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	HIPERTIROIDISMO
	*HIPERTIROIDISMO*

HIPERTIROIDISMO

Hipertiroidismo

Also known like TIROTOXICOSIS, TOXIC GOITER or DISEASE of SERIOUS.

It is the excessive production of the tiroidea hormone, normally due to an excess of activity of the tiroidea gland. This hormone regulates the power balance of the body.

The hipertiroidismo form commonest denominates Disease of Serious. It is 8 times commonest in the women and normally one appears between the 20 and 50 years of age.

Prognosis

Normally curable by means of medication or surgery.

The treatment needs a period 6 to 12 weeks to be able to stabilize the affection.

Some symptoms, like the exoftalmos, do not cure in spite of the treatment.

Some forms of tiroidismo will return with no need to the treatment normality.

A greater possibility of relapse exists after the medical treatment.

Complications

Congestivo cardiac failure.

Tiroidea storm, a sudden worsening of all the symptoms. It is an urgency with life threat.

Erroneous diagnosis, like a reaction of psychiatric anxiety.

Relapse.

Hipotiroidismo after the surgery or radioactive Iodine.

Prevention

It is not known.

Diagnosis and treatment

Diagnosis

The elaboration of the diagnosis implies:

complete a physical and historical examination

analysis of blood with the purpose of verifying the tiroideas hormone level in the blood and other levels of hormones associated to the case

studies of radioactive iodine absorption (I131) - gammagrafía tiroidea- in some occasions, to measure the activity and contours of the thyroid)

Treatment

The suitable treatment will as large as depend the goiter, the causes, the age of the patient and another series of factors.

The surgery to extirpate part of the thyroid (tiroidectomía) is advisable in some patients.

Medication

The medication controls the problem in most of the patients. It includes:

Iodine, to restrain the activity of the gland.

Antitiroideos agents, to reduce the activity of the thyroid.

Propiltiuracil, metimazol and blocking beta adrenérgicos for a symptomatic alivo, mainly in cardiovascular repercussions (palpitaciones, tremors, perspiration...).

This treatment stays normally during at least 1 year. The relapses in these cases when interrupting are frequent the treatment.

The radioactive iodine, that destroys of selective form the tiroidea gland, is used in patients which they have surpassed the fertile age, by its possible effects on the descendants.

Causes

Disorder autoinmune (the body develops antibodies that stimulates the excessive production of the tiroidea hormone).

Tiroideos tumors or nodules.

Tiroiditis (inflammation of the tiroidea gland).

Signs and symptoms

Continuous sensation of calidez or heat.

Tremors.

Perspiration.

Humid palms.

Picazón in the skin.

Irregular, fast and violent heart rate.

Loss of weight still eating in excess. It is probable that the greater people maintain the same weight.

Noticeable irritability and anxiety.

Insomnia.

Fatigue and weakness.

Protuberantes eyes (that denominate exoftalmos) and double vision.

Diarrea and sometimes facility in the intestinal evacuation.

Loss of the hair (occasionally).

Goiter (thyroid of engrandecido size), sometimes.

Factors of risk

Familiar file of hipertiroidismo.

Stress.

Feminine sex.

Other disorders autoinmunes.

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