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Channel

گایدلاین‌های درمانی| امیر مسگران

@latestguidelines

On this record: Topic · Growth · Engagement · What this channel posts · Reactions · Posts · Citations · Telegram's recommendations · Cite this entry

10,133subscribers

+637 since we began measuring on 7 August 2026

Risers and fallers across the register · movement among entries of 10,000–31,623.

Register entry

Telegram ID-1001794817277
TypeChannel
Username@latestguidelines
CreatedBetween 1 January 2022 and 28 February 2023 — estimated from Telegram’s id allocation, not measured. How this range is calculated.
First recorded7 August 2026
Last confirmed live25 September 2026
Measurements held16
Confirmed unchanged1 time, most recently 25 September 2026
On Telegramt.me/latestguidelines

Topic

Health & wellness — a classification, not a measurement. An on-box language model (Qwen3.6-35B-A3B-FP8, prompt version 1) read this channel’s own recent posts on 11 September 2026 and assigned it the closest of 31 fixed categories, at 50% confidence. This is a model’s judgement about what the channel is likely to be about, not a fact this register measured the way a subscriber count or a view count is measured — it can be revised on a later pass, and it carries no weight anywhere else on this page. How this classification works, and why it has no browse page of its own yet.

Growth

9,49610,1339,814.57 August 2026 — 9,496 subscribers7 August 2026 — 9,496 subscribers8 August 2026 — 9,544 subscribers11 August 2026 — 9,578 subscribers15 August 2026 — 9,607 subscribers18 August 2026 — 9,615 subscribers21 August 2026 — 9,640 subscribers24 August 2026 — 9,655 subscribers27 August 2026 — 9,677 subscribers31 August 2026 — 9,703 subscribers2 September 2026 — 9,724 subscribers8 September 2026 — 9,773 subscribers12 September 2026 — 9,917 subscribers16 September 2026 — 10,042 subscribers18 September 2026 — 10,058 subscribers25 September 2026 — 10,133 subscribers7 August 202625 September 2026
16 measurements spanning 49 days, net +637. Dots are measurements; the straight line between them is drawn to join them, not to claim we know the path taken in between — snapshots are recorded only when a count changes, so gaps mean “no change observed”, never “interpolated”. The vertical axis spans 9,400–10,229 and does not start at zero.
Measurement log — every subscribers count we have recorded
Measured (UTC)SubscribersChange
25 Sept 2026, 12:5710,133+75
18 Sept 2026, 22:3910,058+16
16 Sept 2026, 11:3810,042+125
12 Sept 2026, 05:569,917+144
8 Sept 2026, 05:019,773+49
2 Sept 2026, 16:259,724+21
31 Aug 2026, 00:289,703+26
27 Aug 2026, 17:549,677+22
24 Aug 2026, 14:439,655+15
21 Aug 2026, 06:339,640+25
18 Aug 2026, 03:519,615+8
15 Aug 2026, 00:429,607+29
11 Aug 2026, 14:129,578+34
8 Aug 2026, 14:089,544+48
7 Aug 2026, 16:009,496no change
7 Aug 2026, 15:519,496first reading

Engagement

87 posts held, back to 3 August 2026 — the reader has not yet reached the start of this channel’s public history, so older posts may sit further back, unread. Read across 38 pages of Telegram’s post history, 20 posts per page.

Nothing published in the last 30 days. ERR and ER are rolling 30-day measures, so there is nothing to compute — we hold 87 posts for this entry, the most recent from 28 August 2026. An engagement rate over an empty window would be a number about nothing.

What this channel posts

Video runtime
53s
Average length
18s

Measured directly from 3 videos with a duration reading, out of the posts we hold for this channel — not this channel’s whole posting history, only the sample this register has actually read. An exact reading to the second, taken from the post itself rather than from Telegram’s own rounded chrome, so it carries no ≈ mark.

Reaction mix

2,787 reactions across 86 posts, in 6 distinct kinds. The most used accounts for 62.3% of them.

Every reaction kind recorded on the sample, most used first
ReactionCountShareShare, drawn
❤1,73662.3%
👌47417.0%
🐳1936.93%
👀1806.46%
😍1244.45%
🆒802.87%

No sentiment is inferred, and none should be read in. This table is ordered by count and by nothing else. Emoji do not carry stable meaning across languages or communities — 🙏 is thanks in one channel and mourning in another — so we publish which ones were pressed and how often, and pass no judgement on what an audience meant by them.

