{"id":732,"date":"2022-04-05T14:30:00","date_gmt":"2022-04-05T21:30:00","guid":{"rendered":"https:\/\/dev-merck-ml.digitasproject.com\/pt\/?post_type=post_thyroid&#038;p=732"},"modified":"2022-05-17T23:24:52","modified_gmt":"2022-05-17T22:24:52","slug":"sobre-a-doenca-de-graves","status":"publish","type":"post_thyroid","link":"https:\/\/dev-merck-ml.digitasproject.com\/pt\/thyroid\/sobre-a-doenca-de-graves\/","title":{"rendered":"Sobre a Doen\u00e7a de Graves"},"content":{"rendered":"\n<h4 class=\"has-electviolet-color has-text-color wp-block-heading\">Tal como a tiroidite de Hashimoto, a doen\u00e7a de Graves \u00e9 uma doen\u00e7a que causa hiperatividade da tiroide.<sup>1<\/sup>&nbsp;Cerca de 25-40% dos doentes com doen\u00e7a de Graves apresentam sinais relevantes de oftalmopatia de Graves (inflama\u00e7\u00e3o e abaulamento dos olhos).<sup>3<\/sup>&nbsp;No entanto, a doen\u00e7a de Graves acompanhada por oftalmopatia de Graves moderada a grave, ocorre apenas em menos de 5% dos doentes<sup>.2<\/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>As mulheres com menos de 40 anos s\u00e3o especialmente propensas a desenvolver a doen\u00e7a de Graves.<sup>3<\/sup>&nbsp;Os fumadores s\u00e3o mais propensos a ter doen\u00e7a de Graves e a problemas oculares do que os n\u00e3o-fumadores<sup>.3<\/sup><\/p>\n\n\n\n<p><strong>Sintomas da doen\u00e7a de Graves<\/strong><\/p>\n\n\n\n<p>Esta doen\u00e7a pode passar despercebida por muito tempo, mas alguns dos sintomas abaixo indicados poder\u00e3o ocorrer:<sup>1,4<\/sup><\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>Frequ\u00eancia card\u00edaca acelerada<\/li><li>Nervosismo e\/ou irritabilidade<\/li><li>Ansiedade<\/li><li>Dificuldade para adormecer<\/li><li>Perda de peso sem mudan\u00e7a na dieta<\/li><li>Fraqueza muscular, especialmente nos bra\u00e7os e coxas<\/li><li>Aumento da transpira\u00e7\u00e3o<\/li><li>Evacua\u00e7\u00f5es frequentes<\/li><li>Per\u00edodos menstruais mais curtos ou menos frequentes<\/li><li>M\u00e3os tr\u00e9mulas<\/li><li>Pele fina<\/li><li>Cabelo fino e quebradi\u00e7o<\/li><\/ul>\n\n\n\n<p>Os sintomas da oftalmopatia de Graves incluem:<sup>1<\/sup><\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>Olhos vermelhos ou inflamados<\/li><li>Incha\u00e7o da p\u00e1lpebra<\/li><li>Olhos proeminentes<\/li><li>Muito raramente, vis\u00e3o diminu\u00edda ou dupla<\/li><\/ul>\n\n\n\n<p><strong>Diagnosticar a doen\u00e7a de Graves<\/strong><\/p>\n\n\n\n<p>O seu m\u00e9dico n\u00e3o pode ter a certeza se sofre ou n\u00e3o da doen\u00e7a de Graves apenas atrav\u00e9s dos sintomas. Para um diagn\u00f3stico definitivo ser\u00e3o necess\u00e1rios exames f\u00edsicos e laboratoriais.<sup>1<\/sup>&nbsp;Os indicadores incluem n\u00edveis baixos de TSH e n\u00edveis elevados de tiroxina livre<sup>.5<\/sup>&nbsp;Para determinar a extens\u00e3o do seu hipertiroidismo, tamb\u00e9m ser\u00e1 realizado um teste de triiodotironina<\/p>\n\n\n\n<p><strong>Tratamento da doen\u00e7a de Graves<\/strong><\/p>\n\n\n\n<p>O seu m\u00e9dico discutir\u00e1 consigo as melhores op\u00e7\u00f5es de tratamento para evitar que a gl\u00e2ndula tiroide produza hormonas tiroideias em excesso.