Mubvunzo kuna chiremba mukuru Maarten: Ndinowana sei mishonga yakasimba yekunyaradza marwadzo muThailand?
Nekuda kwekunyunyuta kwakawanda uye kuderera kwehutano, ndine urombo kuti ndinofanira kutora painkiller iyo, sekuziva kwangu, haiwanikwe kwese kwese muThailand, iyo Oxycodone 10 mg inokurumidza kuita & 20 mg retard. Zvino mubvunzo wangu ndewekuti une ruzivo mukupa here kana kuti unoziva kupi mushonga uyu? Ndinogona kutora kwemazuva makumi mapfumbamwe (kazhinji mazuva makumi matatu) kuburikidza nemaitiro enguva dzose. Nekudaro, izvo hazvina kukwana nekuti ndichave ndichigara muBangkok kwemwedzi 90. Mungandibatsirewo here pandichaenda kuitira kuti ndisazoshaya mishonga yangu ine rombo rakanaka?
Mubvunzo wangu kwauri ikozvino hausi kuti ndiri kurwara sei, asi kuti ndinonzwa sei mutano. Rega ndizvizivise ini, ndine makore makumi manomwe nemasere, ndinorema 78 kg, kureba 110 cm, BP avhareji 200/135… pulse 85-45.
Mubvunzo kuna GP Maarten: Ndinoerekana ndava neCOPD?
Svondo rino ndakabvisa masokisi kuchipatara pamberi pemukova weSoi Bakauw, saka ndakabva ndaenda kuchipatara kunoongororwa makumbo angu. Kunze kwese kwese kwakangoerekana kwabuda kuti ndine COPD. Mwedzi mina yapfuura chiremba wangu chaiye akateerera mapapu angu uye zvinhu zvose zvakanga zvakanaka. Izvi zvinongoerekana zvabuda mubhuruu here? Kana kuti iyi imwe nyaya yekuongorora zvakanyanya?
Mubvunzo kuna general practitioner Maarten: Ini ndinoda mafuta ecannabis kumusana wangu wasakara
Ndakasakara musana, rheumatism, osteoarthritis uye kuputika nekurwadziwa. Ndinoshandisa mishonga yakawanda kuburikidza nachiremba wangu werheumatism, paracetamol, codeine, ect. Chiremba wangu haadi rezinesi remafuta ecannabis. Anoda kugara kunze kweizvi. OK, ndinoda izvi. Saka ndoita sei izvi zviri pamutemo?
Mubvunzo kunaChiremba Maarten: Hazvina njodzi here kuti ini (75) ndibaye nhomba zvakare ye yellow fever?
Ndichange ndichienda kuKenya muna Gumiguru 11 uye ndichada kuratidza humbowo hwekudzivirira yellow fever ye visa. Nehurombo, ndarasa kabhuku kangu yeyero kane zvitambi zvekudzivirira zvirwere. Ndakambobaiwa nhomba ye yellow fever. Nekuda kwekushaikwa kwebhuku reyero, ndinofanirwa kubaiwa zvakare muno muBangkok.
Mubvunzo kuna GP Maarten: Aspirin ichiri kuwanikwa muPattaya
Kukushamisika kwangu, handina kukwanisa kuwana aspirin (Bayer) kubva kumushonga wemishonga muPattaya. Akataura kuti aspirin yakapihwa muThailand kwemakore maviri. Iye zvino aspirin yagara iri yakanaka analgesic uye antipyretic kwandiri. Concrete: ichokwadi here ichi?
Mubvunzo kuna chiremba mukuru Maarten: Ndepapi pachava nechirwere chefuruwenza muThailand?
Ndaiwanzobaiwa nhomba yefuruwenza muna Gumiguru-Mbudzi. Zvirwere zvefuruwenza muBelgium neNetherlands zvinowanzoitika pakati paZvita naNdira. Mushonga unodzivirira kubva pamazuva gumi mushure mejekiseni, nehuwandu hwemasoja ekudzivirira mushure memavhiki mana kusvika matanhatu uyezve nehafu mumwedzi mitanhatu.
Mubvunzo kune general practitioner Maarten: Matambudziko emudumbu, diuretics uye pulmonary embolism.
