{"id":732,"date":"2022-04-05T14:30:00","date_gmt":"2022-04-05T21:30:00","guid":{"rendered":"https:\/\/www.thyroidaware.com\/pl\/?post_type=post_thyroid&#038;p=732"},"modified":"2023-10-13T20:36:18","modified_gmt":"2023-10-13T18:36:18","slug":"about-graves-disease","status":"publish","type":"post_thyroid","link":"https:\/\/www.thyroidaware.com\/pl\/thyroid\/about-graves-disease\/","title":{"rendered":"CHOROBA GRAVESA i BASEDOVA"},"content":{"rendered":"\n<h4 class=\"wp-block-heading has-electviolet-color has-text-color\">Podobnie jak zapalenie tarczycy Hashimoto, choroba Gravesa i Basedowa ma pod\u0142o\u017ce autoimmunologiczne i prowadzi do rozwoju nadczynno\u015bci narz\u0105du<sup>1<\/sup>. U oko\u0142o 25\u201340% pacjent\u00f3w z chorob\u0105 Gravesa i Basedowa stwierdza si\u0119 oznaki klinicznie znacz\u0105cej oftalmopatii Gravesa (zapalenie i wytrzeszcz ga\u0142ek ocznych)<sup>3<\/sup>. Chorob\u0119 Gravesa i Basedowa z towarzysz\u0105c\u0105, umiarkowan\u0105\/ci\u0119\u017ck\u0105 oftalmopati\u0105 obserwuje si\u0119 jednak u mniej ni\u017c 5% pacjent\u00f3w<sup>2<\/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 Gravesa i Basedowa?<\/strong><\/p>\n\n\n\n<p>Najbardziej nara\u017cone na rozw\u00f3j choroby s\u0105 kobiety w wieku poni\u017cej 40 lat<sup>3<\/sup>. R\u00f3wnie\u017c palacze tytoniu maj\u0105 wi\u0119ksze prawdopodobie\u0144stwo rozwoju tego schorzenia oraz problem\u00f3w z oczami w por\u00f3wnaniu z osobami, kt\u00f3re nie pal\u0105.<\/p>\n\n\n\n<p><strong>Objawy choroby Gravesa i Basedowa<\/strong><\/p>\n\n\n\n<p>Przez d\u0142ugi czas choroba mo\u017ce pozosta\u0107 nierozpoznana. Do objaw\u00f3w choroby nale\u017c\u0105<sup>1,4<\/sup>:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>szybka praca serca,<\/li>\n\n\n\n<li>nerwowo\u015b\u0107 i (lub) rozdra\u017cnienie,<\/li>\n\n\n\n<li>l\u0119k,<\/li>\n\n\n\n<li>trudno\u015bci ze snem,<\/li>\n\n\n\n<li>utrata masy cia\u0142a bez zmian w diecie,<\/li>\n\n\n\n<li>os\u0142abienie mi\u0119\u015bni, szczeg\u00f3lnie ramion i ud,<\/li>\n\n\n\n<li>wzmo\u017cona potliwo\u015b\u0107,<\/li>\n\n\n\n<li>przyspieszona praca jelit,<\/li>\n\n\n\n<li>sk\u0105pe lub rzadsze miesi\u0105czki,<\/li>\n\n\n\n<li>dr\u017cenie r\u0105k,<\/li>\n\n\n\n<li>\u015bcie\u0144czenie sk\u00f3ry,&nbsp; &nbsp;<\/li>\n\n\n\n<li>cienkie, \u0142amliwe w\u0142osy.<\/li>\n<\/ul>\n\n\n\n<p>Do objaw\u00f3w oftalmopatii Gravesa nale\u017c\u0105<sup>1<\/sup>:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>zaczerwienione ga\u0142ki oczne lub z cechami zapalenia,<\/li>\n\n\n\n<li>obrz\u0119k tkanek wok\u00f3\u0142 oczu,<\/li>\n\n\n\n<li>wytrzeszcz ga\u0142ek ocznych,<\/li>\n\n\n\n<li>pogorszenie lub podw\u00f3jne widzenie (bardzo rzadko).<\/li>\n<\/ul>\n\n\n\n<p><strong>Diagnostyka choroby Gravesa i Basedowa<\/strong><\/p>\n\n\n\n<p>Lekarz nie mo\u017ce rozpozna\u0107 choroby Gravesa i Basedowa wy\u0142\u0105cznie na podstawie objaw\u00f3w. Do postawienia jednoznacznego rozpoznania nale\u017cy wykona\u0107 badanie fizykalne i badania krwi<sup>1<\/sup>. W badaniach laboratoryjnych stwierdza si\u0119 niskie st\u0119\u017cenia TSH i podwy\u017cszone st\u0119\u017cenia wolnej tyroksyny<sup>5<\/sup>. W celu okre\u015blenia stopnia nadczynno\u015bci tarczycy nale\u017cy r\u00f3wnie\u017c oznaczy\u0107 st\u0119\u017cenie trijodotyroniny (T3). Chorob\u0119 Gravesa i Basedowa mo\u017cna rozpozna\u0107 u osoby z nadczynno\u015bci\u0105 tarczycy, powi\u0119kszonym gruczo\u0142em tarczowym i wsp\u00f3\u0142istniej\u0105cymi problemami ze wzrokiem<sup>5<\/sup>.<\/p>\n\n\n\n<p><strong>Leczenie choroby <\/strong>Gravesa i Basedowa<\/p>\n\n\n\n<p>Lekarz om\u00f3wi z pacjentem najlepsze mo\u017cliwe opcje leczenia, kt\u00f3re zahamuj\u0105 nadmierne wytwarzanie hormon\u00f3w tarczycowych.