<\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>Os medicamentos antitiroideus permitem controlar o hipertiroidismo inibindo a s\u00edntese das hormonas da tiroide. Este tratamente deve durar entre 6 meses a 2 anos.<sup>5<\/sup>&nbsp;<\/li><li>A destrui\u00e7\u00e3o do tecido da tiroide pela radia\u00e7\u00e3o de iodo radioativo \u00e9 outra op\u00e7\u00e3o, mas levar\u00e1 de 6 a 18 semanas antes que o benef\u00edcio seja alcan\u00e7ado<sup>5<\/sup><\/li><li>A terceira op\u00e7\u00e3o \u00e9 remover total ou parcialmente a gl\u00e2ndula tiroide atrav\u00e9s de cirurgia.<sup>5<\/sup><\/li><\/ul>\n\n\n\n<p>As duas \u00faltimas op\u00e7\u00f5es podem provocar hipotiroidismo a longo prazo.<sup>5<\/sup>&nbsp;Os seus n\u00edveis de hormonas da tiroide ser\u00e3o ent\u00e3o restaurados para o n\u00edvel normal, atrav\u00e9s da substitui\u00e7\u00e3o da tiroxina.<sup>1<\/sup>&nbsp;Se sofre dos sintomas da doen\u00e7a de Graves (como a frequ\u00eancia card\u00edaca acelerada, ansiedade, dificuldade para adormecer e perda de peso), o seu m\u00e9dico poder\u00e1 prescrever temporariamente f\u00e1rmacos betabloqueantes, o que far\u00e1 com que se sinta melhor num curto espa\u00e7o de tempo.<sup>4,5<\/sup>&nbsp;Os check-ups regulares garantem o sucesso do tratamento por um longo per\u00edodo.<\/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\">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.merckserono.de\/\" target=\"_blank\" rel=\"noreferrer noopener\">www.merckserono.de<\/a><\/p>\n\n\n\n<p>Therapiegebiete\/Endokrinologische Erkrankungen\/Schilddr\u00fcse\/Brosch\u00fcren \u201eIhr Hashimoto Ratgeber\u201c und \u201eIhr Basedow Ratgeber\u201c<\/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>American Thyroid Association. Graves\u2019 disease. Dispon\u00edvel em\u00a0<a href=\"http:\/\/www.thyroid.org\/what-is-graves-disease\/\">http:\/\/www.thyroid.org\/what-is-graves-disease\/<\/a>.\u00a0Acedido em Fevereiro 2017.<\/li>\n<li>Daumerie C. Epidemiology. In: Wiersinga WM, Kahaly GJ (eds): Graves\u2019 Orbitopathy: A Multidisciplinary Approach \u2014 Questions and Answers. Basel: Karger, 2010: 33\u201339<\/li>\n<li>Mayo Clinic. Graves\u2019 disease. Risk factors. Dispon\u00edvel em\u00a0<a href=\"https:\/\/www.mayoclinic.org\/diseases-conditions\/graves-disease\/symptoms-causes\/syc-20356240\">https:\/\/www.mayoclinic.org\/diseases-conditions\/graves-disease\/symptoms-causes\/syc-20356240<\/a>.\u00a0Acedido em Fevereiro 2017.<\/li>\n<li>American Thyroid Association. Hyperthyroidism. 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<li>Ginsberg J. Diagnosis and management of Graves\u2019 disease. CMAJ 2003; 168: 575\u2013585<\/li>\n<\/ol>\n            <\/div>\n          <\/div>\n        <\/div>\n      <\/section>\n","protected":false},"excerpt":{"rendered":"<p>Tal como a tiroidite de Hashimoto, a doen\u00e7a de Graves \u00e9 uma doen\u00e7a que causa hiperatividade da tiroide&#8230;<\/p>\n","protected":false},"featured_media":805,"template":"","category_thyroid":[7],"class_list":["post-732","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 Doen\u00e7a de Graves - 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-doenca-de-graves\/\" \/>\n<meta property=\"og:locale\" content=\"pt_PT\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Sobre a Doen\u00e7a de Graves - Thyroid Pt\" \/>\n<meta property=\"og:description\" content=\"Tal como a tiroidite de Hashimoto, a doen\u00e7a de Graves \u00e9 uma doen\u00e7a que causa hiperatividade da tiroide...