My Health Report
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Overall Summary¶
- Areas Requiring Attention: Your primary areas of focus should be managing prediabetes (indicated by your HbA1c), high cholesterol (high LDL-C), a very high Lipoprotein(a) level, and a slightly elevated Uric Acid. These are important for your long-term cardiovascular and metabolic health.
- Excellent Health Indicators: On the positive side, you have excellent liver and kidney function, a healthy complete blood count, no signs of active infections or significant inflammation, strong immunity to Hepatitis B, and reassuringly normal tumor markers. Your body composition is also very healthy.
1. Cardiovascular Health Profile¶
This section combines your cholesterol, triglyceride, and advanced cardiovascular risk markers.
Lipid Panel
| 檢驗項目 (Test Item) | 報告值 (Result) | 單位 (Unit) | 參考值 (Reference Range) |
|---|---|---|---|
| Cholesterol Total (總膽固醇) | 207 * |
mg/dL | 130-200 |
| Triglyceride (TG) (三酸甘油脂) | 123 | mg/dL | <150 |
| HDL-C (高密度脂蛋白膽固醇) | 50.6 | mg/dL | 男:>40 |
| LDL-C (低密度脂蛋白膽固醇) | 152.5 * |
mg/dL | <130 |
| CHOL/HDL-C (動脈硬化指數) | 4.09 |
Advanced Cardiovascular Markers
| 檢驗項目 (Test Item) | 報告值 (Result) | 單位 (Unit) | 參考值 (Reference Range) |
|---|---|---|---|
| Apolipoprotein A1 | 135.00 | mg/dL | 男性 104-202 |
| Apolipoprotein B | 107.00 | mg/dL | 男:66-144 |
| APO B/APO A1 ratio | 0.79 | 低風險:<0.6; 中風險:0.6-0.8; 高風險:>0.8 | |
| Lipoprotein a (脂蛋白a) | 155.00 * |
nmol/L | ≦61.6 nmol/L |
| hsCRP (高敏感度c-反應蛋白) | 0.08 | mg/dL | <1.0 |
🔬 Analysis
- High LDL & Total Cholesterol: Your LDL ("bad") cholesterol is high, and your total cholesterol is borderline high. This is a significant risk factor for the buildup of plaque in your arteries (atherosclerosis).
- Very High Lipoprotein(a): Your Lp(a) level is very high. This is an independent, largely genetic risk factor for cardiovascular disease. Because this level is high, it is even more important to aggressively manage the risk factors you can control, like your high LDL.
- ApoB/ApoA1 Ratio: This ratio of 0.79 places you in the medium-to-high risk category, reinforcing the need to address your cholesterol levels.
- Positive Note: Your HDL ("good") cholesterol, triglycerides, and inflammation marker (hsCRP) are all at healthy levels.
2. Diabetes Screening¶
Glycated Hemoglobin (HbA1c)
| 檢驗項目 (Test Item) | 報告值 (Result) | 單位 (Unit) | 參考值 (Reference Range) |
|---|---|---|---|
| HbA1c (醣化血色素) | 5.8 * |
% | 4.0-5.6 |
🔬 Analysis
- Prediabetes: Your HbA1c of 5.8% falls squarely in the prediabetes range (5.7-6.4%). This is a critical warning sign that your body is having trouble managing blood sugar, and you are at high risk for developing Type 2 Diabetes. This finding warrants immediate lifestyle changes, particularly in diet and exercise, to prevent progression.
3. Kidney Function¶
Blood Tests
| 檢驗項目 (Test Item) | 報告值 (Result) | 單位 (Unit) | 參考值 (Reference Range) |
|---|---|---|---|
| BUN (血中尿素氮) | 13 | mg/dL | 5-26 |
| Creatinine (肌酐酸) | 1.06 | mg/dL | 男性: 0.6-1.3 |
| eGFR (腎絲球過濾率) | 84 | mL/min/1.73㎡ | ≧60 |
Urine Tests
| 檢驗項目 (Test Item) | 報告值 (Result) | 單位 (Unit) | 參考值 (Reference Range) |
|---|---|---|---|
| Urine Creatinine (尿中肌酐酸) | 70.5 | mg/dL | |
| Micro Albumin (尿中微量白蛋白) | <0.7 | mg/dL | < 1.9 |
| ACR (微量白蛋白與肌酐酸比值) | 無法計算 | ug/mg Creatinine | <30 |
🔬 Analysis
- Overall Healthy: Your kidney function is good. The key markers in your blood (BUN, Creatinine) are normal.
