MOTIVO DE CONSULTA Sistema Endócrino 3-08-21

 

R@R[NJG NDKIBS@DI JI[@VIR KN BIDR^H[G   Jik`f`bgb`idns knh pnsi birpirgh   Uàrk`kg kn pnsi   Knhlgknz= sgdi + pnsi birpirgh `dfnr`ir   Gknhlgzgj`ndti= s` tuvi pnsi supnr`ir gh agc`tugh

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  Knsdutr`b`òd? gh`jndtgb`òd knf`b`ndtn (ghtnrgb`idns knh gpirtn kn dutr`ndtns)   Bgqunx`g (prip`i kn ndfnrjnkgkns gvgdzgkgs, tucnrbuhis`s)

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BG^RG KN UÀSK@KG KN UNRI UIS K@RJ@D^B@ÒD KN JG[NS@G RÒH@KG Gujndti kn hg gbt`v`kgk fês`bg s`d gujndti kn hg `dlnstg Snkubb`òd vihudtgr`g kn hg `dlnstg   Gyudi Snkubb`òd `dvihudtgr`g kn hg `dlnstg (bid gdirnx`g)   Ndfnrjnkgk lgstri`dtnst`dgh icstrubt`vg   Bçdbnr   @dfnbb`idns= tucnrbuhis`s, A@V/R@KG, ndkibgrk`t`s, crubnhis`s   Rêdkrijn knprns`vi   Ndfnrjnkgk kn Ghzan`jnr   Ndfnrjnkgk kn Ugro`dsid   Gdirnx`g Dnrv`isg   ^rnj`g 

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  Ndfnrjnkgk kn Gkk`sid   A`pnrbghbnj`g (tujir jgh`ldi, sgrbi`kis`s, a`pnrpgrgt`ri`k`sji)   Gdnj`g pnrd`b`isg   Ugrgs`tis`s A`pnrjntgcih`sji   Nmnrb`b`i `dtndsi   [`ritix`bis`s   Fnibrijib`tijg   F`ncrn (Frnbundtn nd nkgkns pnk`çtr`bgs) Uàrk`kg kn hg ndnrlêg `dlnr`kg   K`gcntns bid lhubisur`g   Nstngtirrng 

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BG^RGR KN UÀSK@KG KN UNRI UIS SNK^BB@ÒD KN VIH^JND KNH HÊW^@KI NQ[SGBNH^HGS              

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Vòj`tis `dbinrb`chns K`grrngs `dtndsgs Rukirgb`òd prifusg Uih`ur`g isjòt`bg kn hg k`gcntns jnhh`tus K`gcntns `dsêp`kg @dlnstg kn k`uràt`bis Krndgmn kn anr`kgs i fêstuhgs

Ugb`ndtns bid fghhg bgrkêgbg, bidlnst`idgki, nknjgt`zgki, nstgrç bid gujndti kn pnsi, sn kg k`uràt`bis pgrg nh`j`dgr hg sicrnbgrlg kn hêqu`ki, sn tijg nh pnsi. BG^RGR NDKÒBS@DGR   K`gcntns y t`ritix`bis`s (gdirnx`g di)   @dsuf`b`ndb`g birt`bisuprgrrndgh. Gkk`sid

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Hhgjg hg gtndb`òd nh nxiftghjis. R`njprn kncn nstgr nd k`gldòst`bi k`fnrndb`gh nh pnrf`h t`ri`kni ([2, [;. [RA) pgrg kntnrj`dgr bgusg ndkòbr`dg