Precision. Telegram publishes reaction counts per emoji and short-forms each one — 4.34K, 1.2M — so any single kind at or above 1,000 reaches us at three significant figures, and only counts below 1,000 are exact. The shares above are ratios of those figures and carry the same error. This is also why the total here can differ slightly from a reaction total printed elsewhere on the page: both are sums of the same rounded parts, taken over samples with different edges.

Coverage. Reactions were read on 86 of the 87 sampled posts in this sample. Summed by Telegram’s own count on each post — not by adding up the per-emoji breakdown above — those same posts carry 2,787 reactions in total: the kind of figure the paragraph above means by “a reaction total printed elsewhere on the page”.

Measured over the 87 most recent posts we hold, published 3 August 2026 to 28 August 2026, using the newest reading held for each. Telegram Stars are excluded: they are a payment, not a reaction, and they have their own section.

Recent posts

28 Aug 2026, 21:05 UTC≈1,210 views45 reactionsread 29 August 2026
Video

من ماه اول طرح:

👌31🐳8👀4🆒2

Signed Amir Mesgaran 👽

23 Aug 2026, 20:19 UTC≈3,110 views192 reactionsread 29 August 2026

من هر چند وقت یکبار دچار یک حس تنفر فراگیر از پزشکی و طبابت میشم که مدت دوره‌های تشدیش هم متغیر بوده. تو این دوره‌ها از هر نشانه‌ای که کوچکترین یادآوری برای من از این رشته و بیمارها داشته باشه، مثل جرقه‌ایه که کل روزمو بهم میزنه. البته قطعا من خصومت شخصی‌ای با این رشته و شغل ندارم، اما شرایطی که درش قرار گرفتیم باعث شده من ازش متنفر باشم. در نتیجه از هر چیزی که یادآور این رشته و در نتیجه رنج من باشه متنفرم. همچنین …

❤177🐳11😍3🆒1

Signed Amir Mesgaran 👽

23 Aug 2026, 20:09 UTC≈2,760 views4 reactionsread 29 August 2026

قبلاً در مورد تشدید IPF نوشتم. بیماری ریوی در اسکلرودمی هم یک نوع ILD عه و میشه تقریباً به همین صورت مدیریتش کرد. این بیمار علاوه بر تنگی نفس، سرفه‌های شدید و حلق کاملاً اریتماتو هم داشت. در سمع ریه هم رال داشت.

❤4

Signed Amir Mesgaran 👽

23 Aug 2026, 19:25 UTC≈2,680 views1 reactionsread 29 August 2026

برای بیمار کیس اسکلرودرمی که با تشدید تنگی نفس اومده و SpO2 75 داره، چیکار میکنید؟

🆒1

Signed Amir Mesgaran 👽

22 Aug 2026, 06:52 UTC≈3,160 views3 reactionsread 29 August 2026
Photo

Photo, posted without a caption

❤3

Signed Amir Mesgaran 👽

22 Aug 2026, 06:50 UTC≈2,970 views18 reactionsread 29 August 2026

💡فینرنون (Finerenone) ✓ یک آنتاگونیست غیر استروئیدی گیرنده‌ی مینرالکورتیکوئیدی (آلدوسترون) (MRA). ▪️اندیکاسیون‌های درمانی: ۱. بیماری CKD مرتبط با دیابت نوع ۲. ۲. نارسایی قلبی با EF حفظ‌شده (≥40%) ▪️مکانیسم اثر: ✓ فینرنون به‌طور انتخابی، فعال‌سازی بیش‌ازحد گیرنده‌ی مینرالوکورتیکوئیدی (MR) رو مسدود میکنه. در نتیجه بازجذب سدیم توسط این گیرنده رو در بافت‌های اپیتلیالی (مثل کلیه) و غیراپیتلیالی (مثل عروق خونی و قلب) ه…

❤15🐳2👌1

Signed Amir Mesgaran 👽

20 Aug 2026, 22:13 UTC≈2,730 views56 reactionsread 29 August 2026
Photo

اگه از اون دسته آدمهایی هستید که مکمل زینک رو به صورت منظم استفاده میکنید، یا مکمل‌های تقویت پوست و موی حاوی زینک مصرف میکنید، حتما اونایی رو انتخاب کنید که تو ترکیباتش مس رو هم داشته باشن. مصرف مزمن زینک می‌تونه باعث کاهش مس بشه.

