A specialist reviews a Mandarin-speaking patient’s fatigue, dizziness and blood-test results, then provides treatment and dietary follow-up for iron-deficiency anaemia.
- Specialist · turn 1
Good morning, Ms Li. Your GP has referred you to me because of ongoing fatigue and occasional dizziness. When did these symptoms begin?
早安,李女士。您的全科醫生因為您持續疲勞和偶發性頭暈而將您轉診給我。這些症狀是何時開始的?
- Patient · turn 2
大約三個月前開始。起初我以為只是工作壓力,但最近即使休息後也感到虛弱。
They began about three months ago. At first I thought it was only work stress, but recently I have felt weak even after resting.
- Specialist · turn 3
Have you noticed shortness of breath, chest tightness, heart palpitations, or a racing heartbeat?
您有沒有注意到呼吸急促、胸悶、心悸或心跳過速?
- Patient · turn 4
我上樓梯時有時會心悸,心跳得很快;站起來太快時也會頭暈目眩。
I sometimes have palpitations and a racing heart when I climb stairs, and I feel lightheaded if I stand up too quickly.
- Specialist · turn 5
Those symptoms can occur with iron-deficiency anaemia, when low iron reduces haemoglobin and the blood carries less oxygen. Have you recently had a blood test?
這些症狀可能出現在缺鐵性貧血中;鐵含量低會降低血紅蛋白,使血液攜帶的氧氣減少。您最近做過血液檢查嗎?
- Patient · turn 6
有,我的全科醫生上星期安排了血液檢查,說我的鐵水平很低。
Yes. My GP arranged a blood test last week and said that my iron levels were very low.
- Specialist · turn 7
Your haemoglobin count is 85 grams per litre, below the usual reference range. We will also consider the likely cause of the iron deficiency.
您的血紅蛋白計數為每公升85克,低於一般參考範圍。我們也會考慮缺鐵的可能原因。
- Patient · turn 8
這個血紅蛋白水平很嚴重嗎?我需要住院或接受輸血嗎?
Is this haemoglobin level very serious? Do I need to be admitted to hospital or have a blood transfusion?
- Specialist · turn 9
Iron-deficiency anaemia is common and is often treatable. Based on your assessment today, I will prescribe oral iron supplements and monitor your response.
缺鐵性貧血很常見,而且通常可以治療。根據您今天的評估,我會開口服補鐵劑,並監察您的反應。
- Patient · turn 10
我應該怎樣服用補鐵劑?飲食方面需要改變什麼?
How should I take the iron supplements, and what changes should I make to my diet?
- Specialist · turn 11
Take the supplements exactly as directed. A balanced iron-rich diet can include lean meat, leafy green vegetables, and legumes; I will refer you to a dietitian for individual meal-planning advice.
請嚴格按照指示服用補鐵劑。均衡且富含鐵質的飲食可包括瘦肉、綠葉蔬菜和豆類;我會將您轉介給營養師,提供個人化膳食規劃建議。
- Patient · turn 12
好的。我會按時服藥,也願意調整飲食。何時需要復診?
All right. I will take the medicine regularly and am willing to change my diet. When do I need a follow-up appointment?
- Specialist · turn 13
Please book a follow-up appointment in six weeks so we can repeat the blood test and assess your haemoglobin levels. Seek medical attention immediately if you develop chest pain, severe shortness of breath, fainting, or extreme fatigue.
請預約六週後復診,以便我們重複血液檢查並評估您的血紅蛋白水平。如果出現胸痛、嚴重呼吸急促、昏厥或極度疲勞,請立即就醫。
- Patient · turn 14
謝謝醫生。我會依照您的指示服用補鐵劑,安排營養師和六週後的復診。
Thank you, doctor. I will take the iron supplements as directed and arrange the dietitian appointment and six-week follow-up.
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