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Meta
Răspunsuri la întrebări (1736)
September 15, 2017
Bubuioc Ina:
Buna ziua, am 42 ani, diagnoza-gusa difuza toxica gr.I subcompensata. oftolmapatia gr I. Tratament- tirozol din 01.01.2017, la moment sunt pe 7.5 mg-5 zile +5 mg-2 zile saptaminal. Analizele din 03.06.17: TRab <o.3
FT4 17.3
TSH 0.028
FT3 5.78(2,76-6,45)
Analizele din 06.09.17:
TF4 21
TSH 0.006
FT3 5,2
Mi s-a recomandat marirea tirozolului pina la 10 mg si PREDNIZOLON 20 mg pu o luna.
Asi dori sa fiu sigura ca este nevoie sa administrez si prednizolonul, deoarece are reactii adverse severe. va multumesc din suflet pentru ajutor!
Raspuns:
– depinde de evolutia oftalmopatiei; tratamentul cu prednisolon se recomanda de regula in formele moderat-severe si evolutive; daca oftalmopatia s-a agravat si un oftalmolog cu experienta in aceasta complicatie a recomandat tratamentul cu prednisolon, atunci este justificat;
– pentru a trata mai bine hipertiroidia (excesul de hormoni tiroidieni) cred ca este suficienta cresterea dozei de Thyrozol, probabil chiar mai mult de 10 mg/zi; pe baza datelor din postarea dvs, nu pare necesara introducerea prednisolonului pentru tratamentul hipertiroidiei;
Toate cele bune,
Dr. Cristian-Claudiu Ţupea – Click aici pentru consultaţii
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