{"id":48682,"date":"2017-12-26T17:10:24","date_gmt":"2017-12-26T14:10:24","guid":{"rendered":"https:\/\/sanatate.md\/?page_id=48682"},"modified":"2017-12-26T17:10:24","modified_gmt":"2017-12-26T14:10:24","slug":"adenom-tiroidian","status":"publish","type":"page","link":"https:\/\/sanatate.md\/ro\/boli-si-tratament\/bolile-chirurgicale\/adenom-tiroidian\/","title":{"rendered":"Adenom tiroidian"},"content":{"rendered":"<p>Glanda tiroid\u0103 este un organ cu secre\u021bie intern\u0103, situat \u00een fa\u021b\u0103 \u0219i pe ambele laturi ale cartilajului tiroidian. E de o consisten\u021b\u0103 moale, are dimensiuni mici \u0219i poate fi sim\u021bit cu m\u00e2inile. Anatomic, e compus din 2 p\u0103r\u021bi, care sunt conectate prin istm. Aceast\u0103 gland\u0103 produce tiroxin\u0103 \u0219i triiodotironin\u0103. Hormonii da\u021bi influen\u021beaz\u0103 metabolismul, sistemul cardiovascular, capacitatea de munc\u0103 a intestinului, nivelul de glucoz\u0103.<\/p>\n<p>Adenomul tiroidian e o tumoare benign\u0103, care cre\u0219te din \u021besutul tiroidian. De multe ori acest termen \u00een clinic\u0103 e \u00eenlocuit cu &#8220;adenomul nodul tiroidian&#8221;, care se dezvolt\u0103 din \u021besuturi de un anumit tip. Tumoarea duce la cre\u0219terea activit\u0103\u021bii glandei tiroide, care decurge ca un hipertiroidism sau criz\u0103 citotoxic\u0103.<br \/>\nEste un neoplasm, care are poten\u021bial de malignitate. Sub influen\u021ba unor factori, ea are \u00eenclina\u021bia spre malignitate, adic\u0103 degenerarea \u00een cancerul tiroidian. Prin urmare, tratamentul adenoidelor tiroidiene ar trebui s\u0103 \u00eenceap\u0103 c\u00e2t mai cur\u00e2nd posibil.<\/p>\n<h3>Clasificarea<\/h3>\n<ul>\n<li>Aceast\u0103 tumoare se clasific\u0103 la nivelul de celule, din care ea poate s\u0103 creasc\u0103:<\/li>\n<li>Folicular \u2013 este un nodule\u021b mic, rotund, care e acoperit de o capsul\u0103.<\/li>\n<li>Papillomatos \u2013 c\u00e2nd se aseam\u0103n\u0103 cu un chist.<\/li>\n<li>Toxic \u2013 produce un num\u0103r mare de hormoni, simptomatologia este caracteristic\u0103.<\/li>\n<li>Neoplasm &#8212; din celulele tiroidiene A, B, C.<\/li>\n<\/ul>\n<h3>Cauzele<\/h3>\n<p>Principalele motive de dezvoltare a adenoidelor nu au fost elucidate. Mai des e un complex de factori at\u00e2t externi, c\u00e2t \u0219i interni. Factorii externi reprezint\u0103 ecologia poluat\u0103. Cei interni includ:<\/p>\n<ul>\n<li>Activitate crescut\u0103 a glandei pituitare, motiv pentru care pot fi tumorile sau alte pricini.<\/li>\n<li>O disfunc\u021bie \u00een activitatea sistemului nervos autonom, care controleaz\u0103 organele interne.<\/li>\n<li>Factorul genetic.<\/li>\n<li>Dezechilibrul hormonal.<\/li>\n<li>Efectul substan\u021belor toxice asupra glandei tiroide.<\/li>\n<li>Marirea glandei tiroide.<\/li>\n<li>Acest lucru cre\u0219te \u0219ansele de dezvoltare a adenomului \u0219i cancerului.<\/li>\n<\/ul>\n<h3>Simptomele<\/h3>\n<p>De multe ori adenomul nu are simptomatologie pronun\u021bat\u0103. Unele simptome sunt legate de timp, furtunile magnetice \u0219.a. Prin urmare, depistarea \u0219i tratamentul este \u00eent\u00e2rziat. La acest tip se refer\u0103 adenomul disfunc\u021bional.<\/p>\n<p>Dac\u0103 adenomul func\u021bioneaz\u0103, atunci se vor manifesta urm\u0103toarele simptome comune:<\/p>\n<ul>\n<li>Sc\u0103derea brusc\u0103 \u00een greutate, care nu este asociat\u0103 cu orice alte cauze.<\/li>\n<li>Iritabilitatea constant\u0103 \u0219i inexplicabil\u0103.<\/li>\n<li>Probleme din partea sistemului cardiovascular: fibrila\u021bie atrial\u0103, insuficien\u021b\u0103 cardiac\u0103, tahicardie \u00een stare de complet repaus, cre\u0219terea tensiunii arteriale.<\/li>\n<li>Tulbur\u0103ri de vedere: diplopie, usc\u0103ciunea ochilor, fotofobie, l\u0103crimare.<\/li>\n<li>Disfunc\u021bia tractului gastrointestinal: probleme de apetit, crampe abdominale, scaun neomogen.<\/li>\n<li>Probleme din partea sistemului respirator.<\/li>\n<li>Cre\u0219terea temperaturii, diurezei, prezen\u021ba diabetului zaharat (ca boal\u0103 secundar\u0103), usc\u0103ciunea pielii, fragilitatea p\u0103rului \u0219i a unghiilor.<\/li>\n<\/ul>\n<h3>Diagnosticul<\/h3>\n<p>Detectarea adenoidelor, care nu func\u021bioneaz\u0103, de multe ori se depisteaz\u0103 \u00een timpul controlurilor profilactice. Dac\u0103 a existat o suspiciune pentru prezen\u021ba de tumori, se desf\u0103\u0219oar\u0103 un complex clinico \u2013 de laborator \u0219i investiga\u021bii instrumentale.