Mubvunzo kuna GP Maarten: Chirwere chinorwadza mutsoka pasina ronda

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 senge: Zera, kwaunogara, mushonga, chero mapikicha, uye nhoroondo yekurapa iri nyore. 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.

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Wadiwa Martin,

Ndine makore 70 uye tsoka yekuruboshwe yakazvimba. Ndanga ndiri kuzvipatara zviviri uye ndave kutora mishonga inorwisa mabhakitiriya kwemazuva makumi mana nemaviri. Ndakaedza marudzi matatu akasiyana uye hapana chakabatsira. Zvinorwadza zvikuru uye mhedziso chirwere mutsoka pasina ronda.

Ikozvino ini ndinotaura kuti kanenge ka3 pagore ndinowana mhando yemota pabeche rangu rekurudyi, saizi yemeti yedoro uye haimbovhurike uye inoenda gare gare. Marwadzo mamwe chetewo atova mutsoka yangu yekuruboshwe.

Ndingafara zvakare kana ndikakwanisa kudzoka mushangu yangu, asi zvinosuruvarisa kuti izvi hazvigoneke nekuda kwekurwadziwa kwakanyanya.

Unoziva mhinduro here?

Kwazisai,

E.

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Anodiwa E,

Vakatora mifananidzo yetsoka here? Echo? Uye kubva kurudyi butto? Une fivha here? Fever kana bhutu razvimba? Vakambofunga nezve gout here?

Handikwanise kutaura zvakawanda. Iwe wakapa ruzivo rushoma.

Ndeapi maantibioti, mamwe mishonga, chero nhoroondo.

Chinhu chekukoshesa.

Ndakaperera,

Martin Vasbinder

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Hello Doctor,

Ndinokutendai nekupindura nekukurumidza. Hapana mifananidzo yakatorwa. Hapana maungira. Iro boira pagaro rangu rekurudyi rave richindinetsa kwemakore angangoita gumi, 10 kusvika kane pagore. Haiuye neyero dot, asi kurwadziwa kwakanyanya. Zvichapera after 3 weeks. Handina fever. Mishonga: Moxicillin-clavulanic 4 gr. mushure mekudya kwemangwanani uye kudya kwemanheru, takava nemavhiki mana. Dalacin-C Capsule 3mg. 1 kanomwe pazuva kwevhiki kana maviri

GraCE-Evit 50 mg. 3 kanomwe pazuva kwemazuva gumi. Ndakaenda kuzvipatara zvakati wandei, PI chipatara uye Bangkok Pattaya hospital.

Kana chiri chidiki kune rimwe zuva, zvigunwe zvinounyana.

Handina mamwe mashoko.

Kwazisai,

E.

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Anodiwa E,

Vakaita zvavaigona nemishonga inorwisa mabhakitiriya. Kutanga kugadzirira kuri nyore, kunonziwo augnentine. Zvadaro pfuti mbiri dzekanoni dzeDalacin uye Sitafloxacin (GraCe-Evit 50). Panogona kunge paine bhakitiriya rinoramba riri kushungurudza hupenyu hwako.

Mudzidzisi anoshanda muzvirwere zvinotapukira anogona kukwanisa kuziva kuti chii uye kuti kwacho kuri kupi. Pamwe mugaro. Panogona kunge paine fistula.

Mufananidzo wetsoka unofanana neErysipelas (ronda rakasimuka) Wakanga usina ronda pakati pezvigunwe here?

Mukuita kwangu ndaiva neumbozha hwechiremba wemwoyo uyo, mumamiriro ezvinhu akadaro, akaongorora kwenguva pfupi mavharuvhu emwoyo kuburikidza ne echocardiogram, kuitira kuti asabatanidze zvinomera (bacterial colonies) pamavharuvhu.

Ndoita sei manje? Tanga ne ultrasound uye / kana MRI yezvinyoro zvinyoro (magaro), kuti uone kana pane kunobva ipapo.
Kana zvirizvo, baya kuti ubate utachiona uye hutsika, kuti uone kuti mushonga unorwisa mabhakitiriya ndeupi uchiri kushanda.
Vanogonawo kuwana fistula (munyaya iyi kubatana kune ura kana ganda).
Ndinoziva kuti haisi nyaya yakanaka, asi chimwe chinhu chinofanira kuitika usati wawana chepfu yeropa chaiyo. Mishonga inorwisa mabhakitiriya yakadzivirira izvozvo kusvika ikozvino.
Wakambove nehutachiona hwematumbo kana kuvhiyiwa munzvimbo iyoyo? Matambudziko emagaro anogonawo kukonzerwa nemajekiseni kare.

Nemamwe mashoko, kumwe kutsvakurudza kunodiwa. Usaregedzerwa nekanoni inorwisa mabhakitiriya.
Kana iwe ukava nekunyunyuta kwakakomba kwemukati, chirwere checlostridium dificile chinofanira kufungwa. Ndiwo mhedzisiro yemishonga yakawanda inorwisa mabhakitiriya. Inogona kuitika kusvika kupfuura mwedzi mitatu gare gare.
Courage!

Pachokwadi,

Martin Vasbinder

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Hello Doctor,

Ndakava negomarara remuura uye 3 heart attack. Zvichiri kudzora moyo negomarara. EKG uye scan yemwedzi mitanhatu yega yega. Ndakavhiyiwa ura katanhatu mugore rimwe chete. Ura hunogara huchibuda. Ndakaita colostomy kwegore uye ileostomy kwemazuva gumi nemana. Izvi zvingava nechokuita nazvo here?

Ndingatumire mhinduro yako kunaChiremba wangu wekuHolland?

Kwazisai,

E.

*****

Anodiwa E,

Ndizvo zvandinoreva nenhoroondo.  Zvechokwadi, nhoroondo yako inogona kuva nechokuita nayo. Izvozvo zvinotonyanya kuitika.
Kana zvakadaro, zviri nani kuonana nachiremba ane ruzivo rwakanyanya. A radiologist anofanira kukwanisa kuwana fistula inogona kuitika.
Iyo hypothesis yeabscess nekuda kwejekiseni inomirawo.

Kurwiswa kwemoyo kunogona kuratidza yakaipa vascular system. Pane mudziyo unobva pagumbo rako wakashandiswa pakunzvenga here? Kana zvakadaro, izvo zvinogona kutsanangura erysipelas patsoka. Kunyange zvazvo zviri nyore kubvumirwa, kushandisa gumbo mudziyo we bypass chimwe chezvikonzero zvinokonzera erysipelas. Mukova webhakitiriya wechipatara panguva yekuvhiyiwa ndiye ane mhosva yehutachiona.

Chero zvazvingava, ndinofunga kuti zvingava kuchenjera kuongorora midziyo yemakumbo. Iwe uchada zvakare kutanga kutora anticoagulants kana iwe usati watova pazviri.

Usamirira kwenguva refu nezvinhu izvi.
Ehe iwe unogona kuudza chiremba wako mukuru muNetherlands. Zvichida ave achifunga nezvazvo kwenguva yakareba.

Pachokwadi,

Martin Vasbinder