Tambayi GP Maarten: Magungunan ciwon ƙirji
Maarten Vasbinder yana zaune a Isaan. Sana'ar sa babban likita ce, sana'ar da ya fi yi a Spain. A Thailandblog yana amsa tambayoyi daga masu karatu waɗanda ke zaune a Thailand kuma ya rubuta game da gaskiyar likita.
Kuna da tambaya ga Maarten kuma kuna zaune a Thailand? Aika wannan ga edita: www.thailandblog.nl/contact/ Yana da mahimmanci ku samar da daidaitattun bayanai kamar:
- Shekaru
- korafi)
- Tarihi
- Amfani da magani, gami da kari, da sauransu.
- Shan taba, barasa
- kiba
- Na zaɓi: sakamakon dakin gwaje-gwaje da sauran gwaje-gwaje
- Hawan jini mai yiwuwa
Kuna iya aika hotuna zuwa [email kariya] duk abin da za a iya yi ba tare da suna ba, an tabbatar da sirrin ku.
Lura: An kashe zaɓin amsa ta tsohuwa don hana rudani tare da ingantattun shawarwarin da ba na likita ba daga masu karatu masu niyya.
Dear Martin,
Ni H. kuma ina da shekaru 72, ina zaune a Tailandia, na shafe shekaru ina shan maganin ciwon kirji. Shekarar data gabata idan na kwanta ina haki kuma hakan ya kare bayan yan mintuna. Gajiya da sauri tare da aiki.
A cewar Likita anan, tsokar zuciyata na shiga da kyau, amma suna fita a hankali. Amma zuciyata in ba haka ba tana da kyau. Shi ya sa na gaji da sauri, in ji shi. Yanzu yana kokarin magance ta da wasu magunguna.
Tambayata ita ce, shin wadannan magungunan duk sun zama dole? Ƙarfin huhuna ya kai lita 3 amma wannan ya kasance har tsawon shekaru 40.
- Ku sha kusan babu barasa
- Kada ku sha taba
- 5 kg yayi nauyi sosai
- Hawan jini 120/70
Ina amfani:
- Omeprazole 20 MG kowace rana
- Rebamipide 100 MG (amma ba ni da matsalar ciki don haka ba na tunanin ya zama dole).
- Nebivolol 5 MG
- Losartan 50 MG
- Pravata 20mg
- Harnal 0.4 MG
Gaisuwa,
H.
******
Masoyi h,
Don farawa da Rebapimide. Wannan tsohon magani ne tare da iyakataccen tasiri. Ba ku da matsalolin ciki saboda kuna shan Omeprazole. Saboda jita-jita sun yi ta yawo a baya-bayan nan cewa Omeprazole na iya haifar da osteoporosis (asarar kashi), Ina ba da shawarar dubawa da DEXA (DXA). Ma'auni na osteoporosis tare da MRI yana da ƙari sosai kuma baya ba da sakamako mafi kyau.
Jiyya ga osteoporosis abu ne mai sauƙi kuma ana iya yin shi tare da biphosphonate. Akwai da yawa daga cikinsu. Sabbin sun fi sauƙin amfani amma ba su fi, ka ce, Alendronate ba. Ba lallai ba ne a yi scanning a kowace shekara, saboda lalacewa da farfadowa yawanci tsari ne na jinkirin. Sau ɗaya a kowace shekara uku zuwa biyar ya wadatar, sai dai idan akwai wasu yanayi na musamman waɗanda ke hanzarta aiwatarwa.
Duk da haka, wannan ba shine tambayar ku ba.
Kuna shan magunguna guda uku waɗanda ke shafar hawan jini:
- Nebivolol (beta-blocker tare da vasodilator Properties)
- Losartan shine abin da ake kira ARB (angiotensin II receptor blocker).
- Harnal (Tamsulosin) alpha-blocker, yawanci ana amfani dashi don prostate.
Idan cholesterol ba shi da girma sosai, zaku iya barin pravastatin. A matsayin prophylaxis ba shi da amfani sama da 70 kuma yana iya haifar da matsala fiye da mai kyau.
Wataƙila za a iya ba da mai hana calcium kamar Amlodipine maimakon Losartan. Wannan yana ba wa tsokar zuciya ƙarin iska. Rashin lahani shine mutane da yawa suna samun ciwon kai a farkon.
Da farko, duk da haka, zan yi gwajin motsa jiki don auna aikin zuciya da yiwuwar angiography na jijiyoyin jini don kallon arteries na jijiyoyin jini. Ba tare da wannan ba, caca ne.
Game da kiba: Kwanan nan an gano cewa mutanen da suke shan barasa tsaka-tsaki tsakanin shekaru saba'in zuwa tamanin, suna shan kofi kuma suna da matsakaicin kiba suna rayuwa tsawon rai kuma suna da kyau. Wannan an mayar da shi.
Tare da gaisuwa mai kyau,
Martin Vasbinder