- eGFR: Your eGFR of 84 is in the G2 stage ("mildly decreased"), which the report notes should be monitored. For a young person with good muscle mass, this is generally not a cause for alarm.
- No Kidney Damage: Most importantly, your urine shows no signs of protein leakage (very low Micro Albumin). The ACR couldn't be calculated because the albumin level was too low to measure, which is an excellent result and indicates healthy kidneys.
4. Liver Function & General Biochemistry¶
| 檢驗項目 (Test Item) | 報告值 (Result) | 單位 (Unit) | 參考值 (Reference Range) |
|---|---|---|---|
| SGOT(AST) (天門冬胺酸轉胺) | 14 | U/L | 5-34 |
| SGPT(ALT) (丙胺酸轉胺) | 15 | U/L | 5-40 |
| Alkaline Phosphatase (鹼性磷酸酵素) | 67 | U/L | 38-126 |
| r-GT (γ-麩胺酸轉移酵素) | 13 | U/L | 8-50 |
| Total Bilirubin (總膽紅素) | 0.73 | mg/dL | 0.2-1.3 |
| Direct Bilirubin (直接膽紅素) | 0.13 | mg/dL | 0.0-0.4 |
| Uric Acid (尿酸) | 7.7 * |
mg/dL | 男:4.4-7.6 |
| Total Protein (血清總蛋白) | 8.1 * |
g/dL | 6.0-8.0 |
| Albumin(BCG) (白蛋白) | 5.1 | g/dL | 3.8-5.3 |
| Calcium(Ca) (鈣離子) | 9.8 | mg/dL | 8.6-10.3 |
| Sodium(Na) (鈉離子) | 142 | mmol/L | 135-147 |
| Potassium(K) (鉀離子) | 3.9 | mmol/L | 3.5-4.9 |
🔬 Analysis
- Excellent Liver Function: All your liver enzymes (AST, ALT, r-GT) and bilirubin levels are well within the healthy range.
- Slightly High Uric Acid: At 7.7 mg/dL, your uric acid is just above the normal limit. This can be a risk factor for gout and should be managed with hydration and diet.
- Slightly High Total Protein: This is a minor elevation and, given your normal Albumin level, is unlikely to be clinically significant. It can sometimes be related to mild dehydration.
- Normal Electrolytes: Your electrolytes (Sodium, Potassium, Calcium) are all normal.
5. Complete Blood Count (CBC) & Differentials¶
Blood Cell Counts
| 檢驗項目 (Test Item) | 報告內容 (Result) | 單位 (Unit) | 參考值 (Reference Range) |
|---|---|---|---|
| WBC (血液白血球) | 6.2 | x10^3/ul | 3.6-11.2 |
| RBC (血液紅血球) | 5.34 | x10^6/ul | 男:4.5-5.7 |
| Hb (血液血紅素) | 15.4 | g/dL | 男:13.7-17.0 |
| Hct (血液血球比容) | 45.3 | % | 男:40.5-49.6 |
| Platelet (血液血小板) | 204 | x10^3/ul | 130-400 |
| MCV (平均紅血球容積比) | 84.8 | fl | 80-97 |
White Blood Cell (WBC) Differential
| 檢驗項目 (Test Item) | 報告內容 (Result) | 單位 (Unit) | 參考值 (Reference Range) |
|---|---|---|---|
| Neutrophilic Segment | 51.8 | % | 43.3-76.6 |
| Lymphocytes | 36.9 | % | 16-43.5 |
| Monocytes | 8.2 | % | 4.5-12.5 |
| Eosinophils | 2.6 | % | 0.6-7.9 |
| Basophils | 0.5 | % | 0.2-1.4 |
🔬 Analysis
- Completely Normal: All your blood counts are excellent. There are no signs of anemia, infection, inflammation, or issues with your platelets. This is a very healthy report.
