f******I
发帖数: 769 | 1
thyroid cancers tend to be slow growing, some genetic factors with oncogenes
, neck irradiations, low iodine intake are linked to it,
sounds like she has local recurrence, she should have surgery again, she
could have I-131 total body scan to try to locate all the tissues and then
have surgery and then re-scan to make sure it's all removed, |
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gq
发帖数: 321 | 2 在保险公司cover的范围内找合适的外科医生, 尽快收受 |
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j*******e
发帖数: 25 | 4 我父亲也刚刚查出甲状腺髓样癌。 甲状腺癌手术第一位，赶快清扫，如果在国内就去
上海瑞金，那边研究的很深，很全面。 |
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f******I
发帖数: 769 | 5
irritability
is LZ short for lao3 zi? kind of impolite way to say...
she already said weight gain, should ask if there is any beard growing,
menstrual cycles to me is way too complicated, fortunately i don't have to
deal with it, personally, yet,
she had mentioned weight gain, with oligomenorrhea, in addition to
polycystic ovarian disease, probably should also check into thyroid
dysfunction and adreanl disorder such as cushing's, |
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l**x
发帖数: 296 | 6 Hypothyroidism分很多种情况。有暂时性的的，比如subacute thyroiditis, 也可能使
自身免疫性疾病（长期的）,比如Hashimoto's disease （产生了自身抗体）. 应该进
一步检查一下到底是什么情况。 |
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j*****n
发帖数: 1545 | 7 你去 wenxuecity 查一下 很多人以前讨论过。 |
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x***n
发帖数: 50 | 10 我的一个朋友有这个毛病，但没有这么大，美国这边的做法是，每九个月测一下甲状腺
素水平，如果正常就不手术。 |
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w*****g
发帖数: 103 | 11 我有个病人，右侧甲状腺肿大4×6cm，针灸10次后，缩小为1.5×3cm.没有服用任何中
西药。
建议看针灸师吧 |
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m****g
发帖数: 988 | 12 多谢多谢,那您能不能帮我分析一下呢?
我的血检结果不正常数据分别是:
RBC 3.96 偏低
Hct 34.9 偏低
Platelet 136 偏低
MPV 10.9 偏高
Lymp Abs 1.2 偏低
Mono 13.0 偏高
RBC Nuc 1 偏高
Cholesterol HDL 29 偏低
T4 Free 6.00 偏高
TSH 0.010 偏低
Thyroid Microsomal Abi 小于10
医生说有甲亢,不过还要做尽一步检查
我上面这些不正常的数据,除了甲亢还有什么严重问题吗?我的医生没说别的,就说甲亢.
多谢回答! |
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a**********9
发帖数: 348 | 13 找到主要病因了。
您的甲亢需要治疗！
T4 Free 6.00 偏高
TSH 0.010 偏低
Thyroid Microsomal Abi 小于10 |
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f******I
发帖数: 769 | 14
propylthiouracil is PTU,
i'm not very familiar with endocrinology but wouldn't you want to know why?
hope your doctor didn't just order a TSH and made the call,
i mean, it could be graves' disease which needs further treatment, or
subacute thyroiditis, which sometimes self-correct, his answer is very vague
, |
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m****g
发帖数: 988 | 15 其实我自己一直都怀疑我的并不是真正的甲亢,因为我只有在大概一个月的时间里有甲
亢的一些症状:很累,吃很多但体重下降不少(10斤),头发掉的比较多但不是特别多,容易
激动.就只有这些,但一个月以后,都恢复正常了,没有吃药.我验的两次血都是在有症状
的时候验的.
后来朋友推荐了一个endocrinology的医生,去看这个医生的时候,已经正常了,不过在此
之前,因为学校的医生说是甲亢,当时把甲亢和大脖子病弄混了,就狠补了大概两个星期
的碘,吃了很多海带.后来朋友推荐的医生说要我去做thyroid uptake and scan,不知道
是不是因为补碘过多还是我本身确实碘多,医生拿到结果之后就让我吃药了.
当时我也很好奇,想知道我这个到底是不是暂时的,我把我的情况在第一次看他的时候就
讲了,他还是说我应该好好看一下,说不定以后会更严重.
他说我吃药一个月后要去看他,我想可能也是要验血啥的吧,我还是提前验了,到时直接
把结果给他,省得再来回跑.
