Tatalaksana Dan Mekanisme Kerja Tiroid

 

]otoaoiso`o Dfpgrtfrefm (O]O, 28?3)

[gbgaul [gbgau l lglbgrfio` lglbgrfio` f`tgrvg`sf pomo posfg` igaof`o` dfpgrtfrefm, dfpgrtfrefm, loio yo`j poaf`j poaf`j utolo mftgjoiio` foaod pg`ygbob morf dfpgrtfrefm tgrsgbut. Nfio to`mo to`mo iaf`fs mo`  bfelorigr pomo posfg` tfmoi mopot lg`ngaosio` ie`mfsf posfg`, loio bfso lg`jju`oio` oatgr`otfc pg`gjoiio` mfoj`esfs aof``yo. Bgto Bg to

omrg omrg`g `grn rnfi fi

baek baekig igrr

mfrg mfrgie ielg lg`m `mos osfi fio` o`

u` u`tu tui i

sg sglu luoo

ng ng`f `fss

tfre tfreis isfi fies esfs fs

sflpte sfl ptelot lotfi, fi, tgruto tgrutolo lo u`tui u`tui ero`j ero`j ao`nut ao`nut usfo usfo mo` posfg` posfg` tfretei tfreteisfs sfs mg`jo` mg`jo` aon aonu u  no`tu`j fstfrodot lgagbfdf 68 ioaf pgr lg`ft otou mg`jo` iegisfstg` pg`yoift iormfevosiuaor. Omopu` u`tui posfg` yo`j ie`trof`mfiosf mg`jo` bgto baekigr `e` sgagitfc, bfso mfbgrfio` B-?-baekigr sgagitfc. @olu` nfio tfmoi mopot mfteagro`sf, loio ebot jeae`jo` Kdoakful Kdo``ga Baekigr (KKB), yoi`f vgropolfa mo` mfatfozgl nujo mopot mopot mfbgrfio` igpomo posfg`.

]otoaoiso`o Dfpgrtfrefm pomo pg`mgrfto Jrovgs‖ Mfsgosg

Omopu` Omopu ` pomo posfg` pg`mgrfto dfpgrtfrefm dfpgrtfrefm yo`j mfiorg`oio` mfiorg`oio`  jrovgs‖ mfsgosg  mfsgosg  (JM), loio posfg` bfso lglfafd mfo`toro igtfjo ng`fs tgropf f`f, yoi`f > ?.

ROF ROF ((Ro Romf mfok oktf tfvg vg)) FFem emf` f`gg

2.

O]Ms O]Ms (O`t (O`tff ]dy ]dyre refm fm Mruj Mrujs) s)

;.

]dyrefmgktely

Igtfjo ng`fs tgropf f`f lg`u`nuii lg`u`nuiio` o` dosfa tgropf yo`j gcgitfc mo` rgaotfc rgaotfc olo`. ]fmoi  mftgluio``yo pgrbgmoo` tgrdomop iuoaftos dfmup no`jio po`no`j pomo posfg` yo`j lg`grflo mf o`toro igtfjo ng`fs tgropf f`f.

 

Omopu` Omopu ` pglfafdo` pglfafdo` tgropf lo`o yo`j mff`jf`io` mff`jf`io`,, bfso mfmfsiusfio` mfmfsiusfio` o`toro meitgr meitgr mo`  posfg` mg`jo` lglpgrtflbo`jio` bgbgropo pef` bgrfiut yoi`f aejfstfi, igu`tu`jo`,  pgrifroo` woitu sglbud, igiuro`jo`, gcgi solpf`j solpf`j yj petg`sfoa, mo` bfoyo.

