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.
Cherechedzo: Sarudzo yekupindura inovharwa nekusarudzika kudzivirira kuvhiringika nemazano asina kutsigirwa nemishonga nevaverengi vane vavariro yakanaka.
Wadiwa Martin,
Muzukuru wemusikana wangu (ane makore 37) ave nechirwere cheMeniere kwenguva yakareba uye haana kuzivikanwa nekukurumidza. Nausea, kurutsa, dzungu, kuneta. Iye zvino aenda kuchipatara kakawanda uye anopiwa IV, asi mushure memazuva mashoma zvinoitika zvakare. Handizivi kuti infusion ine mushonga upi.
Handirare zvakanaka, ndinofunga, nekuda kwekubatanidzwa kwekudzidza kuti ndive mukuru wechikoro uye basa idzva. Zvakandinetsa kuti mushonga wechisikigo wakaita sevalerian ungabatsira sei pakuzorodza uye kurara zviri nani. Uye pasi pezita ripi rinowanikwa muThailand. Google yanga isiri kubatsira panguva ino.
Kutenda mberi.
K.
*******
Zvinotsanangurwa,
Valerian inowanikwa pano pasi pezita rokuti Valian X. Zvichida kuBhutsu nezvimwewo uye zvechokwadi kuLazada. Usatarisira zvakawanda kubva pazviri.
Meniere's chirwere chemukati yenzeve uye chinoratidzwa netinnitus uye kusagadzikana kwekuenzanisa. Iko chaizvoizvo hakuna kurapa kunoshanda. Meclizine (Meclozine) kurwisa kurwara kwegungwa kana Valium inogona kubatsira, asi kurapwa hakusati kwaita.
Dzimwe nguva kuongororwa kwakashata kunoitwa uye chimwe chinhu chiri kuitika. Saka, kushanya kune chiremba wetsinga kunobatsira.
Benign Paroxysmal Position Vertigo (BPPV) ndeimwe yemamiriro ezvinhu anowanzo kukanganiswa neMeniere's. Ichi chimiro chedzungu chinogona kurapwa zvakanyanya ne physiotherapist anoziva nzira yekufamba kweEpley.
Iwe unogona kuzviita iwe pachako, ona:
https://youtu.be/jBzID5nVQjk
Iyo Dix-Hallpike bvunzo inoshandiswa kuongororwa. Kana bvunzo isiri iyo, izvi hazvireve kuti hapana BPPV. Kana kunyange iyo Epley yakaitwa zvakanaka isingashande, chimwe chinhu chiri kuitika.
Dzimwe nguva kufambisa kunofanirwa kudzokororwa kwemazuva akati wandei.
Zvinobatsira kuchengeta mudziyo wekurutsa uri pedyo. Ndaigara ndichipa primperant tablet (metoclopramide 10 mg) hafu yeawa pamberi pekunzwa kudzivirira kurutsa.
Kurapa uku kwave kuchizivikanwa kwemakore anoda kusvika makumi matatu. Vanachiremba vetsinga vakaziva kuti anopfuura kana mashoma kwemakore gumi, asi vamwe havasati. MuSpain ndini ndakatanga kuishandisa, izvo zvakakonzera kutsamwa kwevandaishanda navo.
Kusvika panguva iyoyo, maIV asingashande aishandiswa uye varwere dzimwe nguva vaigamuchirwa kwemavhiki vasati vaendeswa kumba nemishonga inorwisa psychotic.
Pamusoro peiyo Epley maneuver, kune zvakare Semont, Foster uye Brandt-Narog maneuver / kurovedza muviri.
Ndapota cherechedza kuti kurapwa uku hakubatsiri neMeniere chaiye.
Pano unogona kuverenga zvakawanda nezve Menière: www.mayoclinic.org/diseases-conditions/menieres-disease/diagnosis-treatment/drc-20374916
Pachokwadi,
Dr. Maarten