#1
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T3 è T4 â ñóòî÷íîé ìî÷å. Ãäå ñäàòü àíàëèç?
Äîáðûé äåíü, ãäå â ýòîé ñòðàíå ìîæíî ñäàòü àíàëèç ñóòî÷íîé ìî÷è íà ãîðìîíû ùåòîâèäíîé æåëåçû?  Åâðîïó íå õî÷åòñÿ åõàòü.
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#2
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À êòî âàì òàêîå íàçíà÷èë?
Áåññìûñëèöà êàêàÿ-òî.......... |
#3
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Ñïðîñèòå îá ýòîì òîãî ñïåöèàëèñòà, êîòîðûé íàçíà÷èë.
Ëþáîïûòíî ïîñìîòðåòü è ïðåäâàðèòåëüíûé äèàãíîç. |
#4
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Äàæå âíå íàøåé ñòðàíû ñìûñëà â ïîäîáíîì èññëåäîâàíèè íåò.
Wiersinga WM1, Fliers E. - Determining the thyroid hormones T3 and T4 in the urine: an unreliable test for hypothyroidism - [Ññûëêè äîñòóïíû òîëüêî çàðåãèñòðèðîâàííûì ïîëüçîâàòåëÿì ] Öèòàòà:
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#5
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Öèòàòà:
[Ññûëêè äîñòóïíû òîëüêî çàðåãèñòðèðîâàííûì ïîëüçîâàòåëÿì ] [Ññûëêè äîñòóïíû òîëüêî çàðåãèñòðèðîâàííûì ïîëüçîâàòåëÿì ] [Ññûëêè äîñòóïíû òîëüêî çàðåãèñòðèðîâàííûì ïîëüçîâàòåëÿì ] Ïî÷èòàòü ïî÷åìó îíè ýòî äåëàþò ìîæíî â ýòîì îáçîðå: [Ññûëêè äîñòóïíû òîëüêî çàðåãèñòðèðîâàííûì ïîëüçîâàòåëÿì ] Öèòàòà:
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#6
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Öèòàòà:
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#7
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Âàì îòâåòèëè âðà÷è Ðîññèè( â òîì ÷èñëå ÷ëåíû Åâðîïåéñêîé Àññîöèàöèè òèðîèäîëîãîâ) è îäèí èç êðóïíåéøèõ ñïåöèàëèñòîâ ÑØÀ ïî îïóõîëÿì ãèïîôèçà ...
Òàê ÷òî íå òîëüêî â ýòîé, íî è â òîé è â òåõ ñòðàíàõ íå èñïîëüçóþò äàííûå îá ýêñêðåöèè ò4 è ò3 ñ ìî÷îé. Íî åñëè ñèå î÷åíü íàäî , êîììåð÷åñêèå ëàáîðàòîðèè çà óìåðåííîå âîçíàãðàæäåíèå ñäåëàþò ýòî èññëåäîâàíèå â ëþáûõ áèîæèäêîñòÿõ è ó íàñ, è ó íèõ, è ó òåõ, è ó ýòèõ ( òå-òå -òå è òå-òå òå ( ñ ) . Áîãàòåíüêèõ Áóðàòèíîê íà áàáêè ðàçâîäèòü íå ãðåõ. Óìíåíüêèé æå Áóðàòèíêà çàäóìàåòñÿ- êàê ñîçäàâàëèñü ðåôåðåíñû è íà õðåíà åìó ýòî íàäî. Âû õîòü ïîäïèñè ïîä äàííûìè îòâå÷àþùèõ ÷èòàéòå. Íà ñàìîì äåëå äàííûå îá ýêñêðåöèè êàê ðàç ñâÿçàííûõ ôîðì Ò4 ìîãóò ïðèãîäèòüñÿ ïðè îöåíêå ðåäêîé ñèòóàöèè - ìàññèâíîé ïîòåðå ñâÿçàííîãî Ò4 ïðè îñòðîì íåôðîòè÷åñêîì ñèíäðîìå êàê ïðè÷èíå ãèïîòèðîçà ( âèäåëà â þíîñòè, à ïîòîì ìíå ìíîãî ëåò íèêòî íå âåðèë, è ñåé÷àñ â Endocrine Review ïðî÷ëà ) Âû äóìàåòå, ÷òî ñåðüåçíûå âðà÷è ÷èòàþò ðåêëàìó êîììåð÷åñêèõ óñëóã? Âû ìîæåòå õîòü çàâòðà çàïëàòèòü â ëþáîé ëàáîðàòîðèè, ãäå èñïîëüçóþò ÈÔÀ èëè LÑ- ÌS / ÌS è Âàì èññëåäóþò â âîçëþáëåííîé áèîæèäêîñòè Ò4 èÒ3 - à äàëüøå òî ÷òî? Ðåôåðåíñû îò êîòà Áàçèëèî ? Êîãäà â 1979 ãîäó Ðîçàëèí ßëîó ïîëó÷àëà Íîáåëåâñêóþ ïðåìèþ çà èçîáðåòåíèå ìåòîäèêè ( òàêîãî íå áûëî íèêîãäà - çà ìåòîäèêè Íîáåëåâêó íå äàþò ) ÐÈÀ, òî Íîáåëåâñêèé êîìèòåò ( óìåþò æå ëþäè ôîðìóëèðâîàòü ! ) èçðåê - "Ïðåìèÿ âðó÷àåòñÿ çà èçîáðåòåíèå ìåòîäà , ïîçâîëÿþùåãî îïðåäåëèòü ËÞÁÎÅ âåùåñòâî â ËÞÁÎÉ áèîëîãè÷åñêîé æèäêîñòè , áóäå îíî çàñëóæèâàåò áûòü îïðåäåëåííûì". È èäåÿ îöåíèâàòü Ò4\Ò3 â ìî÷å òîãäà æå è áûëà çàêðûòà : J Clin Endocrinol Metab. 