You are on page 1of 66

         

          !"


#        
$% &'()* +)',-. /01-02- 3)01-. 4526)'78. 9:; <<=
9 >?     9  @ A B=
C  9D 9; ; @A=

EFGHIJK GK LHGMNFOH

 P QR  S D 9 S  <<= =@


#  R T B 9   USR VWX  <<= A"
YZ[\Z]^Z_`_ abcdefg hf ifjfeklmnb
o oo SqrP<s t==  t=
p
uv v Q<  t  "t=
p
ow t=  "t=
px y
zu US @=t=  ==t=
p{
v "t=  t=
xp| }Q
~w w Q<  t=  "t=
p
uv w t  "t=
p y

Y€]^Z_`_ abcdefg hf ifjfeklmnb


~ ƒww s  ===  = === s
‚
„ s „ s
o u vz   "  @==  " ==
|p| ‚x
vo wzu  @=  ==
p
~z u wu =   @==   ==
p| ‚|
uv o z    @=   ==
p{ x

†‡ˆ‰Š‹ŒŽ‡‡ abcdefg hf ifjfeklmnb


v~ƒ S<s   == S<s
=
US "t=  =t= US

---------------------------------------------------------------------------------------------------------------------------------------------------------------
‘’“”•–—–‘ –‘ ˜‘™“šš‘–•™‘›œ—ž“
 P QR  S D 9 S  <<= =@
#  : VB PVQ VWX  <<= 

ŽŸ ¡¢£¤¥¦§ uª
{x ¨¨©
«S   U? ¬  D­ @  <q
¬;  D­= <q
9; ®      <q

---------------------------------------------------------------------------------------------------------------------------------------------------------------

1 /64
         
          !"
#        
$% &'()* +)',-. /01-02- 3)01-. 4526)'78. 9:; <<=
9 >?     9  @ A B=
C  9D 9; ; @A=

EFGHIJK
 L  9 M  <<= =@
#  NO    PQL RST  =<<= =!=

UVWXYZ[\]^ _`ab cde\f

Qg    ?L
A=h=  !!h= i< 

jklmnopqprstuvw kvxyvz{r|qvuwn
}~prvuwt vwxp€p }zuvw€vztm l€wt‚wr‚ zq ƒp‚vuwy „wrp vt vwxp€pm vwxp€p „wrpm †‡ˆm

---------------------------------------------------------------------------------------------------------------------------------------------------------------
‰KŠIEFI‹GŒ EFGHIJGFŽ
 L iQ  M D 9 M  <<= =@
#   9 $9  i ‘PQ   M  % RST  <<= @

UVWXYZ[\]^ ’“”•–f•—˜™š –f˜›šœš š`›ž^ Ÿa ¡


–f˜›“”˜š ”¢œ˜š “£¤˜”šœš^ `¥¦a§

¨M L  ?  ; © hAª


«D D  ;¬B«D B hAª  "hª
 ­ D9 B   ; © "hª
« 9 D; B  ; © Aª
D
B  i®L  RL MMQL > L   gM gST L  Q h   L PQ ¯° ¯giM PQ‘>    L gLST
R®M iQ  Q L L MOLL L  RL MMQL  RL LL   RL 9h ¨ M h ¯ iM R h ±Q² = 
# QMN L Li  iM  L  gM  $  M M² ¯ iM R   N   iB %
B  >M   iM #  L  T > L QMN  >MST   >‘ Q L T R# L

---------------------------------------------------------------------------------------------------------------------------------------------------------------

2 /64
         
          !"
#        
$% &'()* +)',-. /01-02- 3)01-. 4526)'78. 9:; <<=
9 >?     9  @ A B=
C  9D 9; ; @A=

EFGHIEFJ
 K  9 L  <<= =@
#  MN LNK? OPQ  =<<= =!=

RSTUVWXYZ[ \ _ `abcde
]^

fL   g?
h"  h! N<

---------------------------------------------------------------------------------------------------------------------------------------------------------------
ijHklGJmEFJ
 K  9 L  <<= =@
#  9 L # OPQ  =<<= =

RSTUVWXYZ[ no __ UdZVce
^ ]
pqrst uv tvwvtxyz{q|
=h=  @h= N L<

---------------------------------------------------------------------------------------------------------------------------------------------------------------

3 /64
         
          !"
#        
$% &'()* +)',-. /01-02- 3)01-. 4526)'78. 9:; <<=
9 >?     9  @ A B=
C  9D 9; ; @A=

EFGHIJHKFG JFJLG
 M  9 N  <<= =@
#  9 N # OP QRS  =<<= =

TUVWXYZ[\] ^_` abc[d

=    M S  M >N M  e? MB


QN M f MM e  P

  !  M
9  ggh e   A= i< 
 ggh e   A= i< 

hf   !  M
9  ggh e   != i< 
 ggh e   != i< 

;e jQN iPe 9 MM jMN f 


ORS  RS Q  N B
eN fk     jMN   N i
9Nk   Q  Nl fhQN 
="<<="

---------------------------------------------------------------------------------------------------------------------------------------------------------------

4 /64
         
          !"
#        
$% &'()* +)',-. /01-02- 3)01-. 4526)'78. 9:; <<=
9 >?     9  @ A B=
C  9D 9; ; @A=

EFG H IJGKLMKNJG
 O  9 P  <<= =@
#  9 P # QR S  T UVW  =<<= =!=

XYZ[\]^_`a bcde fgh_i

=    O W  O >P O  j? OB


UP O k OO j  R

  !  O
9  llm mk    T< 
 llm mk    T< 

mk   !  O
9  llm mk   = T< 
 llm mk   = T< 

;j nUP TRj 9 OO nOP k 


QVW  VW U  P B
jP ko     nOP   P T
9Po   U  Pp kmUP 
="<<="

---------------------------------------------------------------------------------------------------------------------------------------------------------------

5 /64
         
          !"
#        
$% &'()* +)',-. /01-02- 3)01-. 4526)'78. 9:; <<=
9 >?     9  @ A B=
C  9D 9; ; @A=

EFE G HIEJKLJMIE
 N  9 O  <<= =@
#  ;POQ RST  =<<= @

UVWXYZ[\]^ _`a d efg\h


bc
iO   P? 9 9jk   ; 9 9;i 9;  ll
mn  ;;  = o< 
 D;p;  ;;  == o< 
D  ;;  A= o< 
D D  ;;  = o< 

9 9jk   ; 9 9;i 9;  ll


mn  ;;  = o< 
 D;p;  ;;  == o< 
D  ;;  A= o< 
D D  ;;  = o< 

 li ; 9; 9   9 D 


$9   ll%  ;;  = o< 

D iO N PN   O> q?r  P  >OST  N   >NrO N qO #  N O qPO Oqs  q  rO N t=
 N
N PurO  BN qN  >o?  vqoO  $oOs  N t ==o< %  Dw   9 $o %  O i x mNO N R
NOq N  >ST   NO N yr> N mNO N  9  O ow z;  l {w > @@w q B!w R !!A rqO |

---------------------------------------------------------------------------------------------------------------------------------------------------------------

6 /64
         
          !"
#        
$% &'()* +)',-. /01-02- 3)01-. 4526)'78. 9:; <<=
9 >?     9  @ A B=
C  9D 9; ; @A=

EFGHIGJKFGLMN
 O  9 P  <<= =@
#  9 P # QR STU  =<<= =!=

VWXYZ[\]^_ `a bcd]e

=  !  O
9  ffg h   A i< 
 ffg h   @ i< 

=  !  O
9  jfg h   != i< 
 ffg h   == i< 

gk   !  O
9  ffg h   = i< 
 ffg h   A i< 

;h lSP iRh 9 OO lOP k 


QTU  TU S  P B
hP km     lOP   P i
9Pm   S  Pn kgSP 
="<<="

opqrstuvwxyz{|}~us w€| yz€z{xv|}~u ‚uyz wuƒ{z{ „{|vyz |{x|†x‡xy|yz †xu‡ˆ„x‰|Š yz zvyu wz{ | |‡x|y| | vz‰zwwxy|yz yz ‰uvƒx{|}~u ‚z‡u‹|Œ
Žyx‰u‹|Œr

---------------------------------------------------------------------------------------------------------------------------------------------------------------
FKG
 O  9 P  <<= =@
#  DO #   gO  iPg O  iO STU  =<<= =!=

VWXYZ[\]^_ ‘’“” bcd]e

=n=  =n= i< 

---------------------------------------------------------------------------------------------------------------------------------------------------------------

7 /64
         
          !"
#        
$% &'()* +)',-. /01-02- 3)01-. 4526)'78. 9:; <<=
9 >?     9  @ A B=
C  9D 9; ; @A=

EFGHIJKJKH LMFJEH
 N  9 O  <<= =@
#  PQQ# N NR STU VTU  =<<= ="

WXYZ[\]^_` a d efg^h
bc
iO   Q? D  =j"=  j= k< 
9; l =     =j"=  j= k< 
9; l =  "   =j=  =j"= k< 
9; l   @    =j=  =j!= k< 

m]n] ^X op[\q]rs_ t[_eXqZ[]q` uv wx ehgepygd x


b bcz {

iO   ;Q? ;


|R   != <<jA }

~ >O  Q? NVO R  #     !  > | N  |O N  Nj R  R  N j    V    N| R 
#   ; NQO j =!
 | T  €O|O  N>  D   OTU O |O  R  <=<=
$>  Q?%
9€O|O  N>  D   OTU O |O $;% RO Q|O 9CB  iNU = ‚|  | €O|O #  Q N ?
N ‚|TU # >€O  R RN   @  N >BN  |O  RTU  ;  kNN   RN   OTƒN R N
 NN |N|O |  R |TU  NTU  
;Q?
Ok j 9  O  Q„k RR  Q  ; N  ;   N Q   CB DN†    ;NNNNk   O|N  Q ;  k Nk
C „  NN  P C „ N = VA!$%"@B@@ 

‡---------------------------------------------------------------------------------------------------------------------------------------------------------------
EJˆ‰ ŠFJE‰
 N  9 O  <<= =@
#  9 O # S€ VTU  =<<= =!=

WXYZ[\]^_` x efg^h
zb
‹ N  j"  AjA k< 
|O N j  "j@ k< 

---------------------------------------------------------------------------------------------------------------------------------------------------------------

8 /64
         
          !"
#        
$% &'()* +)',-. /01-02- 3)01-. 4526)'78. 9:; <<=
9 >?     9  @ A B=
C  9D 9; ; @A=

EFGHI EJKHLI
 M  9 N  <<= =@
#  N N>  O M $ % PQR  <<= A

STUVWXYZ[\ ]^_
`a bcdef

Valor de referência: 136,0 a 145,0 mEq/L

ATENÇÃO: Alteração do valor de referência a partir de 23/03/2020

---------------------------------------------------------------------------------------------------------------------------------------------------------------

gIhiEEHI
 M  9 N  <<= =@
#  N N>  O M $ % PQR  <<= A

STUVWXYZ[\ j
`aa bcdef

Valor de referência: 3,9 a 5,1 mEq/L

---------------------------------------------------------------------------------------------------------------------------------------------------------------
LkIKI
 M  9 N  <<= =@
#  N MN> <l m PQR  <<= A

STUVWXYZ[\ ]
an`a bcdef

Valor de referência: 98,0 a 107,0 mEq/L

---------------------------------------------------------------------------------------------------------------------------------------------------------------
9 /64
         
          !"
#        
$% &'()* +)',-. /01-02- 3)01-. 4526)'78. 9:; <<=
9 >?     9  @ A B=
C  9D 9; ; @A=

EFGEHI
 J  9 K  <<= =@
#  9 K # LMN  =<<= =!=

OPQRSTUVWX Y V_
Z[ \]^
 `K J @a  =a b< 
9MJ @a@  =a@ b< 

---------------------------------------------------------------------------------------------------------------------------------------------------------------
EFGEHI HIcHdefI
 J  9 K  <<= =@
#  9K`K LMN  =<<= =!=

OPQRSTUVWX g gh W _
Z \\ S^
a=  a=  K<

---------------------------------------------------------------------------------------------------------------------------------------------------------------
iejcklHI
 J  9 K  <<= =@
#  9 K # LMN  =<<= =!=

OPQRSTUVWX m gn V_
Z \]^
a@  a b< 

opqrstuvwxyz{| }w ~wwx€u‚z wƒvz„w{w‚}| |x †‡v|}| ‚u}‚xwv| w† ˆ‰rŠŠ‹ ‚u}‚yŒ}|ƒ zvwu}‚}|ƒ uz Žzƒz zxv‚‚|uz}|ƒ |x z‚z wv‘x‚zr
’{vwxz“”| }| ‚uvwxyz{| }w xwwx€u‚z z zxv‚x }w ‹•–—‰–‹—‹ˆr
---------------------------------------------------------------------------------------------------------------------------------------------------------------

10 /64
         
          !"
#        
$% &'()* +)',-. /01-02- 3)01-. 4526)'78. 9:; <<=
9 >?     9  @ A B=
C  9D 9; ; @A=

EFGGH IJGKLH
 M  9 N  <<= =@
#  9 N # OPQ  =<<= =!=

RSTUVWXYZ[ \]^_] U`aYb

cdefg hi gijigklmndo
=p=  @=p= qr< 

stuvow mflmilxgdyzf {|gnmd hf jiggf }fhi {fjgig }i~ild{ dexigdy€i{ df eflf hf hnd ‚ƒdgndyzf mngmdhndld„ }fgxdlxf {d dl†en{i hiƒi {ig giden‡dhd
iˆ mfl‰lxf mfˆ fxgf{ ˆdgmdhfgi{ hf ˆixdŠfen{ˆf hf jiggfv

---------------------------------------------------------------------------------------------------------------------------------------------------------------
E‹IEHGH
 M  9 N  <<= =@
#   NO  ΠOPQ  <<= A"

