f*****8 发帖数: 118 | 1 这个说明你完全没问题的,你的Hepatitis B surface antigen Non Reac (Non Reac)
就说明你原来没有得过乙肝,Hep B surface antibody-qualit Reac说明你已经有抗体
了,已经具有免疫力。 |
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a**********9 发帖数: 348 | 2 For problems with the immune system, US doctors are usually better than
Chinese doctors.
Did any family member of yours also have this problem? Did you have contact
with some antigen in the past 5 years? |
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l*******n 发帖数: 68 | 3 Prostate specific antigen (PSA) is a protein produced by the cells of the
prostate gland. PSA is present in small quantities in the serum of normal
men, and is often elevated in the presence of prostate cancer and in other
prostate disorders. The U.S. Food and Drug Administration (FDA) has approved
the PSA test for annual screening of prostate cancer in men of age 50 and
older. PSA).
Increased levels of PSA may suggest the presence of prostate cancer. However
, PSA levels can be also increased b |
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f******I 发帖数: 769 | 4
35
actually from what heard, women who are chronic carrier for hep b in
majority do well with pregnancy, placenta is a very good barrier for hep b
virus, the vertical transmission occurs often during delivery when baby is
in the birth canal and is exposed to amternal blood, whether your E antigen
is positive and how high your viral load is at the time will also contribute
to the risk of transmission during delivery, your viral load is 10^6 which
i think is ok but don't quote me on that, 10^9 is |
|
d***e 发帖数: 4 | 5 非常感谢mayhua和fatmanII的详细解释,对我理解父亲的病情太有助了!
另请教fatmanII:
CEA是否指carcinoembryonic antigen癌胚抗原?CEA呈阴性是从诊断书中的何处得出的
呢?是否从以下我未理解的句子中得来:
“骶前见范围约4x3.5cm不规则致密影......右侧腹股沟探及低回声团,最大约22x6mm.
.....左侧腹股沟探及低回声团,最大约13x4mm”
对于您第二段,我理解如下:应在化疗和修养期间密切观察CEA状态,因为其是癌症复
发(或癌细胞扩散)的重要指标。请问我的理解是否正确?如正确,能否请您指导一下
应该从医院诊断书的那些指标来看CEA阴性与否?如有合适的相关文献资料,能否请您
推荐一些可以给我扫扫盲?
关于您的第三段,谢谢您的建议。听家人说确诊后立刻听从医生建议按最快的时间安排
了手术,所以没有考虑术前肿瘤辅助化疗。
再次衷心拜谢各位的热心帮助! |
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f******I 发帖数: 769 | 6
22x6mm.
CEA是否指carcinoembryonic antigen癌胚抗原?yes
i can't read chinese docu very well i guess, from the second paragraph of
the scanned document, not sure if that's CEA or CAE or what,
CEA is a tumor marker, by itself can't diagnosed cancer, but once the cancer
is diagnosed, its level can be used to follow cancer activity, that's
something you need to ask his doctor to monitor, |
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f******t 发帖数: 1 | 7 急问高手!
BF刚刚体检,发现乙肝抗原(Hepatitis B Surface Antigen) 和表面抗体(
Hepatitis B Surface Antibody)都是Positive ,但核心抗体(Hepatitis B Cor AB) non reactive
, 这样传染吗?
谢谢! |
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g***r 发帖数: 285 | 8
not necessarily,
you can have urea breath test, or blood test for h pylori igG serology(if
you've never been tested and treated before),
or you could have stool antigen test, |
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c******r 发帖数: 3778 | 9 乙肝疫苗打三针的原因就是因为有部分孩子一针不够产生足够的抗体。
对于是携带者的妈妈,其实宝宝在身体里面的时候,由于有胎盘屏障,乙肝病毒不能通
过,所以不会感染。但是在出生的过程中,由于皮肤的擦伤,病毒有进入宝宝体内的可
能。所以要在出生之后立刻注射免疫蛋白,阻断感染。但是免疫蛋白会被逐渐代谢掉,
所以只能形成暂时的保护。只有按时注射乙肝疫苗,自己产生抗体,才能形成长期的免
疫保护。
建议按计划打疫苗,打完第三针之后,跟儿医约个时间,带孩子抽点血,查个surface
antigen和surface antibody,以确定宝宝产生了有效的保护抗体。 |
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c******r 发帖数: 3778 | 10 乙肝疫苗打三针的原因就是因为有部分孩子一针不够产生足够的抗体。
对于是携带者的妈妈,其实宝宝在身体里面的时候,由于有胎盘屏障,乙肝病毒不能通
过,所以不会感染。但是在出生的过程中,由于皮肤的擦伤,病毒有进入宝宝体内的可
能。所以要在出生之后立刻注射免疫蛋白,阻断感染。但是免疫蛋白会被逐渐代谢掉,
所以只能形成暂时的保护。只有按时注射乙肝疫苗,自己产生抗体,才能形成长期的免
疫保护。
建议按计划打疫苗,打完第三针之后,跟儿医约个时间,带孩子抽点血,查个surface
antigen和surface antibody,以确定宝宝产生了有效的保护抗体。 |
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c********e 发帖数: 496 | 11 what you listed above is only the virus load, what about the other antigen
and antibody tests?
