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甲状腺功能检测的临床应用

发布时间:2021-08-27 浏览次数:5次

jiazhuangxiandeshengligongnengzhuyaoweicujinsandayingyangwuzhidaixie,diaojieshengzhangfayu,tigaozuzhidehaoyangliang,cujinnengliangdaixie,zengjiachanrehetigaojichudaixie。dangjiazhuangxiangongnengwenluanshi,huifashengjiakanghuojiajian。


qizhong,jiazhuangxiansu(t4),sandianjiazhuangyuanansuan(t3)zaijiazhuangxianlvpaoshangpixibaozhonghecheng,zaichuiticujiazhuangxianjisu(tsh)cijixia,jingguoyixiliedebianhua,beishifangruxueye,zaixueyezhongdayu99%det3 ,t4hexuejiangdanbaijiehe,qizhongzhuyaohejiazhuangxiansujieheqiudanbaijiehe,zhiyouyuezhanxuejiangzongliang0.4%det3he0.04%det4weiyoulide,erzhiyouyoulidet3, t4cainengjinrubaxibaofahuizuoyong,hedanbaijiehedebufenzeduiyoulidet3, t4qidiaojie,wendingzuoyong。jiazhuangxianjisudehechengyufenmizhuyaoshouxiaqiunao-chuiti-jiazhuangxianzhoudediaojie。xueyezhongyoulit3 .t4shuipingdebodongfufankuideyinqixiaqiunaoshifangcujiazhuangxianjisushifangjisutrhhechuitishifangcujiazhuangxianjisutshdezengjiahuojianshao。trhzhuyaozuoyongshicujinchuitihechengheshifangtsh,tshcijijiazhuangxianxibaozengshenghejiazhuangxianqiudanbaihecheng,bingduijiazhuangxiansuhechengzhongcongdiandeshequdaoshifangdegeguochengjunyoucujinzuoyong。

图片

甲亢加减有哪些症状呢?

图片图片

常见甲功五项临床意义


#1

游离T3,游离T4

bushoujiazhuangxianjisujiehedanbaideyingxiang,zhijiefanyingjiazhuangxiangongnengzhuangtai,qiminganxingheteyixingmingxiangaoyuzongt3,zongt4,yinweizhiyouyoulidejisunongducainengqueqiefanyingjiazhuangxiangongneng,youqishizairenshen,cixingjisuzhiliao,jiazuxingtgbzenggaohuoquefazhengdengtbgnongdufashengjiaodagaibiandeqingkuangxia,gengweizhongyao。renweilianhecedingft3,ft4hechaomintsh,shijiazhuangxiangongnengpinggudeshouxuanfanganhediyixianzhibiao。liangzheshenggaojianyujiazhuangxiangongnengkangjin;jiandijianyujiazhuangxiangongnengjiantui,chuitigongnengjiantuijiyanzhongquanshenxingjibingdeng。


#2

血清总甲状腺素TT4

shipandingjiazhuangxiangongnengzuijibendeshaixuanshiyan。tt4shibaokuoleyudanbaijiehezhedezongliang,shoutbgdengjiehedanbailianghejiehelibianhuadeyingxiang。tbgshenggaochangjianyugaocijisuzhuangtai,rurenshenhuoyongcijisuzhiliaodebingren,koufubiyunyaodefunv。xiantianxingtbggaodebingren,jiazuxingyichang***gaojiazhuangxiansuxuezhenghuanzhett4shenggao。di***xuezheng(ruganyinghuaheshenbing)fuyonganding,gaotongdengyaowuhexiantianxingtbgdidebingrentt4zejiangdi。cishiyingcedingshenglihuoxingdeft4heft3cainengyouxiaodipingjiajiazhuangxiangongneng。


#3

血清总三碘甲状原氨酸TT3

xueqingzhongt3yudanbaijieheliangda99.5%yishang,gutt3yeshoutbgliangdeyingxiang,tt3nongdudebianhuachangyutt4pingxing。

xueqingtt3yutt4nongduzenggaozhuyaojianyujiazhuangxiangongnengkangjinshi,heft3,ft4yiqikeyongzaijiakang,jijiajiandezhenduan,bingqingpinggu,liaoxiaojianceshang。danzaijiakangchuqiyufufazaoqitt3yibanshangshenghenkuai,yue4beiyuzhengchang;tt4shangshenghuanman,jinweizhengchangde2.5bei,gutt3shizaoqiqiaobenshibingliaoxiaoguanchajitingyaohoufufademinganzhibiao.tt3yutt4shenggaohaikejianyuhuodongxingganyan,renshenshi。t3,t4jiangdikejianyujiazhuangxiangongnengdixia,jiajianshi,tt4huoft4jiangdizaoyutt3huoft3.xueqingzongt3huoft3jiangdijinjianyujibinghouqihuobingzhongzhe。ciwaierzhejiandikejianyuchuitigongnengdixia,yingyangbuliang,shenbingzonghezheng,shengongshuaijie,yanzhongquanshenxingjibingdengqingkuang。


