Tiroides: Tratar bien los trastornos

Trastornos de la Tiroides

Uno de cada diez europeos sufre de una disfunción de la tiroides. Algunos de ellos toman levotiroxina, un medicamento que ha sido ampliamente discutido en los últimos meses. Esta es una oportunidad para revisar los trastornos de la tiroides y los diversos tratamientos posibles.

La levotiroxina, una hormona sintética y una copia de thyroxine, una de las hormonas producidas naturalmente por la tiroides. Es una terapia de reemplazo que se utiliza principalmente para tratar el hipotiroidismo, es decir, la ralentización de la función tiroidea.

Una glándula vital

Esta pequeña glándula de unos veinte gramos situada en la garganta, justo debajo de la manzana de Adán, puede ser discreta, pero no menos vital. A partir del yodo en los alimentos, produce hormonas (tiroxina, o T4, y triyodotironina, o T3) que ayudan a regular la frecuencia cardíaca, la temperatura corporal, el azúcar en la sangre, el sueño, el estado de ánimo o el peso.

En las mujeres embarazadas, desempeña un papel esencial en el desarrollo del cerebro del bebé. En los niños, está implicado en el crecimiento y en los adolescentes, está implicado en el inicio de la pubertad.

Dosificaciones ultra precisas

Si la cantidad de hormonas T3 y T4 se puede medir con un simple análisis de sangre, la prueba de TSH, producida por la glándula pituitaria, es la prueba más común. Esta hormona refleja el funcionamiento de la glándula (ver lo contrario) y es más confiable en la detección de posibles trastornos.

Normalmente, el HST oscila entre 0,4 y 4 mUI/l (miliunidades por litro de sangre), pero este rango es sólo indicativo, ya que puede variar de persona a persona e incluso de un día para otro en la misma persona. También es importante asegurarse de que la enfermedad esté relacionada con la glándula tiroides y no con la glándula pituitaria.

Con estas precauciones en su lugar, se considera que si el nivel de TSH está por encima del promedio, es porque la tiroides tiene debilidades. Si está por debajo (y a veces incluso indetectable), es al contrario que la tiroides se ha vuelto salvaje.

Regulación de la hormona tiroidea

Un sistema de bucle

El funcionamiento de la tiroides está bajo el control de una glándula situada en la base del cráneo, la glándula pituitaria, a su vez regulada por una glándula del cerebro, el hipotálamo. Normalmente, todo funciona en armonía. Pero cuando se produce un desequilibrio, más o menos, aparecen signos clínicos.

  1. Estimulación
    Cuando el nivel de hormonas tiroideas en la sangre disminuye, la glándula pituitaria envía una hormona que estimula la tiroides, la estimulante de la tiroides (TSH).
  2. Producción
    La glándula produce hormonas tiroideas. Para eso, necesita yodo.
  3. Disminuir
    Cuando el nivel hormonal es satisfactorio, la tiroides envía una señal al cerebro para calmar la producción de TSH.

Los dos desequilibrios frecuentes

Hipotiroidismo, la glándula trabaja en cámara lenta

Los Síntomas:

  • -Fatiga
  • -Brillo
  • -Aumento moderado de peso
  • -Señales de depresión
  • -Frecuencia cardíaca lenta
  • – Estreñimiento
  • -Campamentos
  • -Invernaderos
  • -Disminución de la sed
  • -Disminución de la libido
  • – Infertilidad

¿Qué tratamientos?

  • -Levotiroxina

Para compensar la falta de hormonas tiroideas, y en particular de tiroxina, es necesario tomar levotiroxina. Luego será transformado en T3 por la propia organización, según sus necesidades.

Hipertiroidismo; la glándula trabaja en modo de sobre-revolución

Los síntomas:

  • -Adelgazar a pesar del aumento del apetito
  • -Fusión muscular
  • -Aumento de la frecuencia cardíaca
  • – Sentirse caliente todo el tiempo
  • -Sudoración significativa
  • -Irritabilidad
  • – Diarrea
  • -Ojos exorbitantes
  • -Tics en los dedos
  • -Intolerancia extrema al estrés

¿Qué tratamientos?

  • -Agentes antitiroideos sintéticos. Estos medicamentos algunas veces se combinan con betabloqueadores para disminuir la frecuencia cardíaca. El tratamiento se extiende a lo largo de un período de 6 a 18 meses.
  • -Yodo radioactivo
    Se puede prescribir en caso de contraindicación a la medicación o en ciertas formas de hipertiroidismo. Capturado por las células de la glándula, el yodo “engaña” a la tiroides, que entonces detiene la producción.
  • -Ablación de la tiroides
    Se considera en caso de hipertiroidismo recurrente o bocio voluminoso. Luego requiere tomar hormonas tiroideas de por vida.

Manteniendo su tiroides en forma……

Con alimentos ricos en yodo

Según el estudio de Inca2 sobre los hábitos nutricionales de los europeos, el consumo medio de yodo es de 126 µg/día, ligeramente inferior a la ingesta diaria recomendada (150 µg/día). Para el yodo, las algas deshidratadas ocupan el primer lugar. No es de extrañar que les sigan otros productos del mar: sal yodada, hígado de bacalao, calamares y pescados como el salmón, la caballa, el eglefino.

Dejando de fumar

El humo del tabaco contiene tiocianatos, moléculas que interrumpen el funcionamiento de la glándula tiroides. El hipertiroidismo es, por tanto, más frecuente en los fumadores y sus síntomas son más marcados: el riesgo de presentar exoftalmos (ojos exorbitantes) también es mayor en ellos.

Los cigarrillos también pueden interrumpir la acción de los medicamentos recetados para los trastornos de la tiroides. Por lo tanto, es mejor dejar de fumar. Para lograr esto, no dude en buscar ayuda de su farmacéutico, médico o adicto para una consulta antitabaco.

¿A quién se debe consultar?

  • – Un médico generalista
    Sentir un bulto en la garganta, fatiga, cambios en el movimiento intestinal o el apetito, pérdida o aumento de peso, escalofríos o dificultad para soportar el calor, depresión o irritabilidad… puede ser un signo de un trastorno de la tiroides. Usted debe hablar con su médico, quien le prescribirá un chequeo de la tiroides si es necesario.
  • – Un endocrinólogo
    Es el especialista en hormonas. El médico generalista le remite a su paciente si lo considera necesario.
  • – Un cardiólogo
    Si los trastornos de la tiroides tienen consecuencias en el corazón: palpitaciones, frecuencia cardíaca lenta….
  • – Un oftalmólogo
    En caso de hipertiroidismo con problemas oculares.

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  113. Hey! I know this is kind of off topic but I was wondering which blog platform are you using for this website? I’m getting sick and tired of WordPress because I’ve had problems with hackers and I’m looking at options for another platform. I would be fantastic if you could point me in the direction of a good platform.|

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  134. This design is spectacular! You definitely know how to keep a reader entertained. Between your wit and your videos, I was almost moved to start my own blog (well, almost…HaHa!) Great job. I really enjoyed what you had to say, and more than that, how you presented it. Too cool!|

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