virus load only is not reliable, in fact, real time PCR is not something
reliable. |
|
l*h 发帖数: 4124 | 12 combined with your viral load results, you should be worried with e-antigen
negative strains. the current FDA approved viral load test has very low
false positive rates. |
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r********r 发帖数: 1460 | 13 谢谢您的回复,以下是做的检查项,感觉这部分钱都给报销了。
医院里面弄了两个帐单,一个是Clinical Pathology, 这个好像关于检查的,给报销了
,另一个就是我说的professional service/clinical那个,总共要220,保险只给报销
了27刀 (感觉应该都报了吧?),一般这部分钱,保险给cover吗?医生就跟我说了两句
,就让我去做血检和尿检了,也没啥professional啊:(,再次感谢
CBC WITH DIFFERENTIAL
COMPREHENSIVE METABOLIC PANEL
TSH
URINALYSIS W REFLEX MICRO
HEPATITIS B SURFACE ANTIGEN
HIV-1/2 AB W REFLEX WB
MONONUCLEOSIS SCREEN
HEPATITIS C ANTIBODY
HEPATITIS B CORE AB TOTAL W/REFL IGM
HEPATITIS B SURFACE ANTIBODY
HEP B CORE ANTIBOD |
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g*****j 发帖数: 1211 | 14 Hepatitis B (乙肝) is transmitted through body fluid, most commonly through
dirty needle or sex. Your father is unlikely to transmit to your baby.
Think about this - you lived with your father for many years, and you never
got infected, right? Your baby will get hepatitis B vaccine immediately
after birth, and will develop immunity.
However, if the mom is a virus carrier, it is a completely different
situation.
转氨酶正常,医生说不传染 --> This is not true. Hepatitis B is always
contagious. However, ther... 阅读全帖 |
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c********e 发帖数: 496 | 15 you need to take antibiotics to kill the germ, H.pylori is known to cause
gastric cancer.
take the meds that your doc prescribed, and 6 weeks from now, you need to
check your H.pylori again to confirm it is eradicated, remember not antibody
in the blood, do stool antigen or breath test.
if the antibiotics do not work for you, try bismuth or metronidazole. good
luck.
traditional medicine may help, but germs won't be gone by itself. |
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w*********s 发帖数: 2136 | 16 【 以下文字转载自 Parenting 讨论区 】
发信人: whiteclouds (/ 参考消息 /), 信区: Parenting
标 题: ABC News: Vaccines may have increased swine flu risk
发信站: BBS 未名空间站 (Mon Mar 14 13:51:33 2011, 美东)
Vaccines may have increased swine flu risk
By Annie Guest
Updated Fri Mar 4, 2011 7:37pm AEDT
There is renewed controversy surrounding influenza vaccines, with some
studies showing people immunised against the seasonal flu might have been at
greater risk during the swine flu outbreak.
Infectious diseases expert Professor Pet... 阅读全帖 |
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g*****j 发帖数: 1211 | 17 If you do not have surface antibody, you will benefit from the vaccination
given that you are not a chronic carrier of the virus, ie surface antigen
is also negative. |
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T****O 发帖数: 407 | 18 Part of it is included in hepatic function panel, ALT, AST ect. However,
antigen/antibody tests are not included, as far as I could remember, which
must be done to be sure. |
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y**h 发帖数: 574 | 19 【 以下文字转载自 MedicalCareer 讨论区 】
发信人: yeah (hehe), 信区: MedicalCareer
标 题: 乙肝检查anti HBC positive 是什么意思?
