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
Mapikicha uye zvakanamirwa zvinogona kutumirwa kune [email inodzivirirwa] zvese zvinogona kuitwa zvisingazivikanwe, zvakavanzika zvako zvinovimbiswa.
Wadiwa Martin,
Ndichazvizivisa. Zita rangu ndinonzi B. Ndave nemakore akawanda ndichigara muThailand. Ndinotevera post yako nguva dzese. Ikozvino ndine mimwe mibvunzo nezve dudziro yeropa rangu razvino rekuongororwa ropa.
Kutanga nhoroondo yangu. MuNetherlands ndakanga ndatova neBP. Mune dambudziko reganda (psoriasis). Ndaiva neutano hwakanaka, asi ndaigara ndakafuta. Ndine chizvarwa cheBurgundian uye ndagara ndiine hutano hwekudya.
Kubva zvandanga ndiri kuThailand, ndakarapwa navanachiremba vakasiyana-siyana muchipatara, izvo zvinotaurwa pane zvakabuda pakuongororwa ropa. Makore ave kundiverengera.
Iye zvino ndava nemakore anopfuura 69, ndakareba mamita 1,80, uye ndakafuta (+110 kg).
Handinwi doro, handipute. Ini handiite maekisesaizi uye handirovedze muviri zvakanyanya, mumakore gumi nemashanu apfuura ndakarapwa kwakasiyana-siyana:
- zvemoyo wangu: high blood pressure uye maviri emwoyo catheterizations. Ini zvino ndine 6 stents kusanganisira imwe yeanopfuura 3 cm.
- nokuda kwenyongo yangu: Ndakabviswa nduru nokuvhiyiwa kwenhatu.
- prostate yangu: prostate yangu yakakura yakarapwa nekukweshwa.
- nokuda kwe "bowen disease" panhengo yangu: kutanga nelaser (CO2) gare gare kuchekwa uye kuiswa kweganda.
- yeganda rangu nekuda kwe psoriasis.
Munguva pfupi yapfuura ndakaita kurova kusingafadzi pakongiri. Ndakatyora bhatani nechekumusoro kweruoko rwangu rwekuruboshwe. Irreparable. Kutsiva titanium. Uye ndiri mu rehabilitation. Kuvhiya uku kwakaitwa munaKurume 26/27, 2021.
Kubva ipapo ndanga ndaneta kudarika mazuva ese. Kupora kuburikidza ne physiotherapy kunonoka. Ndakaratidza kuneta kwangu kuna chiremba wemwoyo wangu. Akaongororwa ropa zvakanyanya.
Ndiri kutumira mhinduro idzi. BP yangu yakanyorwa nachiremba wemwoyo ndeye 125/75. Mapapu angu akachena. Vese vari paXray ndokuteerera.
Ndinotora mishonga inotevera:
- cardil 120 mg (1 piritsi mangwanani uye manheru)
- imdex 60 mg (mangwanani hafu piritsi)
- concor 2.5 mg (piritsi 1 mangwanani)
- apolets 75 mg (1 piritsi mangwanani)
- simvastatin 20 mg (1 piritsi manheru)
- mushure mekuvhiyiwa kweprostate: uroka 0.5 mg (1 capsule vasati varara)
- mushure mekuvhiyiwa ruoko: norgesic 450/35 mg. (yakanyorwa katatu pazuva asi ini ndaigona kuderedza izvozvo ini, ini zvino ndinotora 3 kanomwe pazuva). ibuprofen 2 (yepamusoro 400 pazuva). Nekudzivirira kwemudumbu (ine chokuita neibuprofen) miracid 2 mg usati wadya mangwanani). Nokuti psoriasis siyana mafuta okuzora uye zvizoro kuti ndinongoshandisa kana psoriasis inopfuta
Mushure mekuongororwa ropa, chiremba wangu wemwoyo akaratidza kuti kushanda kweitsvo kwakanga kwakanganiswa. Uye izvo, maererano naye, zvakakonzerwa neIbuprofen. Iyo Pro GNP kukosha kwakawedzera zvakare. Asi zvichida zvaiva nechikonzero chimwe chete.
