甲状腺炎 甲状腺炎
\u7532\u72b6\u817a\u708e\u7532\u72b6\u817a\u708e\u4e13\u4e1a\u4e0a\u5206\u4e3a\u4e9a\u6025\u6027\u7532\u72b6\u817a\u708e\u548c\u6162\u6027\u6dcb\u5df4\u7ec6\u80de\u6027\u7532\u72b6\u817a\u708e\uff0c\u6ca1\u6709\u4f60\u6240\u8bf4\u7684\u7ed3\u8282\u6027\u7532\u72b6\u817a\u708e\uff0c\u4e0d\u8fc7\u8fd9\u4e24\u79cd\u708e\u75c7\u90fd\u53ef\u4ee5\u5bfc\u81f4\u7532\u72b6\u817a\u51fa\u73b0\u7ed3\u8282\uff01\u4e0b\u9762\u662f\u8fd9\u4e24\u79cd\u75be\u75c5\u7684\u6cbb\u7597\u65b9\u6cd5\uff1a
\u4ec0\u4e48\u662f\u4e9a\u6025\u6027\u7532\u72b6\u817a\u708e
\u4e9a\u6025\u6027\u7532\u72b6\u817a\u708e\u53c8\u79f0\u4e3aQuervain\u7532\u72b6\u817a\u708e\u3001\u8089\u82bd\u80bf\u6027\u7532\u72b6\u817a\u708e\u3001\u5de8\u7ec6\u80de\u6027\u7532\u72b6\u817a\u708e\uff0c\u662f\u7532\u72b6\u817a\u7684\u708e\u75c7\u6027\u75be\u75c5\uff0c\u8868\u73b0\u4e3a\u817a\u4f53\u80bf\u5927\u3001\u75bc\u75db\uff0c\u75c5\u7a0b\u4e00\u822c\u4e3a2-3\u4e2a\u6708\uff0c\u53ef\u81ea\u52a8\u7f13\u89e3\uff0c\u6709\u660e\u663e\u590d\u53d1\u503e\u5411\u3002\u672c\u75c5\u5973\u6027\u591a\u89c1\u3002
\u4ec0\u4e48\u539f\u56e0\u5f15\u8d77\u4e9a\u6025\u6027\u7532\u72b6\u817a\u708e
\u672c\u75c5\u75c5\u56e0\u5c1a\u65e0\u5b8c\u5168\u9610\u660e\uff0c\u4e00\u822c\u8ba4\u4e3a\u4e0e\u75c5\u6bd2\u611f\u67d3\u4ea7\u751f\u53d8\u6001\u53cd\u5e94\u6709\u5173\uff0c\u5982\u816e\u817a\u708e\u75c5\u6bd2\u3001\u67ef\u8428\u5947\u75c5\u6bd2\u3001\u817a\u75c5\u6bd2\u53ca\u6d41\u611f\u75c5\u6bd2\u7b49\u3002
\u4e9a\u6025\u6027\u7532\u72b6\u817a\u708e\u6709\u4ec0\u4e48\u75c7\u72b6
1\u3001\u8d77\u75c5\u591a\u6025\u9aa4\uff0c\u75c5\u521d\u5e38\u6709\u4e0a\u547c\u5438\u9053\u611f\u67d3\u524d\u9a71\u75c7\u72b6\u3002
2\u3001\u591a\u5728\u53d1\u70ed\u540e1-7\u5929\u5185\u51fa\u73b0\u7532\u72b6\u817a\u80bf\u5927\u548c\u75bc\u75db\uff0c\u80bf\u5757\u8d28\u5730\u575a\u786c\uff0c\u4ee5\u5355\u4e00\u7ed3\u8282\u4e3a\u4e3b\uff0c\u75bc\u75db\u5411\u988c\u4e0b\u3001\u8033\u540e\u653e\u6563\uff0c\u5480\u56bc\u548c\u541e\u54bd\u65f6\u75bc\u75db\u52a0\u5267\u3002
\u4e9a\u6025\u6027\u7532\u72b6\u817a\u708e\u9700\u8981\u505a\u54ea\u4e9b\u68c0\u67e5
1\u3001\u8840\u5e38\u89c4\u3001\u5c3f\u5e38\u89c4\u3002
2\u3001\u8840\u6c89\u3002
3\u3001131\u7898\u5438\u6536\u7387\u68c0\u67e5\u3002
4\u3001\u8840\u6e05T3\u3001T4\u68c0\u67e5\u3002
5\u3001\u8840\u6e05\u6297\u4f53\u68c0\u67e5\u3002
6\u3001\u8840\u6e05TSH\u68c0\u67e5\u3002
