Zvýšená funkce štítné žlázy

10.7.2012 , Zuzana Boučková

zvysena-funkce-stitne-zlazy.jpg - kopie
zvysena-funkce-stitne-zlazy.jpg - kopie
Zvýšená funkce štítné žlázy se projevuje zrychlením metabolismu celém organismu. Zvýšená funkce štítné žlázy může být primárně způsobena problémem přímo ve žláze či sekundárně onemocněním hypofýzy. Zvýšená funkce štítné žlázy se projevuje urychleným metabolismem, který vede k vyčerpání, únavě, průjmu či hubnutí. Dalším projevem bývá zvětšení žlázy a vypoulené oči.

Zvýšená funkce štítné žlázy

Zvýšená funkce štítné žlázy, odborně hypertyreóza, je stav, kdy žláza produkuje vyšší množství hormonů. Hypertyreóza je poměrně časté onemocnění, které během života postihne zhruba 1 % populace. Vzniká na podkladě řady různých chorob, jež mohou být nádorové i nenádorové povahy a mít více či méně závažné následky.

Štítná žláza

Štítná žláza je orgán uložený na přední straně krku patřící do endokrinního systému, který vyšetřuje a léčí endokrinolog. Endokrinní orgány jsou tvořeny žlázami, které produkují hormony neboli látky, pomocí nichž komunikují jednotlivé orgány s jinými. Zjednodušeně řečeno, pomocí hormonů se dozvídají jednotlivé části lidského těla, co mají dělat. Štítná žláza tvoří trijódtyronin (T3) a tyroxin (T4), které upravují spalování tuků, hospodaření s kyslíkem a zvyšují tvorbu bílkovin. Dále kalcitonin, který udržuje stálou hladinu vápníku jeho přesunem z krve do kostí, čímž například působí proti osteoporóze. To však platí pouze u normální hladiny kalcitoninu.

Příznaky zvýšené funkce štítné žlázy

Zvýšená funkce štítné žlázy má charakteristické příznaky, které jsou úměrné funkci hormonů. Pokud dojde ke zvýšené tvorbě trijódtyroninu a tyroxinu, které zodpovídají za urychlení metabolických procesů, budou procesy probíhat ještě rychleji. Tuky se rychleji odbourávají, což se může projevit hubnutím (5 %), tvoří se více bílkovin a zároveň se zvyšuje tělesná teplota. Mezi typické příznaky patří hubnutí, zvýšené pocení, snadná unavitelnost, neklid, úzkost, průjmy, u žen i poruchy menstruačního cyklu. Dále je u zvýšené funkce štítné žlázy zrychlená srdeční frekvence a může docházet ke vzniku srdečních arytmií. Množství příznaků a komplikací této choroby pochopitelně závisí na délce jejího trvání a působení zvýšeného množství hormonů (T3,T4) na tělesné tkáně.

Vznik zvýšené funkce štítné žlázy

Příčiny vzniku zvýšené funkce štítné žlázy se dělí na primární, kdy je chorobným procesem postižena přímo štítná žláza, a sekundární při onemocnění hypofýzy, která řídí uvolňování hormonů štítné žlázy.

Primární příčiny

Primární příčiny zvýšené funkce štítné žlázy jsou daleko častější než sekundární a jejich hlavním zástupcem je Gravesova-Basedovova choroba. Ta patří mezi autoimunitní onemocnění, která se vyznačují tvorbou protilátek proti buňkám vlastního těla. Imunitní systém doslova bojuje proti vlastním orgánům. A právě tyto protilátky narušují tvorbu T3 a T4, což vede k jejich zvýšenému vylučování do krve. Touto nemocí jsou nejvíce postiženy ženy mezi 30. a 60. rokem života. Kromě urychleného metabolismu lze na těchto nemocných pozorovat obvykle strumu neboli zvětšení štítné žlázy v přední části krku a „vypoulené" oči, tzv. exoftalmus. Druhou nejčastější příčinou zvýšené funkce štítné žlázy je adenom, což je nezhoubný nádor. Další příčiny jsou méně časté, jde především o záněty štítné žlázy, které se mohou obzvláště zpočátku projevovat hypertyreózou.

