miercuri, 5 octombrie 2011

Poliartrita reumatoida precizari tratament

1. Evolutia bolilor autoimmune este tipic bolilor cornice si durata tratamentului este uneori toata viata . 2. Tratamentul alopat ( saruri de aur, cortizon, etc ) se ia toata viata cu efectele secundare cunoscute ( afectare mucoasa gastrica, sistem nervos, osteoporoza, dereglari endocrine ), pret de cost mare 3. Este un tratament adresat efectului si nu cauzei bolii autoimune 4. Tratamentul prin procedura medicinii complementare se poate lua si el toata viata cu urmatoarele diferente : - nu are efecte secundare - nu se ia continuu, ci intermitent - uneori poti stopa evolutia daca gasesti cauza primara - se adreseaza cauzelor ce au generat perturbarea autoimuna 5. Amandoua afectiunile necesita diagnosticul alopat specific cu investigatii complexe : - dozare fibrinogen, - proteina C reactiva, - factor reumatoid, - acid uric, fosfataza alcalina, - imunograma, - ex parazitologic, - ex Borelioza - test PPD - ex urina sediment si urocultura, - radiografie dentara, probe hepatice, - ecografie tiroidiana, - anticorpi antitiroglobulina, - examen morfologic hematie, - dozari metale grele, - radigrafii articulare, - precum si analize cerute de contextul patologic al pacientului . 6. Optiunea mea terapeitica pentru aceste cazuri este urmatoarea : - Acupunctura precedata de masuratori puncte electrice pentru sindroamele prezente - Tratament homeopat cu remediul de constitutie, remediu diatezic si formulele testate de mine - Fitoterapie si dietoterapie specifica sindromului prezent la pacient 7. Fiecare pacient cu o afectiune acuta sau cronica are propria sa reactivitate, deci fara a se adapta tratamentul la specificul pacientului, procedura este sortita esecului . 8. Tratamentul acupunctural este compensat de Casa de Asigurari in proportie de 50 %, adica pacientul plateste 150 RON pentru 10 sedinte de acupunctura, restul sunt contracost la Centrul Medical Panduri .

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ANALIZE DE LABORATOR

ANALIZE DE LABORATOR HEMATOLOGIE – HEMOSTAZA Nr. Crt. Denumire analiza Pret (RON) Timp de executie 1 Hemoleucograma completa 16 24 h 2 Ex. citologic al frotiului sangvin 12 2 zile 3 Numaratoare reticulocite 6 2 zile 4 Concentrat leucocitar 16 24 h 5 VSH 5 24 h 6 Determinare grup sangvin (ABO) 9 24 h 7 Determinare factor Rh 9 24 h 8 Hb A1c (Hemoglobina glicozilata) 40 7 zile 9 PT (timp de protrombina, activitate de protrombina, INR) 14 24 h 10 APTT (timp de tromboplastina partial activata) 12 24 h 11 Timp de sangerare 3 24 h 12 Fibrinogen 15 24 h 13 D-dimeri (cantitativ) 65 5 zile 14 Proteina S 65 6 zile 15 Proteina C 65 6 zile 16 Antitrombina III 45 6 zile BIOCHIMIE SER 17 Acid uric seric 7 24 h 18 Alfa amilaza 10 