❤49👌7

Signed Amir Mesgaran 👽

20 Aug 2026, 21:30 UTC≈2,780 views25 reactionsread 29 August 2026
Photo

از GINA 2020 مفهوم relieverها از صرفاً برونکودیلاتور به برونکودیلاتور+ICS تغییر پیدا کرد. آسم صرفاً ناشی از انسداد مکانیکی نیست، به همین دلیل هم در زمان تشدید نیاز به یک جزء ضدالتهابی هم هست. اگه بیمار از اسپری‌های ICS-formetrol استفاده میکنه، از همون هم به عنوان reliever میتونه استفاده کنه. اما اگه بیمار از سایر اسپری‌های ICS-LABA استفاده میکنه، برای reliever توصیه میشه به جای استفاده از سالبوتامول خالی از سالبوت…

❤13👌12

Signed Amir Mesgaran 👽

20 Aug 2026, 00:04 UTC≈2,940 views68 reactionsread 29 August 2026

یه نکته‌ی جالب در مورد ناپروکسن متوجه شدم اینکه ناپروکسن سدیم هم تو ایران داریم. کلا ناپروکسن به دو صورته، یکی به فرم آزاد (base)، یکی هم به صورت سدیم. فرم نمک سدیم، سریع‌الاثرتره. من نمیدونستم که نمک سدیمش هم تو ایران هست، چون طبق معمول روی جعبه‌ها خیلی چیزها رو نمینویسن. قرص‌های ناپروکسن دوزهای ۲۵۰، ۳۷۵ و ۵۰۰ همه فرم آزادن و به علت انتریک کوتد بودن، Delayed release ان و پیک پلاسماییش ۶-۴ ساعت بعد از مصرف، ایجاد…

❤65👌3

Signed Amir Mesgaran 👽

19 Aug 2026, 19:27 UTC≈2,800 views32 reactionsread 29 August 2026
Photo

مصرف قرص آلندرونیت به هر قرص و غذایی ارجحیت داره و باید حداقل نیم ساعت قبل از سایر قرص‌ها و غذا مصرف بشه. بنابراین اولین قرص صبح آلندرونیته و نیم ساعت بعدش لووتیروکسین و PPI و نیم ساعت بعدش صبحانه.

❤32

Signed Amir Mesgaran 👽

19 Aug 2026, 14:02 UTC≈3,030 views17 reactionsread 29 August 2026
Photo

یه کار واجب قبل از انجام کارهای زیبایی، انجام مشاوره و تعیین سطح انتظار واقع‌بینانه‌ی مراجعست. شما با فیلر نمیتونید شکل لب یکیو که خود لب دفرمه است رو تغییر بدید. اون نواقص رو میشه با کارهای دیگه مثل پیگمنتیشن تا حدودی رفع کرد. فیلر صرفاً همون فرم لبی که خودتون دارید رو آگمنت میکنه.

❤15👌2

Signed Amir Mesgaran 👽

19 Aug 2026, 13:23 UTC≈2,560 views9 reactionsread 29 August 2026

حکم مصرف آلندرونیت و لووتیروکسین و سایر داروها چیه؟

👀7❤2

Signed Amir Mesgaran 👽

Showing the 12 most recent of 87 posts we hold for @latestguidelines. View and reaction counts are the latest single reading for each post, not a live figure, and a recent post is still accumulating both. A view count marked ≈ was rounded by Telegram before we ever saw it — t.me prints views in full below 1,000 and to three significant figures above, so ≈1,200,000 means somewhere between 1,150,000 and 1,249,999. Unmarked counts are exact. Text is reproduced from the public post preview and truncated for length.

Forward network

Republished by

Channels on the register that have forwarded this channel's posts into their own feed.

Republishes

Channels on the register whose posts this channel has forwarded.

Built only from forwarded posts we have actually read, on both sides. Coverage is early and deliberately incomplete: a missing link means we have not read the post that would prove it, never that the relationship does not exist. Counts are distinct forwarded posts observed, so they only ever go up as we read more.

Mentions

Names

Channels on the register whose handles appear in this channel's posts.

A mention is a weaker signal than a forward and is counted separately for that reason — naming a channel is not republishing it, and a handle in a post body is easy to place deliberately. The post counts beside each row below are distinct posts in which the handle appeared, from posts we have read on both sides — the “Named by N registered channels” figure above is a different count, of distinct NAMING CHANNELS rather than posts, and is not the sum of the rows under it.

Appears in Telegram’s recommendations for other channels

The reverse of the list above, and a different kind of signal. This does not require this channel to have ever been asked about directly — each row below is a channel we DID ask Telegram about, whose Telegram-generated list happened to include this one. A channel can appear here with an empty list above it, because being named by someone else’s query is independent of having been queried itself.

