+.

[lenok.d]

Hello Galina Afanasevna!

I address to you for the first time. To me 27, children are not present. Problems with health have appeared in 2002, vegetative, -adrenal crisises which in due course began to become frequent have begun, there was a delicacy, a sleepiness, tearfulness, began to swing or pump strongly, especially to the extremity or end of the working day, began to hurt or be ill;be sick often. I much where was surveyed, treated at neuropathologists, but to sense there was .1-th US SHCHZH 01.02.02:., podvizh.sohranena, contours equal, precise. ehog- average, medium-grained. .:1.41.12.4. .:1.21.64.6. Sites and cysts precisely not lokal-sja. Structure or frame diffusive or diffuse, non-uniform.

ch/? year 21.03.02 according to kordiologa was handed over with a blood on hormones.

TTG 3,6 (0,17-4,1)

4 9,3 (10,0-25,0)

3 4,3 (2,2-6,4)



ch/? year 24.04.03

TTG 3,7 (0,2-3,2)

4 94 (54-156)

3 1,4 (1,0-2,8)



Still ch/? month 21.05.03

TTG 6,2 (0,2-3,2)

Prolactinum 327 (71-700)

Has begun treatment at the endocrinologist, on 1. with June 2003.

Analyses from 11.02.04:

TTG 6,06 (0,1-3,5)

4 43 (60-160)

3 1,8 (1,0-2,8)

Analyses from 19.03.04

TTG 6,2 (0,34-5,6)

4 5,1 (7,5-21,1)

3 5,1 (3,67-10,4)

Then other endocrinologist recommended 30.03.04 50 a L-thyroxine.

Analyses from 13.04.04:

4. 13,69 (11,5-22,7)

3. 3,17 (3,5-6,5)

Have increased still a L-thyroxine up to 75, and then up to 100 from the beginning of September.

Analyses the last from 05.11.04

TTG 1,05 (0,4-4,0)

4. 15,1 (10,3-24,5)

3. 3,21 (2,76-6,45) and after that analysis the doctor recommends a turn- a dose of a L-thyroxine one day 75, another 100. Approximately ch/? month has again started to feel worse. Galina Afanasevna, tell or say please, whether treatment is correctly appointed or nominated, in fact hormones only have entered into norm or rate. And still - in May 2003. Conclusion : of a microadenoma of a pituitary body, an external hydrocephalus. In June 2003. MRT has made in VMA the joint venture-:- for a microadenoma of a pituitary body it is not received. But a problem that periodically I feel strong pressure in a nose. (a tomography of adnexal or additional sinuses of a nose-in to norm or rate), nemenie the right half of forehead.

On a background of reception of hormones the status has improved, -adrenal crisises any more were not, began to swing or pump, shake less.

Last US SHCHZH from 19.03.04. .:1,21,13,0. In mediums... On a back contour -echoic is closer to? apehogennomu a site without a capsule 0,50,50,8-.? The Isthmus 0,3. Left :1,21,03,4. The contour wavy, vyrazhenno -th ?NnO-th, contains fine calcificats. -: contours, diffusive or diffuse changes, depression ehogennosti shchzh. (AIT), the site, a cyst on the right?

Excuse for so detailed report, but I hope for your help in my situation. Zaranie with gratitude! Lena.

[Melnichenko]

Lena, your gland has normal volume, and for all years of observation is registered subclinical gipotiroz. At faces with this status various problems including so-called simpatoadrenalovye crisises (what is it takoe-separate conversation), but from this does not follow are more often fixed, that subclinical gipotiroz them causes

, Or liquidation of this or it treats them. AIT-ovost it or this gipotiroza nothing adds to its or his fact nalichija-unless intimidation you diagnoses..

CHeredovnija in a dose of a thyroxine are hardly reasonable. TTG it is normal - that else is necessary?

And the good state of health is necessary for you, and it or him is not present - means, not in TTG business, and it is not necessary to chase on a phantom of terrible illness or disease, doing or making those or other hardly justified researches - on MRT attributes of a microadenoma are at everyone 10-20 absolutely healthy persons. And as it is terrible to hear about any adenomas, and the state of health from it or this becomes better not.

That our doctors name simpatoadrenalovymi crisises, in the world name panic atekami-try to talk with Aminazikoj.

[lenok.d]

Galina Afanasevna, thanks you for the answer! But I apologize, since have not understood, that means *quot; try to talk with Aminazikoj. And quot;

And more a question: whether the disadvantage or excess of hormones shchzh can to become the reason of occurrence of spots on the face, a back and if yes as with these or it;this to struggle? Thanks.

[Melnichenko]

Typing error - Aminazinkoj. Panic ataki-a status. For the right to treat which struggle activly dushevedy and dusheljuby - at our forum it is very nice Dr. with anybody Aminazinka neurologists.

[lenok.d]

Good afternoon, Galina Afanasevna! Prompt what to do or make please, t.k after alternating a L-thyroxine 100/75 status has worsened. Analyses ch/? 2 months 28.12.04: TTG-13 (0,4-4,0) .posle it or this the doctor has registered again on 100 a thyroxine. ch/? 2 months 03.03.05 TTG-8,09 ??N/l (0,40 4,00), 4-115 (67,00-161,00) .pomogite to be defined or determined with a dosage of a L-thyroxine. Thanks!