?
vague |
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m****g
发帖数: 988 | 16 谨遵医嘱,按时服药,医生说让我一个月后去看他,但打电话问国内的医生,说最好一个星
期后去验下血,因为我服的药是Protylthiouracil,可能导致白细胞减少,如果一个月之
后再检查,可能就晚了,版上的一位懂医的板油说一个星期有点短了,建议两个星期后再
验血.
我是在20天的时候验了血,在学校验的,昨天结果出来,学校的nurse打电话过来,说让我
赶紧停药,因为从结果来看,我的甲亢已经变成甲减了.
以前在版上发了几个帖子,我一直觉得自己的身体没有大碍,因为甲亢的症状就那一个月
,之后一切都正常了,在看那个朋友推荐的endocrinology的时候,已经正常了,把这些跟
他说的时候,他还是让我去作了thyroid uptake and scan,他拿到结果之后就开始让我
服药.我当时太粗心,忘了跟他要X-ray的结果.
给他打了电话,他说让我停药一直到下次去看他,不知道去看他之前(两个星期以后)是不
是再验一次血,看到时是不是一切正常了?
我的情况是不是太weird了? |
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d********y
发帖数: 1141 | 17 我家人,中年,女. 美国这边有没有比较好点的药可以邮寄回去的? 多谢指点一下. 谢谢. |
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a*********e
发帖数: 697 | 18 我侄女从小诊断为甲状腺功能减退，要长期服药。现在才到美国上中学，学校要求出具
医生证明才能允许学生服药，如果看到她随便吃药是不允许的。
她在国内医生那里开了如下的中文证明，我要把它翻译成英文的带给学校护士：
“患者自幼发现甲状腺机能减退，B超示：右侧甲状腺缺如，左侧甲状腺发育不良，需
长期服用甲状腺素替代产品， 特此证明”
我翻译为：
This is to verify that patient XX has been diagonalized as hypothyroidism
since born. Determined from B-type ultrasound, her right side Thyroid is
seriously lacking(缺如) and right side malfunctions. She has to take the 甲
状腺素替代产品 on regualar basis every day. |
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f******I
发帖数: 769 | 19
probably TE, some endocrine disorders such as thyroid dysfunction would
cause this, or poor nutritional state with diminished protein, calories,
zinc, or iron intake, or emtional/physiological stress would do it as well,
check your nails to see if there is any transverse lines, |
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f******I
发帖数: 769 | 20
what test did you go through? thyroid function? a 12 lead ECG? holter
monitor? and what medication you are taking?
obviously if you drink too much coffee or tea that would stimulate heart
rate, |
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f******I
发帖数: 769 | 21
most of sensory hearing loss is irreversible, does he have any underlying
diabetes? or thyroid dysfunction? sometimes certain infections could cause
it, such as syphilis which if treated can reverse the hearing loss,
other than that, maybe hearing aid and low dose elavil, |
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t*******n
发帖数: 4445 | 22 1. Have the doctor check that there is no serious underlying cause (e.g.
tumor, thyroid dysfunction)
2. Maintain a healthy diet, stress level and amount of exercise.
3. Could try hormone therapy. But if there are no other symptoms and you don
't plan to get pregnant, treatment is not necessary. |
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f******I
发帖数: 769 | 23
assume 泌乳激素 is prolactin, and 肾上腺素 is FSH??
if you are not pregnant, for the work up of secondary amenorrhea, in
addition to prolactin level and FSH level, another lab test is TSH to rule
out any thyroid disease,
your exercise schedule for me would be strenous but not for normal people,
so doubt if that would be the cause for hypothalamic disorders, which are
functional by the way,
if you have any signs of hyperandrogenism, also check a testosterone level
or DHEA-S level, |
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m****a
发帖数: 98 | 24 any symptoms? do thyroid scan. if it is cold, do fine needle biopsy. if
still can not make final diagnosis, or if compression occurs, you got to do
surgery. |
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g***r
发帖数: 285 | 25
点,
first of all, just curious how the diagnosis was established, did they use
wood's lamp? did they do a skin biopsy? did they do any other tests such as
looking into whether the patient has thyroid disease or addison's disease?
