甲状腺功能报告单，看哪几项指标确定甲减和甲亢？
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">在<span style="color: black;">咱们</span>的生活中，<span style="color: black;">针对</span>有<strong style="color: blue;">甲状腺结节或甲状腺<span style="color: black;">反常</span></strong>的<span style="color: black;">病人</span><span style="color: black;">来讲</span>，抽血<strong style="color: blue;">查甲状腺功能</strong>几乎是不可避免的事情。</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">然则</span>甲状腺功能<span style="color: black;">检测</span>的项目太多，高高低低的箭头总是让人不明<span style="color: black;">因此</span>，一时间总感觉心里像坐过山车<span style="color: black;">通常</span>七上八十，有的<span style="color: black;">病人</span><span style="color: black;">乃至</span><span style="color: black;">就地</span>就哭了起来。#昆明中研3</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><img src="//q2.itc.cn/images01/20240412/3fbe426fdcd34565a23da6c8150e2476.png" style="width: 50%; margin-bottom: 20px;"></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">那样</span>这些<span style="color: black;">检测</span><span style="color: black;">到底</span>是<span style="color: black;">表率</span>什么？不同结果都有什么含义？今天，就让<span style="color: black;">咱们</span><span style="color: black;">一块</span>来<span style="color: black;">认识</span>一下。</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><strong style="color: blue;"><span style="color: black;">1、</span>什么是“甲功5项”和“甲功7项”？</strong></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">甲功5项，是甲状腺功能最基本的<span style="color: black;">检测</span>项目，<span style="color: black;">包含</span>促甲状腺激素(TSH)、游离三碘甲状腺原氨酸(FT3)、游离甲状腺素(FT4)、总三碘甲状腺原氨酸(TT3)、总甲状腺激素(TT4)。<span style="color: black;">倘若</span>单纯检测甲状腺功能，这 5 项就够了。</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">甲功 7 项，是在甲功 5 项的<span style="color: black;">基本</span>上，加上甲状腺过氧化物酶抗体 (TPOAb)与甲状腺球蛋白抗体(TGAb)，<span style="color: black;">能够</span>辅助诊断桥本氏甲状腺炎等<span style="color: black;">自己</span>免疫性甲状腺炎。</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><strong style="color: blue;"><span style="color: black;">2、</span>这些指标的<span style="color: black;">道理</span>是什么？</strong></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><strong style="color: blue;">TT4、TT3、FT4、FT3是最直观反映甲状腺功能的指标</strong>。</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">若<span style="color: black;">显著</span><span style="color: black;">上升</span>，就<span style="color: black;">表率</span><span style="color: black;">身体</span>甲状腺激素<span style="color: black;">太多</span>，则高度<span style="color: black;">可疑</span>甲亢；若<span style="color: black;">显著</span>降低，就<span style="color: black;">暗示</span>甲状腺激素不足，则<span style="color: black;">暗示</span>可能<span style="color: black;">身患</span>甲减。</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">然则</span><span style="color: black;">必须</span>留意的是，临床上诊断“甲亢”和“甲减”有更精确的标准，<span style="color: black;">况且</span>它们的病因<span style="color: black;">亦</span>有<span style="color: black;">非常多</span>，治疗方式<span style="color: black;">亦</span>各不相同。</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">因此呢</span>当体检时<span style="color: black;">发掘</span> T3、T4、FT3、FT4 指标有<span style="color: black;">反常</span>时，<span style="color: black;">意见</span>还是尽快寻找<span style="color: black;">大夫</span>进行进一步的诊疗。</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><strong style="color: blue;">TSH 是调控甲状腺功能的激素。</strong></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">在反映甲状腺功能方面，TSH 比 T3、T4 更<span style="color: black;">敏锐</span>。它在甲状腺功能<span style="color: black;">反常</span><span style="color: black;">初期</span>，就<span style="color: black;">能够</span>向<span style="color: black;">咱们</span>发出信号。</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">例如 TSH <span style="color: black;">上升</span>，而 T3、T4 正常，又不伴任何临床症状，就被<span style="color: black;">叫作</span>为<strong style="color: blue;">“亚临床甲减”</strong>，提示甲状腺功能<span style="color: black;">已然</span><span style="color: black;">起始</span><span style="color: black;">衰退</span>了。</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">另外</span>，T<strong style="color: blue;">SH的改变<span style="color: black;">通常</span>和TT4、TT3、FT4、FT3变化方向相反</strong>。甲亢时，TT4、TT3、FT4、FT3<span style="color: black;">上升</span>，而TSH将降低；而甲减时，TSH将<span style="color: black;">上升</span>。</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><strong style="color: blue;">TPOAb和TGAb的<span style="color: black;">道理</span>基本相同， 当TPOAb和TGAb的数值<span style="color: black;">显著</span><span style="color: black;">上升</span>时，<span style="color: black;">通常</span><span style="color: black;">思虑</span>可能存在桥本甲状腺炎。</strong></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">不外</span><span style="color: black;">必须</span><span style="color: black;">重视</span>的是，并非所有的桥本甲状腺炎的<span style="color: black;">病人</span>这两个抗体都高，随着病程的延长数值<span style="color: black;">亦</span><span style="color: black;">能够</span>下降。<span style="color: black;">因此</span><span style="color: black;">必定</span>要专业<span style="color: black;">大夫</span>来结合病情来做出判断。</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><strong style="color: blue;"><span style="color: black;">3、</span>甲状腺<span style="color: black;">彩超</span><span style="color: black;">检测</span>报告的<span style="color: black;">重要</span>词汇要看懂</strong></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><strong style="color: blue;">1.结节形态</strong></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">规则（圆形、椭圆形等）提示良性，不规则提示恶性。</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><strong style="color: blue;">2.纵横比</strong></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">少于</span>1提示良性，大于1提示恶性。</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><strong style="color: blue;">3.钙化</strong></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">没</span>钙化提示良性，微小钙化（砂砾样）提示恶性。</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><strong style="color: blue;">4.血流信号</strong></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">血流信号强、分布<span style="color: black;">错乱</span>，多由周边向内部穿入，提示恶性。</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><strong style="color: blue;">5.结节回声</strong></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">恶性结节内部多呈低回声，<span style="color: black;">乃至</span>有些结节后方回声衰减。</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><strong style="color: blue;">6.包膜完整度</strong></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">包膜完整提示良性，<span style="color: black;">没</span><span style="color: black;">显著</span>包膜<span style="color: black;">或</span>包膜不完整，提示恶性。</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><strong style="color: blue;">7.结节等级</strong></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">BI-RADS和TI-RADS<span style="color: black;">同样</span>都把结节分为6个等级，1-3级多<span style="color: black;">思虑</span>良性，4级以上恶性的可能比较高。</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">最后#昆明中研甲状腺#说一句，有了结节，<span style="color: black;">必定</span>要尽快进行治疗，千万别不放在心上。当然<span style="color: black;">亦</span>不要<span style="color: black;">茫然</span><span style="color: black;">选取</span>手术，<span style="color: black;">倘若</span>是良性的，微波消融的效果是很不错的。<a style="color: black;"><span style="color: black;">返回<span style="color: black;">外链论坛：http://www.fok120.com/</span>，查看<span style="color: black;">更加多</span></span></a></p>
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