{"id":130,"date":"2018-02-05T09:08:09","date_gmt":"2018-02-05T09:08:09","guid":{"rendered":"https:\/\/glukoza.pl\/blog\/?p=130"},"modified":"2018-02-05T09:08:09","modified_gmt":"2018-02-05T09:08:09","slug":"kontrola-tarczycy-stanowisko-ptd","status":"publish","type":"post","link":"https:\/\/www.glukoza.pl\/index.php\/cukrzyca\/kontrola-tarczycy-stanowisko-ptd\/","title":{"rendered":"Kontrola tarczycy &#8211; stanowisko PTD w cukrzycy typ 1"},"content":{"rendered":"<p style=\"text-align: left;\">&nbsp;<span style=\"color: #000000;\"><span style=\"font-family: Arial, sans-serif;\"><span style=\"font-size: large;\">Kontrola tarczycy to jedno z kilku podstawowych, cyklicznie powtarzanych bada\u0144 u os\u00f3b z cukrzyc\u0105 typu 1. Warto zaznajomi\u0107 si\u0119 ze wskazaniami Polskiego Towarzystwa Diabetologicznego w tym temacie.<\/span><\/span><\/span><\/p>\n<div class=\"fb-share-button\" data-href=\"https:\/\/glukoza.pl\" data-layout=\"button_count\" data-size=\"small\" data-mobile-iframe=\"true\"><a class=\"fb-xfbml-parse-ignore\" href=\"https:\/\/www.facebook.com\/sharer\/sharer.php?u=https%3A%2F%2Fglukoza.pl%2F&amp;src=sdkpreparse\" target=\"_blank\" rel=\"noopener noreferrer\">Udost\u0119pnij<\/a><\/div>\n<p><span style=\"color: #000000;\"><span style=\"font-family: Arial, sans-serif;\"><span style=\"font-size: large;\">1. W trakcie ka\u017cdej wizyty pacjenta u diabetologa konieczne jest <a href=\"index.php?option=com_content&amp;view=article&amp;id=158;badania-w-diagnozowaniu-tarczycy&amp;catid=8;artykuly\">przeprowadzenie badania klinicznego<\/a> w kierunku chor\u00f3b tarczycy \u2014 w przypadku podejrzenia wyst\u0119powania dysfunkcji tarczycy nale\u017cy oznaczy\u0107 st\u0119\u017cenie <a href=\"index.php?option=com_content&amp;view=article&amp;id=158;badania-w-diagnozowaniu-tarczycy&amp;catid=8;artykuly\">TSH<\/a>.<\/span><\/span><\/span><\/p>\n<p style=\"text-align: left;\"><span style=\"color: #000000;\"><span style=\"font-family: Arial, sans-serif;\"><span style=\"font-size: large;\">2. Zaleca si\u0119 oznaczenie st\u0119\u017cenia hormonu tyreotropowego (TSH, <i>thyroid-stimulating hormone<\/i>) i miana przeciwcia\u0142 przeciwko tyreoperoksydazie (<a href=\"index.php?option=com_content&amp;view=article&amp;id=158;badania-w-diagnozowaniu-tarczycy&amp;catid=8;artykuly\">TPOAb<\/a>, <i>autoantibodies to thyroid peroxidase<\/i>) u ka\u017cdego pacjenta z nowo rozpoznan\u0105 <a href=\"index.php?option=com_content&amp;view=article&amp;id=16;cukrzyca-typ-1&amp;catid=8;artykuly\">cukrzyc\u0105 typu 1<\/a> i u pacjent\u00f3w z trwaj\u0105c\u0105 ju\u017c chorob\u0105, u kt\u00f3rych do tej pory nie wykonywano bada\u0144 w kierunku oceny czynno\u015bci hormonalnej&nbsp;<\/span><\/span><\/span><span style=\"color: #000000;\"><span style=\"font-family: Arial, sans-serif;\"><span style=\"font-size: large;\">tarczycy.<\/span><\/span><\/span><\/p>\n<p style=\"text-align: left;\"><span style=\"color: #000000;\"><span style=\"font-family: Arial, sans-serif;\"><span style=\"font-size: large;\">3. U pacjent\u00f3w z mianem TPOAb powy\u017cej warto\u015bci referencyjnych i st\u0119\u017ceniem TSH \u2265 2 mIU\/l zaleca si\u0119 oznaczenie st\u0119\u017cenia wolnej tyroksyny (fT4, <i>free thyroxine<\/i>) oraz nale\u017cy powtarza\u0107 oznaczanie st\u0119\u017cenia TSH raz&nbsp;<\/span><\/span><\/span><span style=\"color: #000000;\"><span style=\"font-family: Arial, sans-serif;\"><span style=\"font-size: large;\">w roku.