Bgrfiut tobga yo`j lg`u`nuiio` tgropf yo`j kg`mgru`j u`tui mfpfafd moaol bgbgropo ie`mfsf iaf`fs >

Omopu` ]gropf posfg` lg`jju`oio` O]M bgrtunuo` u`tui lg`jotosf ie`mfsf posfg` sgkgpot mo` sgolo` lu`jif` woaoupu` tfmoi bfso lg`yglbudio`. Xg`jeboto` ftu sg`mf sg` mfrf rf lu`j lu`jif if` ` lglf lglfaf afif if pg pgro` ro` flu` flu`es esup uprgs rgsfc fc yo yo`j `j bg bgrl rlo` o`coo coot, t, bo bofi fi u` u`tu tui  i  lg`jur lg` juro`j o`jff outefl outeflu`f u`ftos tos spgsfcf spgsfcfi i tfr tfrefm efm,, otou yo`j yo`j igmuo, igmuo, mg`jo` mg`jo` lglpgr lglpgrbof bofif if igomoo` dfpgrtfrefm, yo`j mopot lg`jglboafio` sfstgl igigboao` yo`j tfmoi tgrotur  iglboaf ig `erloa. Oio` tgtopf, tf`jiot rglfsf mg`jo` tgropf O]M noud agbfd tf`jjf morfpomo tf`jiot dfsterfs rglfsf spe`to`.

Moaol pglfafdo` O]M, Lgtflozeag (LLF) agbfd bo`yoi dolpfr mfpfafd mfbo`mf`jio` Xrepfatfefrosfa (X]W). Doa f`f mfiorg`oio` LLF lglfafif lo`coot omlf`fstrosf sgioaf sgdorf mo` lg`juro`jf rfsfie gcgi solpf`j utolo mfbo`mf`jio` mg`jo` X]W. LLF mfbgrfio` sgioaf sgdorf mg`jo` mesfs luoto``yo foaod ?8-;8 lj pgr dorf mo` mftftrosf  pomo mesfs ao`nuto``yo lg`nomf 7-?8 lj pgr dorf. ]gropf f`f mfbgrfio` sgaolo ?2-?4 lf`jju mo` mfdg`tfio` nfio iomor ][D mo` ]ROb `erloa. X]W lglfafif murosf oisf yo`j agbfd pg`mgi mo` bfoso`yo mfbgrfio` muo otou tfjo ioaf sgdorf, mfluaof mg`jo`

 

78-?78 lj tfjo ioaf sgdorf, tgrjo`tu`j pomo igporodo` dfpgrtfrefmfslg. Xomo posfg` mg`jo` ]dyrefm streel, mfaoiuio` tgropf mg`jo` pg`mgioto` sgbojof  bgrfiut > ?.

]gropf ]gropf mforo mforodio dio` ` tgrdomo tgrdomop p sgirgsf sgirgsf mo` mo` sf`tgsfs sf`tgsfs derl derle` e` tfref tfrefm m

2.

]f`m ]f`moi oio` o` yo yo`j `j mfor mforod odio io` ` tgrd tgrdom omop op tf`mo tf`moio io` ` pg pgrfc rfcgr gr de derl rle` e` tfre tfrefm fm mf tf`j tf`jio iott

 norf`jo` ;. Xglb Xglboa oafi fio` o` mgi mgiel elpg pg`s `sosf osf sfst sfstgl glfi  fi  =.

Xg`jeb Xg`jeboto oto` ` morf pgrfst pgrfstfwo fwo pg`kgt pg`kgtus us otou pg`yoi pg`yoift ft yo`j lg`y lg`yflp flpo`j o`j

7.

]gropf mg mgcf`ftfc 

]otoaoiso`o Dfpgrtfrefm pomo pg`mgrfto ]exfk Luatf`emuaor Jeftgr (]L@J), mo` ]exfk Omg`elo (]O)

 

Muo ng`fs pg`jeboto` yo`j gcgitfc mo` rgaotfc olo` u`tui posfg` ]L@J mo` ]O om omoa oaod od tgrop tgropff ROF ROF mo mo` ` td tdyr yref efmg mgkt ktel ely. y. ]unu ]unuo` o` mo morf rf tgrop tgropff f` f`ff om omoa oaod od ga gafl flf` f`os osff dfpgrtfrefm dfpgr tfrefm yo`j kgpot mo` todo` aolo. Iomo`j-iomo` Iomo`j-iomo`j, j, pg`jeboto` pg`jeboto` no`jio po`no`j, po`no`j, mesfs rg`mod mg`jo` LLF lu`jif` tgpot.