BGRI BHÊD@BI R`hvgdg, kn >7 g÷is, rnf`nrn gstnd`g kn 3 jnsns kn nvihub`òd, qun gtr`cuyn g ud nxbnsi kn trgcgmi. Ru pnsi agc`tugh nrg kn 63ol, pgrg udg tghhg kn 7,65j, 7,65 j, pnri nd nstn t`njpi pnrk`ò 1ol, gudqun k`bn tndnr cund gpnt`ti y bijnr nd firjg gknbugkg. Snf`nrn gknjçs ir`dgr jubai pirqun tijg jubai hêqu`ki pgrg prnvnd`r udg `dfnbb`òd ur`dgr`g. Ag bidsuhtgki bid ud jàk`bi, qu`àd hn `dk`bò ud pih`v`tgjêd`bi bid nh qun di jnmirò. Uir bidt`dugr bid hg j`sjg s`dtijgtihilêg, snlu`r cgmgdki kn pnsi y pir sispnbagr pikêg tndnr bçdbnr, knb`kn bidsuhtgr bid itri jàk`bi. ¹Buçh ns su prnsudb`òd k`gldòst`bg y nd quà sn cgsg9 ¹Wuà nstuk`i kn hgcirgtir`i sih`b`tgrêg pgrg bidf`rjgrhg9 Hg gsib`gb`òd ndtrn pàrk`kg kn pnsi 475% knh pnsi birpirgh bid gstnd`g, gst nd`g, s`d gdirnx`g y pih`ur`g kncnd agbnr sispnbagr k`gcntns. Biji nstuk`i `d`b`gh, udg lhubnj`g nd gyudgs bidf`rjgrêg nh k`gldòst`bi.

 

Bid hg bhêd`bg sn ir`ndtg Jgs kn 736jl/kh nd gyudgs pgrg bidf`rjgr k`gcntns  

       

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Ndfnrjnkgkns jgh`ldgs. Uàrk`kg `dnxph`bgchn knsbgrtgr dniphgs`g @dfnbb`idns bròd`bgs (V@A, tucnrbuhis`s) Ndfnrjnkgkns ps`qu`çtr`bgs Gdirnx`g dnrv`isg (icsns`òd pir knhlgknz) jumnrns mòvndns

GDISNQ@G

J`nki rngh y knsjnsurgki g ndlirkgr, n `jglnd knh prip`i bunrpi k`stirs`idgkg nd bugdti gh pnsi y hgs k`jnds`idns. Rêdtijgs kn sispnbag        

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Bij`ndzg g prnibupgrsn pir nh pnsi, y di agchg kn itrg bisg Bgjc`is kn bidkubtg, kn airgr`is y bistujcrns Bij`ndzg g cgmgr kn pnsi y di pgrnbn pidnrsn hêj`tn Bgjc`is kn aujir s`d bgusg gpgrndtn

[@UIR KN GDISNQ@G Snstr`bt`vg= @dtndtg Snstr`bt`vg=  @dtndtg cgmgr kn pnsi sihi bid hg k`ntg y jubai nmnrb`b`i fês`bi Uurlgt`vg= Gknjçs kn k`ntg y nmnrb`b`i, sn privibgd nh vòj`ti n `dl`nrnd Uurlgt`vg= Gknjçs `dl` nrnd purlgdtns pgrg gyukgr g pnrknr hêqu`kis. NKGK P RNQI Nkgk kn bij`ndzi= 72-71 (Uunkn snr agstg 35 g÷is) snxi fnjnd`di

 

G^JND[I KN UNRI

  Icns`kgk s`jphn. Lgdgdb`g kn tnm`ki gk`pisi, sicrngh`jndtgb`òd, gusndb`g kn nmnrb`b`i (snkndtgr`sji)   Nknjg (sicrnbgrlg kn hêqu`ki, g jgyir nknjg, jgyir gujndti kn pnsi). Ugb`ndtns bid fghhg bgrkêgbg. Ugb`ndtns rndghns, Ugb`ndtns anpçt`bis   Gdgjdns`s, a`stir`g pnrsidgh, açc`tis, fgj`h`gr, nxphirgb`òd nstrêgs (dgbgrgkgs) icns`kgk s`jphn? (rimi v`disgs) njcgrgzi, Busa`dl, knsgrrihhi pucnrgh rçp`ki.

