|
|
发些帖子给懂英文的看看了
, [: K z* n. c0 ^, _4 g
1 G: B+ \1 k# W4 y9 D3 lvesnaMay 16 2011, 01:30 PM& a6 ~2 f: p5 W" d3 {' i: |0 d
Doctors please help me3 R1 ]$ Y( s g; y( X
I am currently 5 weeks and 5 days pregnant.I am on lovenox,prednisone 30 mg and IVI-g% C5 J; x! M4 H, |) I
*3 n# L& b' \2 a" U9 G% ]
I have immune issue elevated nk and elevated cytokine level.8 K9 [( l H% S7 ?4 h( @
My first results BEFORE IVI-G
/ w3 ^. v! b7 n4 \NK 50:1= 24.5
8 `' n. }. L! ?. Q' J5 G, STNF ALFA =47.7& x4 O \$ e# Q' e+ l9 s# O1 k
' e/ a2 n! W% A6 W q8 r1.FIRST IVI-G! O* U/ T: [6 }! X8 _, p
After IVI-g on 04/18/2011 my results are" C8 b3 m/ i! r1 [
NK 50:1=14.8* Z! r2 G9 z" n. B
TNF ALFA=37.90 c4 X# t) u! e: @ W# M5 V- ^
We were so happy because level dropped2 e( W p7 A5 D# J. l( L
I had transfer on 04/25 and I get pregnant
; g+ ~6 q8 m* U' C- ~5 x% ]- J" T* ^& X& A4 l/ A6 U% z* X
2.SECOND IVI-G3 k4 v* }+ L! ^. t* z3 D. R1 }
On 05/04/2011 I had one more IVI-g3 c: B/ Y/ ~* D; Z4 A& i
Results from that infusion came today but elevated
: t5 O+ H$ D) @6 `NK 50:1=31
; A0 G( b, a. J' J" t1 I5 I9 `' wTNF ALFA 49.5
+ e( K1 }8 O' b0 X( S+ _5 k2 `" m- T0 K' o3 X2 D
3.THIRD IVI-G after one week9 v5 R% e- W% ^
05/11/2011 results for couple of days v( K* C7 F5 h/ d% o; ?8 i
; ?$ g- Q0 e, L6 gDoctors ,as you can see my levels are rise from the moment I get pregnant.My immune doctor + j& p; o* Y5 B1 ~ [4 s) U$ h8 C
gave me aggressive IVI-g protocol.I don't have last blood results,they said for3 H- o) p1 x3 e" K0 J u% m2 q
couple of days.Levels from today are after second ivi-g,and they are elevated.Is it normal to be elevated after pregnancy?
/ R+ @! C2 P: a: I7 D& I* cI am so scared,I am crying ,please tell me are they gonna kill my baby?8 [4 i3 O, Q4 E% q8 o% E7 S( Z
My beta is doubling very nice,we saw sac and yolk sac last week.US for heartbeat, E0 O9 S# S# H B/ z
in Wednesday.# i( n2 J% B6 H4 Q( T( N/ f- S
I guess levels are little bit lower because I had the third ivi-g after only one
@! ?) A6 a* w) X2 tweek.& o0 x* Y/ i/ F: k1 U3 e+ Y6 f
Please help me do I have chance for this for baby
' {9 |9 l1 y! ` }- n( nvesna 7 I2 o8 I2 C1 L1 }; l7 o
Geoffrey Sher, MDMay 16 2011, 04:39 PM! }, h1 `9 _2 W% R. P( U2 C
Stay the course with the IVIG. Ignore the NKa as there is usually a lag in response anyway. I presume you are taking steroids too along with heparin.
