{"id":398,"date":"2019-02-05T10:05:22","date_gmt":"2019-02-05T10:05:22","guid":{"rendered":"https:\/\/www.barnaclinic.com\/blog\/cirugia-de-tiroides\/ca\/?p=398"},"modified":"2019-02-05T10:05:22","modified_gmt":"2019-02-05T10:05:22","slug":"tirotoxicosi","status":"publish","type":"post","link":"https:\/\/www.barnaclinic.com\/blog\/cirugia-de-tiroides\/ca\/tirotoxicosi\/","title":{"rendered":"Opcions de tractament per la tirotoxicosi"},"content":{"rendered":"

La\u00a0tirotoxicosi<\/strong>\u00a0es defineix com l’exc\u00e9s\u00a0d’hormones tiro\u00efdals<\/strong>\u00a0en el nostre torrent sanguini.<\/span>\u00a0Tot i que no \u00e9s sin\u00f2nim de\u00a0hipertiro\u00efdisme<\/strong><\/a>,\u00a0la seva causa m\u00e9s freq\u00fcent \u00e9s l’augment de la secreci\u00f3 de\u00a0hormona tiro\u00efdal<\/a><\/strong>\u00a0i per aix\u00f2, habitualment, a la\u00a0tirotoxicosi<\/strong>\u00a0se li acostuma a dir\u00a0hipertiro\u00efdisme<\/strong>\u00a0o\u00a0crisi hipertiroidea.<\/strong><\/span><\/p>\n

<\/p>\n

EN QU\u00c8 CONSISTEIX EL TRACTAMENT DE LA TIROTOXICOSI?<\/strong><\/span><\/h2>\n

En l’actualitat disposem de tres formes de tractar els pacients que pateixen de\u00a0tirotoxicosi<\/strong>\u00a0i que, per tant, presenten un\u00a0exc\u00e9s d’hormona tiro\u00efdal<\/strong>\u00a0en sang:<\/p>\n

Tractament m\u00e8dic<\/strong><\/span><\/h5>\n

\"\"La primera opci\u00f3 de\u00a0tractament per a la tirotoxicosis<\/strong>\u00a0\u00e9s el tractament m\u00e8dic.<\/span>\u00a0Es basa en la utilitzaci\u00f3 de medicaments bloquejants de la s\u00edntesi d’hormona a la\u00a0gl\u00e0ndula tiroide<\/strong>, coneguts com\u00a0antitiro\u00efdals.<\/em><\/span>\u00a0Els\u00a0antitiro\u00efdals<\/strong>\u00a0s\u00f3n f\u00e0rmacs com el\u00a0metimazol<\/em><\/a>, que inhibeix directament la producci\u00f3 d’hormona.<\/span>\u00a0De vegades, cal controlar la simptomatologia acompanyant (sobretot manifestacions perif\u00e8riques com la taquic\u00e0rdia), per la qual cosa s’associa medicaci\u00f3\u00a0betablocador (propranolol<\/a>).<\/em><\/span>\u00a0En altres ocasions, fins i tot es fa necessari bloquejar l’alliberament d’hormona ja sintetitzada, administrant\u00a0Iodur pot\u00e0ssic (soluci\u00f3 de Lugol<\/a>).<\/em><\/span><\/p>\n

Destrucci\u00f3 del teixit tiro\u00efdal<\/strong><\/h5>\n

\"\"La segona via de\u00a0tractament de la tirotoxicosi<\/strong>\u00a0\u00e9s la\u00a0destrucci\u00f3 de teixit tiro\u00efdal\u00a0<\/strong>amb\u00a0iode radioactiu\u00a0.<\/em><\/span>\u00a0Es tracta d’una ter\u00e0pia definitiva, segura i de baix cost.<\/span>\u00a0No obstant aix\u00f2, la\u00a0destrucci\u00f3 del teixit tiro\u00efdal<\/strong>\u00a0queda restringida a pacients amb n\u00f2duls de tiroide<\/strong><\/a>\u00a0difusos petits, que presenten contraindicacions quir\u00fargiques i\/ o davant recidives post-cirurgia.<\/span><\/p>\n

Tractament quir\u00fargic<\/strong><\/span><\/h5>\n

\"\"Si les opcions anteriors no s\u00f3n efectives o el pacient presenta una s\u00e8rie de caracter\u00edstiques que veurem m\u00e9s endavant, optarem per la cirurgia.<\/span>\u00a0El\u00a0tractament quir\u00fargic de la tirotoxicosis<\/strong>\u00a0consisteix en\u00a0l’extirpaci\u00f3 del\u00a0n\u00f2dul tiro\u00efdal<\/a><\/strong>\u00a0causant de\u00a0l’exc\u00e9s d’hormona tiro\u00efdal,<\/strong>\u00a0o directament\u00a0l’extirpaci\u00f3 completa de la tiroide.\u00a0<\/strong><\/span>La\u00a0tiro\u00efdectomia<\/strong>\u00a0estaria indicada en els casos de frac\u00e0s dels f\u00e0rmacs antitirodieos, pacients amb n\u00f2duls, amb grans golls, en embarassades i dones joves, i davant la sospita d’un\u00a0c\u00e0ncer de tiroide<\/strong><\/a>.<\/span><\/p>\n

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<\/p>\n

VOL CONTACTAR AMB EL DR. OSCAR VIDAL?<\/span><\/h1>\n

DEMANAR CITA<\/a><\/p>\n<\/div>\n<\/div>\n<\/div>\n","protected":false},"excerpt":{"rendered":"

La\u00a0tirotoxicosi\u00a0es defineix com l’exc\u00e9s\u00a0d’hormones tiro\u00efdals\u00a0en el nostre torrent sanguini.\u00a0Tot i que no \u00e9s sin\u00f2nim de\u00a0hipertiro\u00efdisme,\u00a0la seva causa m\u00e9s freq\u00fcent \u00e9s l’augment de la secreci\u00f3 de\u00a0hormona tiro\u00efdal\u00a0i per aix\u00f2, habitualment, a la\u00a0tirotoxicosi\u00a0se li acostuma a dir\u00a0hipertiro\u00efdisme\u00a0o\u00a0crisi hipertiroidea.<\/p>\n","protected":false},"author":2,"featured_media":397,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[87],"tags":[133,89,157,156,135,155],"yoast_head":"\nOpcions de tractament per la tirotoxicosi i per l'\u00bfhipertiro\u00efdisme?<\/title>\n<meta name=\"description\" content=\"La tirotoxicosi es defineix com l'exc\u00e9s d'hormones tiro\u00efdals en el nostre torrent sanguini. 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