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Nmnjphi kn pgb`ndtn bid `dsuf`b`ndb`g bgrkêgbg, titghjndtn nknjgt`zgkg (j`njcris `dfnr`irns). Gujndti kn pnsi R` di t`ndn trgtgj`ndti, nh nknjg gsb`ndkn g d`vnh gckij`dgh, prikubn gsb`t`s, g d`vnh anpçt`bi (anpgtijnlgh`g)

N[@IHILÊGR            

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Icns`kgk Nknjg kn ir`lnd `dkntnrj`dgki Nknjg bêbh`bi A`pit`ri`k`sji

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Gbrijnlgh`g Rêdkrijn kn Busa`dl

ÊDK@BN KN JGRG BISUISGH (@JB) (pnsi/tghhg 3) (ol/j3)          

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Dirjgh= 35/3> ol/ j3 Dirjgh= 35/3> Ricrnpnsi= 3>/30.0 Ricrnpnsi=  3>/30.0 ol/ j3 Icns`kgk lrgki @= 25/2> @= 25/2> ol/ j3 Icns`kgk lrgki @@= 2>/20.0 @@= 2>/20.0 ol/ j3 Icns`kgk lrgki @@@= ;5 @@@= ;5 i jçs ol/ j3

GH[NSGB@IDNR KN HG U@NH A@UNSU@LJND[GB@ÒD   Hibgh`zgkg i k`fusg   Jgdbags bgfàs bid hnban (dnurif`crijgtis`s) tridbi y nxtrnj`kgkns

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  Wunrgtis`s sncirrn`bg (hnvn nhnvgb`òd/pgrki)   Gbgdtis`s d`lr`bgds @. @.   Ndfnrjnkgkns jgh`ldgs @@. @@.   Vgr`gdtn fgj`h`gr @@@.  @@@.  Icns`kgk, k`gcntns, gbrijnlgh`g, Busa`dl, rns`stndb`g g hg `dsuh`dg

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USIH@FNSGB@ÒD KN JNHGDIB@[IR   Hndt`li (jçbuhg a`pnrp`ljndtgkg)   Dnvi jnhgdib`ti   Jnhgdijg

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  Hndt`li sihgr (jgdbags kn sih, frnbundtnjndtn sn prnsndtg g d`vnh kn hg h g bgrg)

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  Jnhgsjg

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A`pnrjnhgdis`s jgbuhgr kn hg bgrg Njcgrgzi (bhigsjg) Gdt`bidbnpt`vis, bisjàt`bis, fgbtirns lndàt`bis, fnd`tiêdg, rgk`gb`idns

 

A@UNSU@LJND[GB@ÒD UIS FÇSJGBIR J`dib`bh`dg ]`kivuk`dg Fnd`tiêdg [ntrgb`bh`dg Ruhfidgj`kgs Chnij`b`dg

Cusuhfçd Gj`ikgridg Fndgbnt`dg Bhiriqu`dg Bhirprizgj`dg

A@UNSJNHGDIR@R NDKIBS@DGR   Ndfnrjnkgk kn Gkk`sid   Rêdkrijn kn Dnhsid   Rêdkrijn kn GB[A nbtòp`bg

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Rêdkrijn kn Dnhsid= tujir Dnhsid= tujir a`pif`sgr`i trgs suprndghnbtijêg c`hgtnrgh.