RSTUVWXYZ[ ^_ Ž`aYb

Valor de referência: Adultos : 2,5 a 4,5 mg/dL


Crianças : 4,0 a 7,0 mg/dL

---------------------------------------------------------------------------------------------------------------------------------------------------------------
EFGGKK‘
 M  9 N  <<= =@
#  N ’q NqM? OPQ  !<<= @=

RSTUVWXYZ[ “_”^] •`aŽb

ŒN   –?
  =p= B !p= r<
MqN  p= B p= r<

---------------------------------------------------------------------------------------------------------------------------------------------------------------

11 /64
         
          !"
#        
$% &'()* +)',-. /01-02- 3)01-. 4526)'78. 9:; <<=
9 >?     9  @ A B=
C  9D 9; ; @A=
EFGHIJ GJ KLMNOLPQR GL MOLFKSJOOHFL
 T  9 U  <<= =@
VWX  A<<= =

YZ[\]^_`ab

cdedcfgdgh ijidk gh cjlmfndopj gj qhYYj

rD 9s9

Yhtukidgjb vvw xyz`k

=   {|< 

}ngfch gh tdiuYdopj gd iYdntqhYYfnd

rD ~€~€‚

Yhtukidgjb vƒ „

T  =  =†
‡UˆT   =†

---------------------------------------------------------------------------------------------------------------------------------------------------------------
MOLFKSJOOHFL
 T  9 U  <<= =@
#  ‡ ‡V  VWX  =<<= ="

YZ[\]^_`ab ‰‰Š ‹yz`k

   B " |< 


 ; = B @= |< 

---------------------------------------------------------------------------------------------------------------------------------------------------------------

12 /64
         
          !"
#        
$% &'()* +)',-. /01-02- 3)01-. 4526)'78. 9:; <<=
9 >?     9  @ A B=
C  9D 9; ; @A=

EFGHEIJKFLMNF OPQRHQM SOEGT


 U  9 V  <<= =@
#  WX YZ[  =<<= =!=

\]^_`abcde fgh
ij klm
 nV  o=  o= <
9ZU $B  U%  =o=  ==o= <
;#BU U $B= U%  o=  "==o= <
9ZU $= U    U%  ==o=  =o= <

---------------------------------------------------------------------------------------------------------------------------------------------------------------
pJNpMRMNF MOQMOHLM
 U  9 V  <<= =@
#  9 V # YZ[  =<<= =

\]^_`abcde gq
klm
=   U @  ! <
 U       A <

  
   !  U !  = <
 =    U A  " <
     U "   <
   "  U   = <
 A  @  U   !A <
 nV U   == <

 UnV 
UnV   !  U !  = <
UnV =    U A  " <
UnV     U !  A <
UnV   "  U A@  "@ <
UnV A  @  U =  ! <
 nV U   == <

;r?  U ;o 9>V o s  o


 V VtV uv UuvU r >V
Ur r  9 ;   u  wWV
u unV  x wU  V  Y =@y $%
AB

---------------------------------------------------------------------------------------------------------------------------------------------------------------

13 /64
         
          !"
#        
$% &'()* +)',-. /01-02- 3)01-. 4526)'78. 9:; <<=
9 >?     9  @ A B=
C  9D 9; ; @A=

EFGHIGJKHGIL MNGOGPQRKPG S ETM UVIWGFRGRX VJKHX EFGHIYLFGILZ


 [  9 \  <<= =@
#  ]^ _`a  =<<= =!=

bcdefghijk lmno pqr

=  !  # @ <


s!  !  # ! <
s!  "!  # @ <
s"!  !  #  <
s!  A!  # ! <
 sA!  #  <
[t\ sA!  # = <

---------------------------------------------------------------------------------------------------------------------------------------------------------------
EFGHIGJKHGIL uKFvwKPG S ETu UVOGHKHG VJKHX EFGHIYLFGILZ
 [  9 \  <<= =@
#  ]^ _`a  =<<= =!=

bcdefghijk lono pqr

t\x[  # y= <


z [  # y= <

---------------------------------------------------------------------------------------------------------------------------------------------------------------
TV{V T|}EV{~| EV€‚ƒVƒ UTTEZ
 [  9 \  <<= =@
#  9 \ # ]^ _`a  =<<= =!=

bcdefghijk lono pqr

z [  # "=y= <


t\x[  # y= <

---------------------------------------------------------------------------------------------------------------------------------------------------------------

14 /64
         
          !"
#        
$% &'()* +)',-. /01-02- 3)01-. 4526)'78. 9:; <<=
9 >?     9  @ A B=
C  9D 9; ; @A=

EFGHIJKLM HGHLNM I OFLPQIM


 R  9 S  <<= =@
#  9 S # < 9STS UVW  =<<= =!=

XYZ[\]^_`Za bXcdefgh dcdhi a jklm no_i


hipqrsgh a lkt no_i
uicpqisgh a vkwm no_i
Xeihxyc hou a zk{| no_i

 }R  R  ~A  @~ < 


SUT  ~  ~@ < 
S UTSR€  ~=  ~ < 
;SVW <    =
€D‚~ : 9SS T   U  ƒ
DRR  ~ : „ T R~ !!~ 

---------------------------------------------------------------------------------------------------------------------------------------------------------------
†N‡NFFˆ†NKLM HGHLNM I OFLPQIM
 R  9 S  <<= =@
#  ;‰SŠ UVW  =<<= =!=

XYZ[\]^_`Za psisXXqpsgh dcdhia mk{v ‹no_i


psisXXqpsgh ŒsXedha mkz|
psisXXqpsgh sgŒsXedha mkzj

U #
„ST  D S   ~ < 
S TU   # =~ < 
„
U #
„ST      =~@ < 

---------------------------------------------------------------------------------------------------------------------------------------------------------------

15 /64
         
          !"
#        
$% &'()* +)',-. /01-02- 3)01-. 4526)'78. 9:; <<=
9 >?     9  @ A B=
C  9D 9; ; @A=

EFGHEIJ KLKEH
 M  9 N  <<= =@
#  9 N # OP QRS  =<<= =!=

TUVWXYZ[\] ^_`a bcd

efghi jk iklkimnopfq
# r= <

stuvqwklkimnopf tpxgphyizlpofq
t{gf
---------------------------------------------------------------------------------------------------------------------------------------------------------------
HG|EIJ
 M  9 N  <<= =@
#  9 N # OP QRS  =<<= =!=

TUVWXYZ[\] }_`a bcd

efghi jk iklkimnopfq
~   "=r= <

---------------------------------------------------------------------------------------------------------------------------------------------------------------
€JEKGE ‚LI‚Lƒ„GEIJ
 M  9 N  <<= =@
#  OP QRS  =<<= =!=

TUVWXYZ[\] †`a bcd

‡ M r=  !r= <


ˆN‰M r=  r= <

---------------------------------------------------------------------------------------------------------------------------------------------------------------

16 /64
         
          !"
#        
$% &'()* +)',-. /01-02- 3)01-. 4526)'78. 9:; <<=
9 >?     9  @ A B=
C  9D 9; ; @A=

EFGHIJKH LMJKHNG O PQ RPSTTSU


 V   WX 9 X  <<= =@
#  X YZ XZV? [\]  =<<= =!=

^_`abcdefg h
ij klmno
 p= W<

---------------------------------------------------------------------------------------------------------------------------------------------------------------
HKIJGNIFGqIrsJNJKH r
 V  9 X  <<= =@
#  Z Z[  [\]  =<<= =!=

^_`abcdefg tu vwmno

9; x  ;yB 9; z{ == <


9; x   9; z{ = <
D  z{ == <

---------------------------------------------------------------------------------------------------------------------------------------------------------------
Hs|H }~sJErqFrIGKH €EJH
 V  9 X  <<= =@
#  Z Z[  [\]  =<<= =!=

^_`abcdefg ‚‚ ƒ nlmeo
i

p=  p= W< 

---------------------------------------------------------------------------------------------------------------------------------------------------------------

17 /64
         
          !"
#        
$% &'()* +)',-. /01-02- 3)01-. 4526)'78. 9:; <<=
9 >?     9  @ A B=
C  9D 9; ; @A=

EFGFHIJKLMNO
 P  9 Q  <<= =@
#  RS QSP? TUV  =<<= =!=

WXYZ[\]^_` abcbd Ze_[fg

hA=  h!= S Q<

---------------------------------------------------------------------------------------------------------------------------------------------------------------
ONijFJKLNLiIFNO
 P  9 kQ   9 Q  <<= =@
#  RS QSP? TUV  =<<= =!

WXYZ[\]^_` dcll mnfeg

oQ   p? ;B q; q  r   ;;  h" k<


s  =h"  hA k<
s;  =h  hA k<

---------------------------------------------------------------------------------------------------------------------------------------------------------------
OtiFtOJL
 P  9 Q  <<= =@
#  9 Q # TUV  =<<= =

WXYZ[\]^_` ucld

# Ah" <


PTQ   hA <

---------------------------------------------------------------------------------------------------------------------------------------------------------------

18 /64
         
          !"
#        
$% &'()* +)',-. /01-02- 3)01-. 4526)'78. 9:; <<=
9 >?     9  @ A B=
C  9D 9; ; @A=

EFGHIJKLHME
 N  9 O  <<= =@
#  PQ OQN? RST  =<<= A!

UVWXYZ[\]^ _ _ abc\d
`
 e# f  !f g< 
NST NQe $  % fA" B f g< 

hijklmnopqrsqt ouv wpxunyzutsq{urptvu xuzqv sq{ zpvpr|p}~u yqq n vuzq{nzn rn nyzutsq{urn t€{pon ouv nyu{qt qrs{q  q ‚ rƒ„z † zq vuzu ‡|q u
zpnƒrˆtspou zqxqrzq tu‰{qs|zu zn oyŠrpon q zqvnpt nysq{n}‹qt yn‰u{nsu{pnpt nttuopnzntk
Œqq{Žropnt ‰p‰ypuƒ{pontl
jsunttq{† ‘k ’“”• –k —ttn˜t u swq {qrpr™nrƒpusqrtpr™nyzutsq{urq t˜tsqv pr nz{qrny zptqntqk šr —k no{up› ’œzk–†  žk —k ‘n{spr ’œzk–† Ÿx u¡nsq†
ns|nyp¢nzu qv ““ zq n‰{py zq “”•k
œj—m “”‚k wq œrzuo{prq juopqs˜ oqrsq{ u{ qn{rprƒk ¡ptxurŠqy qvl
wssxtl„„qz|onspurkqrzuo{prqku{ƒ„t˜tsqv„pyqt„œj—m£“”“”‚£“” n‰u{nsu{˜£“”Œqq{qroq£“”Œnrƒqtkxz ¤urt|ysn qv ”¥ zq ¦nrqp{u zq “”“”k

---------------------------------------------------------------------------------------------------------------------------------------------------------------
§¨©EL§HMEJH
 N  9 O  <<= =@
#   ªD9 RST  A<<= ==

UVWXYZ[\]^ «¬ ­®¯cd

  ! °<

---------------------------------------------------------------------------------------------------------------------------------------------------------------
±F¨©HIK ² ³ ´HI´EJH GKµ¨GLH±KMEIK
 N gQ  O D 9 O  <<= =@
#  ¶· 9 O # RST  =<<= =!=

UVWXYZ[\]^ ¸ ¸¹ ºcb »¼
`
O B Qe   "fA <g ½R
 · B  f  "fA <g ½R
¾ B ¾   f <g ½R

---------------------------------------------------------------------------------------------------------------------------------------------------------------

19 /64
         
          !"
#        
$% &'()* +)',-. /01-02- 3)01-. 4526)'78. 9:; <<=
9 >?     9  @ A B=
C  9D 9; ; @A=

EFGHIJGJKLF MNOPEF EQ
 R  9 S  <<= =@
#  D;TD; UVW  A<<= ==

XYZ[\]^_`a bcd efg_h

@A  == i< 

---------------------------------------------------------------------------------------------------------------------------------------------------------------
EFGHIJGJKLF MNOPEF Ej
 R  9 S  <<= =@
#  D;TD; UVW  A<<= ==

XYZ[\]^_`a dk efg_h

!   i< 

---------------------------------------------------------------------------------------------------------------------------------------------------------------
PGlKFmIFnlIPKo o p Pqo
 R  9 S  <<= =@
#  r rU  UVW  =<<= =!=

XYZ[\]^_`a sdt k efg_h


u
=     =v=  @v= i< 
    R  =v=  ==v= i< 
  "  R  Av=  !v= i< 
A  !  R  v=  =v= i< 
=    R  v=  =v= i< 
    R  @v=  @v= i< 
    R  Av=  !v= i< 
"  !  R  "v=  @v= i< 
w !  R  =v=  =v= i< 

---------------------------------------------------------------------------------------------------------------------------------------------------------------

20 /64
         
          !"
#        
$% &'()* +)',-. /01-02- 3)01-. 4526)'78. 9:; <<=
9 >?     9  @ A B=
C  9D 9; ; @A=

EFGHIJKILGKEHM J N EJJ
 O  9 P  <<= =@
#  Q QR  RST  =<<= =!=

UVWXYZ[\]^ _`abcb def\g

=     h=  h= i< 


    O  h=  !"h= i< 
  "  O  =h=  "h= i< 
A  !  O  Ah=  Ah= i< 
=    O  "!@h=  "=h= i< 
    O  A!h=  !h= i< 
    O  A"h=  Ah= i< 
"  !  O  !h=  @h= i< 
j !  O  A==h=  "==h= i< 

---------------------------------------------------------------------------------------------------------------------------------------------------------------
klM N MHmnJlHI kMokEHIlFLoEpHEkI
 O  9 P  <<= =@
#  P qQ PQO? RST  =<<= ="

UVWXYZ[\]^ h"= i<

rP   s?
T sQO # h= i<
QO # "h i<

---------------------------------------------------------------------------------------------------------------------------------------------------------------

21 /64
         
          !"
#        
$% &'()* +)',-. /01-02- 3)01-. 4526)'78. 9:; <<=
9 >?     9  @ A B=
C  9D 9; ; @A=

EF GH I
 J  9 K  <<= =@
#  K LM KMJ? NOP  =<<= ="

