Mubvunzo kune general practitioner Maarten: Kurwadza kwenzeve uye hutachiona hwenzeve
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,
Ndinorwadziwa nenzeve yangu yekurudyi neyokuruboshwe. Aya ndiwo (zvinosuruvarisa) matambudziko anodzoka anenge ese mazororo, asi iye zvino zvakanyanyisa. Kunyunyuta munzeve yangu yekurudyi kwave kuenderera kwenguva refu. Nokuda kweizvi ndakaendawo kuna GP muNL, uyo akandipa madonhwe enzeve ane acidic, mushure mokunge zvichemo zvakachengetwa zvishoma.
Zvino ndakasvika muPhuket neChishanu chapfuura uye nzeve yangu yekuruboshwe yanga ichindinetsa kubva ipapo. Ndanga ndichidonha neasidhi nzeve inodonha kubva Mugovera, asi zvanyanya kuipa (kudzvanya marwadzo, hapana chandinogona kunzwa), zvekuti ndakaenda kukiriniki yakazvimiririra neMuvhuro mangwanani.
Kuzvimba munzeve yangu yekuruboshwe kwaonekwa pano, uye ndakapihwa Dexylin nzeve madonhwe uye Bactoclav - 1000 mapiritsi. Ndinotora donhwe iri ndorimedza ndichiteerera, asi zvino yava Chitatu manheru uye zvichemo hazvina kuita zvishoma. Muchokwadi, nemusi weMuvhuro nzeve dzangu dzimwe nguva dzakavhurika, asi kubva Muvhuro manheru yanga ichiramba "yakavharwa".
Mukuwedzera, kubva nezuro pakuenzanisa ndinonzwa ruzha rukuru, sokunge uri kubvisa chibharumu, munzeve yangu yekurudyi nemhepo zvinoratidzika kutiza.
Ini zvino ndiri kutsvaga imwe inotevera. Ndovimba nemutongo wachiremba uyu ndomupa nguva yakati rebei kana kudzokera kwaari? Kana kuti ndoenda kuchipatara here kana kuti ndoita zvimwewo?
Nderipi zano rako?
Kwazisai,
B.
*****
Wadiwa B,
Izvo zvakakosha kune otitis externa (kuzvimba kwenzeve canal) iyo nzeve yakachena. Zvikasadaro madonhwe haaite chinhu. Ndinogara ndichimwaya nzeve dzangu. Vanachiremba veENT vanovasveta vakachena, asi izvo zvinonyanya kurwadza.
Iyo njodzi ndeye eardrum perforation mune ese ari maviri, kunyangwe izvi zvisingawanzo. Handisati ndamboona izvozvo mumakore makumi maviri nemashanu uye ndakaona mazana manomwe emakesi pagore.
Pane dzimwe nguva zvinobatsira kuisa hydrogen peroxide (H2O2) munzeve woirega ichishanda kwemaminetsi mashoma. Tsvina yakawanda inobuda.
Mishonga inorwisa mabhakitiriya inotora chikamu chidiki mumhando idzi dzehutachiona uye mabhakitiriya, kazhinji pseudomonas, anopikisa zvinodhaka zvakawanda. Ciprofloxacin kaviri pazuva piritsi ye2 mg pavhiki dzimwe nguva inobatsira. Zvisinei, mishonga inorwisa mabhakitiriya kazhinji haidiwi. Zvisinei, inofanira kushandiswa nokungwarira kune vakwegura.
An anti-inflammatory inobatsirawo, semuenzaniso Naproxen 3 x zuva nezuva 300 mg mushure mekudya.
Edza kwemamwe mazuva mashoma uye kana ikasaenda, shanyira chiremba weENT. Hapana kudhivha kana kushambira pasi pemvura panguva ino. Usashandise maearplugs futi.
Zviri nani here, isa donhwe revhiniga munzeve mbiri zuva rega rega musati uye mushure mekushambira. Nyangwe ukasatuhwina, nekuti zviri pachena nzeve dzako dzinonzwa. Izvozvo zvinogona kudzivirira matambudziko akawanda.
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).