[Melnichenko]

Rough dose of a thyroxine - 1, 6 mkg on kg of real mass of a body. Reception UP TO meal for thirty minutes and absence \ the nutrition, stirring or preventing to an absorption allow to not increase or enlarge a dose in most cases. What do you receive?

[lenok.d]

Galina Afanasevna! I treat an intestine after a poisoning with a fish about one year, but basically it is various bacteria, -forte. Recently under the reference of the doctor of a propyl famitidin, galstenu. Today I accept meteospazmil and broth of a camomile. Recently, approximately 3 months I accept a L-thyroxine early in the morning, then again I go to bed, after I rise and I eat. There can be such reception of a medicine not so correct. My weight 65, like is enough medicine?

[Melnichenko]

Any substance d. To be otdedleno from a thyroxine approximately 4- reception hours. Control TTG over 2 months

[lenok.d]

Galina Afanasevna!

Big to you thanks for consultation.

I congratulate on a coming holiday!

[lenok.d]

Hello, Galina Afanasevna!

Prompt please, under last analysis:

TTG 3,80 (0,40-4,00)

3 Over 3,68 (2,76-6,45)

4 Over 16,30 (10,3-24,50)

The doctor predlogaet to a dose of a L-thyroxine 100 which I accept to add 12,5 trijodtironina and then to increase up to 25.

At present the status of delicacy, a sleepiness, a giddiness (sways), a breakdown.

Comment please, whether it is necessary to me to add trijodtironin.



And more a question:

Since morning Saccharum 3,40

And in the afternoon after meal 2,82.

Whether can give it my statuses.



With impatience I look forward to hearing from you or to your reply. Thanks.

[Dr. Vad]

Dear Elena!



Something is not visible your general or common analysis of a blood: swaying and delicacy can be because of the lowered hemoglobin (anemia).

[Melnichenko]

Lena, combination 4 + 3 more than disputable business. Before on it or her to be solved) (and that the success is problematic), whether your doctor should respond on sludujushchie voprosy-other disease is passed or missed, most often it is an anemia, depression, an adrenal failure.

The fact postprandialnogo low Saccharum in conditions otsustvija adrenal nedostaochnosti will receive an additional explanation.

From my point of view, it will be better, if you will inform the doctor on our correspondence and about the received references.



In the further, after reception rezultatoy (and on a hypothesis about an adrenal failure hardly will be enough morning kortizola-unless last zashkalivajushche will be high..), I shall ask Dr. Morgunovu to describe the concept of the combined therapy (do not forget, that you in the form of tirotoma already received its or her certain variant) in details.

And more - if anything privhodjashchego is not present, it is necessary to mean, that a target level of a thyroxine below, than available you.

[lenok.d]

Hello, Galina Afanasevna!

Therapy combined has offered the doctor in hospital in which I just laid (endocrinology). Having accepted 12,5 mkg 3 to me was all the day long even worse, than usually, and I have refused from 3.

Purpose or Appointment the doctor has made, having looked or seen from 04.05.05 about which I have written the analysis to you 10.05.05.

After that I in hospital have handed over Prolactinum and under your reference a hydrocortisone 12.05.05: Prolactinum 1048, a hydrocortisone morning 419,69 (norm or rate), evening

66,84 (N 85,3 - 618). And also the doctor recommended MRT a pituitary body + a brain and vessels of a brain, t.k considered my complaints in occasion of a numbness and pressure in the right half of head, and also pressure in a nose.

MRT : its or his non-uniform due to gipointensivnogo a site of change signalazanimajushchego all adenogipofiz, by the sizes 1,7 X 0,4 see Voronka it is symmetrized, a visual decussation without features, distance from the top contour up to hiazmy 0,5. Siphons both VSA without features. Mediobazalnye departments of temporal shares are not changed, distance between them 2,9 see

After introduction of a contrast agent opred-sja the expressed rising of signal strength from substance of a pituitary body. The zone of heterogeneity of a signal became more expressed. MR a picture mikroade-

Nomas of a pituitary body. + MR a picture of the mixed hydrocephalus, a hypoplasia of an intracranial segment right pozvonochnoj arteries (the lumen approximately on 70 % is narrowed). A variant of development Villizieva of a circle.

After 24.05.05 I under the reference of the neurosurgeon have handed over again analyses.

Hydrocortisone morning 486 (morning 138 - 690)

Prolactinum 1457 (40.0 - 530.0)

AKTG 7,29 (0.00 - 10.10)

STG 2,29 (0.20 - 13.00)

TTG 9,93 (0.40 - 4.00)

The regional endocrinologist recommended reception of a L-thyroxine to increase with

100 mkg up to 125 mkg, and as reception of Parlodelum with 1/2 tab., increasing or enlarging a dose up to three tab.

Other endocrinologist recommends 125 mkg of a thyroxine and after it is normalized TTG to hand over Prolactinum, etc. Having explained it is that in the further to not get confused in hormones and Prolactinum.

At the neurosurgeon repeatedly yet was, but has understood that he as will appoint or nominate a preparation with bromkriptinom most likely.

Please, Galina Afanasevna, prompt, as to me to be. I in a full bewilderment, such opposite opinions at doctors!

Yours faithfully Lena.

[Melnichenko]

In view of data MRT - internal consultation of the skilled or experienced endocrinologist, rentgenoradiologa, the neurosurgeon.. Something does not match, it for internal discussion.