发信站: BBS 未名空间站 (Tue Jun 21 14:03:41 2011, 美东)
Hepatitis B core antibiotics reactive 是什么意思?
HBS Ag surface antigen negative
aiti-HBS surface antibiotics negative
是不是还要做进一步检查才能确定是否感染了乙型肝炎?
是要查HBe Ag and anti-HBe吗?在查这两项是否就能确定感染肝炎与否? |
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W***M 发帖数: 50 | 20 You could repeat the test in a few month. Because there is a window period
of negative antigen/antibody right after infection. I will not be too stress
about it. |
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W***M 发帖数: 50 | 21 then you should check Hbe antigen, and anti-Hbe-antibody. If Hbe Ag is
positive, then she is infectious. |
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P**S 发帖数: 136 | 22 想请个保姆带孩子。应征的阿姨给了以下肝功检查结果。不知道这个算不算正常?麻烦
哪位大侠帮忙解读一下。多谢了!
HEP Be ANTIGEN = Non-Reactive;
HEP Be ANTIBODY = Reactive;
HEP A ABS., Total = Reactive;
HEP C Ab = Non-Reactive.
HEP B VIRAL DNA QT = 4110 H (Reference Range: <29 IU/mL)
HEP B VIRAL DNA QT = 23900 H (Reference Range: <169 copies/mL) |
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l*h 发帖数: 4124 | 23 biopsy: most reliable, essentially no false positive, still some false
negative. on the other hand, i would not say it's the best method. suspicion
of H. Pylori infection in and by itself is not sufficiently an indication
for endoscopic biopsy.
there are high virulence and low virulence strains. about 2/3 of infections
are by high virulence strains or a mix of high and low virulence strains. it
is not a routine to test for this. low virulence strains still cause some
pathological changes.
stool ... 阅读全帖 |
|
a**********2 发帖数: 3726 | 24 It is not that easy. Let me try.
"常见的解释是不是摄入体内的蛋白不能被充分消化吸收,就
从消化系统进入到体内其他部分,造成免疫系统认为有异类进入,进行攻击?" That
is an acceptable explanation. But not exactly the proteins we ate and via
digestive tract. But in general, it is a cross reaction, which means that
some antigens in our cells somehow similar to the stuff we are exposed to
like pollen, proteins, etc, our body of course will fight against those
exterior stuff, but because the similarity, unfortunately, those self cells
are attacked too.
"一般西医处理这类疾... 阅读全帖 |
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s****t 发帖数: 137 | 25 TEST RESULT REFERENCE RANGE
HEP. B SURFACE ANTIGEN NEGATIVE NEGATIVE
HEP. B CORE AB, TOTAL PEND nonreactive
HEP.B SURFACE ANTIBODY PEND nonreactive
HEP.A ANTIBODY, TOTAL PEND nonreactive
The assay does not distinguish among different classes of HAV antibodies.
The assay cannot be used to determine if a reactive sample is due to an
acute HAV infection or is the result of a pr... 阅读全帖 |
|
f**********r 发帖数: 95 | 26 我有病人自述的病史 (在二楼)和全部的labs,不过很长,我试着写了个摘要在下面,
如果您需要更多的信息而且有时间,可以看看病人自己写的病史,我还可以把lab
tests发给您。
病人女,49岁。
家族史
母亲:2008年元月因突然双臂疼痛,由医院诊断为类风湿性关节炎,当时用激素治疗了
一个月,其它的药吃到当年的8月份停的,到当年的10月份基本治愈;之后一直自我感
觉良好,未在检查、治疗。直至2013年初,因发热去医院检查发现肺部感染并间质性改
变,白细胞、血小板减少,作进一步检查最后确诊为红斑狼疮,现服用美卓乐及羟氯喹。
弟弟:十六岁左右确诊罹患牛皮癣。
侄子:今年21岁,日前确诊罹患牛皮癣。
病史
1995年的4、5月份患带状疱疹(Herpes zoster)
1996年初,开始出现乏力、精神差等症状, 1996年6月确诊为慢性淋巴性甲状腺炎合并
甲状腺功能低下,同时开始做甲状腺素替代治疗。
1996年8月初开始出现不明原因的发热,此后常有连续几天的低热,用抗生素和抗病毒
药物治疗无效,但查不出原因。
2002年之后,膝盖开始疼痛,最初是单侧,而后发展成双侧,时重时轻。后来手腕关节... 阅读全帖 |
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h*****9 发帖数: 137 | 27 朋友的医检报告出来了。英语不好,听不明白,看也看不懂。能帮忙看看吗?有什么主
要的毛病吗? 谢谢。
TEST WITHIN RANGE . OUT OF RANGE UNIT REFEREIèICE RANGE
VI ROLOGY
HBS ANTIGEN Positive Negative
IMUNOLOGY
HBS ANTIBODY <3 mIU/mL
Interpretation (Valued obtained with different instruments may not be
used 1nterchangeably): Unlt.- mIU/mL g
NEGATIVE (Less than Antibodies tcp HBsAg are not; detecte
patlent sample, or be ow the protectlve level for 1mmun1ty.
