Kubva pandakatanga kutora ma statins echolesterol (kutanga Chlovas 40, ikozvino Mevalotin), ndakatambura nekurwadziwa kwetsandanyama mumaoko angu, makumbo mumakumbo netsoka. Uyezve, shuga yangu yemuropa inoita kunge yapenga: kwaimbove 120 isati yasvika, yave 170 zvakanyanya.
Mubvunzo kune general practitioner Maarten: Generic mishonga yekurwisa chirwere cheshuga
Ndiri murume achangopfuura makore 80 uye ndine utano hwakanaka. Kazhinji gara muIsaan/Thailand kwehafu yegore uye muCzech Republic (nyika yekugara) kwehafu yegore.
Vanopfuura 14.000 vanhu vakabata dengue fever muThailand gore rino, nevanhu gumi nevaviri vafa nechirwere ichi, akadaro Suwannachai Wattanayingcharoenchai, mukuru wekudzivirira zvirwere.
Mubvunzo kunaChiremba Maarten: Manyoka apo neapo
Dzimwe nguva ndinorwara nemanyoka, asi izvi zvinoitikawo kuBelgium. Ini ndozotora 1 kana 2 x imwe Carbobel, inogadziriswa. Ndanga ndiri muThailand kwemwedzi misere ikozvino, zvakare nekuda kwehutachiona uhu. Musikana wangu wekuThai anotarisisa kune chikafu chaanobika uye sei, asi hongu, dzimwe nguva zvinhu zvinoshata….
Mubvunzo kuna GP Maarten: Ndine chirwere cheshuga, ndingaongororwa ropa kuThailand here?
Ndine makore 65 uye ndine chirwere cheshuga 2. Ndinorema 83 kg uye ndakareba 1.78. Ini ndinotora Metformin 3 katatu pazuva, Flecainide acetate 1.000 mg kamwe chete, Simvastatin 50 mg kamwe chete, Gliclacide 1 mg kamwe chete, Hydrochlorothiazide 40 mg kamwe. Ndava nemushonga mutsva unonzi Sitagliptin, asi ndinofanira kuongororwa ropa mumwedzi mitanhatu.
Vanowedzera vanhu vakuru vechiDutch (41,5% muna 2019, 37,5% muna 2014) vanotevedzera kuraira kweHealth Council: usanwe doro kana kunwa isingapfuure 1 girazi redoro pazuva. Kunyanguvezvo, 6 muvane 10 vanhu vechiDutch vachiri kunwa avhareji yeinopfuura girasi rimwe redoro pazuva.
Mubvunzo kuna GP Maarten: Kurwadziwa mugumbo rangu rekurudyi mushure mekudonha nechikopokopo
Sezvo mavhiki e2 ndine marwadzo akawanda mugumbo rangu rorudyi (hip yaivawo yakarurama). Marwadzo iwayo anopinda negumbo rose kubva kumusoro kusvika pachitsiko. Gumbo rezasi rinonzwa chiveve zvishoma pamusoro petibia uye dzimwe nguva ibvi rinonzwawo kuoma. Dzimwe nguva zvinoita sekunge ndicha “bondera gumbo rangu” uye ndinotya kudonha.
Nhasi, vanopfuura 1600 vanachiremba vechiDutch, masayendisiti uye vamwe vashandi vehutano vari kudaidzira vezvematongerwo enyika, veruzhinji uye indasitiri kuti vamire kurwisa hutachiona hwekorona: Ita shuwa mararamiro ane hutano. Kuve wakasimba kunoderedza mukana wezviratidzo zvakakomba uye kunowedzera mukana wekupora nekukurumidza.
Ndinoziva kana wakura (Ndine makore 78) unofanira kuita weti kakawanda kupfuura nguva dzose usiku. Masikati ndinonwa mvura yakawanda, ndinomira kunwa coffee kuma 12 o'clock uye handinwi doro. Kuma 5 am ndinomira kunwa mvura. Husiku ndinofanira kuenda kuchimbuzi kanenge ka4/5, asi handinyori zvakanyanya!