\u5982\u4f55\u6cbb\u7597
1\u3001\u80be\u4e0a\u817a\u7cd6\u7c7b\u76ae\u8d28\u6fc0\u7d20\u6cbb\u7597\u3002
2\u3001\u6297\u83cc\u836f\uff08\u9752\u9709\u7d20\uff0c\u5148\u950b\u9709\u7d20\uff09\u4e0e\u89e3\u70ed\u9547\u75db\u836f\u6cbb\u7597\u3002
\u9884\u540e\uff1a
\u5927\u591a\u6570\u75c5\u4f8b\u7ecf\u6cbb\u7597\u7684\u53ef\u5b8c\u5168\u6cbb\u6108\uff0c\u9884\u540e\u826f\u597d\u3002\u90e8\u5206\u75c5\u4f8b\u6cbb\u6108\u6216\u81ea\u884c\u7f13\u89e3\u540e\u6709\u590d\u53d1\u503e\u5411\uff0c\u5c11\u6570\u75c5\u4f8b\u957f\u671f\u5904\u4e8e\u7532\u51cf\u72b6\u6001\u6216\u53d8\u4e3a\u6c38\u4e45\u6027\u7532\u51cf\u3002
\u4e9a\u6025\u6027\u7532\u72b6\u817a\u708e\u53c8\u79f0\u4e3aQuervain\u7532\u72b6\u817a\u708e\u3001\u8089\u82bd\u80bf\u6027\u7532\u72b6\u817a\u708e\u3001\u5de8\u7ec6\u80de\u6027\u7532\u72b6\u817a\u708e\uff0c\u662f\u7532\u72b6\u817a\u7684\u708e\u75c7\u6027\u75be\u75c5\u3002\u4e9a\u6025\u6027\u7532\u72b6\u817a\u708e\u7684\u4e34\u5e8a\u53d1\u75c5\u7387\u4e3a4\u3002\uff082\uff09\u591a\u5728\u53d1\u70ed\u540e1\uff5e7\u5929\u5185\u51fa\u73b0\u7532\u72b6\u817a\u80bf\u5927\u548c\u75bc\u75db\uff0c\u80bf\u5757\u8d28\u5730\u575a\u786c\uff0c\u4ee5\u5355\u4e00\u7ed3\u8282\u4e3a\u4e3b\uff0c\u75bc\u75db\u5411\u988c\u4e0b\u3001\u8033\u540e\u653e\u5c04\uff0c\u5480\u56bc\u548c\u541e\u54bd\u65f6\u75bc\u75db\u52a0\u5267\u3002\u7f13\u89e3\u65e9\u671f\uff08\u7532\u72b6\u817a\u529f\u80fd\u201c\u6b63\u5e38\u201d\u671f\uff09\u3002...
--------------------------------------------------------------------------------
\u4e34\u5e8a\u5feb\u62a5 \u836f\u5e02\u52a8\u6001 \u8fdd\u6cd5\u533b\u7597\u5e7f\u544a
\u533b\u7597\u4fdd\u9669 \u836f\u54c1\u4ef7\u683c \u836f\u54c1\u56de\u6536
\u4fdd\u5065\u5e38\u8bc6 \u5987\u79d1\u8bfe\u5802 \u996e\u98df\u4e0e\u5065\u5eb7
--------------------------------------------------------------------------------
\u5168\u6587: \u4e9a\u6025\u6027\u7532\u72b6\u817a\u708e\u53c8\u79f0\u4e3aQuervain\u7532\u72b6\u817a\u708e\u3001\u8089\u82bd\u80bf\u6027\u7532\u72b6\u817a\u708e\u3001\u5de8\u7ec6\u80de\u6027\u7532\u72b6\u817a\u708e\uff0c\u662f\u7532\u72b6\u817a\u7684\u708e\u75c7\u6027\u75be\u75c5\u3002De Quervain1904\u5e74\u548c1936\u5e74\u4e24\u6b21\u62a5\u9053\u5e76\u8be6\u7ec6\u63cf\u8ff0\u4e86\u672c\u75c5 \u30141\u3015 \u3002\u4e9a\u6025\u6027\u7532\u72b6\u817a\u708e\u7684\u4e34\u5e8a\u53d1\u75c5\u7387\u4e3a4.9/10\u4e07 \u30142\u3015 \uff0c\u53ef\u4ee5\u53d1\u751f\u5728\u5404\u4e2a\u5e74\u9f84\u6bb5\uff0c\u4ee550\u5c81\u5de6\u53f3\u5973\u6027\u6700\u4e3a\u5e38\u89c1\uff0c\u7537\u5973\u53d1\u75c5\u6bd4\u4f8b\u4e3a1\u22363\uff5e6\u3002\u75c5\u7a0b\u4e00\u822c\u4e3a2\uff5e3\u4e2a\u6708\uff0c\u6709\u660e\u663e\u590d\u53d1\u503e\u5411\u3002