Humwe humwe hunhu (hwakawedzera kana kudzikira) hwakanga husina kusiyana nekuongororwa ropa kwekare. Yangu yakaipa cholesterol mazinga aive akawandisa saka zvakare akandiyambira kuti ndinyatsoteerera kune izvozvo zvakare. Asi hongu ndiri Burgundian. Iyo cardiologist yakaongorora hunhu zvakanyanya sezvinobvira zvichipesana nehunhu hwekuongororwa ropa kwapfuura. (Iwe unonzwisisa kuti ndinoenda kuna chiremba wemwoyo mwedzi mitanhatu yega yega kunoongororwa.
Pachine mhedzisiro yekuferefeta, iyo kukosha kwe testosterone.
Ndakabva ndarega kutora ibuprofen.
Mubvunzo wangu ndewekuti, ndingaite zvimwe here? Semunhu ari teetotaler ini ndinongonwa mvura uye yakawanda yekudya cola uye pepsi-cola. Handishandise zvimwe zvinwiwa zvinonwisa mvura. Ndinofarira kapu yekofi (ine shuga nemukaka).
Nekuti kudzoreredzwa kwemhasuru dziri pabendekete rangu rekuruboshwe / ruoko kuri kutora nguva yakareba kupfuura yaitarisirwa, ndinogona here kuita zvakawanda (kunze kwekuwedzera kudzidzira kumba)? Iko kukosha kwe testosterone kunokoshawo ikoko?
Sezvineiwo, chiremba wemapfupa akati ndinorwara neosteoporosis. Saka ndinofanira kungwarira uye kugara ndichichengeta izvi mupfungwa.
Ndichiri kuvandudza pane izvi? Kufanana nekunwa mukaka, kana kuti izvozvo hazvichabatsiri? Kana imwe mhando yekudya? Kana kuti pane gadziriro dzinobvira here dzinogona kuunza vandudziko?
Kwazisai,
B.
******
Wadiwa B,
Kutanga nezvakanyanya kukosha. Chinhu chaunotoziva. Kufutisa kwako kunoita kuti zviome kwazvo kugadzirisa mamiriro ako.
Basa rako reitsvo harina kunaka uye kana izvi zvichikonzerwa neibuprofen zvinoramba zvichionekwa. Zvinogona kungove nekuda kweImdex, asiwo nekuda kwechirwere cheshuga uye nhoroondo yako. Nekudaro, iyo ibuprofen inogona kuita kuti zviwedzere. Sarudzo yakanaka kuimisa.
Chii zvino?
Iwe unoda here Isosorbide (Imdex)? Kana zvisina kudaro, emergency nitro spray inogona kukwana. Chenjerera, bvisa zvishoma nezvishoma. Iwe uri kutotora diltiazem (Cardil). Ropa rako rinobva rasimuka, iyo iyo ACE inhibitor inogona kurongerwa, semuenzaniso.
Zvakanaka zvakare kana ukatanga kutora Vit D (1500 IU/zuva) uye Calcium. Izvi zvinobatsira chaizvo mune osteoporosis. Bisphosphonates inobatsirawo, asi ipapo ndaizotora gadziriro yemazuva ano nekudonha. Izvo zvinochengetedza itsvo dzako zvakanyanya. Izvi zvinogoneka neiyo GFR yazvino. Iyo Pro-BNP inoratidzawo kuti kudzvanywa kwemoyo wako kwakanyanya.
Ndinofungidzira kuti uri kuenda kune physiotherapist pafudzi rako. Anewo purogiramu yakanaka yokurovedza muviri kune vamwe vose. Kufamba kwakakosha.
Chii chaunotora kune yako psoriasis? Kana corticoids yakabatanidzwa, inogona kutsanangura osteoporosis. Zvimwe chetezvo nemafuta ekuzora.
Ini ndaizosiya testosterone kuti chii. Majekiseni anogona kuva nemhedzisiro isingafadzi yakati wandei.
Zvisinei, kuderedza uremu kunokosha. Ndinoziva kuti chikafu chakanaka chinogona kuva chikamu chemufaro muhupenyu. Ukuwo, kuwandisa kunobvisa chimwe chikamu.
Nenzira, usaite chero chinhu usina kutaura necardiologist yako.
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).