1976 Mar;42(3):494-503. Triiodothyronine and thyroxine in urine. I. Measurement and application. Shakespear RA, Burke CW. Abstract Urinary triiodothyronine (T3) and thyroxine (T4) were measured by RIA, and T4 was also measured by competitive protein binding (CPB). pH 1-hydrolysable conjugates were 48% of total urinary T3, and enzyme- or pH 1-hydrolysable conjugates were 55% and 61% of total urinary T4. The mean unconjugated T3 excretion was 34.3 ng/h (0.99 mug T3/g creatinine) in normal subjects (no day-night rhythm found), 1.56 mug/g in late pregnancy, 0.82 mug/g in neonates (1-12 days), and was also unchanged in persons with high or low thyroxine-binding globulin (TBG). In thyrotoxicosis, mean T3 excretion was 281 ng/h, no values being in the normal range. In primary hypothyroidism it was 18.3 ng/h, but over half the values were in the normal range. The mean urinary unconjugated T4 was 82.2 ng/h (1.37 mug T4/g creatinine) in normal subjects, 1.6 mug/g in neonates, and unchanged in persons with high or low TBG, except that in pregnancy high values were compatible with increases protein excretion. Apparently increased day-time T4 excretion compared with night-time excretion may also be due to changes in protein excretion rate. The mean T4 in thyrotoxicosis was 337 ng/h (12% of values in the normal range) and 32.8 ng/h in primary hypothyroidism (over half the normal range). All the assays, especially that of T4 by CPB gave readings which were incorrect with protein concentrations above 100 mg/l. Urinary T3 and T4 assays for clinical purposes have few practical advantages over serum assays, despite the relationship of urine T3 and T4 to serum unbound levels. À òî , íà ÷òî âû âåäåòåñü - íå îáçîð ëèò-ðû , à êîììåð÷åñêàÿ ðåêëàìà. Êñòàòè , Âèëüìàð Âåðñèíãà , ïðèâåäøèé î÷åðåäíîé ñëó÷àé èäèîòèçìà , êàêîâîé Âàñ çàñòàâèë ñìîðùèòü íîñ è ïîêðûòü ïîçîðîì ÝÒÓ ñòðàíó - Ýêñ Ïðåçèäåíò ÅÒÀ
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Ã.À. Ìåëüíè÷åíêî |
#8
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 ïîñëåäíåå âðåìÿ ðàçâåëîñü êðàéíå ìíîãî áåçãðàìîòíûõ ìîøåííèêîâ ðåêîìåíäóþøèõ íàòóðàëüíûå âåøåñòâà è ñòðàííûå àíàëèçû äëÿ äèàãíîçà è ëå÷åíèÿ ÷åãî óãîäíî. Øèòîâèäêà îäèí èç ëþáèìåéøèõ ïðèìåðîâ. Íàäî æå êàê-òî ïðîäàâàòü ñåëåíèóì, íàòóðàëüíûé éîä ( à êàêîé íåíàòóðàëüíûé?), èçîáðåòàòü àíàëèçû, êîòîðûå íè îäíà èç ïðîôåññèîíàëüíûõ ëàáîðàòîðèé íå äåëàåò ( êîíêóðåíöèè íåò), è ñîñàòü íàëè÷íûå, áëàãî ôèãíÿ åòà ñòðàõîâêîé íå ïîêðûâàåòñÿ.
Ó íàñ òóò íåäàëåêî åñòü ïàðíèøêà- õèðîïðàêòîð (!!!), êîòîðûé ïî ðàäèî äà¸ò ðåêëàìû î ãèïîòèðåîçå, ïîðàæàþøåì ÷óòü ëè íå ïîëîâèíó íàñåëåíèÿ, è íå äèàãíîñöèóåìîì òðàäèöèîííûìè ìåòîäàìè ( ïðîêëÿòûå åíäîêðèíîëîãè!). À îí èñïîëüçóåò ìåòîäû, îïðåäåëÿþøèå íå÷óâñòâèòåëüíîñòü òåëà ê òèðîêñèíó, âêëþ÷àÿ ðåâåðñ Ò3 :-), è óñòðàíÿåò "ïðè÷èíó", ÷òî ïðèâîäèò ñ ïîëíîìó âûçäîðîâëåíèþ, ñåìåéíîìó ñ÷àñòüþ è äîëãîæèòåëüñòâó äî ïðèõîäà êîììóíèçìà. È çà óìåðåííóþ öåíó âñåãî â íåñêîëüêî òûñÿ÷ äîëëàðîâ. Íî çäîðîâüå âàæíåå. Ò4 è Ò3 â ìî÷å èç òîé æå îïåðû. Õîòèòå äåëàòü - äåëàéòå, ïèñàéòå â áàíêó íà çäîðîâüå. Ïëàòèòü íàäî íàëè÷íûìè èëè êðåäèòíóþ êàðòî÷êó áåðóò? À ìî÷ó íà àíàëèç êàëà îíè äåëàþò? |