识别桥本氏甲状腺炎，先认识它的症状表现！
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">在门诊上会遇到好多<span style="color: black;">病人</span>拿着甲状腺化验单来咨询，“<span style="color: black;">大夫</span>，我这化验单上有个指标A-TPO＞600IU/ml，A-TG＞4000IU/ml，是什么意思？”</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">“您好，这个可能是桥本甲状腺炎”。</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">“什么是桥本甲状腺炎？”</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">“能根治吗？”</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">“<span style="color: black;">为何</span>会得这个病？”</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">“……”</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">今天昆明中研甲状腺专科医院就和<span style="color: black;">大众</span>来聊聊</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">什么是桥本甲状腺炎</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">1912年，一个叫桥本（Hashimoto)的日<span style="color: black;">自己</span>首次<span style="color: black;">发掘</span>并<span style="color: black;">报告</span>，<span style="color: black;">因此</span>又取名为桥本（Hashimoto)甲状腺炎。</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">桥本甲状腺炎一种<span style="color: black;">自己</span>免疫性<span style="color: black;">疾患</span>，多见于20~40岁女性，男女比例1：8，有遗传倾向。是临床中最<span style="color: black;">平常</span>的一种甲状腺炎症，<span style="color: black;">亦</span>是原发性甲状腺功能<span style="color: black;">衰退</span>症最<span style="color: black;">平常</span>的<span style="color: black;">原由</span>。</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">桥本氏甲状腺炎的学名叫「慢性淋巴细胞性甲状腺炎」，之<span style="color: black;">因此</span><span style="color: black;">这般</span>命名，是<span style="color: black;">由于</span><span style="color: black;">海量</span><span style="color: black;">本来</span><span style="color: black;">不该</span>该在甲状腺组织中的淋巴细胞跑到了甲状腺里，对甲状腺组织产生破坏。</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><strong style="color: blue;">桥本甲状腺炎是炎症吗？</strong></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">必须</span>消炎药治疗吗？<span style="color: black;">虽然说</span>桥本氏甲状腺炎是一种炎症，<span style="color: black;">然则</span>此“炎”非彼“炎”。它跟<span style="color: black;">咱们</span>平时所说的<span style="color: black;">哪些</span>咽喉炎、扁桃体炎等等这一类细菌感染<span style="color: black;">导致</span>的炎症并不<span style="color: black;">同样</span>。</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">准确来讲，桥本是一种<span style="color: black;">自己</span>免疫性<span style="color: black;">疾患</span>。而<span style="color: black;">自己</span>免疫性<span style="color: black;">疾患</span>，<span style="color: black;">便是</span>指人<span style="color: black;">自己</span>的免疫系统，即<span style="color: black;">守护</span><span style="color: black;">咱们</span>自己的“士兵”，不<span style="color: black;">晓得</span>为啥，听信了错误的指令，<span style="color: black;">起始</span>自己人打自己人。</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">甲状腺细胞就被自己的免疫细胞给干掉了。<span style="color: black;">因此</span>千万别乱用抗生素“消炎”！<span style="color: black;">发掘</span><span style="color: black;">身患</span>桥本，应该<span style="color: black;">即时</span>去正规的甲状腺医院就诊。</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><img src="//q9.itc.cn/images01/20240323/20e79f5ca6a64f51a3baa666271d7fa5.jpeg" style="width: 50%; margin-bottom: 20px;"></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><strong style="color: blue;">什么<span style="color: black;">原由</span><span style="color: black;">引起</span>的？</strong></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">桥本病<span style="color: black;">亦</span>有「罪魁祸首」 可能与内因+外因<span style="color: black;">相关</span>！虽然<span style="color: black;">引起</span>桥本氏病的<span style="color: black;">基本</span><span style="color: black;">原由</span>，<span style="color: black;">日前</span>仍不<span style="color: black;">知道</span>。</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">但<span style="color: black;">关联</span><span style="color: black;">科研</span>认为，桥本病可能与遗传、精神状态、免疫<span style="color: black;">状况</span>及环境<span style="color: black;">原因</span>、感染、<span style="color: black;">太多</span>的碘摄入等<span style="color: black;">关联</span>。<span style="color: black;">然则</span>这些<span style="color: black;">原由</span>仅仅是<span style="color: black;">科研</span>人员的猜想，并<span style="color: black;">无</span><span style="color: black;">知道</span>的证据来证明。</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><img src="//q3.itc.cn/images01/20240323/f8f60c43040443edbd48ba166ce4d2d2.jpeg" style="width: 50%; margin-bottom: 20px;"></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><strong style="color: blue;">得了桥本，会有啥症状？</strong></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">其实大部分人啥感觉都<span style="color: black;">无</span>。<span style="color: black;">常常</span>是做<span style="color: black;">检测</span>才<span style="color: black;">发掘</span>的。少部分人会有脖子处不适，<span style="color: black;">亦</span>有少部分人会<span style="color: black;">显现</span>甲状腺变硬、变肿，脖子肿大的<span style="color: black;">状况</span>。</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">倘若</span>甲状腺<span style="color: black;">连续</span>肿大，它就可能压迫到颈部的其他部位，如气管、食管等。此时可能<span style="color: black;">导致</span>咽部不适，如吞咽有哽咽感<span style="color: black;">或</span><span style="color: black;">呼气</span>不畅等。</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">还可能<span style="color: black;">显现</span>甲亢（心慌、手抖、汗多、容易饿）<span style="color: black;">或</span>甲减（怕冷、便秘、乏力、嗜睡）症状。