Hipotireoidismo Mi

Dexcermcebe~lc

Rermþebm  F jiï`b}if ermþebm nc`~e~m ml bce~ qci}lc~c~ icoc~ nc`mnfbc~ xcr }l e~lc. Nfbf iþo}ic å nclxc~c xcr nmrnf bm ?8 f 28 aciìn}ic~ }`eacrlmlm`m be~xmr~c~. C~ aciìn}ic~ ~îc rmqm~ebc~ xcr }l ofetc mxeåiec nci}`fr) v}m å xrmm`ndebc xcr  ermcjico}ie`f $xrcmì`f xrmn}r~crf ecbfbf bc dcrlò`ec ermcebef`c feqc%

Rermþebm 

C~ xrcb}c~ ~mnrmþrec~ bf ermþebm ~îc ecbcerc`e`f~ $ecbc + erc~e`f%

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@mnm~~ebfbm beæref lì`elf bm ecbmc å bm 6=8lenrcjrflf~

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C ecbmc å rf`~acrlfbc ml ecbc $`f i}w bc aciìn}ic% m e`ncrxcrfbc ml lciån}if~ bm erc~e`f.M~f~ ~îc e`ncrxcrfbf~ xcr iejfêým~ xmxìbenf~ bm`rc bf ermcjico}ie`f. ]lf qmw v}m f ermcjico}ie`f m`df ~ebc ecbfbf)mif å frlfwm`fbf `f i}w bc aciìn}ic nclc nciþebm.

Nc`rcim bf a}`êîc ermcebef`f

Nc`rcim bf a}`êîc ermcebef`f 

@f f}~ç`nef bm R^D) cncrrm }lf frcaef lfrnf`m bf jiï`b}if.

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Ofetc~ `ìqme~ bm R2 m R> nern}if`m~ ~mnrmêîc bm R^D.

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C~ dcrlò`ec~ ermcebef`c~ f}lm`fl f }eiewfêîc bm ctejç`ec) c jf~c m f xrcb}êîc bm nficr. Xcrf`c) f be~xc`eoeiebfbm bm dcrlò`ec ermcebef`c feqc ~m ncrrmifnec`f ncl fimrfêým~ `c ~f}~ nfiþrenc m årlenc bc ncrxc.

f

Fêým~ bc dcrlò`ec ermcebef`c `c lmfocie~lc bc crjf`e~lc nclc }l cbc 

Mamec~ jmrfe~ 

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Mamec~ rm~xerfþrec~ 

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 F}lm`c bf ftf of~fi bm nc`~}lc bm ctejç`ec m f xrcb}êîc bm nficr. F mrlcjç`m~m bmqm)floål) f}lm`fr  ncl }~c lfecr bm ctejç`ec.

R2 m R> f}lm`fl f ftf rm~xerfþref bm rmxc}~c) f qm`eifêîc xcr le`}c m f~ rm~xc~f~ rm~xerfþref~ f dexmrnfx`ef m f dexctef.

Mamec~ nfrbecqf~n}i nfrbecqf~n}ifrm~ frm~ 

C dcrlò`ec ermcebef`c f}lm`f c bmoec nfrbìfnc) f~~mj}rf`bc be~reo}eêîc ~}aenem`m bm ctejç`ec xfrf c~ mnebc~.

Fêým~ bc dcrlò`ec ermcebef`c `c lmfocie~lc bc crjf`e~lc nclc }l cbc 

Mamec~ ~corm c c~~c m xmim 

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C dcrlò`ec ermcebef`c m~el}if f c~~eaenfêîc m`bcnc`brfi) c nrm~nelm`c ie`mfr bc c~~c m c flfb}rmnelm`c bc~ nm`rc~ þ~~mc~ mxeae~frec~. C bm~m`qciqelm`c bc~ bm`m~ m ~}f mr}xêîc floål bmxm`bml bc dcrlò`ec ermcebef`c) f~~el nclc c nenic `crlfi bm nrm~nelm`c m flfb}rmnelm`c bf mxebmrlm) ~m}~ aciìn}ic~ xeic~c~ m f~ }`df~.

Mamec~ ~corm c ~e~mlf `mrqc~c 

Ml fb}ic~)~ml dcrlò`ec ermcebef`c) dæ rmb}êîc jm`mrfiewfbf `c ai}tc ~f`j}ì`mc nmrmorfi m `c lmfocie~lc bf jienc~m. M~f f`crlfiebfbm xcbm mtxienfr  c rmfrbc x~enclccr m f bmxrm~~îc bm e`beqìb}c~ dexcermþebmc~.

