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Meta
Răspunsuri la întrebări (780)
July 21, 2012
CLAUDIA:
Va rog frumos sa ma lamuriti. Tatal meu a fost operat in 2002 si i s/a scos o parte din glanda tiroida dupa care la 6 luni a mai fost operat odata si i/a scos toata glanda. I.a dat ca tratament euthirox de 100. In mai anul acesta i.am facut niste analize si i.a iesit tsh crescut 41,68 microUI/ml.Normal intre 0,35 si 4,94. Medicul endocrinolog i.a marit doza si i.a dat 100 si o,25 de euthirox dupa care medicul mi.a zis sa repet analiza la o luna, Azi i.am repetat/o si i.a iesit tsh 44 microUI\ml. Ce inseamna asta< Are cancer in 2002 dupa extirparea totala a glandei a facut un accident vascular hemoragic, a scapat cam fara sechele. Are tratament si de tensiune. In fiecare zi ia norvasc de 10, tertensif de 1,5, pramistar 2 pe zi, sermion 2 pe zi, sortis de 10 seara, aspenter, preductal 2 pe zi, atacand de 8 una pe zi. Va rog mult astept un raspuns.
Raspuns:
– un nivel al TSH atat de ridicat inseamna ca un nivel scazut al hormonilor tiroidieni in organism; fie doza de Euthyrox este in mod real insuficienta, fie este o problema cu administrarea si/sau absorbtia intestinala a medicamentului;
– tratamentul cu Euthyrox trebuie adminsitrat zilnic, dimineata, pe stomacul gol, fara a manca nimic timp de 30 de minute dupa aceea; medicamentele care contin calciu, fier, colestiramina pot scadea absorbtia si trebuie luate la cel putin 3-4 ore dupa Euthyrox;
– toate conditiile de mai sus trebuie respectate intocmai pentru ca tratamentul sa fie corect; daca chiar si asa nivelul TSH nu scade, in ciuda unor doze crescute de medicament (150-200 micrograme/zi), trebuie investigate alte cauze, cum ar fi boli gastrointestinate (de ex. boala celiaca) sau interferente de laborator;
– daca a fost vorba de un cancer tiroidian (papilar sau folicular), este cu atat mai important sa se normalizeze nivelul TSH; pentru detalii dati click aici;
Dr. Cristian-Claudiu Ţupea – Click aici pentru consultaţii
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