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uLékaře.cz 17.01.2021 14:36 Dobry den, V posledni dobe mam velice zvlastni zdravotni potize s kuzi po celem tele, nejsem schopen urcit co to muze zpusobovat a zda se nejedna o nekjakou vaznejsi chorobu. Po celem tele predevsim na zadech, rukou a nohou mam na kuzi pocit jako po spaleni na slunci nebo jako po opareni vodou a obcas me ruzne po tele v kuzi pichne, jak kdyz me pichne nekdo jehlou , kazdym pohybem a dotekem je kuze velmi citliva. Kuze me nesvedi, neni viditelna zadna vyrazka, zadne zarudnuti ani jine zmeny na kuzi . Tyto zdravotni potize zacali loni v dubnu a problem pretrvaval vice jak mesic v kuse, proto jsem navstivil lekare v Anglii , ktery mi rekl, ze je to pravdepodobne nejaka alergie na jidlo, bohuzel i pres ruzne diety a doporuceni, at z jidelnicku vyradim mlecne produkty a potraviny bohate na histamin i tak to nepomaha. Behem lonskeho leta se situace uklidnila, ale cele to zacalo znova v zari a problem pretrvava dodnes, ale nyni je to v intervalech kdy dva tydny mam vyse uvedene zdravotni potize s kuzi, pote jeden tyden je vse v poradku a citim se dobre, ale pak se to znova takhle opakuje a stale dokola uz nekolikaty mesic v rade a nema na to zadny vliv strava ani nepomohla vymena sprchoveho gelu za mydlo pro citlivou pokozku, zmena pracich prostredku a zadnou jinou komsetiku nepouzivam, kdyz je mi nejhur tak nepomahaji ani silnejsi leky na alergii; Fexofenadine 120mg tablets , proto se domnivam, ze se nejedna o zadnou alergii. Deficit vitaminu D, B nebo vapniku nemam, byli mi provodeny krevni testy bez abnormalnich vysledku, moc v poradku, necitim nevolnost, hlava me neboli ani nezvracim. V poslednich tydnech se k tomuto problemu pridala i nespavost, kdy usinam az kolem 2-3 hodiny ranni a obcas se casto budim behem spanku. Muzete mi prosim poradit co muze zdravotni potize s kuzi zpusobovat a jake vysetreni mi doporucujete podstoupit? Myslite si, ze to muze byt signal nejake vaznejsi choroby? Podle krevnich testu funkce ledvin a jater je v poradku. Dekuji za Vasi radu. Prosim o odpoved emailem. S pozdravem Jan S View Test Result Clinician viewed 27 May 2020 Result type Pathology Tests Full blood count Urea and electrolytes Thyroid function test Differential white blood cell count Serum ferritin level Haemoglobin A1c level Liver function tests EGFR / 1.73M2 Anti-tissue transglutaminase level Filed by Result Satisfactory What you need to do No Further Action Specimen Specimen Type: Blood Specimen Reference#: 1 Collected: 27 May 2020 Received: 27 May 2020 Provider Sample ID: Pathology Investigations Full blood count Haemoglobin concentration 150 g/L Total white blood count 4.79 10*9/L Platelet count - observation 256 10*9/L Red blood cell count 5.01 10*12/L Haematocrit 0.462 1/1 Mean cell volume 92.2 fL Mean cell haemoglobin level 29.9 pg Mean cell haemoglobin concentration 325 g/L Urea and electrolytes Serum sodium level 141 mmol/L Serum potassium level 3.6 mmol/L Serum urea level 5.4 mmol/L Serum creatinine level 72 umol/L Thyroid function test Serum TSH level 2.3 mu/L Differential white blood cell count Neutrophil count 2.29 10*9/L Lymphocyte count 1.61 10*9/L Monocyte count - observation 0.47 10*9/L Eosinophil count - observation 0.38 10*9/L Basophil count 0.04 10*9/L Serum ferritin level 261 ug/L Haemoglobin A1c level Haemoglobin A1c level - IFCC standardised 33.0 mmol/mol This test is awaiting UKAS 15189 accreditation. Interpretation of HbA1c in screening for Diabetes 42-47 mmol/mol - at high risk of developing T2 DM consider referral to Diabetes Prevention Program 48 mmol/mol and above - Suggestive of T2 DM. Interpretation of HbA1c in monitoring Information on targets is available in local Diabetes guidelines . Liver function tests Serum alkaline phosphatase level 88 u/L Serum alanine aminotransferase level 32 u/L Serum total bilirubin level 10 umol/L Serum albumin level 44 g/L EGFR / 1.73M2 eGFR using creatinine per 1.73 square metres > 90 mL/min eGFR calculated by CKD-Epi formula For African-Caribbean multiply by 1.159. Not valid in acute kidney injury, dialysis and pregnancy. Please use Cockroft-Gault estimate of creatinine clearance for drug dosing. Anti-tissue transglutaminase level TTG ABS < 1.9 CU Interpretation: Negative or equal to 20 CU Negative results make Coeliac Disease unlikely if individuals have been on a diet containing adequate gluten for 6 weeks prior to test. However if symptoms persist suggest check immunoglobulins if not done previously, and discuss/refer to Gastroenterology team . View Test Result Clinician viewed 12 Jun 2020 Result type Pathology Tests VITAMIN B12 CALCIUM AND ALBUMIN Serum folate level VITAMIN D Filed by Result Normal What you need to do No Further Action Specimen Specimen Type: Blood Specimen Reference#: 1 Collected: 12 Jun 2020 Received: 12 Jun 2020 Provider Sample ID: Pathology Investigations VITAMIN B12 Serum vitamin B12 level 573 ng/L CALCIUM AND ALBUMIN Serum albumin level 49 g/L Calcium adjusted level 2.42 mmol/L Calcium result adjusted for albumin concentration. Serum folate level Serum folate level 15.8 ug/L VITAMIN D Serum total 25-hydroxy vitamin D level 69 nmol/L
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