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пациентке 81 год, при обследовании ТТГ -18,73 ( 0.17-4, 05), Т4- 13, 17 ( норма) АТ к ТПО 237,02 ( 0-12) . Консультация эндокринолога Вопрос врачу
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Екатерина Хмелевская
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Наличие антител может изменять reference range для TSH

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Дмитрий Холодов
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Дивертикул Меккеля

А жалобы никаких?

Дмитрий Холодов
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дз: Субклинический гипотироидизм. Лечение: Левотироксин 25 МкГ за 30 мин. до еды 1 раз в день 8-10 дней, затем 50 МкГ/д еще 6 недель и повторить ТТГ на фоне непрекращающегося приёма Левотироксина. Если результат больше 5, то 2 дня в неделю (не подряд!!!) назначить 100 МкГ на следующие 6 недель и так повышать недельную дозу не больше, чем на 10% каждые 6 недель довести до нормы

Надежда Фазлеева
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Здорово. Видя только 1 анализ валим человеку 81 года тироксин при нормальном уровне гормона и отсутствии клиники. Жестко. Пусть бабушку потрясет, потом аритмийку по guide line лечить будем, да коллеги ?

Ольга Лобанова Фитасова Гутман
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And I khow about prospective study, and about results, but , IMHO, I mean in fist line, we will recheck gormonal probe. Isn't, it?

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пациентке 81 год, при обследовании ТТГ -18,73 ( 0.17-4, 05), Т4- 13, 17 ( норма) АТ к ТПО 237,02 ( 0-12) .

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