{"id":9484,"date":"2024-08-21T16:29:13","date_gmt":"2024-08-21T13:29:13","guid":{"rendered":"https:\/\/medilab.km.ua\/?p=9484"},"modified":"2026-04-20T18:55:28","modified_gmt":"2026-04-20T15:55:28","slug":"analysis-of-the-historical-background-of-three-stories-that-began-with-the-second","status":"publish","type":"post","link":"https:\/\/medilab.km.ua\/en\/analysis-of-the-historical-background-of-three-stories-that-began-with-the-second\/","title":{"rendered":"Thyroid Test: Three Stories That Started With Fatigue"},"content":{"rendered":"<div class=\"kk-star-ratings kksr-auto kksr-align-left kksr-valign-top\"\n    data-payload='{&quot;align&quot;:&quot;left&quot;,&quot;id&quot;:&quot;9484&quot;,&quot;slug&quot;:&quot;default&quot;,&quot;valign&quot;:&quot;top&quot;,&quot;ignore&quot;:&quot;&quot;,&quot;reference&quot;:&quot;auto&quot;,&quot;class&quot;:&quot;&quot;,&quot;count&quot;:&quot;1512&quot;,&quot;legendonly&quot;:&quot;&quot;,&quot;readonly&quot;:&quot;&quot;,&quot;score&quot;:&quot;4.9&quot;,&quot;starsonly&quot;:&quot;&quot;,&quot;best&quot;:&quot;5&quot;,&quot;gap&quot;:&quot;5&quot;,&quot;greet&quot;:&quot;Rate this post&quot;,&quot;legend&quot;:&quot;4.9\\\/5 - (1512 votes)&quot;,&quot;size&quot;:&quot;24&quot;,&quot;title&quot;:&quot;\u0410\u043d\u0430\u043b\u0456\u0437 \u043d\u0430 \u0449\u0438\u0442\u043e\u043f\u043e\u0434\u0456\u0431\u043d\u0443 \u0437\u0430\u043b\u043e\u0437\u0443: \u0442\u0440\u0438 \u0456\u0441\u0442\u043e\u0440\u0456\u0457, \u044f\u043a\u0456 \u043f\u043e\u0447\u0438\u043d\u0430\u043b\u0438\u0441\u044c \u0437\u0456 \u0432\u0442\u043e\u043c\u0438&quot;,&quot;width&quot;:&quot;139.6&quot;,&quot;_legend&quot;:&quot;{score}\\\/{best} - ({count} {votes})&quot;,&quot;font_factor&quot;:&quot;1.25&quot;}'>\n            \n<div class=\"kksr-stars\">\n    \n<div class=\"kksr-stars-inactive\">\n            <div class=\"kksr-star\" data-star=\"1\" style=\"padding-right: 5px\">\n            \n\n<div class=\"kksr-icon\" style=\"width: 24px; height: 24px;\"><\/div>\n        <\/div>\n            <div class=\"kksr-star\" data-star=\"2\" style=\"padding-right: 5px\">\n            \n\n<div class=\"kksr-icon\" style=\"width: 24px; height: 24px;\"><\/div>\n        <\/div>\n            <div class=\"kksr-star\" data-star=\"3\" style=\"padding-right: 5px\">\n            \n\n<div class=\"kksr-icon\" style=\"width: 24px; height: 24px;\"><\/div>\n        <\/div>\n            <div class=\"kksr-star\" data-star=\"4\" style=\"padding-right: 5px\">\n            \n\n<div class=\"kksr-icon\" style=\"width: 24px; height: 24px;\"><\/div>\n        <\/div>\n            <div class=\"kksr-star\" data-star=\"5\" style=\"padding-right: 5px\">\n            \n\n<div class=\"kksr-icon\" style=\"width: 24px; height: 24px;\"><\/div>\n        <\/div>\n    <\/div>\n    \n<div class=\"kksr-stars-active\" style=\"width: 139.6px;\">\n            <div class=\"kksr-star\" style=\"padding-right: 5px\">\n            \n\n<div class=\"kksr-icon\" style=\"width: 24px; height: 24px;\"><\/div>\n        <\/div>\n            <div class=\"kksr-star\" style=\"padding-right: 5px\">\n            \n\n<div class=\"kksr-icon\" style=\"width: 24px; height: 24px;\"><\/div>\n        <\/div>\n            <div class=\"kksr-star\" style=\"padding-right: 5px\">\n            \n\n<div class=\"kksr-icon\" style=\"width: 