#1
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ÆÄÀ ëå÷àò ãðå÷êîé?
Äîáðûé äåíü. Æåíùèíà 50 ëåò ðîñò 180 âåñ 75. Êëèìàêñà íåò è â ïîìèíå(òàê ñêàçàëà ãèíåêîëîã ïîñëå ñäà÷è ãîðìîíîâ). Áûëè ïðîáëåìû ïî ÷àñòè ãèíåêîëîãèè (ïîëèï ìàòêè). Óäàëèëè, ïîëãîäà ãîðìîíû(íîðêîëóò).  ýòî âðåìÿ îáðàòèëàñü ê êàðäèîëîãó ïî ïîâîäó ñåðäöåáèåíèÿ è ñèëüíîé ñëàáîñòè óòðîì. Äàæå áûë îäíàæäû îáìîðîê. Ñî ñòîðîíû ñåðäöà îòêëîíåíèé íå íàøëè. Çàòî îáíàðóæèëè ÆÄÀ. ÓÇÈ áðþøíîé ïîëîñòè, ïî÷åê íè÷åãî îñîáåííîãî. Óçè ùèòîâèäêè-íåáîëüøîé óçåë, ãîðìîíû ùèòîâèäíîé æåëåçû â íîðìå. Ìåñÿö Ôåððóì ëåê, çàòåì ìåñÿö Ìàëüòîôåð.
Ïîñëåäíèå àíàëèçû Áèîõèìèÿ êðîâè Æåëåçî 9.9 ìêìîëü/ë (4.5-27.9) ÎÆÑ 77.4 ìêìîëü/ë (45-72) Òðàíñôåðèí 302 ìã/äë (180-405) Ïðîöåíò íàñûùåíèÿ òðàíñôåðèíîì 13 (15-55) Ãëþêîçà 4.65 ôåððèòèí 5.4 íã/ìë (11-306) ÎÀÊ WBC 8.3 10*/l (4-9) LYM% 23.6 % (19-37) MON% 4.7 % (3-11) GRA% 71.7 % LYM# 1.98 10*9/l (1.2-3) MON# 0.3 10*9/l (0.09-0.6) GRA# 6.18 10*9/l RBC 5.65 10*12/l HGB 124 g/l HCT 0.375 èëè 8.375 íå ðàçáîð÷èâî l/l MCV 66 MCH 22.8 MCHC 332 g/l RDW 17.1 % PLT 292 10*9/l MPV 9.7 fl PCT 0.283 èëè 8.283 10*2/l PDW 19.6 H % ÑÎÝ 10 Óìåðåííàÿ ãèïîõðîìèÿ. Èçâèíÿþñü, áëàíê àíàëèçà â âèäå ÷åêà è íå âñå ïîíÿòíî. Òåïåðü òåðàïåâò ïîñîâåòîâàëà 2 ðàçà â äåíü ìîëîòóþ ãðå÷êó (2 ñò.ë) ìåøàòü ñ æèäêîñòüþ(10 äíåé). È îïÿòü íà ÎÀÊ. Íî êàê-òî ìíå ñîìíèòåëüíî, ÷òî ãðå÷êà ìîæåò âñå èñïðàâèòü. Ïîìîãèòå, ïîæàëóéñòà. |
#2
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Æåëåçîäåôèöèò, êîòîðûé âñå åùå èìååòñÿ â Âàøåì àíàëèçå (àíåìèè óæå íåò, òê ãåìîãëîáèí âûøå 121 ã/ë), êîððåêòèðóåòñÿ ïðèåìîì ïðåïàðàòà æåëåçà-2 â äîçå 80-100 ìã â òå÷åíèå 3-5 ìåñ. èëè ïîêà ôåððèòèí íå ñòàíåò áîëåå 70. èç-çà òîãî, ÷òî Âû ïðèíèìàëè æåëåçî-3 (ìàëüòîôåð/ôåððóì-ëåê), ó Âàñ ïîêà íå ïðîèçîøëà êîìïåíñàöèÿ æåëåçîäåôèöèòà. Ðåêîìåíäàöèè òåðàïåâòà áåçãðàìîòíû, íî Âû ìîæåòå êóøàòü âàðåíóþ ãðå÷íåâóþ êàøó (åñëè îíà êàê åäà Âàì íðàâèòñÿ) ïî õîäó ëå÷åíèÿ ïð-òàìè æåëåçà.
