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Meta
Răspunsuri la întrebări (45)
October 15, 2009
Magdalena:
Buna ziua
Din cauza problemelor de greutate pe care le are baiatul meu am fost la medicul endocrinolog. Precizez ca are 14 ani , inaltime 178 cm si greutate 90 kg. Nu avem in familie antecedente privind glanda tiroida. Medicul i-a facut ecograf gasind urmatoarele valori: LD 19/16/44 istm 6 LS 21/20/46, structura tiroidei relativ omogena. La intrebarile mele a specificat ca nu sunt noduli si ca desi dimensiunile sunt in valori maxime nu ar avea probleme. Ce parere aveti?Ar trebui sa-i mai fac si alte investigatii?
Raspuns:
– dimensiunile tiroidei determinate ecografic sunt intr-adevar catre limita superioara a normalului sau chiar peste, luand in considerare si varsta fiului dvs; daca structura este normala poate fi vorba de o gusa simpla, cauzata cel mai probabil de un deficit de iod in alimentatie; gusa simpla este o marire de volum a tiroidei, cu pastrarea structurii normale, aparuta pentru ca organismul incearca sa mentina productia de hormoni tiroidieni in conditiile in care iodul este scazut;
– in plus fata de ecografie consider necesare urmatoarele analize:
- TSH si freeT4, pentru a vedea daca tiroida produce catitati suficiente de hormoni;
- ATPO, pentru excluderea unei afectiuni autoimune a tiroidei, care poate fi cauza unei mariri de volum a glandei;
- ioduria (masurarea iodului in urina), pentru a verifica daca aportul de iod din alimentatie este suficient;
– in functie de rezultatul acestor analize se poate decide daca este nevoie de interventie terapeutica sau nu;
– trebuie retinut totusi ca marea majoritate (85-90%) a cazurilor de exces ponderal nu sunt cauzate de boli endocrine ci de un aport caloric excesiv, asociat frecvent cu lipsa activitatii fizice;
Dr. Claudiu Ţupea
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