QRSTUVWXYZ [\]^ _`ab

cK   d?
d   e= <

NJ M 9  < Jfd   f<  


9 J OP 
J JMK P > J f J K  B


---------------------------------------------------------------------------------------------------------------------------------------------------------------
EF GI
gh
 J  9 K  <<= =@
#  K LM KMJ? NOP  =<<= ="

QRSTUVWXY ij][j _`ab

=e=  =e= <


9 J OP 
J JMK P > J f J K  B


---------------------------------------------------------------------------------------------------------------------------------------------------------------
EF Gk k
g
 J  9 K  <<= =@
#  K LM KMJ? NOP  =<<= ="

QRSTUVWXYZ [l]m _`ab

d   !e= <


9 J OP 
J JMK P > J f J K  B


---------------------------------------------------------------------------------------------------------------------------------------------------------------

22 /64
         
          !"
#        
$% &'()* +)',-. /01-02- 3)01-. 4526)'78. 9:; <<=
9 >?     9  @ A B=
C  9D 9; ; @A=

EF GH
 I  9 J  <<= =@
#  ;  K I LMN  A<<= @

OPQRSTUVWX YZ[\] ^_`a


b   c== <

---------------------------------------------------------------------------------------------------------------------------------------------------------------
EF de
fg
 I  9 J  <<= =@
#  D;h  9i 9 LMN  A<<= ==

OPQRSTUVWX Y[jk ^_`a

b   "c!= <

---------------------------------------------------------------------------------------------------------------------------------------------------------------
Elmnoplq
 I ; 9;D  9 J  <<= =@
#  J rK JKI? LMN  =<<= ="

OPQRSTUVW X sY[\] tu_Va

vUSWw VP wPxPwyz{|UX
9 J  "  = } I $ K # KI } I ~I
} €  I~ }LKJ% "c  @c= ‚< 
9 J  "  = } I cA  =c ‚< 

---------------------------------------------------------------------------------------------------------------------------------------------------------------

23 /64
         
          !"
#        
$% &'()* +)',-. /01-02- 3)01-. 4526)'78. 9:; <<=
9 >?     9  @ A B=
C  9D 9; ; @A=

EFGHIJKLM N EO
 P  9 Q  <<= =@
#  Q RS QSP? TUV  =<<= =!=

WXYZ[\]^_` abcab defgh



i =  P i j= kl<
=    P # "@j kl<
  !  P j"  !j= kl<
m !  P
P  QSQ =j!  !=j kl<
P >SQn "=j  j= kl<
P S "=j  j= kl<
nPB kSP # @j= kl<

SQoP p> P
q DP j=  j= kl<
q DP "j=  @=j= kl<
q DP @j=  m ====j= kl<

PSQ
i =  P i j= kl<
=  !  P # "j kl<
m ! P # j  j kl<

---------------------------------------------------------------------------------------------------------------------------------------------------------------
EFGHLrI
 P ; ; 9 Q  <<= =@
#  sS P TUV  =<<= ="

WXYZ[\]^_` tuvXwx_w ] yzc{

 |
#  kSP
P | QSQ # @j kl<
P  j@  !!j@ kl<
nP  kSP # j kl<

 PSQ  # Aj= kl<

D }~ QUV >Q   |?   B


Q l  k  =<=<=

---------------------------------------------------------------------------------------------------------------------------------------------------------------

24 /64
         
          !"
#        
$% &'()* +)',-. /01-02- 3)01-. 4526)'78. 9:; <<=
9 >?     9  @ A B=
C  9D 9; ; @A=

EFGHIJK L EM
 N  9 O  <<= =@
#  PQ OQN? RST  =<<= =

UVWXYZ[\]^ _`aVbc]b [ defg

 
      N N O
Ah  i  "i j<
@h  i  Ai= j<
!h  i  AiA j<
=h  i  @i" j<
h  i"  !i! j<
h N i@  i j<
h  i=  NQk    j<
h  i  NQk    j<
h  i!  NQk    j<
"h  iA  NQk    j<
Ah  i"  NQk    j<
@h  "i"  NQk    j<
!h  Ai  NQk    j<
=h  Ai"  NQk    j<

QOlN T jm> N n   =i j<


NQO  n   =i j<

---------------------------------------------------------------------------------------------------------------------------------------------------------------
oJHpqrIJ sJKtuvKJ EFGIpvKwrGE L sFo
 N  9 O  <<= =@
#  PQ OQN? RST  =<<= ="

UVWXYZ[\]^ fxgexd yz_{y|


# RN # i <
N  OQO i  =i <
 >QO}  i  i <
N  i  !i <
}N  kQN i=  "i <
NQO
# RN # =i! <
 QO N i  @i <
  ST  =i <O

---------------------------------------------------------------------------------------------------------------------------------------------------------------

25 /64
         
          !"
#        
$% &'()* +)',-. /01-02- 3)01-. 4526)'78. 9:; <<=
9 >?     9  @ A B=
C  9D 9; ; @A=

EFGHIJKF LMNOKJKPQJNO R LE
 S  9 T  <<= =@
#  T UV TVS? WXY  =<<= ="

Z[\]^_`abc ddefg hijkhl


# WS # =m <
S  TVT m!  m <
 >VTn  @mA  A"m <
S  =m  "m! <
nS  oVS m  m= <
!
SVT
# WS # =m <
 VT S m  !m <

---------------------------------------------------------------------------------------------------------------------------------------------------------------
pGFqOrNOGFJQ
 S  9 T  <<= =@
#  sV TVS? WXY  =<<= ="

Z[\]^_`abc jtu[vwbv ` xeyz

VT{S
=    S $ #B VWS% # m== |<
S  TVT =m  m= |<
S  m  m" |<
nS  oVS # =m  |<
A
SS
  S   !=m= |<
}  m
}S m  @!m= |<
}S @m=  m= |<
SVT 
=  !  S $ #B VWS% # m== |<
 VT S =m@  m |<

---------------------------------------------------------------------------------------------------------------------------------------------------------------

26 /64
         
          !"
#        
$% &'()* +)',-. /01-02- 3)01-. 4526)'78. 9:; <<=
9 >?     9  @ A B=
C  9D 9; ; @A=

EFGHIJHIKFGLMNF
 O  9 P  <<= =@
#  QR PRO?S TTUV    WUV  =<<= ="

XYZ[\]^_`\a bcd `efgh

 P
  SA!  S= i<
ORP  S=  S= i<
RP  RTUV 
  jR "k RO?   T P
 =k  "k   
  jR =k OU   T P

l   P i  O RPm O   OO PW n T  Oi  T P T W  jRoUV  o    # OO p q
 OO mV S  TOjRO   T P Or Pm  O  jR  T P O#  BO  >P   o?
  9P 9p ===S "@@s 9P 9p ===s "=B=
---------------------------------------------------------------------------------------------------------------------------------------------------------------
tuvMtHIuJMFNtHIwLuHINF xtvuFy
 O  9 P  <<= =@
#      WUV  A<<= =

z{|}[^\~Za c€€ `efgh

 O  @  "  O  S  "S@ i<


RPpO  @  "  O S==  S@" i<

---------------------------------------------------------------------------------------------------------------------------------------------------------------

27 /64
         
          !"
#        
$% &'()* +)',-. /01-02- 3)01-. 4526)'78. 9:; <<=
9 >?     9  @ A B=
C  9D 9; ; @A=

EFGHIJK LM LMNOLPKMQOIRLPKEJMPKRI S LNMI EKT


 U  9 V  <<= =@
#  W  9X 9 YZ[  A<<= =

\]^_`abcde ffg gg ijkcl


h
mnopq rs qstsquvwxny
UzV
=   ?U  !  " {|< 
  " UU    @ {|< 
}
A   UU     " {|< 
    U  }    {|< 
  "  U  }   A {|< 
}
A  !  U      "= {|< 
=    U   A {|< 
    U   @@ {|< 
"  A  U "  @! {|< 

=   ?U    " {|< 
  " UU  }   A {|< 
}
A   UU     " {|< 
    U  }    {|< 
  "  U  }    {|< 
}
A  !  U      A {|< 
=    U    {|< 
    U   A {|< 
"  A  U =  A {|< 

 zV UzV
@    U    A {|< 
  =  U  @  "!= {|< 
  =  U  ="  " {|< 
  =  U  A=  ! {|< 
  "=  U  @   {|< 
"  A=  U     {|< 
 U  A  U    {|< 

 zV 
@    U     {|< 
  =  U  @  ! {|< 
  =  U    "" {|< 
  =  U  !   {|< 
  "=  U  @  @@ {|< 
"  A=  U     {|< 
 U  A  U A  AA {|< 

---------------------------------------------------------------------------------------------------------------------------------------------------------------

28 /64
         
          !"
#        
$% &'()* +)',-. /01-02- 3)01-. 4526)'78. 9:; <<=
9 >?     9  @ A B=
C  9D 9; ; @A=

EFGHIJKLMI
 N  9 O  <<= =@
#  O PQ OQN? RST  =<<= =!=

UVWXYZ[\]^ _ b cdefg
`a
  hA!  h i<
NQO  h=  h i<

---------------------------------------------------------------------------------------------------------------------------------------------------------------
EIFIKGFjkMLG l jGHmJnHI LMKIJKI
 N  9 O  <<= =@
#  o  9p 9 RST  =<<= =!=

UVWXYZ[\]^ qr s tdefg
`

@h  @@h= ui<


D vw OST >O   x?h  B
O i  O  u  =<=@<=

---------------------------------------------------------------------------------------------------------------------------------------------------------------

29 /64
         
          !"
#        
$% &'()* +)',-. /01-02- 3)01-. 4526)'78. 9:; <<=
9 >?     9  @ A B=
C  9D 9; ; @A=

EFGHIFJKL MN FJELOPG MN QGRSGKJGT TNUILJT V TQHE


 W  9 X  <<= =@
#  X YZ XZW? [\]  =<<= ="

^_`abcdefg hij
kl
  =  @  W
Wmn W #   >X 
     ;o?
Wmn  A   !A  X<
Wmn  =  ApA  !  X<
Wmn   "   !  X<
Wmn q     ""  X<
Wmn q   @    X<
WZX  =  @  W
Wmn W #   >X 
     ;o?
Wmn  A   "A  X<
Wmn    !  A!  X<
Wmn   " p@  @  X<
Wmn q     !@  X<
Wmn q @ = =  A  X<
ZXrW ] nm> W   @  W
@    X<
ZXrW nm> W ] rm >X  o?
W[X  XZ
s W   @  W =  A  X<

;o t[X nmo


XXn :p CZrX :p ;u t ;o nW
o  WZ   W o XZ v $s% o XXB
p
 v$ s%pW  X$%pv Xpv nW 
[ [ $ %
W r    n nX ZX  t p rw  vB
  s
 W  WZXo $sB %p W X  o
  WprX p w Zn  ZXW 9X 9r
[  ==x=$%B"=

D yz X\] >X   o?  v


 =<=<=

---------------------------------------------------------------------------------------------------------------------------------------------------------------

30 /64
         
          !"
#        
$% &'()* +)',-. /01-02- 3)01-. 4526)'78. 9:; <<=
9 >?     9  @ A B=
C  9D 9; ; @A=

EFGEHGEFIHJK EHEKL
 M  9 N  <<= =@
#  N OP NPM? QRS  =<<= =!=

TUVWXYZ[\] ^^_` abc[d

S  M >N M  e?M f#B e M


f RM  M    M

 
  A  M e  P gPN  h g< 
A    M h  =h g< 
  @  M h  A g< 
@  =  M h"  @ g< 
=  =  M @h  @h g< 
Pf   =  M h!  =h@ g< 
MPN 
  A  M e  P gPN  h g< 
A    M h   g< 
  @  M "  AA@ g< 
@  =  M @@  @@ g< 
=  =  M !  @" g< 
Pf   =  M !  A= g< 

RS  NRS  >N   e?  f


 =<<=

ijklmnopqm rstuqvps wqxoysz {qu|oz ts pszpozpsyovq} ~oo sv~ovpyqto s €xsysz s ~yuqv‚qz ƒy„ ƒ†{sysz} szpq spotoxo‡uq ƒots qƒyszsvpqy €q
svoy zsvzu{uxutqts s ƒys~uzˆol nszpqz zup€q‚‰sz} €q quoy q~€yŠ~uq ƒots zsy o{putq qpyqw„z ts qvŠxuzs ƒoy szƒs~pyospyuq ts qzzql
‹sŒsyv~uq {u{xuo‡yŠŒu~qm Žopqx pszpozpsyovs €qvpupqpuws sqz€yssvp uv zsy€ { ‘’ rk“rkl ”€szov‡ •qv‡} –q{yusxxs —l –q} ˜€xuqvvs ’oo™
jopsxo sp qxl ’xuv ’u š~pql ›œž ksƒps{sy ›Ÿ ž¡¢m ›¢¡ ›¢£

---------------------------------------------------------------------------------------------------------------------------------------------------------------

31 /64
         
          !"
#        
$% &'()* +)',-. /01-02- 3)01-. 4526)'78. 9:; <<=
9 >?     9  @ A B=
C  9D 9; ; @A=

EFGEHGEFIHJK LMNIF
 O  9 P  <<= =@
#  9PQP RO  O >O  O O   P  ST RUV  <<= 
WQ XQPY  D  Y !!!

Z[\]^_`abc d df ghiaj
e

VALORES DE REFERÊNCIA(IC: 95%): HOMEM DE 20 A 50 ANOS : 1,41 a 17,64 ng/dL


HOMEM ACIMA DE 50 ANOS : 2,54 a 20,4 ng/dL
MULHER DE 20 A 50 ANOS (PRÉ-MENOPAUSA): 0,14 a 1,60 ng/dL
MULHER ACIMA DE 50 ANOS (PÓS-MENOPAUSA): 0,17 a 1,10 ng/dL

Alteração de valor de referência a partir de 19/03/2021.