Bgrfiut tobga yo`j lg`u`nuiio` tgropf yo`j kg`mgru`j u`tui mfpfafd moaol bgbgropo ie`mfsf iaf`fs >

Iorg Io rg`o `o pg`j pg`jeb ebot oto` o` ROF ROF ]L@J ]L@J otou otou ]O mo mopo pott lg`y lg`ygb gbob obio io` ` gi giso sosg sgrb rbos osff dfpgrtfrefm dfpgr tfrefmfslg fslg sglg`toro, sglg`toro, tgropf Bgto-omrg`grj Bgto-omrg`grjfk fk baekigr baekigr dorus mfpgrtflbo` mfpgrtflbo`jio` jio`  bodio` pomo posfg` to`po jgnoao yo`j bgrfsfie agbfd tf`jjf u`tui lg`joaolf ielpafiosf oifbot lglburui`yo dfpgrtfrefmfslg (yoftu, posfg` usfo ao`nut mo` posfg` mg`jo` ielerbfmftos).

]f`moi ao`nut moaol ?-2 buao` pgrtolo sgtgaod tgropf ROF u`tui ]L@J otou ]O dorus lg`koiup pg`faofo` ]= bgbos, ]; tetoa, mo` ][D. Xglo`touo` bfeiflfo dorus mfao`nutio` pomo f`tgrvoa =-3 lf`jju sgaolo 3 buao`, otou solpof posfg` lg`nomf dfpetfrefm mo` stobfa pomo pg`jjo`tfo` derle` tfrefm.

 

Lgio`fslg Igrno ]gropf Dfpgrtfrefm

Lgtdflozeag (Curlo`, 28?:)

Lgtdflozeag omoaod soaod sotu morf bgbgropo ebot tdfeolfmg yo`j mfju`oio` moaol  pg`jeboto` dfpgrtfrefmfslg. F`f lg`jdolbot tfrefm pgreisfmosg (]XE) yo`j lg`jiotoafsosf femf`osf rgsfmu tfresf` moaol tfrejaebuaf` mo` pg`jjobu`jo` eisfmotfc  tfresf` bgryemful. Xg`jdolboto` femf`osf bgrsof`j sgkoro o`toje`fs eagd femfmo pomo ie`sg`trosf ebot yo`j rg`mod, tgtopf tfmoi pomo ie`sg`trosf ebot yo`j agbfd tf`jjf (]oure (]o urej, j, ?6:3). ?6:3). ]gaod ]gaod mfsoro` mfsoro`io` io` bodwo bodwo ftu nujo nujo lg`jur lg`juro`j o`jff outefl outeflu`f u`ftos tos yo`j yo`j lg`mosorf pg`yoift Jrovgs. F`f omoaod pomo mosor bodwo pg`jeboto` yo`j bgrdosfa mfioft mfi oftio` io` mg`jo` mg`jo` pg`gio pg`gio`o` `o` outeo` outeo`tfb tfbemf emf rgsgpte rgsgpterr tfrefm tfrefm (Xgoil (Xgoilo` o` gt oa. oa.,, ?6 ?646) 46).. Losfd bgaul ngaos opoiod lgtdflozeag lglfafif cu`jsf flu`elemuaoter otou nfio  pg`uru`o` moaol sfriuaosf o`tfbemf yo`j lgro`jso`j tfrefm omoaod sgiu`mgr morf  pg`juro`jo` oitfvftos tfrefm.

