#16
|
|||
|
|||
Ñïàñèáî,ïî÷èòàþ.À ìîæåò ãåìîãëîáèí ñíèæàòüñÿ íà ôîíå ïðè¸ìà îáåçáàëèâàþùèõ ñðåäñòâ òèïà Íàéñ? (ïðîñòî áûëà îäíà èç âåðñèé âðà÷åé)ïðèíèìàë â òå÷åíèè ãîäà????
|
#17
|
||||
|
||||
ìîæåò, åñëè èõ ïðèåì âûçâàë åðîçèðîâàíèå ÆÊÒ è ÷åðåç åðîçèè òåðÿëîñü 3-5 ìë êðîâè â ñóòêè
NSAID-associated fecal blood loss The administration of nonsteroidal anti-inflammatory drugs (NSAIDs) is known for its association with upper and lower GI injury. This injury can include bleeding which may be severe enough to result in hospitalization. Even low dose aspirin as well as non-aspirin-NSAIDs increase mean fecal blood loss from roughly 0.5 mL/d to 1-2 mL/d (i.e., 0.5-1.0 mg iron loss/d). Among patients treated with aspirin doses ≥ 1800 mg/d, 31% had a blood loss of ≥ 5 mL/d (i.e., ≥ 2.5 mg iron loss/d). Although cyclooxygenase-2 (COX-2) inhibitors are associated with fewer GI injuries than traditional NSAIDs, long-term use of a COX-2 inhibitor may also induce GI injuries and require concomitant medication for associated anemia and small intestinal injuries. Notably, routine endoscopic examination may not reveal NSAID-induced GI injuries.
__________________
Èñêðåííå, Âàäèì Âàëåðüåâè÷. |
#18
|
|||
|
|||
Àíàëèç íà ñêðûòóþ êðîâü íå âûÿâèë êðîâîïîòåðþ,à ôãñ ïîêàçàë òîëüêî âàðèêîç ïèùåâîäà. Âû ñ÷èòàåòå,÷òî íóæíî äåëàòü êîëîíîñêîïèþ? Ìåíÿ ÆÊÒ íå áåñïîêîèò íèêàê.
|
#19
|
||||
|
||||
òîãäà Âàì â ïåðâóþ î÷åðåäü èñêëþ÷àòü íèæåñëåäóþøåå
Causes not associated with bleeding were found in 36 patients (51%), including 19 with atrophic gastritis, 4 with celiac disease, and 13 with Helicobacter pylori gastritis. âàðèêîç âåí ïèøåâîäà áûâàåò ïðè çàáîëåâàíèÿõ ïå÷åíè, â òîì ÷èñëå è àññîöèèðîâàííûõ ñ öåëèàêèåé
__________________
Èñêðåííå, Âàäèì Âàëåðüåâè÷. |
#20
|
|||
|
|||
Òàê ó ìåíÿ ãåïàòèò C è ôèáðîñêàí F-4.Íà÷àëè ëå÷èòü àíåìèþ,à âûÿâèëè ãåïàòèò Ñ. áîëüíèöå ñòàâèëè äèàãíîç, õðîíè÷åñêèé ãàñòðèò â íå îáîñòðåíèè .
|
#21
|
||||
|
||||
Ìíå ýòî èçâåñòíî, ôðàçà "õðîíè÷åñêèé ãàñòðèò â íå îáîñòðåíèè" â ìåäèöèíå ïî ñìûñëó ïðèìåðíî êàê "ïàðåíü õîòü êóäà"; åñëè òåîðåòè÷åñêè ó Âàñ öåëèàêèéíàÿ àíåìèÿ è öåëèàêèéíîå ïîðàæåíèå ïå÷åíè, òî äàæå åñëè Âû èçëå÷èòå ñâîé ãåïàòèò Ñ, òî ïîëîæèòåëüíûõ èçìåíåíèé â ôóíêöèè ïå÷åíè ìîæåò è íå áûòü (áóäåò ïðîãðåññèðîâàòü öèððîç), ïîêà íå óñòðàíèòå öåëèàêèþ, ïîýòîìó Âàì ñåé÷àñ æèçíåííî âàæíî èñêëþ÷èòü öåëèàêèþ ñ ãðàìîòíûì ãàñòðîýíòåðîëîãîì.
__________________
Èñêðåííå, Âàäèì Âàëåðüåâè÷. |
#22
|
||||
|
||||
÷èòàéòå âñå ïî ññûëêå, âêëþ÷àÿ íèæåèçëîæåííîå
"×àñòîòà öåëèàêèè ó áîëüíûõ ãåïàòèòîì Ñ ñîñòàâëÿåò 1,2– 1,3%, ÷òî ïðåâûøàåò åå ðàñïðîñòðàíåííîñòü â ïîïóëÿöèè. Îïèñàíû ñëó÷àè ïðåðûâàíèÿ ïðîòèâîâèðóñíîé òåðàïèè èç-çà ìàíèôåñòàöèè öåëèàêèè òÿæåëîé äèàðååé. Ëå÷åíèå âîçîá- íîâëÿëè ïîñëå íîðìàëèçàöèè ñòóëà ñ ïîìîùüþ àãëþòåíîâîé äèåòû.  ñâÿçè ñ ýòèì îáñóæäàåòñÿ âîïðîñ î íåîáõîäèìîñòè òåñòèðîâàíèÿ íà öåëèàêèþ áîëüíûõ õðîíè÷åñêèì ãåïàòèòîì Ñ, êîòîðûì ïðåäñòîèò ïðîòèâîâèðóñíàÿ òåðàïèÿ [20]." ÖÅËÈÀÊÈß È ÏÀÒÎËÎÃÈß ÏÅ×ÅÍÈ [Ññûëêè äîñòóïíû òîëüêî çàðåãèñòðèðîâàííûì ïîëüçîâàòåëÿì ]
__________________
Èñêðåííå, Âàäèì Âàëåðüåâè÷. |
|
#23
|
|||
|
|||
Ñïàñèáî,îáÿçàòåëüíî ïðîêîíñóëüòèðóþñü è ó ãåìàòîëîãà,ó êîòîðîãî íàáëþäàþñü è ó ãàñòðîýíòåðîëîãà.È åù¸ èç èñòîðèè ìîåé áîëåçíè,ìåíÿ îøèáî÷íî ïî÷òè ãîä ëå÷èëè îò ãðèáêà âìåñòî ïñîðèàçà è òîëüêî óñóãóáèëè ïðîáëåìó ,äà è åù¸ îäèí óäàð ïî ïå÷åíè.À äðóãîé âðà÷ äèàãíîñöèðîâàë ïñîðèàç.×åñíî ãîâîðÿ íà êàêîãî âðà÷à ïîïàä¸øü,ñòðàøíîâàòî
|