i guess i'm asking those because of very low confidence toward the medical
care in china in general, wood's lamp exam, for instance, will help you to
tell if it is fungal infection, while skin biopsy can for sure tell the
absence of melanocytes,
that being said, other t |
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n******s
发帖数: 210 | 26 depends what is causing your hypothyroidism,
say, thyroiditis, just weeks or months,
post-radiotherapy hypothyroidism, may need life long administration of
synthroid. |
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l********g
发帖数: 8819 | 27 更新：这周有去验血和拍片
医生发消息说是graves disease，要吃药/
我自己也google 了一下
可是不少人都说，吃药可能要吃一辈子：（
停药后很可能会复发，
女性以后要生孩子也很麻烦
要监控外，如果吃药有可能影响小孩智力。
网上说的这些都是真的么？：（
因为上学期无故瘦了10磅，所以主动看医生检查
验血发现有甲亢，THYROID STIM HORMONE: 0.100
正常范围是0.3到5，不知道我有多严重：（
还检查了一些其他项目，可是不知道是什么
MCH: 26.4，
MONOCYTES %: 12.7*
Chloride Blood: 106*
Carbon Dioxide Blood: 21*
Creatinine Blood: 0.34*
不知道这些项目都是啥。
谢谢帮忙。 |
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n******s
发帖数: 210 | 28 I guess you may have grave's disease or thyroiditis.
this has nothing to do with salt with iodine.
just wait for your doc,
as I said, radio-iodine reuptake rate will be prescribed. |
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c********e
发帖数: 496 | 29 you have right to copy PN.
typically TSH tells us if something wrong with thyroid, and iodine reuptake
test will tell us hyper or hypo, FNA or biopsy gives us the final Dx. |
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c********e
发帖数: 496 | 30 Did the doc tell you to reduce the dose?
In fact, the blood concentration of med which is supposed to be taken tid P.
O.can not be maintained if taken only once. that means if you want to reduce
the dosage, take half tablet every time, but still three times per day.
This is something about pharmacokinetics or pharmacodynamics.
Propranolol is used to control the beta-receptor stimulating effects of
thyroid hormone, so if still tarchycardia, you need more of that.
PTU (not PPU) is the inhibitor of |
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g*****j
发帖数: 1211 | 32 Weight loss can be a result of diabetes itself. Type 2 diabetes is
primarily a result of insulin resistance, the resistance to a hormone in
charge of glucose utilization. Weight loss often happens due to poor
glucose utilization secondary to insulin resistance as well as dietary
control, a recommended life style measure.
Still, a close monitoring by his doctor is warranted, as Fishingdays and
Cardiogene have mentioned - thyroid problems, digestive issues can also
cause weight loss. Routine e |
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c********e
发帖数: 496 | 33 same,
fatigue is common in hypothyroidism. |
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k*****i
发帖数: 412 | 34 I have the same problem, taking synthroid 25mcg. my only symptoms is weight
gain. |
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P******e
发帖数: 344 | 35 【 以下文字转载自 Food 讨论区 】
发信人: PDFAdobe (吴语), 信区: Food
标 题: 花粉过敏与吃
发信站: BBS 未名空间站 (Wed Mar 31 10:39:15 2010, 美东)
身边见识了好多人也包括自己，来美国以后，每到春季就花粉过敏。
这个是不是跟美国的食品有关系？
美国的食品里面的激素扰乱人的免疫系统，导致人体一有外来刺激，免疫系统就乱攻击
不该攻击的机体。
美国一般的肉类都有激素，
一般的蔬菜水果都有大量的农药，
好多鱼类都含有汞
好多冰冻食物都有添加剂
虽然这些有害物质都是ppm剂量，但是在人体内发挥作用的激素含量也在ppm水平内。
不知道吃有机素食的人有没有这种过敏问题？
还有女性的乳腺炎症，子宫类癌变都在年轻化、
好多人的thyroid 肿大等等是不是都有益于这些食品呢？
大家不要害怕，不是什么都不能吃，还是有好多能吃的东西，美国这边有好多eating
guide
,food shopping guide的书。 |
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A*********r
发帖数: 8271 | 36 Grave's disease from Thyroid radioactive scan |
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A*********r
发帖数: 8271 | 37 Free Thyroxine FT4 0.7-1.9 ng/dl
Serum thyrotropin (Thyroid-stimulating hormone) TSH 0.5-5 uU/ml
My TSH 1uU/ml. I forgot about my T4. It may be 1ng/dL, I am not sure. I
should have asked for a copy.
as |
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c********e
发帖数: 496 | 38 PTU is indicated when patient is found allergic to methimazole.
