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Meta
Răspunsuri la întrebări (1742)
September 25, 2017
Doina:
Buna ziua, domnule doctor.
Sunt insarcinata in 6 saptamani si 4 zile, am tiroidita cronica cu hipo descoperita in 2006. Azi am facut prima data tsh-ul in sarcina si a iesit 4,18 (valoare de referinta intre 0,33-4,59), iar ft4 este 17,7 (val referinta 12,05-19,6). Din 26 august de cand am aflat ca sunt insarcinata am ramas pana in prezent pe 125 eutirox, pana la acea data luam 5 zile 100, iar 2 zile 125. La sfarsitul lunii aprilie tsh-ul era de 1,48.
Medicul endocrinolog este disponibil pentru consultatii foarte tarziu si nu pot sta pana atunci asa, e bine daca cresc si raman pe 150 eutirox si sa repet dupa 14 zile tsh-ul sa vad daca a scazut sub 2.5?
As vrea sa mai stiu daca aceasta valoare de 4,18 poate pune probleme pentru dezvoltarea embrionului (stiu ca ghidurile recomanda ca tsh-ul sa fie mentinut sub 2.5, dar la mine s-a marit si nu stiu cat de riscant poate fi).
Va multumesc.
Raspuns:
– puteti creste doza de Euthyrox la 150 micrograme/zi – 5 zile pe saptamana si 125 micrograme/zi – 2 zile pe saptamana pana ajungeti la control la medicul dvs, presupunand ca asta nu se intampla mai tarziu de 4 saptamani;
– chiar daca TSH-ul este putin crescut fata de nivelul optim, aceasta diferenta este prea mica pentru a avea consecinte (semnificative); totul va fi in regula daca tratamentul este corect recomandat si urmat pe mai departe;
Toate cele bune,
Dr. Cristian-Claudiu Ţupea – Click aici pentru consultaţii
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