{"id":49329,"date":"2018-01-05T13:31:26","date_gmt":"2018-01-05T10:31:26","guid":{"rendered":"https:\/\/sanatate.md\/?page_id=49329"},"modified":"2018-01-05T13:31:26","modified_gmt":"2018-01-05T10:31:26","slug":"adenom-tiroidian-toxic-boala-plammer","status":"publish","type":"page","link":"https:\/\/sanatate.md\/ro\/boli-si-tratament\/bolile-chirurgicale\/adenom-tiroidian-toxic-boala-plammer\/","title":{"rendered":"Adenom tiroidian toxic (boala Plammer)"},"content":{"rendered":"<p>Adenomul toxic este o subspecie de \u0430d\u0435n\u043em al glandei tiroide. Este neoplasm benign, care este capabil de a produce o mare cantitate de hormoni. Aceast\u0103 tumoare poate fi ren\u0103scut\u0103 din adenoidele inactive ale glandei tiroide. Datorit\u0103 hipersecre\u021biei hormonilor, func\u021biile multor organe \u0219i sisteme importante \u00eencep s\u0103 suprime.Acest diagnostic se pune dup\u0103 efectuarea multiplelor investiga\u021bii , deoarece simptomele sunt similare cu semnele altor boli.<\/p>\n<h3>Cauzele<\/h3>\n<p>Adenomul dat produce un hormon T4 (triiodtironin\u0103), care este cu ac\u021biune rapid\u0103. Acest lucru se \u00eent\u00e2mpl\u0103 \u00een mod autonom, indiferent de capacitatea func\u021bional\u0103 a glandei tiroide. Totodat\u0103, nivelul de hormoni \u00een s\u00e2nge va fi mai mare dec\u00e2t norma. Glanda pituitar\u0103 \u00eencepe s\u0103 suprime func\u021bia glandei tiroide, pentru ca s\u0103 produc\u0103 mai pu\u021bin hormoni de stimulare tiroidian\u0103. Faptul duce la o sc\u0103dere a func\u021biei \u021besutului tiroidian, iar \u00een perioada postoperatorie &#8212; la\u00a0hipotiroidism.<br \/>\nAcest tip de adenom cre\u0219te din \u021besutul tiroidian. Mai \u00eent\u00e2i, poate fi o tumoare nefunc\u021bional\u0103, care se transform\u0103 \u00een func\u021bional\u0103, \u0219i \u00eencepe s\u0103 produc\u0103 hormoni, ceea ce duce la un dezechilibru hormonal.<\/p>\n<h3>Simptomele<\/h3>\n<p>Tabloul clinic al bolii Plammer este similar cu gu\u0219a difuz\u0103 toxic\u0103. Un semn distinctiv este o deteriorare \u00een func\u021bionarea sistemului cardiovascular.<\/p>\n<h3>Simptomele comune ale bolii Plammer:<\/h3>\n<ul>\n<li>Schimbarea permanent\u0103 a st\u0103rii de spirit.<\/li>\n<li>Probleme ale sistemului cardiovascular: tahicardie necontrolat\u0103, aritmii, apari\u021bia extrasistolei, cre\u0219terea tensiunii arteriale.<\/li>\n<li>Probleme digestive: disfunc\u021bia ficatului, pancreasului, crampe abdominale, diaree, constipa\u021bii.<\/li>\n<li>\u00cenc\u0103lcarea sistemului nervos autonom: febr\u0103, sc\u0103dere \u00een greutate, o inexplicabil\u0103 intoleran\u021b\u0103 la c\u0103ldur\u0103.<\/li>\n<\/ul>\n<p>Cursul bolii este posibil \u00eentr-o stare compensat\u0103 \u0219i decompensat\u0103. \u00cen primul caz simptomatica nu este at\u00e2t de pronun\u021bat\u0103 . Motivele sunt urm\u0103toarele: glanda pituitara nu inhiba TSH, fonul hormonal se p\u0103streaz\u0103. \u00cen cazul st\u0103rii decompensate dezvoltarea bolii este \u00eenso\u021bit\u0103 de hipertiroidismul \u0219i sc\u0103derea TSH \u00een s\u00e2nge.