maandag 21 mei 2012

When you should know your TSH level

Bron: Empower Your Health, Jeffrey R. Garber, MD, FACP, FACE

Screening

Why screen people for a medical condition when they have no symptoms, risk factors, or a finding on a physical exam? Screening is done because:
  • the condition is common
  • the condition is important
  • the condition is hard to diagnose, at least in its early stages
  • the diagnosis is easy to make
  • the diagnosis is accurate
  • treatment for the condition is effective and safe

Evidence

Though experts don’t agree about population screening for hypothyroidism, evidence supports checking your TSH if you:
  • have autoimmune disease, such as type 1 diabetes, or pernicious anemia
  • have a first-degree relative with autoimmune thyroid disease
  • have a history of neck radiation of the thyroid gland, including radioactive iodine therapy for hyperthyroidism and external beam radiotherapy for head and neck malignancies
  • have a prior history of thyroid surgery or dysfunction
  • have an abnormal thyroid examination
  • have psychiatric disorders
  • are taking medicines that may affect the function of your thyroid, such as amiodarone or lithium
  • have an elevated cholesterol level

Pregnancy

Studies are exploring whether or not universal TSH screening should be done in all women planning pregnancy or who are pregnant.

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