Mubvunzo kune general practitioner Maarten: Zano maererano neAngina Pectoris yangu
Maarten Vasbinder anogara kuIsaan. Basa rake ndere general practitioner, basa raainyanya kudzidzira kuSpain. PaThailandblog anopindura mibvunzo kubva kuvaverengi vanogara muThailand uye anonyora nezvechokwadi chezvekurapa.
Iwe une mubvunzo kuna Maarten uye unogara muThailand here? Tumira izvi kumupepeti: www.thailandblog.nl/contact/ Zvakakosha kuti upe ruzivo rwakakwana se:
- Zera
- Zvichemo)
- Nhoroondo
- Kushandiswa kwemishonga, kusanganisira kuwedzera, nezvimwewo.
- Kusvuta, doro
- kufuta
- Optional: mhedzisiro yerabhoritari uye kumwe bvunzo
- Zvinogoneka BP
Unogona kutumira mafoto ku [email inodzivirirwa] zvese zvinogona kuitwa zvisingazivikanwe, zvakavanzika zvako zvinovimbiswa.
Cherechedzo: Sarudzo yekupindura inovharwa nekusarudzika kudzivirira kuvhiringika nemazano asina kutsigirwa nemishonga nevaverengi vane vavariro yakanaka.
Wadiwa Martin,
Ndanga ndichigara muHua Hin kubvira 2015. Ndiri kutsvaga mazano maererano neangina pectoris yangu, yandinoda kurapa nemishonga shoma sezvinobvira, pane imwe nzira / nzira yepanyama.
Chichemo: Angina Pectoris
Zera: 68
Kurema: 62 kg
Kuwedzera kweropa: 110/130 - 70/85
Muna 1992 nekuparadzanisa kushungurudzika, kutanga kunyunyuta kwekurwadziwa kwechipfuva. Muna 2013, mushure mekuregeredza furuwenza mwando pamwoyo, kurapwa muchipatara. Kurwadza kwechipfuva nekurema kwakanyanya, asi izvi zvinonyangarika mukati meminiti 1.
Mishonga inotevera:
- bisoprolol 2.5 MG
- Aperine 81mg
Zvekuwedzera:
- L-Arginine
- Multivitamin
Uyezve:
- Hapana munyu kana shuga
- Hapana nyama
- 2 magirazi ewaini tsvuku nekudya kwemanheru
- Svuta fodya 1 pazuva (manheru) ne 1 whiskey duku (4cl)
Mubvunzo wangu:
Ndinogonawo kutora Vitamin K 2? Uye izvo zvinobatsira here? Ko asperin 81 Mg inodiwa (ini ndoda kwete)?
Kwazisai,
C
******
Wadiwa C,
Angina Pectoris (AP) inokonzerwa nemhasuru yemwoyo inoda okisijeni yakawanda kupfuura iyo coronary arteries inogona kupa.
Kana izvi zvikaitika chete panguva yekurovedza muviri, saka unotaura nezve AP yakagadzikana. Kana izvi zvikaitikawo pakuzorora, unotaura nezve AP isina kugadzikana, inova mamiriro ane njodzi anogona kutungamira kuchirwere chemoyo.
Mukurwisa kwechokwadi, piritsi ye nitrate pasi perurimi, kana zviri nani nitrate spray, inobatsira. Iyo yekupedzisira inotora nguva yakareba. Kubatsira kwe beta blocker senge bisoprolol parizvino kune gakava. Ca-blockers, kune rumwe rutivi, inoita seinoshanda zviri nani kudzivirira. Mienzaniso: adalat (nifidipine) uye amlodipine.
Muna 2013 unogona kunge wakave nesitiroko zvinyoro. Paive paine catheterization ipapo?
Kana dziri dzechisikigo / dzimwe nzira, ndinofanira kukuodza mwoyo. Izvo hazvishande. Mishonga haiite chinhu pano uye kana ukadya zvine hutano hauzvide. Hapana munyu, shuga uye nyama (kunyanya nhengo yenyama ine yakawanda yevhitamini K, precursor yeK2) inobvumirwa, kunyange zvazvo munyu-isina hutano husina hutano kana, kunyanya maererano nemashoko ekupedzisira. Kare, hari yemunyu ndiyo yaive yekutanga kurambidzwa.
Vit K2 haisati yambotsvakurudzwa zvakanaka, kunze kwemugadziri, uyo anofanira kugara pairi. Tsvagiridzo iri kuitwa kune imwe nzvimbo uye pane zviratidzo, asi hapana humbowo hwakaoma, hwekuti inoita chimwe chinhu chinorwisa arteriosclerosis.
Chero zvazvingava, pane zvakakwana muzvokudya zvine utano. Kana uchiri kuda kushandisa zvekuwedzera, unogona kutenga natto (soya yakaviriswa).
Kubatsira kweAspirin kunewo kukakavara mazuva ano. Pakave nekuburitswa kwakakura pamusoro peizvi mumavhiki apfuura. Kutora Aspirin nevanhu vane hutano hwekudzivirira chirwere chemoyo hazviratidzike zvakanyanya kubatsira. Nekudaro, izvi hazvisati zvashanda kune vanhu vanotambura nechirwere chemoyo. Saka tora iyo kwenguva iripo, semuenzaniso mushure mekudya kwemangwanani.
Kana zvichikwanisika kusiya fodya uye kunwa rimwe girazi rewaini pane magirazi maviri, iwe unozobatsirwa zvakanyanya kupfuura kubva kumagaba akazara nekuwedzera.
Ndinokurudzirawo kuti utariswe nachiremba wemwoyo.
Pachokwadi,
Martin Vasbinder