TECHNIQUE FOR DIAGNOSTIC OF THYROID HOMEOSTASIS DISORDERS IN PREGNANT WOMEN

摘要

A technique for diagnostic of thyroid homeostasis disorders in pregnant women is solved ultrasonic and hormonal examination of thyroid gland, and the following indices are successively examined: a) determination of thyrotropic hormone concentration in blood of pregnant woman; b) determination of free thyroxine at TTG high concentrations more than 4.0 mU/l; c) determination of antibodies to thyreoperoxidase; and if values of free thyroxine are within normal range the subclinical hypothyroidism is diagnosed; at low values of free thyroxine the clinical hypothyroidism is diagnosed; d) at low values of TTG lower than 0.4 mU/l the determination of free thyroxine is necessary at high values the clinical hyperthyroidism is diagnosed; at normal values the subclinical hyperthyroidism with further determination of antibodies to TTG receptors is diagnosed; e) at determination of thyroid gland ganglion more than 1.5 cm and suspicion to malignant tumors the patients are directed to oncologist, if formation is benign then dynamic observation during pregnancy is carried out, comprising ultrasound of the neck one time in trimester and monthly control of TTG level.