Svondo rapfuura, mubvunzo wevaverengi kwauri wakataura musanganiswa wemishonga yebenign prostate yekuwedzera. Ndine makore makumi manomwe nerimwe, ndinorema 71 kg, ndinorovedzera muviri zvakanyanya, handipute, ndinonwa zvine mwero, BP yakatenderedza 82/130.
Ndine mazamu akawanda mutsoka dzangu nemakumbo, kunyanya pandinotambanudza pandinenge ndiri pamubhedha uye pandinomuka, zvinogona kushamisa kutambanudza, asi zvino kurwadziwa kwakakura. Zvinofanira kunzi ndinotambura netsinga spatter uye ndakaibvisa ka4 mumakumbo ose, asi vanodzoka mushure mechinguva. Ndoita sei?
Ndine hurombo nekukunetsai zvakare, asi ndichiri nemubvunzo maererano nekusagadzikana kwemari. Mangwanani ega ega ndinotambura nekusagadzikana pakufamba kana kufamba zviri nani. Ini ndinomhanya 7,5 km asi kwete nekukurumidza uye ndinofanira kuisa pfungwa dzangu kuti ndirege kuenda kuruboshwe kana kurudyi. Kazhinji ini handitambure nazvo saka pakufamba chete.
Imwe nguva yapfuura ndakakubvunza nezvehuwandu chaihwo hweHydroxychloroquine (HCQ), Zinc neAzithromycin. Muchiitiko chisingaite kuti ndiwane yekutanga Covid-19 zviratidzo, ndinoda kupindira nekukurumidza. Ndakadzima maemail angu netsaona.
Mubvunzo kuna general practitioner Maarten: Matambudziko nekukoira nekuda kwekuwedzera kweprostate
Ndaiva nedambudziko rekuita weti ndisati ndauya kuThailand, asi zvaisanetsa. Pakupera kwa2019 dundira rangu rakangoerekana ravharwa. Ndakanga ndine chido chezuva rose asi hapana chakabuda, saka ndakaenda kuchipatara cheSukhumvit manheru kuti ndiwane mazano, apo dundira rangu rakadururwa kuburikidza nechubhu (kupfuura litita). Ipapo bvunzo dzakaitwa uye ndakanyorerwa mushonga, tamsulosin uye finasteride. Mazita emhando: Uroflow 0,4 mg uye Firide 5 mg. (Izvi zvakaitika mushure mevhiki).
Imwe hanzvadzi yemusikana wangu inogara kuUS (hanzvadzi) yakabatwa gomarara rezamu gore rapfuura. Akaita rombo rakanaka uye akazvibvisa (parizvino) nekuvhiyiwa kudiki. Hanzvadzi iyi yaiva nemakore 49 panguva iyoyo. Svondo rapfuura, imwe hanzvadzi (46) muno muThailand yakabviswa zamu rose pamwe nemaglands muhapwa nechikonzero chimwe chetecho. Handizive kuti chirwere chake changa chanyanya kukomba here kana kuti vanhu vekuThailand vangangoshandisa demo rakagomara here?
Bvunza general practitioner Maarten: Zvichemo zvinodzokororwa zvekuzvimba forearm yakafanana nelymphedema.
Kana usina basa neniwo ndine mubvunzo kumusikana wangu. Musikana wangu ane 30 years. Ane chimiro chakajairika cheThai (kureba 1.60 m uye 45 kg inorema). Ave nemakore maviri achichema-chema nekuzvimba kweruoko. Izvo zvinogara zvinotora 1 vhiki uye zvino zvinonyangarika zvakare.
Mubvunzo kuna chiremba mukuru Maarten: Musikana wangu ari kurwadziwa zvakanyanya nekuda kwerheumatoid arthritis.
Musikana wangu ane makore 55 ekuberekwa, blood pressure iri 148-65 uye akabatwa chirwere chemoyo. Huremu hwake hwaive 52 kilos asi iko zvino hwadzikira pasi pe40
Haanwi kana kuputa. Aiva nekakambani kadiki kaifamba nepick up yakare kwaaisimudza mitoro inorema yakawanda. Mushure mekudonha mashoma anenge makore 2 apfuura, tsvakiridzo yakaratidza kuti hernia ine sciatica utachiona kana entrapment yakanga yaitika asi isiri yakakomba zvakakwana kuti ishande kana yakanyanya njodzi.