BOARDERLINE (9 to <11): _Lowet titer of antibodies to HBsAg detected.
THe immune status of th... 阅读全帖 |
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f****o 发帖数: 2770 | 28 Patients with Glanzmann thrombasthenia who are bleeding require platelet
transfusion.
Because patients are likely to require multiple transfusions during their
lifetime, take care to avoid platelet alloimmunization.
Prevention is best accomplished by using leukocyte-depleted blood products.
Leukocyte depletion can be accomplished with mechanical filtration. Only
filtered blood products should be given.
Use of platelets matched via human leukocyte antigen (HLA) is a further
attempt to prevent pla... 阅读全帖 |
|
f****o 发帖数: 2770 | 29 Patients with Glanzmann thrombasthenia who are bleeding require platelet
transfusion.
Because patients are likely to require multiple transfusions during their
lifetime, take care to avoid platelet alloimmunization.
Prevention is best accomplished by using leukocyte-depleted blood products.
Leukocyte depletion can be accomplished with mechanical filtration. Only
filtered blood products should be given.
Use of platelets matched via human leukocyte antigen (HLA) is a further
attempt to prevent pla... 阅读全帖 |
|
l*h 发帖数: 4124 | 30 it is likely the initial corneal ulcer was viral. but after extended period
of time, autoimmune response can occur. both the viral infection and
autoimmune response should be take care of before attempting other major
treatment.
normally cornea is not exposed to the blood, but prolonged viral infection
can bring antigenic substances in the cornea into contact with the blood,
sometimes causing autoimmune response. |
|
s*******2 发帖数: 1182 | 31 this is a multiple antigens screening test, not just one. |
|
m****u 发帖数: 275 | 32 It depends on the type of lymphoma and the expertise of the pathologists.
The flow cytometry report lz posted is apparently incomplete and the person
who reported it was not competent. At least the person could have looked at
whether pan-T cell antigens are decreased or increased instead of reporting
them as + or -, which is not very helpful. The CD4/CD8 is 117, that's very
abnormal, whey did they not look into it? If they saw 12% of cells
expressing CD30, they should go further to see whether t... 阅读全帖 |
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b********2 发帖数: 148 | 33 Thank you very much for the reply.
可不可以说说还有哪些可能性?
除了CT和增强CT,还做一些肿瘤指标的血液检查,包括癌胚抗原(carcinoembryonic
antigen
),细胞角蛋白19片段,神经元特异性烯醇化酶(neuron-specific enolase,NSE),结
果都比较靠近或略微高于参考值。医生说由此可以排除肿瘤的可能性。还做了血沉(
ESR)和常规血相,其中血沉略高,医生说有此可以排除血液方面的问题。你怎么看? |
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b********2 发帖数: 148 | 34 Thank you very much for the reply.
可不可以说说还有哪些可能性?
除了CT和增强CT,还做一些肿瘤指标的血液检查,包括癌胚抗原(carcinoembryonic
antigen
),细胞角蛋白19片段,神经元特异性烯醇化酶(neuron-specific enolase,NSE),结
果都比较靠近或略微高于参考值。医生说由此可以排除肿瘤的可能性。还做了血沉(
ESR)和常规血相,其中血沉略高,医生说有此可以排除血液方面的问题。你怎么看? |
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A*S 发帖数: 354 | 35 1. what is your allergy antigen? need figure out.
