ˆγ—Γ–@lŽΠ’cb½‰ο@”Ρϋόˆγ‰@

“d˜b‚Ε‚Μ‚¨–β‚’‡‚ν‚Ή‚ΝTEL.03-3390-2656

§162-0022 “Œ‹ž“s™•ΐ‹ζ‰Ίˆδ‘3-38-10

bσ‘BŽΎŠ³Thyroid disease

bσ‘B‚Ζ‚Ν
bσ‘B‚́Aθς‚Μ‰Ί•”‚Ι‚ ‚ιbσ‘Bƒzƒ‹ƒ‚ƒ“‚Ζ‚’‚€ƒzƒ‹ƒ‚ƒ“‚πŽYΆ‚·‚ι‘ŸŠν‚Μ–Ό‘O‚Ε‚·BŽžXuŽ„‚Μ•a‹C‚͍bσ‘B‚Ε‚·v‚Ζ‚’‚€•ϋ‚ͺ‚¨‚’‚Ε‚Ε‚·‚ͺAbσ‘B‚Ν•a‹C‚Μ–Ό‘O‚Ε‚Ν‚ ‚θ‚ά‚Ή‚ρBbσ‘B‚ɂ́Aΰh–E‚Ζ‚’‚Α‚čbσ‘Bƒzƒ‹ƒ‚ƒ“‚π‡¬‚΅‚½‚θA’~‚¦‚Δ‚¨‚’‚½‚θ‚·‚ι\‘’‚ͺ‚ ‚θ‚ά‚·Bbσ‘Bƒzƒ‹ƒ‚ƒ“‚́A”]‚Ι‚ ‚ι‰Ί‚‘Μ‚Ζ‚’‚€‘ŸŠν‚©‚ηŽYΆ‚³‚κ‚ιbσ‘BŽhŒƒƒzƒ‹ƒ‚ƒ“(TSH)‚Ζ‚’‚€ƒzƒ‹ƒ‚ƒ“‚Ι‚ζ‚Α‚Δ‚»‚ΜŽYΆ‚ͺ§Œδ‚³‚κ‚Δ‚’‚ά‚·B

bσ‘B‚Μ•a‹C
bσ‘B‚Μ•a‹C‚Ν‘ε‚«‚­•ͺ‚―‚āA(1)bσ‘B‹@”\ˆΩν(2)‰ŠΗ(3)Žξᇂɕͺ—ή‚Ε‚«‚ά‚·B

@(1)bσ‘B‹@”\ˆΩν

(i)bσ‘B’†“ŏǁibσ‘Bƒzƒ‹ƒ‚ƒ“‚ͺ‘‰Α‚·‚ιj‚Ζ

(ii)bσ‘B‹@”\’α‰ΊΗibσ‘Bƒzƒ‹ƒ‚ƒ“‚ͺ’α‰Ί‚·‚ιj‚ͺ‚ ‚θ‚ά‚·B

(i)bσ‘B’†“ŏǂ́A(a)bσ‘B‹@”\˜΄iΗ‚Ζ(b)˜΄iΗˆΘŠO‚Μ’†“ŏǂɕͺ‚©‚κ‚ά‚·B

(a)bσ‘B‹@”\˜΄iΗ‚ɂ́Abσ‘B‚Μ•a‹C‚Μ’†‚Ε‚ΰΕ‚ΰ‘γ•\“I‚Θ•a‹C‚Ε‚ ‚ιƒoƒZƒhƒE•a‚βAŽξᇂͺƒzƒ‹ƒ‚ƒ“‚πŽYΆ‚·‚ιPlummer•aA”]‰Ί‚‘Μ‚ΜTSHŽYΆŽξᇂȂǂͺ‚ ‚θ‚ά‚·Bbσ‘B‹@”\˜΄iΗ‚́A‚·‚Θ‚ν‚Ώ•a–Ό‚Ζ‚’‚€‚ζ‚θbσ‘Bƒzƒ‹ƒ‚ƒ“‚ΜŽYΆ‚ͺ‚‚ά‚Α‚Δ‚’‚ι‚Ζ‚’‚€σ‘Τ‚π•\‚·ŒΎ—t‚Ε‚·B

(b)˜΄iΗˆΘŠO‚Μ’†“ŏǂ̑½‚­‚́A”j‰σ«bσ‘B‰Š‚Ι‚ζ‚ι’†“ŏǂł·B”j‰σ«bσ‘B‰Š‚Ζ‚’‚€‚̂́Abσ‘B‚Μΰh–E‚ͺ‰σ‚κ‚Δ’†‚Ι‚ ‚ιbσ‘Bƒzƒ‹ƒ‚ƒ“‚ͺ˜R‚κo‚Δ‚΅‚ά‚Α‚ΔŒŒ’†‚̍bσ‘Bƒzƒ‹ƒ‚ƒ“”Z“x‚ͺ‚‚­‚Θ‚Α‚Δ‚΅‚ά‚€•a‹C‚Ε‚·BƒEƒCƒ‹ƒX‚Ι‚ζ‚ι‚ΖŽv‚ν‚κ‚ιˆŸ‹}«bσ‘B‰Š‚ΖŽ©ŒΘ–Ζ‰u‚Ι‚ζ‚ι‚ΖŽv‚ν‚κ‚ι–³’ɐ«bσ‘B‰Š‚ͺ‚ ‚θ‚ά‚·B‚±‚κ‚η‚Μ•a‹C‚ł́AŒŒ’†‚̍bσ‘Bƒzƒ‹ƒ‚ƒ“‚͏㏸‚΅‚Δ‚’‚ά‚·‚ͺAbσ‘B‚Ε‚Μƒzƒ‹ƒ‚ƒ“ŽYΆ‚ͺ˜΄i‚΅‚Δ‚’‚ι‚ν‚―‚Ε‚Ν‚ ‚θ‚ά‚Ή‚ρB‚»‚Μ‘Ό‚̍bσ‘B’†“ŏǂɂ́AΕ‹ί˜b‘θ‚Ι‚Θ‚Α‚½‚β‚Ή–ς‚Θ‚ΗŠOˆφ«‚̍bσ‘Bƒzƒ‹ƒ‚ƒ“ΫŽζ‚Ι‚ζ‚ι‚ΰ‚Μ‚ΰ‚ ‚θ‚ά‚·B