1 \u53d1\u75c5\u539f\u56e0
\u672c\u75c7\u75c5\u56e0\u5c1a\u65e0\u5b8c\u5168\u9610\u660e\uff0c\u4e00\u822c\u8ba4\u4e3a\u4e0e\u75c5\u6bd2\u611f\u67d3\u4ea7\u751f\u53d8\u6001\u53cd\u5e94\u6709\u5173\uff0c\u5982\u816e\u817a\u708e\u75c5\u6bd2\u3001\u67ef\u8428\u5947\u75c5\u6bd2\u3001\u817a\u75c5\u6bd2\u53ca\u6d41\u611f\u75c5\u6bd2\u7b49\u3002\u5728\u60a3\u672c\u75c5\u7684\u75c5\u4eba\u8840\u6db2\u4e2d\u53ef\u68c0\u51fa\u8fd9\u4e9b\u75c5\u6bd2\u7684\u6297\u4f53\u3002
2 \u4e34\u5e8a\u8868\u73b0
\uff081\uff09\u8d77\u75c5\u591a\u6025\u9aa4\uff0c\u75c5\u521d\u5e38\u6709\u4e0a\u547c\u5438\u9053\u611f\u67d3\u524d\u9a71\u75c7\u72b6\u3002\uff082\uff09\u591a\u5728\u53d1\u70ed\u540e1\uff5e7\u5929\u5185\u51fa\u73b0\u7532\u72b6\u817a\u80bf\u5927\u548c\u75bc\u75db\uff0c\u80bf\u5757\u8d28\u5730\u575a\u786c\uff0c\u4ee5\u5355\u4e00\u7ed3\u8282\u4e3a\u4e3b\uff0c\u75bc\u75db\u5411\u988c\u4e0b\u3001\u8033\u540e\u653e\u5c04\uff0c\u5480\u56bc\u548c\u541e\u54bd\u65f6\u75bc\u75db\u52a0\u5267\u3002\u90e8\u5206\u75c5\u4eba\u5c40\u90e8\u51fa\u73b0\u7663\u6837\u6539\u53d8\u3002\uff083\uff09\u817a\u4f53\u4e0e\u5468\u56f4\u7ec4\u7ec7\u65e0\u7c98\u8fde\uff0c\u53ef\u968f\u541e\u54bd\u4e0a\u3001\u4e0b\u6d3b\u52a8\u3002\u5c40\u90e8\u6dcb\u5df4\u7ed3\u65e0\u80bf\u5927\u3002\uff084\uff09\u5178\u578b\u7684\u75c5\u7a0b\u53ef\u5206\u4e3a4\u671f\uff0c\u5373:\u6025\u6027\u671f\uff08\u7532\u4ea2\u671f\uff09;\u7f13\u89e3\u65e9\u671f\uff08\u7532\u72b6\u817a\u529f\u80fd\u201c\u6b63\u5e38\u201d\u671f\uff09;\u7f13\u89e3\u671f\uff08\u7532\u72b6\u817a\u529f\u80fd\u51cf\u9000\u671f\uff09;\u6062\u590d\u671f\uff08\u7532\u72b6\u817a\u4f53\u529f\u80fd\u6b63\u5e38\u671f\uff09\u3002
3 \u5b9e\u9a8c\u5ba4\u53ca\u8f85\u52a9\u68c0\u67e5