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Èñêðåííå, Âàäèì Âàëåðüåâè÷. |
#3
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Ñïàñèáî, äîêòîð, çà ñòîëü áûñòðûé îòâåò. À ÷òî Âû ïîñîâåòóåòå èç íàèáîëåå ýôôåêòèâíûõ ïðåïàðàòîâ â ìîåì ñëó÷àå? Èõ íàäî ìåíÿòü èëè ìîæíî ïðèíèìàòü îäíî è òîæå?
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#4
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Âû èìååòå ââèäó Ôåððàòàá? Íà÷èòàëàñü òóò óæå.
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#5
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ôåððåòàá èëè òàðäèôåðîí, ìåíÿòü/÷åðåäîâàòü èõ íå íóæíî
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Èñêðåííå, Âàäèì Âàëåðüåâè÷. |
#6
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Ñïàñèáî îãðîìíîå. Áóäó ïðèäåðæèâàòüñÿ Âàøèõ ðåêîìåíäàöèé.
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#7
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Ôåððåòàá 2 êàïñóëû â äåíü(îäíîêðàòíî?)
Òàðäèôåðîí 1. Ïðàâèëüíî? |
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#8
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ïðàâèëüíî
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Èñêðåííå, Âàäèì Âàëåðüåâè÷. |
#9
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Ñïàñèáî, äîêòîð.
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#10
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Äîáðûé äåíü, Âàäèì Âàëåðüåâè÷. Ïðîøëî 2 ìåñÿöà. Ïðèíèìàëà Òàðäèôåðîí ïî 1ò. â äåíü. ÎÀÊ ñäàâàëà óæå â Èíâèòðî.  ïðåæíåé ëàáîðàòîðèè íåò âîçìîæíîñòè ñåé÷àñ ñäàòü.
Ãåìàòîêðèò 40,5% 35-47 Ãåìîãëîáèí 13,1ã/äë 11,7-16 Ýðèòðîöèòû 5,61* ìëí/ìêë 3.80-5,30 MCV 72,2* ôë 81-101 RDW 16,7%* 11,6-14,8 MCH 23,4* ïã 27-34 MCHC 32,3 ã/äë 31-36 Òðîìáîöèòû 250 òûñ/ìêë 150-400 Ëåéêîöèòû 7,5 òûñ/ìêë 4,5-11 Ïàëî÷êîÿäåðíûå íåéòðîôèëû 3% 1-6 Ñåãìåíòîÿäåðíûå íåéòðîôèëû 66% 47-72 Íåéòðîôèëû(îáù.÷èñëî) 69% 48-78 Ëèìôîöèòû 24% 19-37 Ìîíîöèòû 7% 3-11 Ýîçèíîôèëû 0* % 1-5 Áàçîôèëû 0% ìåíåå 1 Íåéòðîôèëû àáñ. 5,81 òûñ/ìêë 1,56-6,13 Ëèìôîöèòû àáñ. 1,8 òûñ/ìêë 1,18-3,74 Ìîíîöèòû àáñ. 0,53 òûñ/ìêë 0,2-0,95 Ýîçèíîôèëû àáñ. 0,00 òûñ/ìêë 0,00-0,70 Áàçîôèëû àáñ. 0,00 òûñ/ìêë 0,00-0,20 ÑÎÝ ( ïî Âåñòåðãðåíó) 2ìì/÷ ìåíåå 30 Ôåððèòèí 25 ìêã/ë 10-120 Òàðäèôåðîí ïðèíèìàþ. Åùå äåðìàòîëîã ïîðåêîìåíäîâàë Äðàæå Ìåðö 2 äðàæå â äåíü.  ñîñòàâå "æåëåçî 5ìã". Ìîæíî æå, íàâåðíîå, âìåñòå ïðèíèìàòü? È ìåñÿöà ÷åðåç äâà îïÿòü ÎÀÊ? Ñïàñèáî. |
#11
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åñòü ïîëîæèò. äèíàìèêà, íî íîðìàëèçàöèè â ÎÀÊ åøå íåò, è ôåððèòèí ìåíåå 50
ìîæíî âìåñòå, òàðäèôåðîí ïðîäîëæàéòå
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Èñêðåííå, Âàäèì Âàëåðüåâè÷. |
#12
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Áëàãîäàðþ!
