{"id":81962,"date":"2018-03-10T00:05:55","date_gmt":"2018-03-10T00:05:55","guid":{"rendered":"https:\/\/www.deberes.net\/tesis\/sin-categoria\/disfuncion-tiroidea-postparto-epidemiologa%c2%ada-clinica-y-evolucion\/"},"modified":"2018-03-10T00:05:55","modified_gmt":"2018-03-10T00:05:55","slug":"disfuncion-tiroidea-postparto-epidemiologa%c2%ada-clinica-y-evolucion","status":"publish","type":"post","link":"https:\/\/www.deberes.net\/tesis\/ciencias-medicas\/disfuncion-tiroidea-postparto-epidemiologa%c2%ada-clinica-y-evolucion\/","title":{"rendered":"Disfunci\u00f3n tiroidea postparto. epidemiolog\u00eda, clinica y evoluci\u00f3n."},"content":{"rendered":"<h2>Tesis doctoral de <strong> Eduarda Pizarro Lozano <\/strong><\/h2>\n<p>Los objetivos de este estudio fueron: en una poblaci\u00f3n de mujeres no seleccionadas, estudiar la incidencia de cada dtp(tpp,egb..), Describiendo sus caracteristicas cl\u00ednicas e identificando la posible presencia de factores asociados al desarrollo de las diferentes dtp y en el caso de la tpp, a su evoluci\u00f3n a hd.  se evaluaron 649 mujeres, entre la semana 36 de gestaci\u00f3n y el 4\u00c2\u00ba dia postparto. Posteriormente, 605 fueron valoradas al mes postparto, 552 a los tres meses, 574 a los seis meses, 431 a los nueve meses y 444 a los 12 meses postparto.  cuarenta y cinco pacientes fueron diagnosticadas de tpp, todas durante los primeros seis meses postparto (densidad de incidencia:7,8%, intervalo de confianza:5,6-10%). La mitad present\u00f3 bocio. El 50% curs\u00f3 con hipertiroidismo (2\/3 con hipotiroidismos fueron definitivos. No presentaron una mayor frecuencia de sintomas de disfunci\u00f3n tiroidea ni de depresi\u00f3n que las mujeres sanas. el 70% curs\u00f3 con actpo positivos. Las mujeres que desarrollaron tpp tuvieron una concentraci\u00f3n de tsh m\u00e1s elevada durante la gestaci\u00f3n y las que se desarrollaron hd, una concentraci\u00f3n de tsh y unos t\u00edtulos de actpo m\u00e1s elevados durante el episodio de tpp.  ocho pacientes fueron diagnosticadas de egb postparto, entre el 1\u00c2\u00ba y 9\u00c2\u00ba mes postparto (densidad de incidencia:1,5%, intervalo de confianza:0,5-2,5%). el 75% requiri\u00f3 tratamiento antitiroideo. Las mujeres diagnosticadas de egb postparto tuvieron mayor frecuencia de antecedentes familiares de tiroidopat\u00eda, concentraciones m\u00e1s bajas de tsh y m\u00e1s elevadas de t4 total durante la gestaci\u00f3n.  tres pacientes fueron diagnosticadas de n\u00f3dulos tiroideos hiperfuncionantes (nth), entre el tercer y sexto mes posparto (densidad de incidencia:0,5%, intervalo de confianza:0-1,5%). No requirieron tratamiento, al normalizarse la funci\u00f3n tiroidea en todos los casos.  segu\u00fan los resultados de este estudio, no parece necesario realizar un cribado universal para dtp<\/p>\n<p>&nbsp;<\/p>\n<h3>Datos acad\u00e9micos de la tesis doctoral \u00ab<strong>Disfunci\u00f3n tiroidea postparto. epidemiolog\u00eda, clinica y evoluci\u00f3n.<\/strong>\u00ab<\/h3>\n<ul>\n<li><strong>T\u00edtulo de la tesis:<\/strong>\u00a0 Disfunci\u00f3n tiroidea postparto. epidemiolog\u00eda, clinica y evoluci\u00f3n. <\/li>\n<li><strong>Autor:<\/strong>\u00a0 Eduarda Pizarro Lozano <\/li>\n<li><strong>Universidad:<\/strong>\u00a0 Aut\u00f3noma de barcelona<\/li>\n<li><strong>Fecha de lectura de la tesis:<\/strong>\u00a0 21\/12\/1999<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n<h3>Direcci\u00f3n y tribunal<\/h3>\n<ul>\n<li><strong>Director de la tesis<\/strong>\n<ul>\n<li>Marius Foz Sala<\/li>\n<\/ul>\n<\/li>\n<li><strong>Tribunal<\/strong>\n<ul>\n<li>Presidente del tribunal: lLuis Salleras sanmarti <\/li>\n<li>Jos\u00e9 Manuel Gomez saez (vocal)<\/li>\n<li>enric Vilardell latorre (vocal)<\/li>\n<li>rosa Corcoy pla (vocal)<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Tesis doctoral de Eduarda Pizarro Lozano Los objetivos de este estudio fueron: en una poblaci\u00f3n de mujeres no seleccionadas, estudiar [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"site-sidebar-layout":"default","site-content-layout":"","ast-site-content-layout":"","site-content-style":"default","site-sidebar-style":"default","ast-global-header-display":"","ast-banner-title-visibility":"","ast-main-header-display":"","ast-hfb-above-header-display":"","ast-hfb-below-header-display":"","ast-hfb-mobile-header-display":"","site-post-title":"","ast-breadcrumbs-content":"","ast-featured-img":"","footer-sml-layout":"","theme-transparent-header-meta":"","adv-header-id-meta":"","stick-header-meta":"","header-above-stick-meta":"","header-main-stick-meta":"","header-below-stick-meta":"","astra-migrate-meta-layouts":"default","ast-page-background-enabled":"default","ast-page-background-meta":{"desktop":{"background-color":"var(--ast-global-color-4)","background-image":"","background-repeat":"repeat","background-position":"center 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