Análise do controle clínico-laboratorial dos pacientes em tratamento de hipertireoidismo no ambulatório de tireoide do Centro de Especialidades Médicas do Centro Universitário do Estado do Pará (CEMEC), no período de janeiro de 2015 a junho de 2020

Abstract

The hyperthyroidism can occur due the enhancement and/or liberation of the thyroid hormony, causing a condition of Thyrotoxicosis. The most common forms of hyperthyroidism , in order of prevalence, are the Graves’ Disease, Toxic multinodular goiter (TMNG) and Toxic adenoma. The choice of treatment will be influenced by several factors, as etiology, patient age, among others. The therapeutic options that are currently available are the antithyroid drugs (ATDs), the surgery (thyroidectomy) and radioactive iodine, without a consensus about which one is the ideal treatment. In Brasil, the first choice are the ATDs. Objective: Analyze the clinical-laboratory control of patients undergoing treatment for hyperthyroidism in the Thyroid Ambulatory of the Medical Specialties Center of the University Center of the State of Pará (CEMEC), from January 2015 to June 2020. Methodology: The present study was developed as a descriptive and retrospective study, based in a database provided by the patient promptuaries from the Thyroid Ambulatory of CEMEC, from January 2015 to June 2020, in order to assess the clinical and laboratorial discovery, according to the selected treatment. Results: The greatest part of the patients were women (90,9%), and about the diagnosis, 31,3% of patients were between 41 and 50 years old, the main symptoms reported were palpitation (54,5%), weight loss (52.5%) and twitching (51,5%). At total 61,6% of the patients arrived at the ambulatory being treated to hyperthyroidism, 65,7% of those only made use only of Tapazole and 21,3% made use of Tapazole and Propranolol. During consultations, 84,8% of the patients presented etiologic diagnosis for Graves disease. The principal inicial therapeutic behaviour was Tapazole (80.8%). Stemmed from the consults 53,5% underwent iodine therapy. In the last appointment, most of the diagnostics were euthyroidism after drug treatment (29,3%), hypothyroidism after use of iodine (28,3%) and hyperthyroidism during the use of medication (25,2%). Conclusion: Due the discoveries in this research, it was determined that the preferential conduct was the ATDs, which was the most effective treatment into turning the patient euthyroid, since most of the patients that were with laboratorial exams on euthyroidism had realized ATDs during their treatment.