{"id":8580,"date":"2023-03-22T08:00:00","date_gmt":"2023-03-22T07:00:00","guid":{"rendered":"https:\/\/www.dexeus.com\/fertility\/problemes-de-tiroide-afecten-la-fertilitat\/"},"modified":"2024-07-17T13:14:19","modified_gmt":"2024-07-17T11:14:19","slug":"problemes-de-tiroide-afecten-la-fertilitat","status":"publish","type":"post","link":"https:\/\/www.dexeus.com\/fertility\/ca\/blog-fiv\/problemes-de-tiroide-afecten-la-fertilitat\/","title":{"rendered":"Problemes de tiroide: afecten la fertilitat?"},"content":{"rendered":"

Els problemes de tiroide s\u00f3n molt freq\u00fcents. Afecten m\u00e9s les dones que els homes, especialment a partir dels 40 o 50 anys. No obstant aix\u00f2, malgrat ser bastant comuns, s\u00f3n poc coneguts per la majoria de la poblaci\u00f3, i moltes de les persones afectades ni tan sols s\u00f3n conscients que els tenen. La ra\u00f3 \u00e9s que alguns dels s\u00edmptomes que poden provocar s\u00f3n bastant inespec\u00edfics: cansament, pell seca, falta d’apetit, apatia, nerviosisme, caiguda del cabell, irregularitats menstruals, sensibilitat al fred, canvis de pes, restrenyiment\u2026 Per aix\u00f2 \u00e9s important estar atenta, ja que si aquests desajustos no es detecten i es tracten poden causar altres problemes m\u00e9s greus, com, per exemple, trastorns cardiovasculars o infertilitat.<\/p>\n

I quina relaci\u00f3 t\u00e9 la tiroide amb el sistema reproductor femen\u00ed?<\/strong>, et preguntar\u00e0s. La resposta \u00e9s senzilla: la tiroide \u00e9s una gl\u00e0ndula situada en la part davantera del coll. La seva funci\u00f3 \u00e9s produir dues hormones: la triyodotironina (T3) i la tiroxina (T4). Aquestes hormones s\u00f3n essencials per al bon funcionament de diferents \u00f2rgans i sistemes del nostre cos, ja que regulen el ritme amb el qual es duen a terme diversos processos i reaccions corporals. Per\u00f2, a m\u00e9s, interactuen amb les hormones sexuals femenines, per la qual cosa un desajust en la tiroide afecta a l’equilibri hormonal i pot interferir en l’ovulaci\u00f3 i provocar irregularitats en el cicle menstrual, per la qual cosa pot resultar m\u00e9s dif\u00edcil quedar-se embarassada.<\/p>\n

Tamb\u00e9 poden afectar la qualitat dels \u00f2vuls i augmentar el risc d’avortament espontani o que apareguin complicacions en l’embar\u00e0s, com preecl\u00e0mpsia, part prematur, hemorr\u00e0gia postpart, baix pes en n\u00e9ixer, mort intrauterina, destret respiratori neonatal, i alteracions en el desenvolupament neurol\u00f2gic dels fills (baix coeficient intel\u00b7lectual). Per aix\u00f2, si tens algun dels s\u00edmptomes que hem comentat abans o est\u00e0s pensant a quedar-te embarassada \u00e9s molt important que et facis una an\u00e0lisi de sang per observar els nivells d’aquestes hormones, i en el cas que existeixi algun problema, tractar-lo.<\/p>\n

Cuida la teva dieta.<\/strong> L’aportaci\u00f3 de iode en la dieta \u00e9s essencial pel bon funcionament de la gl\u00e0ndula tiroide, ja que a partir del iodur la tiroide elabora les hormones tiroidals (T3 yT4). La principal font de iode s’obt\u00e9 a partir de la sal iodada, i altres fonts provenen de la llet i el peix. Per a una ingesta adequada de iode s’haurien de consumir 3 racions de llet o productes derivats i 2 g de sal iodada al dia. A m\u00e9s, la ingesta ha de fer-se de manera continuada, no n’hi ha prou amb iniciar el consum de sal iodada a l’embar\u00e0s, sin\u00f3 que han d’assegurar-se uns nivells previs, cosa que significa un consum durant almenys 2 anys abans de la cerca de l’embar\u00e0s.<\/p>\n

Quins tractaments hi ha? <\/strong>Els desajustos de tiroide m\u00e9s freq\u00fcents s\u00f3n l’hipotiro\u00efdisme<\/strong> i l’hipertiro\u00efdisme<\/strong>. En el primer cas, la gl\u00e0ndula tiroide no produeix suficient hormona tiroidal (hipoactivitat). En el segon, produeix m\u00e9s de l’habitual (gl\u00e0ndula hiperactiva).El tractament de l’hipotiro\u00efdisme consisteix a administrar tiroxina sint\u00e8tica (T4) a trav\u00e9s de la presa d’una dosi di\u00e0ria. D’aquesta manera s’aconsegueixen regular els nivells hormonals i el metabolisme torna a la normalitat. En el cas de l’hipertiro\u00efdisme, el tractament dep\u00e8n del tipus d’hipertiro\u00efdisme i altres variables, com l’edat i les condicions f\u00edsiques i de salut de la pacient. Es pot realitzar un tractament farmacol\u00f2gic, que consisteix en l’administraci\u00f3 de medicaments antitiroidals per reduir la quantitat de T3 i T4 i alleujar els s\u00edmptomes. En alguns casos, pot ser necessari aplicar iode radioactiu o rec\u00f3rrer a la cirurgia.<\/p>\n

