Title Osnove bolesti i liječenja štitne žlijezde
Title (english) Fundamentals of Thyroid Disease and Treatment
Author Majda Mujkanović
Mentor Neven Skitarelić (mentor)
Committee member Ivo Klarin (predsjednik povjerenstva)
Committee member Neven Skitarelić (član povjerenstva)
Committee member Ivan Bačić (član povjerenstva)
Granter University of Zadar (Department of Health Studies) Zadar
Defense date and country 2020-11-19, Croatia
Scientific / art field, discipline and subdiscipline BIOMEDICINE AND HEALTHCARE Clinical Medical Sciences Nursing
Abstract Štitna žlijezda je organ s unutarnjim izlučivanjem. Kao i ostali endokrini organi, štitnjača je izuzetno dobro prokrvljena. Nalazi se na prednjoj strani vrata, a sastoji se od dva režnja povezana tankim dijelom, istmusom. Njeni folikuli proizvode dva glavna hormona, tiroksin (T4) i trijodtironin (T3). Nakon vezanja za receptore u jezgri, ti hormoni djeluju na stanice gotovo svih tkiva, mijenjajući ekspresiju niza staničnih produkata. Neophodni su za normalan razvoj mozga i tjelesnih tkiva fetusa i novorođenčeta, a u svakoj životnoj dobi nadziru metabolizam bjelančevina, ugljikohidrata i masti. Kako bi se održala normalna metabolička aktivnost u tijelu, potrebna je točno određena količina hormona štitnjače što omogućuju posebni mehanizmi koji djeluju preko hipotalamusa i adenohipofize. Ukoliko štitnjača luči previše ili premalo hormona, dolazi do nastanka bolesti, pa razlikujemo hipertireozu i hipotireozu. Bolesti štitnjače su među najčešćim endokrinološkim poremećajima. Dijagnosticiraju se različitim metodama: anamnezom i fizikalnim pregledom, laboratorijskom obradom, slikovnim i radiološkim pretragama. Serumski tireotropin (TSH) je najspecifičniji i najosjetljiviji indikator bioloških učinaka hormona štitnjače. Kod hipotireoze i hipertireoze liječenje se provodi lijekovima. Kod medikamentozno neregulirane hipertireoze, izrazitog povećanja štitnjače, dijagnostički nejasnih čvorova u štitnjači, te kod karcinoma štitnjače, liječenje je prvenstveno kirurško. Značajno je istaknuti da je karcinom štitnjače najčešći zloćudni tumor endokrinog sustava. Oko 80% svih primarnih karcinoma štitnjače čini papilarni karcinom. Danas su operacije štitnjače sigurna metoda liječenja s relativno rijetkim komplikacijama. Uz kirurško liječenje, koristi se i terapija radioaktivnim jodom.
Abstract (english) The thyroid gland is an organ with internal secretion. Like other endocrine organs, the thyroid is extremely well blood-circulated. It is located at the front of the neck, consisting of two lobes connected by a thin section, an Isthmus. Its follicles produce two major hormones, thyroxine (T4) and triiodothyronine (T3). After binding to nucleus receptors, these hormones act on cells of almost all tissues, altering the expression of a number of gene products. They are necessary for the normal development of the brain and somatic tissues of the fetus and newborn, and they monitor the metabolism of proteins, carbohydrates and fats at every age. In order to maintain normal metabolic activity in the body, a specific amount of thyroid hormone must be secreted which is enabled by special mechanisms that act through the hypothalamus and adenohipophysis. If the thyroid gland secretes too much or not enugh hormones the disease occurs, such as hyperthyroidism and hypothyroidism. Thyroid diseases are among the most common of all endocrine disorders. They are diagnosed by various methods: physical examination, laboratory processing, imaging and radiological examination. Serum thyrotropin (TSH) is the most specific and the most sensitive indicator of biological effects of thyroid hormones. In hypothyroidism and hyperthyroidism, treatment is carried out with drugs. In drug-unregulated hyperthyroidism, meaningly enlargement of the thyroid gland, diagnostically unclear thyroid nodules, and in thyroid cancer, treatment is primarily surgical. It is important to note that thyroid cancer is the most common malignant tumor of the endocrine system. Today, thyroid surgeries are a safe method of treatment with relatively rare complications. In addition to surgical treatment, radioactive iodine therapy is also used.
Keywords
štitna žlijezda
građa
funkcija
poremećaji
liječenje
Keywords (english)
thyroid gland
anatomy
function
disorders
treatment
Language croatian
URN:NBN urn:nbn:hr:162:209716
Study programme Title: Nursing Study programme type: university Study level: graduate Academic / professional title: Magistar/magistra sestrinstva (Magistar/magistra sestrinstva)
Type of resource Text
File origin Born digital
Access conditions Access restricted to students and staff of home institution
Terms of use
Created on 2020-12-21 09:08:55