Maarten Vasbinder anogara kuIsaan. Basa rake ndere general practitioner, basa raainyanya kudzidzira kuSpain. PaThailandblog anopindura mibvunzo kubva kuvaverengi vanogara muThailand.
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.
Wadiwa Martin,
Ndinorapwa ART kubva muna Chikunguru gore rino nemapiritsi matatu. Tenovavir, Dulutegravir uye Lamivir. Kubva munaSeptember viral load haisati yaonekwa uye CD3 count i4 uye CD917 i4%.
SGOT 17, SGPT15 uye Alk, phosphate 53 saka ese ari mukati meakajairwa maitiro.
BUN 27, creatinine 1,44 uye GFR 45,2.
Nezuro ndakaenda kuna chiremba kuchipatara.
mubvunzo wekutanga: chiremba akafunga nezve mukana wekuenda kuchirongwa chemapiritsi maviri nekudonhedza Dulutegravir. Hameno kuti akasiya sarudzo kwandiri. Pandakamuudza kuti ndaisaziva kuti ndosarudza chii, akaenderera mberi nekumurapa nemapiritsi matatu.
Une zvauri kutaura here pane izvi?
mubvunzo 2; Ukoshi hwangu hweBUN hwakakwirira zvishoma pane kare.Chiremba akafunga kuti creatinine yakakosha zvikuru uye zvakanga zvakanaka. Kuwedzera kweBUN kukosha kunokonzerwa, pakati pezvimwe zvinhu, kudya nyama tsvuku, akadaro. Ini handisi kuwana zvakawanda painternet zvekuita, kunze kwekunwa zvakanyanya, kuti ndidzose kukosha kweBUN mukati memaitiro akajairwa. Mungandipawo here mazano pamusoro pezvandingadye uye zvisingafaniri kudya, semuenzaniso? Ko kukosha kweBUN kwe27 kwakakomba sei nepo Creatinine neGFR zvichigamuchirwa zvakanyanya kupihwa zera rangu re81? Ini ndinofanira kuve neBUN kukosha yakatariswa nguva dzose, semuenzaniso mushure memwedzi we1?
Kushandiswa kweropa rekushandisa Diovan 80mg uye 12.5mg HCTZ pazuva.
Ndatenda nezano renyu.
Kwazisai,
J.
******
Wadiwa J,
Miedzo iri kuitika yekuona zvinoitika kana ukasiya chimwe chezviwanikwa. Pamwe chiremba arimo.
Kune vanhu vanewo Hepatitis B, zviri nani kusasiya chero chinhu.
Sarudzo yako yekuenderera mberi nezvose zvitatu inoita seyakanaka kwandiri.
Iko kukosha kweBUN kunodzika nekunwa kwakawanda. 27 pazera rako hachisi chinhu chekunetsekana nacho uye kuenda pakudya kwakakosha nekuti izvo zvinoratidzika kunge zvakawandisa kwandiri.
Kudya kwakaderera-protein kunogona kuderedza BUN. Miriwo yakawanda nenyama duku.
Kuedza mwedzi mitatu yega yega yakakwana.
Pachokwadi,
Dr. Maarten