Hipotireoidismo Hipertireoidismo & Cuidados de Enfermagem
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Hipotireoidismo Orig Origem em prim primári áriaa: ↑ TSH ↓ T3 e T4 remoçção cirúrgi rgica, •Ausência congênita de tireóide, remo destruição destruição (autoimune, (autoimune, radiaç radiação ão ou infiltr infiltrati ativ va). Deficiência de iodo e inibição por drogas (amiodarona, lítio, •Deficiência defeitos defeitos enzimátic enzimáticos os e tionamidas) tionamidas).. •5% dos indivíduos, mais comum em mulheres com idade avançada
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Hipotireoidismo Origem Origem secundá secundária ria: ↓TSH ↓ T3 e T4 •Diminuição de TRH e TSH por tumores, irradiação e inflamação hipotalâmicas ou massas, radiação, cirur cirurgia gia ou infec infecção ção hipofisár hipofisária ias. s. •Resistê esistênci ncia a ao hormônio hormônio tir tireoidi eoidiano ano
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Hipotireoidismo Sintomatologia:
•Unhas quebr queb radiças
•Ganho de peso
•Edema difuso
•Letargia
•Bradicardia
•Fadiga
• Hipotensão Hipotens ão diastólica diastólica
•Rouquidão
• Hipotermia moderada
•Constipação
• Déficits cognitivos
•Fraqueza
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Hipotireoidismo Diagnóstico •Confirma-se com níveis de TSH elevados, níveis de T4 confirmam origem primária e caracteriza a gravidade gravidade do caso. cas o. •Avalia – antiTPO) Avaliação ção de anticorpos antitireoidianos antitireoidianos (antiperoxida (antiperoxidase se – antiTPO) para causa autoimune.
Tratamento: reposição reposição hormonal com Levotir Levotirox oxina ina (Puran (Puran T4).
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Ção hormonal Hipotireoidismo Hormônio da Tireoide
Valor de Referência
TSH
0,3 e 4,0 mU/L
T3 Total
80 a 180 ng/dl
T3 Livre
2,5 a 4 pg/ml
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Hipotireoidismo CUID CU IDA ADO DOSS DE EN ENFER FERMA MAG GEM 1- Adminis Administr trar ar medicaç medicação; ão; 2-Estimular 2-Estimular aceitação aceitação de diet dieta a laxativa laxativa e hidrat hidratação; ação;
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Hipertireoidismo O hipe hipert rtiireoi reoidi dism smo o ocor ocorre re qua quando ndo a tire tireoi oide de prod produz uz gra grandes ndes quanti quantida dades des desse dessess hormôni hormônios os em um perí período odo curt curto (agu (agudo do)) ou longo (crônico) de tempo TSH T3 E T4
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Hipertireoidismo SINTOMATOLOGIA •
•
Perda Perda de peso repentina Taquicardia
•
•
•
Dificuldade para para dormir Afilamento da pele Cabelo abelo que quebrad bradiço iço (pe (perda rda de
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Hipertireoidismo Tratamento Depende
da
causa:
tireoidectomia
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Hipertireoidismo CUID CU IDADO ADOSS DE EN ENFE FERM RMAG AGEM EM 1-Administrar medicação;
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