(ii)bσ‘B‹@”\’α‰ΊΗ

’α‰ΊΗ‚π‚¨‚±‚·ŽΎŠ³‚͐ζ“V“I‚ȍbσ‘BŒ`¬•s‘S‚βˆβ“`ŽqˆΩν‚Ι‚ζ‚ιƒzƒ‹ƒ‚ƒ“‡¬αŠQAŒγ“V“I‚ΘŠeŽν‚̍bσ‘B‚Μ‰ŠΗ‚βƒˆ[ƒh‰ίθ‚βŒ‡–RAbσ‘BŽθp‚Ι‚ζ‚ι‚Ι‚ζ‚ι‚ΰ‚Μ‚Θ‚Η”ρν‚Ι‘½‚­‚ΜŒ΄ˆφ‚ͺ‚ ‚θ‚ά‚·B‚΅‚©‚΅A•p“x‚ΕΕ‚ΰ‘½‚’‚Μ‚Ν‹΄–{•ai–«bσ‘Bj‚Ι‚ζ‚ι‹@”\’α‰ΊΗ‚Ε‚·B

@(2)‰ŠΗ

‚±‚κ‚ɂ́A(1)–«bσ‘Bi‹΄–{•aj(2)–³’ɐ«bσ‘B‰Š(3)ˆŸ‹}«bσ‘B‰Š(4)‹}«‰»”^«bσ‘B‰Š‚Θ‚Η‚ͺ‚ ‚θ‚ά‚·Bbσ‘B‚Ι‰ŠΗ‚Ι‚ζ‚ι”j‰σ‚ͺ‹N‚±‚θ‚ά‚·‚̂ŁAbσ‘Bƒzƒ‹ƒ‚ƒ“‚ͺ‘‚¦‚½‚θŒΈ‚Α‚½‚θ‚·‚ι‚±‚Ζ‚ΰ‚ ‚θ‚ά‚·Bζ‚ɏq‚Χ‚½bσ‘B‹@”\ˆΩν‚π‹N‚±‚·Œ΄ˆφ‚Ζ‚ΰ‚Θ‚ιŽΎŠ³ŒQ‚Ε‚·BŒ΄ˆφ‚́AŽ©ŒΘ–Ζ‰uAƒEƒCƒ‹ƒXAΧ‹Ϋ‚Θ‚Η‘½Κ‚Ε‚·B

@(3)Žξα‡

ŽξᇂΝ(1)—ǐ«Žξα‡(2)ˆ««Žξᇂͺ‚ ‚θAŠeX«ŽΏ‚ΜˆΩ‚Θ‚ιŽξᇂͺŠτ‚Β‚©‚ ‚θ‚ά‚·B‹H‚ɂ͍bσ‘B‹@”\ˆΩν‚π‚«‚½‚·Žξα‡‚ΰ‚ ‚θ‚ά‚·‚ͺ‚Ω‚Ζ‚ρ‚ǂ͍bσ‘B‹@”\‚͐³ν‚Ε‚·B—ǐ«Žξᇂ͐Ά–½‚ɏd“ĂȏαŠQ‚π‚«‚½‚·‚±‚Ζ‚Ν‚ ‚θ‚ά‚Ή‚ρ‚ͺA”ρν‚Ι•p“x‚ͺ‚‚­’†‚Ι‚Ν‚©‚Θ‚θ‘ε‚«‚­‚Θ‚ι‚ΰ‚Μ‚ΰ‚ ‚θ‚ά‚·B‘BŽξ—lbσ‘BŽξ‚ͺ‘γ•\“I‚ȗǐ«Žξᇂł·Bˆ««Žξᇂ̂قƂρ‚Η‚ͺA“ϋ“ͺŠΰ‚Ζ‚’‚ν‚κ‚ι”δŠr“I‚¨‚Ζ‚Θ‚΅‚’«Ši‚ΜŠΰ‚Ε‚·B‚΅‚©‚΅A‹H‚Ι–’•ͺ‰»Šΰ‚ΙˆΪs‚·‚ι‚Ζ—\Œγ‚Ν”ρν‚Ιˆ«‚­‚Θ‚θ‚ά‚·Bbσ‘B‚ΜŽξᇂ͔ρν‚Ι•p“x‚ͺ‚‚’‚Μ‚Ε‚·‚ͺAφέ«‚ΕŽ©ŠoΗσ‚ΰ‚Θ‚’‚±‚Ζ‚ͺ‘½‚’‚Ε‚·B