Actually, relapse is a big concern in the treatment of grave's, that's why
physicians here in US prefer radiotherapy. But it is not readily accepted
because of the high rate of hypothyroidism as well as possible need of
thyroid hormonal replacement therapy for the rest of the life accordingly.
There are two ways of administration of methimazole,
20 mg per day, PO, for more than half or one year, but relapse rate is high.
60mg per |
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s**********8
发帖数: 158 | 39 我得了Hashimoto's thyroiditis, 刚查出来了.有点不敢相信.现在开始每天服药,用了
半个月了,打算过2天再找医生看看. 咱们甲状腺不好的人弄个自己的group吧.能相互安
慰或者讨论一下.愿意的给我发信.谢谢. |
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s**********8
发帖数: 158 | 40 3月3日的时候,我的annual medical report说我的TSH 是 0.024 L 正常在(0.3-5)之间
. 这个值越低说明level越高.我以为是有点甲亢.医生让我8周之后再查一次,上周我
又去查了一下,大概相隔6-7周,查了另外的几个指标. TSH 变成了18.05 (range 0.35-5
). THYROGLOBULIN AB 22.1 (range 0-4)THYROGLOBULIN 16.6(range1.3-31.8)T3
Uptake 33(28-41).Free T4 0.7(0.7-1.9) 医生说我得了 Hypothroidism 原因是
Hashimoto's disease(thyroiditis).是甲减. 那为什么在短短2个月里我从甲亢变成了
甲减....中间我没有吃任何药物....我的脖子前一阵子肿起来过一阵子,就2,3天,又回
去了,是不是跟这个也有关系...医生给我开了药,补充甲状腺激素的,说要终身吃药. 我
这2天太郁闷了......我想试试中药,但人不在国内,如果回去太麻烦了,正好这两天lg在
国内,想让他给我带点中成药回来.请 |
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s**********8
发帖数: 158 | 41 我刚查出来Hashimoto's thyroiditis, 就是乔本氏.说要终身服药,当时不敢相信,回家
一宿没睡.现在想的就是想把病弄清楚,跟病做斗争,争取不终身服药. 我希望甲状腺不
好的人能相互联系一下,搞一个自己的group,相互鼓励一下.有愿意的给我发信.谢谢. |
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EO
发帖数: 57 | 42 甲减的因素很多， 维生素D低，微量元素Zinc，selenium低，过多食用豆制品Soy
products，stress 过多，尤其是长期stress会造成Adrenal Fatigue肾上腺功能减弱，
这些都是直接造成甲减，不想吃西药的话可以试试纠正以上因素，有一种suppliment
， 叫Raw Thyroid, 是猪或牛的甲状腺处理以后做成的，据说含天然甲状腺素，是OTC
，不用处方。
★ Sent from iPhone App: iReader Mitbbs Lite 7.20 |
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h***z
发帖数: 243 | 44 这个病很普遍，建议不要吃西药，副作用太大。找个好中医，吃些中药，如果没有别的
毛病的话，大约半年能治好。 |
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s**********8
发帖数: 158 | 45 到哪里去找中医呀? 人都在美国...哎...现在吃甲状腺激素药控制呢. 也有人不建议看
中医. |
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A*******1
发帖数: 1561 | 46 support to have a group led by springbird08 now! Thank you. |
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k*****i
发帖数: 412 | 47 我半年前发现得了HASHIMOTO DISEASE，吃了5个月的药。前几天去抽血，发现
THYROGLOBULIN AB的抗体没有了， THYROID PEROXIDASE AB 是24， 正常是<35。 所以
我应该是没有这个病了。 可我的医生说吃药是不会LOWER ANTIBODY的。我不知道为什
么我的ANITBODY会DECREASE。 我想以后把药停掉，不知道会不会复发。 有没有人也
有过这种情况的，或对这个方面有了解的？ 也许吃药会LOWER ANTIBODY？谢谢 |
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n*****s
发帖数: 343 | 48 How's your thyroid function? |
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x*******a
发帖数: 11067 | 49 Thanks. Not sure about the Thyroid. My mother got hers removed when she was
young for a tumor. I have never checked mine. Probably should do a check
soon. |
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k**y
发帖数: 1379 | 50 it is prescription Rx. Same medicine as in China, just different manufature.
No difference. I used to take thyroid manufatured in Germany when I was in
China. |
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