Тестирование тиреоидной функции у больных депрессией

In Depression & Your Thyroid, Ross lays out a step-by-step guide for testing and diagnosis. The first step is to figure out if you have any of the symptoms of low thyroid and to discuss this with your doctor. These are some of the signs of thyroid dysfunction. (You may experience only a few of these.)

• Fatigue
• Puffy face
• Oversensitivity to cold
• Difficulty concentrating or remembering things
• Tingling or numbness in hands and legs
• Hair loss
• Dry skin
• Weight gain
• Difficulty breathing
• Low blood pressure
• Low body temperature
• Slow pulse
• Slow reflexes
• Infertility or repeated miscarriages

Next, your doctor should conduct a physical examination, which will include checking your blood pressure, pulse, reflexes and thyroid gland. In people with low thyroid, blood pressure and pulse are low and reflexes are sluggish. Ross notes that during your physical exam, your thyroid gland tends to be normal.
Because people with low thyroid typically get cold easily and have a low temperature, Ross suggests keeping a record of your temperature every morning for five days. Keep a thermometer by your bed and check it before getting up or moving.
The first round of tests should include: Free T3; free T4; TSH (thyroid-stimulating hormone); antiperoxidase antibody and antithyroglobulin antibody. (Learn more here.)
The second round of tests includes a 24-hour urine sample for T3 and T4 hormones. (Sometimes the tests will include a TBII or thyroid-binding inhibitory immunoglobulin, but it’s not typically ordered.)
Doctors perform the third round of tests to absolutely confirm that a person has hypothyroidism. They may look at adrenal function, male and female hormones, virus and bacterial infections, intestinal parasites, molds, food sensitivities, minerals, toxic metals, liver, coagulation, antioxidants, amino acids and organic acids. Whether you have any of these tests will depend on your symptoms and the previous tests.

 Is Thyroid Dysfunction Driving Your Depression?