#1
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íå ìîãó âûëå÷èòü àíåìèþ
Çäðàâñòâóéòå,óâàæàåìûå äîêòîðà!îêîëî 2-õ ìåñÿöåâ íàçàä îáíàðóæèëà ó ñåáÿ àíåìèþ,ãåìîãëîáèí áûë 114,ýð-3.6.òåðàïåâò íàçíà÷èëà Ôåððóì-Ëåê.Ïðèíèìàëà åãî ïî 2 òàá âìåñòå ñ óæèíîì.Ïðîøëî 2 ìåñ Ãåìîãëîáèí òàêîéæå 115,ýð 3.53,ÖÏ 0.98,ëåéêîöèòû 6,ý-1,ñ-50,ë-49,ì-5, ÑÎÝ 3.
÷òî ìíå äåëàòü?òåðàïåâò ñêàçàëà äàëüøå ïèòü ëåêàðñòâî.âðà÷ ó íàñ òîëüêî ïîñëå èíòåðíàòóðû,ÿ íå õî÷ó ñêàçàòü, ÷òî îíà ïëîõàÿ, ïðîñòî îïûòà íåò... Âîîáùåì ïåðåæèâàþ çà ñâîå çäîðîâüå.Ãäå-òî ó âàñ ÷èòàëà, ÷òî æåëåçî íàäî ïèòü óòðîì íàòîùàê è 300 ìã àñêîðáèíêè?ÿ íå îøèáàþñü.àñêîðáèíêó íå ïèëà,ìîæåò èç-çà ýòîãî ïëîõàÿ óñâîÿåìîñòü? |
#2
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Óâàæàåìàÿ, íàñêîëüêî ìíå èçâåñòíî, àíåìèÿ 1 ñòåïåíè âûñòàâëÿåòñÿ ïî ÂÎÇ ïðè ãåìîãëîáèíå íèæå 114. Êðîìå òîãî, êàêîé èìåííî äèàãíîç áûë âàì âûñòàâëåí - æåëåçî- èëè Â12-äåôèöèòíàÿ àíåìèÿ?
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#3
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ÿ ÿòî ñàìà ñåáå òàêîé äèàãíîç âûñòàâëÿëà!?
æåëåçîäåô.ïîñòàâèëè. ïî÷èòàëà ó âàñ ðàçíûå òåìû.â îäíîé èç íèõ ïàöèåíòêà ïðèâîäèò ïî÷òè òàêèå æå öèôðû(ãåì 114,ýðèòðîöèòû 3.5) è Dr. Vad ïèøåò "ó âàñ àíåìèÿ". |
#4
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Óâàæàåìàÿ Äàðèíà,
Äåéñòâèòåëüíî, àíåìèÿ ó Âàñ èìååòñÿ, èáî íåäàâíî ïåðåñìîòðåííûå íîðìû ãåìîãëîáèíà äëÿ æåíùèí ñîñòàâëÿþò 122 ã/ë (ïîäðîáíåå http://forums.rusmedserv.com/showthread.php?t=29488 ). Âîîáùå-òî ïðè íàëè÷èè àíåìèè â àíàëèçå îïðåäåëÿþò åå ãåíåç: äåëàþò äîï. êëèí. àíàëèçû: æåëåçî, ÎÆÑÑ, ôåððèòèí â áèîõ. àíàëèçå êðîâè äëÿ íà÷àëà. Èíîãäà ïðè íàëè÷èè ÿâíîé êëèí. êàðòèíû ïëþñ èñòî÷íèêà àíåìèçàöèè ðåøàþòñÿ íà ïðîáíîå ëå÷åíèå ïðåïàðàòàìè æåëåçà, ÍÎ! ïðè îòñóòñòâèè ýôôåêòà îò íèõ ðåêîìåíäóåòñÿ âñå æå ïðîâîäèòü äîîáñëåäîâàíèå, íå ñëîæíî ëè Âàì áóäåò ñäåëàòü âûøåóêàçàííûå ïîêàçàòåëè?
