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۴ سال پیش

سلام اقای دکتر .من 54 سالمه 6ماهه که عمل قلب باز cABGانجام دادم و4 تا رگ کرونری پیوندشده است درازمایش خون من کراتینین 1.8 کلسترول 121 تری گلیسرید 134 قند ناشتا76 و2ساعت بعد صبحانه 63 مقدار سدیم پتاسیم وکلسیم نرمال است اما مقدارbun به 25 رسیده و علائم کم خونی در ازمایش دارم Hgb:12.1 -- HCT:38.5 - M.C.H.C: 31.4 --- RDW-CV :17.1 می باشد ایا کلیه هام دچار نارسایی شده است یا راه نجاتی وجود دارد؟ ممنونم اقای دکتر خیلی نگرانم.درضمن وزن 70کیلو وقدم 1.65 می باشد.ممنون که وقت میگذارید تا ازنگرانی امثال من بکاهید خداوند شما را سالم وتندرست نگاه بدارد انشاالله.

پاسخ دکتر

با سلام كليه ها از كار نيافتاده مختصر كم كار شده مصرف گوشت در هفته بيشتر از صد گرم نباشد و مصرف نمك محدود شود

` + ""; let html_anchor;return { c() { html_tag = new HtmlTagHydration(false); html_anchor = empty(); this.h(); }, l(nodes) { html_tag = claim_html_tag(nodes, false); html_anchor = empty(); this.h(); }, h() { html_tag.a = html_anchor; }, m(target, anchor) { html_tag.m(raw_value, target, anchor); insert_hydration(target, html_anchor, anchor); }, p(ctx, dirty) { if (dirty & /*seo*/ 4 && raw_value !== (raw_value = `` + "")) html_tag.p(raw_value); }, d(detaching) { if (detaching) { detach(html_anchor); html_tag.d(); } } }; }// (85:6) {#each ticket.chats as chat, index} function create_each_block(ctx) { let chatitem; let current;chatitem = new ChatItem({ props: { vendor: /*vendor*/ ctx[1], text: /*chat*/ ctx[9].text, audio: /*chat*/ ctx[9].audio, type: /*chat*/ ctx[9].mode, image: /*chat*/ ctx[9].mode == 'answer' ? /*vendor*/ ctx[1].image : null } });return { c() { create_component(chatitem.$$.fragment); }, l(nodes) { claim_component(chatitem.$$.fragment, nodes); }, m(target, anchor) { mount_component(chatitem, target, anchor); current = true; }, p(ctx, dirty) { const chatitem_changes = {}; if (dirty & /*vendor*/ 2) chatitem_changes.vendor = /*vendor*/ ctx[1]; if (dirty & /*ticket*/ 1) chatitem_changes.text = /*chat*/ ctx[9].text; if (dirty & /*ticket*/ 1) chatitem_changes.audio = /*chat*/ ctx[9].audio; if (dirty & /*ticket*/ 1) chatitem_changes.type = /*chat*/ ctx[9].mode;if (dirty & /*ticket, vendor*/ 3) chatitem_changes.image = /*chat*/ ctx[9].mode == 'answer' ? /*vendor*/ ctx[1].image : null;chatitem.$set(chatitem_changes); }, i(local) { if (current) return; transition_in(chatitem.$$.fragment, local); current = true; }, o(local) { transition_out(chatitem.$$.fragment, local); current = false; }, d(detaching) { destroy_component(chatitem, detaching); } }; }function create_fragment(ctx) { let title_value; let meta0; let meta0_content_value; let meta1; let meta2; let meta3; let meta3_content_value; let meta4; let meta4_content_value; let meta5; let meta5_content_value; let meta6; let meta6_content_value; let if_block1_anchor; let t0; let global; let t1; let div14; let div13; let div5; let h1; let t2_value = /*ticket*/ ctx[0].title + ""; let t2; let t3; let div4; let div0; let vote0; let t4; let div1; let vote1; let t5; let div2; let seen0; let t6; let div3; let date0; let t7; let div6; let t8; let div12; let div11; let div7; let vote2; let t9; let div8; let vote3; let t10; let div9; let seen1; let t11; let div10; let date1; let current; document.title = title_value = /*seo*/ ctx[2].title; let if_block0 = /*seo*/ ctx[2].canonical && create_if_block_1(ctx); let if_block1 = /*seo*/ ctx[2].jsonLd && create_if_block(ctx); global = new Global({});vote0 = new Vote({ props: { type: "like", active: /*vote*/ ctx[3] == 'like', count: /*ticket*/ ctx[0].likes || 0 } });vote0.$on("click", /*click_handler*/ ctx[5]);vote1 = new Vote({ props: { type: "dislike", active: /*vote*/ ctx[3] == 'dislike', count: /*ticket*/ ctx[0].dislikes || 0 } });vote1.