Thyroid heat metabolism value is high

During their annual health check-ups, some friends found that their thyroid thermal metabolism values ​​were high in their examination reports. So I consulted the editor and asked if I had thyroid disease. In fact, thyroid disease is a metabolic disease and there is no need to worry too much. Sometimes, the thyroid heat metabolism value may be high, but it does not mean that you are sick.

Thyroid function tests done during physical examinations or before pregnancy generally include two parts: thyroid function and thyroid autoantibody tests.

There are five indicators that reflect thyroid function: thyroxine (T4), triiodothyronine (T3), free thyroxine (FT4), free triiodothyronine (FT3), and thyroid stimulating hormone (TSH);

There are three indicators that reflect thyroid autoantibody examination: anti-thyroglobulin antibodies (TGAb), anti-thyroid peroxidase antibodies (TPOAb) and thyrotropin receptor antibodies (TRAb).

High thyroid antibody values ​​generally refer to high values ​​of anti-thyroglobulin antibodies and anti-thyroid peroxidase antibodies, which indicates that the patient's thyroid immune function is disordered and too many antibodies are mistakenly produced to fight against their own thyroid cells. Patients with high values ​​of these two antibodies often suffer from Hashimoto's thyroiditis.

What is Hashimoto's thyroiditis?

Hashimoto's thyroiditis, also known as chronic lymphocytic thyroiditis, is an autoimmune thyroid disease, which means that the body produces a lot of antibodies against the thyroid gland, which attack thyroid cells and cause the disease. The characteristic manifestation of this disease is the increase of anti-thyroid peroxidase antibody (TPOAb) and anti-thyroglobulin antibody (TGAb) values.

If the patient's two antibody values ​​are high, he or she can basically be diagnosed with Hashimoto's thyroiditis. Among them, anti-peroxidase antibodies (TPOAb) are more specific and can better help diagnose Hashimoto's thyroiditis.

The diagnosis is clearer if the patient also has elevated TSH (indicating hypothyroidism), or the doctor finds diffuse enlargement of the thyroid gland upon touch, or the thyroid ultrasound results describe "the thyroid gland as hypoechoic or unevenly echoed, with diffuse changes."