Sekundární příčiny

Sekundární příčiny zvýšené funkce štítné žlázy jsou poměrně vzácné a spočívají v poruše hypofýzy. Hypofýza je orgán uložený v mozku, který řídí tvorbu hormonů štítné žlázy. Jakmile dojde v řídícím centru k chybě, nejčastěji z důvodu nádoru, začne tento orgán produkovat více látek, které přímo zvyšují aktivitu štítné žlázy.

Diagnostika zvýšené funkce štítné žlázy

Při podezření na zvýšenou funkci štítné žlázy provádíme laboratorní vyšetření krve, které prokáže zvýšené hladiny hormonů. Nezbytné je odhalit příčinu onemocnění. Gaves-Basedowova nemoc se projeví v krvi. Adenom štítné žlázy odhalíme nejlépe pomocí ultrazvuku, který nám upřesní lokalizaci nádoru, velikost štítné žlázy a umožní zhodnotit okolní struktury, především lymfatické uzliny, které bývají u nádorových onemocnění zvětšeny. Ultrazvukové vyšetření je zcela nebolestivá metoda, která pomocí zvuku procházejícího přes tkáně zobrazuje struktury pod povrchem kůže.

Léčba zvýšené funkce štítné žlázy

Při léčbě zvýšené funkce štítné žlázy vycházíme z příčiny onemocnění, která je mnohdy rozlišná původem i léčbou. Základními užívanými léky jsou tzv. tyreostatika, která snižují tvorbu hormonů štítné žlázy. Tyreostatika používáme k zahájení léčby a normalizování stavu pacienta. Výsledky léčby postupně sledujeme a upravujeme jejich dávku. Nevýhodou tyreostatik jsou časté vedlejší účinky způsobující zčervenání obličeje a svědění kůže. Další možností je léčba radiojódem, která je založena na schopnosti štítné žlázy vychytávat jód, který je nezbytný pro tvorbu hormonů a její správnou funkci. Pokud však vychytává žláza radioaktivní jód, dochází k jejímu rozpadu. Tuto léčbu používáme obzvláště u nemocných s vysokým rizikem chirurgického zákroku. Chirurgická léčba (tyreoidektomie) je nejčastějším definitivním řešením zvýšené funkce štítné žlázy. U nemocných s Graves-Basedowovou chorobou volíme úplné odstranění štítné žlázy. V případě adenomu indikujeme částečné odstranění žlázy, přesněji řečeno postiženého laloku.

Prognóza

Prognóza léčby zvýšené funkce štítné žlázy je při správné diagnóze příznivá. Do velké míry však záleží na původu onemocnění. Graves-Basedowova choroba se často a opakovaně vrací, než dosáhneme normálního stavu, proto volíme chirurgické odstranění. Neléčená hypotyreóza je život ohrožujícím onemocněním zejména u rizikových pacientů.

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12. srpna 2019 23:52

charmdatescamreviewsvxt: Find a good disability carer

A new internet has been set up which uses online dating techniques to help disabled people find the perfect carer but it has bigger ambitions.

When you join to Care Pair, you are asked to choose food, Music and film preferences to help you find the right person for the right situation.

"You could decide among how much you like curry from 1 to 5, Or chinese, Says its creator software Russell Smith. "Then in the film section there's horror films and comedy and items like that,

hmo's special needs teacher is 29 and based in Coventry. He has muscular dystrophy and years of expertise of employing his own carers using the Direct Payments system from social services, Where you are given a budget to buy is likely to care.

"One of the big problems is that a lot of the time you'll get time probably very good at being a carer, Doing the final day to day washing, dressing up, that kind of thing but, Being still sensibly young, i love to go to gigs and festivals and all that,

He once employed an agency carer to assist him at a Maximo Park rock concert in luton. She was in her 50s and Smith recalls it was very loud and full of people in their late teens and early 20s.

"She was sat there at one point with her fingers in her ears looking absolutely troubled at being there. I do not think it was something she would ever do herself,

Smith felt uneasy that he'd made her go, And believes his website and smartphone app can help both parties enjoy if matched correctly.

As well as questions to assist you in finding a good personality match, The service also asks if you want your carer to have a CRB check, they are driving, Do manual handling and other more traditional questions.

