Nzizi pasi rose dzakasvibiswa nemishonga inorwisa mabhakitiriya: muAfrica neAsia zvakanyanya
Mazana enzizi munyika yose ane uwandu hunotyisa hwemishonga inorwisa mabhakitiriya, maererano nokunzvera kwakaitwa neYunivhesiti yeYork, England. Sampuli dzemvura yenzizi dzakatorwa munzvimbo 711 munyika 72. Mishonga inorwisa mabhakitiriya yakawanikwa mune mazhinji awo. Chiyero chinotenderwa chakapfuudzwa munzvimbo zana negumi neimwe, mune dzimwe nguva nezvikamu mazana matatu kubva muzana.
Bazi rezvehutano reThai rinoyambira nezve dengue fever, hosha yakaipa iyo inogona kutotungamirira kurufu. Bazi iri rinotarisira kuti vanhu zviuru zana vachabatwa nechirwere ichi gore rino.
'Be Well', Dutch GP paBanyan muHua Hin
'Iva Wakanaka', ndiro zita rehofisi yachiremba iyo ichavhurwa padivi peBanyan resort muHua Hin mukupera kwegore rino. Initiator Haiko Emanuel uye chipangamazano Gerard Smit vachataura nezvemikana uye zvirongwa pamusangano wepamwedzi weNVTHC paSailing Club Hua Hin neChishanu manheru 31 Chivabvu.
Muzukuru wemusikana wangu (ane makore 37) ave nechirwere cheMeniere kwenguva yakareba uye haana kuzivikanwa nekukurumidza. Nausea, kurutsa, dzungu, kuneta. Iye zvino aenda kuchipatara kakawanda uye anopiwa IV, asi mushure memazuva mashoma zvinoitika zvakare. Handizivi kuti infusion ine mushonga upi.
Mazano ehuropi hune hutano
Uropi hwako hwakakosha zvikuru. Kwete kungofunga, kudzidza nekurangarira. Unoita sei kuti uropi hwako hurambe huine hutano? Nyanzvi dzehuropi Erik Scherder naDick Swaab vanopa zano rinobatsira kune uropi huri mumamiriro epamusoro.
Ndiani asingaapfeke muThailand? Slippers, flip flops kana flip flops. Yakanaka uye inotonhorera uye iri nyore, asi haina kunyatso kunakira tsoka dzako nemajoini. Naizvozvo, usaapfeke kweanopfuura maawa maviri pazuva.
Unogona here kujekesa zvinotevera: Ndinoziva kuti unogona kuwana mhedzisiro kubva kumishonga inorwisa mabhakitiriya, senge kunyunyuta kwematumbo uye kusvotwa. Ndakamedza zvakanyanya, asi kurapwa kwekupedzisira kwatova nemwedzi 8 yapfuura. Izvi zvinogona kuitika here mushure mekushandiswa kwenguva refu? Sezvo ndakava nezvinetso zvakawanda zvisinganzwisisike mumutsara uye hazvina kunyatsojeka kuti chii chaizvo chandaive nacho, unobva wafunga zvakaipisisa.
Nhoroondo: Ndakanga ndine 2 hukama hwenguva pfupi - Ndira 2018 uye gare gare Gumiguru 2018 - ne2 vakadzi vakasiyana veThai uye mune zvese zviri zviviri chimwe chinhu chakakanganisika nekudzivirira kubata pamuviri panguva yekusangana (hapana anal). Chichemo: Muna Ndira 2018 ndakaona kubuda kwakachena kuchena kubva muurethra; chete mangwanani uye zvisingakoshi.
Ndinoda pfuti yekusimbisa diphtheria, tetanus uye polio? Ndinogona kuzviita muThailand?
Nekuda kwekurova kwemoyo kusingaite kubva 2009 kusvika Sep. 2015 acenocoumarol yakashandiswa. Akabudirira kurapwa kwekubvisa muna Mbudzi 2011. Mushure mokunge cerebral infarction yangu munaSeptember 2015, pane mazano ecardiologist uye neurologist, ndakashandura ku Xarelto 20 mg. Hapana migumisiro yemakore ekutanga e3. Kubva gore rakapera kuneta zvakanyanya uye dzungu, izvo zvinoita kuti kufamba kusava kugadzikana, kamwe kamwe kuwira pamusoro. Zvino Kubvumbi 2019 kamwe kamwe mazuva maviri eruvara rweruvara weti, ipapo 2 mazuva ekutsvuka uyezve ruvara zvishoma nezvishoma rwakajeka zvakare mushure memazuva mashoma.