Xrepfatfeurosfa Xrepfatfeuros fa (Joaosie, 28?:)

]dfeolfmgs ]dfe olfmgs lg`jdolbot lg`jdolbot pgreisfmosg pgreisfmosg tfrefm, tfrefm, lg`uru`io lg`uru`io` ` eisfmosf eisfmosf femfmo, femfmo, femf`osf femf`osf tfresf`, tfresf `, mo` pg`jjobu`j pg`jjobu`jo` o` rgsfmu femetyresy femetyresyaa mo` femetdyre femetdyre`ya. `ya. Oifbot`yo Oifbot`yo,, agbfd sgmfif sgm fiftt derle` derle` tfrefm tfrefm yo`j yo`j mfsf`t mfsf`tgsf gsfs. s. Xrepfa Xrepfatfe tfeuro urosfa sfa nujo nujo lg`jdo lg`jdolbo lbott ie`vgr ie`vgrsf sf  pgrfcgr ]= ig ];.

 

]otoaoiso`o Dfpetfrefm (O]O, 28?=)

Agvetfreisf` (A]=)

Agvetfreis Agve tfreisf` f` (A]=) mfrgie mfrgielg` lg`mos mosfio fio` ` sgbojof sgbojof sto`mor sto`morm m utolo utolo moaol moaol pg`jeb pg`jeboto oto` ` dfpetfrefm. Doa f`f mfsgbobio` dfpetfrefmfslg iorg`o iggcgitfco``yo moaol lg`jotosf jgnoao-jgnoao dfpetfrefmfslg, pg`jju`oo` pg`jju`oo` no`jio po`no`j yo`j lg`ju`tu`jio`, gcgi  solpf`j solpf` j yo`j rf`jo`, iglumodo` iglumodo` moaol omlf`fstrosf omlf`fstrosf,, pg`ygropo` pg`ygropo` usus yo`j bofi, loso porud boyo sgrul yo`j po`no`j, mo` bfoyo rg`mod. ]fjo tunuo` utolo tgropf Agvetfreisf`, yoi`f > ?.

Lglbg Lglbgrf rfio io` ` pg pg`y `yga gagso gsofo fo` ` jg jgno noao ao mo mo` ` to`m to`mo-t o-to` o`mo mo df dfpe petf tfre refm fm po posf sfg` g`,, tg tgrl rlosu osui  i  lorigr bfeaejfs mo` cfsfeaejfs dfpetfrefmfslg

2.

Lg`kopof Lg`kopof `erloafs `erloafsosf osf sgrul sgrul tdyretrep tdyretrepf` f` mg`jo` mg`jo` pg`f`jioto pg`f`jioto` ` ie`sg`tro ie`sg`trosf sf derle` derle` tfrefm, mo`

;.

Lg`jdf`mor Lg`jdf`morff evgrtrgotl evgrtrgotlg`t g`t (fotrejg (fotrejg`fi) `fi) tfreteisfi tfreteisfiesfs), esfs), tgrutolo tgrutolo pomo pomo ero`j ero`j tuo. tuo.

Zoaoupu` Zoaoup u` tgropf tgropf Agvftf Agvftfrei reif` f` lglfaf lglfafif if gcgitfv gcgitfvfto ftoss yo`j yo`j bofi bofi pomo pomo sgbojf sgbojfo` o` bgsor  bgsor  igaelpei ero`j, oio` tgtopf pomo bojfo` igkfa ero`j lgrosoio` dosfa tgropf yo`j tfmoi tgraoau eptflul.

Afetfre`f` (A];)

Lgsifpu Lgsi fpu` ` moto moto dosfa dosfa no`jio no`jio pg`mgi pg`mgi pomo pomo posfg` posfg` dfpetf dfpetfref refm m lg`u`n lg`u`nuii uiio` o` bodwo bodwo afetdy afe tdyre` re`f`g f`g sf`tgt sf`tgtfs fs yo`j yo`j mflf`u mflf`ul l tfjo tfjo ioaf ioaf sgdorf sgdorf mopot mopot mfiofti mfioftio` o` mg`jo` mg`jo` gcgi  lg`ju` lg` ju`tu` tu`jio jio` ` pomo pomo porolg porolgtgr tgr sgpgrt sgpgrtff bgrot bgrot bomo` bomo` mo` afpfm, afpfm, unf iaf`fs iaf`fs no`jio no`jio  po`no`j yo`j tgrie`trea lg`jju`oio` bg`tui trffemetdyre`f`g yo`j bgigrno agbfd aolo mfpgrauio` sgbgaul lglpgrtflbo`jio` pgrsgtunuo` tgropf afetdyre`f`g sf`tgtfs u`tui pg`jju`oo` iaf`fs rutf`.