کانال آموزشي دكتر ژيان
@drjian · 26,506
Telegram ranks this channel #13 of 90 here — alongside 89 others — read 12 September 2026
کانال طِب اَطفال
@TebeAtfal · 51,648
Telegram ranks this channel #14 of 96 here — alongside 95 others — read 25 August 2026
مدرسه پزشکی | امیرمحمد قربانی
@schoolofmedicine_ir · 26,542
Telegram ranks this channel #15 of 93 here — alongside 92 others — read 12 September 2026
نسخه نویسی فارمامدیکال
@pharmamedicall2 · 32,368
Telegram ranks this channel #16 of 87 here — alongside 86 others — read 5 September 2026
Med_Skill
@med_skills · 37,878
Telegram ranks this channel #19 of 92 here — alongside 91 others — read 31 August 2026
" فارمامدیکال 📞 pharmamedicall@ "
@pharmamedicall · 38,895
Telegram ranks this channel #30 of 89 here — alongside 88 others — read 31 August 2026
آموزش نسخه نویسی و طبابت استاد طب
@ostaadteb · 29,899
Telegram ranks this channel #32 of 87 here — alongside 86 others — read 8 September 2026
Med Line | مِد لاین
@Medical_line · 38,551
Telegram ranks this channel #32 of 90 here — alongside 89 others — read 1 September 2026
قوانین صنفی پزشکان(هموطنان سپهرِبابا)
@ghavaninesenfi · 20,402
Telegram ranks this channel #38 of 95 here — alongside 94 others — read 27 September 2026
بالینوما | Balinoma
@Balinoma · 21,048
Telegram ranks this channel #43 of 91 here — alongside 90 others — read 25 September 2026
خلاصه های بالینی | مدوفست
@medofast_balini · 34,184
Telegram ranks this channel #47 of 90 here — alongside 89 others — read 4 September 2026
Medical Jozveh
@medical_jozveh_channel · 124,660
Telegram ranks this channel #48 of 87 here — alongside 86 others — read 18 August 2026
صرفا نسخه‼️
@noooskhe · 49,172
Telegram ranks this channel #49 of 90 here — alongside 89 others — read 26 August 2026
نسخه‌خوانی و داروشناسی
@med_prescription_educ · 26,690
Telegram ranks this channel #50 of 93 here — alongside 92 others — read 12 September 2026
رزیدنتولوژی
@Residentology · 21,274
Telegram ranks this channel #53 of 87 here — alongside 86 others — read 26 September 2026
فیلمومِد
@Learningvideos99 · 38,498
Telegram ranks this channel #53 of 91 here — alongside 90 others — read 31 August 2026
كانال كاريابي پزشكان
@karyabip · 22,999
Telegram ranks this channel #66 of 80 here — alongside 79 others — read 19 September 2026
مدمشاور medmoshaver
@medmoshaver · 23,927
Telegram ranks this channel #71 of 90 here — alongside 89 others — read 17 September 2026
📞 الو بیمارستان؟
@alo_bimarestan · 29,352
Telegram ranks this channel #72 of 95 here — alongside 94 others — read 8 September 2026
@lMedixl * فایل های پزشکی
@lmedixl · 39,593
Telegram ranks this channel #73 of 85 here — alongside 84 others — read 31 August 2026
آموزش نسخه خوانی
@noskhe_daro · 48,012
Telegram ranks this channel #73 of 90 here — alongside 89 others — read 26 August 2026
انجمن پزشکان عمومی ایران
@isgp_ir · 20,833
Telegram ranks this channel #75 of 90 here — alongside 89 others — read 25 September 2026
کتابخانه بین المللی
@LibraryinternationaL · 20,715
Telegram ranks this channel #78 of 89 here — alongside 88 others — read 26 September 2026
طب اورژانس EMERGENCY
@med_info · 33,870
Telegram ranks this channel #83 of 95 here — alongside 94 others — read 3 September 2026

This channel appears in 28 seed channels' Telegram-generated recommendation lists in total, of which the 24 where it ranks highest are shown above. Each is Telegram’s list for THAT channel, not this one — see how this is measured.

Cite this entry

A live page changes as we take new readings, so a citation should name the measurement it is based on, not just the URL. The line below cites the subscriber count as measured 25 September 2026 — this entry's latest reading, not the date you are reading this.

“گایدلاین‌های درمانی| امیر مسگران” (@latestguidelines), 10,133 subscribers as measured 25 September 2026. Telegram Register, tgregister.com/channel/latestguidelines.

Full measurement history, CC BY 4.0. Every reading this register holds for this entry, not just the latest one, as a dated, downloadable record: CSV · JSON. Free to use with attribution to tgregister.com. Each file carries its own generation timestamp, which is the figure to cite for exactly when the data was retrieved.