$on("click", /*click_handler_1*/ ctx[6]);seen0 = new Seen({ props: { count: /*ticket*/ ctx[0].views ? /*ticket*/ ctx[0].views + 1 : 0 } });date0 = new Date$1({ props: { date: /*ticket*/ ctx[0].created_at } });let each_value = ensure_array_like(/*ticket*/ ctx[0].chats); let each_blocks = [];for (let i = 0; i < each_value.length; i += 1) { each_blocks[i] = create_each_block(get_each_context(ctx, each_value, i)); }const out = i => transition_out(each_blocks[i], 1, 1, () => { each_blocks[i] = null; });vote2 = new Vote({ props: { type: "like", active: /*vote*/ ctx[3] == 'like', count: /*ticket*/ ctx[0].likes || 0 } });vote2.$on("click", /*click_handler_2*/ ctx[7]);vote3 = new Vote({ props: { type: "dislike", active: /*vote*/ ctx[3] == 'dislike', count: /*ticket*/ ctx[0].dislikes || 0 } });vote3.$on("click", /*click_handler_3*/ ctx[8]);seen1 = new Seen({ props: { count: /*ticket*/ ctx[0].views ? /*ticket*/ ctx[0].views + 1 : 0 } });date1 = new Date$1({ props: { date: /*ticket*/ ctx[0].created_at } });return { c() { meta0 = element("meta"); if (if_block0) if_block0.c(); meta1 = element("meta"); meta2 = element("meta"); meta3 = element("meta"); meta4 = element("meta"); meta5 = element("meta"); meta6 = element("meta"); if (if_block1) if_block1.c(); if_block1_anchor = empty(); t0 = space(); create_component(global.$$.fragment); t1 = space(); div14 = element("div"); div13 = element("div"); div5 = element("div"); h1 = element("h1"); t2 = text(t2_value); t3 = space(); div4 = element("div"); div0 = element("div"); create_component(vote0.$$.fragment); t4 = space(); div1 = element("div"); create_component(vote1.$$.fragment); t5 = space(); div2 = element("div"); create_component(seen0.$$.fragment); t6 = space(); div3 = element("div"); create_component(date0.$$.fragment); t7 = space(); div6 = element("div");for (let i = 0; i < each_blocks.length; i += 1) { each_blocks[i].c(); }t8 = space(); div12 = element("div"); div11 = element("div"); div7 = element("div"); create_component(vote2.$$.fragment); t9 = space(); div8 = element("div"); create_component(vote3.$$.fragment); t10 = space(); div9 = element("div"); create_component(seen1.$$.fragment); t11 = space(); div10 = element("div"); create_component(date1.$$.fragment); this.h(); }, l(nodes) { const head_nodes = head_selector('svelte-1qjgh7f', document.head); meta0 = claim_element(head_nodes, "META", { name: true, content: true }); if (if_block0) if_block0.l(head_nodes); meta1 = claim_element(head_nodes, "META", { property: true, content: true }); meta2 = claim_element(head_nodes, "META", { property: true, content: true }); meta3 = claim_element(head_nodes, "META", { property: true, content: true }); meta4 = claim_element(head_nodes, "META", { property: true, content: true }); meta5 = claim_element(head_nodes, "META", { property: true, content: true }); meta6 = claim_element(head_nodes, "META", { property: true, content: true }); if (if_block1) if_block1.l(head_nodes); if_block1_anchor = empty(); head_nodes.forEach(detach); t0 = claim_space(nodes); claim_component(global.$$.fragment, nodes); t1 = claim_space(nodes); div14 = claim_element(nodes, "DIV", { class: true }); var div14_nodes = children(div14); div13 = claim_element(div14_nodes, "DIV", {}); var div13_nodes = children(div13); div5 = claim_element(div13_nodes, "DIV", { class: true }); var div5_nodes = children(div5); h1 = claim_element(div5_nodes, "H1", { class: true }); var h1_nodes = children(h1); t2 = claim_text(h1_nodes, t2_value); h1_nodes.forEach(detach); t3 = claim_space(div5_nodes); div4 = claim_element(div5_nodes, "DIV", { class: true }); var div4_nodes = children(div4); div0 = claim_element(div4_nodes, "DIV", {}); var div0_nodes = children(div0); claim_component(vote0.$$.fragment, div0_nodes); div0_nodes.forEach(detach); t4 = claim_space(div4_nodes); div1 = claim_element(div4_nodes, "DIV", {}); var div1_nodes = children(div1); claim_component(vote1.