#1
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Áîëè â èêðàõ íîã ó ðåáåíêà
Äîáðûé äåíü!
Äåâî÷êà 10 ëåò, ðîñò 140 ñì., âåñ 27 êã. Áûëà îïåðàöèÿ íà ñåðäöå ÄÌÏÏ â 2014 ã. Íà ïðîòÿæåíèè 1-1,5 ëåò åñòü æàëîáû íà áîëè â èêðàõ îáîèõ íîã. Áîëè â îñíîâíîì ïî óòðàì ïðè ïðîáóæäåíèè è ïîñëå ñèäåíèÿ, êîãäà âñòà¸ò. Òðîãàåøü èêðû - åé áîëüíî. Çàíèìàåòñÿ òàíöàìè 3 ð. â íåäåëþ. Ñ íàãðóçêàìè áîëè íå ñâÿçûâàåì.  íîÿáðå 2023 ã. áûëè ó íåâðîëîãà. Ñêàçàëà, ÷òî ìûøöû íàïðÿæ¸ííûå, ñäàëè àíàëèçû ÊÔÊ, ËÄÃ. ÊÔÊ ÷óòü âûøå íîðìû, ËÄà íîðìà. Ïðîïèëè ìàãíèé, ìàçàëè èíäîâàçèíîì. Áîëè ïðîøëè.  ýòîò ïåðèîä êàê ðàç ïîäðîñëà ðåçêî íà íåñêîëüêî ñì. Òåïåðü ñíîâà ïîÿâèëèñü áîëè. Âîîáùå èêðû ó íàñ áîëüøèå, âûðàæåííûå. ×òî íàì äåëàòü? ×òî îáñëåäîâàòü? Ìîæåò ýòî áûòü âåíîçíàÿ íåäîñòàòî÷íîñòü? |
#2
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Äîáàâëþ, ÷òî ñëàáîñòè â íîãàõ, â öåëîì â îðãàíèçìå íåò.
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#3
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Ïðè îòñóòñâèè ïàòîëîãè÷åñêèõ íàõîäîê îðòîïåäîâ è íîðìàëüíûõ àíàëèçàõ âîçìîæíàÿ ïðè÷èíà-áîëè ðîñòà , îñîáåííî â ïåðèîä íà÷àëà ïîëîâîãî ñîçðåâàíèÿ, âî âðåìÿ ñêà÷êà ðîñòà.
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#4
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À Âû ìîæåòå ïîêàçàòü ôîòî ãîëåíåé è ðåçóëüòàò êôê?
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Ñ óâàæåíèåì, Àíàñòàñèÿ Âàëåðüåâíà. Ìîé Instagram àêêàóíò @asarycheva |
#5
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Àíàëèç
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#6
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Âû äóìàåòå íà ìèîïàòèþ?
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#7
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Óæå íå äóìàþ, íîðìà. Ñîãëàñíà ñ êîëëåãîé âûøå. Áîëè ðîñòà
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Ñ óâàæåíèåì, Àíàñòàñèÿ Âàëåðüåâíà. Ìîé Instagram àêêàóíò @asarycheva |
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#8
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Ñïàñèáî çà îòâåò. Ïîäñêàæèòå, ïîæàëóéñòà, à òàêèå èêðû âûðàæåííûå - ýòî ïðîñòî îñîáåííîñòü?
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#9
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äîáàâëþ, ÷òî áîëè â ìûøöàõ ìîãóò áûòü èç-çà íàêîïëåíèÿ â íèõ èçá. ëàêòàòà ïðè äåôèöèòå æåëåçà äàæå åñëè íåò àíåìèè:
Iron deficiency results in fatigue, poor endurance and even causes muscle pain (Gerwin, 2005) Abnormalities in muscle metabolism are noted even when deficiency is mild (309). Blood lactate levels were measured in mildly iron-deficient female athletes after standardized exercise tests. Peak lactate levels fell significantly after 2 weeks of iron treatment. This observation led to the suggestion that iron deficiency forces the muscles to depend to a greater extent on anaerobic metabolism than occurs in normal subjects. Animal studies confirm that muscle function is disturbed in iron deficiency. The spontaneous activity level of iron-deficient rats decreased (311), and short-term exercise tolerance in treadmill running tests was reduced (181,182,312,313), even at mild degrees of deficiency (314). These abnormalities could not be explained by anemia alone, because they persisted after anemia was corrected by exchange transfusion (181,182). All were corrected promptly when iron was administered.