2. can not take prednisone too long, it has many bad side effects. did doc
talk about flonase ? could be used after your nose recover from surgery.
3. if possible, ask for doing drug sensitivity test to screen sensitive
antibiotics. |
|
d*****p 发帖数: 14 | 36 Annual physical体检被MD要求验血查乙肝丙肝Hepatitis B and C,会影响绿卡吗?
以前在国内被查出过大三阳还是小三阳,记不清了。
这次要具体项目是这样的,要拒绝吗?会影响绿卡吗?急!
1. Hepatitis B surface AB-WH
2. Hepatitis B surface antigen-wh
3. Hepatitis C |
|
w******s 发帖数: 504 | 37 我LG的染色体也查了。
抗体作了:
lupus anticoagulant evaluation with reflex (PPT LA SREEN, HAXAGONAL PHASE,
DRVVT SCREEN, DRVVT CONFIRM, DRVVT 1:1 MIX, FACTOR V LEIDEN, SHARED ASSAY
COMPONENT)
results ok
下面也好像是抗体有有关的 :
MTHFR ( methylenetetrahydrofolate reductass ),
Reductase(MTHFR), DNA: positive for one copy of the C677T mutation
Thrombophilia : results ok
Antithrombin III activity : OK
protein C/S activity/Antigen; T4, free; TSH, 3RD generation;Hemoglobin Alc
all ok except for Protein S, activity value a li |
|
a*******s 发帖数: 436 | 38 。。。不要误导大家
我同事的二宝,还没来得及接种疫苗就被大宝给传染了脑膜炎,万幸急诊救回来了
(大宝啥事情都没有,因为早接种过疫苗了)
就算你没有大宝,大人总是要接触各种antigen的,你能保证宝宝的安全吗
自己去google一下meningitis wiki page吧,看看你能不能承受这个可能的后果,而脑
膜炎不过是可能的一种,还有太多可怕的东西 |
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S******A 发帖数: 413 | 39 这个回复也太搞了吧。乙肝明确的是一个体液传播的疾病,唾液,血液,精液,母乳都
是直接传播途径。大三阳也就是HBe Antigen阳性的母亲是不可以母乳的。艾滋病主要
过血液和精液传播,母乳也有风险,如果母亲HIV阳性是绝对不可以母乳的,而且怀孕
期间要上鸡尾酒疗法。但是大部分家庭没有HIV阳性的环境,更不会有母乳这样的体液
交流,是不需要预防艾滋的。话说回来,要是艾滋疫苗已经被发明了,估计不光是宝宝
,全球所有的人都会立即接种吧,呵呵,这可是致死率100%的绝症。 |
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l***s 发帖数: 1405 | 40 最近怀孕了,是学生保险
其中关于maternity testing的内容我复制了一些
this policy does not cover routine , preventive or screening examination or
tesing
unless medical necessity is established based on medical records.
The following maternit routine tests and screening exams will be considered,
of all
other policy provisions have been met. This includes a pregnancy test, CBC,
Hepatitis
B surface antigen, ....
One ultrosound will be considered in every pregnancy, without additional
diagnosis. Any subsequent ultrasounds can... 阅读全帖 |
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az 发帖数: 16686 | 41 本来就是三针啊,乙肝疫苗就是三针。我儿子打的联合制剂没办法才多打了一阵啊,医
生说多打了没事的啊,你看CDC也是这么说的:
http://www.cdc.gov/vaccines/recs/schedules/downloads/child/0-6y
Hepatitis B vaccine (HepB). (Minimum age: birth)
At birth:
• Administer monovalent HepB to all newborns before hospital discharge.
• If mother is hepatitis B surface antigen (HBsAg)-positive,
administer HepB
and 0.5 mL of hepatitis B immune globulin (HBIG) within 12 hours of birth.
• If mother’s HBsAg status is unknown, administer HepB within 12
hours
of... 阅读全帖 |
|
v********0 发帖数: 3010 | 42 MATERNITY TESTING
The following maternity routine tests and screening exams will be considered
, if all other policy provisions have been met. This includes a pregnancy
test, CBC, Hepatitis B Surface Antigen, Rubella Screen, Syphilis Screen,
Chlamydia, HIV, Gonorrhea, Toxoplasmosis, Blood Typing ABO, RH Blood
Antibody Screen, Urinalysis, Urine Bacterial Culture, Microbial Nucleic Acid
Probe, Pap Smear, and Glucose Challenge Test (at 24-28 weeks gestation).
