А из за чего гемоглобин может вот так разрушаться сильно? Что надо сделать для этого. Или точнее, чего делать НЕ надо) Поступил вопрос, кажется интересным, так что ответ отдельным постом) 1️⃣ вариант: это врожденное. То есть эритроциты бракованные с момента появления и умирают раньше положенного срока, так и запускается дальнейший механизм гемолиза. Проблема может быть как в самом эритроците, так и в белках внутри …

Channel
Мамчич.doc
@mamchichsvami
On this record: Growth · Engagement · Reactions · Posts · Citations · Cite this entry
1,129subscribers
-8 since we began measuring on 6 August 2026
Risers and fallers across the register · movement among entries of 1,000–3,162.
Register entry
| Telegram ID | -1002203786369 |
|---|---|
| Type | Channel |
| Username | @mamchichsvami |
| Created | Between 1 June 2024 and 30 September 2024— estimated from Telegram’s id allocation, not measured. How this range is calculated. |
| First recorded | 6 August 2026 |
| Last confirmed live | 14 August 2026 |
| Measurements held | 4 |
| Confirmed unchanged | 1 time, most recently 14 August 2026 |
| On Telegram | t.me/mamchichsvami |
Growth
| Measured (UTC) | Subscribers | Change |
|---|---|---|
| 14 Aug 2026, 01:55 | 1,129 | -2 |
| 10 Aug 2026, 14:51 | 1,131 | -6 |
| 6 Aug 2026, 12:03 | 1,137 | no change |
| 6 Aug 2026, 10:51 | 1,137 | first reading |
Engagement
17 posts held, back to 20 June 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 1 pageof Telegram’s post history, 20 posts per page.
- ERR · 30 days
- 15.9%
- avg views ÷ 1,129 subscribers
- Avg views / post
- 179
- 7 posts measured
- Reaction rate
- 3.64%
- reactions ÷ views · ER floor
- Posts in window
- 7
- of 17 held
ERR is average views per post over the last 30 days divided by subscribers, the definition TGStat uses, so this figure is comparable with the one you will see elsewhere. It falls structurally as a channel grows: a high ERR on a small channel and a low one on a large channel describe reach mathematics, not quality. We publish the figure and the sample it came from and pass no verdict on it.
ER is defined industry-wide as (forwards + reactions + comments) ÷ views— note the denominator is views, not subscribers. Telegram’s public web preview carries views and reactions but not forward or comment counts, so the reaction rate above is the reactions term only and is therefore a floor: the true ER for this channel is higher by an amount we have not measured and will not estimate. It is computed over the 6 of 7 measured posts that carry a reaction reading, and over those same posts' views.
| Window | Rolling 30 days · latest post in window 4 August 2026 |
|---|---|
| Posts held | 17 (20 June 2026 – 4 August 2026) |
| Views total | 1,256 |
| Reactions total | 42 |
| Forwards / comments | not exposed by the public surface — not measured, not estimated |
| Readings taken | 6 Aug 2026, 12:03 UTC |
Views are a single reading per post, taken at the time above. A post published in the last day or two is still accumulating views, which pulls the 30-day average down slightly. That is a property of the standard definition rather than a fault in it, so we keep the definition rather than “correcting” the number into something nobody can reproduce.
Precision. Telegram publishes view counts on its public widget in short form — 8.12K, 3.7M — so any reading at or above 1,000 reaches us rounded to three significant figures, and only counts below 1,000 are exact. Averages and rates derived from them are shown to the same precision rather than to the unit: a figure like 3,701,250 would assert digits nobody measured.
Reaction counts are published per emoji and rounded the same way, so a total below 1,000 is exact and a larger one is a sum that may carry a rounded component from each emoji above 1,000. Because it is a sum, it does not look rounded — read a large reaction total as three significant figures per contributing emoji rather than as the figure it prints.
Reaction mix
122 reactions across 15 posts, in 10 distinct kinds. The most used accounts for 58.2% of them.
| Reaction | Count | Share | Share, drawn |
|---|---|---|---|
| ❤ | 71 | 58.2% | |
| 😱 | 15 | 12.3% | |
| ✍ | 14 | 11.5% | |
| custom 5235736120767032242 | 5 | 4.10% | |
| 💔 | 5 | 4.10% | |
| 🤓 | 4 | 3.28% | |
| custom 5213447602732813642 | 3 | 2.46% | |
| custom 5388685927721753307 | 3 | 2.46% | |
| custom 5384182985224374928 | 1 | 0.82% | |
| 😢 | 1 | 0.82% |
Custom emoji. 4 of the rows above are Telegram custom emoji, which the public preview renders as an element carrying only a numeric id — no character, and no image we can reach. The id is printed as-is rather than substituted with a look-alike glyph, because a stand-in would be our invention showing where a measurement should be. The counts beside them areTelegram’s.
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 15 of the 17 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 122reactions in total: the kind of figure the paragraph above means by “a reaction total printed elsewhere on the page”.