At present care assistants are often found using local council bulletin boards, But smarter internet matching solutions like Smith's could help democratise the carer/cared for area, Allowing carers to find many business and fill their whole day with jobs. Disabled people could find on tap potential carers at a economical price.

If your contacts book lets you down and you use using a care agency, Smith says it can cost three times the sum you would pay a carer privately. Employing carers from agencies in emergency disorders could mean you use up your allocated Direct Payments budget too early, Leaving little money to purchase support towards the end of the month.

The idea to open up the carer/cared for market was born of a horrible situation when Smith's regular carer injured herself and couldn't work, Giving just three hours index.

many disabled people, Smith lives partnerships and the carers he employs with his care budget help him to do this. "I need just about all doing for me, he states, So it's really hard if his regular carers or stand bys aren't able to turn up.

"I rang up Coventry Council's emergency social work team and all they'll do was suggest I rang up all the carer agencies in Coventry. They emailed over a list of about 50 agencies which available. After calling, actually, All 50 advisors, carry out had any staff available. So I asked the duty social worker what the number of choices were, And all they were able to suggest was that I got admitted to hospital,

this was an option Smith did not want to take.

"I was sufficiently lucky that I could go back to my family, So I just stayed at my mum and dad's for the week end, he states. "But if I didn't have that back up then getting admitted into hospital was the main option.

"It dawned on me that I know there are a lot disabled people in Coventry that employ their own carers, So if there was a way of harnessing and enjoying their care staff as <a href=https://charmdatescamreviews.wordpress.com/tag/russian-sexy-girls/>hot russian girl</a> well, Then it'd be much more of a useful system for people to use.

11. srpna 2019 8:17

Franktuple: Dating russian Girls On Women Day

For many male lovers and husbands it is sure that they know well about valentine's Day, know what to do on this day, And figure out how to please their partners. What about the global marketplace Women Day on March 8th? You may say it it not fundamental day. understand, In many countries women need to get to work and cannot have a day off. around the, it's not at all such a thing in Russia, Ukraine, China and other nations. Women Day brings stunning, presents, business cards, easy, great thrills, Equality and romance at the same time. everyone who is dating a girl from Russia, Ukraine and other Easter European unique <a href=https://www.linkedin.com/in/charm-date-6a2b3292>charmdate review</a> girls, Or if you have a relationship with a beautiful Russian girl, you shouldn't miss this occasion, Though it is not necessarily your holiday.

On this day men can do a lot to their Russian, Ukraine friend, Or their women. In russian federation, Men will do all the chore and for women who live a whole day off. They can savor the fun and excitement. Russian men will send flowers and gifts for their loving girls: Their the new mom, mother, ex girlfriend or wife. are you far away from your beautiful Russian girl. you send some little gifts, Send elegant card or write an email full of your affection and attachment for her. additionally you can fly to pay a visit unexpectedly to surprise her. You can prepare an ideal dinner <a href=https://charmdatescamreviews.wordpress.com/2018/01/25/charmdate-review/>charmdate.com</a> for her or anything. If made way for, Taking your Ukrainian partner for a tour is also a very fantastic idea. overall, make a change for her and let her enjoy the fun and romance on this day. All girls and women love men who are romantic and care for them.

Never Miss This party With Girlfriend

All women are wonderful things. Women Day is to value women commitment for the entire society and show respect for them. If you don know what to do for your Russian girl dating, Just give her some dazzling gifts and flowers. In mental performance of all women, It is as important as Valentine Holiday. If you want to set up a relationship with the beautiful Ukraine girl you <a href=https://www.youtube.com/watch?v=q8fSUN_U2Mo>charmdate.com</a> just met online earlier this week; If you will need to get closer to the Russian girl dating; If we should get your Russian girlfriend back, Don miss today. guantee that it is a special day for your lady.

10. srpna 2019 11:33

Billyapece: 360 Oraz Niekonwencjonalne Odpowiedniki
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2. srpna 2019 13:15

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28. července 2019 17:55

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16. července 2019 16:19

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13. července 2019 10:35

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28. června 2019 15:17

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15. června 2019 4:36

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24. května 2019 11:26

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14. května 2019 20:19

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12. května 2019 16:38

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11. května 2019 6:09

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