{"id":4779,"date":"2022-03-24T20:54:20","date_gmt":"2022-03-24T20:54:20","guid":{"rendered":"http:\/\/endocrinolo.gy\/?p=4779"},"modified":"2023-06-09T15:51:21","modified_gmt":"2023-06-09T15:51:21","slug":"%e1%83%a1%e1%83%98%e1%83%9b%e1%83%a1%e1%83%a3%e1%83%a5%e1%83%9c%e1%83%98%e1%83%a1-%e1%83%92%e1%83%90%e1%83%95%e1%83%9a%e1%83%94%e1%83%9c%e1%83%90-%e1%83%a4%e1%83%90%e1%83%a0%e1%83%98%e1%83%a1%e1%83%94","status":"publish","type":"post","link":"https:\/\/endocrinolo.gy\/en\/2022\/03\/24\/%e1%83%a1%e1%83%98%e1%83%9b%e1%83%a1%e1%83%a3%e1%83%a5%e1%83%9c%e1%83%98%e1%83%a1-%e1%83%92%e1%83%90%e1%83%95%e1%83%9a%e1%83%94%e1%83%9c%e1%83%90-%e1%83%a4%e1%83%90%e1%83%a0%e1%83%98%e1%83%a1%e1%83%94\/","title":{"rendered":"The impact of obesity on thyroid gland"},"content":{"rendered":"<p>Connection between thyroid gland and obesity became more clear during last years. <\/p>\n\n\n\n<p>More specifically, when isolated elevation of TSH (&lt;10) presents in obese individuals, this change may be the consequence of obesity and not vice versa. <\/p>\n\n\n\n<p>\u10e4\u10d0\u10e5\u10e2\u10d8\u10d0, \u10e0\u10dd\u10db <a href=\"http:\/\/endocrinolo.gy\/en\/2018\/04\/23\/%e1%83%b0%e1%83%98%e1%83%9e%e1%83%9d%e1%83%97%e1%83%98%e1%83%a0%e1%83%94%e1%83%9d%e1%83%96%e1%83%98\/\">\u10f0\u10d8\u10de\u10dd\u10d7\u10d8\u10e0\u10d4\u10dd\u10d6\u10d8\u10e1<\/a> \u10db\u10d9\u10e3\u10e0\u10dc\u10d0\u10da\u10dd\u10d1\u10d0 \u10db\u10ee\u10dd\u10da\u10dd\u10d3 \u10db\u10ea\u10d8\u10e0\u10d4\u10d3\u10d8\u10d7 \u10d0\u10db\u10ea\u10d8\u10e0\u10d4\u10d1\u10e1 \u10ec\u10dd\u10dc\u10d0\u10e1 -\u10d9\u10da\u10d4\u10d1\u10d0 \u10e3\u10db\u10d4\u10e2\u10d4\u10e1\u10d0\u10d3 \u10e1\u10ee\u10d4\u10e3\u10da\u10d8\u10e1 \u10db\u10d0\u10e1\u10d8\u10e1 10%-\u10d6\u10d4 \u10dc\u10d0\u10d9\u10da\u10d4\u10d1\u10d8\u10d0. <\/p>\n\n\n\n<p>\u10d4\u10e1 \u10d8\u10eb\u10da\u10d4\u10d5\u10d0 \u10e1\u10d0\u10e4\u10e3\u10eb\u10d5\u10d4\u10da\u10e1 \u10d5\u10d8\u10e4\u10d8\u10e5\u10e0\u10dd\u10d7, \u10e0\u10dd\u10db \u10e1\u10d8\u10db\u10e1\u10e3\u10e5\u10dc\u10d4 \u10e7\u10dd\u10d5\u10d4\u10da\u10d7\u10d5\u10d8\u10e1 \u10d0\u10e0 \u10d0\u10e0\u10d8\u10e1 \u10db\u10d4\u10dd\u10e0\u10d0\u10d3\u10d8 \u10ec\u10d0\u10e0\u10db\u10dd\u10db\u10d0\u10d5\u10da\u10dd\u10d1\u10d8\u10e1 \u10d3\u10d0 <strong>hormonal changes might be compensatory process in response to obesity<\/strong>. <\/p>\n\n\n\n<p>The attention must be paid to other hormone levels besides TSH for differentiation. If the autoimmune markers are elevated, if the thyroid hormone levels are low and symptoms of hypothyroidism are