#1
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Àíåìèÿ è áåðåìåííîñòü
Äîáðîãî âñåì äíÿ.
Áåðåìåííîñòü 17 íåäåëü äâîéíÿ. Èç ñîïóòñòâóþùèõ ÿçâåííûé êîëèò (ïðèíèìàþ ìåçàâàíò), ãèïîòèðåîç ïîñëå ðàäèîéîäòåðàïèè (ýóòèðîêñ 125 - ÒÒà 0.6). Ïî îáùåìó àíàëèçó êðîâè - îò 01.03.18ã Ýö 3.79 (3.8-5.1) Íâ 103 (117-155) RDW CV 14,7 (12.1-14.3) îñòàëüíûå ïîêàçàòåëè â ïðåäåëàõ íîðìû. Íà÷àëà ïðèíèìàòü ôåððåòàá ïî 1 òàáë â äåíü Ïîâòîðíûå àíàëèçû îò 20.03.18 Ýö 3.61 Íâ 100 RDW CV 15.1 Ñåãìåíò íô 74% Ëô 18% Ñîý 36 ìì â ÷ Ñòîèò ëè äîáàâèòü Â12? Ôåððèòèí íå ñäàâàëà, îí ìîæåò áûòü ïðè êîëèòå ïîâûøåí. Ñïàñèáî çà îòâåò. |
#2
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ïðèâåäèòå ïåðâûé è ïîñëåäíèé àíàëèçû ïîëíîñòüþ, êàê òîãî òðåáóþò ïðàâèëà ðàçäåëà
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Èñêðåííå, Âàäèì Âàëåðüåâè÷. |
#3
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Èçâèíèòå, íå çíàëà.
01.03.18ã. ----------- 20.03.18 ËÖ 6.49. ----------- 7.89 (4.5-11.0) ÝÖ. 3.79.---------- 3.61(3.8-5.1) Íâ. 103. ------------100(117-155) Ít 31.6 ------------ 30.6 (35-45) MCV 83.4 ------------ 84.8(81-100) MCH 27.2 -------------- 27.7(27-34) RDW CV 14.7 ------------- 15.1(12.1-14.3) Òðîìá. 279. --------------- 292 Ñåãìåíò íô 66. ---------------74(47-72) Ëô. 23. -------------- 18(19-37) ÌÖ. 7. -------------- 5(3-11) Ñîý. 20.------------ 36(3-11) |
#4
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Áûòü ìîæåò, èç-çà äâîéíè èäåò ñèëüíàÿ ãåìîäèëþöèÿ âî âòîðîì òðèìåñòðå è ïðèðîñò ãåìîãëîáèíà íà ôîíå ïðèåìà âíóòðü íå ïîñïåâàåò çà íåé, åñëè ãåìîãëîáèí íà÷íåò ñíèæàòüñÿ ìåíåå 95-100, òî ìîæåò ïîíàäîáèòñÿ â/â ââåäåíèå æåëåçà - âåíîôåð
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Èñêðåííå, Âàäèì Âàëåðüåâè÷. |
#5
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Ñïàñèáî áîëüøîå, ÷åðåç ñêîëüêî íóæíî ïîâòîðèòü àíàëèç?
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#6
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÷åðåç 2-3 íåäåëè
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Èñêðåííå, Âàäèì Âàëåðüåâè÷. |
#7
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Ñïàñèáî!
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#8
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Âîò åòà ïóáëèêàöèÿ ïðåäïîëàãàåò, ÷òî 68 ìã æåëåçà â ñóòêè ïðè äâîéíå ëó÷øå ÷åì 34 ìã, â ôåððåòàáå âñåãî 50 ìã, òàê ÷òî áûòü ìîæåò êàêîé òàðäèôåðîí áûë áû ëó÷øå èëè òîò æå ôåððåòàá, íî äåíü îäíà òàáë., à äðóãîé äåíü äâå (÷åðåç 12 ÷) - 3 òàáëåòêè â 2 äíÿ èëè 75 ìã/ä â ñðåäíåì
Twin Res Hum Genet. 2017 Oct;20(5):419-424. Iron Supplementation in Twin Pregnancy - The Benefit of Doubling the Iron Dose in Iron Deficient Pregnant Women: A Randomized Controlled Trial. [Ññûëêè äîñòóïíû òîëüêî çàðåãèñòðèðîâàííûì ïîëüçîâàòåëÿì ]
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Èñêðåííå, Âàäèì Âàëåðüåâè÷. |
#9
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Îõ, æàëêî, ÷òî äàâíî íå çàõîäèëà, òîëüêî ñåé÷àñ óâèäåëà äîïîëíåíèÿ.... Ñïàñèáî.
Ñäàëà íîâûå àíàëèçû îò 01.04.18 ËÖ 7.75 ÝÖ 3.71 Íâ 101 Ít 32.2 MCV 86.8 MCH 27.2 MCHC 314 RDW CV 15.4 PLT 290 Ñåãìåíò íô 74% Ëô 19% ÌÖ 6% ÑÎÝ 18 È ïîñëåäíèé àíàëèç îò 10.04.18 ËÖ 8.27 ÝÖ 3.60 Íâ 98 Ít 30.2 MCV 83.9 MCH 27.2 MCHC 325 RDW CV 15.0 PLT 295 Ñåãìåíò íô 76% Ëô 18% ÌÖ 5% ÑÎÝ 51. Ïîðà â âåíó êîëîòü èëè ëó÷øå ïîêà ïîâûñèòü äîçèðîâêó òàáëåòèðîâàííîé ôîðìû? |
#10
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ïîïðîáóéòå ïîâûñèòü ïîêà
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Èñêðåííå, Âàäèì Âàëåðüåâè÷. |
#11
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Ñïàñèáî!!!!
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