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,
Nezvangu:
- murume, 62 makore
- BMI 22,8
– kusvuta kwete
- kunwa bhodhoro 1 redoro pazuva
-Kurovedzera muviri: 3/vhiki 4,5km/nguva
Muna Chikunguru 2020, mushure mekufamba bhasikoro makiromita gumi, ndakadonha muchitoro changu chekofi, mupfungwa yekuti ndaisakwanisa kufunga kana kufamba nemazvo, makumbo angu aive elastic. Ndakafunga kuti shuga yangu yakanga yadzikira uye ndakadya nzungu dzakatapirirwa ndokunwa cola. Mushure memaminitsi makumi maviri ndakatyaira kumba zvakare ndichifamba zvishoma uye kuongororwa muchipatara chimwe chete chakazvimiririra kwakaburitsa hutano hwakachena maererano nemoyo wangu nemapapu.
Uropi hwakanga husiri chikamu chekutsvakurudza kwakaitwa panguva iyoyo muna July.
Nekuda kwe "meso anorema" uye musoro wakaita sebhande rakatenderedza musoro wangu, uye izvo zvairamba kupera mushure mekutora paracetamol, ndakaenda kuchipatara chakazvimiririra muChiang Rai munaNovember 2020 mushure memavhiki mana ekuona izvi. Ndainge ndaonawo kusaenzana dzimwe nguva.
Ndakaenda kuna ENT nyanzvi uye akaona kusaenzana kwangu sechikonzero chekundibvuma uye kuti ndiiswe kuburikidza neCT scanner yekuongororwa nzeve. Nekuda kwekuti cerebral fluid yakawedzera kuoneka pa scan (muchimiro cheshavishavi), chiremba weENT neurologist vakafunga kuti MRI inofanirawo kuitwa uye kusangana kwakaitwa 26/12/2020, mwedzi gare gare ipapo kurekodha.
Mugumisiro weMRI waiva wekuti huwandu hwehuropi hwemvura hwakanga huripo mune imwechete fomu uye uwandu sezvakaita CT scan mwedzi wapfuura uye kuti hapana bundu rakawanikwa. Maererano nenyanzvi, chikonzero che hydrocephalus izera rangu. Kurapa kunosanganisira kuisa mvura yemukati, iyo inongoiswa chete kana zvichemo zvichiwedzera, zvakadai sekunetseka kufamba (kukwenya), kurasikirwa nekuyeuka uye kusagadzikana.
Kubva paCT scan, ndine zvichemo zvishoma pamusoro pemeso anorema uye (bhendi) musoro nokuti ndinotora nyore. Kudzoka zvakare mumwedzi mitanhatu kuti uongorore. Ndakaenda kumba nemapiritsi 6 eUtraphen emusoro.
Mibvunzo yandinayo kwauri ndeiyi:
- Zvinokwanisika chete kuisa drain kana ndine zvichemo zvakanyanya? Handidi kuve negomba mumusoro mangu sedemented farang ... Pane here zvichida kugadziriswa kwechinguva nenzira yemishonga?
- Uyewo kuputika kwemusana hakuna kuitwa kuyera kumanikidzwa. Hazvina kujeka muhurukuro yandakaita nachiremba wetsinga. Ndiko kukasika here kuita panguva ino?
- BP yangu yakwira zvishoma. Kubva pane zvakapfuura kukosha (inenge isingachinji) 132/74 kusvika 148/96 panguva yekubvumidzwa kwake kumba muna Zvita 2020. Chii chingave chiri chikonzero cheizvi?
- Ini nomudzimai wangu tinoona kuti fuse yangu yava pfupi zvikuru, izvo zvinoratidzirwa mukudzvinyirirwa nezvinhu zviduku pakukurukura nezvazvo.
hazvina kukosha. Mishonga (ndeipi?) inogona kupa mhinduro?
Nekuda kwekuchinja kuri kucherechedzwa muhunhu hwangu, tiri kuenda kuna chiremba wetsinga zvakare svondo rinouya.
Ndinokutendai mberi nemhinduro yenyu.
Kwazisai,
H.
*****
Anodiwa h,
Iwe unogona kugara uchiisa dhiraivha, asi chero bedzi kudzvinyirira kusingave kwakanyanya, hazvidi nguva dzose. Mune mhaka yako, kumwe kuongorora kunoratidzika kudiwa uye naizvozvo chinhu chakanaka kuti uende kuna chiremba wetsinga zvakare.
Zvinowanzoita sekunge kune mvura yakawanda iripo nekuti uropi atrophy (inoderera) gare gare muhupenyu. Izvi zvinoshandura fluid / brain tissue ratio.
Kuchinja kwehunhu kunogona kuva nezvikonzero zvakawanda, kusanganisira hydrocephalus. Zvisinei, kutya remangwana kunogonawo kuchinja unhu. Dementia yepakutanga inofanira kubviswa. Chokwadi izvozvo zvingatotsamwisa zvikuru.
BP inowanzokwira muchipatara nekuda kwekunetsekana. Zviyero zvemba zvinopa mufananidzo uri nani, chero mudziyo wekuyera uchishanda nemazvo. Dzvinyiriro iri muuropi inogona kuyerwa zvisingaite uye isingapindiki ne Ultrasound. Iyo isiri-invasive nzira haina kunyatsojeka. Hechino chinyorwa nezve kuyera kuyerwa: www.umcutrecht.nl/nl/ziekenhuis/treatment/hersendruk-meten
Mishonga ichauya kune antipsychotics uye izvo hazviratidzike seyekutanga sarudzo. Utraphen musanganiswa we tramadol (akanyanya kupindwa muropa opiate) uye paracetamol. Hauite semushonga wakandinakira.
Hechino chimwe chinyorwa chinyorwa: www.aans.org/Patients/Neurosurgical-Conditions-and-Treatments/Adult-Onset-Hydrocephalus?formid=124
Zvinoita kwandiri kuti uri kutevera nzira kwayo. Muedzo wepfungwa pamwe uchaitwawo.
Rombo rakanaka uye ngativimbei zvakanaka.
Pachokwadi,
Dr. Maarten