$$.fragment, div1_nodes); div1_nodes.forEach(detach); t5 = claim_space(div4_nodes); div2 = claim_element(div4_nodes, "DIV", {}); var div2_nodes = children(div2); claim_component(seen0.$$.fragment, div2_nodes); div2_nodes.forEach(detach); t6 = claim_space(div4_nodes); div3 = claim_element(div4_nodes, "DIV", {}); var div3_nodes = children(div3); claim_component(date0.$$.fragment, div3_nodes); div3_nodes.forEach(detach); div4_nodes.forEach(detach); div5_nodes.forEach(detach); t7 = claim_space(div13_nodes); div6 = claim_element(div13_nodes, "DIV", { class: true }); var div6_nodes = children(div6);for (let i = 0; i < each_blocks.length; i += 1) { each_blocks[i].l(div6_nodes); }div6_nodes.forEach(detach); t8 = claim_space(div13_nodes); div12 = claim_element(div13_nodes, "DIV", { class: true }); var div12_nodes = children(div12); div11 = claim_element(div12_nodes, "DIV", { class: true }); var div11_nodes = children(div11); div7 = claim_element(div11_nodes, "DIV", {}); var div7_nodes = children(div7); claim_component(vote2.$$.fragment, div7_nodes); div7_nodes.forEach(detach); t9 = claim_space(div11_nodes); div8 = claim_element(div11_nodes, "DIV", {}); var div8_nodes = children(div8); claim_component(vote3.$$.fragment, div8_nodes); div8_nodes.forEach(detach); t10 = claim_space(div11_nodes); div9 = claim_element(div11_nodes, "DIV", {}); var div9_nodes = children(div9); claim_component(seen1.$$.fragment, div9_nodes); div9_nodes.forEach(detach); t11 = claim_space(div11_nodes); div10 = claim_element(div11_nodes, "DIV", {}); var div10_nodes = children(div10); claim_component(date1.$$.fragment, div10_nodes); div10_nodes.forEach(detach); div11_nodes.forEach(detach); div12_nodes.forEach(detach); div13_nodes.forEach(detach); div14_nodes.forEach(detach); this.h(); }, h() { attr(meta0, "name", "description"); attr(meta0, "content", meta0_content_value = /*seo*/ ctx[2].description); attr(meta1, "property", "og:locale"); attr(meta1, "content", "fa_IR"); attr(meta2, "property", "og:type"); attr(meta2, "content", "article"); attr(meta3, "property", "og:title"); attr(meta3, "content", meta3_content_value = /*seo*/ ctx[2].title); attr(meta4, "property", "og:description"); attr(meta4, "content", meta4_content_value = /*seo*/ ctx[2].description); attr(meta5, "property", "og:site_name"); attr(meta5, "content", meta5_content_value = /*vendor*/ ctx[1].title); attr(meta6, "property", "article:modified_time"); attr(meta6, "content", meta6_content_value = /*ticket*/ ctx[0].updated_at); attr(h1, "class", "svelte-zoxz24"); attr(div4, "class", "custom-list hidden md:flex svelte-zoxz24"); attr(div5, "class", "ticket-header svelte-zoxz24"); attr(div6, "class", "chat-wrapper svelte-zoxz24"); attr(div11, "class", "custom-list md:hidden svelte-zoxz24"); attr(div12, "class", "ticket-footer svelte-zoxz24"); attr(div14, "class", "ticket-wrapper svelte-zoxz24"); }, m(target, anchor) { append_hydration(document.head, meta0); if (if_block0) if_block0.m(document.head, null); append_hydration(document.head, meta1); append_hydration(document.head, meta2); append_hydration(document.head, meta3); append_hydration(document.head, meta4); append_hydration(document.head, meta5); append_hydration(document.head, meta6); if (if_block1) if_block1.m(document.head, null); append_hydration(document.head, if_block1_anchor); insert_hydration(target, t0, anchor); mount_component(global, target, anchor); insert_hydration(target, t1, anchor); insert_hydration(target, div14, anchor); append_hydration(div14, div13); append_hydration(div13, div5); append_hydration(div5, h1); append_hydration(h1, t2); append_hydration(div5, t3); append_hydration(div5, div4); append_hydration(div4, div0); mount_component(vote0, div0, null); append_hydration(div4, t4); append_hydration(div4, div1); mount_component(vote1, div1, null); append_hydration(div4, t5); append_hydration(div4, div2); mount_component(seen0, div2, null); append_hydration(div4, t6); append_hydration(div4, div3); mount_component(date0, div3, null); append_hydration(div13, t7); append_hydration(div13, div6);for (let i = 0; i < each_blocks.length; i += 1) { if (each_blocks[i]) { each_blocks[i].m(div6, null); } }append_hydration(div13, t8); append_hydration(div13, div12); append_hydration(div12, div11); append_hydration(div11, div7); mount_component(vote2, div7, null); append_hydration(div11, t9); append_hydration(div11, div8); mount_component(vote3, div8, null); append_hydration(div11, t10); append_hydration(div11, div9); mount_component(seen1, div9, null); append_hydration(div11, t11); append_hydration(div11, div10); mount_component(date1, div10, null); current = true; }, p(ctx, [dirty]) { if ((!current || dirty & /*seo*/ 4) && title_value !== (title_value = /*seo*/ ctx[2].title)) { document.title = title_value; }if (!current || dirty & /*seo*/ 4 && meta0_content_value !== (meta0_content_value = /*seo*/ ctx[2].description)) { attr(meta0, "content", meta0_content_value); }if (/*seo*/ ctx[2].canonical) { if (if_block0) { if_block0.p(ctx, dirty); } else { if_block0 = create_if_block_1(ctx); if_block0.c(); if_block0.m(meta1.parentNode, meta1); } } else if (if_block0) { if_block0.d(1); if_block0 = null; }if (!current || dirty & /*seo*/ 4 && meta3_content_value !== (meta3_content_value = /*seo*/ ctx[2].title)) { attr(meta3, "content", meta3_content_value); }if (!current || dirty & /*seo*/ 4 && meta4_content_value !== (meta4_content_value = /*seo*/ ctx[2].description)) { attr(meta4, "content", meta4_content_value); }if (!current || dirty & /*vendor*/ 2 && meta5_content_value !== (meta5_content_value = /*vendor*/ ctx[1].title)) { attr(meta5, "content", meta5_content_value); }if (!current || dirty & /*ticket*/ 1 && meta6_content_value !== (meta6_content_value = /*ticket*/ ctx[0].updated_at)) { attr(meta6, "content", meta6_content_value); }if (/*seo*/ ctx[2].jsonLd) { if (if_block1) { if_block1.p(ctx, dirty); } else { if_block1 = create_if_block(ctx); if_block1.c(); if_block1.m(if_block1_anchor.parentNode, if_block1_anchor); } } else if (if_block1) { if_block1.d(1); if_block1 = null; }if ((!current || dirty & /*ticket*/ 1) && t2_value !== (t2_value = /*ticket*/ ctx[0].title + "")) set_data(t2, t2_value); const vote0_changes = {}; if (dirty & /*vote*/ 8) vote0_changes.active = /*vote*/ ctx[3] == 'like'; if (dirty & /*ticket*/ 1) vote0_changes.count = /*ticket*/ ctx[0].likes || 0; vote0.$set(vote0_changes); const vote1_changes = {}; if (dirty & /*vote*/ 8) vote1_changes.active = /*vote*/ ctx[3] == 'dislike'; if (dirty & /*ticket*/ 1) vote1_changes.count = /*ticket*/ ctx[0].dislikes || 0; vote1.$set(vote1_changes); const seen0_changes = {};if (dirty & /*ticket*/ 1) seen0_changes.count = /*ticket*/ ctx[0].views ? /*ticket*/ ctx[0].views + 1 : 0;seen0.$set(seen0_changes); const date0_changes = {}; if (dirty & /*ticket*/ 1) date0_changes.date = /*ticket*/ ctx[0].created_at; date0.$set(date0_changes);if (dirty & /*vendor, ticket*/ 3) { each_value = ensure_array_like(/*ticket*/ ctx[0].chats); let i;for (i = 0; i < each_value.length; i += 1) { const child_ctx = get_each_context(ctx, each_value, i);if (each_blocks[i]) { each_blocks[i].p(child_ctx, dirty); transition_in(each_blocks[i], 1); } else { each_blocks[i] = create_each_block(child_ctx); each_blocks[i].c(); transition_in(each_blocks[i], 1); each_blocks[i].m(div6, null); } }group_outros();for (i = each_value.length; i < each_blocks.length; i += 1) { out(i); }check_outros(); }const vote2_changes = {}; if (dirty & /*vote*/ 8) vote2_changes.active = /*vote*/ ctx[3] == 'like'; if (dirty & /*ticket*/ 1) vote2_changes.count = /*ticket*/ ctx[0].likes || 0; vote2.