24 h 19 GPT/ ALAT (Alaninaminotransferaza) 7 24 h 20 GOT/ ASAT (Aspartataminotransferaza) 7 24 h 21 Bilirubina totala 7 24 h 22 Bilirubina directa 7 24 h 23 Bilirubina indirecta 7 24 h 24 Calciu seric total 7 24 h 25 Calciu ionic 7 24 h 26 Colesterol total 7 24 h 27 Colesterol HDL 10 24 h 28 Colesterol LDL 10 24 h 29 Colesterol VLDL 7 24 h 30 Creatinina serica 7 24 h 31 Fosfataza alcalina 12 24 h 32 Fier (sideremie) 9 24 h 33 GGT (Gamaglutamiltranspeptidaza) 9 24 h 34 Glicemie 7 24 h 35 Lactatdehidrogenaza (LDH) 12 2 zile 36 Lipide totale 10 24 h 37 Trigliceride 7 24 h 38 Uree serica 7 24 h 39 Magneziu seric 7 24 h 40 Proteine totale serice 7 24 h 41 Potasiu seric 11 24 h 42 Sodiu seric 11 24 h 43 Clor seric 15 24 h 44 Profil lipidic (Colesterol total, HDL, LDL, VLDL, Trigliceride) 35 24 h 45 Electroforeza proteinelor serice 20 4 zile 46 Electroforeza Hemoglobinei 50 15 zile 47 Screening diabet gestational (a’jeun, 1h, 50g) 18 24 h 48 Test de toleranta la glucoza per os (a’jeun, 1h,2h, 75g) 25 24 h 49 Feritina 40 5 zile 50 Transferina 30 5 zile 51 CTLF (capacitatea totala de legare a fierului) 30 5 zile 52 Vitamina B 12 60 7 zile 53 25 OH Vitamina D 120 5 zile 54 Zinc 45 5 zile 55 Alfa 1 antitripsina 40 5 zile 56 Apolipoproteina A1 20 10 zile 57 Apolipoproteina B 75 10 zile 58 Albumina serica 8 5 zile 59 Ceruloplasmina 40 7 zile 60 Cupru 40 5 zile 61 Creatinfosfokinaza (CK) 15 5 zile 62 Electroforeza proteinelor cu imunofixare 75 10 zile 63 Fosfataza acida totala 23 5 zile 64 Fosfataza acida de origine prostatica 20 5 zile 65 Fosfor 10 5 zile 66 Lipaza 15 5 zile BIOCHIMIE URINA 67 Examen complet de urina (sumar + sediment) 10 24 h 68 Acid uric urinar 16 5 zile 69 Calciu urinar 16 5 zile 70 Creatinina urinara 16 5 zile 71 Glicozurie 13 5 zile 72 Potasiu urinar 22 5 zile 73 Proteine urinare 22 5 zile 74 Sodiu urinar 22 5 zile 75 Uree urinara 16 5 zile 76 Depistare droguri in urina (10 subst.) 95 24 h IMUNOLOGIE SEROLOGIE, AUTOIMUNITATE 77 Imunoglobulina A 20 3 zile 78 Imunoglobulina G 20 3 zile 79 Imunoglobulina M 20 3 zile 80 Imunoglobulina E 35 5 zile 81 Complement seric C3 20 3 zile 82 Complement seric C4 20 3 zile 83 Complexe Imune Circulante (CIC) 65 10 zile 84 CRP calitativ 7 24 h 85 CRP cantitativ 20 3 zile 86 ASLO calitativ 7 24 h 87 ASLO cantitativ 20 3 zile 88 Factor reumatoid calitativ 9 24 h 89 Factor reumatoid cantitativ 25 5 zile 90 Crioglobuline 6 8 zile 91 VDRL 9 2 zile 92 VDRL semicantitativ 30 3 zile 93 TPHA 11 2 zile 94 TPHA semicantitativ 45 5 zile 95 Ac. antinucleari (ANA) 50 10 zile 96 Ac. anti SLE (lupus eritematos) 25 2 zile 97 Imunoglobulina D 90 20 zile 98 Ac. anti ADN dublu catenar 65 10 zile 99 Ac. anti cardiolipinici IgG 45 10 zile 100 Ac. anti fosfololipidici IgG 55 10 zile 101 