The consequences of thyroid gland dysfunction and its impact on the lifestyle os those affected
DOI:
https://doi.org/10.33448/rsd-v13i12.47588Keywords:
Thyroid hormones; Hypothyroidism; Hyperthyroidism; Quality of life.Abstract
Objective: The article aims to describe the pathophysiology of syndromes that result from hypo- and hyperfunction of thyroid hormones and their respective consequences. Methods: This article is a bibliographic review, whose research was carried out in bibliographic material, in the books: Principles of Internal Medicine and Clinical Endocrinology, and in articles available in electronic databases: Scielo, PubMed, and Lilacs. Articles published in the last 23 years, available in full text for free and in Portuguese, English, and Spanish were selected. Those experimental studies, articles not available in full text, and produced outside the specified period were excluded. Results and Discussions: The thyroid gland produces the hormones T3, T4, and calcitonin, which are essential in maintaining the body's homeostasis. Gland function is regulated by the hypothalamic-pituitary-thyroid axis, where the TSH stimulates the synthesis and release of T3 and T4, and these inhibit TSH, via negative feedback. Modifications that affect the production and secretion of these hormones present a characteristic clinical picture of hyper or hypofunction. This is characterized by a reduction in the serum concentration of thyroid hormones, it´s main cause is Hashimoto's Thyroiditis. On the other hand, hyperfunction of the gland, called hyperthyroidism, involves increased release of T3 and T4 and is mainly caused by Graves' Disease. Conclusion: In this scenario, it becomes clear that the consequences of initiating thyroid dysfunction for the body are serious and can culminate in compromising the individual's quality of life and progressing to organic dysfunctions.
References
Andrade, V. A.; Gross, J. L. & Maia, A.L (2001). Tratamento do hipertireoidismo da Doença de Graves. Arquivos Brasileiros de Endocrinologia e Metabologia, 45(6), 609-18.
Brasil. (2016). Biblioteca Virtual em Saúde (2016). Hipertireoidismo. Biblioteca Virtual em Saúde - Ministério da Saúde, Biblioteca Virtual em Saúde.
Brenta, G et al (2013). Diretrizes clínicas práticas para o manejo do hipotiroidismo. Arquivos Brasileiros de Endocrinologia e Metabologia, 57(4), 265-91.
Cardoso, L. F., Maciel, L. M. Z., & de Paula, F. J. A (2014). The multiple effects of thyroid disorders on bone and mineral metabolism. Arquivos Brasileiros De Endocrinologia & Metabologia, 58(5), 452–63.
Cardozo, A; Paola, L; Chacón, R, & Josefina, L (2016). Factores predisponentes de la disfunción tiroidea / Predisposing factors to thyroid dysfynction. Medicina interna (Caracas), 32(2), 115-23.
Caneo, C; Aedo, I; Riquelme, M. J & Fardela, C (2020). Disfunção da tireoide e transtornos do humor: revisão do status da arte. Revista Médica Clínica Las Condes, 31(2), 122-9.
Carvalho, G. A; Perez, C.L.S & Ward, L. S (2013). Utilização dos testes de função tireoidiana na prática clínica. Arquivos Brasileiros de Endocrinologia & Metabologia, 57(3), 193 - 204.
Casarin, S. T. et al. (2020). Tipos de revisão de literatura: considerações das editoras do Journal of Nursing and Health. Journal of Nursing and Health. 10(5). https://periodicos.ufpel.edu.br/index.php/enfermagem/article/view/19924.
Cavalcante, L. T. C. & Oliveira, A. A. S. (2020). Métodos de revisão bibliográfica nos estudos científicos. Psicol. Rev. 26(1). https://doi.org/10.5752/P.1678-9563.2020v26n1p82-100.
Diaz-Olmos, R; Nogueira, A.C; Penalva, D. Q. F; Lotufo, P. A & Benseñor, I.M (2010). Frequency of subclinical thyroid dysfunction and risk factors for cardiovascular disease among women at a workplace. São Paulo Medical Journal, 128(1), 18-23.
Egle, C & Cavichiolli, F (2019). Doenças da tireoide na gestação / Thyroid diseases during pregnancy. Femina, 47(6), 323-7.
Gejão, M. G & Lamônica, D.A.C (2008). Habilidades do desenvolvimento em crianças com hipotireoidismo congênito: enfoque na comunicação. Pró-Fono Revista de Atualização Científica, 20(1), 25-30,
Harrison, T et al (1994). Princípios da medicina interna. (10th ed.). McGraw-Hill Inc.,US.
Maia, A.L et al (2013). Consenso brasileiro para o diagnóstico e tratamento do hipertireoidismo: recomendações do Departamento de Tireoide da Sociedade Brasileira de Endocrinologia e Metabologia. Arquivos Brasileiros de Endocrinologia & Metabologia, 57(3), 205 - 32.
Kutner, R (2023). Momento de administración de la levotiroxina en pacientes con hipotiroidismo / Timing of levothyroxine administration in patients with hypothyroidism. Evid. actual. práct. ambul, 26(2).
Pereira A. S. et al. (2018). Metodologia da pesquisa científica. [free e-book]. Santa Maria/RS. Ed. UAB/NTE/UFSM.
Romaldine, J.H; Scarbi, J.A & Farah, C.S (2004). Disfunções mínimas da tiróide: hipotiroidismo subclínico e hipertiroidismo subclínico. Arquivos Brasileiros de Endocrinologia e Metabologia, 48(1), 147-158.
Rother, E. T. (2007). Revisão sistemática x revisão narrativa. Acta Paul. Enferm. 20(2). https://doi.org/10.1590/S0103-21002007000200001.
Setian, N (2007). Hipotireoidismo na criança: diagnóstico e tratamento. Jornal de Pediatria, 83(5), 209-216.
Sociedade Brasileira de Endocrinologia e Metabologia (2005). Hipotireoidismo. Projeto Diretrizes.
Sveta, A., Sonmezer, M., Şükür, Y. E. & Jafarzade, A (2023). The Role of Thyroid Hormones, Vitamins, and Microelements in Female Infertility. Revista Brasileira De Ginecologia e Obstetrícia, 45(11), 683–8.
Teng, W., Shan, Z., Patil-Sisodia, K. & Cooper, D. S (2013). Hypothyroidism in pregnancy. Lancet Diabetes Endocrinol, 1(3), 228-237.
Universidade Federal do Rio Grande do Sul. Faculdade de Medicina (2020). Programa de Pós-Graduação em Epidemiologia. TelessaúdeRS (TelessaúdeRS-UFRGS). TeleCondutas: hipotireoidismo: versão digital.
Vilar, L et al (2017). Endocrinologia Clínica, (6ed.). Ed. Guanabara Koogan.
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2024 Laura Pires Soares de Oliveira; Anna Lívia Cunha de Oliveira; Maria Antônia Mariz Maia Araújo; Tereza Rafaela Moreira de Sá
This work is licensed under a Creative Commons Attribution 4.0 International License.
Authors who publish with this journal agree to the following terms:
1) Authors retain copyright and grant the journal right of first publication with the work simultaneously licensed under a Creative Commons Attribution License that allows others to share the work with an acknowledgement of the work's authorship and initial publication in this journal.
2) Authors are able to enter into separate, additional contractual arrangements for the non-exclusive distribution of the journal's published version of the work (e.g., post it to an institutional repository or publish it in a book), with an acknowledgement of its initial publication in this journal.
3) Authors are permitted and encouraged to post their work online (e.g., in institutional repositories or on their website) prior to and during the submission process, as it can lead to productive exchanges, as well as earlier and greater citation of published work.