Qu\u00e8 has de saber si vols quedar-te embarassada:<\/strong> en dones amb un hipotiro\u00efdisme tractat i desig d’embar\u00e0s, ha de realitzar-se un control d’anal\u00edtica preconcepcional, posposar la gestaci\u00f3 fins a aconseguir el control ideal de les hormones i una vegada aconseguit l’embar\u00e0s, es recomana control anal\u00edtic i si fos necessari ajust de la dosi, explica la Dra. Laura Perdomo<\/a>, ginec\u00f2loga de Dexeus Dona, especialitzada en Alt Risc Obst\u00e8tric.<\/p>\n

Igualment, l’hipertiro\u00efdisme no tractat o tractat de manera incorrecta s’associa a nombroses complicacions tant en dones embarassades, com fora de l’embar\u00e0s. \u00c9s completament necessari identificar i tractar de manera correcta l’hipertiro\u00efdisme en l’edat f\u00e8rtil. En les dones amb hipertiro\u00efdisme conegut \u00e9s necess\u00e0ria una planificaci\u00f3 de l’embar\u00e0s<\/a>, consensuada amb endocrin\u00f2leg i ginec\u00f2leg, seleccionant el moment de major estabilitat de la malaltia.<\/p>\n

Amb el tractament, existeixen les mateixes possibilitats de quedar-se embarassada i aconseguir ser mare que qualsevol altra dona?<\/strong> En principi s\u00ed, per\u00f2 cal fer un seguiment, ja que durant l’embar\u00e0s augmenta de manera natural la concentraci\u00f3 de les hormones tiroidals en sang, que s\u00f3n crucials per al desenvolupament del cervell i del sistema nervi\u00f3s del beb\u00e8. De fet, en dones sanes tamb\u00e9 poden produir-se desajustos de tiroide durant la gestaci\u00f3, encara que solen ser temporals.<\/p>\n

Si iniciar\u00e0s un tractament de reproducci\u00f3 assistida<\/strong>, tamb\u00e9 \u00e9s molt important fer un seguiment i comprovar si els nivells d’hormones tiroidals s\u00f3n els correctes, perqu\u00e8 amb els tractaments d’estimulaci\u00f3 ov\u00e0rica es produeix un augment en la producci\u00f3 d’estradiol (produ\u00eft pels fol\u00b7licles ov\u00e0rics en creixement) i de tiroxina (T4: hormona tiroidal), la qual cosa podria provocar un hipotiro\u00efdisme m\u00e9s marcat si existeix un hipotiro\u00efdisme subcl\u00ednic (es denomina aix\u00ed a un estadi previ).<\/p>\n

En cas de trobar alteraci\u00f3 de les hormones tiroidals (TSH, T3 i\/o T4) ser\u00e0 recomanable fer altres proves per valorar si existeix algun trastorn autoimmunitari, que causi el problema. Aquest tipus de trastorns s\u00f3n m\u00e9s freq\u00fcents en dones que tenen problemes de fertilitat i en aquests casos la taxa d’embar\u00e0s pot ser menor i el risc d’avortament major. A m\u00e9s, les hormones tiroidals intervenen a nivell uter\u00ed en la implantaci\u00f3 embrion\u00e0ria i el desenvolupament preco\u00e7 de la futura placenta, per la qual cosa \u00e9s fonamental comprovar si tot va b\u00e9, amb la finalitat d’augmentar les possibilitats d’aconseguir un embar\u00e0s, reduir possibles riscos i aconseguir que aquest arribi a terme amb \u00e8xit.<\/p>\n","protected":false},"excerpt":{"rendered":"

Els problemes de tiroide s\u00f3n molt freq\u00fcents. Afecten m\u00e9s les dones que els homes, especialment a partir dels 40 o 50 anys. No obstant aix\u00f2, malgrat ser bastant comuns, s\u00f3n poc coneguts per la majoria de la poblaci\u00f3, i moltes de les persones afectades ni tan sols s\u00f3n conscients que els tenen. La ra\u00f3 \u00e9s […]<\/p>\n","protected":false},"author":1,"featured_media":5529,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[1,64],"tags":[],"class_list":["post-8580","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-sin-categorizar","category-uncategorized-ca"],"yoast_head":"\nProblemes de tiroide: afecten la fertilitat? | Dexeus Fertility<\/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.dexeus.com\/fertility\/ca\/blog-fiv\/problemes-de-tiroide-afecten-la-fertilitat\/\" \/>\n<meta property=\"og:locale\" content=\"ca_ES\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Problemes de tiroide: afecten la fertilitat? | Dexeus Fertility\" \/>\n<meta property=\"og:description\" content=\"Els problemes de tiroide s\u00f3n molt freq\u00fcents. 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