Субклинический гипотиреоз у беременных и детей: диагностика и лечение с учетом современных рекомендаций

Авторы

  • M. E. Mamenko Национальная медицинская академия последипломного образования имени П.Л. Шупика, г. Киев, Украина, Ukraine http://orcid.org/0000-0001-7487-2993

DOI:

https://doi.org/10.15574/SP.2019.99.35

Ключевые слова:

субклинический гипотиреоз, беременность, дети раннего возраста, лечение, современные рекомендации

Аннотация

Субклинический гипотиреоз — наиболее распространенный вариант тиреоидной дисфункции. У большинства взрослых он протекает бессимптомно и нормализируется без лечения. Поэтому гайдлайны авторитетных эндокринных обществ рекомендуют тактику наблюдения и выборочного лечения пациентов с дополнительными факторами риска. Но для беременной любая, даже минимальная, тиреоидная дисфункция создает риск неблагоприятного течения беременности и родов, а для ребенка — задержку нервно-психического развития. Поэтому Европейская тиреоидная ассоциация рекомендует более жесткие референсные интервалы для ТТГ и активное лечение субклинического гипотиреоза во время беременности и до трех лет жизни ребенка, а в первом триместре беременности — даже изолированной гипотироксинемии.

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