---------------------------------------------------------------------------------------------------------------------------------------------------------------

32 /64
         
          !"
#        
$% &'()* +)',-. /01-02- 3)01-. 4526)'78. 9:; <<=
9 >?     9  @ A B=
C  9D 9; ; @A=

EFGHFEIJKLMKJMKLIJNO G EHK
 P ; ; 9 Q  <<= =@
#  P R ST UVW  =<<= ="

XYZ[\]^_`a bcde fghij

k^\`l _Y lYmYlnopq^a
 r#  rRP # !" rs<
 rtP  rRP #  rs<
PRQ     @ rs<
# B P R ST
 
 Au  =u  P v   = rs<
 =u  u  P v   == rs<
 u"  u  P v   == rs<
 u  u  P v   == rs<
 u  !  P v   == rs<
 =u=    P v   == rs<
    P v   @ rs<
PRQ 
 Au    P v   = rs<
 u  u  P v   == rs<
 u"    P @=  = rs<
 u  Au  P =  = rs<
 @  !  P =  "= rs<
  !  P    ! rs<
wQ P  v?  VP U  A  P
W PW PUQ P  QR

# B 9< B

xyz{|} ~€‚ƒ„ † ‚ ‡~ˆ‰‰Š†  ‹ŠŠˆ ˆ~† Œ† † Š‹Ž  Ž ‚†‚ ~ †ƒ„ˆ~†Š Š €ˆ†‘Š Žƒ’‰ Ž†Š{ “~ Ž†Š ‚ ‚ ŠŽ”‚•‰Ž † Žƒ’‰ Ž†–ƒ†Œ”†€” †ƒ—
‹†”† † ~† ” †Žˆ”˜Ž † ‚† †‰˜ƒ Š— Šˆ„” ~Š † ‚Š†„~ ‹” “Š‹Ž€”~€” † ‚ ™†ŠŠ†Š{
---------------------------------------------------------------------------------------------------------------------------------------------------------------
OšKH G HJI›œNFJ OEILNJšJIKFšJKIžFšJ
 P QP $D% 9 Q  <<= =@
#  Q ŸR QRP? UVW  =<<= =A

XYZ[\]^_`a d¡ fghij

# "u= rs<

---------------------------------------------------------------------------------------------------------------------------------------------------------------

33 /64
         
          !"
#        
$% &'()* +)',-. /01-02- 3)01-. 4526)'78. 9:; <<=
9 >?     9  @ A B=
C  9D 9; ; @A=

EFGHIJK J ILMNOPQR SEFRTMLR EFGJ UNEIM K


 V  9 W  <<= =@
#  XY WYV? Z[\  =<<= =!

]^_`abcdef g
hi jklmn

ocaep d^ p^q^prstucf
   =vA  v" Yw<
  V =v@  v! Yw<
  V =v!  v Yw<
  V v=  vA Yw<
  V v  v Yw<
"  V v  v" Yw<
A  V v  "v Yw<
@  V v"  "v Yw<
!  V v@  Av Yw<
=  V v  AvA Yw<
  V v  @v Yw<
  V vA  @v! Yw<
  V v  !v Yw<
  V v  =v= Yw<
  V v  =v= Yw<
"  V v  !v Yw<
A  V v  @vA Yw<
@  V v  Av! Yw<
!  V v!  Av Yw<
=  V v!  Av Yw<
    V v  Av@ Yw<
"  =  V v  Av" Yw<
    V v  Av= Yw<
"  =  V v  "vA Yw<
    V v  "v" Yw<
"  =  V v  "vA Yw<
    V v  "v@ Yw<
"  "=  V v  "v! Yw<
"  "  V v  "v" Yw<
""  A=  V v=  "v Yw<
A  A  V v@  vA Yw<
A"  @=  V v  v Yw<
@  @  V v  v Yw<

---------------------------------------------------------------------------------------------------------------------------------------------------------------

34 /64
         
          !"
#        
$% &'()* +)',-. /01-02- 3)01-. 4526)'78. 9:; <<=
9 >?     9  @ A B=
C  9D 9; ; @A=

EFGH IH JKLMNKLOPEQM R
 S  9 T  <<= =@
#  UV TVS? B 9 WXY  =<<= A=

Z[\]^_`abc ded e ghijk


f
9XS

SVT
=    S # ! l<
  "  S   =@ l<
A  !  S =m   l<
=    S "@mA  " l<
    S   =" l<
    S AA  =A l<
"  @  S A   l<

=    S @  A l<
  "  S m   l<
A  !  S "m!  AA l<
=    S @  @ l<
    S A=  A l<
    S !  !" l<
"  @  S !=  ! l<

 VT S
!    S A   l<
    S !@mA  @! l<
  !  S @m"  ! l<
=    S Am   l<
  !  S "m   l<
=    S @m  ! l<
  !  S m   l<
=    S @m  =! l<
  !  S mA  = l<
"=  "  S m=  = l<
"  "!  S =m   l<
A=  A!  S m  " l<
@=  !=  S =m"  =@ l<

---------------------------------------------------------------------------------------------------------------------------------------------------------------

35 /64
         
          !"
#        
$% &'()* +)',-. /01-02- 3)01-. 4526)'78. 9:; <<=
9 >?     9  @ A B=
C  9D 9; ; @A=

EFG H GIJKLMNI ENJOIOFENKPQRMEO H PSTUVWWXYWZ[XS


 \  9 ]  <<= =@
#  ] ^_ ]_\? `ab  =<<= =A

cdefghijkl m p qrstuv
no
w]   x?
=   \ y==  yA== z<
 \   \\   \ =y"==  !y== z<
\\  \   \\=y==  "y=== z<
    \\  "  \ =y==  y== z<
"    \ =y==  y== z<
  "=  \ =y==  y== z<
"=  @=  \ =y==  y@== z<
_{   @=  \ =y==  "yA== z<

\\
 D\ =y==  y"== z<
|_ D\ =y==  y== z<
D D\ =y==  y== z<

}~€~‚ƒ„‚ †‡ˆ‰‚ˆ
Š‹Œ Ž‚‘„‚’‘“ ‰ ”•‘ –—‘‡‚˜ˆ’ ™•š‡ ‚ –““ ˜‚ˆ”‚ ’ ‰ ‡ ”•‘ ›‚ˆ†’ “‚“ ˆ’ œˆ’ˆ†‘—‘’” ‰ ™•š‡ ‚ ›‚“‘ˆ“‘ ›‡‚’† ‡‘†’ˆ’˜š ˆ’ ”•‘  “”žˆ‡”—€
™•š‡ ‚ Š‹ŒŸŠ ¡¢¡Œ£¤¥‹€
œ ‡ˆ‚“ ¦–}§ –““‚“ ––§ ¨ ‡’‚’ ¨œ§ ˆ‡ˆ‚©ˆ ›–§ ~‘‡ƒˆ‡ˆ ™œ~ª§ «‘’”‡ˆ ¨››§ «ˆ‚“—ˆ’ œ§ ™‘‚¬‘‚‡ˆ ­€ ®‘˜‘’” ‡‘˜ ——‘’ˆ”‚ ’“ ‰‡ — –™–
†‚‘„‚’‘“ ” ‘‰‚’‘ ”•‘ žž‘‡ ‡‘‰‘‡‘’˜‘ ‡ˆ’†‘ ‰ ‡ “‘‡— ™¯ ‚’ ”•‘ ‰‚‡“” ”‡‚—‘“”‘‡ —ˆ”˜• ‡‘‰‘‡‘’˜‘ ‡ˆ’†‘“ ‰ ‡ ž‡‘†’ˆ’” ° —‘’ ‚’ ®‚ ‘ ±ˆ’‘‚‡
–‡˜• ²’ ˜‡‚’ „ œ‘”ˆƒ€ Š‹Œ³Ÿ ´Š µ¢ ¡³´¤¥Œ€

---------------------------------------------------------------------------------------------------------------------------------------------------------------

36 /64
         
          !"
#        
$% &'()* +)',-. /01-02- 3)01-. 4526)'78. 9:; <<=
9 >?     9  @ A B=
C  9D 9; ; @A=

EF G EHIIJKJEIHJLILM NIOHP
 Q  9 R  <<= =@
#  R ST RTQ? UVW  =<<= =!=

XYZ[\]^_`a b e fghij
cd
 k
=    Q l"  Al@ mn<
o   Q  pq  Q l!@  @l mn<
o  Q  pq =  Q lA  l mn<
o=  Q l==  l= mn<
 QTR
=    Q l!  l! mn<
o   Q  pq  Q l!@  @l mn<
o  Q  pq =  Q l!A  Al@ mn<
o=  Q l==  l= mn<
D rs RVW >R   k?  m
 <="<=

---------------------------------------------------------------------------------------------------------------------------------------------------------------
EF G EHIIJKJEIHJLILM EJEMN
 Q  9 R  <<= =@
#  R ST RTQ? UVW  =<<= =!=

XYZ[\]^_`a tbe bu vgh_j


c
9  W TURR  l=  ==l= n< 
=  " Q  ==l=  A=l= n< 
 Q     =l=  l= n< 
    Q  =l=  "!l= n< 
"  =  Q  !l=  l= n< 
o   Q  !l=  =l= n< 
 TR  "=l=  l= n< 

---------------------------------------------------------------------------------------------------------------------------------------------------------------

37 /64
         
          !"
#        
$% &'()* +)',-. /01-02- 3)01-. 4526)'78. 9:; <<=
9 >?     9  @ A B=
C  9D 9; ; @A=

EF GHIHGJK
 L  9 M  <<= =@
#  NO MOL? PQR  =<<= =!=

STUVWXYZ[\ ]^_`^ abcZd

eM   f?
g=  !g= h< 

D ij MQR >M   f?g O  


      M h  k  !<=<=

---------------------------------------------------------------------------------------------------------------------------------------------------------------
El m EnGKonpq
 L  9 M  <<= =@
#  M rO MOL? PQR  =<<= =A

STUVWXYZ[\ s_`^ tbcZd

eM   f?
u L g"  !g! vh< 
OMwL g"  g! vh< 
> x y L Ag  g@ vh< 
> x y L Ag!  "g vh< 
> x z L "g!  gA vh< 
9QL =  " L g=  @g vh< 
A L   LL g  Ag= vh< 
   LL g"A  "g= vh< 
  "  L g!  gA vh< 
A    L g!!  g@ vh< 
  =  L g!  g vh< 

---------------------------------------------------------------------------------------------------------------------------------------------------------------

38 /64
         
          !"
#        
$% &'()* +)',-. /01-02- 3)01-. 4526)'78. 9:; <<=
9 >?     9  @ A B=
C  9D 9; ; @A=

EF G EHIJKHLM NHOIP
 Q  9 R  <<= =@
#  R ST RTQ? UVW  =<<= =A

XYZ[\]^_`a b e fgh_i
cd
=jA=  j@= k< 

---------------------------------------------------------------------------------------------------------------------------------------------------------------
MLEH EHIPlHmP nPIJKHmMoP G EnJ
 Q  9 R  <<= =@
#  R ST RTQ? UVW  =<<= =!=

XYZ[\]^_`a p hsi
dcd qr
tuvwx yz xz{zx|}~u€
R   j= <
R>  ‚ j= <
 D 9;  ƒ  D D  $ DB ;„ %

---------------------------------------------------------------------------------------------------------------------------------------------------------------
MLEH JInJo MLEH G EHIPJ†NJ‡ˆNHLM
 Q  9 R  <<= =@
#  ‰T RTQ? UVW  A<<= =@@

XYZ[\]^_`a b hsi
cŠ qr

VALOR DE REFERÊNCIA: INFERIOR A 4,5 UI/ml

NOTA:
- Atenção para novos valores de referência devido à nova padronização do teste.
- Pacientes em acompanhamento deverão ter seus valores realinhados. Divergências significativas são esperadas entre os resultados antes e após a nova padronização tão
somente por alteração da formulação do teste, e não por alteração clínica do estado de saúde do paciente.
-Valores indetectáveis podem se tornar detectáveis em uma dosagem subsequente devido à variação de lote a lote. Para esse kit, estima-se uma possível elevação de cerca
de até 2,2 vezes o valor da sensibilidade analítica (definida como 1,3 UI/mL).

---------------------------------------------------------------------------------------------------------------------------------------------------------------

39 /64
         
          !"
#        
$% &'()* +)',-. /01-02- 3)01-. 4526)'78. 9:; <<=
9 >?     9  @ A B=
C  9D 9; ; @A=

EFGEHIJKHKF
 L  9 M  <<= =@
#  NO MOL? PQR  =<<= A=

STUVWXYZ[\ ]^_T`a[` Y bcd

LOM  e   @f gh<


  e   f= gh<

---------------------------------------------------------------------------------------------------------------------------------------------------------------
ijIF k lHEmJnGJioGHKF
 L  9 M  <<= =@
#  NO MOL? PQR  ="<<= =@

STUVWXYZ[\ pqrscd ^tuvw

"=!f=  "f= h<

---------------------------------------------------------------------------------------------------------------------------------------------------------------
ijIFxEFmJIjKJ
 L  P 9 h = 9 M  <<= =@
#  9  he yzO   M e  B 9 B #  { OL PQR  ="<<= @="

STUVWXYZ[\ pc| }v[Wuw


DE 0,3 A 0,6 µmol/L

~€‚ƒ„ †‡ˆ‰ Š‹Œ‹ ‹ ‹„ Œ‹‡ˆ‰ †‰ ‹Ž‰„ ‹ Š‹Œ„Œ ‘ ’“”•–”’—


---------------------------------------------------------------------------------------------------------------------------------------------------------------
nF˜ImHKF
 L  9 M  <<= =@
#  NO MOL? PQR  =<<= !"

