Mubvunzo kunaChiremba Maarten: Kukanganwa kwangu kunokonzerwa nekushandisa mushonga (kunoenderera mberi) here?
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,
Ndinokumbira ruregerero nekunonoka kupindura, asi taiva pazororo pfupi muCha-am. Inofanira kunge iri shanduko chaiyo, nekuti kana ndikanzwisisa nemazvo, Aspent-m 81 mg uye Tamsulosin (weti yangu haina kusimba matinji 😌) yakakwana kushandisa. Kana kuti Doxazosin?
Ini handina kurwadziwa muchipfuva uye kupuruzira kwangu kuri pakati pe55 ne65, BP yangu iri 110-60. Nyangwe ndichishanda mugadheni.
Ndinoedza kutevera mazano enyu zvakanyanya sezvinobvira.
Chiremba akandirambidza kunyange kunwa doro (Ndakatora doro kamwe panguva, 2 x pavhiki) ndinofanira zvachose kuisiya here?
Nekutenda uye nekukwazisa,
Takamirira mhinduro yako.
W.
******
Anodiwa W.,
Kana doro rikawedzera mufaro wako muhupenyu, ini handirambi. Zvisinei, usawedzere.
Tamsulosin ichabatsira prostate yako zvakangofanana nedoxazosin.
Ropa rako uye pulse yako zviri padivi rakaderera. Kana kurova kwako kuchiwira pasi pemakumi mashanu kwenguva yakareba, pacemaker isarudzo.
Saka ikozvino chete tamsulosin uye aspent. Iyo nitro spray ingangoita ...
Kana iwe uchiri nedoxazosin yakawanda muzvitoro, unogona kutora hafu yacho.
Chengetedza BP uye pulse.
Ndakaperera,
Dr. Maarten
Mubvunzo wekutanga
Wadiwa Martin,
Mushure mekurwadziwa kwemoyo (6 months ago) ndakagamuchira mishonga inotevera yandichiri kushandisa. Ndave kutotangawo kukanganwa, izvi zvingave zvichikonzerwa nemushonga here?
Ndine makore 83 uye neimwe nzira hutano, uremu 67 kg, 1.75 m.
- Atorvastatin Sandos 40mg. 1x nenguva yekurara
- Vastarel 35mg. 2x zuva nezuva..mangwanani nemanheru
- Ticagretor 90 mg 2x zuva nezuva, mangwanani uye manheru
- Doxazosin 4 mg 1x zuva nezuva mangwanani
- Aspent-M (aspirin 81 mg) 1 x zuva nezuva mushure mekudya kwemangwanani
Mishonga minomwe pazuva hazvisi izvo zvishoma here?
Ndinokutendai nemutsa nemafungiro enyu.
Kwazisai,
W.
*****
Wadiwa W,
Vastarel inogona kunge iri chikonzero chekukanganwa kwako. Mushonga usisakurudzirwe.
Iyo Atorvastatin ine zvakawanda zvakashata pane zvakanakira kunyanya pazera rako.
Iwe uchapihwa maviri "anoderedza ropa", ayo anotakura njodzi dzakakomba pazera rako. Siya iyo ticagrelor. Aspirin chete ine ngozi zvakakwana.
Zvinowanzonetsa kugonesa vanachiremba kuti vachinje tsika dzakadzika midzi, kazhinji zvichibva pakutsvagisa kunowanzo kupihwa mari neindasitiri. Izvi zvinotonyanya kuoma pakubata nezvipo. Zvakaomawo kunyengetedza mubiki kuti ashandise humwe hupfu kunze kwekunge zvichimunakira.
Kupiwa mishonga yako, une angina pectoris yakagadzikana, zvinoreva kuti hauna kusagadzikana (kurwadziwa kwechipfuva) pakuzorora. Kana zvakadaro, saka nitrate inokodzera. Ndaigara ndichitora nitrate spray (Nitrolingual) neni kwese kwese. Mwaya pasi perurimi kuti urwadze muchipfuva.
Doxazosin an alpha blocker inowanzoshandiswa kumatambudziko eprostate, asi inoshandawo kune high blood pressure.
Zvichienderana neropa rako, iwe uchada kutora mishonga yakawanda kana shoma. Chero bedzi iyo BP iri pasi pe 150/90 uye kuzorora kwako kusingapfuuri 80 uye kusiri kuderera pane makumi matanhatu, hapana chekunetseka nezvazvo.
Sarudzo yakanaka yeBP yako ndeye vasodilator beta-blocker Carvedilol. Carvedilol zvakare inoderedza kuputika kwemoyo. A calcium blocker yakadai seAmlodipine yakakodzerawo.
Zano rangu:
- Aspen mushure mekudya kwemangwanani.
- Carvedilol kana Amlodipine manheru. (dosage zvichienderana neBP).
- Doxasozin mumatambudziko eprostate. Usambotora mangwanani. Zviri nani munyaya iyi ndeyeTamsulosin.
- Emergency nitrolingual spray.
Une mibvunzo here. Wobva watizivisa uye tumirawo pulse yako neBP. Unomborwadziwa muchipfuva here?
Pachokwadi,
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).