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全部话题 - 话题: thyroxine
1 (共1页)
s********r
发帖数: 348
1
来自主题: NextGeneration版 - 甲减OB说不用吃药?
不好意思,搭车问个自己的问题。我昨天看到的lab结果里面有这么一项:

thyroid stimulating hormone 0.61 uiu/ml reference (0.34-5.66)
thyroxine, free 1.16 ng/dl reference (0.52-1.21)
ob说我的thyroxine是normal,但是在border上,所以继续抽血double check一下,如果
有问题,我需要看医生。
这个thyroxine太高,是甲亢么?有点担心,所以先问问。有知道的mm们么?
n*********7
发帖数: 4682
2
来自主题: NextGeneration版 - 有没有怀孕TSH值偏高的妈妈
你的医生很无知,不是网上的说法而已,是american association of clinical
endocrinologists 的推荐
RECOMMENDATION 19.1 Treatment with L-thyroxine should be considered in women
of childbearing age with serum TSH levels between 2.5 mIU/L and the upper
limit of normal for a given laboratory’s reference range if they are in the
first trimester of pregnancy or planning a pregnancy including assisted
reproduction in the immediate future. Treatment with L-thyroxine should be
considered in women in the second trimester of pregna... 阅读全帖
j**t
发帖数: 421
3
Thyroid Panel With TSH Results FLAG UNITS REFERENCE
INTERVAL
TSH 0.005 Low uIU / mL
0.450-4.50
Thyroxine (T4) 15.1 High ug / dL 4.
5-12.0
T3 Uptake 35 %
24-39
Free Thyroxine Index 5.3 High
1.2-4.9
准备去看医生了,可是没保险,想请教一下看看应该怎么治疗,做哪些需要的测试,谢
j**t
发帖数: 421
4
【 以下文字转载自 MedicalCareer 讨论区 】
发信人: jsvt (jsvt), 信区: MedicalCareer
标 题: 请懂医的帮忙看一下这个测甲亢的数据,急,谢谢
发信站: BBS 未名空间站 (Wed Jul 16 11:31:42 2014, 美东)
Thyroid Panel With TSH Results FLAG UNITS
INTERVAL
TSH 0.005 Low uIU / mL
Thyroxine (T4) 15.1 High ug / dL
T3 Uptake 35 %
Free Thyroxine Index 5.3 High ... 阅读全帖
W**t
发帖数: 27
5
本人一般体检,发现Thyroxine, Free (FT4) =1.06 ng/dL, 属于0.89-1.73 正常范围。
TSH W/RFX TO FREE T4 = 9.29 uIU/mL, 正常范围是0.178-4.53.
一周后重验再测,
Thyroxine, Free (FT4) =1.09 ng/dL,
TSH W/RFX TO FREE T4 = 6.35 uIU/mL,
问题:
需要进一步检测甲状腺过氧化物酶抗体(TPO-Ab) 和 甲状腺蛋白抗体( TgAb) 吗?
可以判断是何种类型的甲状腺功能减退?
多谢。
a***k
发帖数: 563
6
来自主题: Medicine版 - Thyroid Panel Test Result 求助
老父感觉甲亢复发
上诊所取血样送检,结果如下:
Thyroid Panel with TSH, 3rd Generation
T-3 Uptake: 33 (normal 22-35)
T-4 (Thyroxine), Total: 13.9 (normal 4.5-12.5)
Free T4 Index (T7): 4.5 (normal 1.4-3.8)
TSH, 3rd Generation: <0.01 (normal 0.4-4.5)
请问这各项指标中文叫什么?
病情严重么?
父亲回国机票在三月中旬,计划提前回国,可是又赶上春运。
能拖么?
老父感觉并无大恙,不过精神不如刚来那会了。
谢谢诸位了
c*******d
发帖数: 72
7
来自主题: Medicine版 - 甲低能治好么
心率大约70左右. 血压我记不住了,每次去检查看病,医生都说正常,Perfect.
另外,我的tsh偏高, t3 uptake和t4 (thyroxine)正常.
l******r
发帖数: 4
8
来自主题: Medicine版 - 甲状腺手术疑问
宝宝出生6个月了,某天突然发现脖子左边长了个疙瘩。去医院检查,说是甲状腺结节
,做了穿刺,良性。医生建议手术切掉,连同左侧甲状腺。我自己一个人带宝宝,现在
很担心,不知道为什么会得这个病,不知道是什么时候开始的,如果孕期结节就开始生
长了,会不会影响到宝宝呢?
