Hapana njodzi huru yekusungwa kwemoyo panguva yebonde
Maererano nevakawanda, rufu rwakanaka, asiwo pfungwa inotyisa: kutambura kusungwa kwemwoyo panguva yekuita. Chidzidzo cheAmerica ikozvino chinoratidza kuti mukana weizvi mudiki uye hauna basa. Kana vanhu vachitambura kusungwa kwemwoyo panguva yepabonde, izvi zvinongoitika muchikamu chimwe chete chezviitiko zvose.
Mubvunzo kuna GP Maarten: Muedzo mutsva wegomarara reprostate
Ndakaverenga mumwe mubvunzo / mhinduro kune / kubva kuna chiremba Maarten Vasbinder paThailandblog maererano nedambudziko reprostate. Ndinogara ndichisangana nemibvunzo pamusoro penyaya iyi pane ino blog kubva kune vamwe vekunyika uye zvingave zvakakosha kutaura nezve bvunzo nyowani, iyo yandakaverenga inotevera muDutch pepanhau mwedzi uno, pamwe nekuti PSA haiwanzo kuratidza cancer, asi dzimwe nguva. inoratidzawo kuwedzera kana kuzvimba.
Mubvunzo kune general practitioner Maarten: Yakawedzera prostate uye yakakwirira PSA kukosha
Ndine makore 73. Nezuro ndakawana mhinduro yangu yePSA yeropa, yaive 7.3.
Mwedzi 14 yapfuura mhedzisiro yekuongororwa ropa kumwe chete iyi yaive 4.2. Makore maviri apfuura ndakaita endoscopy yeprostate yangu uye hapana kenza yakawanikwa. Zvisinei, ndakanyorerwa mushonga weTamsulosin Retard 0.4 mg mazuva ese kuti zvive nyore kuita weti.
Mubvunzo kune general practitioner Maarten: Kudonha kwetsoka kwakatambura mushure mehernia
Ndakatambura kudonha tsoka (kudonha tsoka) mushure mehernia (mupepeti: Nekudonha tsoka kana kudonha tsoka, forefoot haigone kusimudzwa. Zvinowanzokonzeresa kusungwa kana kukuvadzwa kumusana wetsinga). Nekuda kweizvozvo ini zvino ndinoshandisa splint kuchengetedza forefoot kumusoro. Inoshanda, asi dzimwe nguva inokonzera kugumburwa.
Munyu chinhu chinorunga, kungofanana neshuga neasidhi. Zvakadaro, iwe unofanirwa kungwarira uye kuziva kuti yakawanda sei munyu wauri kushandisa. Kudya munyu wakawandisa hakuna kunaka. Iyo mineral sodium yainayo inokonzera kukwira kweropa uye njodzi huru yechirwere chemoyo.
Mushure mekuvhiyiwa kwekoloni, ndinoshandisa 2 sachets yeMacrogol uye electrolytes Sandoz, 13,8 G, poda yemuromo mhinduro zuva nezuva. Izvi zvinokonzerwa netsvina. Tave kuenda kuThailand zvakare kwemwedzi mitatu uye poda idzi dzinotora nzvimbo yakawanda mumasutukesi. Chero zano kana idzi poda dziri kutengeswawo muThailand (pharmacy?) Nemitengo.
Bvunza general practitioner Maarten: Migumisiro ye statin inopesana ne high cholesterol
Paakabvunzwa nezve GFR kutadza kweitsvo, Dr Maarten vanopindura nezve mashandiro eitsvo yavo kuti aya magiredhi anomiririra senge cholesterol. Iye zvino cholesterol yangu yakakwira zvakanyanya. Asi ndakamisa statin yacho nekuti ndaive neakawanda maside effects.
Mubvunzo kuna GP Maarten: Nezve itsvo dzangu
Ndakashamisika mushure mekuongororwa ropa uye weti. Zvinenge nhamba dzese dzeropa dzinosanganisira Wbc, Rbc, Chol uye shuga yekutsanya zviri mukati me "zvakajairika" kunze kweiyo creatinine yakakwira zvishoma, 1,24 mg/dl inofanira kunge iri pasi pe1,17. BUN iri pakati peyakajairika. Iyo Bun/Crea ratio ndeye 12,1. Kumanikidzwa kweropa 130/70 asi nemapiritsi, amlodipine uye enalapril. Iyo PSA ndeye 4,75.