Ac. anti CCP IgG (citrulin C peptid) 95 10 zile 102 Ac. anti Jo 1 50 10 zile 103 Ac. anti La (SS-B) 50 10 zile 104 Ac. anti Ro (SS-A) 50 10 zile 105 Ac. anti SCL 70 50 10 zile 106 Ac. anti Sm 50 10 zile 107 Ac. anti U1 RNP 50 10 zile 108 Ac anti reticulum endoplasmatic (LKM) 50 10 zile 109 ENA (anti Ro, anti La, anti Jo1, anti SCL, anti Sm, anti U1 RNP) 240 10 zile 110 ANCA (Ac anti citoplasma polinuclearelor neutrofile (pANCA, cANCA, MPO, PR3) 90 10zile 111 Ac. anti mitocondriali (AMA) - depistaj 75 10 zile 112 Ac. anti spermatici 70 10 zile 113 Ac. anti endomisium 80 10 zile 114 Ac. anti centromer 62 10 zile 115 Ac. anti fibra musculara neteda 62 10 zile 116 Aspergillus – serologie 110 20 zile 117 Candida – serologie 130 20 zile 118 Ac. anti transglutaminaza tisulara IgA 70 7 zile 119 Ac. anti gliadina IgG 95 7 zile 120 Ac. anti celule pancreatice 120 20 zile MARKERI ENDOCRINI 121 TSH (hormon de stimulare tiroidiana) 25 3 zile 122 T3 (triiodotironina) 27 3 zile 123 T4 (tiroxina) 27 3 zile 124 FT3 (triiodotironina libera) 28 5 zile 125 FT4 (tiroxina libera) 25 3 zile 126 Anti TPO (anti tiroidperoxidaza) 38 3 zile 127 TG (tireoglobulina) 50 5 zile 128 ATGL (antitireoglobulina) 50 5 zile 129 Ac. anti receptor de TSH (LATS) 120 10 zile 130 FSH (hormon foliculostimulant) 38 3 zile 131 LH (hormon luteinizant) 38 3 zile 132 Estradiol 38 3 zile 133 Prolactina 38 3 zile 134 Progesteron 38 3 zile 135 Testosteron 40 3 zile 136 Free testosteron 50 15 zile 137 Cortisol 38 5 zile 138 17 cetosteroizi 65 10 zile 139 17 OH progesteron 45 10 zile 140 ACTH 50 10 zile 141 DHEA 68 10 zile 142 DHEA-S 50 5 zile 143 HCG total (HCG+beta HCG) 38 3 zile 144 Free estriol 38 5 zile 145 hGH (hormon de crestere) 45 5 zile 146 IGF 50 5 zile 147 SHBG 45 5 zile 148 PTH (Parathormon) 45 10 zile 149 Triplu test+calcul risc genetic (soft Prisca) 120 7 zile 150 PAPP-A 60 7 zile 151 Free beta HCG 60 7 zile 152 Dublu test + interpretare (soft Prisca) 120 7 zile 153 Insulina 65 10 zile 154 Peptid C 60 10 zile MARKERI TUMORALI SI OSOSI 155 CEA (Ag. carcinoembrionar) 40 5 zile 156 PSA (Ag. specific prostatic) 38 5 zile 157 FreePSA (Ag. specific prostatic liber) 54 5 zile 158 AFP (alfa fetoproteina) 40 5 zile 159 CA 15.3 (marker san) 40 5 zile 160 CA 125 (marker ovar) 40 5 zile 161 CA 19-9 (marker tub digestiv) 40 5 zile 162 CA 72-4 (marker gastric) 75 5 zile 163 Calcitonina 70 10 zile 164 NSE (enolaza neuron specifica) 70 10 zile 165 SCC (Ag. carcinom scuamo celular) 70 10 zile 166 Crosslaps 65 10 zile 167 Osteocalcin 60 10 zile 168 S 100 (markes-melanom) 90 10 zile 169 CYFRA 21-1 75 10 zile 170 Beta 2 microglobulina 75 10 zile 171 Beta 2 glicoproteina IgG 90 10 zile 172 Beta 2 glicoproteina IgM 90 10 zile MARKERI VIRALI SI INFECTIOSI 173 Ag. HBs 30 5 