怀孕前查出有桥本是甲状腺炎,没有结节,TSH偏高,开始吃thyroxine,孕期一直检测
TSH,FT4,控制在正常范围内,家庭医生告诉我这两项正常就没事。可是却长出了结节
,可见她说的不对。
医院的医生说有10%癌变的可能,可是却把我的手术推到3个月以后,只因为我现在的了
病毒性感冒。我是不是感冒好了以后该去请求他立即给我手术?如果他的时间排满了,
就换别的医生?因为真的不知道这个病是否很紧急。听说手术会伤到声带,之后相当长
的时间不能正常发音,是这样的吗?
希望知情人士不吝赐教,多谢了。
A*********r
发帖数: 8271
9
来自主题: Medicine版 - 请问甲亢停药问题
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
s********r
发帖数: 2308
10
来自主题: Medicine版 - 甲状腺问题求助 TSH 过低
是 Thyroxine Binding Globulin 么? 这个的结果是15 ug/ml, 在正常范围内。
b**h
发帖数: 293
11
surgery, then give thyroxine. As long as he has T4, his development should
be fine.
t****t
发帖数: 208
12
来自主题: NextGeneration版 - anyone had this situation before
What is the unit of 75? I think it should be micro gram (mcg) as well, right
? And the medicine I am taken is
called "L-thyroxine". I remember, the doctor told me that 25 mcg is the
lowest dosage pill. And she asked
me to cut it and take half pill daily.
I took two blood tests in 10 days apart. First one was only 4 days after I
started the medicine. My first TSH
level was 1.65, and second one was 2.26.
I was thinking it might also fluctuate during the day. I takes the pill in
the morning. The fi
r***n
发帖数: 1089
13
来自主题: NextGeneration版 - 孕期甲亢,求祝福
听到这个很鼓舞人心。其实我是不想吃药的,因为研究表明,吃药对胎儿会有一定影响
。明早就去看内分泌专科。顺便问一下mm,你还记得你的tsh和thyroxine free的值吗
?谢谢。

pregancy
but
s********r
发帖数: 348
14
来自主题: NextGeneration版 - 甲减OB说不用吃药?
假设:thyroxine太高,是甲亢么?
w*******7
发帖数: 412
15
TSH is just a screening parameter for thyroid function can fluctuate even in
one day. U should get free Thyroxine checked if there's an abnormal TSH.
a**********8
发帖数: 1393
16
来自主题: NextGeneration版 - 甲状腺功能低下
bless.....'
HERE IS SOME INFORMATION:
Hypothyroidism in infants and children, while relatively rare --
approximately 1 in 4,000 infants have the condition-- .
Hypothyroidism can affect both newborns and older children, and occurs for a
variety of reasons, but the treatment is always the same.
There are different types of hypothyroidism in infants/children, methods for
detection and treatment, and why it is crucial that your newborn be tested
within the first few days of birth. In some extremely ... 阅读全帖
D****o
发帖数: 12808
17
来自主题: Fitness版 - 帮我看看验血报告吧
早上刚验的,新鲜出炉~
先列几个abnormal的
status是Fin,全写是fine么?
BASIC METABOLIC PANEL
ELECTROLYTE BAL. 7 (L) 8 - 18 MEQ/L Fin
THYROID STIMULATING HORMONE (TSH), WITH REFLEX FREE T-4
THYROID STIMUL. HORMONE,REFLEX 5.81 (H) 0.27 - 4.20 uIU/ML Fin
这个是说我甲亢么?
其他没有显示abnormal,我不懂,列来看看
THYROXINE - FREE 1.12 0.92 - 1.57 NG/DL Fin
剩下的我贴图了~
懂这个的帮忙解释解释吧
谢谢~~
c**********n
发帖数: 120
18
来自主题: Fitness版 - 帮我看看验血报告吧
甲亢TSH就是0了,甲状腺功能减低的时候TSH可以高到好几百的
你的thyroxine是正常的,TSH只高一点点,应该没问题的。
btw你的血脂指标真好啊
c**l
发帖数: 319
19
来自主题: Biology版 - 包子求个全文。
Please email to: g****[email protected]
Summary
Expert Review of Endocrinology & Metabolism
March 2012, Vol. 7, No. 2, Pages 181-189 , DOI 10.1586/eem.12.2
(doi:10.1586/eem.12.2)
Review
Transthyretin: roles in the nervous system beyond thyroxine and retinol
transport
Sandra Marisa Oliveira1, Isabel Cardoso1,2 and Maria João Saraiva*1,3
e******e
发帖数: 364
20
来自主题: MedicalCareer版 - NBME Step 2CK FORM 3 block 1 question
41. During a routine examination, a 20-year-old man is found to have a
firm, bilaterally enlarged thyroid gland and lymphadenopathy. His father
died of thyroid cancer at the age of 40 years. Which of the following
hormones is most likely associated with this patient's findings?