24px; height: 24px;\"><\/div>\n        <\/div>\n            <div class=\"kksr-star\" style=\"padding-right: 5px\">\n            \n\n<div class=\"kksr-icon\" style=\"width: 24px; height: 24px;\"><\/div>\n        <\/div>\n            <div class=\"kksr-star\" style=\"padding-right: 5px\">\n            \n\n<div class=\"kksr-icon\" style=\"width: 24px; height: 24px;\"><\/div>\n        <\/div>\n    <\/div>\n<\/div>\n                \n\n<div class=\"kksr-legend\" style=\"font-size: 19.2px;\">\n            4.9\/5 - (1512 votes)    <\/div>\n    <\/div>\n<p class=\"\" data-start=\"396\" data-end=\"809\"><strong data-start=\"396\" data-end=\"415\">Marina, 34 years old<\/strong><br data-start=\"415\" data-end=\"418\" \/>After the birth of her second child, Marina felt constantly tired, was cold even in warm weather, and began to gain weight despite dietary restrictions. A chance visit to the therapist ended with a referral for a blood test for TSH. The result: elevated TSH and reduced free T4 \u2014 classic hypothyroidism. Marina started taking levothyroxine and within a month noticed an improvement in her well-being.<\/p>\n<p class=\"\" data-start=\"811\" data-end=\"963\"><strong data-start=\"811\" data-end=\"837\">What was decisive:<\/strong><br data-start=\"837\" data-end=\"840\" \/>\u2013 easy, but <strong data-start=\"853\" data-end=\"873\">prolonged symptoms<\/strong><br data-start=\"873\" data-end=\"876\" \/>\u2013 <strong data-start=\"878\" data-end=\"892\">TSH level<\/strong> as a primary marker<br data-start=\"911\" data-end=\"914\" \/>\u2013 <strong data-start=\"916\" data-end=\"938\">timely diagnosis<\/strong> without complicated examination<\/p>\n<p class=\"\" data-start=\"965\" data-end=\"1378\"><strong data-start=\"965\" data-end=\"987\">Alexander, 42 years old<\/strong><br data-start=\"987\" data-end=\"990\" \/>Oleksandr noticed that his heart palpitations became more frequent, he felt anxious, and his body weight decreased, despite his usual diet. After consulting a cardiologist, he had his thyroid hormone profile tested. The results: decreased TSH and increased T4. Ultrasound did not reveal any nodules, but TPO antibodies were extremely high \u2014 the doctor diagnosed autoimmune thyroiditis with a hyperthyroid phase.<\/p>\n<p class=\"\" data-start=\"1380\" data-end=\"1576\"><strong data-start=\"1380\" data-end=\"1404\">What was decisive:<\/strong><br data-start=\"1404\" data-end=\"1407\" \/>\u2013 <strong data-start=\"1409\" data-end=\"1435\">cardiological symptoms<\/strong>, that were not age appropriate<br data-start=\"1459\" data-end=\"1462\" \/>\u2013 verification <strong data-start=\"1474\" data-end=\"1492\">TPO antibodies<\/strong>, which revealed an autoimmune nature<br data-start=\"1524\" data-end=\"1527\" \/>\u2013 combination <strong data-start=\"1539\" data-end=\"1557\">hormones and ultrasound<\/strong> for the full picture<\/p>\n<p class=\"\" data-start=\"1578\" data-end=\"1946\"><strong data-start=\"1578\" data-end=\"1598\">Natalia, 57 years old<\/strong><br data-start=\"1598\" data-end=\"1601\" \/>Natalya had no symptoms. It was only during her annual physical examination that the therapist discovered a lump in her neck during palpation. An ultrasound confirmed the lump was over 1 cm in size. The woman did not experience any discomfort, but tests showed normal TSH and T4. After a fine-needle biopsy, a benign adenoma was found, which does not require surgery, only regular monitoring.