{"id":161,"date":"2022-01-20T18:20:47","date_gmt":"2022-01-21T00:20:47","guid":{"rendered":"https:\/\/dev-merck-ml.digitasproject.com\/pt\/?post_type=post_health&#038;p=161"},"modified":"2022-05-17T23:32:12","modified_gmt":"2022-05-17T22:32:12","slug":"transtornos-de-humor","status":"publish","type":"post_health","link":"https:\/\/dev-merck-ml.digitasproject.com\/pt\/health\/transtornos-de-humor\/","title":{"rendered":"Transtornos De Humor"},"content":{"rendered":"\n<h4 class=\"has-electviolet-color has-text-color wp-block-heading\">DISFUN\u00c7\u00c3O DA TIROIDE E PERTURBA\u00c7\u00d5ES DE HUMOR<\/h4>\n\n\n\n<h4 class=\"has-electviolet-color has-text-color wp-block-heading\">Doentes com disfun\u00e7\u00e3o da tiroide queixam-se frequentemente de terem problemas de humor e cognitivos.<sup>1<\/sup>&nbsp;Uma associa\u00e7\u00e3o entre disfun\u00e7\u00e3o tiroideia e perturba\u00e7\u00f5es de humor foi inicialmente descrita por CH Parry em 1825.<sup>1<\/sup><\/h4>\n\n\n\n<hr class=\"wp-block-separator\"\/>\n\n\n\n<div style=\"height:18px\" aria-hidden=\"true\" class=\"wp-block-spacer\"><\/div>\n\n\n\n<p><strong>Sintomas comuns<\/strong><\/p>\n\n\n\n<p>Alguns sintomas da disfun\u00e7\u00e3o tiroideia s\u00e3o semelhantes aos observados na depress\u00e3o ou na ansiedade. Os sintomas que s\u00e3o mais frequentemente relacionados com hipotiroidismo incluem esquecimento, fadiga, lentid\u00e3o mental, falta de aten\u00e7\u00e3o, e altera\u00e7\u00f5es de humor, sendo a depress\u00e3o o transtorno predominante.<sup>2&nbsp;<\/sup>Ansiedade, irritabilidade, disforia, altera\u00e7\u00f5es de humor e dificuldade de concentra\u00e7\u00e3o s\u00e3o os sintomas psiqui\u00e1tricos t\u00edpicos associados ao hipertiroidismo.<sup>1&nbsp;<\/sup>A perda de libido tamb\u00e9m pode estar associada ao hipertiroidismo .<sup>3<\/sup><\/p>\n\n\n\n<p><strong>Conhe\u00e7a os factos<\/strong><\/p>\n\n\n\n<p>Cerca de 60% das pessoas com hipertiroidismo apresentam transtornos de ansiedade e 31-69% transtornos depressivos.<sup>1<\/sup>&nbsp;A depress\u00e3o tamb\u00e9m ocorre frequentemente associada ao hipotiroidismo, sendo este facto referido por 40% dos doentes.<sup>2<\/sup><\/p>\n\n\n\n<p>Um a quatro por cento dos doentes com perturba\u00e7\u00f5es de humor t\u00eam hipotiroidismo, e o hipotiroidismo subcl\u00ednico ocorre em 4-40% destes doentes.<sup>1<\/sup>&nbsp;\u00c9 por isso que a American Association of Clinical Endocrinologists e a American Thyroid Association recomendam que: &#8220;O diagn\u00f3stico de hipotiroidismo ou hipotiroidismo subcl\u00ednico deve ser considerado em todos os doentes com depress\u00e3o.&#8221;<sup>1<\/sup><\/p>\n\n\n\n<p><strong>Tratamento de perturba\u00e7\u00f5es de humor<\/strong><\/p>\n\n\n\n<p>Se tem hipertiroidismo ou hipotiroidismo, ent\u00e3o \u00e9 prov\u00e1vel que desenvolva formas de ansiedade ou depress\u00e3o.<sup>1<\/sup>&nbsp;Se a gl\u00e2ndula tiroide for hipoativa, ent\u00e3o estar\u00e1 sujeito a sentir-se deprimido.<sup>2<\/sup>&nbsp;A boa not\u00edcia \u00e9 que, na maioria dos doentes, os problemas cognitivos e perturba\u00e7\u00f5es de humor desaparecem ap\u00f3s um tratamento bem sucedido da sua doen\u00e7a tiroideia.<sup>2,4<\/sup>&nbsp;Se sofrer de hipotiroidismo, provavelmente ser\u00e1 prescrita levotiroxina e, em geral, levar\u00e1 algumas semanas at\u00e9 que a sua fun\u00e7\u00e3o tiroideia regresse \u00e0 normalidade.