presented it really points that thyroid dysfunction is the primary disorder. <\/p>\n\n\n\n<p>Most individuals with obesity don't experience any structural or functional changes of thyroid gland. <\/p>\n\n\n\n<p>In other cases these types of changes are observed: weight loss causes decreasing of TSH and FT3 and weight gain conversely elevates the levels of these hormones. <\/p>\n\n\n\n<p>\u10e0\u10dd\u10ea\u10d0 \u10e1\u10d8\u10db\u10e1\u10e3\u10e5\u10dc\u10d4 \u10d0\u10e0\u10d8\u10e1 \u10d2\u10d0\u10db\u10dd\u10db\u10ec\u10d5\u10d4\u10d5\u10d8 \u10db\u10d8\u10d6\u10d4\u10d6\u10d8 \u10d3\u10d0 \u10d0\u10e0\u10d0 \u10e8\u10d4\u10d3\u10d4\u10d2\u10d8, \u10d0\u10db \u10d3\u10e0\u10dd\u10e1 \u10d7\u10d0\u10d5\u10d8\u10e1\u10e3\u10e4\u10d0\u10da\u10d8 \u10d7\u10d8\u10e0\u10dd\u10e5\u10e1\u10d8\u10dc\u10d8\u10e1 (FT4) \u10db\u10d0\u10e9\u10d5\u10d4\u10dc\u10d4\u10d1\u10d4\u10da\u10d8 \u10dc\u10dd\u10e0\u10db\u10d0\u10da\u10e3\u10e0\u10d8 \u10d0\u10dc \u10d6\u10d4\u10d3\u10d0 \u10dc\u10dd\u10e0\u10db\u10d0\u10e1\u10d7\u10d0\u10dc \u10d0\u10ee\u10da\u10dd\u10e1\u10d0\u10d0. <\/p>\n\n\n\n<p>\u10d4\u10e1 \u10d2\u10d0\u10dc\u10d0\u10e1\u10ee\u10d5\u10d0\u10d5\u10d4\u10d1\u10e1 \u10db\u10d0\u10e1 \u10ed\u10d4\u10e8\u10db\u10d0\u10e0\u10d8\u10e2\u10d8 \u10e1\u10e3\u10d1\u10d9\u10da\u10d8\u10dc\u10d8\u10d9\u10e3\u10e0\u10d8 \u10f0\u10d8\u10de\u10dd\u10d7\u10d8\u10e0\u10d4\u10dd\u10d6\u10d8\u10e1\u10d2\u10d0\u10dc (\u10f0\u10d8\u10de\u10dd\u10d7\u10d8\u10e0\u10d4\u10dd\u10d6\u10d8\u10e1 \u10e2\u10d8\u10de\u10d8, \u10e0\u10dd\u10ea\u10d0 \u10db\u10dd\u10db\u10d0\u10e2\u10d4\u10d1\u10e3\u10da\u10d8\u10d0 TSH, \u10db\u10d0\u10d2\u10e0\u10d0\u10db FT4 \u10e4\u10dd\u10e0\u10db\u10d0\u10da\u10e3\u10e0\u10d8 \u10dc\u10dd\u10e0\u10db\u10d8\u10e1 \u10e1\u10d0\u10d6\u10e6\u10d5\u10e0\u10d4\u10d1\u10e8\u10d8 \u10e0\u10e9\u10d4\u10d1\u10d0), \u10e0\u10dd\u10db\u10d4\u10da\u10e1\u10d0\u10ea \u10e3\u10e4\u10e0\u10dd \u10d0\u10ee\u10d0\u10e1\u10d8\u10d0\u10d7\u10d4\u10d1\u10e1 FT4-\u10d8\u10e1 \u10d3\u10d0\u10d1\u10d0\u10da \u10dc\u10dd\u10e0\u10db\u10d0\u10e1\u10d7\u10d0\u10dc \u10d0\u10ee\u10da\u10dd\u10e1 \u10db\u10d0\u10e9\u10d5\u10d4\u10dc\u10d4\u10d1\u10d4\u10da\u10d8.