Chii chaungaita iwe pachako pakurwisa BP?
Sezvatinokura, tinenge tichingogara tichiona kuwedzera kweBP. Semuenzaniso, madziro emudziyo anova akaoma sezvatinokura. High blood pressure inogona kukonzera matambudziko ehutano. Chii chaungaita kuti uderedze BP yako kana kuti kuichengeta iri mukati memiganhu?
Panyaya dzese itsva dzeHIV dzakaonekwa muEurope, munhu mumwe chete muvatanhatu ane makore anopfuura makumi mashanu. Kuwedzera kwakacherechedzwa munhamba yevanhu vanopfuura makore XNUMX vakaonekwa kuti vaiva neHIV, kunyanya muBelgium neGermany. Hapana kuwedzera kwakaonekwa muNetherlands.
PSA yangu yave iri pakati pe8 uye dzimwe nguva pamusoro pe10 kwemakore mashoma apfuura. Ndinofanira kunwa mapiritsi, Cazosin, kuti ndiite weti uye ndinofanira kuenda kuchimbuzi ka20 pazuva. Iye zvino ndinowana mazano kubva kuna chiremba kuti ndiende kuBKK, chipatara cheRAMA, kunoongororwa.
'Vitamin C inoponesa hupenyu'
Ongororo ichangobva kuitwa navanachiremba muUnited States inoratidza kuti upenyu hwevarwere vanorwara zvakanyanya vane sepsis (chepfu yeropa) hunogona kuponeswa nekupa vhitamini C yakawanda, pamwe chete nethiamine (vitamini B1) nehydrocortisone. Vatsvakurudzi paVUmc vanoonawo basa rinokosha revhitamini C mukurapa varwere vari mukuchengetedza kwakanyanya.
Kurara zvakakwana hakuvimbisi kurara kwakanaka: Vakadzi kunyanya vanorara zvakashata
VaDutch vanowanzorara kwenguva yakakwana, asi izvozvo hazvirevi kuti isu tiri kurara zvakanaka. Tsvakurudzo huru yemeta-yakatumirwa neHersenstichting inoratidza kuti boka guru revanhu vechiDutch, kunyanya vakadzi, vane matambudziko ekurara. Kusarara zvakanaka nguva dzose kunowedzera mukana wekusagadzikana kwepfungwa, kuora mwoyo uye dementia, uye kusagadzikana kwemuviri sekufutisa, chirwere chemoyo uye chirwere cheshuga cherudzi rwechipiri.
Mumwe muvana vanosvuta zvakanyanya anofa asati asvitsa makore 65. Hupenyu hunotarisirwa hwevanhu vanoputa zvakanyanya (midzanga inopfuura makumi maviri pazuva) paavhareji makore 13 ipfupi pane yeasingambosvuti. Izvi zvakabuda mukutsvagisa kutsva kwakaitwa neStatistics Netherlands neTrimbos Institute muhukama pakati pekuputa nekufa.
Tsoko muThailand, mafaro asina mhosva kana ane ngozi?
MuThailand neAsia yese unosangana nemacaque akawanda, mhando dzetsoko. Vanowanzo tandara kumatemberi uye vanonetsa chaizvo. Chisingazive vashanyi vakawanda ndechekuti zviri nani kuchengetera tsoko idzi dzinoita sedzakanaka kure nekuti dzinoparadzira zvirwere zvinouraya vanhu.
Mubvunzo kunaChiremba Maarten: BP yangu yakaderera, ndoita sei?
Ndava nemakore maviri ndichigara kuJomtien ndine makore 73 uye ndinonakidzwa pano. Handisati ndave nedambudziko kusvika parizvino asi BP yangu yaigara yakadzikira 100/80 asi yanga ichidzika kwemavhiki mashoma ikozvino. Svondo rapfuura 82/67 nhasi 77/65 uye ikozvino ndinoitawo dzungu nguva nenguva, pane chingaitwa pamusoro peizvi here kana pane mishonga yeizvi?
Iwewo une dumbu redoro here?
Gringo akawana dumbu redoro muThailand. Sei zvakadaro uye chii chaungaita nezvazvo? Uye zvakare verenga kuti nei mafuta emudumbu achiisa njodzi dzehutano.