#1
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Ïîâûøåíî ÑÎÝ, îòêëîíåíèÿ â áèîõèìèè
Äîáðûé äåíü. Æåíùèíà, 47 ëåò ðîñò 167 ñì, âåñ 62 êã. Àêòèâíûõ æàëîá íåò. Ãèïåðòîíè÷åñêàÿ áîëåçíü I ñò., àòðîôè÷åñêèé ãàñòðèò â ñòàäèè ðåìèññèè. ÓÇÈ îðãàíîâ ìàëîãî òàçà, áðþøíîé ïîëîñòè, ìîëî÷íûõ æåëåç íîðìà. Åñòü íåáîëüøèå äèôôóçíûå èçìåíåíèÿ ïîäæåëóäî÷íîé æåëåçû. Ïðè ïëàíîâîì îñìîòðå ó ãèíåêîëîãà áûëè íàçíà÷åíû àíàëèçû, êîòîðûå áûëè ñäàíû. Âîïðîñ ïî ïîâûøåííîìó çíà÷åíèþ ÑÎÝ, êàêèå îáñëåäîâàíèÿ äîïîëíèòåëüíî íåîáõîäèìû, ÷òîáû óñòàíîâèòü ïðè÷èíó ïîâûøåíèÿ. Ñïàñèáî.
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#2
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ïî÷åìó âû ïðè çàïîëíåíèè àíêåòû âûáðàëè ñåáå äðóãóþ ïîëîâ. ïðèíàäëåæíîñòü? êàêàÿ öèôðà ÑÎÅ è êàêèì ìåòîäîì äåëàëàñü? çà÷åì âû ïðèêðåïèëè çäåñü 4 àòòà÷à åñëè âîïðîñ òîëüêî î ÑÎÅ? åñëè ãèíåêîëîã âàì íàçíà÷àåò àíàëèçû - òî íàâåðíîå, ëó÷øå èõ ïîêàçàòü òîìó æå âðà÷ó? èëè Âû ñóï, ïðèãîòîâëåííûé äëÿ ìóæà, íåñåòå ñîñåäó?
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Èñêðåííå, Âàäèì Âàëåðüåâè÷. |
#3
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Ïðîñòèòå çà îøèáêó â âûáîðå ïîëîâîé ïðèíàäëåæíîñòè, ýòî ñëó÷àéíîñòü. Âåëè÷èíà ÑÎÝ 33 ïî øêàëå Âåñòåðãðåíà, ñåäèìåíòàöèîííûé ìåòîä. Ïðèëîæèëà âñå ðåçóëüòàòû ñäàííûõ àíàëèçîâ, ïîñêîëüêó ïîñ÷èòàëà, ÷òî ýòî áîëåå èíôîðìàòèâíî, èçâèíèòå, åñëè îøèáëàñü. Àíàëèçû ê ãèíåêîëîãó îòíåñó, îäíàêî îí â îòïóñêå íà ìåñÿö, ÷òîáû íå òåðÿòü âðåìÿ, ïîáåñïîêîèëà Âàñ, óæ ïðîñòèòå âåëèêîäóøíî, ïîñêîëüêó âîçíèê âîïðîñ ïî ïîâîäó ÑÎÝ.
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#4
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÷òî âèæó ó âàñ - âî ïåðâûõ íîðìà ñîå äëÿ âàñ íå äî 20, à äî 25-28, êàê äëÿ ëþäåé âîçðàñòà ~50, õîòÿ ôîðìàëüíî âàì åøå íå 50, íî è ñîå íå ñêà÷åò ïî ïàñïîðòíîìó âîçðàñòó, à ïëàâíî ìåíÿåòñÿ; ó âàñ íåçíà÷èòåëüíî ñíèæåí ãåìîãëîáèí - äëÿ âàñ íîðìà 123-153, ïðè íîðì. ôåððèòèíå åòî ìîæåò áûòü äåôèöèò â12 èëè ôîëèåâîé, ïåðâîå - òèïè÷íàÿ íàõîäêà äëÿ àòðîô. ãàñòðèòà ó êîòîðîãî íå áûâàåò ðåìèññèè, ë¸ãêàÿ àíåìèçàöèÿ ìîæåò óñêîðÿòü ñîå íà 10-20%; åùå îäíîé ïëîõî-âèäèìîé ïðè÷èíîé âûñîêèé õîëåñòåðèí è áûòü ìîæåò ïîâûøåíèå ãëîáóëèíîâ ñðåäè îá. áåëêà (íå âèäíî âîîáùå ñðåäè àíàëèçîâ). ïî âàæíîñòè è ïðîãíîçó èñêëþ÷èòü äåôèöèò â12 - ñàìîå ãëàâíîå, èáî îí ìîæåò äàæå áåç àíåìèè ïðèâîäèòü ê âíåçàïíîé èíâàëèäèçàöèè, îñòàëüíîå - íà âàøå óñìîòðåíèå, äàæå åñëè âû íàéäåòå ïðè÷èíó - îíà íèêàê íå ïîâëèÿåò íà âàøå çäîðîâüå â áóäóùåì
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Èñêðåííå, Âàäèì Âàëåðüåâè÷. |
#5
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Ñïàñèáî áîëüøîå çà îòâåò.
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#6
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Ïî áåëêîâûì ôðàêöèÿì åñòü âîò òàêîé àíàëèç, íî åìó óæå ãîä. ÑÎÝ òîãäà áûëà 26.
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#7
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òîãäà íå â ãëîáóëèíàõ äåëî - ïîêà äâå ãèïîòåçû - óñèëåíèå àíåìèçàöèè íà ôîíå â12 ñóáêëèí. äåôèöèòà èëè íàðàñòàíèå ãèïåðõîëåñòåðèíåìèè
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Èñêðåííå, Âàäèì Âàëåðüåâè÷. |
#8
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åñëè âàì íå ÷óæä àíãåëüñêèé èëè íå çàáàíèëè ãóãëî-ïåðåâîä÷èê
The ESR was higher in females than in males, and increased steadily with age. Median ESR of females was 2-fold higher than that of males, and median ESR of individuals aged >65 years was 2-fold higher than that of individuals in the youngest category (ages 18–35 years). >>>Body mass index, presence of metabolic syndrome, and smoking were independently and positively associated with higher ESR values. >>>Light alcohol drinkers and individuals with high regular physical activity displayed lower ESR values than did alcohol abstainers and individuals with low physical activity, respectively.
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Èñêðåííå, Âàäèì Âàëåðüåâè÷. |
#9
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È åùå âîïðîñ, ãîìîöèñòåèí â íîðìå, îí íå ÿâëÿåòñÿ ìàðêåðîì äåôèöèòà Â12 è ôîëèåâîé êèñëîòû?
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#10
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ìîæåò ÿâëÿòüñÿ äëÿ ôîëèåâîé (äëÿ Â12 - ìåòèë-ìàëîíàò), âèäåë âûñîêèé ãîìîöèñòåèí ïðè ÿâíîì äåôèöèòå Â12 ñ òèïè÷íûìè ãåì. ïðèçíàêàìè, íà òàêîé ñòàäèè êàê ó Âàñ åãî öåííîñòü ìíå íåèçâåñòíà; áîëåå òîãî åñëè îí ó âàñ åñòü, òî öèôðà â12 â êðîâè ìîæåò áûòü êàê 200-250, à íå òèïè÷íàÿ - ìåíåå 180 èëè ìåíåå 150
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Èñêðåííå, Âàäèì Âàëåðüåâè÷. |
#11
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Ïîíÿëà, ñïàñèáî!
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