Mubvunzo kuna chiremba mukuru Maarten: Ndinotora mishonga yakawanda yeBP uye chirwere cheshuga, zvinodikanwa here?
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,
Zera rangu makore makumi manomwe; uremu hwangu ndeye 70 kg, kureba kwangu 115. Ndiri pamushonga nekuda kweshuga (chirwere cheshuga 190, 2) uye high blood pressure (170/135). Ndave ndichinwa mushonga wechirwere cheshuga kweanenge makore mashanu ikozvino, uye ndave ndichinwawo mushonga weBP kweanenge makore mashanu.
Pandakanga ndichiri kugara muNetherlands, ndaishandisawo mishonga inorwisa BP. Ndakarega kuita izvozvo pandakatamira kuThailand. Blood pressure iyi yakaonekwa kuti yakakwira zvakanyanya payakaongororwa (5 years ago) ndokubva ndapihwa mushonga wekupikisa zvakare. Ndinosvuta zvine mwero uye kunwa kwangu doro kuri pakati nepakati (mapoto mashoma edoro akasimba kamwe kana kaviri pasvondo.
Kushandisa mushonga:
- Amiloride hydrochloride 5 mg 1 pazuva
- Amlodipine 5mg 1 pazuva
- prenolol (alenobol) 50mg 1 pazuva
- losartan 50 mg 1 pazuva.
Mishonga iyi yese yakanyorerwa kukwira kweropa rangu.
Gemfibrozil 300 mg 1 pazuva, Glycedal (Glipizide) 5 mg 1 pazuva, metformin hydrochloride 500 mg 2 x 2 pazuva. Aya ekupedzisira matatu anonyorerwa nekuda kwechirwere cheshuga.
Hameno kuti zvichemo zvandabva kutsanangura zvinoda mishonga yese iyoyo here. Chiremba wangu muno muThailand akati paakabvunzwa kuti mishonga yese iyoyo inodiwa. Mubvunzo wangu, madhiragi anotaurwa aya anodiwa pazvirwere zvataurwa here kana kuti ndingasiya mashoma pasina njodzi?
Ndinokutendai mberi nemhinduro yenyu.
Kwazisai,
Paul
*****
Wadiwa P,
Zvinonyatsozivikanwa kuti handisi mutsigiri mukuru wemishonga yakawandisa. Sezvo ini ndisina mhedzisiro yelab, zvakatinetsa kupa zano pane izvozvo.
Semuenzaniso, unogona kuwedzera metformin kusvika pa3 x 1000 mg pazuva. Zvimwe unogona kusiya glipizide ipapo. Dambudziko remanyoka rinobva rawedzera.
Iyo Gemfibrozil ndiyo imwe nzira yakakwana yekudzikisa triglycerides uye cholesterol. Kazhinji hazvidiwi uye zvirokwazvo kwete pamusoro pe70.
Mushonga uri nani wecholesterol nezvimwe ndewekuwedzera doro rine mwero uye kurega kuputa. Kurasikirwa uremu kuchashandawo zvakanaka. Zvese izvi zvakanakirawo BP yako.
Nezvekumanikidzwa kweropa, pamwe amlodipine inogona kusiiwa. Zvadaro tora losartan manheru, uye atenolol uye hydrochloride mangwanani. Zviedze.
Pachokwadi,
Dr. Maarten