</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><img src="//q4.itc.cn/images01/20240323/8e83b40d14f84894b1be5759a3c5742f.jpeg" style="width: 50%; margin-bottom: 20px;"></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><strong style="color: blue;">桥本对人有啥影响？</strong></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">桥本对人体最<span style="color: black;">重点</span>的影响还是在于容易<span style="color: black;">引起</span>甲状腺功能的<span style="color: black;">反常</span>。<span style="color: black;">按照</span>甲功<span style="color: black;">反常</span><span style="color: black;">状况</span>的不同，<span style="color: black;">通常</span>可分为甲亢期和甲减期。</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><strong style="color: blue;">桥本甲状腺毒症（甲亢期）：</strong></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">桥本氏甲状腺炎<span style="color: black;">初期</span>，<span style="color: black;">因为</span>甲状腺细胞被破坏，细胞里的甲状腺激素跑到血里面，<span style="color: black;">因此</span>抽血<span style="color: black;">检测</span>甲功时可能会<span style="color: black;">显现</span>甲状腺毒症的<span style="color: black;">状况</span>，如T3、T4<span style="color: black;">上升</span>，TSH下降，<span style="color: black;">亦</span><span style="color: black;">便是</span>桥本的甲亢期。</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">那样</span><span style="color: black;">此时</span>候有部分人可能会<span style="color: black;">显现</span>类似于甲亢的症状，<span style="color: black;">例如</span>心慌、怕热、容易出汗、手抖等等。</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><strong style="color: blue;">桥本甲减期：</strong></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">随着病情的发展，甲状腺里的细胞伤亡越来越惨重，生产的甲状腺激素<span style="color: black;">不足</span>，就可能<span style="color: black;">显现</span>甲减的<span style="color: black;">状况</span>，如T3、T4下降，而TSH<span style="color: black;">上升</span>，<span style="color: black;">亦</span><span style="color: black;">便是</span>桥本的甲减期。</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">这个时候<span style="color: black;">病人</span>可能会<span style="color: black;">显现</span>甲减的<span style="color: black;">有些</span>症状，<span style="color: black;">例如</span>怕冷、心跳慢、便秘乏力、嗜睡等症状。</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><img src="//q4.itc.cn/images01/20240323/6dd2188e66b448488739df6fccab3df3.jpeg" style="width: 50%; margin-bottom: 20px;"></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><strong style="color: blue;">要做啥<span style="color: black;">检测</span>来诊断桥本？</strong></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><strong style="color: blue;">超声+甲功+抗体=基本确诊。</strong></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">通常</span><span style="color: black;">状况</span>下，只要结合<span style="color: black;">病人</span>的甲状腺超声影像、甲功报告和TgAb和TPOAb这两个抗体的<span style="color: black;">状况</span>，<span style="color: black;">大夫</span>就基本<span style="color: black;">能够</span>判断是不是桥本甲状腺炎了。</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><img src="//q6.itc.cn/images01/20240323/9119e302eff84caa93cac107158afdc4.jpeg" style="width: 50%; margin-bottom: 20px;"></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><img src="//q0.itc.cn/images01/20240323/3bb9cb4ae74e45c3895716ea1f76b5e2.jpeg" style="width: 50%; margin-bottom: 20px;"></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><img src="//q6.itc.cn/images01/20240323/525e44e8b4574c9a9613619315502526.jpeg" style="width: 50%; margin-bottom: 20px;"></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><strong style="color: blue;">桥本甲状腺炎怎么治？</strong></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">咱们</span>都<span style="color: black;">晓得</span>桥本对人的<span style="color: black;">害处</span>很大，会<span style="color: black;">引起</span>不同程度的甲状腺肿大、甲减、<span style="color: black;">乃至</span>会诱发甲状腺乳头状癌等等。</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">那桥本该怎么治疗呢？桥本<span style="color: black;">疾患</span>本质上属于<span style="color: black;">自己</span>免疫功能<span style="color: black;">错乱</span>，<span style="color: black;">病人</span><span style="color: black;">常常</span>存在<span style="color: black;">许多</span>内环境<span style="color: black;">错乱</span>的表现，可<span style="color: black;">经过</span><strong style="color: blue;">超声定位引导腺体修复治疗</strong>，将特殊配伍的<span style="color: black;">有效</span>能<span style="color: black;">药品</span>直接<span style="color: black;">功效</span>于<span style="color: black;">反常</span>滤泡及腺体组织，修复甲状腺滤泡细胞，稳定腺体免疫调节<span style="color: black;">自己</span>分泌甲状腺激素的功能，从而达到标本兼治的治疗效果。</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><strong style="color: blue;">总之，</strong>桥本炎症<span style="color: black;">最后</span>会损害甲状腺，这种损害是不可逆的，可<span style="color: black;">引起</span>甲状腺组织萎缩，<span style="color: black;">因此</span>桥本后期形成的甲减是永久性的，<span style="color: black;">病人</span><span style="color: black;">必须</span>终生服药，<span style="color: black;">因此呢</span>在患上桥本氏甲状腺炎后<span style="color: black;">必定</span>要<span style="color: black;">即时</span><span style="color: black;">干涉</span>治疗。<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>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">责任编辑：网友投稿</span></p>
楼主果然英明！不得不赞美你一下！ 对于这个问题，我有不同的看法... 你的话语如春风拂面，温暖了我的心房，真的很感谢。
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