<\/p>\n<p>Pentru \u00eenceput are loc colectarea de anamnez\u0103 \u0219i examenul la endocrinolog. Tumoarea se simte \u00een regiunea cartilajului tiroidian.<\/p>\n<h3>Sunt necesare analizele de laborator:<\/h3>\n<ul>\n<li>Analiza general\u0103 de s\u00e2nge.<\/li>\n<li>Testul de s\u00e2nge pentru hormoni \u0219i analizele biochimice.<\/li>\n<li>Studii de biopsie pentru prezen\u021ba malignit\u0103\u021bii<\/li>\n<\/ul>\n<h3>Metodele instrumentale pot fi clasificate:<\/h3>\n<ul>\n<li>USD a glandei tiroide, care va preciza dimensiunea, forma, pozi\u021bia \u0219i consisten\u021ba de adenom.<\/li>\n<li>Scanarea glandei tiroide, cu ajutorul radioizotopilor de iod.El se injecteaz\u0103 \u00een organism, radia\u021bia \u00een acest caz nu prezint\u0103 pericol.<\/li>\n<li>Dac\u0103 nu sunt probleme, cantitatea de iod, care va fi absorbit\u0103 de gland\u0103, e minimal\u0103.<\/li>\n<li>Dac\u0103 exist\u0103 o problem\u0103, ea va lua, practic, toat\u0103 doza.<\/li>\n<li>Dup\u0103 24 de ore se efectueaz\u0103 o scanare a glandei tiroide, care va ilustra c\u00e2t iod a fost absorbit.<\/li>\n<li>Biopsia pentru cercet\u0103rile histologice.<\/li>\n<li>CT \u0219i IRM a glandei tiroide.<\/li>\n<\/ul>\n<h3>Tratamentul<\/h3>\n<p>Metodele conservatoare de tratament includ terapia supresiv\u0103 (administrarea medicamentelor, care suprim\u0103 hiper produc\u021bia hormonului stimulator al tiroidei). Se prescrie Tiroxina. Tratamentul se efectueaz\u0103 sub supravegherea strict\u0103 a medicilor \u0219i \u00een spital.<\/p>\n<p>Pentru tratamentul adenomului folicular o anumit\u0103 cantitate de etanol este injectat\u0103 \u00een tumoare. Dar o astfel de procedur\u0103 este posibil\u0103 numai dac\u0103 adenomul nu produce hormoni, adic\u0103 capacitatea sa func\u021bional\u0103 este suprimat\u0103. \u00cen caz contrar, va exista o criz\u0103 cirotoxic\u0103.<\/p>\n<h3>Adenomului tiroidian se extrage, \u00een cazul \u00een care:<\/h3>\n<ul>\n<li>Terapia conservatoare a fost inutil\u0103.<\/li>\n<li>Tumoarea are dimensiuni mari \u0219i preseaz\u0103 \u021besuturile \u0219i organele din apropiere.<\/li>\n<li>Prezen\u021ba crizei cirotoxice suprimat\u0103 de medicamente.<\/li>\n<\/ul>\n<h3>Pentru a elimina o tumoare se alege cea mai bun\u0103 op\u021biune, deoarece exist\u0103 mai multe:<\/h3>\n<ul>\n<li>Tiroidectomia este eliminarea complet\u0103 a glandei tiroide.<\/li>\n<li>Rezec\u021bia sub total\u0103 &#8211; \u00eendep\u0103rtarea \u00eentregii glande, dar cu conservarea unei mici suprafe\u021be.<\/li>\n<li>\u00cendep\u0103rtarea unei por\u021biuni a glandei tiroide cu un iz mus.<\/li>\n<li>Eliminarea a 2 por\u021biuni cu p\u0103strarea iz mumei.<\/li>\n<li>Extrac\u021bia unei mici por\u021biuni de 1 lob.<\/li>\n<\/ul>\n<p>C\u00e2nd este extras\u0103 \u00eentreaga gland\u0103, pacientului i se prescrie terapia hormonala, care are grij\u0103 de fonul hormonal \u00een s\u00e2nge. De regul\u0103, e vorba de administrea Tiroxinei imediat \u00eenainte de mas\u0103.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Glanda tiroid\u0103 este un organ cu secre\u021bie intern\u0103, situat \u00een fa\u021b\u0103 \u0219i pe ambele laturi ale cartilajului tiroidian. E de o consisten\u021b\u0103 moale, are dimensiuni mici \u0219i poate fi sim\u021bit cu m\u00e2inile. Anatomic, e compus din 2 p\u0103r\u021bi, care sunt conectate prin istm. Aceast\u0103 gland\u0103 produce tiroxin\u0103 \u0219i triiodotironin\u0103. Hormonii da\u021bi influen\u021beaz\u0103 metabolismul, sistemul cardiovascular, [&hellip;]<\/p>\n","protected":false},"author":28,"featured_media":0,"parent":53032,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"inline_featured_image":false,"footnotes":""},"class_list":["post-48682","page","type-page","status-publish"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.3 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Adenom tiroidian<\/title>\n<meta name=\"description\" content=\"Glanda tiroid\u0103 este un organ cu secre\u021bie intern\u0103, situat \u00een fa\u021b\u0103 \u0219i pe ambele laturi ale cartilajului tiroidian.\" \/>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/sanatate.md\/ro\/boli-si-tratament\/bolile-chirurgicale\/adenom-tiroidian\/\" \/>\n<meta property=\"og:locale\" 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