Fêým~ bc dcrlò`ec ermcebef`c `c lmfocie~lc bc crjf`e~lc nclc }l cbc

Aej}rf rmerfbf bc ieqrc Ae~ecicjef Omr`m =§mbeêîc  „

Dexcermcebe~lc C dexcermcebe~lc å xrcqcnfbc xcr v}fiv}mr bm~frrf`gc m~r}}rfi c} a}`nec`fi v}m e`mraerf ncl f xrcb}êîc bm `ìqme~ fbmv}fbc~ bm dcrlò`ec ermcebef`c. Xcbm ~mr beqebebc ml rç~ nfmjcref~7 , xrelæref7 rmaime`bc }lf bcm`êf bf xrþxref jiï`b}if) , ~mn}`bærec7 nf}~fbc xcr bcm`êf dexcae~æref) , mrneærec7 nf}~fbc xcr bcm`êf dexcfiïlenf. C dexcermcebe~lc rm~}if ml rmb}êîc bf qmicnebfbm bc~ xrcnm~~c~ lmfoþienc~ m `f ~}f acrlf lfe~ jrfqm) ml fn÷l}ic bm l}ncxcie~, ~frìbmc~ `f xmim m) nf}~f`bc mbmlf `îc bmxrm~~ìqmi) bm`cle`fbc letmbmlf.

E`nebç`nef) Mecicjef m Xfcjm`ef 

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58 f 5=- bm cbc~ c~ nf~c~ bm dexcermcebe~lc `c l}`bc å bmqebc f xrcoimlf `f ermþebm. C dexcermcebe~lc xrelærec xcbm ~mr7 ermcxreqc) c} `f acrlf bm oþnec @c~ fb}ic~) f nf}~f lfe~ armvùm`m bm dexcermcebe~lc nc`~e~m ml bcm`êf f}c,el}`m) ~m`bc c xre`nexfi mtmlxic f bcm`êf bm Df~delcc ermcxreqf c} ncl oþnec. @c dexcermcebe~lc ncl of~m f}c,el}`m) c~ f`encrxc~ ~îc berejebc~ nc`rf f ermcxmrctebfbm) f ermcjico}ie`f m c rmnmxcr bm R^D. C~ f`encrxc~ berejebc~ nc`rf c rmnmxcr  bm R^D xcbml oicv}mfr fêîc bc dcrlò`ec) nc`reo}e`bc) bm~~f lf`merf) xfrf f ~ì`m~m bele`}ìbf bm dcrlò`ec ermþebmc

E`nebç`nef) Mecicjef m Xfcjm`ef @c l}`bc e`merc) xrmbcle`f c dexcermcebe~lc xrcb}webc xcr  bmaeneç`nef bm ecbc m xcr fjm`m~ ocnecjç`enc~. C dexcermcebe~lc ncl oþnec bm~m`qciqm,~m ml nc`~mvùç`nef bf dexmr~mnrmêîc bm R^D v}m rm~}if `c nrm~nelm`c mtnm~~eqc bf ermþebm. C mtnm~~c bm ecbc floål xcbm imqfr fc dexcermcebe~lc ncl oþnec frfqå~ bf e`eoeêîc bf ~ì`m~m bm dcrlò`ec ermþebmc e`b}webf xmic ecbc .

E`nebç`nef) Mecicjef m Xfcjm`ef 

dexcermcebe~lc ~mn}`bærec7 å cnf~ec`fbc xmif bm~r}eêîc bc~ ermcrþac~ dexcae~ærec~ xcr }lcrm~ dexcae~ærec~ c} xcr  `mnrc~m. F~ l}fêým~ `c R^D xcbml bmetæ,ic oecicjenflm`m e`feqc) ncl nc`~mvùm`m bm~m`qciqelm`c bm dexcermcebe~lc ~mn}`bærec.

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dexcermcebe~lc dexcfiïlenc å bmqebc f bm R_D) ncl nc`~mvùm`m bele`}eêîc bf R^D xrcb}webc `f f}~ç`nef bm m~el}ic jienc~eifêîc `crlfi m nfrfnmrewf,~m xcr bele`}ìbf.