O A) ACTH
O B) ADH (vasopressin)
O C) Aldosterone
O D) Calcitonin
O E) Growth hormone
O F) G3-hCG
O G) Insulin
O H) Parathyroid hormone
O I) Thyroid-stimulating hormone
0 J) Thyroxine (T4)
Why it is D?
i**********d
发帖数: 853
21
A 43-year-old woman comes to the physician because she has not had a
menstrual period for 3 months. Vital signs
are normal. Examination of the breasts shows expressible galactorrhea
bilaterally; there is no tenderness.
Examination of external genitalia shows no abnormalities. The vaginal mucosa
is pink and moist. There is a small
cervical os with no lesions, drainage, or tenderness; cervical mucus is
consistent with the proliferative phase. The
uterus is small, nontender, and slightly posterior.... 阅读全帖
z**********4
发帖数: 467
22
For Hyperthyroidism-TSH is most sensitive while T4 and FT4 are less
sensitive.
For Hypothyroidism-FT4 is the most sensitive while TSH and T4 are less
sensitive.
I am not good endocrinology. I think thyroxine should be referred as TT4. If
FT4(free T4) is not so bad, TSH could be normal. I think that conjugated T4
with thyroglobin might decrease in this patient, while FT4 might still be
normal which results in decreased T4 but normal TSH.
Hopefully, it helps.
e****0
发帖数: 678
23
来自主题: MedicalCareer版 - [我的CK笔记]妇产科
Endometrial hyperplasia types. Risk of cancer treatment
simple 1% Cyclic progestin
complex 3% Cyclic progestin
Simple atypical 8% THA or progestins
Complex atypical 29% THA or progestins
• Prolatinoma and hypothyroidism  galactorrhea
• Anesthesia can reduce uterine activity if in the latent phase
• Contraceptive for lactating mother
 Progestin-only oral contraceptive
• Pregnancy luteoma
 African-ameri... 阅读全帖
t********o
发帖数: 228
24
based on this, it is very hard to say what have caused the hyperthyroidism.
Next, a RAIU (radioactive iodine uptake) would be reasonable to DD Grave's,
toxic goiter/adenoma and others from thyroiditis.
Thyroiditis could be painful or painless. Painful thyroiditis is self-
limited. If have very obvious hyperthyrotoxic symptoms, can take propranolol
(it is a prescription med, check with your Doc before proceed) and NSAID
for pain control. Usually take several months to normalize. May check TSH in
... 阅读全帖
j*****o
发帖数: 137
25
来自主题: MedicalCareer版 - CK question needs help.
41. During a routine examination, a 20-year-old man is found to have a firm,
bilaterally enlarged thyroid gland and lymphadenopathy. His father died of
thyroid cancer at the age of 40 years. Which of the following hormones is
most likely associated with this patient's findings?
A) ACTH
B) ADH (vasopressin)
C) Aldosterone
D) Calcitonin
E) Growth hormone
F) G3-hCG
G) Insulin
H) Parathyroid hormone
I) Thyroid-stimulating hormone
J) Thyroxine (T4)
What is the answer and desease on this patient?
y******7
发帖数: 17
26
来自主题: Nursing版 - 请教Med/Surg常用药物名字!
The following is what I collected when I was a student doing capstone in a
local hospital. Not sure if it is useful.
Lidocaine topical is a amide-type local anesthetic. for production of
topical anesthesia, relief of pain associated with postherpetic neuralgia,
reduction of gagging during dental procedures, prevention and control of
urethral pain, anesthetic lubricant for endotracheal intubation, and relief
of hemorrhoidal pain.
Polyethylene glycol(Miralax) is a nonabsorbed solution used to trea... 阅读全帖
s*******g
发帖数: 92
27
来自主题: Medicalpractice版 - 甲亢 求助
三周前感觉头疼。去医院化验,检查出有甲亢。被refer到专科医生。还在等预约。
主要查出来的是
Test Name Result Flags Reference Range
T3 uptake 45.9 H 20.0 - 38.5
T4 Thyroxine 18.9 H 4.4 - 12.4
Caculated T7 8.68 H 1.05-4.50
TSH <0.1 L 0.5 - 4.7
但是还检查了两种抗体:
Test Name Result Flags Reference
Range
Thyroid Peroxidase AB <1 ... 阅读全帖
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