\uff081\uff09\u8840\u5e38\u89c4:\u767d\u7ec6\u80de\u8ba1\u6570\u6b63\u5e38\u6216\u7a0d\u9ad8\u3002\uff082\uff09\u8840\u6c89:\u660e\u663e\u52a0\u5feb\uff0c\u6709\u65f6\u53ef\u8fbe80\uff5e100mm/h\u4ee5\u4e0a\u3002\uff083\uff09\u7532\u72b6\u817a\u5438 131 I\u7387\u964d\u4f4e\uff0c\u8840\u6e05\u86cb\u767d\u7ed3\u5408\u7898\u5347\u9ad8\uff0cTSH\u964d\u4f4e\u3002\u8fd9\u79cd\u8840\u6e05\u86cb\u767d\u7ed3\u5408\u7898\u5347\u9ad8\u548c\u5438 131 I\u7387\u964d\u4f4e\u7684\u5206\u79bb\u73b0\u8c61\u662f\u4e9a\u6025\u6027\u7532\u72b6\u817a\u708e\u6025\u6027\u671f\u7684\u91cd\u8981\u7279\u5f81\u4e4b\u4e00 \u30143\u3015 \u3002\uff084\uff09B\u8d85\u68c0\u67e5\u53ef\u53d1\u73b0\u7532\u72b6\u817a\u80bf\u5927\u6216\u7ed3\u8282\u5448\u81f4\u5bc6\u5f71\u8c61\u3002\uff085\uff09CT\u4e0eMRI\u53ef\u53d1\u73b0\u7532\u72b6\u817a\u80bf\u5927\uff0c\u589e\u5f3a\u540e\u7ec4\u7ec7\u5448\u4e0d\u5747\u5300\u6539\u53d8 \u30144\u3015 \u3002
4 \u9274\u522b\u8bca\u65ad
4.1 \u6025\u6027\u5316\u8113\u6027\u7532\u72b6\u817a\u708e \u53ef\u51fa\u73b0\u53d1\u70ed\u53ca\u7532\u72b6\u817a\u80bf\u80c0\u3001\u75bc\u75db\uff0c\u4f46\u5168\u8eab\u4e2d\u6bd2\u75c7\u72b6\u660e\u663e\uff0c\u7a7f\u523a\u53ef\u62bd\u5f97\u8113\u6db2\uff0c\u6297\u751f\u7d20\u6cbb\u7597\u6216\u624b\u672f\u5207\u5f00\u5f15\u6d41\u6548\u679c\u660e\u663e\u3002
4.2 \u7532\u72b6\u817a\u764c \u65e0\u5168\u8eab\u4e2d\u6bd2\u75c7\u72b6\uff0c\u65e0\u7532\u4ea2\u8868\u73b0\uff0c\u7ec6\u9488\u7a7f\u523a\u53ef\u89c1\u80bf\u7624\u7ec6\u80de\u3002
4.3 \u6dcb\u5df4\u7ec6\u80de\u6027\u7532\u72b6\u817a\u708e \u4e00\u822c\u6ca1\u6709\u53d1\u70ed\uff0c\u8840\u6e05TPO\u3001TGA\u5347\u9ad8\uff0c\u7ec6\u9488\u7a7f\u523a\u53ef\u89c1\u5927\u91cf\u6dcb\u5df4\u7ec6\u80de\u3002
4.4 \u7532\u72b6\u817a\u56ca\u80bf\u4f34\u51fa\u8840 \u4e00\u822c\u65e0\u53d1\u70ed\uff0c\u8840\u6c89\u4e0e\u7532\u72b6\u817a\u529f\u80fd\u5747\u6b63\u5e38\u3002B\u8d85\u53ef\u663e\u793a\u7ed3\u8282\u5185\u6db2\u5316\u56fe\u8c61\uff0cCT\u663e\u793a\u56ca\u6027\u6539\u53d8\u3002
5 \u6cbb\u7597\u4e0e\u9884\u9632
\uff081\uff09\u80be\u4e0a\u817a\u7cd6\u7c7b\u76ae\u8d28\u6fc0\u7d20\u6cbb\u7597:\u5f3a\u7684\u677e\u6bcf\u65e520\uff5e40mg\uff0c\u5206\u6b21\u53e3\u670d\u6301\u7eed2\uff5e4\u5468\uff0c\u4ea6\u53ef\u5e94\u7528\u6c22\u5316\u8003\u7684\u677e\uff0c\u6bcf\u65e5100\uff5e200mg\uff0c\u9759\u8109\u6ef4\u6ce8\u30021\uff5e2\u5929\u540e\u5f53\u75c7\u72b6\u7f13\u89e3\u6539\u7528\u53e3\u670d\u5f3a\u7684\u677e\uff0c2\u5468\u540e\u53ef\u9010\u6e10\u51cf\u5c11\u836f\u91cf\uff0c\u7ef4\u6301\u7528\u836f1\uff5e2\u4e2a\u6708\u3002\uff082\uff09\u6297\u83cc\u836f\uff08\u9752\u9709\u7d20\uff0c\u5148\u950b\u9709\u7d20\uff09\u4e0e\u89e3\u70ed\u9547\u75db\u836