STUVWXYZ[\ pr ™tuvw

f=  f= gh<

D š› MQR >M   e?f O  


      M h  g  =A<=<=

~€‚œ Š „‘‰ ‰†žŒŸ‹‘‰ †‹ Ÿ Ÿ‹ ‹Ÿ‰ „Œ‹


---------------------------------------------------------------------------------------------------------------------------------------------------------------

40 /64
         
          !"
#        
$% &'()* +)',-. /01-02- 3)01-. 4526)'78. 9:; <<=
9 >?     9  @ A B=
C  9D 9; ; @A=

EFGHEIJKILMJ
 N  9 O  <<= =@
#  O PQ OQN RST  =<<= =!=

UVWXYZ[\]^ _`a` bcdef

QOgN NQ h>N


B #  iQN j =  N k=  k= l<
B mN  iQN k=  "k= l<
n N NQ h>N
B @  =  N k=  A=k= l<
B =  = k=  k= l<
B j =  N k=  "k= l<

  g  >ST N o>N  N Ok


O   p NRO   imN   Ok  B
 Q  N NiN   O   q B
 N  NN

---------------------------------------------------------------------------------------------------------------------------------------------------------------
rHrGstHE I
 N  9 O  <<= =@
#  O PQ OQN? RST  =<<= ==

UVWXYZ[\]^ ua` bcdeY

vwxyz {| z|}|z~€w‚
k  k l<O
RN  >O  #  k" l<  NN  O N
N  N  NQO$ R# N%k 
>O  ƒ   =k@ l<   N>
ih ƒQ O  i  

„ †‡‚ˆ|‰|Š{y | €y}z‹w{y w ‹|Œ‹w w‹yŒŠzw‡


---------------------------------------------------------------------------------------------------------------------------------------------------------------

41 /64
         
          !"
#        
$% &'()* +)',-. /01-02- 3)01-. 4526)'78. 9:; <<=
9 >?     9  @ A B=
C  9D 9; ; @A=

EFGHGI JKHLHMIMF
 N ON $D% 9 O  <<= =@
#  PQ OQN?<9ROQO STU  =<<= =

VWXYZ[\ ][ ^[_`_Y V`a[bYc de e hijk\l


fg
mb`n`]Y][ ]Y ^[_`_Y opYX\qb`rYc e d _Zk\lks
fg

 Nt  ;  


 u# v  "v Q<
;u QN  v@  !v! Q<

>    ; ONR


 u# =v  v@ t<<w 
;u QN  =v  v t<<w 

D xy OTU   O t  u 


=<<=

z{|}~€‚ ƒ„ ‚†‚‡ˆƒ ‰ƒŠ€ ‚† ‹Œ‹‡‹€† ‚Œ „ƒŽ‹‚‡ˆ‚† ‚Œ †€ ‚ ƒ ‚‡‚ ‹Ž€† ƒ‡‹€ˆ‚‡†‹‡ƒ ‘‘| ŽŠ€‡‹‹‡ƒ Ž€ ˆ‹Ž€‹‚† € Ž€Œ ‹‚ˆƒ ‡€ ŒƒŠ ‚
†€‹€}
˜
‘ ‘ˆ‹‰‹ƒ‚ ‚ ’‚‡‹‡ƒ „Šƒ†Œ“ˆ‹Žƒ ”€‹ €•ˆ‹ƒ „‚Šƒ Ž€‡‰‚ †–€ ƒ ’‚‡‹‡ƒ ‹ ‚ˆƒ €•ˆ‹ƒ „€ —‹Œ‹€ŠŒ‹‡‚†Ž ‡Ž‹ƒ}
’‚”‚ ˜‡Ž‹ƒ~ ™‡‚ ‚ˆ ƒŠ š›œ žŸ ž¡~Ÿ¢££¤¥¦ ¢§§¥
---------------------------------------------------------------------------------------------------------------------------------------------------------------
¨J©ªE J«©¬­«®¯°±JE
 N  9 O  <<= =@
#  Q ²OQ N?    #OQON uON wQN$³ % STU  =<<= =@!

´µ¶l·¸c ´¹W ^[YZ[_b[


´i¶l·¸l¸ºc ´¹W ^[YZ[_b[
¶j»¸olmº¼mc ´¹W ^[YZ[_b[
mom^·l½¸ ¼j»¾»j¶¸c ´¹W ^[YZ[_b[
olm¶m ¼·»m¿Àºj¶mc ´¹W ^[YZ[_b[

U t

>T N # N  N   O>  Q


Q  NQ NNSO     NÁQ
Q  QTU  NQ Nu²   ÂN Ow B
 >O  u > NvuNN N  QOÃ
OQTU O  <@=  u  =<=<"

z{|}~ċŠ‹Å–€ ‚ ˆ ‹ƒ‚Œ ‚ ¦Æ¥§ Ž€‡”€ Œ‚ ‚Ž€Œ‚‡ƒÅ–€ € Ç ›€‡†‚‡†€ { ƒ†‹Š‚‹ € „ƒ ƒ „‚†È‹†ƒ ‚ ƒˆ€ƒ‡ˆ‹Ž€ „€† ‚Œ ŽÉŠŠƒ† ʜ„¤¢} €†‹ˆ‹€‡
‘ ˆ‹ŽŠ‚ ƒ‡ ˍ‹‚Š‹‡‚† ¤ ‘‰} ̂Œƒˆ€Š} ͞ ¤ ¢§¦ž ¤ ̈ˆ„†~ÆƁ€‹}€ Æ¦§}¦¦¥£Æ†Î¢ŸÍ¥¤§¦ž¤§§£ž¤Í
---------------------------------------------------------------------------------------------------------------------------------------------------------------

42 /64
         
          !"
#        
$% &'()* +)',-. /01-02- 3)01-. 4526)'78. 9:; <<=
9 >?     9  @ A B=
C  9D 9; ; @A=

EFGHIJKLJM EFGH NFE O IENPHE MHQLRPM


 S  9 T  <<= =@
#  UV S WXY  =<<= !@

Z[\]^_`abc defghi j
kl
m>  n  o   p=
S>  n  Vq  V mVT  p=

D rs TXY >T   o?  q


 =!<<=!

---------------------------------------------------------------------------------------------------------------------------------------------------------------
QtMItRJ RHMJ O EFGHIJKLJM EFGH EMQE
 S  9 T  <<= =@
#  V oTV S   WXY  @<<= @

Z[\]^_`abc eub v[`w[x_[

Y ;m

Dm TU    S  
TVXY  <=

---------------------------------------------------------------------------------------------------------------------------------------------------------------
EFGHIJKLJ EFGHOGKEFMyRtGEQHFEMP GPIHNtER O HzE
 S  9 T  <<= =@
# TV  UV S WXY  =<<= =

Z[\]^_`abc j i^|` }~€


k{

m>   Ap= T <


   Ap=  =p= T <
S>  ‚ =p= T <

---------------------------------------------------------------------------------------------------------------------------------------------------------------

43 /64
         
          !"
#        
$% &'()* +)',-. /01-02- 3)01-. 4526)'78. 9:; <<=
9 >?     9  @ A B=
C  9D 9; ; @A=

EFGH I JFK
 L  9 M  <<= =@
#  NOP  =<<= ==

QRSTUVWXYZ [\]R^_Y^ W `ab cU_W defg

hijkl mn lnonlpqrsit
P ;u v   w= M <
 MxL>  w= y =w= M <
;u xz   =w= M <

D {| MOP   M u  z 


="<=<=

---------------------------------------------------------------------------------------------------------------------------------------------------------------
EFGH I }~
 L  9 M  <<= =@
#  NOP  =<<= ==

QRSTUVWXYZ [\]R^_Y^ W `a cU_W defg

hijkl mn lnonlpqrsit
P ;u € Aw= M <
 MxL>  Aw=  =w= M <
;u  =w= M <

D {| MOP   M u  z 


="<=<=

---------------------------------------------------------------------------------------------------------------------------------------------------------------
EFGH‚ƒJKƒ} EFGHI}}„ †E‡
 L  9 M  <<= =@
# Mx  NOP  =<<= ==

QRSTUVWXYZ [\]R^_Y^ W `aˆ cU_W defg

P ;u €Aw= M <


 MxL>  Aw= y =w= M <
;u  =w= M <

D {| MOP   M u  z 


="<=<=

---------------------------------------------------------------------------------------------------------------------------------------------------------------

44 /64
         
          !"
#        
$% &'()* +)',-. /01-02- 3)01-. 4526)'78. 9:; <<=
9 >?     9  @ A B=
C  9D 9; ; @A=

EFGHIJKLJ MNHEOHFE HME


 P  9 Q  <<= =@
#  QR  SR P TUV  =<<= =

WXYZ[\]^_` a
bc defg

P>  h =i== Q <


 QRP>  Ai==  =i== Q <
j>  k Ai== Q <

---------------------------------------------------------------------------------------------------------------------------------------------------------------
EFGHIJKLJ MNHEOHFE HMM
 P  9 Q  <<= =@
#  QR  SR P TUV  =<<= ==

WXYZ[\]^_` lmnXop_o ] a qa
b

;j  Rr   =i== Q <


 QRP>  Ai==  =i== Q <
V ;j  s   Ai== Q <

---------------------------------------------------------------------------------------------------------------------------------------------------------------
tuLEGHGu v w tvxEy
 P  9 Q  <<= =@
#  Q zR QRP? TUV  =<<= A

WXYZ[\]^_` {|_ WX]}Xm\X a ~


b c

][_o ^X oXnXo€mp]`
V ;j s   i==
;j Rr  R jRQ  i==
D ‚ƒ QUV >Q   s?  r
 "<="<=

„ †‡ˆ‰Š ‹ŒŽ  ‘’“”Œ  “•–‹—˜Ž ’™Ž š ›œ ‘ŠŒ •ŽŒ ŒŠŽ”žŒ žŸ ž ‹Ž™”ŒŒ ¡ “Œ Œ’¢ Œ Œ”Œ Œ ‹Ž™”Œ ”Œ ŒŠŽ”žŒ ’ŒžŒ Œ žŒ™“£Œ—˜Ž
 ‘Š •ŽŽ ””‡
¤ŒžŒ “•“¥‘Ž ‹ŽŠ ‘’“”Œ  “•–‹—˜Ž ’™Ž š ›  ¦‘ •˜Ž ’Ž‘Š žŒ”““Œ •Ž ”” ¦‘ ”‹”ŒŠ Ž š §¨œ © ž‹ŽŠ•ŒŒ Œ ‘”“™“£Œ—˜Ž 
‘Š ”” ŠŽ™‹‘™Œž  Œ™”Œ •“ª“™“Œ ’ŒžŒ Œ ‹Ž•–“žŠŒ—˜Ž “Œ¨•¢”“‹Œ  ‘Š ‹ŒŽ  «•–‹—˜Ž „‹‘™”Œ ’™Ž š › ¬«„ ­‡
®„¯§ˆ
›Œ‹“•Œ ‹Ž•”žŒ Œ °’Œ”“” §  –Œ£Š ’Œž” Ž ‹Œ™•Ÿž“Ž  Œ‹“•Œ—˜Ž Ž †±† ¬°””’ˆ²²’Žž”Œ™Œž¦‘“Ž‡Œ‘‡¨Ž‡ªž²‹ŒŠ’Œ•°Œ²’•“²­‡
---------------------------------------------------------------------------------------------------------------------------------------------------------------

45 /64
         
          !"
#        
$% &'()* +)',-. /01-02- 3)01-. 4526)'78. 9:; <<=
9 >?     9  @ A B=
C  9D 9; ; @A=

EFGH IJK HLM N IOPEGHGO J


 Q  9 R  <<= =@
#  STU  =<<= A

VWXYZ[\]^_ `a^ VW\bWc[W deff

g\Z^h ]W hWiWhjckl\_
U m n  o   p==
;m n  Qqr  q mqR  p==

stuvwxy z{|}~€‚ ƒ„s †‡ˆ†ƒ‰† €Š€|€ € ‹‚||ŒŒ~Œ€{ { {Ž‹‚|Œ‚ z{‘{’{ €‚ “”z}| € •{‹€Œ{ t –•t—˜ ’‚| ™~Œy‚| š y{|{|v
ƒs‰‡w —€‘Œ’€| ‘‚’z€ € ›{‹€Œ{ ‡ { t Š€œ{y ‹€z{ ‚ ‘€~{’zŒ‚ { “€‘Œ’€‚ ‚ uxu –›‹wžž‹‚z€~€zŸ}Œ“‚|v|€}{v ‚“vzž‘€y‹€’›€|ž‹’Œž˜v
‡~{z€‚ { ¡’{z“€~‚ { {Š{z¢’‘Œ€ € ‹€zŒz { £¤ž¥¤ž¦¤¦£v
---------------------------------------------------------------------------------------------------------------------------------------------------------------
IOPEGHGO E N EFGHNI§E H¨L
 Q  9 R  <<= =@
#  ©q RqQ? B 9 STU  =<<= A

VWXYZ[\]^_ VW\bWc[W

g\Z^h ]W hWiWhjckl\_
U m  qQ?   r Q
;m  rQT   r Q

---------------------------------------------------------------------------------------------------------------------------------------------------------------
IOPEGHGO E N EFGHNI§E H¨M
 Q  9 R  <<= =@
#  R ªq RqQ? STU  =<<= =

VWXYZ[\]^_ `a^ VW\bWc[W

—€~‚z { z{Š{z¢’‘Œ€w
U ;m
D «¬ RTU   R m  r 
=<="<=

stuvw {|}~€‚| ’‚ z{€ {’{| Œ’Œ‘€y €}|¢’‘Œ€ { ›{‹€Œ{ ‡ € }€ ‚} z{‘{’{v ‡ {|€ {y ‹z{‘‚‘{ –­¦ |{y€’€|˜ €‹®| € {Ž‹‚|Œ‚ €‚ “”z}| €
›{‹€Œ{ ‡ –•‡—˜ ‹‚{y ‹z‚}œŒz z{|}~€‚| ’{ €Œ“‚ | { ¡ ¯ €’Œ°•‡—v ±{z|Œ|Œ’‚ € |}|‹{Œ€² }y€ €y‚|z€ {“{z |{z ‘‚~{€€ €‹®| ¦ € ³ |{y€’€|
{ |}y{Œ€ € }y€ ’‚“€ {|€ {yv
---------------------------------------------------------------------------------------------------------------------------------------------------------------

