#16
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Âû ìåíÿ óäèâëÿåòå. Âû íàõîäèòåñü â ñøà, ãäå óðîâåíü ìåäèöèíñêîé ïîìîùè îäèí èç ñàìûõ âûñîêèõ, åñëè íå ñàìûé âûñîêèé â ìèðå, è ïðîäîëæàåòå ñîìíåâàòüñÿ â êîìïåòåíòíîñòè ñïåöèàëèñòà. Îñòàâüòå , ïîæàëóéñòà, ýòó ðîññèéñêóþ ïðèâû÷êó. Êàðäèîëîã ñîîðèåíòèðóåòñÿ, êàêèå îáñëåäîâàíèÿ Âàì íåîáõîäèìî áóäåò íàçíà÷èòü. Ñ òòã ñîãëàñíà, ïåðåñäàòü ÷åðåç 3 ìåñÿöà, íî ìàëîâåðîÿòíî, ÷òî åãî âîçìîæíîå ïîâûøåíèå ìîæåò äàâàòü òàêèå ñèìïòîìû, òê ãèïîòèðåîç ìîæåò ïðîÿâëÿòüñÿ ìèîïàòèåé, à ýòî ïîñòîÿííàÿ ñëàáîñòü, à íå ïðèõîäÿùàÿ, êàê â Âàøåì ñëó÷àå. Äåðæèòå, ïîæàëóéñòà, íàñ â êóðñå.
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Ñ óâàæåíèåì, Àíàñòàñèÿ Âàëåðüåâíà. Ìîé Instagram àêêàóíò @asarycheva |
#17
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Çäðàâñòâóéòå,
Êàðäèîëîã îñìîòðåë è ñêàçàë, ÷òî ïî åãî ÷àñòè îí íå âèäèò íèêàêèõ ïðîáëåì. Âî âðåìÿ ïðèñòóïîâ ÿ äåëàëà ýêã íà ÷àñàõ, è âñå âðåìÿ áûë ñèíóñîâûé ðèòì. Ïðî ñòðåññ òåñò ñïðîñèëà, ñêàçàë, ÷òî íå íóæíî, ïîñêîëüêó â ñîñòîÿíèè ïîêîÿ ïðèñòóïû ñëó÷àþòñÿ. Íàïðàâèë íà echo ñåðäöà, ÷òîáû óáåäèòüñÿ, ÷òî ñ ñåðäöåì, êàê ñ ìûøöåé, âñå â ïîðÿäêå. Åñëè è ýòîò òåñò ïîêàæåò, ÷òî ïðîáëåì íåò, òî ñêàçàë, ÷òî êàíàëîïàòèÿ îäèí èç äàëüíåéøèõ âîçìîæíûõ äèàãíîçîâ äëÿ îáñëåäîâàíèÿ... |
#18
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Äîáðûé äåíü.
Echo â íîðìå.  ÷åòâåðã ñíîâà èäó ê íåâðîëîãó. Ìîæåò òîëüêî ñòðåññ áûòü ïðè÷èíîé òàêèõ ïðèñòóïîâ? Ñïàñèáî. |
#19
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íà ñòðåññ âñå ëó÷øå ñïèñàòü â ñàìîì ïîñëåäíåì ñëó÷àå, êîãäà èñêëþ÷åíà îðãàíèêà.
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Ñ óâàæåíèåì, Àíàñòàñèÿ Âàëåðüåâíà. Ìîé Instagram àêêàóíò @asarycheva |
#20
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Äîáðûé âå÷åð.
Íåâðîëîã íàïðàâèë íà Autonomic function test (AFT). Äóìàåò, ÷òî ýòî âîçìîæíî ðåçêîå ïàäåíèå äàâëåíèÿ, êîòîðîå òðóäíî ïîéìàòü, ïîñêîëüêó îðãàíèçì ñðàçó êîìïåíñèðóåò ýòî, íî ïîñëåäñòâèÿ äëÿòñÿ íåêîòîðîå âðåìÿ. |
#21
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ñóïåð! ïîäåëèòåñü ðåçóëüòàòàìè? Âàø íåâðîëîã ïðîñòî óìíè÷êà! îí â òîì ÷èñëå ïëàíèðóåò èñêëþ÷èòü è POTS , î êîòîðîì ÿ ïèñàëà â ïîñòå ¹6.
