#61
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#62
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Óâàæàåìàÿ qwerty, âî ïåðâûõ ìåíÿ çîâóò ßíà, à íå Yananch. À âî âòîðûõ, ìû æå êàæåòñÿ äîãîâîðèëèñü îñòàâèòü ìàìó è ðåá¸íêà â ïîêîå, è íå ïóãàòü âñåìè áîëåçíÿìè, êîòîðûå ìîæíî íàéòè â ñïðàâî÷íèêå ïåäèàòðà.
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#63
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ëÿìáëèîç
Öèòàòà:
Ñ óâ.dr.Ira |
#64
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"Detection of antigens on the surface of organisms in stool specimens is the current test of choice for diagnosis of giardiasis and provides increased sensitivity over more common microscopy techniques. Commercial products (DFA, EIAs, and rapid tests) are available in the United States for the immunodiagnosis of giardiasis. DFA assays may be purchased that employ FITC-labeled monoclonal antibody for detection of Giardia cysts alone or in a combined kit for the simultaneous detection of Giardia cysts and Cryptosporidium oocysts. The sensitivity and specificity of these kits were both 100% compared to those of microscopy. They may be used for quantitation of cysts and oocysts, and thus may be useful for epidemiologic and control studies. Some commercial EIA tests are available in the microplate format for the detection of Giardia antigen in fresh or frozen stool samples and also in stool specimens preserved in formalin, MIF, or SAF fixatives. Concentrated or PVA samples are not suitable for testing with EIA kits. EIA kit sensitivity rates were recently reported as ranging from 94-100% while specificity rates were all 100%." Öèòàòà:
Öèòàòà:
Âû, êîíå÷íî, çíàêîìû ñ äèôäèàãíîñòèêîé óâåëè÷åíèÿ ïîäæåëóäî÷íîé æåëåçû è, ðàçóìååòñÿ, çíàåòå, ÷òî åñëè ïðè ñëó÷àéíîì ÓÇÈ îáíàðóæåíî óâåëè÷åíèå ï\æ æåëåçû è îíî ãîìîãåííî, íåò öèñò, ëèçèñà, ïðîòîê íå ðàñøèðåí è èñêëþ÷åíû âðîæäåííûå äåôåêòû, òî òàêàÿ æåëåçà ó çäîðîâîãî ðåáåíêà îáû÷íî ñ÷èòàåòñÿ íîðìàëüíîé. Ðàäè èíòåòåñà ÿ ñåé÷àñ ïðîâåë ïîèñê íà PUBMED " óâåëè÷åíèå ïàíêðåàñ è æàðäèàçèñ" - íå íàøåë íè îäíîé ññûëêè. Èòàê, íà îñíîâå ñëó÷àéíîé íàõîäêè íà ÓÇÈ ó â îñòàëüíîì çäîðîâîãî ðåáåíêà ñ "îâå÷üèì" ñòóëîì è î÷åíü âçâîëíîâàííîé ïîñëå áåñêîíå÷íûõ íè÷åì íå îáîñíîâàííûõ èññëåäîâàíèé ìàìîé ïðåïîäàâàòåëü ïàðàçèòîëîãèè â êà÷åñòâå îñíîâíîãî äèàãíîçà ïðåäëàãàåò æèàðäèàç è ãîâîðèò åé, ÷òî ýòî êëàññè÷åñêèå åãî ïðîÿâëåíèÿ. Ïîñëå ýòîãî ìíå òÿæåëî îøèáèòüñÿ. È ïî ïîâîäó ÂÎÇ. Ìíå êàæåòñÿ, ÷òî ÂÎÇ - ýòî ðåêîìåíäàöèè áîãàòûõ è\èëè óìíûõ äëÿ áåäíûõ è\èëè ãëóïûõ, êîðî÷å , êàê íå óìåðåòü îò ïîíîñà. Äëÿ ðîññèéñêèõ âðà÷åé è ïàöèåíòîâ, âåðîÿòíî, áóäåò ëó÷øå ïîëüçîâàòüñÿ â ðàáîòå ðåêîìåíäàöèÿìè àìåðèêàíñêèõ èëè åâðîïåéñêèõ ïðîôåññèîíàëüíûõ àêàäåìèé\àññîöèàöèé. Óäà÷è. |
#65
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ß òóò ïîäóìàë, ÷òî õîðîøî áû íà ýòîì ýòàïå ìàìå íàïèñàòü î òîì, ÷òî ðåáåíêó íàêîíåö-òî ñäåëàí àíàëèç "îâå÷üåãî" êàëà âìåñòå ñ äóîäåíàëüíûì çîíäèðîâàíèåì è áûëè îáíàðóæåíû ëÿìáëèè.
