Цитата:
Сообщение от Qwopet
Я могу, конечно, поколоть В12, но какой смысл? Анализы все нормальные. Питаюсь я нормально.
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Вы В12 не проверяли.
Питание Ваше все-таки отличается от обычного.
Дефицит В12 бывает не выраженный, а субклинический.
И есть публикации, что в усилении урологических проблем может быть виноват именно такой небольшой дефицит.
В организме многое не очевидное все-равно взаимосвязано.
Цитата:
SACD was diagnosed by clinical features and low serum B12 level (< 211 pg/ml) and/or megaloblastic bone marrow. Micturition disturbances were categorized into voiding and storage symptoms and scored using the American Urological Association Symptoms (AUAS) score. Spinal MRI and urodynamic studies were carried out. Patients were treated with vitamin B12 1000 μg daily i.m. and outcome was defined at 6 months into complete, partial and poor.
8 patients with SACD aged 53.8 (44–70) years were included; 2 of whom were females. The mean duration of illness was 2.2 (1–120) months, 5 patients had storage, 7 voiding and 4 had both dysfunctions. AUAS score was 14.63 (4–35). On urodynamic study, detrusor areflexia was present in 2, neurogenic detrusor overactivity with high pressure voiding in 3 and normal in 2 patients. The urinary symptoms improved in all (AUAS score 3.67). Repeat urodynamic study in 2 patients, who had detrusor areflexia improved. At 6 mo, 3 patients had complete, 4 partial and 1 poor recovery.
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Journal of Neurology
December 2008, Volume 255, Issue 12, pp 1881–1888 |
Bladder dysfunction in subacute combined degeneration
A clinical, MRI and urodynamic study
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