Maarten Vasbinder aimbogara kuIsaan, asi iye zvino ava kuSpain. 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,
Ndaenda kuchipatara kaviri izvozvi, dhipatimendi reEndocrinology, nekuda kwekudikitira kwangu kwakanyanya kwatakamboonana nezvayo. Chiremba vaida kuona kuti zvine chekuita here nemahormones uye vakandiedza mahormone mana akasiyana uye ndichiri mukati memahombekombe kwese.
Nguva yekupedzisira paakachinja mushonga weBP yangu neExforge HCT [10 / 160 / 12.5 mg] Yaive Metoprolol uye Enaril zvisati zvaitika. Kubva pazuva rechipiri ndaneta, ndaneta uye pandinosimuka kubva pachigaro ndinobatwa nedzungu [pasi pemasekonzi gumi] Blood pressure 2/10 pulse 165. Mazuva maviri gare gare BP 95/75 pulse 142. Yakatenderera kweawa zuva rimwe chetero, ndizvo zvandinoita ndinowanzoita, asi pedyo nekumba ndakava nemusoro uye ndaisanzwa zvakanaka. Akafamba mazana mashoma emamita, pakarepo akayera BP kumba, 88/88 kupomba 84 Uye maminetsi gumi gare gare 66/118 kupomba 110.
Handina kumbobvira ndaita dambudziko rekuita weti kana kuwanda kwayo. Iyo Exforge HCT pamwe ine chigadzirwa cheweti nekuti ndinofanira kuenda kuchimbuzi maawa maviri ega ega pakati pehusiku. Kubva ipapo ndakava nekunzwa kusvotwa mumuromo wemboro, nechepazasi pekavhurika, kunzwa kuri pakati pekukweva zvinyoro-nyoro uye kunzwisa tsitsi, izvo zvinowedzera kuwedzera zvishoma panguva yekubata uye nekuzoita weti.
Kuwedzerwa kweropa kwangu kwave kwakakwana kwemazuva gumi apfuura, avhareji ye130/80, asi kuputika kwepamusoro pe90, kwaigara kuri mumakore 60. Ndinofanira kudzokera kuchipatara mumazuva gumi ... zvose mune zvose, Handisi kunzwa kusununguka...
Maonero ako pane izvi anoyemurwa zvakanyanya.
Kwaziwai,
J.
Wadiwa J,
BP yako ikozvino yakaderera. Amlodipine, kana Valsartan chete inoita seyakakwana kwandiri.
HCT ndeyechokwadi diuretic. Chinhu chaunofanira kumedza mangwanani. Mamwe maviri manheru.
Nekuti wakamira metoprolol kamwe kamwe, kupuruzira kwako kwakakwira zvakanyanya. Unofanira kuderedza izvozvo zvishoma nezvishoma. Tanga zvakare ne metoprolol uye usiye Valsartan.
Edza kuderedza uremu uye ita coagulation bvunzo inosanganisira D-Dimer uye fibrinogen.
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).