46 /64
         
          !"
#        
$% &'()* +)',-. /01-02- 3)01-. 4526)'78. 9:; <<=
9 >?     9  @ A B=
C  9D 9; ; @A=

EFGHIJIF K L HMNO EKP


 Q  9 R  <<= =@
#  R ST RTQ? UVW  =<<= A

XYZ[\]^_`a b[cYde`d ^ fggghg

ijklm no mopomqrstju
W v  # =w= <
D xy RVW   R v  z 
=<="<=

---------------------------------------------------------------------------------------------------------------------------------------------------------------
FG{IFJ| KH}} L HMNO~€P J‚ƒ L „ †H‡
 Q  9 R  <<= =@
#  ˆT RTQ? B 9 UVW  =<<= ==

XYZ[\]^_`a ‰Š‹ ŒŽ

ijklm no mopomqrstju
W v    = <
;v Tz  T vTR  = <

---------------------------------------------------------------------------------------------------------------------------------------------------------------
FG{IFJ| KH}} L HMNO~€P J‚‘ L „ †H‡
 Q  9 R  <<= =@
#  ˆT RTQ? B 9 UVW  =<<= !@

XYZ[\]^_`a ’“”Yde`d ^ fg

W ;v    = <


 RTQ>   =  = <
;v Tz   = <

---------------------------------------------------------------------------------------------------------------------------------------------------------------

47 /64
         
          !"
#        
$% &'()* +)',-. /01-02- 3)01-. 4526)'78. 9:; <<=
9 >?     9  @ A B=
C  9D 9; ; @A=

EFGHIJKLMHNOPQR FSK
 T  9 U  <<= =@
#  VW UWT? XYZ  =<<= ==

[\]^_`abcd efg gi jklmn


h
opqrs tu suvuswxyzp{
Z ;| }   "~= <
;| W  W |WU  "~= <
D € UYZ   U |   
=<="<=

---------------------------------------------------------------------------------------------------------------------------------------------------------------
‚JƒLGFGJ E „ L GF ‚EN
 T  9 U  <<= =@
#  U †W UWT? XYZ  =<<= =A

[\]^_`abcd ‡ˆc [\a‰\Š`\ i i‹


h

Œa_c b\ \Ž\Š‘ad
Z ;| }   ~==
;| W  W |WU  ~==

D € UYZ >U   }?  


 !<=<=

’“”•{–— yp˜r tu ˜™˜šuz›p tu zxvuyœr šuqr žŸo ™—p xr¡p p—r˜›sp tu¡us¢ ˜us yrqu›ptp £¤ tzp˜ pš¥˜ p tp›p tp yrqu›p tu˜›p p—r˜›sp špsp p supqz¦pœr
tu ™— xr¡r ›u˜›u•
§’¨©{ opyzxp˜ yrx›sp p ªušp›z›u © u “ vp¦u— šps›u tr ypquxt¢szr tu ¡pyzxpœr tr ”«” ¬ª››š{­­šrs›pqps®™z¡r˜•˜p™tu•¯r¡•°s­yp—špxªp˜­šxz­±•
---------------------------------------------------------------------------------------------------------------------------------------------------------------
EFGHIJKLMHNOPQR FSI
 T  9 U  <<= =@
#  U †W UWT? XYZ  =<<= =@!

[\]^_`abcd ‡ˆc [\a‰\Š`\

opqrs tu suvuswxyzp{
Z ;| }   =~@
    =~@ # =~!!
;| W  W |WU  ~=
D € UYZ   U |   
=<="<=

---------------------------------------------------------------------------------------------------------------------------------------------------------------

48 /64
         
          !"
#        
$% &'()* +)',-. /01-02- 3)01-. 4526)'78. 9:; <<=
9 >?     9  @ A B=
C  9D 9; ; @A=

EFG HI J KILMNFLO PI OQRFSIQT I OQRFUTVKTL


 W  9 X  <<= =@
#  X YZ XZW? $9% < [Z XZW? $9% \]^  =<<= =!=

_`abcdefgh ijgadke lmg _`en`od` peke qrs


tbduvwwh x xz
y
 W ^ ;{ | }~ ZW? B
{ |   | W }~   W

 W ;{ | }~ |W]


{ < Z  | W }~   W
DW  Z W  € {]^

W    |X  |   ‚  W ‚XZ B


{W   " ZX D# | {ƒW
 ‚]^ |X }~ ‚ |X  „!
 A<<=  < ~ < D„ D  } ~ 
 ‚]^  WZX W | W> W >BW XB
 W  |X  ‚ƒ $DW  XB
ZX Z :W †X %  ‚  XZ {  Z
XZ { " ZX

\W ;WZX W ^ ;{W Z   W B


WW  WZW|  ‚]^ |X }~ Z
 >  W >‡ W  X  = W |ƒW 
   X W  W

\W ;WZX W ;{W  ‚ W |ƒW W


 |X B   | >]^ {ƒW XB
\  X Z W{Z   W >‡ W  X 
 WZ\   | W XZ { |
{ƒW \  X  ‚]^ |X }~
[Z XZW? $9% WYZW WZXˆ 
{ |   | W  }~B ${Z| W   %
 }~B
^ ;{ ‰  ‚   ==
   ‰  ==  ==
;{ ‰  Z|   ==
X YZ XZW? $9% WYZW WZXB
ˆ  { |   | W  }~B ${ZB
| W   %   }~B
^ ;{ ‰  ‚   ==
   ‰  ==  ==
;{ ‰  Z|   ==
X  X   ‚  Š |X
X

D ‹Œ X]^     |  <="<=

Ž‘’“”•‘ –—”˜ ™ š› ”˜—”˜ œ˜ ž Ÿ˜ •¡¢“ £š˜ œ˜”˜¤”• “ •¥”¦Ÿ˜¥“ §¨ ˜ “— •¥”©¤“ §“— •¥”©ª«¬­ª® ˜ «¬­ª¨

¯“›˜¥”° ©“‘
±˜ —©—”©¥œ“ • —š—§˜©”• œ˜ ©¥²˜¤¡¢“ §˜³“ «¬­´ š›• ¥“µ• •›“—” • œ˜µ˜ ° —˜ ¤“³˜”• ¶· œ©•— •§¸— • œ•”• œ• ¤“³˜”• œ˜—”• •›“—” •´ ¤“¥²“ ›˜ ˜—”•¹˜³˜¤©œ“
§˜³• ±“ ”• ©• ¥º ¨»´ œ˜ ®¼ œ˜ œ˜½˜›¹ “ œ˜ ¨·®¶
---------------------------------------------------------------------------------------------------------------------------------------------------------------

49 /64
         
          !"
#        
$% &'()* +)',-. /01-02- 3)01-. 4526)'78. 9:; <<=
9 >?     9  @ A B=
C  9D 9; ; @A=
EFGHI JKLGFI
 M  9 N  <<= =@
#  N OP NPM? QRS  =<<= =A

TUVWXYZ[\] ^^_`a bcdef

Pg   h@! i<

D jk NRS >N   l?  g


 @<=<=

---------------------------------------------------------------------------------------------------------------------------------------------------------------
mnLo G p GG q rsnGFItuIv
 M  9 N  <<= =@
#  P M wP NPM   gxPNM B 9 QRS  =<<= ==

TUVWXYZ[\] yz\ TUZcUbYU a_a{

|}~€ ‚ €‚ƒ‚€„ †‡}ˆ


S i‰  l   h==
;i‰  MPg  P iPN  h==

Š‹ŒˆŽ €‚‘~’} “”Š •–—˜–“™–  ’‚’‚ ‚ ’€‡}š‚ ‡ ‡†} } }‘„ †‡} ‚ } ’‡†€› ‚›‚†œƒ‡† † ’€}  ™ž|Ÿ ‚ ™ž|Ÿ  €
---------------------------------------------------------------------------------------------------------------------------------------------------------------
t¡¢£ILr G¤¥
 M  9 N  <<= =@
#  N OP NPM? QRS  =<<= A

TUVWXYZ[\] ^¦`_a §¨def

S ;i  l   h= <


 NPM>   h=  !h! <
;i  Pg  P iPN  =h= <
D jk NRS   N i  g 
=<="<=

---------------------------------------------------------------------------------------------------------------------------------------------------------------

50 /64
         
          !"
#        
$% &'()* +)',-. /01-02- 3)01-. 4526)'78. 9:; <<=
9 >?     9  @ A B=
C  9D 9; ; @A=

EFGHIJK LMN
 O  9 P  <<= =@
#  P QR PRO? STU  =<<= =

VWXYZ[\]^_ ` `b cd]We
a
fghij kl jlmljnopqgr
U ;s t   u=  
 PRO>   u=  u!  
;s Rv  R sRP  u"=  
D wx PTU   P s  v 
=<="<=

---------------------------------------------------------------------------------------------------------------------------------------------------------------
yIzI{JK|NI|} LM~
 O  9 P  <<= =@
#  R O R PRO   v€RPO B 9 STU  =<<= A

VWXYZ[\]^_ ‚ƒ
a„ †‡ˆ‰
fghij kl jlmljnopqgr
U ;s  t   u" <
 PRO>   u"  u! <
;s  Rv  R sRP  u= <

Š‹ŒrŽ jl‘h’gki jlg“lo’l kl ’i”i•hgil –“— •ikl qokqpgj ‘g qomlp˜™i g’‘gh i‘ •ggkg Ž šoqpi jl‘h’gki jlg“lo’l o™i kl›l lj ‘gki •gjg
kqg“oi’qpgj qomlp˜™i jlplo’l
œgjg mqo kqg“o’qpiž i jl‘h’gki kl›l lj piŸqogki pi kgki ph oqpiž l•qklqih“qpi l pi i jl‘h’gki kl i‘’ji ’l’l hgŸijg’ijqgq
pii ’i”i•hgil –“¡ l ’l’l kl g›qkl¢ kl –“— Š ’l’l kg g›qkl¢ kl –“—  kl›l lj ihqpq’gki kqgo’l kl ‘ jl‘h’gki jlg“lo’l •gjg –“¡ž •iq ‘g
ijihi“qg •gjg ’i”i•hgil pi jl‘h’gki jlg“lo’l •gjg –“— l o™i jlg“lo’l •gjg –“¡ klmqol £‘l g qomlp˜™i ¤ •jl“jlg
---------------------------------------------------------------------------------------------------------------------------------------------------------------
yIzI{JK|NI|} L~N
 O  9 P  <<= =@
#  P QR PRO? STU  =<<= A

VWXYZ[\]^_ d¥W¦c^¦ \ ` ƒ`
† a
fghij kl jlmljnopqgr
U ;s §  t   =u=
 PRO>  §   =u=  =u!
;s §  ORv  R sRP  =u"=

D wx PTU  R        v


 =<=<=

---------------------------------------------------------------------------------------------------------------------------------------------------------------

51 /64
         
          !"
#        
$% &'()* +)',-. /01-02- 3)01-. 4526)'78. 9:; <<=
9 >?     9  @ A B=
C  9D 9; ; @A=

EFGHIHE J KLMI
 N  9 O  <<= =@
#  P N QP OPN   RSPON $9% T  =<<= ==

UVWXYZ[\]^ _`] UV[aVbZV cb\deV fgfh

i j k  l   m==


;j k  NPR  P jPO  m==


;NPO N jN  NN R ? N On N   NN  o      l   @ NN > N NR ON N pP  
N NPO N N NN  P N   N  im R N # NNq  N   R NNTO    Nl?   R N j  N  l
 NPO j  N i R ? $r;%  #B N Ns  Njl OS N SPO   P  PN OPotN uP
 R  SPO     N  im  > N  l   P NjP   N uP >q N  O   o
OP j  jsN N  Osj  NSlON        N#    v  =m  !  PPT  ="

wxyz{w |}~€‚ƒ„ €‚ „|‚„|†‚€ †‡ƒ†ˆ‚ „ }~‚ƒ„ ~„|„€‰Š†ˆ„ ƒ„ †‡ƒ†‹Œƒ„ } ƒ}‹} ~}| ‚~~„ˆ†‚ƒ„  ~‚ Ž†~‰|†‚ ˆ€Œ‡†ˆ‚ }„ }†ƒ}‘†„€‰Š†ˆ‚z
’“|†‚Š}‘ ‚|‚ „ ƒ†‚Š‡‰~†ˆ„ ~„|„€‰Š†ˆ„ ƒ‚ ~Œ”†€†~ }•}ˆ‚ƒ‚ }€„ }~} |}„‡–‘†ˆ„ ƒ} —†‘†„€‘†‡}~ˆ–‡ˆ†‚ „| ‘†ˆ|„‚|Œˆ€‚~ ˜™š›œž ˆ„‘
ƒ}}ˆŸ „ ~†‘€¡‡}‚ ƒ} ‚‡†ˆ„|„~ ›Š¢ } ›Šš ‚‡†’“|}„‡}‘‚ ‚€€†ƒ‘z £‘ |}~€‚ƒ„ ‡ „ |}‚Š}‡} ‡„ ™š›œ }•ˆ€† „ ƒ†‚Š‡‰~†ˆ„ ƒ} ~Œ”†€†~ ~}‘ ‚
‡}ˆ}~~†ƒ‚ƒ} ƒ} „|„~ }~}~ ˜|}„‡–‘†ˆ„~ } ‡ „ |}„‡–‘†ˆ„~z

’ ¤}|~†~†‡ƒ„ ‚ ~~}†‚ ƒ} ~Œ”†€†~ž ‘‚ ‚‘„~|‚ ƒ}‹}|¥ ~}| ˆ„€}‚ƒ‚ ‚‰~ ¦§ ƒ†‚~ } ~ ‘}†ƒ‚ ‚ ‘‚ ‡„‹‚ }~‚Š}‘z

’ ¨}~€‚ƒ„ „ †ƒ„ ˆ„‡”„|‘} }~‚ }€}ˆ†ƒ„ }€‚ ¤„|‚|†‚ ‡© ªz§«ªž ƒ} «¬ ƒ} „ |„ ƒ} ª§«­z
---------------------------------------------------------------------------------------------------------------------------------------------------------------
® ¯J °HLM±²HKH³´µH¶´ L
 N  9 O  <<= =@
#  QP OPN? Toi  =<<= =A