<sup>2<\/sup>&nbsp;Caso seja hipertiroidismo, o tratamento passar\u00e1 por uma das seguintes op\u00e7\u00f5es: medicamentos antitiroideus, terapia com iodo radioativo ou remo\u00e7\u00e3o de parte ou da totalidade da gl\u00e2ndula tiroide.<sup>5<\/sup>&nbsp;Uma vez normalizados os n\u00edveis de hormonas da tiroide, a maioria dos doentes descobre que a sua ansiedade e depress\u00e3o est\u00e3o resolvidas.<sup>2<\/sup><\/p>\n\n\n      <section class=\"reference-content\">\n        <div class=\"ref-header\">\n          <a class=\"collapsed\" data-toggle=\"collapse\" href=\"#collapseExample\" role=\"button\" aria-expanded=\"false\" aria-controls=\"collapseExample\">\n            <i class=\"fas\"><\/i>\n            Refer\u00eancias          <\/a>\n        <\/div>\n        <div class=\"collapse content-collapse\" id=\"collapseExample\">\n          <div class=\"row\">\n            <div class=\"col-12 text-reference\">\n              <ol>\n<li>Hage MP, Azar ST. The link between thyroid function and depression. J Thyroid Res 2012; 2012: 590648<\/li>\n<li>Heinrich TW, Graham G. Hypothyroidism presenting as psychosis: myxedema madness revisited. Prim Care Companion J Clin Psychiatry 2003; 5: 260\u2013266<\/li>\n<li>Krassas GE, Poppe K, Glinoer D. Thyroid function and human reproductive health. Endocr Rev 2010; 31: 702\u201375<\/li>\n<li>Bov\u00e9 KB, Watt T, Vogal A et al. Anxiety and depression are more prevalent in patients with Graves\u2019 disease than in patients with nodular goiter. Eur Thyroid J 2014; 3: 173\u2013178<\/li>\n<li>American Thyroid Association. Hyperthyroidism. 2014. Dispon\u00edvel em\u00a0<a href=\"http:\/\/www.thyroid.org\/wp-content\/uploads\/patients\/brochures\/ata-hyperthyroidism-brochure.pdf\">http:\/\/www.thyroid.org\/wp-content\/uploads\/patients\/brochures\/ata-hyperthyroidism-brochure.pdf<\/a>.\u00a0Acedido em Fevereiro 2017.<\/li>\n<\/ol>\n            <\/div>\n          <\/div>\n        <\/div>\n      <\/section>\n","protected":false},"excerpt":{"rendered":"<p>As hormonas tiroideias influenciam o c\u00e9rebro&#8230;<\/p>\n","protected":false},"featured_media":807,"template":"","category_health":[8],"class_list":["post-161","post_health","type-post_health","status-publish","has-post-thumbnail","hentry","category_health-a-sua-saude"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v25.1 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>Transtornos De Humor - Thyroid Pt<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/dev-merck-ml.digitasproject.com\/pt\/health\/transtornos-de-humor\/\" \/>\n<meta property=\"og:locale\" content=\"pt_PT\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Transtornos De Humor - Thyroid Pt\" \/>\n<meta property=\"og:description\" content=\"As hormonas tiroideias influenciam o c\u00e9rebro...\" \/>\n<meta property=\"og:url\" content=\"https:\/\/dev-merck-ml.digitasproject.com\/pt\/health\/transtornos-de-humor\/\" \/>\n<meta property=\"og:site_name\" content=\"Thyroid Pt\" \/>\n<meta property=\"article:modified_time\" content=\"2022-05-17T22:32:12+00:00\" \/>\n<meta property=\"og:image\" content=\"https:\/\/dev-merck-ml.digitasproject.com\/pt\/wp-content\/uploads\/sites\/36\/2022\/01\/your-health-nota-1.png\" \/>\n\t<meta property=\"og:image:width\" content=\"1440\" \/>\n\t<meta property=\"og:image:height\" content=\"810\" \/>\n\t<meta