血液铁含量超标serum ferritin 1266

Gomere

猫儿不笨 发表于 2019-4-8 19:06
5千克，或5公斤

不厚道的笑一笑

Gomere

Gomere

你确认10几次就算最大200cc能清理掉这个大家伙？

猫儿不笨

Gomere 发表于 2019-4-8 19:16
你确认10几次就算最大200cc能清理掉这个大家伙？

她儿子算出这个数值，我没查证

猫儿不笨

猫儿不笨 发表于 2019-4-8 19:18
她儿子算出这个数值，我没查证

他可能加多了一个零

Gomere

今天很欢乐，算是post of the day
希望明天继续欢乐

Gomere

估计多加了好几个零
肝脏一般的capacity： Over time, iron accumulation can thus occur in the range of 1 gram per year (10 grams per decade). This explains the typical presentation of adult males with signs and symptoms of hemochromatosis in the fourth to fifth decades, and the slightly later presentation of women, who have additional iron losses due to menstruation, pregnancy, and lactation.
所以铁量是按照克计算的，不是千克

aff4200

匀点给我吧，我只有4，怎么差别这么大。

TRE

aff4200 发表于 2019-4-8 19:26
匀点给我吧，我只有4，怎么差别这么大。

天之道，损有余而补不足，是故虚胜实，不足胜有余。

icebear

应该是什么药物或者饮食或水引起肝功问题，我在昆州北部的Gladstone曾经发现这个问题，后来也查不出身体有其它问题，没有治疗后来自动痊愈了!

缨子

pgar 发表于 2019-4-8 18:23
我的血里铁只有10，吃铁丸又会喉咙痛。唉！

我的连10都不到，医生让我去输铁。这真是“旱的旱死涝的涝死”。

cbacba

我也是铁超标，最高2000.现在1000多。GP,推荐去献血，但不要告诉他们。因为铁高，没有其他疾病。下个月去考虑献血。以前没有这样的情况。

kaitlyn

cbacba 发表于 2019-4-8 20:17
我也是铁超标，最高2000.现在1000多。GP,推荐去献血，但不要告诉他们。因为铁高，没有其他疾病。下个月去考 ...

这样不妥吧。有些血液病或癌症病人需要经常输血，够可怜的，而这些病人里有一小部分人，因为常规输血的原因，血液里的铁含量过高，又要放血。献血绝对是应当提倡的好事，但这些病人输了含铁量过高的血，不是雪上加霜嘛。。。

Gomere

这都什么烂gp

平一指

我应该是有轻微血色病，但小时候身体并不吸铁，读大学的时候还有缺铁性贫血来着。不知道是基因没打开还是年纪不够没吸够铁。现在低铁饮食，喝茶和咖啡排铁，定期复查就没事了。

平一指

猫儿不笨 发表于 2019-4-8 19:19
他可能加多了一个零

我看应该是放了50克铁吧？如果有5000克，人早就死了。

平一指

kaitlyn 发表于 2019-4-8 20:31
这样不妥吧。有些血液病或癌症病人需要经常输血，够可怜的，而这些病人里有一小部分人，因为常规输血的原 ...

不用放血，应该打排铁针排铁。

平一指

kaitlyn 发表于 2019-4-8 20:31
这样不妥吧。有些血液病或癌症病人需要经常输血，够可怜的，而这些病人里有一小部分人，因为常规输血的原 ...

不用放血，应该打排铁针排铁。

dayu

平一指 发表于 2019-4-9 04:04
不用放血，应该打排铁针排铁。

请问为什么喝茶会降低铁，我低铁，但是喜欢喝茶。医生说只要饭后20分钟再喝茶就不影响吸收，不知道是不是真的？

dragonballz

血色素沉着病基因 hemochromatosis genes (most common ones are C282Y, H63D) is really rare in East Asian population (Chinese/Japanese/Koren/Vietnamese), about 1 in 1-10 million chance. Most GPs in Australia are trained in Australia with background knowledge of UK population, about 10% carrier state incidence. You should buy a lottery if you are positive for HFE genes  You GP just wasted Medicare money/taxpayer money to test a Chinese's HFE genes.

First of all, when you mean 1100 in iron study, I presume that is ferritin level. Ferritin could function as acute phase protein to raise in inflammatory/infectious conditions. So if a Chinese has only isolated ferritin rising, secondary causes of iron overload should be seeked, such as common cold, fatty liver or even liver cirrhosis.

APSTNDP

dragonballz 发表于 2019-4-9 08:57
血色素沉着病基因 hemochromatosis genes (most common ones are C282Y, H63D) is really rare in East Asi ...

感谢分享，你说的对，实际上是1266
脂肪肝查过，没有，就是做过b超和肝部震动彩超，没做穿刺

Gomere

dragonballz 发表于 2019-4-9 08:57
血色素沉着病基因 hemochromatosis genes (most common ones are C282Y, H63D) is really rare in East Asi ...

"肝病专家看过两次啥都没查出来" so we can probably rule out cirrhosis or fatty liver

Gomere

also
"两年多快三年了"

Gomere

also
why do you assume he's Chinese? he might be hybrid

APSTNDP

Gomere 发表于 2019-4-9 09:05
also
why do you assume he's Chinese? he might be hybrid

东北人

Gomere

I've got a friend who looks Chinese from North East but has Russian genes

Gomere

这贴真欢乐

dragonballz

APSTNDP 发表于 2019-4-9 09:01
感谢分享，你说的对，实际上是1266
脂肪肝查过，没有，就是做过b超和肝部震动彩超，没做穿刺
...

not sure about your case, but if just ferritin rises for long term without other items rising (iron/transferritin/saturation) while fatty liver/cirrhosis was not a concern, it may be related to rheumatoid conditions, such as rheumatoid arthritis etc, or some form of infections.

If nothing else bothers you, you could just sit tightly and have another test in 1 month to see its falling or not

Gomere

我书读的少，不过长期hemochromatosis治疗就是放血
Iron chelation更像是输血导致铁质过多，或者小孩误吃铁片的治疗方法，大牛可以补充一下

dragonballz

Gomere 发表于 2019-4-9 09:25
我书读的少，不过长期hemochromatosis治疗就是放血
Iron chelation更像是输血导致铁质过多，或者小孩误吃铁 ...

Primary hemochromatosis, usu HFE gene related iron overload, needs treatment of phlebotomy (US term)/venesection (UK/AU term). But secondary hemochromatosis, usu caused by liver disease (alcohol/cirrhosis), needs iron chelation therapy because most of those patients are too sick to have blood taken out.