Mubvunzo kuna general practitioner Maarten: Chichemo system muThailand kune zvichemo zvekurapa?
Unogona kundizivisa nezve system yekunyunyuta muThailand yekunyunyuta kwekurapa? Pane imwe mhando yedare redzimhosva rekuranga? Ndakabatwa zvisina kunaka nachiremba wemapfupa akanga asina ruzivo rwakakwana rwokundirapa. Chipatara icho zvino chiri kubata chichemo icho chimene hachina kunyange kugadzirira kuva nekurukurirano kana kuti kurukurirano. Iyo nyaya yakanyanya kutsanangurwa uye ndinofunga yakakosha nekuti inogona kuitika kune chero kure.
Ndakashamisika kuwana netsaona kuti pane chakashata nemushonga Glucophage XR 1000 mg. Ndanga ndichitora mushonga uyu sechirwere cheshuga kwemakore matatu, asi shuga yangu yemuropa haisi kudzika, zvakanyanya kutsamwisa chiremba wangu paBangkok Hospital muPattaya. Zvinokatyamadza pese pandinosvika kubhuku remari kuti nditenge mushonga uyu pamwe chete nevamwe uye ndibhadhare bvunzo...... 14.000 baht.
Ndinowanzova nedzungu uye kunyanya pandinotarisa kumusoro nemaziso angu, ndinonzwa musoro uye izvi zvinogona kuuya chero nguva yezuva kwemazuva mashomanana uye munguva pfupi nguva dzose kwemaawa mashomanana uye usiku zvinogona kuva njodzi. Ndichangorara ndomira kusvika zvapera.
Mubvunzo kuna GP Maarten: High blood pressure nemishonga
Ndichiri neBP (avhareji 150/80) Sezvo Triplaxam iine zvinhu zvitatu, hazvingave nani here kuedza mumwe mushonga une chinhu chimwe chinowanikwa kuThailand?
Mubvunzo kuna GP Maarten: Mubvunzo pamusoro pezvabuda pakuongororwa ropa ne tumor marker CEA
Nguva pfupi isati yatanga kubuda kwekoronavirus, ndakavhenekwa ropa rangu mu "hofisi yekuongorora ropa" yemunharaunda iyo inongotora ropa rozoitumira kurabhoritari muBangkok, mushure mezvo unogona kutora mhinduro mushure memazuva maviri. Murume ari kutaurwa akanga asingatauri Chirungu, izvo zvinobatsira kwandiri, uye saka ndinoda kuziva kubva kwamuri kana nhamba yemigumisiro ye2 H CEA chimwe chinhu chinofanira kukurumidza kufunga nezvazvo?
Chinyorwa chichangoburwa muReuters (www.reuters.com/) chinotsanangura kuti hutachiona hwecorona hunosungirira kune enzyme ACE2 inomutswa nemishonga yeantihypertensive. Ndine chirwere cheshuga (makore 71, HbA1c 5.9, BMI 23.7, BP 116/64, eGFR 99) uye pazano rachiremba wangu ndinotorawo Losartan 25mg / zuva. Ndisati ndatanga Losartan BP yangu yaive yakatenderedza 125/80.
Mubvunzo waGP Maarten: Kuruma zvigunwe usiku
Pandinorara, zvigunwe zvangu zvetsoka zviri pamusoro. Izvi zvinogumbura uye zvinoreva kuti ndinongobatwa nehope mushure memaawa. Pillow pasi petsoka yemubhedha haibatsiri. Iko kurira kunoderera kunonoka; Hazvindinetsi husiku. Kukwiza nekrimu dzimwe nguva kunobatsira; kurwadziwa dzimwe nguva kunoitikawo mushure mekugeza, kana tsoka dzangu dzichiri kunyorova.