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Просмотр полной версии : Thyrotoxicosis (jodizm?)



Mechanical
01.09.2004, 19:30
Hello.



First the facts.

At my wife a problem. When we have met (3.5 years ago) I, have paid attention that at it or her a little bit swelled up a little neck, absolutely slightly,

But I have suggested her to descend or go to the endocrinologist and to check up shchitovidku. It or she was disturbed with pharyngalgias (sensation komka), knees (inspection hurted or were ill;were sick

kolenej nothing has given), changes of mood, difficulty in dialogue with people, nervousness. Here half a year back (in the autumn 2004) she was solved. I svetoval

To her Institute of Endocrinology of Russian Academy of Medical Science, that on Dmitry Ulyanov in Moscow, but there my mother has led it or her to the friend. The friend - the endocrinologist,

Only specializes on Diabetum more... It has been carried out research, all was within the limits of norm or rate, only here a nodule have found out, but since

He small - have registered -200!!! For 1 O/day.



That was in a life:

Icterus in the childhood (day nursery)

Now:

Age: 22 years (now)

:164 See

Weight: 50-53 kg.





Here analyses which surrendered in the autumn:



Analyses from 19.10.2004

Trijodtironin sovobnyj - result 5,69 (referentnaja size - 4,24-8,10)

Thyroxine free - 10,30 (9,00-20,00)

Thyritropic hormone - 0,859 (0,465-4,680)

AT to TPO - 29,19 (0-34)

Glucose on an empty stomach - 4,24 (3,3-5,5)



The analysis wet:

Color yellow

The transparence - is not present

Relative density - 1,026

Reaction - PH-6.0

Fiber *lt; 0.030

The glucose - is not present

Ketonovye bodies - otr.

Epithelium: flat, transitive - big -in

Leucocytes - 6-8 in at

Erythrocytes - 0,1-

TSilindrity: hyaline, granular, waxy - is not present

Salts - Sodium oxalatums - in appreciable kol-

Bacteria - in appreciable kol- (it was not washed away before delivery of the analysis)





21,10,2004

Calcium the general or common - 2,65 (2,25-2,75)

Calcium ionized - 1,23 (0,98-1,3)

Phosphorus inorganic - 1,13 (0,87-1,45)

Potassium - 4,4 (3,5-5,1)

Sodium - 138 (135-145)

Glucose - 4,85 (4,1-6,2)

The general or common fiber - 79,84 (66,0-87,0)

Alkaline phosphatase - 141,01 (94,0-266,0)

The general or common cholesterin - 3,84 (3,20-5,20)

Triglycerides - 0,58 (0,50-1,71)

HLpVP - 1,21 (0,78-1,45)

HLpNP - 2,36 (1,7-3,37)

Index aterogennosti - 2,17 (2,0-3,5)



Results of US shchitovidki from 19,10,2004

RUN: 19

SEQ: 22



PLT Flags:

WBC: 4.4 10*9/1 (3.5-10.0)

RBC: 3.99 10*12/1 (3.80-5.80)

HGB: 121 g/1 (110-165)

HCT: .355 1/1 (.350-.500)

PLT: 174 10*9/1 (150-390)

PCT: .146 10*-2 1/1 (.100-.500)



MCV: 89 f1 (80-97)

MCH: 30.3 pg (26.5-33.5)

MCHC: 341 g/1 (315-370)

RDW: 13.4 % (10.0-15.0)

MPV: 8.4 f1 (6.5-11.0)

PDW: 13.4 % (10.0-18.0)



WBC Flags:

DIFF:

%LYM: 35.4 % (19.0-37.0)

%MON: 6.8 % (3.0-11.0)

%GRA: 57.8 % (47.0-72.0)



*LYM: 1.5 10*9/1 (1.2-3.0)

*MON: 0.2 10*9/1 (0.1-0.6)

*GRA: 2.7 10*9/1 (2.0-5.8)



About term during which it was necessary to drink it or him of anything it has not been told or said, therefore, especially after

Perusals antatsii to it or him;them where it is written that it is possible to drink all life, has spent on drink half a year and further has continued... In in the extremity or end of May - the beginning of June 2005 approximately

To feel a malaise, it has been interfaced or integrated to stress (difficulties at job, and dismissal therefrom), then were 3 days strong sertsebienija, choked, a vomiting, delicacy, a tremor of extremities....

Under the insurance at my job she has gone in komercheskuju an out-patient department, there it or her still potaskali on other doctors, all has converged on the endocrinologist. The diagnosis - a thyrotoxicosis.

Here analyses:



US shchitovidki from 8,06,05

Locating - normanoe

The form - usual

The sizes: an isthmus - 0,4



Width: the right share - 1,6 / left-1,5

Thickness: 1,3 / 1,3

Length: 4,5 / 4,5

Volume: 4,9 a cube. + / 4,3 sm a cube. = 9,5 sm

Contours - equal, precise

Ehostruktura - homogeneous

Ehogennost - average

Intraorganic changes - are. In the right share in the bottom segment vuzualiziruetsja.... (Illegibly echoic nodal education with the indistinct contours, homogeneous structure or frame, the size 0,7-0,6 see

Vascularization - is not changed.

Cervical... (nerazborchovo) are not changed

The conclusion: UZ - attributes nodal obrazovaniija the right share of a thyroid gland.



