我的血液病醫生的Note說的對嗎？

周一剛見過我的血液病醫生，她的診後Note是這樣寫的：

Cirrhosis with hematomachromatosis

--The benefit of iron depletion is well established in patietns with hereditary hemochromatosis

--I am unfamiliar with the data supporting the use of phlebotomy in patients with iron overload associated with NASH or HepC. To the best of my knowledge there is anecdotal evidence to suppor the benefit of iron depletion to slow progression of liver disease. My own survey of the literature has not shown benefit of phlebotomy in patients with iron overload from NASH associated cirrhosis.

 

HepC 應該是HepB的筆誤。

所有跟帖： 

• 個人更傾向於肝髒專科醫生的，要不換個血液病醫生看看？ -pickshell- ♀ (0 bytes) () 04/14/2023 postreply 06:10:36

• 過多鐵沉積也會影響造血也會造成血象偏低 -allthelight- ♂ (399 bytes) () 04/14/2023 postreply 06:43:39

• 鐵過載可導致肝硬化和影響造血，這類文獻很多。比如。。 -pickshell- ♀ (474 bytes) () 04/14/2023 postreply 07:12:18

• 那怎樣檢測放血療法的效果呢？ -allthelight- ♂ (45 bytes) () 04/14/2023 postreply 12:02:52

• 查血清鐵蛋白（serum ferritin，SF）。。 -pickshell- ♀ (171 bytes) () 04/14/2023 postreply 12:54:51

• 我的血中鐵不高。 -allthelight- ♂ (369 bytes) () 04/14/2023 postreply 14:48:08

• 得去找醫生查鐵過多沉積原因，包含鐵代謝方麵疾病，針對性治療，這個沒法猜。 -pickshell- ♀ (0 bytes) () 04/14/2023 postreply 15:00:48

• 好像鐵代謝異常在肝病中常見 -allthelight- ♂ (62 bytes) () 04/14/2023 postreply 16:15:54