property=\"og:image:type\" content=\"image\/png\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<meta name=\"twitter:label1\" content=\"Tempo estimado de leitura\" \/>\n\t<meta name=\"twitter:data1\" content=\"2 minutos\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\/\/schema.org\",\"@graph\":[{\"@type\":\"WebPage\",\"@id\":\"https:\/\/dev-merck-ml.digitasproject.com\/pt\/health\/transtornos-de-humor\/\",\"url\":\"https:\/\/dev-merck-ml.digitasproject.com\/pt\/health\/transtornos-de-humor\/\",\"name\":\"Transtornos De Humor - Thyroid Pt\",\"isPartOf\":{\"@id\":\"https:\/\/dev-merck-ml.digitasproject.com\/pt\/#website\"},\"primaryImageOfPage\":{\"@id\":\"https:\/\/dev-merck-ml.digitasproject.com\/pt\/health\/transtornos-de-humor\/#primaryimage\"},\"image\":{\"@id\":\"https:\/\/dev-merck-ml.digitasproject.com\/pt\/health\/transtornos-de-humor\/#primaryimage\"},\"thumbnailUrl\":\"https:\/\/dev-merck-ml.digitasproject.com\/pt\/wp-content\/uploads\/sites\/36\/2022\/01\/your-health-nota-1.png\",\"datePublished\":\"2022-01-21T00:20:47+00:00\",\"dateModified\":\"2022-05-17T22:32:12+00:00\",\"breadcrumb\":{\"@id\":\"https:\/\/dev-merck-ml.digitasproject.com\/pt\/health\/transtornos-de-humor\/#breadcrumb\"},\"inLanguage\":\"pt-PT\",\"potentialAction\":[{\"@type\":\"ReadAction\",\"target\":[\"https:\/\/dev-merck-ml.digitasproject.com\/pt\/health\/transtornos-de-humor\/\"]}]},{\"@type\":\"ImageObject\",\"inLanguage\":\"pt-PT\",\"@id\":\"https:\/\/dev-merck-ml.digitasproject.com\/pt\/health\/transtornos-de-humor\/#primaryimage\",\"url\":\"https:\/\/dev-merck-ml.digitasproject.com\/pt\/wp-content\/uploads\/sites\/36\/2022\/01\/your-health-nota-1.png\",\"contentUrl\":\"https:\/\/dev-merck-ml.digitasproject.com\/pt\/wp-content\/uploads\/sites\/36\/2022\/01\/your-health-nota-1.png\",\"width\":1440,\"height\":810},{\"@type\":\"BreadcrumbList\",\"@id\":\"https:\/\/dev-merck-ml.digitasproject.com\/pt\/health\/transtornos-de-humor\/#breadcrumb\",\"itemListElement\":[{\"@type\":\"ListItem\",\"position\":1,\"name\":\"Home\",\"item\":\"https:\/\/dev-merck-ml.digitasproject.com\/pt\/\"},{\"@type\":\"ListItem\",\"position\":2,\"name\":\"Transtornos De Humor\"}]},{\"@type\":\"WebSite\",\"@id\":\"https:\/\/dev-merck-ml.digitasproject.com\/pt\/#website\",\"url\":\"https:\/\/dev-merck-ml.digitasproject.com\/pt\/\",\"name\":\"Thyroid Pt\",\"description\":\"Otro sitio realizado con WordPress\",\"potentialAction\":[{\"@type\":\"SearchAction\",\"target\":{\"@type\":\"EntryPoint\",\"urlTemplate\":\"https:\/\/dev-merck-ml.digitasproject.com\/pt\/?s={search_term_string}\"},\"query-input\":{\"@type\":\"PropertyValueSpecification\",\"valueRequired\":true,\"valueName\":\"search_term_string\"}}],\"inLanguage\":\"pt-PT\"}]}<\/script>\n<!-- \/ Yoast SEO plugin. -->","yoast_head_json":{"title":"Transtornos De Humor - Thyroid Pt","robots":{"index":"index","follow":"follow","max-snippet":"max-snippet:-1","max-image-preview":"max-image-preview:large","max-video-preview":"max-video-preview:-1"},"canonical":"https:\/\/dev-merck-ml.digitasproject.com\/pt\/health\/transtornos-de-humor\/","og_locale":"pt_PT","og_type":"article","og_title":"Transtornos De Humor - Thyroid Pt","og_description":"As hormonas tiroideias influenciam o c\u00e9rebro...","og_url":"https:\/\/dev-merck-ml.digitasproject.com\/pt\/health\/transtornos-de-humor\/","og_site_name":"Thyroid