{"id":731,"date":"2022-04-07T12:03:00","date_gmt":"2022-04-07T19:03:00","guid":{"rendered":"https:\/\/www.thyroidaware.com\/pl\/?post_type=post_thyroid&#038;p=731"},"modified":"2023-08-08T22:27:29","modified_gmt":"2023-08-08T20:27:29","slug":"about-hashimotos-thyroiditis","status":"publish","type":"post_thyroid","link":"https:\/\/www.thyroidaware.com\/pl\/thyroid\/about-hashimotos-thyroiditis\/","title":{"rendered":"CHOROBA HASHIMOTO"},"content":{"rendered":"\n<h4 class=\"wp-block-heading has-electviolet-color has-text-color\">Choroba Hashimoto jest chorob\u0105 autoimmunologiczn\u0105, w kt\u00f3rej uk\u0142ad odporno\u015bciowy zwraca si\u0119 przeciwko w\u0142asnemu organizmowi, atakuj\u0105c kom\u00f3rki tarczycy<sup>1<\/sup>. Prowadzi do stopniowego, d\u0142ugotrwa\u0142ego niszczenia gruczo\u0142u tarczowego i po pewnym czasie do obni\u017cenia st\u0119\u017cenia hormon\u00f3w tarczycy<sup>1<\/sup>. W miar\u0119 post\u0119pu choroby tarczyca wytwarza tak ma\u0142o hormon\u00f3w, \u017ce u pacjenta rozwija si\u0119 niedoczynno\u015b\u0107<sup>1<\/sup>.<\/h4>\n\n\n\n<hr class=\"wp-block-separator has-css-opacity\"\/>\n\n\n\n<div style=\"height:18px\" aria-hidden=\"true\" class=\"wp-block-spacer\"><\/div>\n\n\n\n<p><strong>Kto jest w grupie ryzyka rozwoju choroby Hashimoto?<\/strong><\/p>\n\n\n\n<p>Zapalenie tarczycy Hashimoto mo\u017ce wyst\u0105pi\u0107 u os\u00f3b w ka\u017cdym wieku, ale najcz\u0119\u015bciej jest obserwowane u kobiet w \u015brednim wieku oraz u pacjent\u00f3w z zaburzeniami czynno\u015bci tarczycy w wywiadzie rodzinnym<sup>1<\/sup>. Przyczyny atakowania tarczycy przez uk\u0142ad odporno\u015bciowy nie s\u0105 znane, ale do ewentualnych czynnik\u00f3w ryzyka nale\u017c\u0105 zaka\u017cenie wirusowe lub bakteryjne, a tak\u017ce inne choroby autoimmunologiczne jak cukrzyca typu 1<sup>2<\/sup>.<\/p>\n\n\n\n<p><strong>Objawy choroby Hashimoto<\/strong><\/p>\n\n\n\n<p>Choroba przez d\u0142ugi czas mo\u017ce pozosta\u0107 nierozpoznana. W trakcie choroby funkcja tarczycy mo\u017ce wyczerpa\u0107 si\u0119, co wi\u0105\u017ce si\u0119 z rozwojem niedoczynno\u015bci, kt\u00f3rej towarzysz\u0105 nast\u0119puj\u0105ce objawy<sup>1,3<\/sup>:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>zm\u0119czenie i ospa\u0142o\u015b\u0107 i (lub) os\u0142abienie,<\/li>\n\n\n\n<li>nietolerancja zimna,<\/li>\n\n\n\n<li>trudno\u015bci z koncentracj\u0105 lub my\u015bleniem,<\/li>\n\n\n\n<li>przygn\u0119bienie,<\/li>\n\n\n\n<li>przyrost masy cia\u0142a,<\/li>\n\n\n\n<li>powi\u0119kszenie obwodu szyi lub wole, co mo\u017ce stanowi\u0107 wczesny objaw choroby; a w p\u00f3\u017aniejszej fazie ma\u0142y lub zmniejszony gruczo\u0142 tarczowy,<\/li>\n\n\n\n<li>nieprawid\u0142owe miesi\u0105czki z obfitymi\/nieregularnymi krwawieniami,<\/li>\n\n\n\n<li>zaparcia,<\/li>\n\n\n\n<li>b\u00f3l staw\u00f3w lub mi\u0119\u015bni,<\/li>\n\n\n\n<li>wypadanie w\u0142os\u00f3w,<\/li>\n\n\n\n<li>sucho\u015b\u0107 sk\u00f3ry.<\/li>\n<\/ul>\n\n\n\n<p><strong>Jak rozpoznaje si\u0119 chorob\u0119 Hashimoto?<\/strong><\/p>\n\n\n\n<p>Osoby z chorob\u0105 Hashimoto cz\u0119sto prezentuj\u0105 objawy niedoczynno\u015bci tarczycy, kt\u00f3rym niekiedy towarzysz\u0105 wole<sup>3<\/sup>. Same objawy nie s\u0105 jednak wiarygodnym dowodem na obecno\u015b\u0107 choroby. Do postawienia jednoznacznego rozpoznania nale\u017cy wykona\u0107 badania krwi. Osoby z wysokim st\u0119\u017ceniem TSH we krwi i niskimi st\u0119\u017ceniami wolnej T4 (tyroksyna swobodnie kr\u0105\u017c\u0105ca we krwi), prawdopodobnie maj\u0105 niedoczynno\u015b\u0107 tarczycy<sup>4<\/sup>. U os\u00f3b z zapaleniem tarczycy Hashimoto stwierdza si\u0119 r\u00f3wnie\u017c podwy\u017cszone miano przeciwcia\u0142 przeciwko peroksydazie tarczycowej (anty-TPO), kt\u00f3ra jest enzymem uczestnicz\u0105cym w produkcji hormon\u00f3w tarczycy.