Kurwadza kwangu kwemhuru kusingawanzoitiki usiku kwakawedzera kana kushoma muNetherlands neInhibin. Mufesi weThai akandipa quinine sechitsividzo, isingakurudzirwe painternet kune aya ma cramps. Ndinovimba iwe unoziva zita rekuti Inhibin rinopihwa muThailand.
Mubvunzo kunaChiremba Maarten: Mushonga wemakakamhuru emhuru
Kurwadza kwangu kwemhuru kusingawanzoitiki usiku kwakawedzera kana kushoma muNetherlands neInhibin. Mufesi weThai akandipa quinine sechitsividzo, isingakurudzirwe painternet kune aya ma cramps. Ndinovimba iwe unoziva zita rekuti Inhibin rinopihwa muThailand.
Mubvunzo kuna GP Maarten: Rudzi rwebundu pamutsipa wangu, ndoita sei?
Ini ndinonzi P. 68 years. Usashandise chero mishonga uye ndine hutano. Rovedza muviri zuva nezuva. Ini nguva pfupi yadarika ndine bump / pimple pamutsipa wangu (ona mufananidzo).
Bvunza GP Maarten: Dupuytren uye mushonga
Kupfuura mavhiki maviri apfuura iwe wakaongorora Dupuytren mandiri. Iwe wakanyora kuti Atenolol haisi sarudzo inofadza uye yakakurudzira Nebivolol. Ndinofunga kuti chiremba pano hapana chaaiziva nezvechirwere ichi uye akasimudzira kuramba kwangu kuAtenolol. Mubvunzo wangu kwauri: Ndinogona kuchinja kubva kuAtenolol kuenda kuNebivolol pasina zvipikiso uye muyero imwechete (2 mgr)?
Ndiri murume ane makore 66 mudiki, ndinoputa (20 pazuva) asi handinwi. Ndakashandisa piritsi yekurara (Zolpidem) kwemakore makumi maviri nemashanu uye ndakarega kuitora kwemwedzi ye25, iyo yakatora simba rakawanda, nemhando dzose dzezviratidzo zvekurega. Sekutaura kwandaita hapana problem for 2 months but now ndiri pazviri futi otherwise handirare.
Mubvunzo kune general practitioner Maarten: Migumisiro yemishonga yekukundikana kwemoyo
Ndiri murume, ane makore 57, 1m79, 89 kg, ndinoputa (3 - 4 cigarillos / zuva, handina doro. "Prehistory": high blood pressure + chirwere cheshuga. Muna February wegore rino ndakapinzwa muchipatara nechirwere chemoyo. ndakaita catheterization yemoyo uye yakaratidza kuti "chirikadzi" uye tsinga inopa moyo wangu neropa zvakavharwa ne80%.
Ndine mubvunzo nezve mushonga wangu wazvino weku cholesterol. Ndakave nepamusoro (yakazara) cholesterol kubva pandakanga ndiine makore 30-35 ekuzvarwa… kukosha ipapo kwave kutenderera 330, zvakare yakakwira triglycerides. Yakatanga ne statins, simvastatin makore makumi mana nemashanu, uye (yakazara) cholesterol yakaderera kusvika 45 kana zvakadaro. Tora 190 mg ye statins zuva nezuva.
Bvunza general practitioner Maarten: Ropa rekuongorora mhedzisiro ine yakakwira cholesterol kukosha
Ndichakutumira maresults ekuongororwa ropa kwe2. Chinondinetsa ndeye high cholesterol. Uye saka mubvunzo wangu ndewekuti? Ndoita sei?
Mubvunzo kune general practitioner Maarten: Kuderera kweropa nekuda kwemushonga unopesana nekuwedzera kweprostate
Zita rangu ndiA, ndine makore makumi matanhatu, 60 uye 173 kg. Ndanga ndichitora doxazosin kwemakore akati wandei yekuwedzera prostate, kwete cancer. Dambudziko rangu nderekuti ikozvino ndine low blood pressure, nguva dzose iri pasi pe70/70 uye ndinowanzonzwa dzungu uye musoro. Uye zvakare kusvotwa uye kurova kwemoyo. Izvi zvinouya panguva dzinopenga dzezuva uye mamwe mazuva zvakangonaka uye mamwe mazuva zvakaipa chaizvo.
Mubvunzo kuna GP Maarten: Kutambura nefungal misumari
Ini ndinorwara nenail fungus, chii chandingaite pamusoro peizvi?