Measured over the 17 most recent posts we hold, published 20 June 2026 to 4 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
📍Гемолитическая желтуха Это результат сверхактивного разрушения эритроцитов. Образовывается чрезмерное количество билирубина, которое печень не может вывести. Основная причина это гемолитический анемии (врожденные и приобретенные). При таком в состоянии в сутки может освобождаться до 45 г гемоглобина (хотя в норме около 6г). В биохимическом анализе крови мы увидим повышение уровня НЕПРЯМОГО билирубина. Это является…
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✔️Еще важно пояснить связь билирубина и его влияние на мочу и кал. После метаболизма в печени прямой билирубин выходит в 12-типерстную кишку через желчные протоки и там подвергается воздействию бактериальных ферментов. Таким образом образуется уробилиноген. Небольшая часть уробилиногена всасывается в кровь и обратно идет в печень, затем удаляется из крови в форме уробилина через почки. Что касается уробилиногена в к…
✍2❤1custom 53841829852243749281
Не хочу далеко отходить от темы желтухи, пару ближайших постов будет о ней❤️ Думаю все видели в биохимическом анализе такой показатель как билирубин. Их еще и три вида там. Зачем? Общий, прямой и непрямой билирубины позволяют оценить способность организма «утилизировать мусор». Под мусором подразумеваю - продукты переработки гемоглобина. Эритроцит живет 120 дней и после этого запускается процесс утилизации в рети…
✍7❤2
Клинический случай! Думаю не нужно медицинское образование, чтобы понять, что что-то не так… У пациентки присутствует очень активная желтушность кожных покровов, склер, слизистых. Также присутствуют жалобы на зуд и как следствие множество расчесов. Какая причина желтухи? В данном случае у пациентки диагностирован рак поджелудочной железы. Опухоль передавливает желчные протоки и нарушает нормальный отток желчи в киш…
😱5😢1
#САМСЕБЕЧЕКАП Первый - общий анализ крови. Сегодня поговорим о лейкоцитах. Главные защитники. Всего 6 типов лейкоцитов, вместе они образуют «Лейкоцитарную формулу». О ней позже, сейчас именно об общих лейкоцитах. ✔️Норма - 4,0-10,0 🩷Лейкоцитоз - повышенное количество (больше 10). Часто это происходит при инфекционном заболевании, особенно если это острый лейкоцитоз (возникший за последнее время). Если процесс хрони…
❤4😱2custom 53886859277217533072
🌟Ох, надолго я пропала отсюда! Но не значит, что навсегда. Экзамены сданы, все вопросы по работе и учебе закрыты, значит, есть время, желание и возможности насинтезировать сюда новинок. В очередной раз, когда мне друзья/семья/друзья семьи/семья друзей скинули анализы с просьбой расшифровать, я подумала, что надо бы ввести эту рубрику. #САМСЕБЕЧЕКАП Будем говорить: что сдавать, когда сдавать, зачем сдавать? А самое …
❤9custom 52134476027328136421custom 53886859277217533071
Video message, posted without a caption
❤5
Уехала на дачу в социальный детокс, чтобы готовиться к экзамену. Так что ближайшие три дня я ем, сплю, читаю клинические рекомендации и переодически валяюсь с Сашей. Новости последнего времени: я начала трениноваться! с тренером! Было две тренировки, все болит, но стараюсь не думать об этом, чтобы не соскочить🌟
😱4✍3
передаю привет🧡
❤3
Video message, posted without a caption
❤6custom 52357361207670322425
Пока готовлюсь к экзамену наткнулась на сайт, который всего по нескольким параметрам определяет 10-тилетнюю вероятность переломов, связанных с остеопорозом. ⬇️Как это работает? Тест на основании шкалы FRAX. Заполняете небольшую анкету: пол, курение, сахарный диабет, терапия стероидами итд. И тест, проведя автоматически подсчет, выдает две цифры: 10-тилетний риск основных переломов (позвонки, плечо, предплечье) и 10-…
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Showing the 12 most recent of 17 posts we hold for @mamchichsvami. 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.
Citation-graph rank
Citation-graph rank — 309,750 of 1,480,688entries in the measured graph. A weighted position computed from the forward and mention edges below — republished posts weigh more than named mentions — and recomputed periodically, over the whole graph. Published only as this ordinal position, never as a score: a position is a fact, and a score printed beside one channel’s name would read as a verdict this register does not make. The two counts beneath stay separate for the same reason mentions are never summed with forwards anywhere else on this page — a named-by count costs nothing to manufacture. The top 100 by this measure, or how it is computed.
Forward network
Republished by
Channels on the register that have forwarded this channel's posts into their own feed.
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
Named by 1 registered channel — every channel on the register whose own posts have named this one, by its current username or any other username it currently holds, merged from two separately captured readings of the same fact so a namer caught by only one of them is not missed and a namer both caught is not counted twice. A username this channel has since dropped is not matched — that handle may belong to someone else now, and crediting today’s namer to yesterday’s owner would misattribute it.
Named by
Channels on the register whose posts name this channel's handle.
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.
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 14 August 2026 — this entry's latest reading, not the date you are reading this.
“Мамчич.doc” (@mamchichsvami), 1,129 subscribers as measured 14 August 2026. Telegram Register, tgregister.com/channel/mamchichsvami.
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.