<\/p>\n\n\n\n<p><a href=\"http:\/\/endocrinolo.gy\/en\/2018\/04\/23\/%e1%83%b0%e1%83%98%e1%83%9e%e1%83%9d%e1%83%97%e1%83%98%e1%83%a0%e1%83%94%e1%83%9d%e1%83%96%e1%83%98\/\">\u10f0\u10d8\u10de\u10dd\u10d7\u10d8\u10e0\u10d4\u10dd\u10d6\u10d8\u10e1<\/a> \u10d2\u10d0\u10dc\u10d5\u10d8\u10d7\u10d0\u10e0\u10d4\u10d1\u10d8\u10e1 \u10db\u10dd\u10db\u10d0\u10e2\u10d4\u10d1\u10e3\u10da\u10d8 \u10e0\u10d8\u10e1\u10d9\u10d8\u10e1 \u10d2\u10d0\u10e0\u10d3\u10d0, \u10e1\u10d8\u10db\u10e1\u10e3\u10e5\u10dc\u10d4\u10e1 \u10e8\u10d4\u10e3\u10eb\u10da\u10d8\u10d0 \u10e1\u10ee\u10d5\u10d0 \u10e2\u10d8\u10de\u10d8\u10e1 \u10d6\u10d8\u10d0\u10dc\u10d8\u10ea \u10db\u10d8\u10d0\u10e7\u10d4\u10dc\u10dd\u10e1 \u10e4\u10d0\u10e0\u10d8\u10e1\u10d4\u10d1\u10e0 \u10ef\u10d8\u10e0\u10d9\u10d5\u10d0\u10da\u10e1.<\/p>\n\n\n\n<p>\u10d9\u10d5\u10da\u10d4\u10d5\u10d4\u10d1\u10d8\u10e1 \u10d7\u10d0\u10dc\u10d0\u10ee\u10db\u10d0\u10d3, \u10e1\u10d8\u10db\u10e1\u10e3\u10e5\u10dc\u10d4 \u10d0\u10e1\u10d4\u10d5\u10d4 \u10d6\u10e0\u10d3\u10d8\u10e1 \u10d0\u10e3\u10e2\u10dd\u10d8\u10db\u10e3\u10dc\u10e3\u10e0\u10d8 \u10d7\u10d8\u10e0\u10d4\u10dd\u10d8\u10d3\u10d8\u10e2\u10d8\u10e1 \u10d2\u10d0\u10dc\u10d5\u10d8\u10d7\u10d0\u10e0\u10d4\u10d1\u10d8\u10e1 \u10e0\u10d8\u10e1\u10d9\u10d4\u10d1\u10e1. <\/p>\n\n\n\n<p>\u10d4\u10e1 \u10d4\u10e4\u10d4\u10e5\u10e2\u10d8 \u10d2\u10d0\u10dc\u10e1\u10d0\u10d9\u10e3\u10d7\u10e0\u10d4\u10d1\u10d8\u10d7 \u10d2\u10d0\u10db\u10dd\u10ee\u10d0\u10e2\u10e3\u10da\u10d8\u10d0 \u10d1\u10d0\u10d5\u10e8\u10d5\u10d4\u10d1\u10e8\u10d8 \u10d3\u10d0 \u10d2\u10d0\u10db\u10dd\u10d5\u10da\u10d8\u10dc\u10d3\u10d4\u10d1\u10d0 \u10e4\u10d0\u10e0\u10d8\u10e1\u10d4\u10d1\u10e0\u10d8 \u10ef\u10d8\u10e0\u10d9\u10d5\u10da\u10d8\u10e1 \u10e1\u10d0\u10ec\u10d8\u10dc\u10d0\u10d0\u10e6\u10db\u10d3\u10d4\u10d2\u10dd \u10d0\u10dc\u10e2\u10d8\u10e1\u10ee\u10d4\u10e3\u10da\u10d4\u10d1\u10d8\u10e1 (Anti-TPO, Anti-TG) \u10db\u10dd\u10db\u10d0\u10e2\u10d4\u10d1\u10d8\u10d7.<\/p>\n\n\n\n<p>\u10ea\u10d5\u10da\u10d8\u10da\u10d4\u10d1\u10d4\u10d1\u10d8 \u10e8\u10d4\u10d8\u10eb\u10da\u10d4\u10d1\u10d0 \u10d3\u10d0\u10e4\u10d8\u10e5\u10e1\u10d8\u10e0\u10d3\u10d4\u10e1 \u10e3\u10da\u10e2\u10e0\u10d0\u10e1\u10dd\u10dc\u10dd\u10d2\u10e0\u10d0\u10e4\u10e3\u10da (\u10d4\u10e5\u10dd\u10e1\u10d9\u10dd\u10de\u10d8\u10e3\u10e0) \u10e1\u10e3\u10e0\u10d0\u10d7\u10d6\u10d4\u10ea, \u10e0\u10d0\u10ea \u10d2\u10d0\u10db\u10dd\u10d8\u10ee\u10d0\u10e2\u10d4\u10d1\u10d0 \u10d3\u10d8\u10e4\u10e3\u10d6\u10e3\u10e0\u10d0\u10d3 \u10d3\u10d0\u10e5\u10d5\u10d4\u10d8\u10d7\u10d4\u10d1\u10e3\u10da\u10d8 \u10d4\u10e5\u10dd\u10d2\u10d4\u10dc\u10dd\u10d1\u10d8\u10d7 \u10d3\u10d0 \u10ef\u10d8\u10e0\u10d9\u10d5\u10da\u10d8\u10e1 \u10e1\u10d0\u10d4\u10e0\u10d7\u10dd \u10db\u10dd\u10ea\u10e3\u10da\u10dd\u10d1\u10d8\u10e1 \u10d2\u10d0\u10d6\u10e0\u10d3\u10d8\u10d7. <\/p>\n\n\n\n<p>\u10ee\u10e8\u10d8\u10e0\u10d0\u10d3 \u10d4\u10e1 \u10d2\u10d0\u10db\u10dd\u10d5\u10da\u10d8\u10dc\u10d4\u10d1\u10d4\u10d1\u10d8 \u10d4\u10db\u10d7\u10ee\u10d5\u10d4\u10d5\u10d0 \u10d8\u10db \u10dc\u10d8\u10e8\u10dc\u10d4\u10d1\u10e1, \u10e0\u10d0\u10ea \u10d3\u10d0\u10db\u10d0\u10ee\u10d0\u10e1\u10d8\u10d0\u10d7\u10d4\u10d1\u10d4\u10da\u10d8\u10d0 \u10f0\u10d0\u10e8\u10d8\u10db\u10dd\u10e2\u10dd\u10e1 \u10d7\u10d8\u10e0\u10d4\u10dd\u10d8\u10d3\u10d8\u10e2\u10d8\u10e1\u10d7\u10d5\u10d8\u10e1. <\/p>\n\n\n\n<p>\u10d0\u10db\u10d8\u10e2\u10dd\u10db, \u10e1\u10d8\u10db\u10e1\u10e3\u10e5\u10dc\u10d8\u10e1 \u10e4\u10dd\u10dc\u10d6\u10d4 \u10d0\u10e3\u10e2\u10dd\u10d8\u10db\u10e3\u10dc\u10e3\u10e0\u10d8 \u10d7\u10d8\u10e0\u10d4\u10dd\u10d8\u10d3\u10d8\u10e2\u10d8\u10e1 \u10d3\u10d8\u10d0\u10d2\u10dc\u10dd\u10d6\u10d8 \u10d0\u10e0 \u10e3\u10dc\u10d3\u10d0 \u10d3\u10d0\u10d8\u10e1\u10d5\u10d0\u10e1 \u10db\u10ee\u10dd\u10da\u10dd\u10d3 \u10e3\u10da\u10e2\u10e0\u10d0\u10e1\u10dd\u10dc\u10dd\u10d2\u10e0\u10d0\u10e4\u10d8\u10d8\u10e1 \u10e1\u10d0\u10e4\u10e3\u10eb\u10d5\u10d4\u10da\u10d6\u10d4, \u10d0\u10dc\u10e2\u10d8\u10e1\u10ee\u10d4\u10e3\u10da\u10d4\u10d1\u10d8\u10e1 \u10d2\u10d0\u10db\u10dd\u10d9\u10d5\u10da\u10d4\u10d5\u10d8\u10e1 \u10d2\u10d0\u10e0\u10d4\u10e8\u10d4, \u10e0\u10d0\u10d7\u10d0 \u10d0\u10e0 \u10db\u10dd\u10ee\u10d3\u10d4\u10e1 \u10d3\u10d8\u10d0\u10d2\u10dc\u10dd\u10e1\u10e2\u10d8\u10d9\u10e3\u10e0\u10d8 \u10e8\u10d4\u10ea\u10d3\u10dd\u10db\u10d0.<\/p>\n\n\n\n<p>TSH-\u10d8\u10e1 \u10db\u10d0\u10e2\u10d4\u10d1\u10d0 \u10d8\u10ec\u10d5\u10d4\u10d5\u10e1 \u10e4\u10d0\u10e0\u10d8\u10e1\u10d4\u10d1\u10e0\u10d8 \u10ef\u10d8\u10e0\u10d9\u10d5\u10da\u10d8\u10e1 \u10e3\u10ef\u10e0\u10d4\u10d3\u10d4\u10d1\u10d8\u10e1 \u10d0\u10e5\u10e2\u10d8\u10d5\u10d0\u10ea\u10d8\u10d0\u10e1 \u10d3\u10d0 \u10db\u10d0\u10d7\u10d8 \u10d6\u10dd\u10db\u10d4\u10d1\u10d8\u10e1 \u10d6\u10e0\u10d3\u10d0\u10e1, \u10e0\u10d8\u10e1 \u10e8\u10d4\u10d3\u10d4\u10d2\u10d0\u10d3\u10d0\u10ea \u10d8\u10d6\u10e0\u10d3\u10d4\u10d1\u10d0 \u10db\u10d7\u10da\u10d8\u10d0\u10dc\u10d0\u10d3 \u10ef\u10d8\u10e0\u10d9\u10d5\u10da\u10d8\u10e1 \u10e1\u10d0\u10d4\u10e0\u10d7\u10dd \u10db\u10dd\u10ea\u10e3\u10da\u10dd\u10d1\u10d0\/\u10d6\u10dd\u10db\u10d0. <\/p>\n\n\n\n<p>\u10d0\u10db\u10d0\u10d5\u10d4 \u10db\u10d8\u10d6\u10d4\u10d6\u10d8\u10d7 \u10db\u10d0\u10e6\u10d0\u10da\u10d8\u10d0 \u10ef\u10d8\u10e0\u10d9\u10d5\u10d0\u10da\u10e8\u10d8 \u10d9\u10d5\u10d0\u10dc\u10eb\u10d4\u10d1\u10d8\u10e1, \u10db\u10d0\u10d7 \u10e8\u10dd\u10e0\u10d8\u10e1 \u10d0\u10d5\u10d7\u10d5\u10d8\u10e1\u10d4\u10d1\u10d8\u10d0\u10dc\u10d8 \u10e1\u10d8\u10db\u10e1\u10d8\u10d5\u10dc\u10d4\u10d4\u10d1\u10d8\u10e1 \u10d2\u10d0\u10dc\u10d5\u10d8\u10d7\u10d0\u10e0\u10d4\u10d1\u10d8\u10e1 \u10e0\u10d8\u10e1\u10d9\u10d4\u10d1\u10d8.  <\/p>\n\n\n\n<h4 class=\"wp-block-heading\"><strong>Treatment<\/strong><\/h4>\n\n\n\n<p>Hyperthyrotropinemia due to obesity is transient and alleviates after weight loss.<\/p>\n\n\n\n<p>\u10ea\u10ee\u10dd\u10d5\u10e0\u10d4\u10d1\u10d8\u10e1 \u10ec\u10d4\u10e1\u10d8\u10e1 \u10db\u10ea\u10d8\u10e0\u10d4\u10d3\u10d8 \u10ea\u10d5\u10da\u10d8\u10da\u10d4\u10d1\u10d0\u10ea \u10d9\u10d8, \u10e0\u10d0\u10ea \u10d2\u10d0\u10db\u10dd\u10d8\u10ee\u10d0\u10e2\u10d4\u10d1\u10d0 <a href=\"http:\/\/endocrinolo.gy\/en\/2022\/04\/02\/%e1%83%a4%e1%83%98%e1%83%96%e1%83%98%e1%83%99%e1%83%a3%e1%83%a0%e1%83%98-%e1%83%90%e1%83%a5%e1%83%a2%e1%83%98%e1%83%95%e1%83%9d%e1%83%91%e1%83%90-%e1%83%9b%e1%83%af%e1%83%93%e1%83%9d%e1%83%9b%e1%83%90\/\">\u10e4\u10d8\u10d6\u10d8\u10d9\u10e3\u10e0\u10d8 \u10d0\u10e5\u10e2\u10d8\u10d5\u10dd\u10d1\u10d8\u10e1 \u10d2\u10d0\u10d6\u10e0\u10d3\u10d8\u10d7<\/a> \u10d3\u10d0 \u10d9\u10e3\u10dc\u10d7\u10dd\u10d5\u10d0\u10dc\u10d8 \u10db\u10d0\u10e1\u10d8\u10e1 \u10d2\u10d0\u10dc\u10d5\u10d8\u10d7\u10d0\u10e0\u10d4\u10d1\u10d8\u10d7, \u10d7\u10e3\u10dc\u10d3\u10d0\u10ea \u10d0\u10e0 \u10db\u10dd\u10ee\u10d3\u10d4\u10e1 \u10e1\u10ee\u10d4\u10e3\u10da\u10d8\u10e1 \u10db\u10d0\u10e1\u10d8\u10e1 \u10d8\u10dc\u10d3\u10d4\u10e5\u10e1\u10d8\u10e1 \u10ea\u10d5\u10da\u10d8\u10da\u10d4\u10d1\u10d0, \u10d8\u10ec\u10d5\u10d4\u10d5\u10e1 TSH \u10d3\u10d0 FT4-\u10d8\u10e1 \u10d3\u10dd\u10dc\u10d8\u10e1 \u10e8\u10d4\u10db\u10ea\u10d8\u10e0\u10d4\u10d1\u10d0\u10e1. <\/p>\n\n\n\n<p>\u10dc\u10dd\u10e0\u10db\u10d0\u10da\u10d8\u10d6\u10d4\u10d1\u10d0\u10e1 \u10d4\u10e5\u10d5\u10d4\u10db\u10d3\u10d4\u10d1\u10d0\u10e0\u10d4\u10d1\u10d0 \u10e3\u10da\u10e2\u10e0\u10d0\u10d1\u10d2\u10d4\u10e0\u10d8\u10d7\u10d8 \u10ea\u10d5\u10da\u10d8\u10da\u10d4\u10d1\u10d4\u10d1\u10d8\u10ea.<\/p>\n\n\n\n<p>According to some recommendations this state doesn't need to be treated with the replacement therapy. But here me must also consider the risks related with high TSH including changes in gland structure which can lead to malignancy, particularly in case if weight loss won't be achieved.<\/p>\n\n\n\n<p>Moreover, if the differential diagnosis mistakes and a \"true\" hypothyroidism coincides with obesity, it can even more increase the risks of cardiovascular disease and other metabolic abnormalities related with obesity. <\/p>\n\n\n\n<p>Hypothyroidism also alters lipid metabolism and it promotes vascular damage in this regard too. <\/p>\n\n\n\n<p>And the last thing is that hypothyroidism can become a reason of failure in events aimed at weight loss. <\/p>\n\n\n\n<p>So while the assessment and treatment of hypothyroidism are both easy and safe, it's better for patients with obesity to assess and treat hypothyroidism routinely.