~mnrmêîc bele`}ìbf ~ì`m~m bm R^D. C bm R_D `îc ~carm feqebfbm oeciþjenf

_mj}ifêîc bf ~mnrmêîc bc~ dcrlò`ec~ ermcebmf`c~

Lf`eam~fêým~ niì`enf~ ^e`rclf~

^e`fe~

Nf`~fêc) arfv}mwf

Xmim æ~xmrf m ~mnf) mtrmlebfbm~ xmreaårenf~ aref~

Xmim ~mnf

Afnm) lîc~ m xå~ e`ndfbc~ $letmbmlf%

^m`~fêîc bm arec

Ficxmnef bea}~f

V}mbf bc nfomic

Orfbenfrbef

Beaen}ibfbm bm nc`nm`rfêîc m lmlþref xrmnæref

Mbmlf xmreaårenc

Xre~îc bm qm`rm

_miftflm`c rmfrbfbc bc~ rmaimtc~ m`be`c~c~

 F}lm`c bm xm~c ncl ncl fxmem xrmnærec

^ì`brclm bc ÷`mi bc nfrxc

Be~x`åef

Bmrrflm~ ~mrc~c~ bf~ nfqebfbm~

Qcw rc}nf Lm`crrfjef Xfrm~m~ef  F}beêîc xrmg}benfbf

Lf`eam~fêým~ niì`enf~ 

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^e`fe~ nfrbecqf~n}ifr nfrbecqf~n}ifrm~ m~ C dexcermcebe~lc lf`eam~f,~m xmic nclxrclmelm`c bf nc`rfêîc l}~n}ifr  )orfbenfrbef m bele`}eêîc bc bmoec nfrbìfnc. A}`êîc x}ilc`fr @c fb}ic c dexcermcebe~lc å nfrfnmrewfbc xcr rm~xerfêým~ ~}xmraenefe~) im`f~ m xmic nclxrclmelm`c bf~ rmxc~f~ qm`eifþref~ f dexmrnfx`ef c} dexctef. F xmre~fi~m e`m~e`fi  Fxrm~m`f,~m ~ej`eaenfeqflm`m rmb}webf) rm~}if`bc ml nc`~exfêîc nrò`enf m) cnf~ec`film`m) elxfnfêîc amnfi fnm`}fbf. F a}`êîc rm`fi Aenf nclxrclmebf) ncl f bele`}eêîc bf ftf bm aeirfêîc jiclmr}ifr m c nclxrclmelm`c bf nfxfnebfbm bm mtnrmfr }lf v}f`ebfbm lfecr bm æj}f. F`mlef _mifnec`fbf fc nclxrclmelm`c `f ~ì`m~m bm dmlcjicoe`f , bmqebc f bmaeneç`nef bm ercte`f ,) f læ fo~crêîc bm amrrc) m f xrcb}êîc bele`÷ebf bm mrercxcme`f bmqebc fc nc`~}lc bele`}ebc bm ctejç`ec.  „

Lf`eam~fêým~ niì`enf~ @c~ rmnål,`f~nebc~) c dexcermcebe~lc xrmne~f ~mr  rffbc elmbefflm`m xmif rmxc~eêîc bm ercte`f) nf~c nc`rærec) xcbml cncrrmr jrfqm rmfrbc bc bm~m`qciqelm`c lm`fi) m~f}rf ofetf) ~}rbc, l}bmw m nclxrclmelm`c bc ~e~mlf m~v}miåenc. M~~f acrlf bm dexcermcebe~lc bm~m`qciqebf `f e`aï`nef å bm`cle`fbf Nrme`e~lc.

Rm~m bc xmwe`dc 

Bmmnf xrmncnmlm`m `c rmnål,`f~nebc c dexcermcebe~lc nc`jç`ec) fiål bm c}rf~ bcm`êf~ jfifnc~mlef) am`einmc`÷ref) am`einmc`÷re f) bcm`êf afineacrlm.  „

V}ml ml lfe~ ndf`nm bm fxrm~m`fr c} bm~m`qciqmr dexcermcebe~lc3

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L}idmrm~) m~xmnefilm`m fnelf bc~ 28 f`c~; Dclm`~ fnelf bc~ 1= f`c~; L}idmrm~ ml xmrìcbc xþ~,xfrc $1 lm~m~ fxþ~ c xfrc%; Xm~~cf~ ncl ncim~mrci fic; Xm~~cf~ v}m gæ eqmrfl bcm`êf~ bm ermþebm f`mrecrlm`m; Xm~~cf~ ncl de~þref afleiefr bm bcm`êf~ f}c,el}`m~ $ermcebem bm Df~delcc% c} bm bcm`êf~ bm ermþebm; Xm~~cf~ v}m fxrm~m`ml c}rf~ bcm`êf~ f}c,el}`m~ nclc7 Befomm~ exc E) I÷x}~ m Frrem _m}lfþebm; Xm~~cf~ rffbf~ f`mrecrlm`m bm dexmrermcebe~lc; Xm~~cf~ v}m m~eqmrfl ml rfflm`c bm rfbecmrfxef bm nfomêf m xm~ncêc; Xm~~cf~ ml }~c bm iìec c} flecbfrc`f; Xm~~cf~ ncl bmxrm~~îc m#c} bcm`êf bc xï`enc.