Derle` ]frefm

Xg`jju`oo` rutf` derle` tfrefm tfmoi mfrgielg`mosfio` iorg`o igidowotfro` tg`to`j igolo`o` mo` petg`sf mo` iorg`o iuro`j`yo moto yo`j lglbuitfio` igu`jjuao` mfbo`mf`jio` pgrsfopo` derle` tfrefm sto`mor. @olu`, moaol iosus mujoo` oagrjf tgrdomop gisfpfg` pgrsfopo` derle` tfrefm sto`mor yo`j tfmoi mopot mfdf`morf mg`jo`  pgrubodo` moaol lgrgi otou cerluaosf mesfs, tgrlosui unf kebo iopsua jga agvetdyrexf`g, lu`jif` losui oioa u`tui lglpgrtflbo`jio` pg`jju`oo` premui  yo`j mfpgrporod, lgsifpu` stumf tgrie`trea morf pg`mgioto` f`f bgaul mfpubafiosfio`.

 

Lgio`fslg Igrno Ebot Dfpetfrefm

([olo ioi Afo)

 

Curlo`, B. A. (28?:). Curlo`, (28?:). Lgtdflozeag Lgtdflozeag ☃. Rgcgrg`kg Rgcgrg`kg Lemuag Lemuag f` Bfelgm Bfelgmfkoa fkoa [kfg`kgs. [kfg`kgs. mef>?8.?8?3/b6:4-8-?2-48?2;4-;.6487;-x Joao Jo aosi sie, e, J. ]. (2 (28? 8?:) :).. Xftu Xftuft ftory ory,, ]dyr ]dyref efm, m, o` o`m m Xo Xorot rotdy dyre refm fm Xdorl Xdorlok okea eaej ejy. y. Xdorlokeaejy o`m ]dgropgutfks cer Mg`tfstry, =?:‛=24. mef>?8.?8?3/b6:4-8-;2;mef>?8.?8?3/b6:4-8-;2;;6;8:-2.88826-? Ne`iaoos, Ne`ia oos, N., Bfo`ke, Bfo`ke, O. K., Bougr, O. N., Burlo`, Burlo`, I. M., Koppeao, Koppeao, O. R., Kgaf, C. [., … [owio, [owio, O. L. (28?= (28?=). ). Jufmga Jufmgaf`g f`gss cer tdg ]rgotl ]rgotlg`t g`t ec Dypetd Dypetdyre yrefmf fmfsl> sl> Xrgporgm by tdg Olgrfko` ]dyrefm Ossekfotfe` ]osi Cerkg e` ]dyrefm Derle`g Rgpaokglg`t. ]dyrefm, 2=(?2), ?3:8‛?:7?. mef>?8.?846/tdy.28?=.8824 mef>?8.?846/tdy.28?=.8824 Ress, M. [., Burkd, D. B., Keepgr, M. [., Jrgg`agg, L. K., Aourbgrj, X., Lofo, O. A., … Zoatgr, L. O. (28?3). 28?3 Olgrfko` ]dyre ]dyrefm fm Ossekfotfe` Ossekfotfe` Jufmgaf`gs Jufmgaf`gs cer   Mfoj`esfs o`m Lo`ojglg`t ec Dypgrtdyrefmfsl o`m Etdgr Kousgs ec  ]dyretexfkesfs. ]dyrefm, 23(?8), ?;=;‛?=2?.  ?;=;‛?=2?. mef>?8.?846/tdy.28?3.8226 mef>?8.?846/tdy.28?3.8226