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Èñêðåííå, Âàäèì Âàëåðüåâè÷. |
#5
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Öèòàòà:
The World Health Organization's criterion for anemia in adults is Hb values less than 12.5 g/dL. Children aged 6 months to 6 years are considered anemic at Hb levels less than 11 g/dL, and children aged 6-14 years are considered anemic when Hb levels are less than 12 g/dL. The disadvantage of such arbitrary criteria is that a few healthy individuals fall below the reference range, and some people with an underlying disorder fall within the reference range for Hb concentration. Usually, US values are slightly higher. Anemia is suggested in males with Hb levels less than 13.5 g/dL and in females with Hb levels less than 12.5 g/dL. Higher values are anticipated in individuals living in altitudes significantly above sea level. Conditions with an increase in plasma volume, such as during the last trimester of pregnancy, are associated with lower values without an existent anemia because the red cell mass is normal. [Ññûëêè äîñòóïíû òîëüêî çàðåãèñòðèðîâàííûì ïîëüçîâàòåëÿì ] Çàîäíî Âàì áóäåò èíòåðåñíî, ÷òî íà ôîðóìå äóìàþò ïðî ÂÑÄ, ÍÖÄ è ïèðàöåòàì |
#6
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ÿ âàñ íå ïîíÿëà.ê òîìó æå òàê õîðîøî àíãëèéñêèé íå çíàþ, ïðî÷èòàòü íå ñìîãó.õîòåëà ïîñìîòðåòü, ÷òî òàêîå PubMed è ïî òîéæå ïðè÷èíå îãîð÷èëàñü.
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#7
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Óâàæàåìàÿ Äàðèíà,
Çäåñü íåò ïîâîäà äëÿ îãîð÷åíèé (äîêòîðà îáùàþòñÿ ïîïóòíî è ìåæäó ñîáîé), à ïðîñòî ðåêîìåíäàöèè äîäåëàòü ñëåäóþùèå ïîêàçàòåëè â áèîõèìè÷. àíàëèçå êðîâè: æåëåçî + ÎÆÑÑ, ôåððèòèí.
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Èñêðåííå, Âàäèì Âàëåðüåâè÷. |
#8
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÷òîæ, óâàæàåìûå êîëëåãè, ïðîøó ïðîùåíèÿ çà "ëÿï". Ó÷òó íà áóäóùåå (ñïàñèáî çà "óðîê"). À ÷òî êàñàåìî ÂÑÄ-ÍÖÄ è ïð., òî è óìåíÿ âïîëíå êîíêðåòíîå ìíåíèå (ñàìîãî äîëãîå âðåìÿ "ìó÷àëè" ñ ýòèìè íåâíÿòíûìè ñòðàøèëêàìè), íî ýòî îôôòîï.
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#9
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Çäðàâñòâóéòå!ñäàëà ÿ ðåêîìåíäóåìûå âàìè ïîêàçàòåëè,êðîìå ôåððèòèíà(åãî ïî÷åìó-òî â òàêîé áîëüøîé êëèíèêå íå äåëàþò).
Æåëåçî 27.4 ì\ë(íîðìà 6.6-26.0) ÎÆÑÑ 38 ìêìîëü\ë(íîðìà 49-69) ÑÆÑÑ 11 ìêìîëü\ë(íîðìà 32-46) È ðåøèëà åùå ðàç ñäàòü ÎÀÊ (äî ýòîãî ñäàâàëà â ïîëëèêëèííèêå, òàì ñ÷èòàëè íå àïïàðàòîì.à ýòîò àíàëèç àïïàðàòîì(íå çíàþ êàê ïðàâèëüíî íàçâàòü)).è ïðåäñòàâëÿåòå êàê îòëè÷àþòñÿ ðåçóëüòàòû. Ýð-4.75,ÃÅÌÎÃËÎÁÈÍ-144!!!!!!!!! Ðàçâå ìîã ãåìîãëîáèí çà 1 íåäåëþ ñ 115 äî 144 âûðàñòè?ÿ ,êîíå÷íî,ýòó íåäåëþ ñòàëà âìåñòî 2-õ òàáëåòîê ïèòü 3 è íàòîùàê ,à íå ñ åäîé, êàê ðàíüøå+600ìã àñêîðáèíêè è ìÿñà äîñòàòî÷íî. |
#10
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Ïîëàãàþ, ÷òî âòîðîé àíàëèç áûë ñäåëàí ðóêàìè íå ñîâñåì òî÷íî, à ïîäü åì äî 144 åòî çà 3 íåäåëè. íåò íóæäû ïðèíèìàòü 3 òàáë. æåëåçà, äîñòàòî÷íî è îäíîé, à âîò ñóïïëåìåíò öèíêà 15-20 ìã íåïëîõî áû äîáàâèòü, ó÷èòûâàÿ íåâûñîêîå ÎÆÑÑ. Ëå÷åíèå ñëåäóåò ïðîäîëæàòü åøå 2-3 ìåñ. äëÿ âîñïîëíåíèÿ çàïàñîâ.
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Èñêðåííå, Âàäèì Âàëåðüåâè÷. |
#11
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ñïàñèáî âàì îãðîìíîå!!!!
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