Mubvunzo kuna GP Maarten: Kurwadziwa pasi petsoka yekuruboshwe
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.
Wadiwa Martin,
Uri kuzviita sei? Ndiri kuona muchiri mubishi kupa mazano anobatsira vamwe vekwavo vane zvirwere. Kungofanana nekuputika kwandaiva nako pamakumbo angu ezasi panguva iyoyo ... Ndakarega kushandisa mishonga yose 2 makore apfuura, asi ndakageza uye ndakaifukidza kakawanda.
Sezvo ini ndichigara padyo nemhenderekedzo yegungwa kuBan Phe (Rayong), ndanga ndichifamba makiromita mazhinji mumvura ine munyu uye ndapotsa ndabvisa mapundu. Nehurombo, nekuda kwekurwadziwa kukuru mutsoka yangu yekuruboshwe, handichakwanisi kufamba pamhenderekedzo yegungwa nemumvura.
Ona zvinyorwa zvakabatanidzwa uye mapikicha. Ndinonzwa marwadzo mumutsara wetsoka uye ndinoratidza nzvimbo dzine X mumufananidzo.
Ndinotarisira mhinduro yako.
Kwaziwai.
R.
ps Ndine mamwe mafoto kana uchida.
*****
Wadiwa R,
Ndafara kunzwa kubva kwauri zvakare. Chikuru kuti chipundu chinenge chapera.
Marwadzo ari pasi petsoka yako anonzi metatarsalgia uye anowanzoitika paunenge uchikura. Chikonzero chinowanzo kushaya simba kwekubatanidza tishu uye / kana shangu dzisina kururama. Kufuta hakuna zvakunobatsira.
Iko hakuna zvakawanda zvatingaite nezve iyo connective tissue. Dzimwe nguva shockwave kurapwa ne physiotherapist kunobatsira. Zvisinei, shangu dzakanaka kurapa kuri nani zvikuru. Akanaka podiatrist achakwanisa kubatsira, sezvinoita nyanzvi yekugadzira shangu. Birckenstock shangu dzinoita sedzinobatsira. Vanovimbisa kuti kudzvinyirirwa panzvimbo inorwadza kunoderedzwa. Uyezve, tambanudza rutsoka uye famba zvakanaka pasina kunetseka. Saka uri pachigaro chako chete. Kutonhodza dzimwe nguva kunogona kupa zororo rechinguvana. Iyo elastic sock zvakare dzimwe nguva inoita chimwe chinhu. Kwete kunyanya kuomesa.
Izvo zvandinocherechedzawo pamusoro petsoka dzako zvipikiri zvefungal uye ganda rakaoma kwazvo, iro rinoratidzikawo kuva nefungus. Kana zvipikiri izvozvo zvikasakunetsa, usaite chero chinhu. Kurapa kwacho kwakaoma. Mushonga wekuwedzera mune iyi kesi kubviswa kwembambo, chimwe chinhu chavasina kunyatsonaka pano.
MuSpain, vanachiremba vokuvhiya vakauya kuzoona kuti ndakanga ndiri sei. Anesthesia uye maturusi akakodzera anoshanda zvinoshamisa. Kubvisa kwakatora 1 kusvika 2 seconds. Pakudhonza molars unoshandisa nzira yakafanana.
Vana chiremba vazhinji vanocheka nzwara kuita mitsetse vozodziburitsa.Mushure memazuva mashoma unokwanisa kufamba usina bhandeji zvakare. Kukura kwembambo itsva dzimwe nguva kunotora kusvika gore. Mishonga inodiwa kuuraya fungus.
Ngozi yezvipikiri zvefungal uye fungus pakati pezvigunwe, kunyanya nechirwere cheshuga uye kusafamba zvakanaka, ndeyokuti inogadzira mukana webhakitiriya, izvo zvinogona kutungamirira kuzvirwere zvakakomba.Saka, chengetedza tsoka dzako dzakachena, kusanganisira pakati pezvigunwe. Kana dzakaoma, shandisa miconazole powder pakati pezvigunwe.
Heino imwe nyaya pamusoro pemarwadzo pasi pe forefoot. Semuenzaniso, unogonawo kutora Naproxen 300 mg (max. 3 / zuva) kurwisana nemarwadzo akaipisisa. Zvisinei, izvi zvine migumisiro, zvakadai sematambudziko emudumbu, izvo iwe unogonawo kutora mapiritsi. Saka iyo inzira yekuve yekurapa, chimwe chinhu chaunofanira kudzivirira kana zvichibvira.
Iwe unogona kuwana mazana ezvinyorwa paGoogle nezve metatarsalgia uye kurwadziwa pasi pe forefoot. Nekudaro, chenjerera kune quacks, senge acupuncturists
Ndakaperera,
Dr. Maarten