<\/p>\n\n\n\n<p><strong>Leczenie choroby<\/strong><\/p>\n\n\n\n<p>Je\u015bli rozpoznano u ciebie chorob\u0119 Hashimoto, lekarz zaleci ci leczenie substytucyjne preparatem zawieraj\u0105cym hormon tarczycy (tyroksyn\u0119)<sup>1<\/sup>. Wi\u0119kszo\u015b\u0107 os\u00f3b z zapaleniem tarczycy typu Hashimoto wymaga stosowania leczenia do ko\u0144ca \u017cycia<sup>3<\/sup>. Okre\u015blenie w\u0142a\u015bciwej dawki, szczeg\u00f3lnie na pocz\u0105tku leczenia, mo\u017ce by\u0107 zwi\u0105zane z konieczno\u015bci\u0105 wykonywania oznacze\u0144 st\u0119\u017cenia TSH co 6\u20138 tygodni po ka\u017cdej zmianie dawki, a\u017c do uzyskania w\u0142a\u015bciwej warto\u015bci. Nast\u0119pnie st\u0119\u017cenie TSH wystarczy kontrolowa\u0107 raz w roku<sup>3<\/sup>.<\/p>\n\n\n\n<p><strong>Przydatne strony www<\/strong><\/p>\n\n\n\n<p><a href=\"http:\/\/www.thyroid.org\/\" target=\"_blank\" rel=\"noreferrer noopener\">http:\/\/www.thyroid.org<\/a><\/p>\n\n\n\n<p>Informacje dla pacjent\u00f3w na temat zdrowia tarczycy opublikowane przez Ameryka\u0144skie Towarzystwo Tyreologiczne.<\/p>\n\n\n\n<p><a href=\"http:\/\/www.thyroid-fed.org\/\" target=\"_blank\" rel=\"noreferrer noopener\">http:\/\/www.thyroid-fed.org<\/a><\/p>\n\n\n\n<p>Informacje dla pacjent\u00f3w opublikowane przez Thyroid Federation International.<\/p>\n\n\n\n<p><a href=\"http:\/\/www.merckserono.de\/\" target=\"_blank\" rel=\"noreferrer noopener\">http:\/\/www.merckserono.de<\/a><\/p>\n\n\n\n<p>Therapiegebiete\/Endokrinologische Erkrankungen\/Schilddr\u00fcse\/Brosch\u00fcren \u201eIhr Hashimoto Ratgeber\u201c und \u201eIhr Basedow Ratgeber\u201d<\/p>\n\n\n      <section class=\"reference-content\">\n        <div class=\"ref-header\">\n          <a class=\"collapsed\" data-toggle=\"collapse\" href=\"#collapseExample\" role=\"button\" aria-expanded=\"false\" aria-controls=\"collapseExample\">\n            <i class=\"fas\"><\/i>\n            PI\u015aMIENNICTWO          <\/a>\n        <\/div>\n        <div class=\"collapse content-collapse\" id=\"collapseExample\">\n          <div class=\"row\">\n            <div class=\"col-12 text-reference\">\n              <ol>\n<li>Medline Plus. Chronic thyroiditis (Hashimoto\u2019s disease). Available at\u00a0<a href=\"http:\/\/www.nlm.nih.gov\/medlineplus\/ency\/article\/000371.htm\">http:\/\/www.nlm.nih.gov\/medlineplus\/ency\/article\/000371.htm<\/a>.\u00a0Last accessed February 2022.<\/li>\n<li>Mayo Clinic. Hashimoto\u2019s disease. Symptoms and causes. Available at\u00a0<a href=\"http:\/\/www.mayoclinic.org\/diseases-conditions\/hashimotos-disease\/symptoms-causes\/dxc-20269764\">http:\/\/www.mayoclinic.org\/diseases-conditions\/hashimotos-disease\/symptoms-causes\/dxc-20269764<\/a>.\u00a0Last accessed February 2022.<\/li>\n<li>American Thyroid Association. Hashimoto\u2019s thyroiditis (lymphocytic thyroiditis). Available at\u00a0<a href=\"http:\/\/www.thyroid.org\/wp-content\/uploads\/patients\/brochures\/Hashimoto_Thyroiditis.pdf\">http:\/\/www.thyroid.org\/wp-content\/uploads\/patients\/brochures\/Hashimoto_Thyroiditis.pdf<\/a>.\u00a0Last accessed February 2022.<\/li>\n<li>British Thyroid Foundation. Thyroid function tests. Available at\u00a0<a href=\"http:\/\/www.btf-thyroid.org\/information\/quick-guides\/97-thyroid-function-tests\">http:\/\/www.btf-thyroid.org\/information\/quick-guides\/97-thyroid-function-tests<\/a>.\u00a0Last accessed February 2022.<\/li>\n<\/ol>\n            <\/div>\n          <\/div>\n        <\/div>\n      <\/section>\n\n\n\n<p>GL-NONE-00102<\/p>\n\n\n\n<p>Data opracowania: Luty 2022 r.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Choroba Hashimoto jest chorob\u0105 autoimmunologiczn\u0105, w kt\u00f3rej uk\u0142ad odporno\u015bciowy zwraca si\u0119 przeciwko w\u0142asnemu organizmowi, atakuj\u0105c kom\u00f3rki tarczycy&#8230;<\/p>\n","protected":false},"featured_media":803,"template":"","category_thyroid":[7],"class_list":["post-731","post_thyroid","type-post_thyroid","status-publish","has-post-thumbnail","hentry","category_thyroid-the-thyroid"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.3 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>CHOROBA HASHIMOTO - 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