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Ñ óâàæåíèåì, Àíàñòàñèÿ Âàëåðüåâíà. Ìîé Instagram àêêàóíò @asarycheva |
#22
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AFT
Çäðàâñòâóéòå,
Ïîëó÷èëà ðåçóëüòàòû AFT. Ìîé äîêòîð åùå íè÷åãî íå íàïèñàë. Ïðèñòóïîâ â òå÷åíèå èþíÿ è èþëÿ íå áûëî. Áóäó áëàãîäàðíà çà êîììåíòàðèè. Èðèíà |
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#23
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Èðèíà, ó íàñ íåò ñïåöèàëèñòîâ, êîòîðûå ìîãóò ïðî÷èòàòü ýòî èññëåäîâàíèå, ïîýòîìó äîæäåìñÿ çàêëþ÷åíèå âàøèõ. Âû æåëåçî ïðèíèìàëè âñå ýòî âðåìÿ? ðåãóëÿðíî?
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Ñ óâàæåíèåì, Àíàñòàñèÿ Âàëåðüåâíà. Ìîé Instagram àêêàóíò @asarycheva |
#24
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Äîáðûé äåíü,
Ìîé íåâðîëîã ñêàçàë, ÷òî âñå â íîðìå, è ìîæåò íàïðàâèòü ê autonomic physicians, åñëè ñèìïòîìû ñîõðàíÿþòñÿ. Ïîñëåäíèé òàêîé ïðèñòóï áûë 26 ìàÿ, òàê ÷òî ðåøèëè ïðîäîëæèòü èññëåäîâàíèÿ, åñëè ñíîâà ïîÿâÿòñÿ ñèìïòîìû. Æåëåçî íå ïðèíèìàþ óæå ïàðó ìåñÿöåâ, ïîñêîëüêó àíàëèç áûë â íîðìå, âèò Ä ãäå-òî ñ ìåñÿö. Ñïàñèáî. |
#25
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çà 2.5-3 ìåñÿöà ïðèåìà æåëåçà Âû ÆÄ ëèêâèäèðîâàëè; åñëè ñèìïòîìû èç-çà ÆÄ, òî îíè âåðíóòñÿ, êîãäà ôåððèòèí ñíèçèòñÿ, îáû÷íî åòî ïðîèñõîäèò ÷åðåç 6-12 ìåñ. ïî îêîí÷àíèè ëå÷åíèÿ
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Èñêðåííå, Âàäèì Âàëåðüåâè÷. |
#26
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#27
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Ñíîâà ïðèñòóï ïîñëå ïî÷òè 6 ìåñÿöåâ
Äîáðûé äåíü,
Ïîñëå ïî÷òè ïîëóãîäà ñíîâà ñëó÷èëñÿ ïðèñòóï. Â÷åðà âå÷åðîì ñèäåëà íà ïîëó çà êîìïüþòåðîì è ïî÷óâñòâîâàëà, ÷òî ñèëüíî óñòàëà è ñîâñåì íåò ñèë, êàê áóäòî áàòàðåéêà ñåëà. Ìóæ îòâåç äîìîé, øëà îïèðàÿñü íà íåãî è ñòåíû, ñòóëüÿ. Äîìà ëåãëà. Òåëî, ðóêè, íîãè, ãîëîâà, âåêè áûëî î÷åíü òÿæåëûì, êàê áóäòî ñâèíöîâûì. Ãëàçà îòêðûòü òîæå áûëî òÿæåëî, ãîëîñà ïðàêòè÷åñêè íå áûëî. Íî ÿ ìîãëà ãëóáîêî äûøàòü, ïèòü ñìîãëà ÷åðåç òðóáî÷êó, ÷óâñòâîâàëà, êàê áóäòî ìîãó êîíòðîëèðîâàòü âíóòðåííèå ìûøöû, íî íå ñíàðóæè. Êîãäà ãäå-òî ÷åðåç ÷àñ ñìîãëà ÷óòü äâèãàòüñÿ, ñòàëà âûòèðàòü êîñìåòèêó ñ îäíîãî ãëàçà, íî òàê è íå çàêîí÷èëà, ðóêà ïðîñòî óïàëà è òàê ÿ ëåæàëà ìèíóò 20-30. Âñåãî ïðèñòóï ïðîäîëæàëñÿ îêîëî 2 ÷àñîâ. Õîòÿ áûëà î÷åíü ñëàáàÿ, çàñíóòü íå ñìîãëà.  