Mubvunzo kuna chiremba mukuru Maarten: Pneumonia yakaoma
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.
Wadiwa Martin,
Ndine makore 72 uye ndine mabayo. Ndiri kurapwa nachiremba wepulmonologist anonyora mishonga inorwisa mabhakitiriya (amoxicillin/clavulanic 1000 mg kaviri pazuva) Kushanya kwese kunotorwa x-ray (yatova ne2 kushanya) uye mufananidzo unoonekwa paionekwa nzvimbo hombe jena (kuzvimba) kekutanga, uye zvino mushure mekosi yechina tsvina yave nepakati ndinonzwa zviri nani asi ndinonzwa kuti pachine mamwe pamapapu angu ekuruboshwe ndinobvunza kuti hazvingave nani here kuedza imwe antibiotic Nekuti nhasi ndawana imwe kosi ye4 mavhiki.
Nhoroondo yangu yakadai. Ndakarega kusvuta ndiine makore 28. Avhareji yefodya 20-10 pazuva kwemakore 20. Wakagadzira allergy kune guruva nemvere dzemhuka, uye nyoro asthma. Pneumonia gore rega rega kwemakore matatu, asi haina kumbobvira yaenda ndinofunga. Mufananidzo wemakore mana apfuura uchiri kutaridzika zvakanaka, asi mufananidzo wegore rapfuura uye zvino unoratidza hombe chena mucus nzvimbo, iyo yakave nehafu nemishonga inorwisa mabhakitiriya. Ndave nemavhiki mashanu ndichitora mishonga inorwisa mabhakitiriya asi ndinonzwa kuti kuzvimba kuchiripo. Somugumisiro, chiremba wepulmonologist anopa imwe nzira yemavhiki maviri. Ikozvino ndanga ndiri pa3 weeks kosi. Zvinoita sezvirefu kwandiri, uye nei pasina mamwe maantibioti?
Hurukuro dzacho dzakaoma nokuti anofunga kuti ndiye ane simba uye anotaura Chirungu chakaoma, uye ndakatokumbira mapikicha kakawanda. Ndinoshandisa discus inhaler 2x. Handina kupengereka kana kutadza kufema, asi ndinokosora mhata yeyero mangwanani, uye masikati ndinokwenya mamwe machena. Ndinobuda dikita kazhinji. Mubvunzo wangu ndewekuti ndonwa mimwe mishonga here, uye kunoongororwa ropa here?
Kwazisai,
W.
******
Wadiwa W,
Edzai neAzythromicin 500mg pazuva, kwemazuva matatu, kana mushure mekudya, asiwo ivai nemapapu scan (yakaderera dosage CT scan) yakagadzirwa. Kuongororwa ropa zvechokwadi kunoratidzika kunge kwakakodzera kwandiri. Usakanganwa mantoux test yeTB.
Mabayo gore rega rega harisi zvakajairika.
Kana zvinhu zvave nani, kumbira jekiseni repneumovax 23.
Vanachiremba vazhinji vanofarira kumira pamitsetse yavo pano. Somugumisiro, vanoita zvikanganiso zvakawanda. Kazhinji, murwere anoudza kuongororwa. Ndicho chikonzero nei zvakakosha kunyatsoteerera sachiremba.
Muchiitiko ichi, maonero echipiri haaiti seakaipa.
Pachokwadi,
Dr. Maarten