Analyses from 06,06,2005

TTG - 00,1 (norm or rate 0,35-4,9)

Glucose - 4,42 (norm or rate 3,6-6,4)

About fiber - 0,9 (norm or rate 0,1-8,2)

Total of leucocytes, 10*9/l - 5,18 (4-9)

Total of erythrocytes, 10*12/l - 4.30 (3.9-4.7)

Hemoglobin, g/l - 127 (120-140)

Hematocrit, % - 37.60 (33-53)

Average volume of erythrocytes, fl - 87.40 (80-100)

Sr.konts.gemoblob. In ages-those or -that, g/l - 337.00 (310-370)

Compare sod. gemoglob. In ages-those or -that, pg - 29.50 (25-36)

Thrombocytes, 10*9/l - 174.00 (150-350)

Band, % - 0.00 (1-6)

Segmented, % - 44.00 (47-72)

Eosinocytes, % - 2.00 (0.5-5)

Bazofily, % - 0.00 (0-1)

Lymphocytes, % - 41.00 (19-37)

Monocytes, % - 13,00 (3-11)

ESR, mm/hour - 5,00 (2-15)



Analyses from 20,06,2005

3 Free - 11,53 (norm or rate 2,63-5,7)

4 Free - 28,36 (norm or rate 9-19,1)

Antibodies to tireoperoksidaze - 201,8 (norm or rate *lt; 12)



The electrocardiogram in norm or rate, did not do or make the ECHO.



The doctor from komercheskoj out-patient departments has appointed or nominated treatment:

(Duration 1 mes):

tirozol 5 mg.

10 days 1 tab. - 3 times a day.

10 days 1 tab. - 2 times a day

Week 0,5 tab. 3 times a day.

To hand over the analysis on 3, 4.





Have then decided to descend or go to the first, that has appointed or nominated that an iodine, she has appointed or nominated a following course:

(Duration - 3 months)

tirozol 5 mg.

3 weeks - 2 tab. - 2 times a day after meal.

1 week - 3 tab.

In a month to hand over analyses 3, 4

If result raised or increased - to drink 2 weeks 3 tab., if pozhennyj - 2 tab. 2 weeks

After 2 weeks to drink 2 tablets.

3 weeks 1 tab.

After to hand over analyses on 3, 4.

All time to accept atenolol 1/2 - 2 times a day.

When I shall pass to 1 tablet tirozora to cancel atenolol. Kazhnye 7-10 days to hand over a blood.



Under this scheme or plan now also it is treated.



Now emotions:

As to her became badly and especially after results of analyses, I have gone deep into this subject, have read through a lot of information, in general have understood the mechanism funktsionirvoanija SHCHZ.

In the childhood wished to become vrachem therefore this, medical, the subject carries away me constantly. Has found your site/given or data a forum. As I have understood, not applying at all on true,

Simply hypotheses, what if all life were deficiency of an iodine, abundance then has suddenly come (by the way I have understood that 200 mkg/?OO are much?) that shchitovidka on pleasures has solved

To work for 10, besides the iodine as I also have understood very well goes on -th circle and in general the self-sufficient closed system... Has read through about such term as jodizm,

The pier excess of an iodine can lead teireotoksikozu... Also I have understood that the thyrotoxicosis is only consequence or investigation as we shall admit or allow a heat at k.n. Disease, but

WHAT EXACTLY has urged on shchitovidku to hyperfunction - here that I am surprised, but as that to us have not suggested to find out, also I have understood what cause or call it all can taki mnogovato diseases...

Certainly the course that now to her is appointed or nominated - he will lower a level of these hormones but HOW to find out that has really broken and HOW it to cure? We all the same have entered the name in the center of endocrinology

Russian Academy of Medical Science, that on Dmitry Ulyanov in Moscow, but only for July, 18th! (have entered the name on we shall accept to DMN Sviridenko since I very strongly trust experience): (I do not wish to guess, put here diagnoses any, I am simple very much I wish to understand that has occured or happened, that became the reason what to do or make

And as it is better to do or make to be treated, I so have understood present therapy is the standard practice, to burst tireostatiki and ch.n. That heart did not knock (by the way only the maintenance or contents anotatsii to atenololu

Can cause or call an attack! k.n. Read it or her?) if (50 on 50 %%) the background - an isotope of an iodine or operation, then all life on zametsiteljah, God forbid, is not normalized. By the way its or her grandmother also suffered

shchitovidkoj, to her of years at 65-70 it or her have removed, have slightly left. But that the GRANDMOTHER at it or her 2 children and mass of grandsons! And the wife only 22 we want children sooner or later, but nachitavshis nightmares that can, I apologize for cynicism, to turn out.... Without komentariev...

How to put the CORRECT true diagnosis (because DZ - the heat is, imho, the strange diagnosis)

WHAT TO US TO DO or MAKE?

Help or Assist us please!

Thanks big all who will respond.



PS/I have noticed that here there are some private agreements among the doctors responding in a forum to not interfere when the patient *quot; O??n?*quot; other doctor, but a consultation - same it is always good?

VanushkoVE
01.09.2004, 19:30
There is nothing the best, than internal consultation of the endocrinologist.

If it is complex or difficult to you to wait till July, 18th, come in ENTS to Monday of 4-th by 9.30 - 10.00. I shall allocate or remove you to Natalia Jurevne Sviridenko and I shall ask to consult. Me will find on 5 floor in 523 cabinet or study.

Mechanical
01.09.2004, 19:30
Hello.



Unfortunately, the wife next week should be in Peter, since it is necessary for her to hand over kontrolno a blood (in occasion of reception tireostatikov) that she thought that there will hand over/will come on consultation to the endocrinologist in k.n. metsnoj komercheskoj to clinic. At me a question, whether it is possible to come to you with 11.07-15.07, i.e. in a week when she will return, or on good better now is faster? We understand a word it is necessary and if it is necessary, certainly health is the most important also a trip possible to postpone?



Thanks big for the answer!!!

Dmitry.

VanushkoVE
01.09.2004, 19:30
I report. Your wife on reception to dear N.J.Sviridenko has allocated or removed.