Hyperthyroidism
Disease information
Hyperthyroidism
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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