Che cos’è il gozzo?
Quando parliamo di gozzo (gozzo tiroideo) ci riferiamo in maniera molto generica ad un incremento del volume della tiroide, senza indicare una patologia specifica, in quanto si può verificare sia nei casi affetti da ipertiroidismo che in quelli di ipotiroidismo, anche perché è possibile che si verifichi anche in condizioni fisiologiche, per esempio quando la ghiandola è sottoposta ad uno sforzo maggiore, così come accade per esempio durante la gravidanza.
Il gozzo si può evidenziare durante l’adolescenza in quanto un lieve ingrandimento della tiroide può essere dovuto alla variazione del metabolismo ormonale tipico di questo periodo. Successivamente il fenomeno regredisce ma in alcuni casi (soprattutto nelle donne) può persistere o divenire nuovamente evidente nella gravidanza o in altri periodi della vita.
Tipologie di gozzo
- Gozzo semplice: l’aumento di volume e di peso della tiroide si può verificare come fenomeno di compensazione, quando essa non è in grado di produrre adeguate quantità di ormoni tiroidei (carenza iodica) e in questo caso si parla perciò di gozzo endemico, che può verificarsi anche come conseguenza di una dieta povera di iodio o ricca di alimenti che impediscono l’assimilazione dello iodio.
- Gozzo multinodulare: è l’evoluzione naturale del cosiddetto gozzo endemico, infatti la stimolazione cronica della tiroide a crescere causata dalla carenza di iodio ha come conseguenza la selezione di gruppi di cellule all’interno della tiroide i quali si sviluppano in modo accelerato portando alla formazione dei noduli tiroidei.
- Gozzo uninodulare tossico (morbo di Plummer): si tratta di una casistica ababstanza rara, ed è causata dalla presenza di un tumore benigno all’interno della tiroide che cresce e produce ormoni tiroidei in modo autonomo.
- Gozzo multinodulare tossico: in questa fattispecie siamo in presenza di un gozzo multinodulare il quale al suo interno presenta uno o più noduli in grado di crescere e produrre ormoni tiroidei in modo autonomo e che nel tempo può causare ipertiroidismo, essendo una delle cause più frequenti di ipertiroidismo nelle aree iodio-carenti.
- Gozzo diffuso tossico (morbo di Basedow): si tratta di una malattia autoimmune che colpisce di solito le donne e che porta in maniera molto frequente all’ipertiroidismo nelle aree iodio-sufficienti.
Le cause del gozzo
Come abbiamo già accennato più volte in precedenza la causa più frequente della formazione del gozzo è la carenza iodica.
In particolar modo si verificava molto spesso in passato in quanto le diete erano spesso carenti di iodio. L’attività primaria della ghiandola tiroidea è quella di concentrare iodio dal sangue e di trasformarlo in ormone tiroideo. La ghiandola non riesce a produrre abbastanza ormone tiroideo se non ha abbastanza iodio. Pertanto, con la carenza di iodio l’individuo diventa ipotiroideo. Conseguentemente, la ghiandola pituitaria (ipofosi) nel cervello avverte che il livello dell’ormone tiroideo è troppo basso e manda un segnale alla tiroide. Questo segnale è l’ ormone di stimolazione della tiroide (TSH).
Come spiega il nome stesso, questo ormone stimola la tiroide a produrre l’ormone tiroideo e ad aumentare in grandezza. Questa crescita abnorme delle dimensioni produce ciò che si definisce il gozzo.
In generale si può affermare che nei luoghi dove c’è carenza di iodio, sarà anche evidente la presenza del gozzo tiroideo.
La diagnosi del gozzo
La diagnosi di gozzo multinodulare è basata essenzialmente su:
- Esame obiettivo: consente di palpare la tiroide e di valutarne le dimensioni, la consistenza e l’eventuale presenza di noduli. Una tiroide di volume aumentato con più noduli ci indirizza verso la diagnosi di gozzo multinodulare.
- Esami di laboratorio: importante è la valutazione degli ormoni tiroidei in base ai quali è possibile distinguere il gozzo non tossico (FT3, FT4, TSH nella norma), il gozzo in ipertiroidismo subclinico (FT3 e FT4 nel range di normalità ma TSH leggermente soppresso in paziente asintomatico) e il gozzo tossico (alti valori di FT3 e FT4 e TSH soppresso in paziente spesso sintomatico): per maggiori informazioni su FT3, FT4 e TSH.
- Ecografia: questa metodica consente una descrizione anatomica più dettagliata dello struma tiroideo. Il sempre crescente utilizzo dell’ecografia nello studio della patologia tiroidea ha determinato un aumento del riscontro di patologia nodulare della tiroide.
- Scintigrafia: consente una valutazione morfo-funzionale della tiroide. Si utilizzano dei radioisotopi che vengono captati dalla tiroide.
- Agoaspirato (FNAB): è una semplice procedura effettuata con ago sottile per prelevare del tessuto da sottoporre ad esame citologico. L’esperienza dell’operatore consente di ottenere un prelievo adeguato in una alta percentuale di casi.
Quali sono i sintomi del gozzo?