: P4 i- l7 N; _$ h. n7 e+ W1 h9 O1 t$ ^5 i0 I
Hopefully all will be well. Please keep me in the loop.% P3 {; h3 w, S; \3 I5 t
. _: F! `3 m* d# @
Geoff Sher 7 P* i5 K! x& `- |5 J8 l5 T0 O
vesnaMay 16 2011, 04:46 PM4 i Y1 h$ n" M" Q: ?5 a- }
Thank you my dear Dr.Sher8 k7 [# k! E4 x, |5 J) e0 B
I am taking prednisone 3 times per day 10 mg,lovenox 2 times, ivi-g
! v$ ]9 v5 c2 r5 T4 jI will know more in Wednesday.
8 ~* N* r @- }) kHug
1 t: E6 m! \" h! MVesna
. U: P3 f" t. s3 B* `Geoffrey Sher, MDMay 16 2011, 07:57 PM
$ \% A8 i; V* C$ w! w$ K/ T5 w. iHow much IVIG are you getting. I used to prescribe 40G per infusion at least! Now I have completely supplanted the IVIG with Intralipid.& y6 K" @. C' b9 y( m* V2 z* N/ T
+ N4 `- A3 k2 ^7 [ M7 r9 r2 i* @
Good luck!
& h" ?) ]2 G2 g# C3 p8 D& j* R: F/ U# N! F; t5 W
Geoff Sher
! u8 o4 }* @4 V/ [8 O/ F: EvesnaMay 17 2011, 05:08 AM1 ]/ G8 u* Y; y& q* e# P7 s8 h
[quote name='Geoffrey Sher, MD' date='May 16 2011, 07:57 PM' post='174944']$ w V" @1 w' J4 @ O: l" B+ z
How much IVIG are you getting. I used to prescribe 40G per infusion at least! Now I have completely supplanted the IVIG with Intralipid.6 l+ h5 U+ H' J) J( d7 P3 H( d6 ~% r: G
- Q/ q, B. i& D. d l! }& E
Good luck!* e: |+ ?1 ]( z- u' q
8 E* R% H* H. }% j# V
Geoff Sher% [1 [* _ l# o3 ?2 G
[/quote]
7 f* E# T+ p- q1 b3 c/ ?6 bDear doctor,
$ _* P Z+ {0 S7 w+ L/ C6 }I am taking 400mg IVI-G.I am praying that last dose lowered my level. ( [) v* q; e( a) w1 v
Tomorrow is big day for us
0 p) a0 g% Z/ m0 T1 x, F& jThank you for your answer and care # P. b8 _, M' P x4 f6 o3 B+ g3 ^
vesna 1 H) m( j V8 t& G7 O. H( E$ Q
Geoffrey Sher, MDMay 17 2011, 10:27 AM9 o* o" `/ q' i
The dosage needed is 40 Grams per infusion. 400mg is really completely inadequate.
# N: x8 U+ `1 w }, i! f) ^
, x; C3 \3 G1 g6 j: hGeoff Sher 8 ` r! f. {* f& b7 H/ S% z6 m
vesnaMay 17 2011, 11:01 AM" T+ { T# a8 t; U! N! s/ {
[quote name='Geoffrey Sher, MD' date='May 17 2011, 10:27 AM' post='174977']
5 c# N$ c1 z, gThe dosage needed is 40 Grams per infusion. 400mg is really completely inadequate.
" m7 D; W, E6 f. j+ Y1 A# ]: q [5 P/ g0 a H; t8 T
Geoff Sher* {, W) c, G6 M3 E% } ]! O! I
[/quote]
0 o! J* X- X' O; T& B/ V" U' M/ j w- i) W! T8 a9 C. k
Thank you for you answer dear Dr.Sher
) m' R! T5 |, d2 I3 qMaybe ,I am wrong,I have to check tomorrow
! {% z* T. N- x" _1 A7 M* ]hugs8 K0 p% K% g, N/ |/ Q2 k% S& w
vesna
" s% [+ o5 _1 S$ L5 vGeoffrey Sher, MDMay 17 2011, 03:33 PM
/ s, z" L& |9 J8 q# zI think you should!
; o/ @7 `4 X4 q% ~# q
+ c Q/ y9 T0 ~6 M2 l$ tGeoff Sher |
|
发表于 2011-6-9 16:34:45
楼主