Ndine makore makumi matanhatu nemashanu uye ndinogara muThailand, ndakafuta zvishoma, handinwi doro uye handina kuputa fodya kwemakore matatu. Ndakagamuchira mushonga pano weBP yakakwira zvishoma 65/142 uye kurova kwemwoyo 111 uye prostate yakawedzera zvishoma. Mubvunzo wangu ndewekuti ndinogona kushandisa mushonga pamwe chete, kureva Amlopine 75 mangwanani mushure mekudya uye Pencor 10 Doxazosin 2 mg
Anenge makore 2 apfuura ndakaenda kune urologist muBKK nekuda kwekunzwa kunopisa pakuita weti; Akaona kuti paive nechirwere cheweti uye akandipa mishonga inorwisa mabhakitiriya yakabatsira chaizvo. Zvakadaro, kunzwa kutsva pakuita weti kwakadzoka gore rapfuura pandakanga ndiri pazororo kuNetherlands, chiremba weurologist pano akavhenekwa MRI uye prostate biopsy yakaitwa. Izvi zvakaratidza kuti maererano nechikamu cheTNM ndine cancer stage T3 neGleason zvibodzwa zve4+3=7.
Mubvunzo kuna GP Maarten: Matambudziko emudumbu uye moyo rhythm kusagadzikana kwenguva yakareba
Mwedzi inenge 8 yapfuura ndakava nedambudziko remudumbu, kugwinha gwinha, kunzwa kuguta uye nemhepo mugurokuro yaiita kuti kumedza kunetse. Dzimwe nguva zvakare kuvhunduka kwechisimba pamusuwo wedumbu. Muedzo wakaratidza reflux, asi ini handina dambudziko reasidhi. Asi chimwe chinhu chakanyanya kuoma ndechekuti ini pandinongodya kana kunwa chimwe chinhu, ndinowana rhythm yemoyo kuvhiringidzika kweminiti gare gare.
Mubvunzo kuna GP Maarten: Mushonga wekurwadziwa kwekutevera
Ndingadai ndakada ruzivo nezvemumwe mushonga wemudzimai wangu. Mukadzi wangu ane dambudziko rakawanda nekuenda kumwedzi kwake. Zvino hanzvadzi yangu yokuBelgium yakandipa zita romushonga wokubvisa marwadzo nomutoro wokuenda kumwedzi.
Ndine makore 74, kureba 1,67 uye 64 kg. blood pressure yangu yakanaka. Hapana chirwere cheshuga, hapana doro, hapana anoputa. Ndiri kutora clopidogrel 75mg, 1 stent LAD kubvira 2016. Mubvunzo wangu ndewokuti, ndiri kutora Hytrin 2,5mg kuti iwedzere prostate, asi dzimwe nguva zvakaoma kuwana. Ndinogona kushandisa Doxazosin 2 mg pane Pencor 2 mg piritsi, 100 mapiritsi bhokisi? Ko BP yangu icharamba yakanaka here? Iye zvino 110/70 dzimwe nguva 100/65.
Chikafu chine munyu muThailand
Muma1980 ndakaongororwa nachiremba nokuda kwebasa idzva, izvo zvakaratidza kuti BP yangu yakanga yakakwira. Muongorori wezvokurapa akandiraira kuti ndideredze munyu wangu, kutaura zvazviri, akataura kuti sezvaaifunga, munyu haufanire kunge "wakagadzirwa".
Mubvunzo kuna GP Maarten: Kusanganiswa kwemishonga miviri
Ndakava nekuneta kwakanyanya makore 11 apfuura uye handisati ndapora uye ndichine kuora mwoyo. Ndanga ndichitora mushonga mumwechetewo Neutapin 8 mg kweanoda kusvika makore 50 zvino sezvakarairwa nachiremba wangu wepfungwa, kuti ndigone kurara zvakanaka. Asi munguva pfupi yapfuura ndakatangawo kunwa Cardura 2mg usiku kudzivirira kumuka kakawanda kuti ndiite weti. Mukoma wangu akandikurudzira izvi.
Munguva pfupi, kana ndawana vaccine ye corona, ndichaenda kuThailand nemukadzi wangu wekuThai kunogarako. Zvino ndakarohwa nesitiroko muna 2016 uye hameno kuti mishonga yandiri kutora iripo here?
Ndinorapwa ART kubva muna Chikunguru gore rino nemapiritsi matatu. Tenovavir, Dulutegravir uye Lamivir. Kubva munaSeptember viral load haisati yaonekwa uye CD3 count i4 uye CD917 i4%.