ketendoКлиническая и экспериментальная тиреоидологияClinical and experimental thyroidology1995-54722310-3787Endocrinology Research Centre10.14341/ket20128317-29ketendo-4329Research ArticleСтатьиArticlesПроблемы заместительной терапии гипотиреоза: современность и перспективыChallenges in replacement therapy of hypothyroidism: everyday practice and perspectivesFadeyevV V

доктор мед. наук, профессор кафедры эндокринологии Первого Московского государственного медицинского университета им. И.М. Сеченова, зам. директора ФГБУ Эндокринологический научный центр Минздравсоцразвития РФ

walfad@mail.ru20121509201283ТОМ 8, №3 (2012)1729Copyright © Fadeyev V.V., 20122012Fadeyev V.V.Fadeyev V.V.Данная работа распространяется под лицензией Creative Commons Attribution 4.0.This work is licensed under a Creative Commons Attribution 4.0 License.https://www.cet-endojournals.ru/jour/article/view/4329

Проблема заместительной терапии гипотиреоза, распространенность которого в общей популяции достигает 3,7% [1], так или иначе касается любого заболевания щитовидной железы (ЩЖ), поскольку в клинической практике большинство из них гипотиреозом так или иначе заканчивается, как самопроизвольно, так и вследствие врачебных вмешательств. На первый взгляд, заместительная терапия гипотиреоза достаточно проста и в соответствии с многочисленными клиническими рекомендациями подразумевает ежедневный прием L-T4 под периодическим контролем уровня тиреотропного гормона (ТТГ). Тем не менее, даже если не считать такого важного момента, как приверженность пациента к правильному лечению, здесь есть много дискуссионных вопросов и сложностей, решение которых, по мнению автора этого обзора, и представляет перспективу в обсуждаемой области тиреоидологии.

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The authors declare that there are no conflicts of interest present.