Interní Med. 2008; 10(10): 478

Jak hodnotit hladinu celkového tyroxinu v těhotenství?

doc. MUDr. Jan Čáp CSc
I. interní klinika Fakultní nemocnice v Hradci Králové

Celkový tyroxin je pro posouzení funkce štítné žlázy v těhotenství nevhodný, protože hodnoty jsou ovlivněny zvýšením vazebné kapacity séra. Rozhodující pro posouzení funkce je hladina tyreostimulačního hormonu (TSH) a tyroxinu volného (free tyroxin fT4). Díky vysoké hladině choriového gonadotropinu jsou normy TSH a fT4 v těhotenství odlišné a závislé na trimestru. I subklinická porucha funkce štítné žlázy má nepříznivý dopad na průběh těhotenství i na plod a je nutno ji léčit.

Keywords: Klíčová slova: těhotenství, celkový tyroxin, volný tyroxin, funkce štítné žlázy, tyreostimulační hormon.

Published: January 1, 2009  Show citation

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Čáp J. Jak hodnotit hladinu celkového tyroxinu v těhotenství? Interní Med. 2008;10(10):478.
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