#1
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Ïåòåõèè ó ðåáåíêà
Äîáðûé âå÷åð. Äåâî÷êà 6.4 ãîäà, ðîñò 122 ñì, âåñ 22.5 êã. Âî âòîðíèê çàìåòèëà íà ïðàâîì ïëå÷å ïåòåõèè, ñåãîäíÿ ñòàëè ìåíåå çàìåòíû, íî âîò òîëüêî ÷òî óâèäåëà íà ëåâîì ïëå÷å ó íåå êàê ãåìàòîìà èç ïåòåõèé. Ïðèøëà ñ àêðîáàòèêè, îòðàáàòûâàëè íà ìàòàõ êàêîé òî ãîâîðèò ýëåìåíò ñ ïåðåâîðîòîì òåëà ÷åðåç ïëå÷î (èç ïîëîæåíèÿ ëåæà êóâûðîê ÷åðåç ïëå÷î è ñåñòü). Áûëà â ôóòáîëêå è ó íàñ óæå äîñòàòî÷íî æàðêî. Äâà ìåñÿöà íàçàä ñäàâàëè êðîâü äëÿ ìåäîñìîòðà ïåðåä øêîëîé, òðîìáîöèòû áûëè 320. Ãîä íàçàä ñ ïðèõîäîì æàðû òàêæå áûëè ïîä ìûøêàìè òî÷å÷íûå ïåòåõèè, íà øåå. Òîãäà ñäàëè êðîâü â êîãóàëîãðàìó, âñå â íîðìå áûëî àáñîëþòíî. Ñòîèò ñíîâà àíàëèçû ñäàòü èëè ýòî íîðìà ïðè òðàâìå? Çèìîé òàêîãî íå áûëî, íî íå çíàþ äåëàëè ëè îíè ýòè ýëåìåíòû.
[Èçîáðàæåíèÿ äîñòóïíû òîëüêî çàðåãèñòðèðîâàííûì ïîëüçîâàòåëÿì] [Èçîáðàæåíèÿ äîñòóïíû òîëüêî çàðåãèñòðèðîâàííûì ïîëüçîâàòåëÿì] |
#2
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Ôîòî
[Èçîáðàæåíèÿ äîñòóïíû òîëüêî çàðåãèñòðèðîâàííûì ïîëüçîâàòåëÿì][Ññûëêè äîñòóïíû òîëüêî çàðåãèñòðèðîâàííûì ïîëüçîâàòåëÿì ]
Íå ïîíèìàþ îòîáðàçèëîñü ëè ôîòî |
#3
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åòî íîðìà ïðè òðàâìàõ, åñëè ðåáåíîê èíòåíñèâíî òðåíèðóåòñÿ, òî èñêëþ÷èòå ó äåâî÷êè äåôèöèò æåëåçà - ó ãèìíàñòîê îí áûâàåò ó 30-40% - äåôèöèò æåëåçà ñïîñîáñòâóåò áîëüøåìó óñòàâàíèþ íà òðåíèðîâêàõ è èíîé çàäåðæêå ðàçâèòèÿ ðåáåíêà; çàãðóçèëîñü, íî âñåãäà ñïðàøèâàéòå - à íóæíî ëè åòî; êîãäà ó äåòåé äåéñòâèòåëüíî ãåìàòîëîãè÷åñêèå ïåòåõèè ó ðåáåíêà, òî ðîäèòåëè ïóëåé ëåòÿò â áîëüíèöó ïî ñêîðîé, à íå âûáèðàþò ðàêóðñ äëÿ ôîòî÷êè è ìåñòà çàãðóçêè â òûðíåò
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Èñêðåííå, Âàäèì Âàëåðüåâè÷. |
#4
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Ãåìîãëîáèí ïîñëåäíèé ðàç áûë 120. Íî åñò õîðîøî è ìíîãî, ìÿñî ëþáèò, ñ àïïåòèòîì è âåñîì ïðîáëåì íåò, ïîäòÿíóòàÿ. Î÷åíü ìíîãî áåãàåò. È åùå çàìåòèëà ÷òî ñ îñåíè ïî âåñíó ïåòåõèé íåò, à ñ ïðèõîäîì òåïëà è êàê ïîòååò, òî ïîÿâëÿþòñÿ êîå ãäå.
Ñäàòü ôåðèòèí? |
#5
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äà, ïðè 120 ãåìîãëîáèíå àíåìèè íåò, íî åñëè âû ïîñìîòðèòå òðåíä ïî âîçðàñòó òî ñ 6 ëåò åãî öèôðà íà 10 ã/ë âûøå, à çíà÷èò ó âàøåãî ðåáåíêà 120 ìîæåò áûòü è ïðåäàíåìè÷åñêîé öèôðîé, åñëè â ñðåäíåì îí äîëæåí áûòü 130-135
2-6 years: mean 125 g/L 6-12 years: mean 135 g/L
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Èñêðåííå, Âàäèì Âàëåðüåâè÷. |
#6
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åñëè áóäåòå äåëàòü, òî ëó÷øå âñå òðè, è æåëåçî/îæññ ìåíåå 0.2 óêàæåò íà æä, åñëè ôåððèòèí ïî êàêèì-òî ïðè÷èíàì áóäåò ëîæíî-íîðìàëüíûì 30-40
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Èñêðåííå, Âàäèì Âàëåðüåâè÷. |
#7
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Ñïàñèáî áîëüøîå. ß êàê èñòèííûé èïîõîíäðèê ÷óòü ñîçíàíèå íå ïîòåðÿëà êàê ýòî óâèäåëà.
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#8
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âîò ïðèìåðíûå öèôðû äåôèöèòà æåëåçà ïî ðàçíûì ïîêàçàòåëÿì ó äåòåé â ñïîðòå ÷óòü ñòàðøå 12-18 ëåò: MG - ìàëü÷èêè; FG - äåâî÷êè ãèìíàñòêè = â öåëîì ó êàæäîé 3-4-îé èëè ñíèæåí ãåìîãëîáèí ìåíåå 130 (áûòü ìîæåò äëÿ ðåáåíêà 6 ëåò àíàëîãè÷íûé êàê ìåíåå 125 ã/ë) èëè æåëåçî/îæññ ìåíåå 0.2 èëè ôåððèòèí ìåíåå 20 (íà ñàìîì äåëå ó ðåáåíêà 6-12 ëåò ôåððèòèí ìåíåå 25 = äåôèöèò æåëåçà)
Subjects were 68 elite athletes (43 M, 25F) ages 12-18, of four sports: gymnasts (11M,12F), swimmers (11M,6F), tennis players (10M,4F), and table tennis players (11M,3F). Mean levels of hemoglobin (Hb), red blood cell indexes, serum ferritin, serum iron, and transferrin were measured in venous blood. There was no difference in mean Rb among gymnasts (G) and nongymnasts (NG). However Hb was less than 14g/dL in 45% of MG vs. only 25% in NG, and less than 13g/dL in 25% of premenarcheal FG vs. 15% in NG. Low transferrin saturation (<20%) was detected in 18% of MG and 25% of FG vs. 6% and 8% in male and female NG, respectively (p<.05). The percentage of males suffering from low ferritin level (<20 ng/ml) was twice as high in G (36%) vs. NG(19%), and about 30% in all females.
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Èñêðåííå, Âàäèì Âàëåðüåâè÷. |