<\/p>\n<p class=\"\" data-start=\"1948\" data-end=\"2131\"><strong data-start=\"1948\" data-end=\"1983\">What saved me from progression:<\/strong><br data-start=\"1983\" data-end=\"1986\" \/>\u2013 <strong data-start=\"1988\" data-end=\"2021\">attentive doctor during the examination<\/strong><br data-start=\"2021\" data-end=\"2024\" \/>\u2013 Ultrasound and tests to assess function and structure<br data-start=\"2071\" data-end=\"2074\" \/>\u2013 distinction between <strong data-start=\"2093\" data-end=\"2131\">node and hormonal disorders<\/strong><\/p>\n<p data-start=\"1948\" data-end=\"2131\"><img decoding=\"async\" class=\"alignnone size-full wp-image-9486\" src=\"https:\/\/medilab.km.ua\/wp-content\/uploads\/2025\/05\/125-4.jpg\" alt=\"Results of the patient&#039;s TSH and T4 analysis\" width=\"800\" height=\"480\" srcset=\"https:\/\/medilab.km.ua\/wp-content\/uploads\/2025\/05\/125-4.jpg 800w, https:\/\/medilab.km.ua\/wp-content\/uploads\/2025\/05\/125-4-150x90.jpg 150w, https:\/\/medilab.km.ua\/wp-content\/uploads\/2025\/05\/125-4-600x360.jpg 600w, https:\/\/medilab.km.ua\/wp-content\/uploads\/2025\/05\/125-4-300x180.jpg 300w, https:\/\/medilab.km.ua\/wp-content\/uploads\/2025\/05\/125-4-768x461.jpg 768w\" sizes=\"(max-width: 800px) 100vw, 800px\" \/><\/p>\n<h2 class=\"\" data-start=\"2133\" data-end=\"2163\">What unites all three stories<\/h2>\n<p class=\"\" data-start=\"2165\" data-end=\"2357\">Although the symptoms and circumstances are different, all three patients went through one key stage \u2014 <strong data-start=\"2246\" data-end=\"2292\">thyroid hormone testing<\/strong>. The main markers used in laboratory diagnostics:<\/p>\n<ul data-start=\"2359\" data-end=\"2795\">\n<li class=\"\" data-start=\"2359\" data-end=\"2441\">\n<p class=\"\" data-start=\"2361\" data-end=\"2441\"><strong data-start=\"2361\" data-end=\"2368\">TSH<\/strong> \u2014 thyroid-stimulating hormone, the control center of thyroid gland regulation<\/p>\n<\/li>\n<li class=\"\" data-start=\"2442\" data-end=\"2514\">\n<p class=\"\" data-start=\"2444\" data-end=\"2514\"><a href=\"https:\/\/medilab.km.ua\/en\/analysis\/hormonal-panel\/thyroid-hormone-panel-thyroid-gland\/thyroxine-vilnyj-t4v-ft4\/\"><strong data-start=\"2444\" data-end=\"2458\">T4 free<\/strong><\/a> \u2014 the main hormone of the gland that affects metabolism<\/p>\n<\/li>\n<li class=\"\" data-start=\"2515\" data-end=\"2574\">\n<p class=\"\" data-start=\"2517\" data-end=\"2574\"><strong data-start=\"2517\" data-end=\"2531\">T3 free<\/strong> \u2014 less stable but more active hormone<\/p>\n<\/li>\n<li class=\"\" data-start=\"2575\" data-end=\"2641\">\n<p class=\"\" data-start=\"2577\" data-end=\"2641\"><strong data-start=\"2577\" data-end=\"2605\">Antibodies to TPO (AT-TPO)<\/strong> \u2014 indicate autoimmune processes<\/p>\n<\/li>\n<li class=\"\" data-start=\"2642\" data-end=\"2724\">\n<p class=\"\" data-start=\"2644\" data-end=\"2724\"><strong data-start=\"2644\" data-end=\"2682\">Antibodies to thyroglobulin (AT-TG)<\/strong> \u2014 used as additional markers<\/p>\n<\/li>\n<li class=\"\" data-start=\"2725\" data-end=\"2795\">\n<p class=\"\" data-start=\"2727\" data-end=\"2795\"><a