UVWXYZ[\]^ ·¸g¹f baº»¼

½‚€„| ƒ} |}”}|–‡ˆ†‚{
RPOoi NP q>O T  "=  N
PR   = j<
RPOoi   "=  N  jPR N  N ¾
=  "= j<

wxyz{¿y „ ˆ„‡~†ƒ}|‚ƒ„~ Š|„~ ƒ} |†~ˆ„ ‚|‚ Ž†„‹†‚‘†‡„~} À{ ¢}~‚‡}~ } €‚ˆ‚‡}~ž ‚ˆ†}‡}~ ˆ„‘ |}~|†Ÿ „  }•„~†Ÿ „ ~„€‚|ž †‡ƒ†‹Œƒ„~ ˆ„‘
„~}„‘‚€¥ˆ†‚ž |‚—††~‘„ž „~}„„|„~}ž Ž†}|‚|‚†|}„†ƒ†~‘„ž ‚ˆ†}‡}~ ‚ˆ„‘}†ƒ„~ „| ”|‚|‚~ „ —}ƒ‚~ |}ˆ„||}‡}~ž ˆ„‘ ƒ„}‡Ÿ‚~ ‚„†‘‡}~ž
ƒ„}‡Ÿ‚ |}‡‚€ ˆ|Á‡†ˆ‚ž ~Œ‡ƒ|„‘}~ ƒ} ‘¥ ‚ ~„|Ÿ „ ˜ˆ„‘„ ‚‰~ ˆ†||Š†‚ ‚|†¥|†ˆ‚ } ƒ„}‡Ÿ‚ †‡”€‚‘‚‰|†‚ †‡}~†‡‚€ } ~„ ~„ ƒ} ‘}ƒ†ˆ‚‘}‡„~ —}
„~~‚‘ †‡}|”}|†| ˆ„‘ ‚ ”„|‘‚Ÿ „ } ƒ}Š|‚ƒ‚Ÿ „ ƒ‚ ‹†‚‘†‡‚ À ˜ˆ„‘„ }|‚†‚ ‚‡†||}|„‹†|‚€ž Š€†ˆ„ˆ„|†ˆ„†ƒ}~ } ‚‡†ˆ„‡‹€~†‹‚‡}~z
½‚€„|}~ ‚ˆ†‘‚ ƒ} «§§ ‡Š‘ ‚|}~}‡‚‘ |†~ˆ„ ƒ} „•†ˆ†ƒ‚ƒ} } Ž†}|ˆ‚€ˆ}‘†‚z
x† €†„Š|‚”†‚{ ›‡}|‹‚€„~ ƒ} ¨}”}|–‡ˆ†‚ ƒ‚ ½†‚‘†‡‚ À’ ªÃ˜wĝÀz ¤„~†ˆ†„‡‚‘}‡„ w”†ˆ†‚€ ƒ‚ y„ˆ†}ƒ‚ƒ} x|‚~†€}†|‚ ƒ} ¤‚„€„Š†‚ ™€†‡†ˆ‚š}ƒ†ˆ†‡‚
‚ „|‚„|†‚€ } ƒ‚ y„ˆ†}ƒ‚ƒ} x|‚~†€}†|‚ ƒ} ҃„ˆ|†‡„€„Š†‚ } š}‚ „€„Š†‚z ¤ €†ˆ‚Ÿ „ }‘ «Æ«ªª§«Çz
---------------------------------------------------------------------------------------------------------------------------------------------------------------

52 /64
         
          !"
#        
$% &'()* +)',-. /01-02- 3)01-. 4526)'78. 9:; <<=
9 >?     9  @ A B=
C  9D 9; ; @A=

EFGHIFJH K LM
 N  9 O  <<= =@
#  O PQ OQN? RST  =<<= =!=

UVWXYZ[\]^ _`a
bc defgh

i[Y]j \V jVkVjlmno[^
=p= B !@=p= qr<

---------------------------------------------------------------------------------------------------------------------------------------------------------------
EFGHIFJH s
 N  R 9 r = 9 O  <<= =@
#  RST  =<<= =@

UVWXYZ[\]^ t t
bu

p"  p= r<

v O r N> O>   >O    w QN NrQ q   O N  >O ST  N   N v

---------------------------------------------------------------------------------------------------------------------------------------------------------------
sxyz{|}{H~IFJH
 N  9 O  <<= =@
#  O  RST  A<<= @

UVWXYZ[\]^ €_ tt \
b gef h

  @ r< 

---------------------------------------------------------------------------------------------------------------------------------------------------------------

53 /64
         
          !"
#        
$% &'()* +)',-. /01-02- 3)01-. 4526)'78. 9:; <<=
9 >?     9  @ A B=
C  9D 9; ; @A=

EFGHI
 J  D   > 9 K  <<= =@
#  JL M    NJ OP Q NOP  =<<= =A

RSTUVWXYZ[ \]^
_`

aXVZb YS bScSbdefgX[
9O h " JJ  =i==  A=i== jk< 
 " JJ  "  J  !=i==  !=i== jk< 
 "  J    J  @=i==  "=i== jk< 
l   A=i==  =i== jk< 
l    "=  J @  A= jk< 
jKm  @i==  i== jk< 
jKm   "=  J @  != jk< 
n> J @  = jk< 
 K k J> K>   >K   LK KN oB
       ;9 =  <=<==i 


---------------------------------------------------------------------------------------------------------------------------------------------------------------
pqrstuvF
 J  D   > 9 K  <<= =@
#  JL M   NJ OP Q L     M B #  l jJ NOP  =<<= =A

RSTUVWXYZ[ w ^w xfyz{
_

M   =i== jk<


J  m nKJ # =i== jk<
$;JjK J  J >K   JjK  B
i
 @<  =<=<===  | %
 K k J> K>   >K   LK KN oB
       ;9 =  <=<==i 


---------------------------------------------------------------------------------------------------------------------------------------------------------------

54 /64
         
          !"
#        
$% &'()* +)',-. /01-02- 3)01-. 4526)'78. 9:; <<=
9 >?     9  @ A B=
C  9D 9; ; @A=

EFGHIJ
 K LM D NO 9 P  <<= =@
#  9 B QRS  =<<= =!

TUVWXYZ[\] ^ ^ W`a[b
_
cP   ;d? # =e= fL< 
cP  g< 9  O KRS  hMQ 
# "=e= fL< 
i  P L K> P>   >P   OP
PQ j e       ;9 =  <=<==
    
i g< 9     g PjL   O KRS  
Ld 9Pk $MPlRS  ;BAe==%

---------------------------------------------------------------------------------------------------------------------------------------------------------------
HmnEonpJ
 K LM D NO 9 P  <<= =@
#  9 B QRS  =<<= =!

TUVWXYZ[\] q qr W`a[b
_

#  ML< 
 O KRS Ld>   Ls 
  tM e= ML< 
 O KRS Ld>    Ls 
  tM = ML< 

 P L K> P>   >P   OP PQ jB


       ;9 =  <=<==e 


---------------------------------------------------------------------------------------------------------------------------------------------------------------

55 /64
         
          !"
#        
$% &'()* +)',-. /01-02- 3)01-. 4526)'78. 9:; <<=
9 >?     9  @ A B=
C  9D 9; ; @A=

EFGHI JKLFHI
 M  D   > 9 N  <<= =@
#  MO   PM QR S PQR  =<<= 

TUVWXYZ[\] ^_`ab Wcd[e

fghij kl jlmljnopqgr
$9
A=s=  =s= tu<  ?P  =s= tu< %
# A=s= tu<  $ O MQR tO N%
 N u M> N>   >N   ON NP vB
       ;9 =  <=<==s 


---------------------------------------------------------------------------------------------------------------------------------------------------------------
Fwx xJyxHz{FHI y|L| |}{| }|H~I|}€FG| ‚{ƒ„
 M  9 N  <<= =@
# †t NtM? PQR  =<<= ==

TUVWXYZ[\] ‡ˆ‰UŠ‹\Š Z _`b_

Π  =s= C<


t  MPNQR 9 QR
$ NQR NŽ% $C<%
 =s=  =sA=
  =sA  s=
N   s=

 ut  MMPNQR > M NM 


 t    ‘M  N O tM
>M O  M t  >  ’t
Nu M N   ’t  N tN
 P t N  O QR  M M Œtt M
QR  NQR >N   Œ?   B
 
N u   O   <=<=

---------------------------------------------------------------------------------------------------------------------------------------------------------------

56 /64
         
          !"
#        
$% &'()* +)',-. /01-02- 3)01-. 4526)'78. 9:; <<=
9 >?     9  @ A B=
C  9D 9; ; @A=

EFG GHIGJKLEJM INON PGQN RNJQMFRMPSRETN ULVVW


 X  9 Y  <<= =@
#  Z[ Y[X? \]^  =<<= ==

_`abcdefgh ijk`lmgl e nopn

q   =r= C<


[  X\Ys]^ 9 ]^
$ Y]^ Yt% $C<%
u =r=  =rA=
  =rA  r=
Y   r=

 v[  XX\Ys]^ > X YX 


 w[    xX  Y y [X
>X y  X [  >  z[
Yv X Y   z[  Y [Y
 \ [ Y  y ]^  X X q[[ X

---------------------------------------------------------------------------------------------------------------------------------------------------------------
EFG GHIGJKLEJM INON JNHGKTN ULV{W
 X  9 Y  <<= =@
#  Z[ Y[X? \]^  =<<= ==

_`abcdefgh ijk`lmgl e nopn

|}~€ ‚ €‚ƒ‚€„ †‡}ˆ


q   =r= C<

[  X\Ys]^ 9 ]^


$ Y]^ Yt% $C<%
u =r=  =rA=
  =rA  r=
Y   r=

 v[  XX\Ys]^ > X YX 


 w[    xX  Y y [X
>X y  X [  >  z[
Yv X Y   z[  Y [Y
 \ [ Y  y ]^  X X q[[ X

---------------------------------------------------------------------------------------------------------------------------------------------------------------

57 /64
         
          !"
#        
$% &'()* +)',-. /01-02- 3)01-. 4526)'78. 9:; <<=
9 >?     9  @ A B=
C  9D 9; ; @A=

EFG GHIGJEKEJL IMNM FOPQGR SKTUV


 W  9 X  <<= =@
#  YZ XZW? [\]  =<<= ==

^_`abcdefg hij_klfk d mnom

pqrst uv tvwvtxyz{q|
}   =~= C<

Z  W[X\] 9 \]


$ X\] X€% $C<%
 =~=  =~A=
  =~A  ~=
X   ~=

 ‚Z  WW[X\] > W XW 


 ƒZ    „W  X  ZW
>W  W Z  >  †Z
X‚ W X   †Z  X ZX
 [ Z X   \]  W W }ZZ W

\]  X\] >X   }?   B


X ‚    <=<=

---------------------------------------------------------------------------------------------------------------------------------------------------------------
E‡PRLFOLˆPOERM E‰G
 W  9 X  <<= =@
#  YZ XZW? [\]  =<<= !@

^_`abcdefg Š‹nŒ hŽ

= B    # ! <
 B   W # ! <
 B   W #  <

 B !  W #  <
 ZX W # @A <

---------------------------------------------------------------------------------------------------------------------------------------------------------------

58 /64
         
          !"
#        
$% &'()* +)',-. /01-02- 3)01-. 4526)'78. 9:; <<=
9 >?     9  @ A B=
C  9D 9; ; @A=

EFGHI JEFKGFI
 L ML NMO  9 M  <<= =@
#  9 M # PQR  <<= 

STUVWXYZ[\ ] [
^_ `` Wab
ML  =c  c=  M<

---------------------------------------------------------------------------------------------------------------------------------------------------------------
EJdE eEfKG KgGhiGfE
 L  9 M  <<=
#  DOP  PQR  A<<= =@@

STUVWXYZ[\ jkk Z
`la b
mM   N?  =  !    A!   n< 
        A  != n< 
 "        "=  "= n< 
   !     A=  A@ n< 
D  !=  == n< 

---------------------------------------------------------------------------------------------------------------------------------------------------------------
ofHGFp Hp qIrE
9 M  <<= =@
PQR  =<<= !

STUVWXYZ[\ st
uv w xyzv\ {|
^_
mM   ;N? } B~  "A  A
st
uv w S\ ]^€
mM   ;N? } B; N   c
NOTA:
Os índices HOMA - Homeostatic Model Assessment - são obtidos pela fórmula proposta por Matthews e col. permitindo através da determinação de glicose e insulina de
jejum estimar respectivamente a resistência insulínica e a capacidade secretória das células Beta. Calculamos automaticamente os índices HOMA sempre que o paciente
possuir na mesma solicitação glicose e insulina de jejum, estando as mesmas entre 70 e 250 mg/dL e 2 e 40 µUI/mL respectivamente. Fora dessas faixas, o índice HOMA
não é calculado.

---------------------------------------------------------------------------------------------------------------------------------------------------------------

59 /64
         
          !"
#        
$% &'()* +)',-. /01-02- 3)01-. 4526)'78. 9:; <<=
9 >?     9  @ A B=
C  9D 9; ; @A=

EFGEGHIJKLJIHMNE
 O  9 P  <<= =@
#  P QR PRO? STU  !<<= @=

VWXYZ[\]^_ `
ab cdefg
h Oi RPjOi TO k   Ai= l<

OO mP O #  O n  OO  l> o


B  OO  nPO Ai! l<
B  OO  nPO =i! l<
B " OO  nPO "i l<
B A OO  nPO =i l<
B @ OO  nPO @i l<
B ! OO  nPO i@ l<

mP O  k?  #BO O U OU


no Oi   TpO   
== === l<  O  O  #BO
 Oi  OOO >P O O n   O
n O " OO  > i l q>O
 O O  RP O n  > P O =   OO

---------------------------------------------------------------------------------------------------------------------------------------------------------------
rsFEtuvwE ILErsJtEIwx wyz { ENIwrJLKJx ENIw
 O  9 P  <<= =@
#      |D9 STU  A<<= 

VWXYZ[\]^_ ` }efg
VALORES DE REFERÊNCIA: NÃO REAGENTE : INFERIOR A 10 U/mL
INDETERMINADO: DE 10 A 15 U/mL
REAGENTE : SUPERIOR A 15 U/mL
NOTA:
- Testes sorológicos não são indicados para screening ou diagnóstico
de infecções genitais agudas não complicadas por C. trachomatis.

