{"id":731,"date":"2022-04-07T12:03:00","date_gmt":"2022-04-07T19:03:00","guid":{"rendered":"https:\/\/dev-merck-ml.digitasproject.com\/pt\/?post_type=post_thyroid&#038;p=731"},"modified":"2022-05-17T23:24:43","modified_gmt":"2022-05-17T22:24:43","slug":"sobre-a-tiroidite-de-hashimoto","status":"publish","type":"post_thyroid","link":"https:\/\/dev-merck-ml.digitasproject.com\/pt\/thyroid\/sobre-a-tiroidite-de-hashimoto\/","title":{"rendered":"Sobre A Tiroidite De Hashimoto"},"content":{"rendered":"\n<h4 class=\"has-electviolet-color has-text-color wp-block-heading\">A tiroidite de Hashimoto \u00e9 uma doen\u00e7a autoimune em que o sistema imunit\u00e1rio do corpo se volta contra si mesmo e ataca a tiroide.<sup>1<\/sup>&nbsp;Isso leva \u00e0 destrui\u00e7\u00e3o gradual e a longo prazo da gl\u00e2ndula tiroide e, portanto, n\u00edveis insuficientes de hormonas tiroideias.<sup>1<\/sup>&nbsp;\u00c0 medida que a doen\u00e7a progride, a tiroide produz menos hormonas tiroideias tendo como consequ\u00eancia o hipotiroidismo.<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>Quem est\u00e1 em risco?<\/strong><\/p>\n\n\n\n<p>A tiroidite de Hashimoto \u00e9 uma doen\u00e7a autoimune em que o sistema imunit\u00e1rio do corpo se volta contra si mesmo e ataca a tiroide.<sup>1<\/sup>&nbsp;Isso leva \u00e0 destrui\u00e7\u00e3o gradual e a longo prazo da gl\u00e2ndula tiroide e, portanto, n\u00edveis insuficientes de hormonas tiroideias.<sup>1<\/sup>&nbsp;\u00c0 medida que a doen\u00e7a progride, a tiroide produz menos hormonas tiroideias tendo como consequ\u00eancia o hipotiroidismo.<sup>1<\/sup><\/p>\n\n\n\n<p><strong>Sintomas da doen\u00e7a de Hashimoto<\/strong><\/p>\n\n\n\n<p>Esta doen\u00e7a pode passar despercebida por muito tempo. No decurso da doen\u00e7a, a gl\u00e2ndula tiroide atinge o seu ponto de exaust\u00e3o, e poder\u00e1 desenvolver hipotiroidismo com sintomas como:<sup>1,3<\/sup><\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>Fadiga, sonol\u00eancia e\/ou fraqueza<\/li><li>Intoler\u00e2ncia ao frio<\/li><li>Dificuldade de concentra\u00e7\u00e3o ou racioc\u00ednio<\/li><li>Depress\u00e3o<\/li><li>Ganho de peso<\/li><li>Aumento do volume do pesco\u00e7o ou presen\u00e7a de b\u00f3cio, que pode ser um sintoma precoce e, numa fase posterior da doen\u00e7a, uma tiroide diminu\u00edda.<\/li><li>Per\u00edodos menstruais anormais ou irregulares<\/li><li>Pris\u00e3o de ventre<\/li><li>Dores articulares ou musculares<\/li><li>Perda de cabelo<\/li><li>Pele seca<\/li><\/ul>\n\n\n\n<p><strong>De que forma a tiroidite de Hashimoto \u00e9 diagnosticada<\/strong><\/p>\n\n\n\n<p>Pessoas com tiroidite de Hashimoto frequentemente apresentam sintomas de hipotiroidismo, \u00e0s vezes acompanhados pela presen\u00e7a de um b\u00f3cio.<sup>3<\/sup>&nbsp;Sintomas por si s\u00f3 n\u00e3o s\u00e3o uma prova absoluta desta doen\u00e7a. Exames laboratoriais s\u00e3o necess\u00e1rios para fazer um diagn\u00f3stico seguro. Se tem n\u00edveis altos de TSH no sangue e baixos n\u00edveis de T4 livre (tiroxina a circular livremente no sangue) provavelmente sofre de hipotiroidismo.<sup>4<\/sup>&nbsp;Os anticorpos contra a peroxidase da tiroide, uma enzima envolvida na produ\u00e7\u00e3o de hormonas tiroideias, s\u00e3o geralmente elevadas nos casos da tiroidite de Hashimoto.<sup>3<\/sup><\/p>\n\n\n\n<p><strong>Tratamento para a doen\u00e7a<\/strong><\/p>\n\n\n\n<p>Se recebeu um diagn\u00f3stico de tiroidite de Hashimoto, o seu m\u00e9dico prescrever\u00e1 terap\u00eautica de substutui\u00e7\u00e3o das hormonas tiroideias .