#1

促甲状腺激素TSH

cedingtshyouchuitiqianyefenmi,αheβyajizucheng,qishengligongnengshicijijiazhuangxiandefayu,hechenghefenmijiazhuangxianjisu.tshdefenmishouxiaqiunaocujiazhuangxianjisudexingfenxingyingxiang;shengzhangyisudeyizhixingyingxiangyijiwaizhoujiazhuangxianjisushuipingdefufankuidiaojie。jiazhuangxianjisushuipingbianhua15%-20%keshitshshuipingfasheng50%-100%degaibian。tshbushoutbgnongdudeyingxiang,yejiaoshaoshounenggouyingxiangt3,t4defeijiazhuangxianjibingdeganrao。zaijiazhuangxiangongnenggaibianshitshdebianhuajiaot3,t4gengxunsuerxianzhu,suoyixuezhongtshshifanyingxiaqiunao-chuiti-jiazhuangxianzhougongnengdeminganshiyan,youqishiduiyalinchuangjiakangheyalinchuangjiajiandezhenduanyouzhongyaoyiyi。

tshzenggaokejianyuyuanfaxingjiajian,jiazhuangxianjisudikangzonghezheng,yiweitshzonghezheng,tshfenmizhongliu,yingyongduobaanjiekangjihehandianyaowudengshi。

tshjiangdikejianyujiakang,yalinchuangjiakang,prlliu,cushingbing,zhiduanfeidazheng,guoliangyingyongtangpizhichunhekangjiazhuangxianyaowushi。

yuanfaxingjiazhuangxiangongnengjiantuidezuizaobiaoxianshitshshenggao,rutshshenggaoert3,t4zhengchangkenengweiyalinchuangjiajian。caiqixue,xinshengerxuehuorenshendi22zhou,yangshuicetshyouzhuyutaierhuoxinshengerjiajiandezhenduan。

cujiazhuangxianjisu(tsh):zenggaojianyuyuanfaxingjiadi、ketingzheng、qiechujiazhuangxianhoujiadi、fangliao、kangjiazhuangxianyaowuzhiliaohoujiadi、chuitixingjiakang、xiaqiunaoxingjiakang、manxinglinbaxibaoxingjiazhuangxianyan、dijiabing、danchunxingjiazhuangxianzhong、zuzhiduijiazhuangxiansubuminganzonghezheng;jianshaojianyuyuanfaxingjiakang、zizhuxingjiazhuangxianxianliu、xihanzonghezheng、chuitixinghuoxiaqiunaoxingjiadi、chuitizhongliu、tangniaobing、shiyongtangpizhijisuhuoduobaandengyaowu、yiyuzhengdeng。


#5

甲状腺球蛋白抗体(TGA)与甲状腺微粒体抗体(TMA)

xueqingzhongtgahetmashiliangzhongzhuyaodeteyixingjiazhuangxianzishenkangti。zishenmianyixingjiazhuangxianjibingtgayutmashenggao,qitajiazhuangxianjibingjijiankangrenqunxuezhongyikejianchu,tgashimanxinglinbaxibaoxingjiazhuangxianyandeteyixingzhenduanzhibiao,changxianzhuzenggao。


#6

促甲状腺素受体抗体(TRAb)

trabyouchengjiazhuangxiancijixingkangti(tsab)huojiazhuangxiancijixingmianyiqiudanbai(tsi)。trabshiyizhongjiazhuangxiandezishenkangti,shizaiexingmimanxingjiazhuangxianzhongzishenmianyiguochengzhongchanshengde,keyicijijiazhuangxianchanshengjiazhuangxianjisu,cedingtrabyouliyuduimimanxingexingjiazhuangxianzhongfabingjizhideyanjiu。


#7

甲状腺微粒体抗体(TMAb)

zenggaoshizhenduanqiaobenbingdezhuyaozhibiao。yajixingjiazhuangxianyan、jiakang、jiadi、qitamouxiezishenmianyibingyikefaxiantmab。

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