Iva anonzwisisa nezuva muThailand
Kunopisa zvakanyanya muThailand. Zuva riri pakakwirira panguva iyi uye zvinorevawo mumvuri mudiki. Kunyangwe zuva riine zvakawanda zvakanaka zvivakwa, yambiro zvakare yakarongeka, kunyanya kana uri kuenda kuzororo kuThailand.
Umhutu hunogona kukurwarisa, tora matanho!
Kuchenjerera nekudzivirira kurwisa umhutu kwakakosha kana uchinge wafunga kuti ndezvipi zvirwere zvinotapurirana nevashori ava, zvakaita seMalaria, Dengue, Zika, Yellow Fever uye Chikungunya. Kunyanya munzvimbo dzinopisa, zvirwere izvi zvinosanganiswa nezvirwere zvakawanda uye kufa. Zano racho rinoshanda kune vafambi: tora matanho akakodzera ekudzivirira kubva kumhutu.
Bvunza mhinduro yako musi wa 07-01-2019, ikoko unoti shandisa calcium blocker Amlodipine pane Losartan 50 mg. Asi ndeipi yandinofanira kutora? Iwe une Amlodipine 5 uye 10 mg.
Ndakanga ndine kubuda kwakaipa kweHerpes Zoster anenge 4 mwedzi yapfuura. Zvose zvakatanga nekurwadziwa kudivi rangu rerudyi uye kunzwa kwemafudzi akaoma. Tsinga dzakaita sedzabatikana. Izvi zvichemo zvave zvichitsva kweanenge makore gumi nemashanu, handina kutomboziva kuti chaive chii uye ndakave nekushanya kwakawanda kwachiremba muNetherlands pamwe neThailand, kusvikira yabuda zvachose 15 mwedzi yapfuura uye yakakonzera kurwadziwa kwakanyanya uye ini ndakazopedzisira ndapinda muchipatara. kuchipatara kuBuriram ndauya nazvo.
Mubvunzo kuna general practitioner Maarten: Ndinofanira kunetseka here nezvemhedzisiro yekuongororwa chirwere cheshuga?
Ndanga ndichitevera mararamiro e ketogenic nekusimbisa kusungirirwa kwe1 1,5 makore. Minimum carbs, mapuroteni epakati uye kudya kwemafuta akawandisa (hapana chikafu chakagadzirwa) uye kungodya mumaawa 6-8 nguva yenguva. Ndisati ndave ne stress nebasa rangu, ndosaka ndakasiya 2 years ago kusanganisira nedoro. Handisati ndambosvuta. Akayera 100 kg uye aimbove neBP yakakwira zvakanyanya 180/110 uye aive munzira yekubatwa nechirwere cheshuga. Iye zvino ndava nemakore 61, 1.88 m, iye zvino anorema 75 kg, BP yava pasi pe120/60 uye kurova kwemwoyo wangu kuri pakati pe50 ne60 uye ndinofamba makiromita angangoita mashanu pazuva uye ndinoshambira kanenge 5 km pazuva.
Mubvunzo kuna GP Maarten: Rega kunwa aspirin zuva rega rega mushure memakore makumi manomwe?
Chiremba wangu wemwoyo akati: “unofanira kunwa aspirin 81 mg 2 mapiritsi zuva nezuva” izvo zvandakaita kusvika gore rapfuura. Ndakamira nekuti ndaifungidzira kuti kumhanya mamaira 7,5 zuva rega rega kwakakwana kuti ropa rangu riyerere
Mubvunzo kuna GP Maarten: Ndinonzwa kupera simba mushure memushonga kubva kuna chiremba wemapfupa
Ndiri pano zvakare, nokuti handina kugutsikana neni uye ndave kune nyanzvi yemapfupa, zvinyorwa zvakabatanidzwa. Akaita x-rays, ropa uye ongororo dzemoyo zvakare uye mhedzisiro yacho yaive 4000 baht yemapiritsi, ayo mushure memazuva gumi akaita kuti ndisanzwe kugadzikana. Kuita weti kwakaoma, mukanwa makaoma, kunzwa kuneta uye bonde rakanga risina maturo. Ini ndarega kuitora, handisi kunzwa kurwara asi kuneta, kupisa kunogona kukonzera izvi.