~€‚~€‚ ~ ƒ„€ †‡ˆ‰~ Š~ƒƒ„€‹~Œ‰„  €„Œ€ŽŽ†Ž‰ˆ‰„ ˆŒˆ†‡ŽŠˆ †Ž‘Ž‡„ ŽŒ’„ƒŽ~ƒ“


‰~ „Œ€ˆŽ~
---------------------------------------------------------------------------------------------------------------------------------------------------------------
rsFEtuvwE ILErsJtEIwx wyt ENIwrJLKJx ENIw
”
 O  9 P  <<= =@
#      |D9 STU  @<<= A

VWXYZ[\]^_
ba•b
VALORES DE REFERÊNCIA: NEGATIVO : ÍNDICE INFERIOR A 0,80
INDETERMINADO : ÍNDICE DE 0,80 A 1,10
POSITIVO : ÍNDICE SUPERIOR A 1,10

---------------------------------------------------------------------------------------------------------------------------------------------------------------

60 /64
         
          !"
#        
$% &'()* +)',-. /01-02- 3)01-. 4526)'78. 9:; <<=
9 >?     9  @ A B=
C  9D 9; ; @A=

EFG H GIJKLIMNIOPJK FINPQJPFK H RSTUVWVTVWXY


 Z  9 [  <<= =@
#  \] []Z? ^_`  <<= =AA

abcdefghij k n opqros
lm

Valor de Referência:
Inferior a 5,0 mIU/mL : Correlacionam-se com ausência de gravidez
Entre 5,0 e 25,0 mIU/mL: São inconclusivos e sugerem repetição em uma semana
Acima de 25,0 mIU/mL: Correlacionam-se geralmente com gravidez deve ser avaliada em correlação com o quadro clínico

Nota:
Na presença de resultado discordante do quadro clínico, sugere-se, a critério médico, repetição em nova amostra.

Com a finalidade da determinação da gravidez, níveis muito baixos de HCG podem estar associados a processos gestacionais muito recentes, a ponto de não haver HCG
suficiente para o estabelecimento do diagnóstico (especialmente antes do atraso menstrual).
Níveis superiores aos valores de referência são sugestivos de gravidez. Porém outras condições clínicas também podem apresentar valores elevados.
As condições de neoplasia trofoblástica ou não trofoblástica e o estado de pós-menopausa e perimenopausa devem ser levados em consideração antes de se interpretar os
resultados
Na gravidez normal, os valores de HCG podem duplicar a cada 48h.
Se o resultado de ßhCG total não for coerente com o quadro clínico, os resultados deverão ser confirmados por um método de hCG alternativo.

---------------------------------------------------------------------------------------------------------------------------------------------------------------

61 /64
         
          !"
#        
$% &'()* +)',-. /01-02- 3)01-. 4526)'78. 9:; <<=
9 >?     9  @ A B=
C  9D 9; ; @A=

EF GHIG J KLMNOPLQNORSTUSNOVG WEF OKX


 Y  9 Z  <<= =@
#      [\]  A<<= =

^_`abcdefg h k lmnop
ij
qZ   r?

;#BY 
   = Y r   s= t<
   "= Y B   =s@=  s== t<
   "= Y B   =s=  s= t<
9\Y
     Y  =s=A  sA= t<
uZvY
Y r ZuZ  =s=  s= t<
Y Z  s==  s= t<
wY  xuY  =s=  =s!= t<

  "=  Y  =s=!  s=t<


y Y
 =  !  Y =sA  s@At<

---------------------------------------------------------------------------------------------------------------------------------------------------------------
zGUSzOHG{LVGT J ING|}ST
 Y ZY $yx% 9 Z  <<= =@
#  9  tr ~u   Z Yxv $y 9% [\]  =<<= ==

^_`abcdefg €e_ldb‚ld g ƒ„ih mnop


†fde_ldb‚ld g ‡ ƒ nop
j iˆ m
‰f do‚ld g jhik mnop

 Z # =s= xt<


 Z # @s= xt<
 x # @s= xt<

---------------------------------------------------------------------------------------------------------------------------------------------------------------

62 /64
         
          !"
#        
$% &'()* +)',-. /01-02- 3)01-. 4526)'78. 9:; <<=
9 >?     9  @ A B=
C  9D 9; ; @A=

EFGHIJGKL HLMMNOPK Q LJENRIFHIS NTU


 V  9 W  <<= =@
#  X V YX WXV   ZXWV [\]  =<<= "@

^_`abcdefg hif ^_dj_kc_ lkemn_ opoq

] r s  t   u==


;r s  VXZ  X rXW  u==

vwxyzv {|}~€‚ƒ „ƒ{€ƒ{  †‚ ‡ ƒ |}€‚ƒ }ƒ{ƒˆ‰ ‡ƒ ‚ƒ †‚ Š‹‚~ƒ | ‚|Š| }|{ }}ƒ‡ ‚ƒ Œ }~  }€ˆ{  ‡‹† ‡ |Žƒ~ | ‚| ƒˆ‰ ‡y
‘’{ ‰| { ƒ ‚ ‰†ˆ}€ ‡ƒ }ƒ{ƒˆ‰ ‡ƒ ‚ }‹“  } |”|‡~€‚ |ƒ €|}€| €{|ƒ†• ‡ƒ ‚| –~  ƒ~ †|}‡•†‡  ƒ{  ‡{ƒ{€‹‡~} —˜™š›œ ‡ƒ
‚|€|‡žŸƒ } ~€ †| ‚| †€ ‡ƒ{ƒ} š‰¡ | š‰™ †€ ‘’{|ƒ†|  ‚~y ¢ {|}~€‚ƒ †Ÿƒ {|‰|†€| †ƒ ˜™š› |”‡~ ƒ ‚ ‰†ˆ}€ ‡ƒ ‚| }‹“  } }| 
†|‡|}} ‚‚| ‚| ƒ~€{ƒ} €|}€|} —€{|ƒ†• ‡ƒ} | †Ÿƒ €{|ƒ†• ‡ƒ}œy

‘ £|{} }€ †‚ƒ  }~}| € ‚| }‹“  } ~ ƒ}€{ ‚|Š|{¤ }|{ ‡ƒ|€‚ ˆ} ¥¦ ‚ } | }~„|€ ‚  ~ †ƒŠ €|}€‰|y

‘ §|}~€‚ƒ ƒ„€ ‚ƒ ‡ƒ†“ƒ{| |}€„||‡ ‚ƒ | £ƒ{€{  †¨ ©y¦ª© ‚| ª« ‚| ƒ~€~„{ƒ ‚| ©¦ª¬y

---------------------------------------------------------------------------------------------------------------------------------------------------------------
EFGHIJGKL HLMMNOPK HGS®PNSL OG LJENRIFHIS NTK
­
 V  9 W  <<= =@
#  X V YX WXV   ZXWV [\]  =<<= ==

^_`abcdefg hif ^_dj_kc_ lkemn_ opo¯


] r s  t   u==
;r s  VXZ  X rXW  u==
vwxyzv {|}~€‚ƒ „ƒ{€ƒ{  †‚ ‡ ƒ |}€‚ƒ }ƒ{ƒˆ‰ ‡ƒ ‚ƒ †‚ Š‹‚~ƒ | ‚|Š| }|{ }}ƒ‡ ‚ƒ Œ }~  }€ˆ{  ‡‹† ‡ |Žƒ~ | ‚| ƒˆ‰ ‡y
™|€ƒ‚ƒƒ‰ z š~†ƒ|†} ƒ °~  ƒ~ †|}‡|†€| ‚| ™ ‡{ƒ{€‹‡~} —˜™š›œ
‘’{ ‰| { ƒ ‚ ‰†ˆ}€ ‡ƒ }ƒ{ƒˆ‰ ‡ƒ ‚ }‹“  } |”|‡~€‚ |ƒ €|}€| €{|ƒ†• ‡ƒ ‚| –~  ƒ~ †|}‡•†‡  ƒ{  ‡{ƒ{€‹‡~} —˜™š›œ ‡ƒ
‚|€|‡žŸƒ } ~€ †| ‚| †€ ‡ƒ{ƒ} š‰¡ | š‰™ †€ ‘’{|ƒ†|  ‚~y ¢ {|}~€‚ƒ †Ÿƒ {|‰|†€| †ƒ ˜™š› |”‡~ ƒ ‚ ‰†ˆ}€ ‡ƒ ‚| }‹“  } }| 
†|‡|}} ‚‚| ‚| ƒ~€{ƒ} €|}€|} —€{|ƒ†• ‡ƒ} | †Ÿƒ €{|ƒ†• ‡ƒ}œy

‘ £|{} }€ †‚ƒ  }~}| € ‚| }‹“  } ~ ƒ}€{ ‚|Š|{¤ }|{ ‡ƒ|€‚ ˆ} ¥¦ ‚ } | }~„|€ ‚  ~ †ƒŠ €|}€‰|y

‘ §|}~€‚ƒ ƒ„€ ‚ƒ ‡ƒ†“ƒ{| |}€„||‡ ‚ƒ | £ƒ{€{  †¨ ©y¦ª© ‚| ª« ‚| ƒ~€~„{ƒ ‚| ©¦ª¬y

---------------------------------------------------------------------------------------------------------------------------------------------------------------

63 /64
         
          !"
#        
$% &'()* +)',-. /01-02- 3)01-. 4526)'78. 9:; <<=
9 >?     9  @ A B=
C  9D 9; ; @A=

EFGHI IJKLFGMNOJ
 P  9 Q  <<= =@
#  R RS  STU  =<<= =A

VWXYZ[\]^_ `abWcd^c \ ef f
g
U ;h # i= <

jklmno pqrstuv pu woxjy yz{|ox}~z €uv qvq v‚€qpqr pu ƒu„uƒ †‡s s ˆu„u‰qvu€ƒ‡s u s ~vŠ†q€Šƒ‹‡p‡vu€ƒ‡sŒ Šu Žuƒv‡€uv s rŠs pqrstuv uv
{~v ŽƒqŽqƒ‡q†s†pq ƒurŠ‰€spqr vs‡r Žƒu‡rqr pq Šu qr v‚€qpqr pu ‘€u’ u “ss‰uƒ”yqrum
---------------------------------------------------------------------------------------------------------------------------------------------------------------
•IHGJ–—F ˜ IJFGN™F š K›GIFœœJ—œ–™J›
 P  9 Q  <<= =@
#  R RS  STU  =<<= =A

VWXYZ[\]^_ f ž ]¢
g  Ÿ ¡
£s‰qƒ pu ƒu„uƒ †‡sn
¤TU ;P 9  >PRQ
¥ P  ¦ =i h< 
#  ;P  =i  =i h< 
Q ;P  § =i h< 
R Q P  § h< 

jklmnj‹rmn¨sƒs q‹€uƒ q ƒurŠ‰€spq uv vt pu©u”ru vŠ‰€‡Ž‰‡sƒ q ©s‰qƒ pq ƒurŠ‰€spq Žqƒ ª«m
ˆq€s ªn ˆs ©‡t †‡s pu Žƒqurrq ‡†„‰svs€¬ƒ‡q stŠpq q‹ruƒ©s”ruŒ tuƒs‰vu†€uŒ †­©u‡r pu ¨®yŠr ¯ ªvtpm
ˆq€s °n o sŽ‰‡s±²q pur€u €ur€u Žsƒs s©s‰‡s±²q pq ƒ‡rq sƒp‡q©srŠ‰sƒ ƒuŠuƒ Šu ru³sv u’‰Š­psr sŠrsr ‡†„‰svs€¬ƒ‡srŒ ‡†„u‡qrsr qŠ ‡vŠ†urŒ Švs
©u´ Šu ur€sr Žqpuv ‡†€uƒ„uƒ‡ƒ †s pqrstuv ps ¨®yŠr u †s ‡†€uƒŽƒu€s±²q pqr ©s‰qƒur pu ƒu„uƒ †‡sm
ˆq€s µn ˆ²q ru ƒuqvu†ps pqrsƒ s ¨®yŠr Žsƒs ur€ƒs€‡„‡s±²q pu ƒ‡rq uv Žs‡u†€ur qv pqu†±s s€uƒqr‰uƒ¬€‡s vs†‡„ur€s qŠ rŠ‹‰­†‡sŒ qv s‰€q
ƒ‡rq sƒp‡q©srŠ‰sƒ t‰q‹s‰ u uv p‡s‹‚€‡qrm
yu„uƒ †‡s k‡‹‰‡qtƒ‘„‡sn
¶Šr·†uƒ ~ u€ s‰m o Š†‡„¸‡†t ‹‡q‰qt‡ u’Ž‰s†s€‡q† „qƒ ¹·‡t·”ru†r‡€‡©‡€¸¹ ®” ƒus€‡©u Žƒq€u‡† s†p ¹‰qº”tƒspu¹ ‡†„‰svvs€‡q†m oƒ€·ƒ‡€‡r ®sƒu yurm °«ª«» ¼°
½¾¿n¾¾°m
o€Šs‰‡´s±²q ps ‡ƒu€ƒ‡´ kƒsr‡‰u‡ƒs pu ‡r‰‡Ž‡puv‡sr u ¨ƒu©u†±²q ps o€uƒqr‰uƒqru ” °«ªÀ» oƒ kƒsr ®sƒp‡q‰ °«ªÀ» ª«Á½°lŠŽ‰mª¿nª”À¼
---------------------------------------------------------------------------------------------------------------------------------------------------------------
64 /64

You might also like