أرشيف الاستشارات

السلام عليكم ورحمة الله وبركاته.
اللهم اجعل هذا العمل في ميزان حسناتكم.

أود استشارتكم، بارك الله فيكم:

أنا متزوج منذ ما يقارب الثلاثة أعوام, تحديدا من 22/9/2009, وتم الحمل والحمد لله تقريبا بتاريخ 14/2/2010, ولكن ولله الحمد والمنة - على كل حال - فقدنا الجنين, وكان تقرير الطبيبة لزوجتي بتاريخ 22/4/2010 بعد عملية التنظيف للرحم، كالتالي:

Orgin of Tissue: UTERINE CONTENTS.
D..ef Clinical & Diagnosis: LMP: 28/1/10. GA1 weeks. Missed abortion.
Gross Exam
Specimen is received fixed in formal in, Labeled with patient name and consists of several fragments of gray tan spongy tissue with blood clots measuring 7*5*1.5 cm in aggregate. Representative sections are submitted in one cassette.
Microscopic Exam
Sections reveal fibrosed partially hyalinized to moderately hydropic chorionic villi with focal intervillous fibrin deposition. Noted also are fragments of decidual tissue. No specific pathological changer are seen.
Diagnosis
UTERINE CONTENTS: DEGENEATED PRODUCTS OF CONCEPTION.

علما بانه يوجد تحاليل بتاريخ 21/4/2010 أي قبل عملية التنظيف، وهي كالتالي:

Test Name Result NORMAL RANGE
---------------- ----------
WBC : 10.1 X 10^9/L ** 4.5 - 10.00
RBC : 4.0 X 10^12/L ** 4.20 - 5.40
Hb : 12.7 g/dl 12.00 - 15.50
PCV : 37.5% 37.00 – 47.00
MCV : 91.7 fl 80.00 – 99.00
MCH : 31.1 pg 27.00 – 31.00
MCHC : 33.09 g /dL 32.00 - 36.00


Diff . Count :
Neutrophils : 75% 25 - 75%
Lymphocytes : 23% 15 - 75%
Monocytes : 1% 4 - 8%
Eosinophils : 1% 0 - 4%
Basophils : % 0 - 1%
Platelets : 181 X 10^9/L 150.00 - 450.00
Blood Film :
R.D.w 13.3%
Rdw Normal Range :


كما يوجد فحص بتاريخ 19/12/2010 ، وهو كالتالي:

Luteinzing Hormone, serum l : 7.8 mIU/ml
LH Normal Range : Follicular phase:
2.12-11
Mid-cycle
19.18 -103.03
Luteal phase
1.20 -12.86
Postmenopausal
10.87 – 58.64
Males
1.24 -8.62

Follicle-Stimulating Hormone : 6.9 mIU /ml
FSH Normal Range : F:Follicular Phase:
2.8-11 mIU/ml
Midcycle Phase:
5.8-21 mIU/ml
Luteal Phase:
1.2 -9 mIU/ml
Postmenopause:
22 - 153 mIU /ml
M: 0.7 - 11 mIU/ml

Prolactin , serum level : 21.5 ng /ml
PRL Normal Range : M:2.5 – 17.0 ng/ml
F: 1.9 -25.0 ng/ml
Free - T4, Serum Level : 1.23 ng/ml
FT4 Normal Range : 0.71 - 1.85 ng/ml
Thyroid Stimulating Hormone : 1.9 uIU/ml
TSH Normal Range : Adult : 0.47 - 4.64 uIU /ml
Child : 0.47 - 15 uIU/ml

تم عمل التحاليل التالية بتاريخ 7/7/2011:

*Activated Protein C Resistance by PCR
Tested for Factor V Leiden mutation R506Q.
Result : Normal for R506Q mutation by PCR.

*Laboratory Results SI Units Conventional Units
------------------ ----------- -------------------
MTHFR MTHFR C677T Gene Mutation by PCR:
Heterozygous for c677T mutation by PCR

*Laboratory Results SI Units Conventional Units
-------------------- --------- ------------------
-ANA Anti-Nuclear Antibodies, serum level