êàêîé-òî ìîìåíò ïî÷óâñòâîâàëà, ÷òî èñïàðÿþñü èëè ðàñòâîðÿþñü. ×åñòíî ãîâîðÿ, î÷åíü èñïóãàëàñü. Ëèöî, ðóêè áûëè î÷åíü áëåäíûå, ìóæ ñêàçàë, ÷òî äàæå ñåðîâàòûå. Íè÷åãî íå áîëåëî, ãîëîâîêðóæåíèÿ íå áûëî. ×óòü òîøíèëî èíîãäà. Íàïèñàëà ñâîåìó íåâðîëîãó, îí ñêàçàë, ÷òî õîòÿ ñèìïòîìû î÷åíü áåñïîêîÿùèå, íî îí íå âèäèò êàêîé-ëèáî íåâðîëîãè÷åñêîé ïðîáëåìû. Íàïðàâèë ê òåðàïåâòó è âîçìîæíî ýíäîêðèíîëîãó. Åñëè ñíîâà ïîâòîðèòñÿ, òî åõàòü â ER. Áóäó î÷åíü áëàãîäàðíà çà âòîðîå ìíåíèå, ñîâåòû, êàêèå îáñëåäîâàíèÿ åùå ñäåëàòü. Ìû ïåðååõàëè â äðóãîé øòàò, òàê ÷òî èùó ñåìåéíîãî äîêòîðà. ß ïðèíèìàþ ãäå-òî ñ ïàðó ìåñÿöåâ öèíê (chelated zinc) ïî 1 òàáëåòêå, è ñ ìåñÿö æåëåçî (ferrous gluconate 37.5mg of iron) òîæå ïî 1 òàáëåòêå, íå âñåãäà ðåãóëÿðíî. Ñïàñèáî çà âàøå âðåìÿ. Èðèíà |
#28
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Çäðàâñòâóéòå,
Áûëà ó ñåìåéíîãî äîêòîðà. Îáû÷íûé îñìîòð - âñå â ïîðÿäêå. Íàïðàâëåíèå ê ýíäîêðèíîëîãó äàäóò, åñëè àíàëèçû ïîêàæóò, ÷òî ÷òî-òî íå â ïîðÿäêå.  îñòàëüíîì îñîáûõ èäåé íå áûëî, êðîìå êàê ïîéòè ê äðóãîìó íåâðîëîãó è çàíîâî ñäåëàòü ÌÐÒ. Ðåçóëüòàòû àíàëèçîâ: CBC and differential Component Value Standard Range & Units White Blood Cells, Total 3.6 3.8 - 10.8 Thousand/uL RBC 4.60 3.80 - 5.10 Million/uL Hemoglobin 13.5 11.7 - 15.5 g/dL Hematocrit 40.4 35.0 - 45.0 % MCV 87.8 80.0 - 100.0 fL MCH 29.3 27.0 - 33.0 pg MCHC 33.4 32.0 - 36.0 g/dL RDW 12.7 11.0 - 15.0 % Platelet Count 369 140 - 400 Thousand/uL MPV 10.5 7.5 - 12.5 fL Neutrophils, Absolute 1,595 1,500 - 7,800 cells/uL Lymphocytes, Absolute 1,548 850 - 3,900 cells/uL Monocytes, Absolute 306 200 - 950 cells/uL Eosinophils Absolute 101 15 - 500 cells/uL Basophils, Absolute 50 0 - 200 cells/uL Neutrophils, Percent 44.3 % Lymphocytes, Percent 43.0 % Monocytes, Percent 8.5 % Eosinophils % 2.8 % Basophils, Percent 1.4 % Comprehensive metabolic panel Component Value Standard Range & Units Glucose 78 65 - 99 mg/dL BUN 10 7 - 25 mg/dL Creatinine 0.61 0.50 - 1.10 mg/dL eGFR Non Afr. American 113 > OR = 60 mL/min/1.73m2 eGFR African American 131 > OR = 60 mL/min/1.73m2 BUN/Creatinine Ratio NOT APPLICABLE 6 - 22 (calc) Sodium 140 135 - 146 mmol/L Potassium 4.6 3.5 - 5.3 mmol/L