武汉甲康医院吴素文专家科普：怎么判断自己是不是得了甲亢？要查哪些指标？
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">甲亢，全<span style="color: black;">叫作</span>甲状腺功能亢进症，<span style="color: black;">指的是</span>甲状腺腺体不适当地<span style="color: black;">连续</span>合成和分泌<span style="color: black;">太多</span>甲状腺激素而<span style="color: black;">导致</span>的内分泌<span style="color: black;">疾患</span>。</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">说到甲亢，<span style="color: black;">大众</span>并不陌生，<span style="color: black;">由于</span><span style="color: black;">非常多</span>人<span style="color: black;">针对</span>甲亢的认知是：大脖子、眼睛<span style="color: black;">明显</span>，那<span style="color: black;">无</span>这些典型症状的<span style="color: black;">病人</span><span style="color: black;">怎样</span><span style="color: black;">发掘</span>自己有<span style="color: black;">无</span>甲亢呢？要做<span style="color: black;">那些</span><span style="color: black;">检测</span>？</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><strong style="color: blue;">从症状来判断：</strong></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">√ 感觉<span style="color: black;">尤其</span>兴奋，<span style="color: black;">夜晚</span>不想睡觉，<span style="color: black;">白日</span><span style="color: black;">亦</span>不累；</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">√ 明明吃的多但还是感觉饿，大便次数<span style="color: black;">增加</span><span style="color: black;">或</span>拉肚子，消化快，身体<span style="color: black;">短期</span><span style="color: black;">显现</span>消瘦的<span style="color: black;">状况</span>；</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">√ 眼睛<span style="color: black;">明显</span>，闭合不完全，且眼部<span style="color: black;">显现</span>干燥发痒的<span style="color: black;">状况</span>；</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">√ 脖子肿大，感觉喉咙有异物，吃东西有异物感；</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">√ 甲状腺<span style="color: black;">反常</span>，心跳加快，有心慌的<span style="color: black;">状况</span><span style="color: black;">显现</span>，双手抬平就有发抖的现象；</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">√ 眼睛外突，脖子变粗，视力下降；</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">√ 怕热，容易出汗，皮肤干燥、粗糙。</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><strong style="color: blue;">判断甲亢，常<span style="color: black;">必须</span>做<span style="color: black;">那些</span><span style="color: black;">检测</span>？</strong></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><strong style="color: blue;"> 疑似甲亢<span style="color: black;">必须</span><span style="color: black;">检测</span>的指标<span style="color: black;">重点</span><span style="color: black;">包含</span>：</strong> 甲状腺激素水平、促甲状腺激素水平、甲状腺<span style="color: black;">自己</span>抗体、血常规、肝功能和心电图等。</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">甲状腺激素水平</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">甲状腺激素是调节人体代谢和生长<span style="color: black;">生长</span>的重要激素，当<span style="color: black;">可疑</span>甲亢时，<span style="color: black;">首要</span>要检测甲状腺激素水平。<span style="color: black;">重点</span><span style="color: black;">包含</span>总T3（TT3）、总T4（TT4）和游离T3（FT3）和游离T4（FT4）。当甲亢<span style="color: black;">出现</span>时，TT3、TT4和FT3、FT4水平会<span style="color: black;">上升</span>。</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><img src="//q7.itc.cn/images01/20240518/0b7b510828d44b18850eec28f8f16600.jpeg" style="width: 50%; margin-bottom: 20px;"></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">甲状腺<span style="color: black;">自己</span>抗体</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">甲状腺<span style="color: black;">自己</span>抗体<span style="color: black;">包含</span>抗甲状腺过氧化物酶抗体（TPOAb）和抗甲状腺球蛋白抗体（TGAb）。这些抗体可与甲状腺细胞<span style="color: black;">出现</span>免疫反应，<span style="color: black;">引起</span>甲状腺功能<span style="color: black;">反常</span>。在甲亢<span style="color: black;">病人</span>中，TPOAb和TGAb阳性率较高，<span style="color: black;">因此呢</span>检测这些抗体有助于鉴别甲亢的病因。</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">促甲状腺激素水平</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">促甲状腺激素由垂体分泌，可刺激甲状腺分泌甲状腺激素。甲亢<span style="color: black;">出现</span>时，<span style="color: black;">因为</span>甲状腺激素水平<span style="color: black;">上升</span>，会负反馈性<span style="color: black;">控制</span>垂体分泌促甲状腺激素，<span style="color: black;">引起</span>促甲状腺激素水平降低。<span style="color: black;">因此呢</span>，测定促甲状腺激素水平有助于诊断甲亢。