<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Leki przeciwtarczycowe pomagaj\u0105 kontrolowa\u0107 nadczynno\u015b\u0107 tarczycy, blokuj\u0105c syntez\u0119 hormon\u00f3w w kom\u00f3rkach gruczo\u0142u tarczowego. Leczenie nale\u017cy stosowa\u0107 przez co najmniej 6 miesi\u0119cy do 2 lat<sup>5<\/sup>. U niewielkiej liczby pacjent\u00f3w choroba mo\u017ce ca\u0142kowicie ust\u0105pi\u0107<sup>5<\/sup>.<\/li>\n\n\n\n<li>Zniszczenie tkanki tarczycowej radiojodem to inna opcja leczenia, kt\u00f3rej efekty zazwyczaj s\u0105 widoczne po 6\u201318 tygodniach od zastosowania<sup>5<\/sup>.<\/li>\n\n\n\n<li>Trzeci\u0105 opcj\u0105 post\u0119powania jest operacyjne usuni\u0119cie fragmentu lub ca\u0142ego narz\u0105du<sup>5<\/sup>.<\/li>\n<\/ul>\n\n\n\n<p>Dwie ostatnie metody leczenia mog\u0105 w obserwacji odleg\u0142ej prowadzi\u0107 do rozwoju niedoczynno\u015bci tarczycy<sup>5<\/sup>. Tym samym w celu normalizacji st\u0119\u017ce\u0144 hormon\u00f3w tarczycowych pacjenci musz\u0105 przyjmowa\u0107 w\u0142a\u015bciw\u0105 suplementacj\u0119<sup>1<\/sup>. Je\u015bli w zwi\u0105zku z chorob\u0105 Gravesa i Basedowa pacjent odczuwa uci\u0105\u017cliwe objawy (jak szybka praca serca, l\u0119k, nietolerancja ciep\u0142a i dr\u017cenie r\u0105k), lekarz mo\u017ce tymczasowo zaleci\u0107 leczenie beta-adrenolitykami, kt\u00f3re po kr\u00f3tkim czasie sprawi\u0105, \u017ce chory poczuje si\u0119 lepiej<sup>4,5<\/sup>. Ponadto regularne kontrole gwarantuj\u0105 d\u0142ugotrwa\u0142y sukces leczenia<sup>1<\/sup>.<\/p>\n\n\n\n<p><strong>Przydatne strony www<\/strong><\/p>\n\n\n\n<p>&nbsp;<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\">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\">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\u201c<\/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>American Thyroid Association. Graves\u2019 disease. Available at\u00a0<a href=\"http:\/\/www.thyroid.org\/what-is-graves-disease\/\">http:\/\/www.thyroid.org\/what-is-graves-disease\/<\/a>.\u00a0Last accessed February 2022<\/li>\n<li>Daumerie C. Epidemiology. In: Wiersinga WM, Kahaly GJ (eds): Graves\u2019 Orbitopathy: A Multidisciplinary Approach \u2014 Questions and Answers. Basel: Karger, 2010: 33\u201339<\/li>\n<li>Mayo Clinic. Graves\u2019 disease. Risk factors. Available at\u00a0<a href=\"https:\/\/www.mayoclinic.org\/diseases-conditions\/graves-disease\/symptoms-causes\/syc-20356240\">https:\/\/www.mayoclinic.org\/diseases-conditions\/graves-disease\/symptoms-causes\/syc-20356240<\/a>.\u00a0Last accessed February 2022<\/li>\n<li>American Thyroid Association. Hyperthyroidism. Available at\u00a0<a href=\"http:\/\/www.thyroid.org\/wp-content\/uploads\/patients\/brochures\/ata-hyperthyroidism-brochure.pdf\">http:\/\/www.thyroid.org\/wp-content\/uploads\/patients\/brochures\/ata-hyperthyroidism-brochure.pdf<\/a>.\u00a0Last accessed February 2022<\/li>\n<li>Ginsberg J. Diagnosis and management of Graves\u2019 disease. CMAJ 2003; 168: 575\u2013585<\/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>Podobnie jak zapalenie tarczycy Hashimoto, choroba Gravesa\u2013Basedowa ma pod\u0142o\u017ce autoimmunologiczne i prowadzi do rozwoju nadczynno\u015bci ca\u0142ego narz\u0105du&#8230;<\/p>\n","protected":false},"featured_media":805,"template":"","category_thyroid":[7],"class_list":["post-732","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 GRAVESA i BASEDOVA - Polski<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/www.thyroidaware.com\/pl\/thyroid\/about-graves-disease\/\" \/>\n<meta property=\"og:locale\" content=\"pl_PL\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"CHOROBA GRAVESA i BASEDOVA - 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