Befj`þ~enc

Befj`þ~enc beamrm`nefi C~ xfnem`m~ ncl bcm`êf rm`fi v}m rm~}if ml ~ì`brclm `marþenf m dexcfio}le`mlef xcbml fxrm~m`fr }lmafêîc afnefi) mbmlf xmreaårenc) xmim xæiebf m ac~nf) f`mlef m dexmrncim~mrcimlef) floål xcbm cncrrm oþnec m `þb}ic~ bf ermþebm ncl armvùç`nef. Cncrrm bele`}eêîc bc~ `ìqme~ cfe~ bm R2) cbfqef) fc nc`rærec bc dexcermcebe~lc) c~ `ìqme~ bm R2 ieqrm `îc m~îc bele`}ìbc~ m `îc cncrrm f}lm`c bc R^D.

Rrfflm`c  

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Imqcercte`f$R2% ml bc~m~ v}m qfrefl bm 8)8= f 8)8? lj#bef m bc~m bm rmxc~eêîc lmbef bm 6)1 6)1 lenrcjrflf xcr  Kj#bef. Xfrf fb}ic~ gcqm`~ m ~fbec~ ~ml ncrc`frecxfef7 

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xcbm,~m xrm~nrmqmr }lf bc~m e`enefi bm := f 688 lenrcjrflf xcr  bef) f ~mj}er) f bc~m å fg}~fbf fxþ~ e`mrqfic~ bm b}f~ f rç~ ~mlf`f~ xfrf fe`jer c `ìqmi bm rmxc~eêîc ae`fi.

Ml xfnem`m~ ebc~c~ m `fv}mim~ ncl ncrc`frecxfef7 

f bc~m e`enefi bmqm ~mr bm 6?)= f ?= lenrcjrflf xcr bef) ~m`bc f}lm`fbf xfrf ?= f =8 lenrcjrflf f nfbf v}frc f ~me~ ~mlf`f~) f ael bm xmrleer }l f}lm`c im`c bc lmfocie~lc) mqef`bc }l bm~mv}eiìorec m`rm c ~}xrelm`c ~f`j}ì`mc ncrc`fref`c m f bmlf`bf lmfoþienf.

Rrfflm`c B}rf`m f jrfqebmw) xfren}ifrlm`m `c mrnmerc relm~rm) f~ `mnm~~ebfbm~ bm rmxc~eêîc bm ercte`f f}lm`fl ml >8 f =8-. Fxþ~ c xfrc) f rmxc~eêîc bm ercte`f bele`}e xfrf `ìqme~ xfbrým~.  F afneiebfbm bm focrbfjml) f f}~ç`nef qer}fi bm mamec~ ncifmrfe~ m f co~mrqfêîc bm rmqefiewfêîc bc xfnem`m cr`fl c rfflm`c bc dexcermcebe~lc ncl ercte`f }lf mtxmreç`nef mrfxç}enf ~fe~afþref.

Nf~c niì`enc 

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Xfnem`m ^FA^) ?2 f`c~) ndmjc} fc låbenc ncl rmifc bm ~c`ciç`nef mtnm~~eqf `c~ ÷ielc~ lm~m~) jf`dc bm xm~c) `îc ~fom m~xmneaenfr m~xmneaenfr v}f`c ace c f}lm`c bm xm~c) v}mbf bm nfomic m nc`~exfêîc. Xfnem`m bew v}m co~mrqc} m~~m~ ~e`clf~ fxþ~ xfrc dæ bce~ lm~m~. @mjf c}rf~ bcm`êf~ xråqef~. C~ mtflm~ xfrf nc`aerlfr f bcm`êf acrfl7 bc~fjml bm R^D m R2 ieqrm m x}`êîc bf jiï`b}if xfrf qmr ~m `îc mrf }lcr. Ace befj`c~enfbc dexcermcebe~lc  F lmbenfêîc e`enefi ace }l xc}nc lfe~ bm >88lnj bm imqcercte`f ~þbenf. Dcgm f xfnem`m clf fxm`f~ 6?=lnj) fxrm~m`f`bc c dexcermcebe~lc nc`rcifbc.

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