href=\"https:\/\/medilab.km.ua\/en\/analysis\/hormonal-panel\/thyroid-hormone-panel-thyroid-gland\/thyroglobulin-tg-tg\/\"><strong data-start=\"2727\" data-end=\"2744\">Thyroglobulin<\/strong> <\/a>\u2014 cancer marker in postoperative patients<\/p>\n<\/li>\n<\/ul>\n<h2 class=\"\" data-start=\"2797\" data-end=\"2819\">When to take the test<\/h2>\n<ul data-start=\"2821\" data-end=\"3081\">\n<li class=\"\" data-start=\"2821\" data-end=\"2879\">\n<p class=\"\" data-start=\"2823\" data-end=\"2879\">at <strong data-start=\"2827\" data-end=\"2877\">chronic fatigue, weight changes, mood swings<\/strong><\/p>\n<\/li>\n<li class=\"\" data-start=\"2880\" data-end=\"2937\">\n<p class=\"\" data-start=\"2882\" data-end=\"2937\">at <strong data-start=\"2886\" data-end=\"2935\">hair loss, dry skin, brittle nails<\/strong><\/p>\n<\/li>\n<li class=\"\" data-start=\"2938\" data-end=\"2991\">\n<p class=\"\" data-start=\"2940\" data-end=\"2991\">at <strong data-start=\"2944\" data-end=\"2989\">rapid pulse, shivering, feeling hot<\/strong><\/p>\n<\/li>\n<li class=\"\" data-start=\"2992\" data-end=\"3024\">\n<p class=\"\" data-start=\"2994\" data-end=\"3024\">before <strong data-start=\"3000\" data-end=\"3022\">pregnancy or IVF<\/strong><\/p>\n<\/li>\n<li class=\"\" data-start=\"3025\" data-end=\"3081\">\n<p class=\"\" data-start=\"3027\" data-end=\"3081\">if <strong data-start=\"3032\" data-end=\"3081\">a family history of nodules or autoimmune thyroiditis<\/strong><\/p>\n<\/li>\n<\/ul>\n<p class=\"\" data-start=\"3083\" data-end=\"3105\">To ensure accurate analysis:<\/p>\n<ul data-start=\"3107\" data-end=\"3255\">\n<li class=\"\" data-start=\"3107\" data-end=\"3140\">\n<p class=\"\" data-start=\"3109\" data-end=\"3140\">surrender <strong data-start=\"3117\" data-end=\"3138\">in the morning on an empty stomach<\/strong><\/p>\n<\/li>\n<li class=\"\" data-start=\"3141\" data-end=\"3212\">\n<p class=\"\" data-start=\"3143\" data-end=\"3212\">do not take drugs with iodine or hormones without consulting a doctor<\/p>\n<\/li>\n<li class=\"\" data-start=\"3213\" data-end=\"3255\">\n<p class=\"\" data-start=\"3215\" data-end=\"3255\"><strong data-start=\"3215\" data-end=\"3242\">don&#039;t smoke, don&#039;t drink coffee<\/strong> before delivery<\/p>\n<\/li>\n<\/ul>\n<p class=\"\" data-start=\"3257\" data-end=\"3480\">The thyroid gland works silently \u2014 but its malfunctions can affect everything from mood to heart. One test can reveal something that has long remained in the shadows. And as these three stories show \u2014 timely diagnosis changes the quality of life.<\/p>","protected":false},"excerpt":{"rendered":"<p>Marina, 34 years oldAfter the birth of her second child, Marina felt constantly tired, was cold even in warm weather, and began to gain weight, despite<\/p>","protected":false},"author":627,"featured_media":9485,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[1],"tags":[],"class_list":["post-9484","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-uncategorized"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.4 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>\u0410\u043d\u0430\u043b\u0456\u0437 \u043d\u0430 \u0449\u0438\u0442\u043e\u043f\u043e\u0434\u0456\u0431\u043d\u0443 \u0437\u0430\u043b\u043e\u0437\u0443 \u2013 \u0449\u043e \u043f\u043e\u043a\u0430\u0437\u0443\u0454 \u0456 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