One Ultrasound will be considered in ev... 阅读全帖 |
|
f********g 发帖数: 989 | 43 抗原是不是hepatitis B surface antigen (HBsAg)?谢谢!! |
|
f********g 发帖数: 989 | 44 刚怀孕的时候查的应该是hepatitis B surface antigen (HBsAg)吧?我查了美国疾病
防疫CDC
要求所有的孕妇第一次OB visit 就要查这个, 我这个是阴性的。CBR给我查的是
Hepatitis B Core Total Antibody, Total antibody include IGG and IGM? 两个是
不一样的吧?
Antibody 阳性是不是表示我有免疫乙肝的抗体? |
|
n***a 发帖数: 1373 | 45 core antibody IgG is fine. core antibody IgM is not good. surface antibody
is fine. surface antigen is no good. It's complicated. your results are
not clear. should ask your doctor about it.
but it is unlikely you have a problem. |
|
k******g 发帖数: 895 | 46 你的OB说的是对的,你应该是曾经感染过了,已经痊愈了(否则你的表面抗原surface
antigen不会阴性)。为保险起见,你可以再查一下你的表面抗体(surface antibody)
,我的推测是你已经有表面抗体了,有保护性了。 |
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f********g 发帖数: 989 | 47 那我的宝宝有没有被感染乙肝病毒?因为有人说IGI阳性说明在6个月以内感染的病毒,
那时候我还在怀孕,宝宝是不是也被感染了?他现在是个什么状态?我的surface
antigen阴性是去年11月份刚怀孕时查的,是不是已经不具参考价值, 需要重新验?
core antibody阳性是生孩子时候的查的。 |
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s***y 发帖数: 3299 | 48 最近有打疫苗吗?看了wikipedia,说是有可能是疫苗中病毒抗原导致。http://en.wikipedia.org/wiki/Transverse_myelitis
This demyelination arises idiopathically following infections or vaccination
,[2] or due to multiple sclerosis. One major theory posits that immune-
mediated inflammation is present as the result of exposure to a viral
antigen.
再次祝福。 |
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c*******u 发帖数: 12899 | 49 ☆─────────────────────────────────────☆
jessica86 (life is short,why not make it ..able) 于 (Sat Sep 24 13:19:50 2011, 美东) 提到:
谢谢大家。很不幸,诊断是Transverse Myelitis. 现在只能希望能完全康复。
[update2]Thanks a lot, everyone. It turns out there is indeed inflammation in his spine. His attending ordered steroids and will start treatment tonight. Hopefully it works.
【update】谢谢大家。刚做完第二次MRI。脊椎也未见异常。
请大家bless。我会发100个包子。现在不够,但会买。
紧急求助:1岁半男孩,突然瘫痪,不能站立,坐。见了儿医,给转到ER。然后又转到
ICU.没有明显外伤,还有食欲。不能自主坐立。只能躺着了。右脚有反应。右手可以抬
举,但是不灵活... 阅读全帖 |
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c*******u 发帖数: 12899 | 50 ☆─────────────────────────────────────☆
reknaz (拖把套) 于 (Tue Aug 21 18:42:04 2012, 美东) 提到:
集思广益,如何在回国的时候保障宝宝的健康
http://www.mitbbs.com/article_t0/NextGeneration/35596675.html
来看看你们要求他们做的事情会让他们面对什么样的社会压力。
除非他们到处宣扬“我很脏”,否则他们如果真的主动提出分餐,能获得多少支持一目
了然。
其实一个简单的问题就是,你们要求乙肝患者或携带者应该主动提出分餐,那么你们自
己会在大家就餐开始主动提出分餐吗?
由此看来,造成乙肝歧视的原因不是乙肝知识普及不够,而是这些人的冷漠与无情。
板主:此帖已经偏离宝宝话题,但鉴于前面的相关帖子都是这个版的,就还发在这个版
了,请至少保留一小段时间。
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DANSHUI (DANSHUI) 于 (Tue Aug 21 22:14:24 2012, 美东) 提到:
不管... 阅读全帖 |
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