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Просмотр полной версии : The qualified consultation is necessary help or assist



kristi82
01.09.2004, 19:30
Hello the doctor,

23 years, body height of 179 weight 70 has recovered on 2 kg (68),

Month the temperature 37-37.4, pershenie in a throat, abaissement of hair, and a tachycardia kept, my therapist has sent institute of an immunology, parameters of an immunogram within the limits of norm or rate that is are raised or increased, after have sent in endocrinologic or endocrinology institute, in the same place has made repeated US, uzi has shown SHCHitovidka 1 degrees, the Sizes

The right share 361718, and the left share 381920, pereem 3. Then

Has appointed or nominated a biopsy of a thyroid gland, a biopsy has shown a colloid struma with the moderate proliferation epithelia, chronic limfomatornyj a strumitis (++)

When I have shown these analyses to the doctor he have diagnosed Autoimmune Eutiroz 2 degrees, the Doctor has not looked at all at hormones, I handed over them one month ago up to revealing the diagnosis and not during a menses: 3-1,9 norm or rate (1,2-2,8 ???/l) 4 - 108 (norm or rate 60-160 ???y/l), TTG-0,74 (norm or rate of 0,17-4,05 mm)

Then has received such treatment:

-1,4 A part in the morning up to meal,

Aspirinum 0,5 on 1 h 3 times in day of 5 days

Trichopolum 0,25 h 3 r 3 weeks,

And hormonal preparation prednizalon of 5 mg under the scheme or plan for a month

2+1+1 5-days

2+1 5 days

2 morning of 5 days

1 morning of 5 days

2 morning of 5 days

As sdtala the analysis of a blood on torch infiktsiju, chlamydias otrtsatelno, have found a cytomegalovirus on IgG 2,552 (norm or rate-0,3) and a virus of simple herpes on IgG 2? 915 (norma-0,3), have appointed or nominated preparation proteflazid in drops, this preparation still raises or increases immunetet, and at me and so vospolitelnyj process goes, that is is raised or increased very much, what to me to do or make to wait or, you podskazhiet more sparing preparation for treatment of these problems???

The question consists in the following as to shchitovidki:

I have already begun a course treatment about 3 days but the temperature till now to keep, the temperature spadet would like to learn or find out through which time or remains lifelong?

Also I experience very much that have written out to me strong hormones, whether I can become pregnant in general? Through what time??? Kakovaja probability of sterility or barrenness???

When to me to hand over repetition on hormones after treatment or during?

Consult me please, I effective treatment can receive not?? Can eat newer hormonal preparations or more sparing for treatment of my problem???

Light
01.09.2004, 19:30
The bases for purpose or appointment Eutiroksa I do not see.

However, and other purposes or appointments to me are not absolutely clear.

Result or Bring, please, result of the clinical analysis of a blood.

kristi82
01.09.2004, 19:30
The bases for purpose or appointment Eutiroksa I do not see.

However, and other purposes or appointments to me are not absolutely clear.

Result or Bring, please, result of the clinical analysis of a blood.





In ponedelni only I shall receive the general or common analysis of a blood

The doctor help or assist me, what at me then also what diagnosis????

And unless analyses of a biopsy cannot be trusted?

Or mozhe at me temperature on Torch infection TSMV and a herpes????

I am tired from temperature?? Began to skip from 37 up to 37,4

The tachycardia excruciates the truth sometimes, heart healthy.

Help or Assist please I to you I write from tashkenta

kristi82
01.09.2004, 19:30
The bases for purpose or appointment Eutiroksa I do not see.

However, and other purposes or appointments to me are not absolutely clear.

Result or Bring, please, result of the clinical analysis of a blood.





In ponedelni only I shall receive the general or common analysis of a blood

The doctor help or assist me, what at me then also what diagnosis????

And unless analyses of a biopsy cannot be trusted?

Or mozhe at me temperature on Torch infection TSMV and a herpes????

I am tired from temperature?? Began to skip from 37 up to 37,4

The tachycardia excruciates the truth sometimes, heart healthy.

Help or Assist please I to you I write from tashkenta

kristi82
01.09.2004, 19:30
The general or common anadi bloods

Nv 112,0

Leucocytes - 10,010 in the ninth degree

SOE-8 mm

Er-3,4

Color parameter-0,9

Sp 56

-1

-38

From November, 14th 2005

Melnichenko
01.09.2004, 19:30
We do not see any bases to appoint or nominate a puncture biopsy of a thyroid gland to the person from normal its or her (gland) in volume and with normal job of a gland.



We have no the slightest representation about qualification of the cytologist investigating or researching a punctate of a gland, made on a unknown occasion.

kristi82
01.09.2004, 19:30
Also what to me to do or make?? What are still necessary analyses???

Prompt it the truth that on hormones it is necessary to hand over during a menses????

At me temperature 37 and above the second month

Light
01.09.2004, 19:30
Your thyroid gland is not guilty in rise in temperature.

Your doctor should know algorithm of inspection of the patient with a fever of an obscure genesis. Can show him this correspondence.

To diagnose you without survey we, unfortunately, most likely, we can not.

kristi82
01.09.2004, 19:30
Thanks you big for consultation, means to our Uzbek doctors of belief is not present, and was in Republican Institute of endocrinology,

Means I shall stop this treatment, and to search for the reason in other.

Light
01.09.2004, 19:30
Only, please, not independently, and under observation of the doctor.

kristi82
01.09.2004, 19:30
Well Doctor,

Thanks for advice or council

kristi82
01.09.2004, 19:30
Hello the Doctor

Today I have again gone and have made uzi shchitovidki, in other clinic

The conclusion of the doctor:

The thyroid gland is located typically

The right and left share are symmetric.

The sizes the right share 421924 volume - 9, 17 kub.sm

The left share 431822 volume-8,15 kub.sm

Isthmus - 4,6 mm

Volume of a gland - 17,32 ./N-11,29 kubjusm

Contours equal precise

The capsule precisely vizualiruetsja, ehostruktura parenimy fine-grained, ehogenost is raised or increased,

Sound transmission is not broken or disturbed.

In the left share in bottom poslosti opredeljaetsja small formulating 65 site mm, with not a precise contour

prilezhajushchie vessels are not squeezed, not rashireny.

Conclusion Ehopriznaki of a hyperplasia of a gland of 2 degrees and the formulating site of the left share

It has turned out two different diagnoses

The doctor podskazhiet how to spend effective treatment?? How it will affect or influence the future beremenst??

Whether tell or say can give this diagnosis temperature?

kristi82
01.09.2004, 19:30
The general or common analysis of a blood

-118 Norm or Rate 120-130

-3,9 Norm or Rate 3,9-4,7

Color pokazatel-0,9 norm or rate 0,85-1,05

Lejkotsity-4,9 norm or rate 4,0-9,0

Nuclear rod 2 norm or rate 1-6

Segmentation 54 norm or rate 47-72

Eozinafija 1 norm or rate 0,5-5

Lymphocytes 39 norm or rate 10-37

Monocytes 4 norm or rate 3-11

SOE-2 norm or rate 2

Melnichenko
01.09.2004, 19:30
If to believe your second inspection, at you the minimal augmentation of the gland typical for regions iodnogo of deficiency. We hope. That, as well as to all women of your region, the endocrinologist will recommend nebhodimoe vospoleniee deficiency of an iodine.

kristi82
01.09.2004, 19:30
poluchaetsja that anything strashnego is not present?? But at me obrazuetsja the site?? After reception of an iodine site???

kristi82
01.09.2004, 19:30
The doctor it is possible one more question

Whether the thyroid gland can give temperature under the second diagnosis???



Thanks in advance