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#13
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Äîáðûé äåíü, Âàäèì Âàëåðüåâè÷. Ïðîøëî åùå äâà ñ ïîëîâèíîé ìåñÿöà. Ñîñòîÿíèå çíà÷èòåëüíî óëó÷øèëîñü.
Ãåìàòîêðèò 39.2 40.5 (18.09.14) % 35.0 - 47.0 Ãåìîãëîáèí 12.9 13.1 (18.09.14) ã/äë 11.7 - 16.0 Ýðèòðîöèòû 5.40 * 5.61 (18.09.14) * ìëí/ìêë 3.80 - 5.30 MCV (ñð. îáúåì ýðèòð.) 72.6 * 72.2 (18.09.14) * ôë 81.0 - 101.0 RDW (øèð. ðàñïðåä. ýðèòð) 15.1 * 16.7 (18.09.14) * % 11.6 - 14.8 MCH (ñð. ñîäåð. Hb â ýð.) 23.9 * 23.4 (18.09.14) * ïã 27.0 - 34.0 ÌÑHÑ (ñð. êîíö. Hb â ýð.) 32.9 32.3 (18.09.14) ã/äë 31.0 - 36.0 Òðîìáîöèòû 240 250 (18.09.14) òûñ/ìêë 150 - 400 Ëåéêîöèòû 7.29 7.50 (18.09.14) òûñ/ìêë 4.50 - 11.00 Ïàëî÷êîÿäåðíûå íåéòðîôèëû 4 3 (18.09.14) % 1 - 6 Ñåãìåíòîÿäåðíûå íåéòðîôèëû 66 66 (18.09.14) % 47 - 72 Íåéòðîôèëû (îáù.÷èñëî), % 70 69 (18.09.14) % 48.0 - 78.0 Ëèìôîöèòû, % 21 24 (18.09.14) % 19.0 - 37.0 Ìîíîöèòû, % 9 7 (18.09.14) % 3.0 - 11.0 Ýîçèíîôèëû, % 0 * 0 (18.09.14) * % 1.0 - 5.0 Áàçîôèëû, % 0 0 (18.09.14) % < 1.0 Íåéòðîôèëû, àáñ. 5.10 5.18 (18.09.14) òûñ/ìêë 1.56 - 6.13 Ëèìôîöèòû, àáñ. 1.53 1.80 (18.09.14) òûñ/ìêë 1.18 - 3.74 Ìîíîöèòû, àáñ. 0.66 0.53 (18.09.14) òûñ/ìêë 0.20 - 0.95 Ýîçèíîôèëû, àáñ. 0.00 0.00 (18.09.14) òûñ/ìêë 0.00 - 0.70 Áàçîôèëû, àáñ. 0.00 0.00 (18.09.14) òûñ/ìêë 0.00 - 0.20 ÑÎÝ (ïî Âåñòåðãðåíó) 5 2 (18.09.14) ìì/÷ < 30 Ôåððèòèí 33 25 (18.09.14) ìêã/ë 10 - 120 Ïðîäîëæàþ òàðäèôåðîí? |
#14
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äà, ïðîäîëæàéòå
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Èñêðåííå, Âàäèì Âàëåðüåâè÷. |
#15
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Ñïàñèáî, äîêòîð.
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