$set(vote2_changes); const vote3_changes = {}; if (dirty & /*vote*/ 8) vote3_changes.active = /*vote*/ ctx[3] == 'dislike'; if (dirty & /*ticket*/ 1) vote3_changes.count = /*ticket*/ ctx[0].dislikes || 0; vote3.$set(vote3_changes); const seen1_changes = {};if (dirty & /*ticket*/ 1) seen1_changes.count = /*ticket*/ ctx[0].views ? /*ticket*/ ctx[0].views + 1 : 0;seen1.$set(seen1_changes); const date1_changes = {}; if (dirty & /*ticket*/ 1) date1_changes.date = /*ticket*/ ctx[0].created_at; date1.$set(date1_changes); }, i(local) { if (current) return; transition_in(global.$$.fragment, local); transition_in(vote0.$$.fragment, local); transition_in(vote1.$$.fragment, local); transition_in(seen0.$$.fragment, local); transition_in(date0.$$.fragment, local);for (let i = 0; i < each_value.length; i += 1) { transition_in(each_blocks[i]); }transition_in(vote2.$$.fragment, local); transition_in(vote3.$$.fragment, local); transition_in(seen1.$$.fragment, local); transition_in(date1.$$.fragment, local); current = true; }, o(local) { transition_out(global.$$.fragment, local); transition_out(vote0.$$.fragment, local); transition_out(vote1.$$.fragment, local); transition_out(seen0.$$.fragment, local); transition_out(date0.$$.fragment, local); each_blocks = each_blocks.filter(Boolean);for (let i = 0; i < each_blocks.length; i += 1) { transition_out(each_blocks[i]); }transition_out(vote2.$$.fragment, local); transition_out(vote3.$$.fragment, local); transition_out(seen1.$$.fragment, local); transition_out(date1.$$.fragment, local); current = false; }, d(detaching) { if (detaching) { detach(t0); detach(t1); detach(div14); }detach(meta0); if (if_block0) if_block0.d(detaching); detach(meta1); detach(meta2); detach(meta3); detach(meta4); detach(meta5); detach(meta6); if (if_block1) if_block1.d(detaching); detach(if_block1_anchor); destroy_component(global, detaching); destroy_component(vote0); destroy_component(vote1); destroy_component(seen0); destroy_component(date0); destroy_each(each_blocks, detaching); destroy_component(vote2); destroy_component(vote3); destroy_component(seen1); destroy_component(date1); } }; }const API_URL = 'https://qa.e-monshi.ir/api';function instance($$self, $$props, $$invalidate) { let { ticket } = $$props; let { vendor } = $$props; let { seo } = $$props;// const API_URL = 'http://localhost:3333' let vote = '';onMount(() => { $$invalidate(3, vote = localStorage.getItem(`ticket_${ticket.id}_vote`) || ''); });const onVote = async type => { if (vote != '') return; $$invalidate(3, vote = type); localStorage.setItem(`ticket_${ticket.id}_vote`, vote);let res = await fetch(`${API_URL}/plugin/tickets/${ticket.id}/vote`, { credentials: 'include', method: 'post', headers: { 'Content-Type': 'application/json', 'x-api-key': vendor.api_key }, body: JSON.stringify({ vote }) }).then(res => res.json());$$invalidate(0, ticket.likes = res.likes, ticket); $$invalidate(0, ticket.dislikes = res.dislikes, ticket); };const click_handler = () => onVote('like'); const click_handler_1 = () => onVote('dislike'); const click_handler_2 = () => onVote('like'); const click_handler_3 = () => onVote('dislike');$$self.$$set = $$props => { if ('ticket' in $$props) $$invalidate(0, ticket = $$props.ticket); if ('vendor' in $$props) $$invalidate(1, vendor = $$props.vendor); if ('seo' in $$props) $$invalidate(2, seo = $$props.seo); };return [ ticket, vendor, seo, vote, onVote, click_handler, click_handler_1, click_handler_2, click_handler_3 ]; }class Show extends SvelteComponent { constructor(options) { super(); init(this, options, instance, create_fragment, safe_not_equal, { ticket: 0, vendor: 1, seo: 2 }); } }return Show;})();