zile 174 Ag. HBs – test rapid 20 2 zile 175 Ag. HBe 40 5 zile 176 Ac. anti HBe 40 5 zile 177 Ac. anti HBc totali 40 5 zile 178 Ac. anti HBc Ig. M 50 5 zile 179 Ac.anti HBs 35 5 zile 180 Ac. anti HCV 38 5 zile 181 Ac. anti HCV - test rapid 25 2 zile 182 Ac. anti HAV totali 45 5 zile 183 Ac. anti HAV Ig M 35 5 zile 184 Ag. HDV 95 5 zile 185 Ac. anti HDV 60 5 zile 186 Ac. anti HIV 1/2 40 5 zile 187 Ac. anti HIV 1/2 - test rapid 25 2 zile 188 Chlamydia trachomatis Ac. Ig A 45 10 zile 189 Chlamidya trachomatis Ac. Ig G 45 10 zile 190 Chlamydia trachomatis Ac. Ig M 45 10 zile 191 Chlamydia pneumoniae Ac. IgG 80 20 zile 192 Chlamydia pneumoniae Ac. IgM 120 20 zile 193 Ac. anti Klebsiella 45 20 zile 194 Ac. anti Salmonella 45 20 zile 195 Ac. anti Shigella 45 20 zile 196 Ac. anti Yersinia 45 20 zile 197 CMV (Citomegalovirus) Ac. Ig G 40 8 zile 198 CMV (Citomegalovirus) Ac. Ig M 50 8 zile 199 Toxoplasma gondii Ac. Ig G 40 8 zile 200 Toxoplasma gondii Ac. Ig M 45 8 zile 201 Rubella Ac. Ig G 40 8 zile 202 Rubella Ac. Ig M 45 8 zile 203 Helicobacter pylori Ac.Ig G calitativ 20 2 zile 204 Helicobacter pylori Ac.Ig G cantitativ 30 5 zile 205 HSV(virus herpetic) 1/ 2 Ac. IgG 50 8 zile 206 HSV(virus herpetic) 1/ 2 Ac. IgM 50 8 zile 207 Profil TORCH (CMV G/M, Toxo G/M, Rubella G/M) 245 8 zile 208 Profil TORCH + Listeria 300 10 zile 209 Ac. anti Listeria 60 10 zile 210 Toxocara canis Ac. Ig G 50 7 zile 211 Trichinella spiralis Ac. Ig G 68 10 zile 212 Ac. anti Brucella - serologie 90 20 zile 213 Ac. anti Borrelia burgdorferi IgG 75 20 zile 214 Ac. anti Borrelia burgdorferi IgM 75 20 zile 215 Ac. heterofili (mononucleoza infectioasa) 37 5 zile 216 Ac. anti virus Coxsackie 95 20 zile 217 Ac. anti Echinococcus granulosus (hidatidoza) 60 7 zile MICROBIOLOGIE 218 Exsudat faringian – Ex. bacteriologic 17 5 zile 219 Exsudat faringian – Ex. micologic 17 5 zile 220 Exsudat nazal - Ex. bacteriologic 17 5 zile 221 Exsudat lingual - Ex. micologic 17 5 zile 222 Secretie otica - Ex. bacteriologic 30 5 zile 223 Secretie otica - Ex. micologic 30 5 zile 224 Secretie conjunctivala - Ex. bacteriologic 30 5 zile 225 Secretie conjunctivala - Ex. micologic 30 5 zile 226 Secretie plagi, fistule, abcese - Ex. bacteriologic 30 5 zile 227 Secretie uretrala - Ex. bacteriologic 35 5 zile 228 Secretie uretrala - Ex. micologic 30 5 zile 229 Secretie uretrala – Ex. microscopic colorat (2 lame) 14 3 zile 230 Secretie vaginala - Ex. bacteriologic 35 5 zile 231 Secretie vaginala - Ex. micologic 30 5 zile 232 Secretie vaginala - Ex. microscopic colorat (2 lame) 14 3 zile 233 Secretie vaginala - Ex. microscopic nativ 8 3 zile 234 Secretie col uterin - Ex. bacteriologic 35 5 zile 235 Secretie col uterin - Ex. micologic 30 5 zile 236 Secretie vulvara - Ex. bacteriologic 