Pt","article_modified_time":"2022-05-17T22:32:12+00:00","og_image":[{"width":1440,"height":810,"url":"https:\/\/dev-merck-ml.digitasproject.com\/pt\/wp-content\/uploads\/sites\/36\/2022\/01\/your-health-nota-1.png","type":"image\/png"}],"twitter_card":"summary_large_image","twitter_misc":{"Tempo estimado de leitura":"2 minutos"},"schema":{"@context":"https:\/\/schema.org","@graph":[{"@type":"WebPage","@id":"https:\/\/dev-merck-ml.digitasproject.com\/pt\/health\/transtornos-de-humor\/","url":"https:\/\/dev-merck-ml.digitasproject.com\/pt\/health\/transtornos-de-humor\/","name":"Transtornos De Humor - Thyroid Pt","isPartOf":{"@id":"https:\/\/dev-merck-ml.digitasproject.com\/pt\/#website"},"primaryImageOfPage":{"@id":"https:\/\/dev-merck-ml.digitasproject.com\/pt\/health\/transtornos-de-humor\/#primaryimage"},"image":{"@id":"https:\/\/dev-merck-ml.digitasproject.com\/pt\/health\/transtornos-de-humor\/#primaryimage"},"thumbnailUrl":"https:\/\/dev-merck-ml.digitasproject.com\/pt\/wp-content\/uploads\/sites\/36\/2022\/01\/your-health-nota-1.png","datePublished":"2022-01-21T00:20:47+00:00","dateModified":"2022-05-17T22:32:12+00:00","breadcrumb":{"@id":"https:\/\/dev-merck-ml.digitasproject.com\/pt\/health\/transtornos-de-humor\/#breadcrumb"},"inLanguage":"pt-PT","potentialAction":[{"@type":"ReadAction","target":["https:\/\/dev-merck-ml.digitasproject.com\/pt\/health\/transtornos-de-humor\/"]}]},{"@type":"ImageObject","inLanguage":"pt-PT","@id":"https:\/\/dev-merck-ml.digitasproject.com\/pt\/health\/transtornos-de-humor\/#primaryimage","url":"https:\/\/dev-merck-ml.digitasproject.com\/pt\/wp-content\/uploads\/sites\/36\/2022\/01\/your-health-nota-1.png","contentUrl":"https:\/\/dev-merck-ml.digitasproject.com\/pt\/wp-content\/uploads\/sites\/36\/2022\/01\/your-health-nota-1.png","width":1440,"height":810},{"@type":"BreadcrumbList","@id":"https:\/\/dev-merck-ml.digitasproject.com\/pt\/health\/transtornos-de-humor\/#breadcrumb","itemListElement":[{"@type":"ListItem","position":1,"name":"Home","item":"https:\/\/dev-merck-ml.digitasproject.com\/pt\/"},{"@type":"ListItem","position":2,"name":"Transtornos De Humor"}]},{"@type":"WebSite","@id":"https:\/\/dev-merck-ml.digitasproject.com\/pt\/#website","url":"https:\/\/dev-merck-ml.digitasproject.com\/pt\/","name":"Thyroid Pt","description":"Otro sitio realizado con WordPress","potentialAction":[{"@type":"SearchAction","target":{"@type":"EntryPoint","urlTemplate":"https:\/\/dev-merck-ml.digitasproject.com\/pt\/?s={search_term_string}"},"query-input":{"@type":"PropertyValueSpecification","valueRequired":true,"valueName":"search_term_string"}}],"inLanguage":"pt-PT"}]}},"_links":{"self":[{"href":"https:\/\/dev-merck-ml.digitasproject.com\/pt\/wp-json\/wp\/v2\/post_health\/161","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/dev-merck-ml.digitasproject.com\/pt\/wp-json\/wp\/v2\/post_health"}],"about":[{"href":"https:\/\/dev-merck-ml.digitasproject.com\/pt\/wp-json\/wp\/v2\/types\/post_health"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/dev-merck-ml.digitasproject.com\/pt\/wp-json\/wp\/v2\/media\/807"}],"wp:attachment":[{"href":"https:\/\/dev-merck-ml.digitasproject.com\/pt\/wp-json\/wp\/v2\/media?parent=161"}],"wp:term":[{"taxonomy":"category_health","embeddable":true,"href":"https:\/\/dev-merck-ml.digitasproject.com\/pt\/wp-json\/wp\/v2\/category_health?post=161"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}