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Meta
Răspunsuri la întrebări (1029)
September 14, 2013
Marilena:
Buna ziua,
Am 53 ani si sunt hipotiroidiana din adolescenta.Am facut tratament
de-a lungul timpului. In ultimii ani am luat 50 mg de l-tyroxin. In
urma cu 2-3 luni am intrerupt tratamentul. Am facut analizele recent si
rezultatele sunt: TSH 2.24 (0,39-6,18),ATPO 0,64 (0-40).
Ecografie: LD 20/23/43 mm, LS 17/21/4 mm, ecostructura neomogena difuz, cu o plaja hipoecogena situata posterior la nivelul lobului stg, cu diametrul de 6/9 mm. Vascularizatia normal reprezentata. Istm 4,4 mm.
Va rog sa-m spuneti si mie ce ar putea fi avand in vedere structura tiroidei si plaja ipoecogena.
Multumesc.
Raspuns:
– rezultatul ecografic pledeaza pentru un proces inflamator cronic, cel mai probabil o tiroidita autoimuna; o astfel de plaja hipoecogena arata de cele mai multe ori o arie de inflamatie mai intensa decat tesutul alaturat; altfel zis, nu are o semnificatie deosebita;
– valoarea normala a TSH arata un nivel normal al hormonilor tiroidieni, chiar daca tratamentul a fost oprit;nivelurile hormonale din tiroidita cronica pot avea o evolutie oscilanta, aparand uneori perioade de normalizare sau ,rareori, chiar de hipertiroidie; totusi, aproape intotdeauna ulterior reapare deficitul de hormoni tiroidieni (hipotiroidia); de aceea monitorizarea periodica ramane obligatorie;
– valoarea normala a ATPO este necaracteristica intr-o tirodita cronica veche, dar se intalneste ocazional;
Dr. Cristian-Claudiu Ţupea – Click aici pentru consultaţii
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