<\/p>\n<h3>Diagnosticul<\/h3>\n<p>Diagnosticul se pune dup\u0103 vizita la endocrinolog, pentru a exclude alte boli, dup\u0103 ce se efectuaz\u0103 un num\u0103r mare de investiga\u021bii \u0219i, dup\u0103 confirmarea existen\u021bei tumori pe glanda tiroid\u0103.<\/p>\n<p>Pentru \u00eenceput, se efectuiaz\u0103 o inspec\u021bie de c\u0103tre endocrinolog. El palpeaz\u0103 tumoarea, colecteaz\u0103 istoricul medical.<\/p>\n<h3>Diagnosticul instrumental \u0219i prin metode de laborator:<\/h3>\n<ul>\n<li>Se ia o prob\u0103 de biopsie pentru a studia \u021besuturile tumorale pentru prezen\u021ba malignit\u0103\u021bii. Acest lucru stabile\u0219te de la care celule se formeaz\u0103 acest neoplasm.<\/li>\n<li>USD a glandei tiroide, ceea ce d\u0103 posibilitatea de a vedea forma tumorei, consisten\u021ba, de a evalua dimensiunile \u0219i loca\u021bia exact\u0103.<\/li>\n<li>CT \u0219i RMN-ul de scanare a g\u00e2tului.<\/li>\n<li>Scintigrafia glandei tiroide. Acest studiu este realizat cu ajutorul iodului radioactiv, care nu este periculos pentru pacient. El se inject\u0103 bolnavului \u0219i dup\u0103 24 de ore se efectuiaz\u0103 scanarea. Aceast\u0103 procedur\u0103 arat\u0103, de asemenea, prezen\u021ba adenoidelor. Ea nu se va colora \u0219i va fi de nuan\u021b\u0103 \u00eenchis\u0103, \u0219i va demonstra dac\u0103 aceast adenom e func\u021bional.<br \/>\nTestul de s\u00e2nge pentru hormonii tiroidieni, ceea ce poate ar\u0103ta starea fonului hormonal.<\/li>\n<\/ul>\n<h3>Tratamentul<\/h3>\n<p>Unicul tratament &#8212; doar interven\u021bia prompt\u0103. Exist\u0103 2 moduri de a elimina adenomul:<\/p>\n<ul>\n<li>Rezec\u021bia complet\u0103 a glandei tiroide.<\/li>\n<li>Rezec\u021bia par\u021bial\u0103 &#8212; eliminarea doar a adenomului &#8212; \u021besuturile s\u0103n\u0103toase sunt salvate.<\/li>\n<\/ul>\n<p>\u00cenainte de opera\u021bie pacientului i se administreaz\u0103 supresori (medicamente care inhiba producerea hormonului tiroidian). \u0218i numai dup\u0103 aceea este posibil tratamentul chirurgical.<\/p>\n<p>Dac\u0103 glanda a fost complet eliminat\u0103, pacientul pe via\u021b\u0103 ia medicamente hormonale. Acest lucru nu va duce la<br \/>\nhipotiroidism. Dar dac\u0103 \u021besutul glandei tiroide a fost men\u021binut, \u00een perioada postoperatorie ea se va restabili, nu e nevoie de luat medicamente \u0219i va duce la normalizarea capacit\u0103\u021bii func\u021bionale a glandei tiroide.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Adenomul toxic este o subspecie de \u0430d\u0435n\u043em al glandei tiroide. Este neoplasm benign, care este capabil de a produce o mare cantitate de hormoni. Aceast\u0103 tumoare poate fi ren\u0103scut\u0103 din adenoidele inactive ale glandei tiroide. Datorit\u0103 hipersecre\u021biei hormonilor, func\u021biile multor organe \u0219i sisteme importante \u00eencep s\u0103 suprime.Acest diagnostic se pune dup\u0103 efectuarea multiplelor investiga\u021bii , [&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-49329","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 toxic (boala Plammer)<\/title>\n<meta name=\"description\" content=\"Adenomul toxic este o subspecie de \u0430d\u0435n\u043em al glandei tiroide. 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