<\/p>\n\n\n\n<p>\u10d0\u10db\u10e0\u10d8\u10d2\u10d0\u10d3, \u10dd\u10e0\u10d8\u10d5\u10d4 \u10e8\u10d4\u10db\u10d7\u10ee\u10d5\u10d4\u10d5\u10d0\u10e8\u10d8 \u10f0\u10dd\u10e0\u10db\u10dd\u10dc\u10e3\u10da\u10d8 \u10d1\u10d0\u10da\u10d0\u10dc\u10e1\u10d8\u10e1 \u10d9\u10dd\u10e0\u10d4\u10e5\u10ea\u10d8\u10d0 \u10e3\u10dc\u10d3\u10d0 \u10db\u10dd\u10ee\u10d3\u10d4\u10e1 \u10e1\u10d0\u10d7\u10d0\u10dc\u10d0\u10d3\u10dd \u10db\u10d9\u10e3\u10e0\u10dc\u10d0\u10da\u10dd\u10d1\u10d8\u10d7. <\/p>\n\n\n\n<p>\u10d7\u10e3\u10db\u10ea\u10d0, \u10de\u10d0\u10ea\u10d8\u10d4\u10dc\u10e2\u10e1 \u10e3\u10dc\u10d3\u10d0 \u10db\u10d8\u10d4\u10ec\u10dd\u10d3\u10dd\u10e1 \u10d8\u10dc\u10e4\u10dd\u10e0\u10db\u10d0\u10ea\u10d8\u10d0, \u10e0\u10dd\u10db \u10f0\u10d8\u10de\u10dd\u10d7\u10d8\u10e0\u10d4\u10dd\u10d6\u10d8\u10e1 \u10de\u10d8\u10e0\u10d5\u10d4\u10da\u10d0\u10d3\u10d8 \u10d3\u10d0\u10e0\u10e6\u10d5\u10d4\u10d5\u10d8\u10e1 \u10e1\u10d0\u10ee\u10d8\u10d7 \u10d0\u10e0\u10e1\u10d4\u10d1\u10dd\u10d1\u10d8\u10e1 \u10e8\u10d4\u10db\u10d7\u10ee\u10d5\u10d4\u10d5\u10d0\u10e8\u10d8\u10ea \u10d9\u10d8 \u10db\u10d8\u10e1\u10d2\u10d0\u10dc \u10d2\u10d0\u10db\u10dd\u10ec\u10d5\u10d4\u10e3\u10da\u10d8 \u10db\u10d0\u10e1\u10d8\u10e1 \u10db\u10d0\u10e2\u10d4\u10d1\u10d0 \u10d0\u10e0\u10d8\u10e1 \u10eb\u10d8\u10e0\u10d8\u10d7\u10d0\u10d3\u10d0\u10d3 \u10db\u10e1\u10e3\u10d1\u10e3\u10e5\u10d8. <\/p>\n\n\n\n<p>\u10d0\u10db\u10d8\u10e2\u10dd\u10db \u10db\u10d0\u10e1 \u10d0\u10e0 \u10e3\u10dc\u10d3\u10d0 \u10f0\u10e5\u10dd\u10dc\u10d3\u10d4\u10e1 \u10d2\u10d0\u10d3\u10d0\u10ed\u10d0\u10e0\u10d1\u10d4\u10d1\u10e3\u10da\u10d8 \u10db\u10dd\u10da\u10dd\u10d3\u10d8\u10dc\u10d8, \u10e0\u10dd\u10db \u10f0\u10d8\u10de\u10dd\u10d7\u10d8\u10e0\u10d4\u10dd\u10d6\u10d8\u10e1 \u10db\u10d9\u10e3\u10e0\u10dc\u10d0\u10da\u10dd\u10d1\u10d0 \u10d8\u10d6\u10dd\u10da\u10d8\u10e0\u10d4\u10d1\u10e3\u10da\u10d0\u10d3 \u10e1\u10ee\u10d5\u10d0 \u10e9\u10d0\u10e0\u10d4\u10d5\u10d4\u10d1\u10d8\u10e1 \u10d2\u10d0\u10e0\u10d4\u10e8\u10d4 \u10db\u10dc\u10d8\u10e8\u10d5\u10dc\u10d4\u10da\u10dd\u10d5\u10d0\u10dc \u10e8\u10d4\u10d3\u10d4\u10d2\u10e1 \u10d2\u10d0\u10db\u10dd\u10d8\u10e6\u10d4\u10d1\u10e1 \u10e1\u10d8\u10db\u10e1\u10e3\u10e5\u10dc\u10d8\u10e1 \u10e1\u10d0\u10ec\u10d8\u10dc\u10d0\u10d0\u10e6\u10db\u10d3\u10d4\u10d2\u10dd\u10d3. <\/p>\n\n\n\n<p>\u10db\u10d8\u10d7 \u10e3\u10db\u10d4\u10e2\u10d4\u10e1 \u10e1\u10d0\u10e1\u10e3\u10e0\u10d5\u10d4\u10da\u10d8 \u10e8\u10d4\u10d3\u10d4\u10d2\u10d8 \u10d5\u10d4\u10e0 \u10d8\u10e5\u10dc\u10d4\u10d1\u10d0 \u10db\u10d8\u10e6\u10ec\u10d4\u10e3\u10da\u10d8, \u10e0\u10dd\u10d3\u10d4\u10e1\u10d0\u10ea \u10e1\u10d8\u10db\u10e1\u10e3\u10e5\u10dc\u10d4\u10d0 \u10de\u10d8\u10e0\u10d5\u10d4\u10da\u10d0\u10d3\u10d8 \u10d2\u10d0\u10db\u10dd\u10db\u10ec\u10d5\u10d4\u10d5\u10d8 \u10d3\u10d0 \u10e4\u10d0\u10e0\u10d8\u10e1\u10d4\u10d1\u10e0\u10d8 \u10ef\u10d8\u10e0\u10d9\u10d5\u10da\u10d8\u10e1 \u10d3\u10d8\u10e1\u10e4\u10e3\u10dc\u10e5\u10ea\u10d8\u10d0 \u10db\u10ee\u10dd\u10da\u10dd\u10d3 \u10db\u10d8\u10e1\u10d8 \u10e8\u10d4\u10d3\u10d4\u10d2\u10d8\u10d0. <\/p>\n\n\n\n<div style=\"height:20px\" aria-hidden=\"true\" class=\"wp-block-spacer\"><\/div>\n\n\n\n<p><em>Author: Elga Giorgadze (MD of Endocrinology)<\/em><\/p>\n\n\n\n<div class=\"wp-block-buttons is-layout-flex wp-block-buttons-is-layout-flex\">\n<div class=\"wp-block-button is-style-outline is-style-outline--1\"><a class=\"wp-block-button__link has-luminous-vivid-amber-color has-text-color wp-element-button\" href=\"http:\/\/online.endocrinolo.gy\" style=\"border-radius:14px\">ONLINE CONSULTATION<\/a><\/div>\n<\/div>","protected":false},"excerpt":{"rendered":"<p>\u10db\u10d8\u10d6\u10d4\u10d6-\u10e8\u10d4\u10d3\u10d4\u10d2\u10dd\u10d1\u10e0\u10d8\u10d5\u10d8 \u10d9\u10d0\u10d5\u10e8\u10d8\u10e0\u10d8 \u10e4\u10d0\u10e0\u10d8\u10e1\u10d4\u10d1\u10e0\u10d8 \u10ef\u10d8\u10e0\u10d9\u10d5\u10da\u10d8\u10e1 \u10e4\u10e3\u10dc\u10e5\u10ea\u10d8\u10d8\u10e1 \u10d3\u10d0\u10e5\u10d5\u10d4\u10d8\u10d7\u10d4\u10d1\u10d0\u10e1\u10d0 \u10d3\u10d0 \u10e1\u10d8\u10db\u10e1\u10e3\u10e5\u10dc\u10d4\u10e1 \u10e8\u10dd\u10e0\u10d8\u10e1 \u10d1\u10dd\u10da\u10dd \u10ec\u10da\u10d4\u10d1\u10d8\u10e1 \u10db\u10dd\u10dc\u10d0\u10ea\u10d4\u10db\u10d4\u10d1\u10d8\u10d7 \u10d2\u10d0\u10e0\u10d9\u10d5\u10d4\u10e3\u10da\u10ec\u10d8\u10da\u10d0\u10d3 \u10d9\u10d8\u10d7\u10ee\u10d5\u10d8\u10e1 \u10dc\u10d8\u10e8\u10dc\u10d8\u10e1 \u10e5\u10d5\u10d4\u10e8 \u10d3\u10d0\u10d3\u10d2\u10d0. \u10d9\u10d4\u10e0\u10eb\u10dd\u10d3, \u10e0\u10dd\u10d3\u10d4\u10e1\u10d0\u10ea \u10e1\u10d8\u10db\u10e1\u10e3\u10e5\u10dc\u10d8\u10e1 \u10e4\u10dd\u10dc\u10d6\u10d4 \u10e4\u10d8\u10e5\u10e1\u10d8\u10e0\u10d3\u10d4\u10d1\u10d0 TSH-\u10d8\u10e1 \u10d8\u10d6\u10dd\u10da\u10d8\u10e0\u10d4\u10d1\u10e3\u10da\u10d8 \u10db\u10dd\u10db\u10d0\u10e2\u10d4\u10d1\u10d0 (&lt;10) \u10d3\u10d0 \u10db\u10d0\u10e1 \u10d7\u10d0\u10dc \u10d0\u10e0 \u10d0\u10ee\u10da\u10d0\u10d5\u10e1 \u10e1\u10ee\u10d5\u10d0 \u10da\u10d0\u10d1\u10dd\u10e0\u10d0\u10e2\u10dd\u10e0\u10d8\u10e3\u10da\u10d8 \u10db\u10d0\u10e9\u10d5\u10d4\u10dc\u10d4\u10d1\u10da\u10d4\u10d1\u10d8\u10e1 \u10d3\u10d0\u10e0\u10e6\u10d5\u10d4\u10d5\u10d4\u10d1\u10d8, \u10d4\u10e1 \u10ea\u10d5\u10da\u10d8\u10da\u10d4\u10d1\u10d0 \u10e8\u10d4\u10e1\u10d0\u10eb\u10da\u10d4\u10d1\u10d4\u10da\u10d8\u10d0 \u10d2\u10d0\u10db\u10dd\u10ec\u10d5\u10d4\u10e3\u10da\u10d8 \u10d8\u10e7\u10dd\u10e1 \u10d7\u10d0\u10d5\u10d0\u10d3 \u10e1\u10d8\u10db\u10e1\u10e3\u10e5\u10dc\u10d8\u10e1\u10d2\u10d0\u10dc \u10d3\u10d0 \u10d0\u10e0\u10d0 \u10de\u10d8\u10e0\u10d8\u10e5\u10d8\u10d7. \u10e4\u10d0\u10e5\u10e2\u10d8\u10d0, \u10e0\u10dd\u10db \u10f0\u10d8\u10de\u10dd\u10d7\u10d8\u10e0\u10d4\u10dd\u10d6\u10d8\u10e1 \u10db\u10d9\u10e3\u10e0\u10dc\u10d0\u10da\u10dd\u10d1\u10d0 \u10db\u10ee\u10dd\u10da\u10dd\u10d3 \u10db\u10ea\u10d8\u10e0\u10d4\u10d3\u10d8\u10d7 \u10d0\u10db\u10ea\u10d8\u10e0\u10d4\u10d1\u10e1 \u10ec\u10dd\u10dc\u10d0\u10e1 -\u10d9\u10da\u10d4\u10d1\u10d0 \u10e3\u10db\u10d4\u10e2\u10d4\u10e1\u10d0\u10d3 [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":3853,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[8,5],"tags":[],"class_list":["post-4779","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-8","category-5"],"_links":{"self":[{"href":"https:\/\/endocrinolo.gy\/en\/wp-json\/wp\/v2\/posts\/4779","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/endocrinolo.gy\/en\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/endocrinolo.gy\/en\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/endocrinolo.gy\/en\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/endocrinolo.gy\/en\/wp-json\/wp\/v2\/comments?post=4779"}],"version-history":[{"count":18,"href":"https:\/\/endocrinolo.gy\/en\/wp-json\/wp\/v2\/posts\/4779\/revisions"}],"predecessor-version":[{"id":7571,"href":"https:\/\/endocrinolo.gy\/en\/wp-json\/wp\/v2\/posts\/4779\/revisions\/7571"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/endocrinolo.gy\/en\/wp-json\/wp\/v2\/media\/3853"}],"wp:attachment":[{"href":"https:\/\/endocrinolo.gy\/en\/wp-json\/wp\/v2\/media?parent=4779"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/endocrinolo.gy\/en\/wp-json\/wp\/v2\/categories?post=4779"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/endocrinolo.gy\/en\/wp-json\/wp\/v2\/tags?post=4779"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}