<\/span><\/span><\/span><\/p>\n<p style=\"text-align: left;\"><span style=\"color: #000000;\"><span style=\"font-family: Arial, sans-serif;\"><span style=\"font-size: large;\">4. U pacjent\u00f3w z mianem TPOAb w zakresie warto\u015bci<\/span><\/span><\/span><\/p>\n<p style=\"text-align: left;\"><span style=\"color: #000000;\"><span style=\"font-family: Arial, sans-serif;\"><span style=\"font-size: large;\">referencyjnych i st\u0119\u017ceniem \u2265 2 nale\u017cy powtarza\u0107 oznaczenie st\u0119\u017cenia TSH co 2 lata.<\/span><\/span><\/span><\/p>\n<div align=\"center\">\n<script src=\"\/\/pagead2.googlesyndication.com\/pagead\/js\/adsbygoogle.js\" async=\"\" type=\"text\/javascript\"><\/script><br \/>\n<!-- 300x600 duzy wiezowiec --> <ins class=\"adsbygoogle\" style=\"display: inline-block; width: 300px; height: 600px;\" data-ad-client=\"ca-pub-3782873830604292\" data-ad-slot=\"2785241447\"><\/ins><br \/>\n<script type=\"text\/javascript\">(adsbygoogle = window.adsbygoogle || []).push({});<\/script>\n<\/div>\n<p style=\"text-align: left;\"><span style=\"color: #000000;\"><span style=\"font-family: Arial, sans-serif;\"><span style=\"font-size: large;\">5. U pacjent\u00f3w z mianem TPOAb w zakresie warto\u015bci referencyjnych i st\u0119\u017ceniem TSH &lt; 2,0 mIU\/l oznaczenie st\u0119\u017cenia TSH nale\u017cy powtarza\u0107 co 5 lat.<\/span><\/span><\/span><\/p>\n<p style=\"text-align: left;\"><span style=\"color: #000000;\"><span style=\"font-family: Arial, sans-serif;\"><span style=\"font-size: large;\">6. U pacjent\u00f3w z dodatnim wywiadem rodzinnym w kierunku niedoczynno\u015bci tarczycy w przebiegu przewlek\u0142ego autoimmunologicznego zapalenia tarczycy raz w roku nale\u017cy oznaczy\u0107 st\u0119\u017cenie TSH.<\/span><\/span><\/span><\/p>\n<p style=\"text-align: left;\"><span style=\"color: #000000;\"><span style=\"font-family: Arial, sans-serif;\"><span style=\"font-size: large;\">7. U chorych na cukrzyc\u0119 z niewyr\u00f3wnan\u0105 <a href=\"index.php?option=com_content&amp;view=article&amp;id=110;dyslipidemia&amp;catid=8;artykuly\">gospodark\u0105 lipidow\u0105<\/a> nale\u017cy oznaczy\u0107 st\u0119\u017cenie TSH.<\/span><\/span><\/span><\/p>\n<p style=\"text-align: left;\"><span style=\"color: #000000;\"><span style=\"font-family: Arial, sans-serif;\"><span style=\"font-size: large;\">8. U ka\u017cdej pacjentki planuj\u0105cej ci\u0105\u017c\u0119 (szczeg\u00f3lnie w przypadku niekorzystnego wywiadu po\u0142o\u017cniczego) zaleca si\u0119 oznaczenie st\u0119\u017cenia TSH i miana TPOAb.<\/span><\/span><\/span><\/p>\n<p style=\"text-align: left;\"><span style=\"color: #000000;\"><span style=\"font-family: Arial, sans-serif;\"><span style=\"font-size: large;\">9. U ka\u017cdej pacjentki w 4.\u20138. tygodniu ci\u0105\u017cy (pierwsza wizyta po\u0142o\u017cnicza) zaleca si\u0119 oznaczenie st\u0119\u017cenia TSH&nbsp;<\/span><\/span><\/span><span style=\"color: #000000;\"><span style=\"font-family: Arial, sans-serif;\"><span style=\"font-size: large;\">oraz miana TPOAb.<\/span><\/span><\/span><\/p>\n<p style=\"text-align: left;\"><span style=\"color: #000000;\"><span style=\"font-family: Arial, sans-serif;\"><span style=\"font-size: large;\">10. U ka\u017cdej pacjentki w ci\u0105\u017cy z wywiadem choroby Gravesa- Basedowa zaleca si\u0119 oznaczenie st\u0119\u017cenia TSH oraz miana przeciwcia\u0142 przeciwko receptorowi dla TSH (TRAb, <i>thyrotropin receptor antibody<\/i>) w 4.\u20138. tygodniu<\/span><\/span><\/span><span style=\"color: #000000;\"><span style=\"font-family: Arial, sans-serif;\"><span style=\"font-size: large;\">ci\u0105\u017cy (pierwsza wizyta po\u0142o\u017cnicza). Zaleca si\u0119 ponadto powt\u00f3rny pomiar miana TRAb pod koniec II trymestru ci\u0105\u017cy (przed 22. tygodniem ci\u0105\u017cy).