Âîò òîãäà áû ýòà áûëà èäåàëüíàÿ èíòåðíåò-êîíñóëüòàöèÿ , à òàê... |
#66
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Igra
À áèîõèìè÷åñêèé àíàëèç êðîâè äåëàëè? |
#67
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Öèòàòà:
Ñòàíäàðòíûå àìåðèêàíñêèå êèòû äëÿ ELISA (TLGT & APSGm) âûÿâëÿþò àíòèãåíû ê äâóì èäåíòèôèöèðîâàííûì áåëêàì ñòåíêè öèñòû Giardia. Ïîýòîìó îíè 100% ýôôåêòèâíû â ñëó÷àå íàëè÷èÿ öèñò. Êîãäà æå öèñò íåò, îíè äàþò ëîæíîîòðèöàòåëüíûé ðåçóëüòàò. Åñëè áû âñå áûëî òàê ïðîñòî, íå áûëî áû íåîáõîäèìîñòè ìó÷èòü ïàöèåíòà äóîäåíàëüíûì çîíäèðîâàíèåì. |
#68
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Öèòàòà:
Åñëè åñòü ñòîéêîå ïîäîçðåíèå íà ëÿìëèîç, à àíàëèçû îòðèöàòåëüíû, äàåòñÿ ìåòðîíèäàçîë. Òîëüêî ïðè ÷åì çäåñü âñe ýòî? |
#69
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#70
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Öèòàòà:
Îáúåêòèâíî ÿ èìåþ íà ðóêàõ ñëåäóþùóþ êàðòèíó: 1. Ïîäæåëóäî÷íàÿ æåëåçà óâåëè÷åíà ( äàííûå 2 -õ ÓÇÈ ñ èíòåðâàëîì â ïîëãîäà ïðèìåðíî) 2. "Îâå÷èé" ñòóë. 3.Æåëòîâàòûé îòòåíîê êîæè (ðîäèòåëè íå àçèàòñêîé ðàñû). Âîïðîñ- Ýòî íîðìà? Åñëè îòâåò - íå íîðìà, òî òîãäà êàêàÿ âîçìîæíà ïàòîëîãèÿ. È ãäå ( åñëè ðàññìàòðèâàòü ëàìáëèîç) â Ìîñêâå ìîæíî ñäàòü àíàëèçû. Ìíå ãîâîðèëè ÷òî-òî ïî ïîâîäó ëàáîðàòîðèè ïðè áîëüíèöå èì. Áîòêèíà, íî êàê òî÷íî íàçûâàåòñÿ ýòà ëàáîðàòîðèÿ ÿ íå çíàþ. Èçâèíèòå ìåíÿ çà ìîþ íàñòîé÷èâîñòü, íî ìåíÿ âîëíóåò çäîðîâüå ìîåé äî÷åðè ,ýòîò ôîðóì êàê ðàç òî ìåñòî, ãäå ÿ ìîãó îáñóäèòü âîëíóþùèå ìåíÿ òåìû è ïðî÷èòàòü ìíåíèå ìíîãèõ âðà÷åé. Åùå ðàç áëàãîäàðþ âñåõ îòêëèêíóâøèõñÿ. Ñ óâàæåíèåì,Igra. |
#71
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Öèòàòà:
Èçâèíèòå íàñ çà äèñêóññèþ, êîòîðàÿ ê Âàøåìó ðåáåíêó íå îòíîñèòñÿ. Çäîðîâüÿ Âàì è Âàøåé ìàëûøêå! |
#72
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Öèòàòà:
Ñ óâàæåíèåì,Igra. |
#73
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Öèòàòà:
P.S.Êîíêðåòíî ó ìåíÿ äèïëîì 2-ãî Ìåäà, ñïåöèàëüíîñòü ïåäèàòðèÿ, ñòàæ ïî ñïåöèàëüíîñòè ïî÷òè 20 ëåò.×òî òàêîå ñåðòèôèêàò - íå çíàþ,â ìîå âðåìÿ èõ íå âûäàâàëè, íî äóìàþ,÷òî ýêçàìåí, êîòîðûé ÿ ñäàâàëà â Èçðàèëå äëÿ ïîëó÷åíèÿ ðàçðåøåíèÿ íà ðàáîòó è íàëè÷èå ýòîãî ðàçðåøåíèÿ âïîëíå çàìåíÿò ñåðòèôèêàò.Ïîýòîìó ÿ ïîçâîëÿþ ñåáå äàâàòü ïðîôåññèîíàëüíûå ñîâåòû ïî è-íåòó è îòâå÷àòü íà âîïðîñû âçâîëíîâàííûõ ðîäèòåëåé.Î ëå÷åíèè ïî è-íåòó íå ìîæåò áûòü è ðå÷è. dr. Ira |
#74
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Óâàæàåìûå êîëëåãè!
1)Ìíå êàæåòñÿ, ÷òî ìû íåñêîëüêî îòêëîíèëèñü îò òåìû. 2)Äëÿ Guest è bummi - ïðåæäå, ÷åì äàâàòü "öåííûå ñîâåòû è ðåêîìåíäàöèè" ïðåäëàãàþ âíèìàòåëüíî ïðî÷èòàòü òî, ÷òî óæå ïîñîâåòîâàíî äî âàñ, à íå "÷åñàòü ÿçûêàìè" (ïðîøó ïðîùåíèÿ çà ðåçêîñòü).Ýòî îòíîñèòñÿ íå òîëüêî ê äàííîé òåìå, à ê ðàáîòå íà ôîðóìå â öåëîì. dr.Ira |