Gdt`bidbnpt`vis irghns A`kribhirit`gz`kg Rgh`b`hgtis Wu`dgbr`dg

 

  BG^RGR JN[GCÒH@BGR        

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Uirf`r`g butçdng tgrkêg Anjibrijgtis`s Kàf`b`t kn v`tgj`dg C73, çb`ki fòh`bi Jghgcsirb`òd

  Ndfnrjnkgk kn \a`pp`n

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A@UIU@LJND[GB@ÒD   U`t`r`gs`s vnrs`bihir (Jghgssnz`g furfur)   V`têh`li (guti`djudn) 7=7, 7-3% pichgb`òd, 35 g 25 g÷is, gs`dtijçt`bi

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[`dng vnrs`bihir, t`dng fhgvg, jgh kn gjirns        

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Jghgssnz`g spp. A`pibròj`bgs A`pnrbròj`bgs [ridbi y bunhhi

 

 

GH[NSGB@IDNR KNH VNHHI BISUISGH GHIUNB@G        

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Fês`bis, quêj`bis, lndàt`bis (jçs frnbundtn pir bgusg lndàt`bg) Ndfnrjnkgk guti`djudn, nstràs njib`idgh [`pi kn ghipnb`g= pir zidgs i k`fusg ^si kn fçrjgbis

BHGR@F@BGB@ÒD KN HG GHIUNB@G  Ghipnb`g nd phgbgs i b`rbudsbr`tg

         

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Ghipnb`g grngtg @dfnbb`idns Bgusgs fês`bgs, tr`bit`hijgdêg Ndfnrjnkgkns kn hg p`nh Bidlàd`tg

 Ghipnb`g k`fusg

       

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Fçrjgbis Nfhuv`i tnhòlndi Gdkrilàd`bg Ndfnrjnkgkns s`stàj`bgs

GHIUNB@G GSNG[G kn pnhi kn firjg rnkidkngkg, gluki, 7=7, 7= 7, fihêbuhis di sid knstru`kis, bnsn   Uàrk`kg brnb`j`ndti

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  Ibb`p`tgh y gur`buhgr jgh pridòst`bi   Ugtihilêg guti`djudn   Uunkn knsgpgrnbnr kn jgdnrg nspidtçdng

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[@×G KNH B^NSI BGCNHH^KI Bgusg j`bòt`bg Bgusgs fês`bgs= Wunjgkurgs, fês`bgs= Wunjgkurgs, hns`idns jnbçd`bgs, quêj`bgs, rgk`gb`idns [r`bit`hijgdêg= Guti`dfh`l`kg [r`bit`hijgdêg=  Guti`dfh`l`kg (hg pnrsidg sn knsprndkn nh bgcnhhi) Ghipnb`g pir trgbb`òd Ndfnrjnkgkns prip`gs kn hg p`nh= p`nh = tujirns, h`dfijgs, HNR, gj`hi`kis`s

Ghipnb`g k`fusg @dbhuyn g tiki nh bunri bgcnhhuki kn jgdnrg j gdnrg lndnrgh, sus bgusgs sid his fçrjgbis kn jgdnrg lndnrgh. Nh nfhuv`i tnhilndi ns hg rçp`kg bgêkg knh bgcnhhg kn firjg rnvnrs`chn pir udg ghtnrgb`òd knh b`bhi dirjgh knh pnhi, pnri gquê ns kn jgdnrg gbnhnrgkg. Itrgs bgusgs sid= njcgrgzis, f`ncrns, fçrjgbis (nh jçs `jpirtgdtn), pnrk`kg crusbg kn pnsi. Ghipnb`g gdkrilàd`bg [`ndn prnk`spis`b`òd lndàt`bg y gbb`òd airjidgh y sn kg tgdti nd pgb`ndtn jgsbuh`dis biji fnjnd`dis. Fçrjgbis qun punknd bgusgr bgêkg knh pnhi Jntitrnxgti B`bhifisfgj`kg Bhirgjcub`hi Anpgr`dg \grfgr`dg Fnd`ti`dg Bgrcgjgznp`dg Pikuris [gh`i

[`iurgb`hi Jnt`hjnrbgpti`j`kgzih Ghipur`dih @dkijntgb`dg Bihba`b`dg Cntgchiwungdtns Bgptipr`h Jnt`hkipg

 

 

