{"id":161,"date":"2022-01-20T18:20:47","date_gmt":"2022-01-21T00:20:47","guid":{"rendered":"https:\/\/www.thyroidaware.com\/pl\/?post_type=post_health&p=161"},"modified":"2023-10-03T19:06:42","modified_gmt":"2023-10-03T17:06:42","slug":"mood-disorders","status":"publish","type":"post_health","link":"https:\/\/www.thyroidaware.com\/pl\/health\/mood-disorders\/","title":{"rendered":"ZABURZENIA NASTROJU"},"content":{"rendered":"\n

NIEPRAWID\u0141OWA CZYNNO\u015a\u0106 TARCZYCY A ZABURZENIA NASTROJU<\/h4>\n\n\n\n

Pacjenci z zaburzeniami czynno\u015bci tarczycy cz\u0119sto skar\u017c\u0105 si\u0119 na problemy z nastrojem i funkcjami poznawczymi1<\/sup>. Ju\u017c w 1825 roku C. H. Parry opisa\u0142 zale\u017cno\u015b\u0107 mi\u0119dzy zaburzeniami czynno\u015bci tarczycy i problemami z nastrojem1<\/sup>. <\/h4>\n\n\n\n
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<\/div>\n\n\n\n

Cz\u0119sto wyst\u0119puj\u0105ce objawy<\/strong><\/p>\n\n\n\n

Niekt\u00f3re objawy zaburze\u0144 czynno\u015bci tarczycy s\u0105 podobne do objaw\u00f3w obserwowanych w depresji lub zaburzeniach l\u0119kowych. Do objaw\u00f3w najcz\u0119\u015bciej zwi\u0105zanych z niedoczynno\u015bci\u0105 tarczycy nale\u017c\u0105 zapominanie, zm\u0119czenie, spowolnienie umys\u0142owe i nieuwaga oraz wahania nastroju, przy czym dominuj\u0105cym objawem jest przygn\u0119bienie2<\/sup>. Niepok\u00f3j, rozdra\u017cnienie, dysforia, wahania nastroju i problemy z koncentracj\u0105 s\u0105 typowymi objawami towarzysz\u0105cymi nadczynno\u015bci tarczycy1<\/sup>. U tych os\u00f3b obserwuje si\u0119 r\u00f3wnie\u017c spadek libido3<\/sup>.<\/p>\n\n\n\n

Poznaj fakty<\/strong><\/p>\n\n\n\n

Oko\u0142o 60% os\u00f3b z nadczynno\u015bci\u0105 tarczycy prezentuje zaburzenia l\u0119kowe, a 31\u201369% depresyjne1<\/sup>. Depresj\u0119 cz\u0119sto obserwuje si\u0119 r\u00f3wnie\u017c u pacjent\u00f3w z niedoczynno\u015bci\u0105 tarczycy, a 40% chorych potwierdza w wywiadzie obecno\u015b\u0107 jednej z postaci zaburze\u0144 depresyjnych2<\/sup>.<\/p>\n\n\n\n

U 1\u20134% pacjent\u00f3w z zaburzeniami nastroju stwierdza si\u0119 niedoczynno\u015b\u0107 tarczycy, a subkliniczn\u0105 posta\u0107 tej choroby stwierdza si\u0119 u 4\u201340% os\u00f3b w tej grupie1<\/sup>. Dlatego te\u017c Ameryka\u0144skie Towarzystwo Endokrynologii Klinicznej i Ameryka\u0144skie Towarzystwo Tyreologiczne zalecaj\u0105, aby: \u201eU ka\u017cdego pacjenta z depresj\u0105 rozwa\u017cy\u0107 przeprowadzenie diagnostyki w kierunku subklinicznej lub jawnej niedoczynno\u015bci tarczycy1<\/sup>\u201d.<\/p>\n\n\n\n

Leczenie zaburze\u0144 nastroju<\/strong><\/p>\n\n\n\n

Osoby z nadczynno\u015bci\u0105 lub niedoczynno\u015bci\u0105 tarczycy s\u0105 zagro\u017cone wyst\u0105pieniem pewnej postaci zaburze\u0144 l\u0119kowych i depresji1<\/sup>. W przypadku niedoczynnej tarczycy istnieje wi\u0119ksze ryzyko rozwoju depresji2<\/sup>. Dobra wiadomo\u015b\u0107 jest taka, \u017ce u wi\u0119kszo\u015bci pacjent\u00f3w zaburzenia nastroju i problemy poznawcze ust\u0119puj\u0105 podczas skutecznego leczenia choroby tarczycy2,4<\/sup>. Je\u015bli chorujesz na niedoczynno\u015b\u0107 tarczycy, prawdopodobnie lekarz przepisze ci lek, kt\u00f3ry pozwoli unormowa\u0107 prac\u0119 narz\u0105du5<\/sup>. Je\u015bli masz nadczynno\u015b\u0107 tarczycy, zostanie ci zaproponowana jedna z nast\u0119puj\u0105cych opcji leczenia: leki przeciwtarczycowe, leczenie radiojodem lub operacyjne usuni\u0119cie cz\u0119\u015bci albo ca\u0142o\u015bci tarczycy5<\/sup>. U wi\u0119kszo\u015bci pacjent\u00f3w, po unormowaniu st\u0119\u017ce\u0144 hormon\u00f3w tarczycowych, objawy l\u0119kowe i depresyjne ust\u0119puj\u01052<\/sup>.<\/p>\n\n\n

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\n \n <\/i>\n PI\u015aMIENNICTWO <\/a>\n <\/div>\n
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  1. Hage MP, Azar ST. The link between thyroid function and depression. J Thyroid Res 2012; 2012: 590648<\/li>\n
  2. Heinrich TW, Graham G. Hypothyroidism presenting as psychosis: myxedema madness revisited. Prim Care Companion J Clin Psychiatry 2003; 5: 260\u2013266<\/li>\n
  3. Krassas GE, Poppe K, Glinoer D. Thyroid function and human reproductive health. Endocr Rev 2010; 31: 702\u201375<\/li>\n
  4. Bov\u00e9 KB, Watt T, Vogal A et al. Anxiety and depression are more prevalent in patients with Graves\u2019 disease than in patients with nodular goiter. Eur Thyroid J 2014; 3: 173\u2013178<\/li>\n
  5. American Thyroid Association. Hyperthyroidism. 2014. Available at\u00a0http:\/\/www.thyroid.org\/wp-content\/uploads\/patients\/brochures\/ata-hyperthyroidism-brochure.pdf<\/a>. Last accessed February 2022<\/li>\n<\/ol>\n <\/div>\n <\/div>\n <\/div>\n <\/section>\n\n\n\n

    GL-NONE-00102<\/p>\n\n\n\n

    Data opracowania: Luty 2022 r.<\/p>\n","protected":false},"excerpt":{"rendered":"

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