#1
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ÔÅÐÓÌ ËÅÊ
çäðàñòâóéòå ñêàæèòå ñêîëüêî íóæíî äíåé êîëîòü âíóòðåìûøå÷íî ôåðóì ëåê?
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#2
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 ïðèíöèïå, â áîëüøèíñòâå ñëó÷àåâ íåîáõîäèìîñòè âî âíóòðèìûøå÷íîì/âíóòðèâåííîì ââåäåíèè ïðåïàðàòîâ æåëåçà íåò. Ïîýòîìó ïðè íîðìàëüíîé ïåðåíîñèìîñòè ýòèõ ïðåïàðàòîâ ìîæíî ñìåëî ïåðåõîäèòü íà òàáëåòèðîâàííûå ôîðìû, êîòîðûå ïðèíèìàþòñÿ äîñòàòî÷íî äîëãî (â çàâèñèìîñòè îò ïîêàçàíèé - êîððåêöèÿ àíåìèè èëè ñêðûòîãî æåëåçîäåôèöèòà).
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#3
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 çàâèñèìîñòè îò ðàñ÷åòíîé îáùåé äîçû. Äëÿ âçðîñëûõ, êàê ïðàâèëî, îò 10 äî 20 è áîëåå èíúåêöèé. Ìåíüøàÿ ðàññ÷åòíîé äîçû íå âîñïîëíèò äåôèöèò æåëåçà, áîëüøàÿ ìîæåò ïðèâåñòè ê ãåìîñèäåðîçó è äðóãèì ñåðüåçíûì îñëîæíåíèÿì.
Âû óâåðåíû, ÷òî íåîáõîäèìî ïðèìåíåíèå ïàðåíòåðàëüíûõ ôîðì æåëåçà? |
#4
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Èçî âñåõ ñïîñîáîâ ââåäåíèÿ æåëåçà - âíóòðèìûøå÷íûé íàèìåíåå ïðåäïî÷òèòåëüíûé.
Åñëè åñòü ïðåïÿòñòâèÿ ê ïðèåìó òàáëåòîê, òî ïðåïàðàò íàçíà÷àþò âíóòðèâåííî. Ïðèñîåäèíÿþñü ê âîïðîñó êîëëåã, â ÷åì èäåÿ èìåííî âíóòðèìûøå÷íîãî ëå÷åíèÿ? |
#5
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Æåëåçî ïðè âíóòðèìûøå÷íîì ââåäåíèè î÷åíü ìåäëåííî è íå ïîëíîñòüþ âñàñûâàåòñÿ, ïîýòîìó è ãåìîãëîáèí ðàñòåò ëèøü ÷óòü áûñòðåå, ÷åì ïðè ïðèåìå ïåðîðàëüíîé ôîðìû. Ïëþñ îïÿòü-òàêè ìåñòíûå ïîáî÷íûå ýôôåêòû.
Ïîäðîáíåå: Intramuscular iron*—*Mobilization of iron from intramuscular sites is slow and occasionally incomplete. As a result, the rise in the hemoglobin concentration is only slightly faster then that which occurs following the use of oral iron preparations. Patients who have very brisk continuing bleeding (as with gastrointestinal angiodysplasia) are difficult to treat with an intramuscular (IM) regimen because repeated courses of IM iron are painful, and the utilization of iron given IM is variable. Patients with severe malabsorption and/or malnutrition may not be candidates for IM treatment if they have a markedly reduced muscle mass into which the iron preparation can be injected. For all of the above reasons, including the fact that IM administration of iron dextran has not been shown to be safer or less toxic than the IV route, the most appropriate parenteral route is the intravenous one [11]. |
#6
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êàðäèîëîã íàçíà÷èëà.ôåðóì ëåê.ìàãíèðîò.ôåððîãðàäóìåä.æåëåçî. L êàðíèòèí.òîóðèí.
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#7
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Öèòàòà:
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#8
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Êàêîé óðîâåíü ãåìîãëîáèíà è ñûâîðîòî÷íîãî æåëåçà? È âîîáùå, ÷òî ìû ëå÷èì?
Ãåìîñèäåðîç - îòëîæåíèå æåëåçà â òêàíÿõ è âíóòðåííèõ îðãàíàõ. |
#9
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ÿ ïëîõî ñåáÿ ÷óñòâîâàëà áîëè â ñåðäöå.îòäûøêà ñåðäöåáèåíèå ñëàáîñòü ãîëîâîêðóæåíèå.ñ äåòñòâà ïîñòàâèëè äèàãíîç ïðîëàïñ êëàïàíà òàê êàæèòñÿ íàçûâàåòñÿ.ïîøëà ê êàðäèîëîãó îíà ñêàçàëà íàâåðíî íèçêèé ãåìîãëîáèí. ÿ çäàëà àíàëèçû.íåäîæèäàÿñü ðåçóëüòàòîâ âñå ýòî íàçíà÷èëà.è òàê âñå ÿñòíî ó âàñ íèçêèé ãåìîãëîáèí.àíåìèÿ.
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#10
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Öèòàòà:
Öèòàòà:
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#11
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Âñ¸ æå åñòü ñìûñë äîæäàòüñÿ ðåçóëüòàòîâ àíàëèçà êðîâè..
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#12
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#13
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×òî îñîáåííî îáèäíî, äåëî-òî â ñòîëèöå ïðîèñõîäèò. Êîëîòü æåëåçî â ÒÀÊÎÉ ñèòóàöèè íå íàäî îäíîçíà÷íî. L-êàðíèòèí, òàóðèí - ýòî ïèùåâûå äîáàâêè, à íå ëå÷åíèå, èäåÿ ìàãíåðîòà òîæå íå î÷åíü ïîíÿòíà. Ïðèåì æåëåçà íà÷èíàþò ïðè óñòàíîâëåííîì æåëåçîäåôèöèòå.
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#14
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#15
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âñå ýòî ÿ äàæå íåïîêóïàëà òàê êà ñòîèò äîðîãî.ÿ òàê äóìàþ ÷òî âðà÷ ïðîñòî èìååò êàêîéòî ïðîöåíò ñ ýòîãî ðåöåïòà.äàæå ñêàçàëà â êàêîé àïòåêå ïðèîáðåòàòü.
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