\" \/>\n<meta property=\"og:url\" content=\"https:\/\/dev-merck-ml.digitasproject.com\/pt\/thyroid\/sobre-a-doenca-de-graves\/\" \/>\n<meta property=\"og:site_name\" content=\"Thyroid Pt\" \/>\n<meta property=\"article:modified_time\" content=\"2022-05-17T22:24:52+00:00\" \/>\n<meta property=\"og:image\" content=\"https:\/\/dev-merck-ml.digitasproject.com\/pt\/wp-content\/uploads\/sites\/36\/2022\/04\/the-thyroid-nota-8.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=\"3 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\/thyroid\/sobre-a-doenca-de-graves\/\",\"url\":\"https:\/\/dev-merck-ml.digitasproject.com\/pt\/thyroid\/sobre-a-doenca-de-graves\/\",\"name\":\"Sobre a Doen\u00e7a de Graves - Thyroid Pt\",\"isPartOf\":{\"@id\":\"https:\/\/dev-merck-ml.digitasproject.com\/pt\/#website\"},\"primaryImageOfPage\":{\"@id\":\"https:\/\/dev-merck-ml.digitasproject.com\/pt\/thyroid\/sobre-a-doenca-de-graves\/#primaryimage\"},\"image\":{\"@id\":\"https:\/\/dev-merck-ml.digitasproject.com\/pt\/thyroid\/sobre-a-doenca-de-graves\/#primaryimage\"},\"thumbnailUrl\":\"https:\/\/dev-merck-ml.digitasproject.com\/pt\/wp-content\/uploads\/sites\/36\/2022\/04\/the-thyroid-nota-8.png\",\"datePublished\":\"2022-04-05T21:30:00+00:00\",\"dateModified\":\"2022-05-17T22:24:52+00:00\",\"breadcrumb\":{\"@id\":\"https:\/\/dev-merck-ml.digitasproject.com\/pt\/thyroid\/sobre-a-doenca-de-graves\/#breadcrumb\"},\"inLanguage\":\"pt-PT\",\"potentialAction\":[{\"@type\":\"ReadAction\",\"target\":[\"https:\/\/dev-merck-ml.digitasproject.com\/pt\/thyroid\/sobre-a-doenca-de-graves\/\"]}]},{\"@type\":\"ImageObject\",\"inLanguage\":\"pt-PT\",\"@id\":\"https:\/\/dev-merck-ml.digitasproject.com\/pt\/thyroid\/sobre-a-doenca-de-graves\/#primaryimage\",\"url\":\"https:\/\/dev-merck-ml.digitasproject.com\/pt\/wp-content\/uploads\/sites\/36\/2022\/04\/the-thyroid-nota-8.png\",\"contentUrl\":\"https:\/\/dev-merck-ml.digitasproject.com\/pt\/wp-content\/uploads\/sites\/36\/2022\/04\/the-thyroid-nota-8.png\",\"width\":1440,\"height\":810},{\"@type\":\"BreadcrumbList\",\"@id\":\"https:\/\/dev-merck-ml.digitasproject.com\/pt\/thyroid\/sobre-a-doenca-de-graves\/#breadcrumb\",\"itemListElement\":[{\"@type\":\"ListItem\",\"position\":1,\"name\":\"Home\",\"item\":\"https:\/\/dev-merck-ml.digitasproject.com\/pt\/\"},{\"@type\":\"ListItem\",\"position\":2,\"name\":\"Sobre a Doen\u00e7a de Graves\"}]},{\"@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":"Sobre a Doen\u00e7a de Graves - 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\/thyroid\/sobre-a-doenca-de-graves\/","og_locale":"pt_PT","og_type":"article","og_title":"Sobre a Doen\u00e7a de Graves - Thyroid Pt","og_description":"Tal como a tiroidite de Hashimoto, a