Chloride 105 98 - 110 mmol/L CO2 27 20 - 32 mmol/L Calcium, Serum 9.5 8.6 - 10.2 mg/dL Protein, Total 7.5 6.1 - 8.1 g/dL Albumin 4.4 3.6 - 5.1 g/dL Globulin, Total 3.1 1.9 - 3.7 g/dL (calc) Albumin/Globulin Ratio 1.4 1.0 - 2.5 (calc) Bilirubin, Total 0.5 0.2 - 1.2 mg/dL Alkaline Phosphatase, S 43 33 - 115 U/L AST (SGOT) 15 10 - 30 U/L ALT (SGPT) 8 6 - 29 U/L Lipid panel Component Value Standard Range & Units Cholesterol, Total 173 <200 mg/dL HDL Cholesterol 76 >50 mg/dL Triglycerides 43 <150 mg/dL LDL Cholesterol 85 mg/dL (calc) Cholesterol/HDL Ratio 2.3 <5.0 (calc) Non-HDL Cholesterol 97 <130 mg/dL (calc) TSH Component Value Standard Range & Units TSH 2.32 mIU/L Reference Range > or = 20 Years 0.40-4.50 URINALYSIS, ROUTINE Component Value Standard Range & Units Color, UA YELLOW YELLOW Clarity, UA CLEAR CLEAR Specific Gravity, UA 1.023 1.001 - 1.035 pH, UA 8.0 5.0 - 8.0 Glucose, UA NEGATIVE NEGATIVE Bilirubin, UA NEGATIVE NEGATIVE Ketones, UA NEGATIVE NEGATIVE Blood, UA NEGATIVE NEGATIVE Protein, UA NEGATIVE NEGATIVE Nitrite, UA NEGATIVE NEGATIVE Leukocytes, UA NEGATIVE NEGATIVE Vitamin D 25 hydroxy Component Value Standard Range & Units Vitamin D, 25-OH, Total 29 30 - 100 ng/mL Iron and TIBC Component Value Standard Range & Units Iron 105 40 - 190 mcg/dL Total Iron Binding Capacity 365 250 - 450 mcg/dL (calc) % Transferrin Saturation 29 16 - 45 % (calc) Hemoglobin A1c Component Value Standard Range & Units Hemoglobin A1C 5.2 <5.7 % of total Hgb T4, free Component Value Standard Range & Units T4, Free 1.3 0.8 - 1.8 ng/dL ×óòü íèæå íîðìû WBC è Vit D. Ñòîèò ëè äàëüøå ÷òî-òî îáñëåäîâàòü? Èëè òàê è ïðîäîëæèòü âûæèäàòåëüíóþ òàêòèêó? Ñïàñèáî. |
#29
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Íå âèæó ôåððèòèíà, ïî % Òðàíñôåððèí Ñàòóðàöèè 29 - äåôèöèòà æåëåçà íåò, âèòàìèí Ä è ëåéêîöèòû â ïðåäåëàõ íîðìû
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Èñêðåííå, Âàäèì Âàëåðüåâè÷. |
#30
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Öèòàòà:
Íå äóìàþ, ÷òî âðà÷ çàêàçûâàëà ôåððèòèí, ÿ ñêîïèðîâàëà âñå ðåçóëüòàòû. Êñòàòè, íè ðàçó íå âèäåëà åãî ñðåäè ñâîèõ àíàëèçîâ. Ìåíÿ òàêîé âîïðîñ áåñïîêîèò - òî, ÷òî ÿ ñòàíîâëþñü áëåäíî-ñåðàÿ âî âðåìÿ ïðèñòóïîâ, íå îçíà÷àåò ÷òî ó ìåíÿ ñ öèðêóëÿöèåé êðîâè ÷òî-òî íå â ïîðÿäêå? |