f\u6cbb\u7597\u3002\uff083\uff09\u4e2d\u533b\u4e2d\u836f\u5bf9\u672c\u75c5\u6709\u4e00\u5b9a\u7684\u7597\u6548\uff0c\u4e00\u822c\u4e0e\u4ee5\u4e0a\u836f\u7269\u540c\u65f6\u5e76\u7528\uff0c\u4e3b\u8981\u6cbb\u7597\u539f\u5219\u4e3a:\u6e05\u70ed\u89e3\u6bd2\u3001\u76ca\u6c14\u56fa\u8868\u3001\u758f\u809d\u6563\u7ed3\u3002\uff084\uff09\u624b\u672f\u6cbb\u7597\u662f\u4e0d\u9002\u5b9c\u7684\uff0c\u9664\u975e\u4f34\u6709\u7532\u72b6\u817a\u80bf\u7624\u8005\uff0c\u6216\u53ca\u5c11\u6570\u75bc\u75db\u957f\u671f\u4e0d\u80fd\u7f13\u89e3\u8005\uff0c\u624d\u9700\u5207\u9664\u75c5\u53d8\u7684\u7532\u72b6\u817a\u3002
6 \u7597\u6548\u8bc4\u4ef7
\u6cbb\u6108:\u75c7\u72b6\u4f53\u5f81\u6d88\u5931\uff0c\u7532\u72b6\u817a\u529f\u80fd\u6b63\u5e38\u3002\u597d\u8f6c:\u75c7\u72b6\u4f53\u5f81\u57fa\u672c\u6d88\u5931\uff0c\u75c5\u7a0b\u65f6\u95f4\u8f83\u957f\u3002\u672a\u6108:\u4e00\u822c\u75c7\u72b6\u5b58\u5728\u3002
7 \u8ba8\u8bba
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\u53c2\u8003\u6587\u732e
1 Greene JN.Subacute thyroiditis.Am J Med\uff0c1971\uff0c51\uff081\uff09:97-108.
2 Fatourechi V\uff0cAnisgenwski JP\uff0cFatourechi GZ.Clinical features and out-come of subacute thyroiditis in an incidence cohort\uff0colmstedcounty Min-nesotastudy.J Chin Endocrinol Metal\uff0c2003\uff0c88\uff086\uff09:2100-2105.
3 Folk SA.Thyroid disease\uff0cEndocrinology\uff0csurgery\uff0cnuclear medicine\uff0cand radiotherapy\uff0c2nd ed\uff0cPhiladelphia:Lippincott Rawen\uff0c1997\uff0c401-407.
4 Jhaverik\uff0cShroffMM\uff0cFatterpekar GM.CT andMR imaging findings asso-ciated with subacute thyroiditis\uff0cAm J Neusoradiol\uff0c2003\uff0c24\uff082\uff09:143-146.
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甲状腺炎分为急性甲状腺炎、亚急性甲状腺炎和慢性淋巴甲状腺炎.具体表现如下：（1）急性甲状腺炎：表现为高热、剧痛肿大、皮肤发红、伸颈及吞咽时疼痛加剧。
（2）亚急性甲状腺炎：甲状腺疼痛、中度肿大、质地较硬、伴有发热。
（3）慢性淋巴甲状腺炎：又称桥本氏甲状腺炎，多发于30－50岁妇女。表现为甲状腺增大、质硬，并伴有轻度甲低症状。
中医“和”法为治疗甲状腺炎、桥本氏甲状腺炎最佳治疗方法。由我国著名中医贾春宝博士发明，“和”法为最能体现中医的辨证论治特色。 “和”法为 “肺和”、“心和”、“肝和”、“脾和”、“肾和”等意思。
中医“和”法治疗时不偏激，不动手术，通过逐步调节甲状腺激素分泌，促使甲状腺自身功能恢复，最终达到治愈、减少复发的目的。
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做甲功7项检查，确诊病情的严重程度针对性治疗
甲状腺炎初期时常无特殊感觉。少数患者早期可伴有短暂的甲亢表现，多数病例发现时已出现甲状腺功能低下。会出现水肿、乏力、便秘、月经不调、性欲减退等症状！
甲状腺炎应到内分泌科就诊，检查血沉、血常规、血清总T3、总T4、游离T3、游离T4、TSH、甲状腺球蛋白抗体（TRAb）、甲状腺过氧化物酶抗体（TPO），行甲状腺B超、甲状腺摄碘率检查和甲状腺核素扫描。
须查甲状腺功能 300元
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