doen\u00e7a de Graves \u00e9 uma doen\u00e7a que causa hiperatividade da tiroide...","og_url":"https:\/\/dev-merck-ml.digitasproject.com\/pt\/thyroid\/sobre-a-doenca-de-graves\/","og_site_name":"Thyroid Pt","article_modified_time":"2022-05-17T22:24:52+00:00","og_image":[{"width":1440,"height":810,"url":"https:\/\/dev-merck-ml.digitasproject.com\/pt\/wp-content\/uploads\/sites\/36\/2022\/04\/the-thyroid-nota-8.png","type":"image\/png"}],"twitter_card":"summary_large_image","twitter_misc":{"Tempo estimado de leitura":"3 minutos"},"schema":{"@context":"https:\/\/schema.org","@graph":[{"@type":"WebPage","@id":"https:\/\/dev-merck-ml.digitasproject.com\/pt\/thyroid\/sobre-a-doenca-de-graves\/","url":"https:\/\/dev-merck-ml.digitasproject.com\/pt\/thyroid\/sobre-a-doenca-de-graves\/","name":"Sobre a Doen\u00e7a de Graves - Thyroid Pt","isPartOf":{"@id":"https:\/\/dev-merck-ml.digitasproject.com\/pt\/#website"},"primaryImageOfPage":{"@id":"https:\/\/dev-merck-ml.digitasproject.com\/pt\/thyroid\/sobre-a-doenca-de-graves\/#primaryimage"},"image":{"@id":"https:\/\/dev-merck-ml.digitasproject.com\/pt\/thyroid\/sobre-a-doenca-de-graves\/#primaryimage"},"thumbnailUrl":"https:\/\/dev-merck-ml.digitasproject.com\/pt\/wp-content\/uploads\/sites\/36\/2022\/04\/the-thyroid-nota-8.png","datePublished":"2022-04-05T21:30:00+00:00","dateModified":"2022-05-17T22:24:52+00:00","breadcrumb":{"@id":"https:\/\/dev-merck-ml.digitasproject.com\/pt\/thyroid\/sobre-a-doenca-de-graves\/#breadcrumb"},"inLanguage":"pt-PT","potentialAction":[{"@type":"ReadAction","target":["https:\/\/dev-merck-ml.digitasproject.com\/pt\/thyroid\/sobre-a-doenca-de-graves\/"]}]},{"@type":"ImageObject","inLanguage":"pt-PT","@id":"https:\/\/dev-merck-ml.digitasproject.com\/pt\/thyroid\/sobre-a-doenca-de-graves\/#primaryimage","url":"https:\/\/dev-merck-ml.digitasproject.com\/pt\/wp-content\/uploads\/sites\/36\/2022\/04\/the-thyroid-nota-8.png","contentUrl":"https:\/\/dev-merck-ml.digitasproject.com\/pt\/wp-content\/uploads\/sites\/36\/2022\/04\/the-thyroid-nota-8.png","width":1440,"height":810},{"@type":"BreadcrumbList","@id":"https:\/\/dev-merck-ml.digitasproject.com\/pt\/thyroid\/sobre-a-doenca-de-graves\/#breadcrumb","itemListElement":[{"@type":"ListItem","position":1,"name":"Home","item":"https:\/\/dev-merck-ml.digitasproject.com\/pt\/"},{"@type":"ListItem","position":2,"name":"Sobre a Doen\u00e7a de Graves"}]},{"@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_thyroid\/732","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/dev-merck-ml.digitasproject.com\/pt\/wp-json\/wp\/v2\/post_thyroid"}],"about":[{"href":"https:\/\/dev-merck-ml.digitasproject.com\/pt\/wp-json\/wp\/v2\/types\/post_thyroid"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/dev-merck-ml.digitasproject.com\/pt\/wp-json\/wp\/v2\/media\/805"}],"wp:attachment":[{"href":"https:\/\/dev-merck-ml.digitasproject.com\/pt\/wp-json\/wp\/v2\/media?parent=732"}],"wp:term":[{"taxonomy":"category_thyroid","embeddable":true,"href":"https:\/\/dev-merck-ml.digitasproject.com\/pt\/wp-json\/wp\/v2\/category_thyroid?post=732"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}