6. Hepatitis & Immunology¶
| 檢驗項目 (Test Item) | 報告內容 (Result) | 單位 (Unit) | 參考值 (Reference Range) |
|---|---|---|---|
| HBsAg (B型肝炎病毒表面抗原) | Nonreactive (0.36) | COI | Nonreactive<0.9 |
| Anti-HBs (B型肝炎病毒表面抗體) | 417.00 | IU/L | <10 IU/L |
| Anti-HAV Ab (A型肝炎病毒IgG抗體) | Nonreactive (1.22) | COI | Nonreactive >1.0 |
| HCV Ab (C型肝炎病毒抗體) | Nonreactive (0.04) | COI | Nonreactive < 0.9 |
| RA (類風濕性關節炎因子) | <10.00 | IU/mL | <14 |
🔬 Analysis
- Excellent Immunity & Screening: You are negative for active Hepatitis B and C infections. Your Anti-HBs level of 417 is very high, indicating strong, protective immunity to Hepatitis B, likely from vaccination. You are negative for Hepatitis A antibodies (meaning no past infection or vaccination) and negative for Rheumatoid Factor.
7. Tumor Markers & Thyroid Function¶
Tumor Markers
| 檢驗項目 (Test Item) | 報告值 (Result) | 單位 (Unit) | 參考值 (Reference Range) |
|---|---|---|---|
| AFP(EIA) (α胎兒蛋白) | 2.00 | ng/mL | <9.0:Negative |
| CEA(EIA) (癌胚胎抗原檢驗) | 1.06 | ng/mL | <5:Negative |
| PSA(EIA) (攝護腺特異抗原) | 1.30 | ng/mL | <4:Negative |
| CA19-9(EIA) (CA199腫瘤標記) | 2.0 | U/mL | <35:Negative |
Thyroid Function
| 檢驗項目 (Test Item) | 報告值 (Result) | 單位 (Unit) | 參考值 (Reference Range) |
|---|---|---|---|
| TSH (甲狀腺促素) | 2.067 | uIU/mL | 0.34-5.60 |
| Free T4 (游離甲狀腺素指數) | 0.90 | ng/dL | 0.54-1.40 |
🔬 Analysis
- All Normal and Reassuring: All tested tumor markers are well within the negative range. Your thyroid function is also perfectly normal.
8. Urinalysis (Routine)¶
| 檢驗項目 (Test Item) | 報告內容 (Result) | 參考值 (Reference Range) |
|---|---|---|
| Appearance (尿液濁度) | Clear | |
| Color (尿液顏色) | YELLOW | |
| Sugar (尿糖) | Negative | Negative |
| Protein (尿蛋白) | Negative | Negative |
| Occult Blood (尿潛血反應) | Negative | Negative |
| PH (尿液酸鹼值) | 7.0 | 5.0-8.0 |
| Specific Gravity (尿比重) | 1.009 | 1.003-1.035 |
| Leukocyte esterase (白血球酯解) | Negative | Negative |
| Nitrite (尿亞硝酸鹽) | Negative | Negative |
| RBC (尿沉渣-紅血球) | 1 /uL | <17 |
| WBC (尿沉渣-白血球) | 7 /uL | <28 |
🔬 Analysis
- Perfectly Healthy: Your routine urine test is completely normal, showing no signs of infection, inflammation, blood, or sugar. Your urine is slightly dilute (Specific Gravity 1.009), which is common and just reflects your hydration status at the time of the test.
9. Other Tests¶
Blood Type
| 檢驗項目 (Test Item) | 報告內容 (Result) |
|---|---|
| ABO Blood Grouping | O |
| Rh(D) Typing | Positive |
| * Result: Your blood type is O Positive. |
Fecal Occult Blood Test
| 檢驗項目 (Test Item) | 報告內容 (Result) | 參考值 (Reference Range) |
|---|---|---|
| Stool OB EIA Method(定量) | <7 | <30 ng/mL |
| * Result: This test for hidden blood in the stool is negative, a reassuring finding for gastrointestinal health. |
10. Physical Measurements & Body Composition¶
General Measurements
| 測量項目 (Measurement) | 測量結果 (Your Result) | 單位 (Unit) | 參考值 (Reference Range) |
|---|---|---|---|
| Height (身高) | 175.8 | cm | — |
| Weight (體重) | 73.1 | kg | — |
| BMI (身體質量指數) | 23.65 | kg/m² | 18.5 – 23.9 |
| Ideal Weight (理想體重) | 67.99 | kg | — |
| Waist Circumference (腰圍) | 83 | cm | 男:<90 |
| Hip Circumference (臀圍) | 100 | cm | — |
| Waist-to-Hip Ratio (腰臀比) | 0.83 | — | 男:<0.9 |
| Body Temperature (體溫) | 36.4 | °C | 35.7 – 37.5 |
| Heart Rate (脈搏) | 95 | BPM | 60 – 100 |
| Respiratory Rate (呼吸速率) | 16 | times/min | 12 – 20 |
Body Composition
| 測量項目 (Measurement) | 測量結果 (Your Result) | 單位 (Unit) | 參考值 (Reference Range) |
|---|---|---|---|
| Body Fat Mass (體脂肪量) | 14.0 | kg | — |
| Body Fat Percentage (體脂率) | 19.1% | % | 男: 15 – 25 |
| Muscle Mass (肌肉量) | 31.1 | kg | — |
| Muscle Mass Density (肌肉密度指標) | 10.1 | kg/m² | 男性常見：9–11 |
| Dry Muscle Mass (除水肌肉量) | 15.0 | kg | — |
| Bone Mass (骨量) | 3.1 | kg | 男性常見：2.5–3.5 |
| Visceral Fat Index (VFI) | 8 | — | <10 |
| Body Water Mass (身體總水量) | 41.0 | kg | — |
| Total Body Water % (水分比例) | 56.1% | % | 男性正常：55–65 |
| InBody Age (生理年齡) | 23 | 歲 | 實際年齡：25 歲 |
🔬 Analysis
- Your BMI is within the healthy range, close to the ideal.
