Page 1 - Ghidul Serviciilor Medicale Synevo, Ediția 2, Volum 2
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GHIDUL  SERVICIILOR  MEDICALE
                    AL  LABORATOARELOR  SYNEVO                   CUPRINS


            VOLUMUL 2
            9. MARKERI ENDOCRINI ............................................................................................................... 7
                 9.1 Hormoni de glicoreglare ................................................................................................ 8
                   9.1.1  Insulina .................................................................................................................. 8
                   9.1.2  Proinsulina intactă ............................................................................................... 10
                   9.1.3  Peptidul C ............................................................................................................ 13
                9.2   Hormoni implicaţi în procesul de creştere ................................................................ 15
                   9.2.1  hGH (hormon uman de creştere) ........................................................................ 15
                   9.2.2  IGF-I (Somatomedin C) ....................................................................................... 17
                   9.2.3  IGF-binding protein 3 (IGFBP-3) ......................................................................... 19
                9.3  Markeri de fertilitate ..................................................................................................... 22
                   9.3.1  FSH (hormon foliculo-stimulant) .......................................................................... 22
                   9.3.2  LH (hormon luteinizant) ....................................................................................... 25
                   9.3.3  Estradiol .............................................................................................................. 27
                   9.3.4  Progesteron ......................................................................................................... 29
                   9.3.5  SHBG (Sex Hormone Binding Globulin).............................................................. 31
                   9.3.6  Testosteron .......................................................................................................... 33
                   9.3.7  Testosteron liber .................................................................................................. 35
                   9.3.8  Dihidrotestosteron  .............................................................................................. 37
                   9.3.9  Prolactina ............................................................................................................ 39
                   9.3.10 Inhibina B ........................................................................................................... 42
                   9.3.11 Hormonul anti-mϋllerian (AMH) .......................................................................... 44
                   9.3.12 Anexă markeri endocrini..................................................................................... 47
                9.4  Markeri de sarcină ........................................................................................................ 51
                   9.4.1  HCG total (HCG+beta) ........................................................................................ 51
                   9.4.2  Free beta-HCG .................................................................................................... 54
                   9.4.3  Estriol neconjugat ................................................................................................ 55
                9.5 Screening prenatal anomalii fetale .............................................................................. 58
                   9.5.1  Dublu test (screening prenatal trimestrul I) ......................................................... 58
                   9.5.2  Anexă - fişă calcul dublu test............................................................................... 65
                   9.5.3  Triplu test (screening prenatal trimestrul II) ......................................................... 67
                   9.5.4  Anexă - fişă calcul triplu test................................................................................ 73
                9.6 Markeri tiroidieni ............................................................................................................ 75
                   9.6.1  FT3 (triiodotironina liberă) ................................................................................... 75
                   9.6.2  FT4 (tiroxina liberă) ............................................................................................. 77
                   9.6.3  T3 (triiodotironină) ............................................................................................... 78
                   9.6.4  T4 (tiroxină) ......................................................................................................... 80
                   9.6.5  TSH (hormonul stimulant al tiroidei – tirotropina) ................................................ 82
                9.7 Markeri suprarenalieni .................................................................................................. 85
                   9.7.1  ACTH................................................................................................................... 85
                   9.7.2  Cortizol seric........................................................................................................ 87
                   9.7.3  Cortizol urinar ...................................................................................................... 89
                   9.7.4  DHEA-S (dehidroepiandrosteron sulfat) .............................................................. 90
                   9.7.5  Androstendion ..................................................................................................... 92
                   9.7.6  17-cetosteroizi urinar ........................................................................................... 95
                   9.7.7  17-hidroxiprogesteron ......................................................................................... 97
                9.8  Sistemul renină-angiotensină-aldosteron .................................................................. 99


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