Hg ghipnb`g sn prnsndtg dirjghjndtn biji= -  -  - 

Knc`h`tgj`ndti kn hg biridg Sntribnsi kn hg hêdng bgp`hgr Knc`h`tgj`ndti nd hg pgrtn bndtrgh

A`rsut`sji Kgki pir ghtnrgb`òd lndàt`bg y airjidgh y ns dirjghjndtn ndbidtrgr nd gqunhhgs pnrsidgs qun t`ndnd ivgr`i pih`qu`st`bi. Ndtrn hgs bgusgs bgus gs punknd snr= gdkròlndi-knpndk`ndtn y gdkròlndi-`dknpndk`ndtn. Nfnbtis knh nxbnsi kn gdkròlndis nd hg jumnr R`ldis kn knsfnj`d`zgb`òd R`ldis kn v`r`h`zgb`òd Gjndirrng u ih`lijndirrng Glrgkgj`ndti knh bhêtir`s Gdivuhgb`òd bròd`bg K`sj`dub`òd knh tgjg÷i kn hgs jgjgs Unrk`kg kn his bidtirdis fnjnd`dis

A`rsut`sji Viz lrgvn Unrk`kg knh bgcnhhi fridtitnjpirgh Gbdà Rncirrng Gujndti kn hgs jgsgs jusbuhgrns

Agy jgyirns s`ldis kn v`r`h`zgb`òd nd bijpgrgb`òd kn his kn knsfnj`d`zgb`òd.

 

Fnrdgdkg, kn 22 g÷is, bidsuhtg pir gjndirrng gj ndirrng kn sn`s jnsns kn kurgb`òd, `dfnrt`h`kgk, a`rsur`ji y icns`kgk bndtrgh. Ru jndgrbg fun g his h is 72 g÷is y sus jndstrugb`idns agd s`ki `rrnluhgrns knskn ndtidbns. Di t`ndn itris gdtnbnkndtns kn `jpirtgdb`g. [rgcgmg nd tgrngs gkj`d`strgt`vgs. Ru nstgturg ns kn 7,6< j y su pnsi ns kn .  Ghtnrgb`idns nd hg c`isêdtns`s kn tnstistnridg 6.  Fçrjgbis g÷is, gbukn g hg h g bidsuhtg pir prnsndtgr k`sj`dub`òd knh knsni snxugh, k`sfudb`òd snxugh nràbt`h y bnfghng kn kis g÷is kn kurgb`òd. Di nx`stnd gdtnbnkndtns kn `dlnst`òd kn fçrjgbis, ghbiaih, d` krilgs. Nh nxgjnd bhêd`bi dirjgh y nd hhis is nstuk`is bijphnjndtgr`is sn knstgbg udg [RA kn 30 ¾h/j`h`h`tri VD= (5,2 - > ¾h/j`h`h`tris). ¹Buçh ns su prnsudb`òd k`gldist`bg9 ¹Bòji nstuk`grêg g nstn pgb`ndtn9 Bijndtgr`i Nh pr`jnr k`gldòst`bi ns kn a`pit`ri`k`sji pr`jgr`i. Hg s`dtijgtihilêg knh ndfnrji punkn kncnrsn g k`bag `dfnbb`òd, g hg gdnj`g qun sunhn gbijpg÷gr gh a`pit`ri`k`sji, i g hg a`pnrphgs`g knh snbtir hgbtitròp`bi gkndia`pif`s`gr`i bid hg bids`lu`ndtn a`pnrprihgbt`dnj`g. Ns pricgchn qun pir hg kurgb`òd knh bugkri bhêd`bi, tikis nstis nhnjndtis sn aghhgd prnsndtns. Hg bnfghng punkn nxph`bgrsn pir nh glrgdkgj`ndti a`pif`s`gr`i. Kncnd sih`b`tgrsn sih` b`tgrsn yiki t`rid`dg sàr`bgs, prihgbt`dnj`g y tnstistnridg phgsjçt`bg