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,
Ndinoda mazano ako pamusoro pekushandiswa kweropa rakapfava Xarelto kana rivaroxaban.
Ndiri murume ane makore 81 ekuberekwa. Kurema 73 kilos, kureba 190 cm. Usasvuta uye usanwa doro. BP yangu i120/80. Zvakabuda pakuongororwa ropa rangu gore rakapera zvakanakisa. Ndinofarira kurima gadheni nekutuhwina. Ndanga ndichishandisa mamwe mavhitamini kwemakore makumi mana.
Nekuda kwekurova kwemoyo kusingaite kubva 2009 kusvika Sep. 2015 acenocoumarol yakashandiswa. Akabudirira kurapwa kwekubvisa muna Mbudzi 2011. Mushure mekurova kwangu munaGunyana 2015, pane zano rechiremba wepfungwa uye neurologist, ndakachinjira kuXarelto 20 mg.
Hapana mhedzisiro yemakore matatu ekutanga. Kubva gore rakapera kuneta zvakanyanya uye dzungu, izvo zvinoita kuti kufamba kusava kugadzikana, kamwe kamwe kuwira pamusoro. Zvino Kubvumbi 3 kamwe kamwe mazuva maviri eruvara rweruvara weti, ipapo 2019 mazuva ekutsvuka uyezve ruvara zvishoma nezvishoma rwakajeka zvakare mushure memazuva mashoma.
Panguva yekubuda ropa iwe pachako, usatore Xarelto kwezuva rimwe uye ikozvino tora gumi MG panzvimbo ye1 mg.
Ichi chichiri chipiro chakachengeteka kudzivirira chero magwamba? Pane mushonga uri nani unokonzera kushomeka kwemigumisiro?
Panguva ino ndave ndiri muNetherlands kwemwedzi mishomanana. Ndinofunga kuti zvingava kuchenjera kuita nguva yekusangana nachiremba wemwoyo uye weurologist nokuti ndinofanirawo kuita weti kakawanda nerukova rusina simba. Chandinotya ndechekuti vachatanga zvakare kunyora mishonga isingakodzeri (zvinoita sekuti vanowana komisheni pazviri).
Ndinogara ndichiverenga mazano ako akatendeka kune vamwe vaverengi uye zvinondifadza kuti unogara uchiyera zvakanakira nekuipira kwemushonga zvakanyatsonaka.
Pachokwadi,
J.
*******
Wadiwa J,
Mashoma data anowanikwa paXarelto pazera rako.
Unotsanangura kuti wakabuda ropa muitsvo kana dundira. Kuchenjera kwazvo kuderedza dose. Pamwe zvakare nyoro cerebral hemorrhage. MRI inogona kutaura.
Bvunza chiremba wemwoyo wako kana usingakwanise kushandura kuPradaxa (dabigatran) mumutengo wakaderera. Pradaxa inoita kunge yakachengeteka. www.ncbi.nlm.nih.gov/pubmed/30499605 Mukuwedzera, kune antidote kune Pradaxa.
Sezvineiwo, mubvunzo ndewekuti iwe unofanirwa here decoagulate.
Ndine urombo nemhinduro pfupi, asi tiri pakati pekufamba uye kutanga mangwana ndingangove ndisina internet kwemazuva mashoma.
Ndakaperera,
Dr. Maarten