<sup>1<\/sup>&nbsp;A maioria dos doentes com tiroidite de Hashimoto exigir\u00e1 um tratamento vital\u00edcio com levotiroxina.<sup>3<\/sup>&nbsp;At\u00e9 encontrar a dose apropriada, particularmente no in\u00edcio, eventualmente ser\u00e3o necess\u00e1rios testes \u00e0 TSH a cada 6-8 semanas ap\u00f3s qualquer ajuste da dose, at\u00e9 que a dose correta seja determinada. Depois disso, o controlo da TSH uma vez por ano \u00e9 geralmente suficiente.<sup>3<\/sup><\/p>\n\n\n\n<p><strong>Websites \u00fateis<\/strong><\/p>\n\n\n\n<p><a href=\"http:\/\/www.thyroid.org\/\" target=\"_blank\" rel=\"noreferrer noopener\">http:\/\/www.thyroid.org<\/a><\/p>\n\n\n\n<p>Informa\u00e7\u00e3o para o doente sobre a sa\u00fade da tiroide publicada pela American Thyroid Association.<\/p>\n\n\n\n<p><a href=\"http:\/\/www.thyroid-fed.org\/\" target=\"_blank\" rel=\"noreferrer noopener\">http:\/\/www.thyroid-fed.org<\/a><\/p>\n\n\n\n<p>Patient information from Thyroid Federation International.<\/p>\n\n\n\n<p><a href=\"http:\/\/www.adti.pt\">http:\/\/www.adti.pt<\/a><\/p>\n\n\n\n<p>Associa\u00e7\u00e3o de doentes da tiroide.<\/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>Medline Plus. Chronic thyroiditis (Hashimoto\u2019s disease). Dispon\u00edvel em\u00a0<a href=\"http:\/\/www.nlm.nih.gov\/medlineplus\/ency\/article\/000371.htm\">http:\/\/www.nlm.nih.gov\/medlineplus\/ency\/article\/000371.htm<\/a>.\u00a0Acedido em Fevereiro 2017.<\/li>\n<li>Mayo Clinic. Hashimoto\u2019s disease. Symptoms and causes. Dispon\u00edvel em\u00a0<a href=\"http:\/\/www.mayoclinic.org\/diseases-conditions\/hashimotos-disease\/symptoms-causes\/dxc-20269764\">http:\/\/www.mayoclinic.org\/diseases-conditions\/hashimotos-disease\/symptoms-causes\/dxc-20269764<\/a>.\u00a0Acedido em Fevereiro 2017.<\/li>\n<li>American Thyroid Association. Hashimoto\u2019s thyroiditis (lymphocytic thyroiditis). Dispon\u00edvel em\u00a0<a href=\"http:\/\/www.thyroid.org\/wp-content\/uploads\/patients\/brochures\/Hashimoto_Thyroiditis.pdf\">http:\/\/www.thyroid.org\/wp-content\/uploads\/patients\/brochures\/Hashimoto_Thyroiditis.pdf.<\/a>\u00a0Acedido em Fevereiro 2017.<\/li>\n<li>British Thyroid Foundation. Thyroid function tests. Dispon\u00edvel em\u00a0<a href=\"http:\/\/www.btf-thyroid.org\/information\/quick-guides\/97-thyroid-function-tests\">http:\/\/www.btf-thyroid.org\/information\/quick-guides\/97-thyroid-function-tests<\/a>.\u00a0Acedido em Fevereiro 2017.<\/li>\n<\/ol>\n            <\/div>\n          <\/div>\n        <\/div>\n      <\/section>\n","protected":false},"excerpt":{"rendered":"<p>A tiroide de Hashimoto \u00e9 uma doen\u00e7a autoimune na qual o sistema imunol\u00f3gico do corpo se volta contra si e ataca a tiroide&#8230;<\/p>\n","protected":false},"featured_media":803,"template":"","category_thyroid":[7],"class_list":["post-731","post_thyroid","type-post_thyroid","status-publish","has-post-thumbnail","hentry","category_thyroid-a-tiroide"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v25.1 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>Sobre A Tiroidite De Hashimoto - 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\/thyroid\/sobre-a-tiroidite-de-hashimoto\/\" \/>\n<meta property=\"og:locale\" content=\"pt_PT\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Sobre A Tiroidite De Hashimoto - 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