<\/span><\/span><\/span><\/p>\n<p><span style=\"font-family: Arial, sans-serif;\"><span style=\"font-size: large;\">Wed\u0142ug: J. Sowi\u0144ski, L. Czupryniak, A. Milewicz, A. Hubalewska-Dydejczyk, M. Szelachowska, M. Rucha\u0142a, A. Lewi\u0144ski, M. G\u00f3rska, K. Siewko, E. Wender-O\u017cegowska, D. Zozuli\u0144ska-Zi\u00f3\u0142kiewicz, R. Junik, N. Sawicka, P. Gutaj;<\/span><\/span><\/p>\n<p><span style=\"font-family: Arial, sans-serif;\"><span style=\"font-size: large;\">Zalecenia Polskiego Towarzystwa Endokrynologicznego oraz Polskiego Towarzystwa Diabetologicznego dotycz\u0105ce diagnostyki i leczenia zaburze\u0144 funkcji tarczycy w cukrzycy<i> typ 1 i 2<\/i><\/span><\/span><\/p>\n<p><span style=\"color: #000000; font-size: 10pt;\"><span style=\"font-family: Arial, sans-serif;\">Zalecenia kliniczne dotycz\u0105ce post\u0119powania u chorych na cukrzyc\u0119, 2017<\/span><\/span><\/p>\n<p style=\"font-size: 14px;\"><span style=\"color: #000000; font-size: 10pt;\"><span style=\"font-family: Arial, sans-serif;\">za pozwoleniem <a href=\"https:\/\/journals.viamedica.pl\/diabetologia_praktyczna\" target=\"_blank\" rel=\"noopener\">https:\/\/journals.viamedica.pl\/diabetologia_praktyczna<\/a><\/span><\/span><\/p>\n<p><script src=\"\/\/pagead2.googlesyndication.com\/pagead\/js\/adsbygoogle.js\" async=\"\" type=\"text\/javascript\"><\/script><\/p>\n<p><ins class=\"adsbygoogle\" style=\"display: block;\" data-ad-format=\"autorelaxed\" data-ad-client=\"ca-pub-3782873830604292\" data-ad-slot=\"3369123393\"> data-matched-content-rows-num=&#8221;3&#8243; &nbsp;&nbsp;&nbsp;&nbsp;&nbsp;data-matched-content-columns-num=&#8221;3&#8243; <\/ins><\/p>\n<p><script type=\"text\/javascript\">(adsbygoogle = window.adsbygoogle || []).push({});<\/script><\/p>\n","protected":false},"excerpt":{"rendered":"<p>&nbsp;Kontrola tarczycy to jedno z kilku podstawowych, cyklicznie powtarzanych bada\u0144 u os\u00f3b z cukrzyc\u0105 typu 1. Warto zaznajomi\u0107 si\u0119 ze wskazaniami Polskiego Towarzystwa Diabetologicznego w tym temacie. Udost\u0119pnij 1. W&#8230;<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_kad_blocks_custom_css":"","_kad_blocks_head_custom_js":"","_kad_blocks_body_custom_js":"","_kad_blocks_footer_custom_js":"","_kadence_starter_templates_imported_post":false,"_kad_post_transparent":"","_kad_post_title":"","_kad_post_layout":"","_kad_post_sidebar_id":"","_kad_post_content_style":"","_kad_post_vertical_padding":"","_kad_post_feature":"","_kad_post_feature_position":"","_kad_post_header":false,"_kad_post_footer":false,"footnotes":""},"categories":[2],"tags":[603,13,92,1078,252,1580,143,1579,444,1581,11,565,288,571,1569,1566,1570,1571,1567,1568,1565,1572,1574,1578,1577,1575,1573,1576],"class_list":["post-130","post","type-post","status-publish","format-standard","hentry","category-cukrzyca","tag-cukrzyca-ciazowa","tag-cukrzyca-co-jesc","tag-cukrzyca-dieta","tag-cukrzyca-jak-rozpoznac","tag-cukrzyca-leczenie","tag-cukrzyca-normy","tag-cukrzyca-objawy","tag-cukrzyca-przyczyny","tag-cukrzyca-typu-1","tag-cukrzyca-typu-1-badania","tag-cukrzyca-typu-1-objawy","tag-cukrzyca-typu-2","tag-cukrzyca-typu-2-objawy","tag-cukrzyca-u-dzieci","tag-gruczol","tag-hormon-tsh","tag-nadczynnosc-tarczycy","tag-niedoczynnosc-tarczycy","tag-t3","tag-t4","tag-tarczyca","tag-tarczyca-a-cukrzyca","tag-tarczyca-badania","tag-tarczyca-co-to","tag-tarczyca-guzki","tag-tarczyca-hormony","tag-tarczyca-objawy","tag-tarczyca-u-dzieci"],"taxonomy_info":{"category":[{"value":2,"label":"cukrzyca"}],"post_tag":[{"value":603,"label":"cukrzyca 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