- Body fat percentage and visceral fat index are both healthy, suggesting good metabolic fitness.
- Muscle and bone mass are well-developed, supporting a strong and athletic physique.
- InBody age is younger than your actual age, which reflects your excellent physical condition.
You have a healthy body fat percentage, good muscle mass for your frame, and a healthy visceral fat level (a VFI of 8 is good, with <10 being the target). These results reflect a healthy and fit physique, which is a great foundation. It's important to recognize that even with a healthy body composition, the "hidden" metabolic markers from your blood tests (prediabetes, high cholesterol) still require attention.
重點總結¶
這份健檢報告整體來看相當不錯，大部分的項目例如肝功能、腎功能、血液常規、癌症指數和甲狀腺功能都非常健康正常，不用擔心。
不過，有幾個數字出現紅字，需要特別注意並在生活習慣上做出調整。這些主要和心血管健康與血糖有關：
1. 血糖問題：糖尿病前期¶
- 醣化血色素 (HbA1c):
5.8 %(正常值應 < 5.7) - 說明：這個數值代表過去三個月的平均血糖狀況。5.8% 已經進入了「糖尿病前期」的範圍。這是一個重要的警訊，表示身體對血糖的控制能力開始變差，如果不好好控制飲食和增加運動，未來發展成第二型糖尿病的風險很高。這是目前最需要優先處理的問題。
2. 膽固醇問題：心血管風險較高¶
- 總膽固醇:
207 mg/dL(正常值應 < 200) - 低密度脂蛋白膽固醇 (壞膽固醇 LDL-C):
152.5 mg/dL(正常值應 < 130) - 脂蛋白a (Lipoprotein a):
155.00 nmol/L(正常值應 < 61.6) - 說明：
- 「壞膽固醇 (LDL-C)」和「總膽固醇」都超標，這會增加血管中脂肪斑塊（動脈粥樣硬化）的風險，長期下來可能導致血管堵塞。
- 「脂蛋白a」這個數值非常高，它是一個天生（基因遺傳）的心血管疾病獨立風險因子。因為這個數值偏高，所以我們更需要嚴格控制其他可控的風險因子，尤其是要把「壞膽固醇」降下來。
3. 尿酸偏高¶
- 尿酸 (Uric Acid):
7.7 mg/dL(男性正常值應 < 7.6) - 說明：尿酸只稍微超出一點點。尿酸過高是「痛風」的風險因子。目前建議多喝水、多運動，並注意飲食，減少攝取高普林的食物（如：內臟、濃湯、海鮮等）來幫助身體代謝尿酸。
總結建議¶
身體的基礎（肝腎功能、血液、體態）都很好，但新陳代謝方面（血糖、血脂）亮起了警示燈。
接下來的生活重心應該放在：
- 飲食調整：減少精緻澱粉和糖分攝取，以控制血糖。
- 規律運動：幫助身體更有效地利用血糖和降低膽固醇。
- 控制膽固醇：除了運動，可能需要與醫生討論是否需要藥物介入，特別是因為脂蛋白a數值很高。
- 多喝水：幫助代謝尿酸。
及早開始調整生活習慣，就能大大降低未來發生糖尿病和心血管疾病的風險。