</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">彩超<span style="color: black;">检测</span></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">做颈部彩超可见甲状腺组织<span style="color: black;">反常</span>增大，还可见<span style="color: black;">是不是</span>伴有甲状腺结节和甲状腺囊肿等<span style="color: black;">疾患</span>。</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><img src="//q5.itc.cn/images01/20240518/1e3e3681296347599c143bffb2ed7784.jpeg" style="width: 50%; margin-bottom: 20px;"></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">血常规</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">甲亢<span style="color: black;">病人</span><span style="color: black;">常常</span>伴有白细胞减少、血小板减少或全血细胞减少，<span style="color: black;">因此呢</span>血常规<span style="color: black;">检测</span><span style="color: black;">针对</span><span style="color: black;">评定</span>甲亢<span style="color: black;">病人</span>的整体<span style="color: black;">情况</span>和病程有<span style="color: black;">必定</span>的<span style="color: black;">道理</span>。</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">肝功能</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">甲亢<span style="color: black;">病人</span>可<span style="color: black;">显现</span>肝功能损害，<span style="color: black;">重点</span>表现为转氨酶<span style="color: black;">上升</span>、黄疸等。肝功能<span style="color: black;">检测</span>可<span style="color: black;">认识</span><span style="color: black;">病人</span>肝脏<span style="color: black;">情况</span>，<span style="color: black;">针对</span>制定治疗<span style="color: black;">方法</span>和<span style="color: black;">评定</span>病情<span style="color: black;">拥有</span>重要<span style="color: black;">道理</span>。</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">心电图</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">甲亢<span style="color: black;">病人</span>常伴有窦性心动过速、心房颤动等心血管系统并发症。<span style="color: black;">因此呢</span>，心电图<span style="color: black;">检测</span>有助于<span style="color: black;">发掘</span>甲亢<span style="color: black;">病人</span>的心血管问题，<span style="color: black;">针对</span>治疗和预防并发症<span style="color: black;">拥有</span>重要<span style="color: black;">道理</span>。</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;">怎样</span><span style="color: black;">评定</span>甲亢的严重程度？</strong></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;">通常</span>，以<span style="color: black;">病人</span>的<span style="color: black;">基本</span>代谢水平<span style="color: black;">来讲</span>，将甲亢分为轻和重两种<span style="color: black;">状况</span>。</strong></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">那什么样的病情叫轻呢？<span style="color: black;">倘若</span><span style="color: black;">病人</span>不伴有突眼，甲状腺肿大<span style="color: black;">亦</span>不<span style="color: black;">显著</span>，<span style="color: black;">无</span>其它并发症，<span style="color: black;">通常</span>都认为是比较轻的。</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><img src="//q5.itc.cn/images01/20240518/e535344403a44fc2a087413784841235.jpeg" 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;">倘若</span><span style="color: black;">病人</span>突眼<span style="color: black;">或</span>脖子肿大严重，且伴 有甲亢型心脏病，<span style="color: black;">例如</span>说有房颤、有心脏扩大、<span style="color: black;">或</span>有心脏早搏、<span style="color: black;">乃至</span>是<span style="color: black;">心率</span>衰竭； <span style="color: black;">或</span>有的甲亢<span style="color: black;">病人</span>，<span style="color: black;">因为</span>缺钾<span style="color: black;">引起</span>下肢无力，<span style="color: black;">乃至</span>于上肢<span style="color: black;">亦</span><span style="color: black;">能够</span>无力，<span style="color: black;">呼气</span>肌<span style="color: black;">亦</span><span style="color: black;">能够</span>无力，有这两种体征的人，甲亢病情是比较重的。</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">甲亢并不可怕，但这个不可怕的前提是<span style="color: black;">创立</span>在早<span style="color: black;">发掘</span>早治疗的原则上，<span style="color: black;">因此</span>，<span style="color: black;">倘若</span><span style="color: black;">可疑</span>自己有甲亢，应<span style="color: black;">即时</span>看诊，不要等到病情严重了才去治疗，<span style="color: black;">常常</span>加大了治疗的<span style="color: black;">繁杂</span>程度，<span style="color: black;">花费</span><span style="color: black;">亦</span>会<span style="color: black;">提升</span>，<span style="color: black;">亦</span>常会影响<span style="color: black;">病人</span>的生活质量，得不偿失！<a style="color: black;"><span style="color: black;">返回<span style="color: black;">外链论坛：www.fok120.com</span>，查看<span style="color: black;">更加多</span></span></a></p>
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