I principali sintomi del gozzo possono essere brevemente elencati:
- difficoltà respiratoria
- gonfiore di dimensioni variabili, da un piccolo nodulo a un grumo enorme nella parte anteriore del collo appena sotto il pomo d’Adamo
- sensazione di tensione alla gola
- raucedine
- problemi nella deglutizione
- vertigini quando si alzano le braccia sopra la testa
- disturbi del ciclo mestruale
- battito del cuore accelerato
- sudorazione eccessiva
- tremore
- diarrea e nausea
- aumento di peso
Le informazioni qui fornite hanno lo scopo di informare, ma non possono in alcuna maniera sostituire la valutazione medica. Rivolgetevi sempre al vostro endocrinologo di fiducia.
L’ipertiroidismo si cura con farmaci che bloccano la produzione ormonale e, nei casi in cui ГЁ richiesto il trattamento definitivo, mediante terapia radiometabolica con radioiodio o intervento chirurgico di tiroidectomia. Il gozzo nodulare ГЁ quasi sempre benigno e necessita solo di regolari controlli nel tempo. Nella patologia nodulare si puГІ ricorrere alla chirurgia che oggi si ГЁ molto evoluta sia nelle indicazioni (non operare se non si ГЁ sicuri del beneficio) sia nella tecnica (introduzione della chirurgia mini-invasiva e robotica). I noduli maligni della tiroide possono essere curati con successo nella maggior parte dei casi mediante tiroidectomia associata in casi selezionati alla terapia radiometabolica con radioiodio. Al fine di poter visuarizzare correttamente i centri partecipanti all’iniziativa, inviatiamo l’utente (nel momento in cui visualizza la mappa dell’ Italia-dopo aver cliccato su “iniziative nella tua cittГ “) di ingrandire l’immagine del punto di interesse per poter vedere singolarmente le farfalle rosa che sono i centri aderenti.
Ho gozzo miltinodulare che tengo sotto controllo con ecocolodoppler tiroideo annuale e visita endocrinologica .
Assumo Eutirox 25 .
Tutti i valori dei tsh sono sempre stati nella norma .
Non capisco se la mia patologia rientra nell ipertiroidismo o ipotiroidismo .
Non capisco inoltre se devo assumere poco o più sale e di che tipo .
Assumo anche integratore fortilasa a base di bromelina dato dall’ endocrinologa.
Ultimamente ho edema palpebrale fastidioso e leggermente rosso a tratti durante la giornata che mi porta la sensazione di avere un corpo estraneo nell’ occhio .
Non ho altro sintomi
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Buongiorno,
ho 45 anni ed ho un gozzo di 4 cm ( colloidocistico e ipocaptante) con valori del sangue nella norma, è possibile farlo regredire ? con quali terapie
non assumo terapie sostitutive. Molte grazie dell aiuto
: Buongiorno..mia figlia (14anni)da qualche giorno evidenzia un gonfiore alla tiroide..martedì ritiriamo esito esami del sangue.oggi ha fatto ecografiacon esito :tiroide in sede di dimensioni nettamente aumentate con spessori di entrambi i lobi di oltre 20 mm.il parenchima è francamente disomogeneo caratterizzato dalla presenza di aree ipo e iperecogenei in presenza di plurime nodularita’ infiammatoria.i margini sono bozzuti e irregolari. La vascolarizzazione al color doppler nettamente incrementata rispetto alla norma.non si apprezzano linfoadenopatie significative della regione laterò-cervicali.dottore sono molto preoccupata.
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Come già accennato in precedenza, la carenza di iodio è la causa più comune della formazione del gozzo. È importante prestare attenzione alla propria dieta e assumere cibi ricchi di iodio per prevenire la formazione di questa patologia della tiroide.
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富遊娛樂城以玩家需求為核心對於品牌保證安全、公正、真實、順暢，成為玩家在線上賭場最佳合作夥伴，擁有各大網紅、網友評價保證出金。
富遊是台灣註冊人數第一名的線上賭場，富遊是台灣最受歡迎的線上賭場，已吸引超過30萬玩家註冊。首次存款1000元贈1000元獎金，且只需1倍的流水。新手玩家還可獲得免費體驗金，體驗館內的所有遊戲。富遊也時常舉辦不同優惠活動，沒有困難的下注流水要求，相當適合新手與資深玩家遊玩。
富遊娛樂城平台詳情資訊
賭場名稱 : RG富遊
創立時間 : 2019年
博弈執照 : 馬爾他牌照(MGA)認證、英屬維爾京群島(BVI)認證、菲律賓(PAGCOR)監督競猜牌照
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富遊娛樂城非常注重玩家的安全性。他們使用與銀行相同的《TLS加密技術》來保護玩家的財物，並且持有合法的國際認證執照。官方也承諾確保會員的個人資料安全。各大部落客也實測網站存取款狀況，富遊娛樂城是一個相當安全的線上賭場平台。
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富遊娛樂城評價 : 全台唯一5分鐘內快速出金，網紅一致好評看這篇!
