Mubvunzo kuna GP Maarten: Ndine adermatoglyphia uye zvigunwe zvangu zviri kunyangarika
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
- Chero zvabuda murabhoritari uye kumwe kuongororwa
- Zvinogoneka BP
Mapikicha uye zvakanamirwa zvinogona kutumirwa kune [email inodzivirirwa] zvese zvinogona kuitwa zvisingazivikanwe, zvakavanzika zvako zvinovimbiswa.
Wadiwa Martin,
Ndine chirwere chisina kujairika pakati penhengo. Ndakatsvaga ruzivo painternet pamusoro peizvi, asi kunze kwezita pane ruzivo rushoma nezvazvo. Zita racho ndiAdermatoglyphia. Chichemo ndechekuti mafinger prints angu anyangarika.
Nguva pfupi yadarika ndakawana pasipoti itsva, asi kudhindisa zvigunwe paembassy hakuna kubudirira. Ndaitarisira kudaro, saka ndakavaona pachine nguva, uye hazvina kunetsa. Kunyangarika kwemafinger prints ndeye zvese zvandakakwanisa kuwana pachirwere.
Maererano nedandemutande, honzeri yechirwere ichi inogona kunge iri mimwe mishonga - yandisati ndamboshandisa, kana nyaya yenhaka - asi sekuziva kwangu izvi hazvishande mumhuri.
Ndinogona kurarama nekutsakatika kwemafingerprints iwayo, asi pane zvimwe zviri kuitika. Kwete chete zvigunwe zvangu zvave zvakatsvedzerera, asi ganda riri kutanga kunzwa rakatsetseka kune dzimwe nzvimbo zvakare, kunyanya pamutumbi wangu nezvidya panguva ino. Kukura kwebvudzi ikoko kuri kunyangarikawo - rinova banda rakatsetseka.
Iye zvino handirasikirwi nehope pamusoro pebvudzi iroro, uye kana bvudzi rose rokumeso randinofanira kugera zuva nezuva rikanyangarika, ndingatozvifarira chaizvo. Ndaitozvivenga kana tsiye dzangu dzakanyangarikawo.
Zviri pachena kuti chimwe chinhu chinoshanduka pa anus zvakare. Uko kwandaimbokwanisa kufenda ndikatarisa vamwe ndichivapomera, kubvira masvondo mashoma pakaita kurira kwehwamanda pandinofenda.
Zvisinei, mubvunzo ndewekuti chii chingaitika kana ganda rangu rose rikaita seizvi? Ichiri kushanda nemazvo here? Uye kana iri nhau yokugara nhaka, ikoko kungatapura gadziriro yetsinga nameso nenzevewo here? Nekuti vese vanokura kubva kuectoderm.
Uyezve, mablister matsva eropa anoumbawo, asi ini handizive kana izvo zvine chekuita nemumwe, izvo zvinogona zvakare kuve zvine chekuita nezera.
Kushandisa mishonga:
- Omeprazole 20 mg 1 nguva
- Levothyroxine 100 mg 1 nguva
- Bestadine 10 mg 2 nguva
- Aspirin 81 mg 1 nguva
- Ndakamira kunwa fludrocortisone kunyangwe kupikisa kwachiremba - mushure mekunge ndaverenga pasuru yacho ndokuona kuti chaive chakakanganisika uye ndikanzwisisa kuti sei ndaitya kudaro uye ndichifamba nemaoko achidedera.
Betablocker yakamira chinyararire - kuti ndirege kuramba ndichinetsana nachiremba - nekuti pandakanga ndiri pamubhedha kurova kwemoyo wangu kwakakwira kusvika ku45 kurova paminiti, uye pamwe kwakadonha zvakanyanya pandakarara.
Ropa kukosha 15-09-2022
FT4 1,62
FT3 2,57
TSH 26,10
Pakavewo nenguva apo TSH yaive pedyo ne zero, ndinonzwisisa zvishoma zvekushanduka uku.
Potassium 3,8
Glucose (NAF) 113
Cholesterol 214
HDL cholesterol 65
LDL cholesterol 137
Ndakanga ndine potassium yakayerwa mushure mekunge ndawana mhasuru dzemudumbu nekuda kwekushomeka kwepotassium nekuda kwefludrocortisone.
Izvo zvinofanirwa kunge zvaive munaGunyana 2020, apo kukosha kwaive 3,3.
Ndinofunga kukosha kuchiri kudivi rakaderera. (3,5-5,5)
Makore 68
• Zvichemo – ona pamusoro
• Nhoroondo - hapana
• Kushandiswa kwemishonga, kusanganisira kuwedzera, nezvimwewo - ona pamusoro
• Kusvuta, doro – handipute kana kunwa doro
• Overweight - kwete - 72 kg kureba 1,83
• Zvingangove zvakabuda mulabhu uye dzimwe bvunzo - dzakawedzerwa
• Zvichida BP - inoshanduka, yakaderera mukutonhorera uye yakakwirira mukupisa.
Pachokwadi,
R.
******
Wadiwa R,
Ndakawedzera chinyorwa pamusoro pedambudziko iri.
Imwe nzira yechemotherapy (Capecitabine) inogonawo kukonzera izvi. Kuwedzera kuwira padermatitis uye maperembudzi (maperembudzi). Iyo yekupedzisira inowanikwa muThailand.
Panogona zvakare kuve nekubatana nemRNA/DNA vaccines. Unogona kutaura izvozvo zvakare nhasi.
Kana iri thyroid, TSH inogona zvechokwadi kuva pedyo ne zero dzimwe nguva, kana T4 yakakwirira. Iko kukosha kukuru iFT4. Ndicho chinhu chinoshanda. Potassium inogona zvechokwadi kuva yakakwira zvishoma. 4 mabhanana pazuva mushonga wakanaka.
Kana uri mushonga, beta blocker ine yakaderera pulse haina kunaka kudaro. Zvakare iyo Bestatin (atorvastatin) inoita seyakanyanya kwandiri. Isu takadzidza munguva pfupi yapfuura kuti cholesterol yakakwira inotungamirira kuhupenyu hurefu. Indasitiri yakaronga kuti chii chakanyanya kukwirira uye nhamba iyoyo iri kuramba ichidzikira, izvo zvinowedzera mari.
Mukana wekuti inhaka mudiki. Kune mhuri ina chete inoitika mairi. Havabvumidzwe kupinda muAmerica.
Asi, inoratidzika kuva mamiriro ezvinhu anofambira mberi, zvichida anokonzerwa nemabhakitiriya. Haisi chinhu chiri nyore kuwana chikonzero.
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6456356/
https://www.hindawi.com/journals/bmri/2012/626148/
Chero zvazvingava, ndaizobvunza dermatologist, "mukuru ari nani". Vakuru vedermatologists vakaona zvakawanda muhupenyu hwavo uye dermatology inonyanya kuenderana ne empiricism. Ndiyo imwe yenzvimbo dzokurapa dzakaoma zvikuru.
Ndinoda kunzwa zvinotevera pamwe nemimwe mifananidzo.
Ndakaperera,
Dr. Maarten
Iwe une mubvunzo kuna Maarten uye unogara muThailand here? Tumira izvi kumupepeti: www.thailandblog.nl/contact/ Zvakakosha kuti upe ruzivo rwechokwadi (ona runyoro pamusoro pepeji).