35 5 zile 237 Secretie vulvara - Ex. micologic 30 5 zile 238 Pachet secretii genitale - Ex. bacteriologic + Antibiograma Ex. micologic + Antifungigrama Ex. microscopic colorat (2 lame) 100 6 zile 239 Urocultura 22 3 zile 240 Coprocultura 30 5 zile 241 Antibiograma 20 2 zile 242 Antifungigrama 25 2 zile 243 Ex. coproparazitologic 8 2 zile 244 Coprocitograma 20 3 zile 245 Spermocultura 35 5 zile 246 Sputa - Ex. bacteriologic 35 5 zile 247 Sputa - Ex. micologic 30 5 zile 248 Sputa - Ex. microscopic colorat 14 3 zile 249 Ag. Chlamydia trachomatis (din col) 60 7 zile 250 Mycoplasma hominis + Ureaplasma urealyticum + Antibiograma (din col) 75 5 zile 251 Ag. Giardia lamblia 60 3 zile 252 Hemoragii oculte in fecale 28 2 zile 253 Ag. Helicobacter pylori (Coproantigen) 75 3 zile CITOLOGIE 254 Ex citologic Babes – Papanicolau (conventional) 40 6 zile 255 Ex citologic Babes – Papanicolau in mediu lichid (monostrat) 69 6 zile BIOLOGIE MOLECULARA 256 ADN HBV 500 10 zile 257 ARN HCV 500 10 zile 258 HPV (Human Papilloma Virus) - Genotipare 450 15 zile 259 ARNm E6/E7 – (Human Papilloma Virus) - Genotipare 480 15 zile 260 PCR Chlamydia trachomatis (urina) 350 10 zile ALTE TESTE 261 ASCA IgA (Ac. Anti Saccharomyces cerevisiae IgA) 95 7 zile 262 ASCA IgG (Ac. Anti Saccharomyces cerevisiae IgG) 95 7 zile 263 Anticoagulant lupic (LA) 60 15 zile 264 Ac. anti HTLV I/II 140 20 zile 265 Ac. anti VZV IgG (Varicela Zoster) 95 10 zile 266 Ac. anti VZV IgM (Varicela Zoster) 95 10 zile 267 Ac. anti leptospira 90 20 zile 268 Ac. anti receptori acetilcolina 160 20 zile 269 Ac. anti membrana bazala glomerulara 110 10 zile 270 Colinesteraza 30 10 zile 271 Eritropoietina 260 10 zile 272 Haptoglobina 75 20 zile 273 HLA B27 260 20 zile 274 Homocisteina 290 7 zile 275 Iod seric 600 20 zile 276 Iod urinar 600 20 zile 277 TNF-alfa 180 20 zile 278 Interleukina 6 210 20 zile 279 Autoanticorpi anti histone 110 20 zile 280 Litiu 37 7 zile 281 Mycoplasma pneumoniae IgM 180 20 zile 282 Mercur seric 169 20 zile 283 Mercur urinar 169 20 zile 284 Orosomucoid (acid alfa 1-glicoproteina) 80 10 zile 285 Plumb 150 20 zile 286 Rujeola Ac. IgG 140 20 zile 287 Rujeola Ac. IgM 140 20 zile 288 Serologie EBV (VCA IgM, VCA IgG, EBNA IgG, EA IgM, EA IgG) 160 10 zile 289 Troponina T 120 10 zile 290 Hormon anti Mullerian 165 5 zile 291 Inhibina B 165 5 zile 292 17 Hidroxi corticosteroizi 80 10 zile 293 Aldosteron 185 10 zile 294 Acid delta amino levulinic 100 10 zile 295 Acid hipuric 55 5 zile 296 Acid vanil mandelic 70 5 zile 297 Angiotensinconvertaza 130 20 zile 298 Anticorpi anti trombocitari 100 20 zile 299 Anticorpi anti GAD 160 10 zile 300 Autoanticorpi anti SLA (solubil liver antigen) 100 10 zile 301 Autoanticorpi anti insulin umana Ig G(IAA) 140 5 zile 302 