富遊娛樂城以玩家需求為核心對於品牌保證安全、公正、真實、順暢，成為玩家在線上賭場最佳合作夥伴，擁有各大網紅、網友評價保證出金。
富遊是台灣註冊人數第一名的線上賭場，富遊是台灣最受歡迎的線上賭場，已吸引超過30萬玩家註冊。首次存款1000元贈1000元獎金，且只需1倍的流水。新手玩家還可獲得免費體驗金，體驗館內的所有遊戲。富遊也時常舉辦不同優惠活動，沒有困難的下注流水要求，相當適合新手與資深玩家遊玩。
富遊娛樂城平台詳情資訊
賭場名稱 : RG富遊
創立時間 : 2019年
博弈執照 : 馬爾他牌照(MGA)認證、英屬維爾京群島(BVI)認證、菲律賓(PAGCOR)監督競猜牌照
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合作廠商 : 22家遊戲平台商
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富遊娛樂城優缺點評價
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台灣註冊人數NO.1線上賭場
首儲1000贈1000只需一倍流水
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網紅部落客推薦保證出金線上娛樂城
需透過客服申請體驗金
富遊娛樂城評價有哪些網紅推薦
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富遊娛樂城是否安全?
富遊娛樂城非常注重玩家的安全性。他們使用與銀行相同的《TLS加密技術》來保護玩家的財物，並且持有合法的國際認證執照。官方也承諾確保會員的個人資料安全。各大部落客也實測網站存取款狀況，富遊娛樂城是一個相當安全的線上賭場平台。
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金流三方提供取道皆為有公信力三方平台
合理優惠流水洗碼量
畢竟博弈市場不斷開新的線上娛樂城，每一家特色都不同，還不知道如何選擇娛樂城的玩家，透過我們專業分析介紹，建議可以加入富遊娛樂城體驗看看，保證出金、畫面操作簡單、遊戲豐富多元。
選擇一間正確的娛樂城會讓你當作在投資一般，選擇錯誤的娛樂城只會讓你當作在賭博。如果投注個娛樂城遊戲，請前往富遊娛樂城下注
富遊娛樂城評價 : 全台唯一5分鐘內快速出金，網紅一致好評看這篇!
富遊娛樂城以玩家需求為核心對於品牌保證安全、公正、真實、順暢，成為玩家在線上賭場最佳合作夥伴，擁有各大網紅、網友評價保證出金。
富遊是台灣註冊人數第一名的線上賭場，富遊是台灣最受歡迎的線上賭場，已吸引超過30萬玩家註冊。首次存款1000元贈1000元獎金，且只需1倍的流水。新手玩家還可獲得免費體驗金，體驗館內的所有遊戲。富遊也時常舉辦不同優惠活動，沒有困難的下注流水要求，相當適合新手與資深玩家遊玩。
富遊娛樂城平台詳情資訊
賭場名稱 : RG富遊
創立時間 : 2019年
博弈執照 : 馬爾他牌照(MGA)認證、英屬維爾京群島(BVI)認證、菲律賓(PAGCOR)監督競猜牌照
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合作廠商 : 22家遊戲平台商
支付平台 : 各大銀行、四大便利超商
存取速度 : 存款15秒 / 提款3-5分
單筆提款金額 : 最低1000-100萬
合作廠商 : 22家遊戲平台商
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富遊娛樂城優缺點評價
優點 缺點
台灣註冊人數NO.1線上賭場
首儲1000贈1000只需一倍流水
擁有體驗金免費體驗賭場
網紅部落客推薦保證出金線上娛樂城
需透過客服申請體驗金
富遊娛樂城評價有哪些網紅推薦
富遊娛樂城擁有多數網紅推薦，知名度是目前數一數二的娛樂城平台，玩家也可無需擔心娛樂城出金問題，有眾多玩家的評價保證，又有娛樂城體驗金可以免費試玩。詳細可觀看富遊娛樂城評價推薦人，數十位網紅評價推薦
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存款方式 取款方式
提供四大超商(全家、7-11、萊爾富、ok超商)
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銀行轉帳(各大銀行皆可)
網站內申請提款及可匯款至綁定帳戶
現金1:1出金
富遊娛樂城是否安全?
富遊娛樂城非常注重玩家的安全性。他們使用與銀行相同的《TLS加密技術》來保護玩家的財物，並且持有合法的國際認證執照。官方也承諾確保會員的個人資料安全。各大部落客也實測網站存取款狀況，富遊娛樂城是一個相當安全的線上賭場平台。
如何判斷娛樂城評價是否詐騙?
網站架構及經營方式
金流三方提供取道皆為有公信力三方平台
合理優惠流水洗碼量
畢竟博弈市場不斷開新的線上娛樂城，每一家特色都不同，還不知道如何選擇娛樂城的玩家，透過我們專業分析介紹，建議可以加入富遊娛樂城體驗看看，保證出金、畫面操作簡單、遊戲豐富多元。
選擇一間正確的娛樂城會讓你當作在投資一般，選擇錯誤的娛樂城只會讓你當作在賭博。如果投注個娛樂城遊戲，請前往富遊娛樂城下注
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