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Èñêðåííå, Âàäèì Âàëåðüåâè÷. |
#10
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Ïðèñîåäèíÿþñü ê êîëëåãàì íàñ÷åò áîëåé ðîñòà. Êîñòè áûñòðî ðàñòóò, è ìûøöàì íàäî ïîñïåâàòü çà ýòèì. À òóò åùå è ôèçíàãðóçêà òàíöåâ íà ìûøöû íîã íàñëàèâàåòñÿ. Ïðîéäåò.
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Dr.B |
#11
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Äîáðûé äåíü!
Ñåãîäíÿ ñäàëè ÎÀÊ, ïîñìîòðèòå, ïîæàëóéñòà, ðåçóëüòàòû. Ó íàñ âûñîêèé ãåìîãëîáèí. Ýòî î÷åíü êðèòè÷íî? Îáû÷íî ãåìîãëîáèí áëèæå ê âåðõíåé ãðàíèöå íîðìû, ïåðâûé ðàç âûøåë çà ïðåäåëû. Â÷åðà âå÷åðîì äî 21.00 ó ðåáåíêà áûëè çàíÿòèÿ òàíöàìè. Íà çàíÿòèÿõ ïèëà âîäó, ïîñëå çàíÿòèé âûïèëà ïîëîâèíó êðóæêè âîäû. Äî àíàëèçà íè÷åãî íå ïèëà áîëüøå. |
#12
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ïèòüå âîäû ñïîñîáñòâóåò ïîâûøåíèþ ãåìîãëîáèíà - íîðìû íà áëàíêå äëÿ äåòåé 1-2 ëåò, î÷åíü êðèòè÷íî äåëàòü àíàëèçû íå àáû ãäå, à â ñåðòèô. ëàáå êàê èíâèòðî; ôåððèòèí ìåíåå 25 è íàñûøåíèå ìåíåå 20% = äåôèöèò æåëåçà
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Èñêðåííå, Âàäèì Âàëåðüåâè÷. |
#13
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Ñïàñèáî çà îòâåò. ÈÍÂÈÒÐÎ ó íàñ â ãîðîäå îòâîçèò â Ìîñêâó àíàëèçû, ìíå êàæåòñÿ, ÷òî àíàëèçû, êîòîðûå äåëàþò ñðàçó áîëåå äîñòîâåðíû.
Ïîñîâåòóéòå, ïîæàëóéñòà, êàêîå æåëåçî ïðèíèìàòü. Ó ìëàäøåãî ðåá¸íêà ôåððèòèí 8, ó ìåíÿ 9. Ïðèíèìàåì ìàëüòîôåð. |
#14
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âîò íîðìû ãåìîãëîáèíà ïî âîçðàñòó 6-12 ëåò - ïîâûøåíèå èëè ïëþñ 2 ÑÎ 135+20=155
6-12 years: mean 13.5 g/dL (-2SD: 11.5 g/dL) 12-18 years female: mean 14.0 g/dL (-2SD: 12.0 g/dL) íî ñóäÿ ïî îñòàëüíûì ýðèòðî-ïîêàçàòåëÿì ïðåäïîëîæó ÷òî ãåìîãëîáèíîâûé êàíàë â àâòîàíàëèçàòîðå íåìíîãî çàâèðàåò ââåðõ, è ó ðåáåíêà ãåìîãëîáèí íå áîëåå 140
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Èñêðåííå, Âàäèì Âàëåðüåâè÷. |
#15
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ìàëüòîôåð âðîäå êàê õîðîø òîëüêî äëÿ ëå÷åíèÿ àíåìèè èëè íèçêèé ãåìîãëîáèí, à âîò íèçêèé ôåððèòèí îí íå ïîâûøàåò õîðîøî, òàê ÷òî æåëåçà áèñãëèöèíàò ñîëãàð õîòü è òÿæåëåå ïðèíèìàåòñÿ, íî ëó÷øèé âûáîð, äåòÿì ÷åðåç äåíü , à ñåáå - åæåäíåâíî, åñëè áóäåò ïåðåíîñèòüñÿ è ìèíèìóì 3-4 ìåñ.; äåòÿì 3 ìåñ., õîðîøèé åôôåêò áóäåò âèäåì ïî óëó÷øåíèÿì ó äåòåé, åñëè íè÷åãî íå ìåíÿåòñÿ - òîãäà ïðîâåðÿòü ôåððèòèí https://forums.rusmedserv.com/showpo...&postcount=288
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Èñêðåííå, Âàäèì Âàëåðüåâè÷. |