Biotina(Vitamina H) 140 20 zile 303 Catecolamine urinare 250 10 zile 304 Metanefrine urinare 250 10 zile 305 Triptaza 150 20 zile 306 Androstendion 200 5 zile 307 D-Dimer ( test latex- semicantitativ) 30 5 h 308 Factor I I / Factor V/ MTHFR –Genotipare 860 5 zile 309 Neiseria gonorrhea-detectie primara 40 4 zile TESTE ALERGOLOGICE 310 Test panel IgE specifice (20 alergeni: Dermato pteronyssinus, Dermato farinae, Polen de arin, Polen de mesteacan, Polen de alun, Polen de iarba, Polen de secara, Wug wort (pelin), Patlagina, Par / epiteliu pisica, Par / epiteliu cal, Par / epiteliu caine, Alternaria alternata (mucegai), Albus, Lapte, Arahide, Alune, Morcov, Faina de grau, Fasole de soia) 230 7 zile 311 IgE specific la Penicilina G 60 5 zile 312 IgE specific la Penicilina V 60 5 zile 313 IgE specific la Ampicilina 60 5 zile 314 IgE specific la Amoxicilina 60 5 zile 315 IgE specific la Dermatophagoides pteronyssinus 60 5 zile 316 IgE specific la Dermatophagoides farinae 60 5 zile 317 IgE specific la epiteliu de pisica 60 5 zile 318 IgE specific la epiteliu de cal 60 5 zile 319 IgE specific la epiteliu de caine 60 5 zile 310 IgE specific la epiteliu de hamster 60 5 zile 311 IgE specific la epiteliu de iepure 60 5 zile 312 IgE specific la albus de ou 60 5 zile 313 IgE specific la lapte 60 5 zile 314 IgE specific la grau 60 5 zile 315 IgE specific la secara 60 5 zile 316 IgE specific la seminte de susan 60 5 zile 317 IgE specific la arahide 60 5 zile 318 IgE specific la alune de padure 60 5 zile 319 IgE specific la tomate 60 5 zile 320 IgE specific la carne de porc 60 5 zile 321 IgE specific la carne de vita 60 5 zile 322 IgE specific la capsuni 60 5 zile 323 IgE specific la galbenus de ou 60 5 zile 324 IgE specific la cazeina 60 5 zile 325 IgE specific la gluten 60 5 zile 326 IgE specific la fructul kiwi 60 5 zile 327 IgE specific la banane 60 5 zile 328 IgE specific la cacao 60 5 zile 329 IgE specific la iarba 60 5 zile 33 IgE specific la praf de casa – Greer 60 5 zile 331 IgE specific la praf de casa – Holister-Stier 60 5 zile 332 IgE specific la venin de albina 60 5 zile 333 IgE specific la venin de viespe - Vespula 60 5 zile 334 IgE specific la venin de viespe – Poliste 60 5 zile 335 IgE specific la polen de flori 60 5 zile 336 IgE specific la Penicillium notatum 60 5 zile 337 IgE specific la Cladosporium herbarum 60 5 zile 338 IgE specific la Aspergillus fumigatus 60 5 zile 339 IgE specific la Alternaria alternata 60 5 zile 340 IgE specific la Ascaris 60 5 zile 341 IgE specific la anin 60 5 zile 342 IgE specific la mesteacan 60 5 zile 343 IgE specific la stejar 60 5 zile 344 IgE specific la pelin 60 5 zile S.C. CENTRUL MEDICAL PANDURI S.R.L. 01 Aprilie 2011

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