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,
General information:
- Age 62 makore
Kurema 105 kg
Chichemo cheutano: Pamwe ndakatambura nemycoplasma hominis kwemwedzi gumi nemishanu.
Nhoroondo: Ndakave neukama hwenguva pfupi kaviri - Ndira 2 uye gare gare Gumiguru 2018 - nevakadzi vaviri vakasiyana veThai uye mune zvese zviri zviviri chimwe chinhu chakakanganisika nekudzivirira kubata pamuviri panguva yekusangana (kwete neshure).
Chichemo: Muna Ndira 2018 ndakaona kubuda kwakachena kuchena kubva muurethra; mangwanani chete uye zvisingaoneki. After 3 weeks takaenda kuchipatara (Ram chain) kunoongororwa. Apa ropa rakaongororwa HIV, Hepatitis (inofungidzirwa kuti imhando 2) neSyphilis. Zvese zvisina kunaka. Pasina imwezve ongororo, kufungidzira kwegonorrhea kwakaitwa. Ndakapihwa kosi yedoxicycline. Zvaiita sezvinoshanda, asi anenge 1 kana 2 vhiki mushure mekurapwa, kubuda kwakatanga zvakare. Pasina kuongororwa, ndakabva ndapiwa kosi yeazytromicin (1.000 mg). Zvisinei, ndakazvitora zvisiri izvo; Piritsi 2 ye1 mg kwemazuva maviri pane iyo dosi yese kamwechete. Zviri pachena kuti hazvina kushanda saka ndakadzokera kuchipatara mushure memavhiki mashoma.
Ndakanyeverwa pakukanganisa kwangu uye ndakapiwa nzira itsva yeazytromicin, yandakatora zvakarurama. Mhedzisiro yakafanana neye doxycicline; yakaita seyaibatsira, asi mushure mevhiki 1 kana 2 chichemo chakadzoka. Izvi zvese zvaive munguva yaNdira kusvika Kurume 2018.
Mushure meizvi, smear yakatorwa zvakanyatsonaka kwekutanga. Zvekuti ndakashaya kuti zvinhu zvakwana here. Somugumisiro, ndakapiwa kosi yetorymicin. Kungofanana nemishonga yapfuura pasina mhedzisiro. Nekuda kwekuti marapirwo ese aya akange asina mhedzisiro, ndakaongororwazve ropa kuti ndine HIV nezvimwe zvakadaro. Mhedzisiro yakaipa.
Zvino muna Chikumi imwe weti yakaunzwa kuti iongororwe. Ndisati ndawana mhinduro, ndakapihwa kosi yeerythromycin nemetronidazole. Mazuva mashoma (2 kana 3) gare gare ndakagamuchira runhare rwokuti ndaifanira kurega kushandisa erythromycin. Ndaifanira kuuya kuchipatara uye ndakaudzwa kuti ndine e-collie uye naizvozvo kwete STD. Zvakare maantibioti / mishonga yeizvi, asi ini handiyeuke kuti ndeipi. Izviwo hazvina kushanda, zvekuti kubuda kwechiedza hakuna kupera.
Pakati paChikunguru 2018 ndakashatirwa mumusoro mangu ndichiteverwa nemapundu matsvuku. Herpes zoster yakabva yaonekwa kuchipatara. Zvakandinetsa kuti ndazviwana sei zvakare uye kuti ndive nechokwadi, ndakaongororwa ropa kechitatu. Kune iyo herpes ndakapihwa vilerm, roxithromicin uye pyridium uye izvo zvakaenda mushure mevhiki 3.
Sezvineiwo, ndakaguma ndava nomumwe chiremba muchipatara chimwe chetecho pakati paJuly. Weti yakapinzwawo ipapo. Kuongororwa kwarabhoreti kwemuenzaniso uyu kwakaratidza kuti ndine mycoplasma hominis. Pandakabvunza kuti sei izvi zvisati zvamboonekwa, zvakazoitika kuti ese masamples apfuura akange asati aitwa tsika. Ndakapiwa ciprofloxacin kuti ndirapwe. Ndiwo maive musi wa10 Nyamavhuvhu 2018. Zvichemo zvacho zvakanga zvisati zvanyangarika pakupera kwaNyamavhuvhu. Ndaneta nokurwa, ndakarega kutora bvunzo uye kunyanya kushandisa mishonga inorwisa mabhakitiriya. Zvakare nekuti ini pachangu ndakanga ndisina zvichemo zvenyama uye ndakanga ndisingazive zvekuita zvinotevera.
Muna Gumiguru 2018 ndakava nehumwe hukama hwenguva pfupi apo chimwe chinhu chakashata nemishonga yekudzivirira kubata pamuviri. Muna December ndakaenda kumwedzi kwandaisanzwa zvakanaka. Kwete kurwara chaiko kana fivha, asi dzimwe nguva kunzwa kurwara/kusvotwa. Zvituru zvakare zvakasiyana. Kwete manyoka chaiwo, asi akasiyana pane akajairika. Pakupera kwaNdira 2019, bvunzo yeAlere 4th chizvarwa combo yakaitwa murabhoritari diki yeHIV, Hepatitis, HCV uye Syphilis. Ndakaratidza kuti ndine mycoplasma hominis, asi maererano nerabhoritari izvi hazvina kushanda pakuedzwa. Mhinduro dzese dzisina kunaka. Ndichiri kunzwa kurwara, asi neimwe nzira hapana zvichemo zvemuviri, hapana mapundu kana fivha uye hapana kupera uremu. Ndiri kuona kuti chiono changu chiri kuderera zvishoma.
Mibvunzo yangu:
- Ichokwadi here kuti mycoplasma hominis haikanganisi bvunzo yeAlere? Chigumisiro chekutsvakurudza uku 3% yakavimbika mushure memwedzi ye100 here?
- Unogona here kundiudza izvo mycoplasma hominis isina kurapwa inogona kukonzera munguva refu? Pane zvishoma zvinowanikwa pamusoro peizvi paInternet. Nyaya zhinji dziri pamusoro pekushaya mbereko nezvirwere zveurethra, asi ndakambowanawo zvinhu zvakaita semeningitis nekuremara kwemoyo. Ndine zvakare maprosthetics akati wandei mumuviri wangu.
- Mungandipa here mazano ekurapa mycoplasma hominis? Ini handichina chivimbo chakawanda muchipatara cheRam, sezvaunganzwisisa. Ndakaverenga painternet kuti macrolides haashande, kusanganisira erythromycin, azythromycin uye clarithromycin. Levofloxacin uye Moxifloxacin inowanzokurudzirwa. Ndakatoona kuti zvakaoma kukurukura navanachiremba veThai, asi ndichiri kuda kuedza kupa imwe nzira.
Ndinovimba unogona kundipa zano. Thanks in advance for this!
Kwazisai,
J.
Wadiwa J,
Nyaya refu.
Mycoplasma hominis inonyanya kukosha. Utachiona uhwu hunogona kuwanikwa muchidimbu chevanhu vose. Saka hazvishamisi kuti zvakawanikwawo mune yako.
Pfungwa dzangu ndoda kuenda kuMycoplasma genitalium. Mushonga wakajairika weiyi Azithromycin. 3 gramu pazuva rekutanga uyezve imwe 1 gramu kwemazuva mana. Fluoroquinolones yakadai seLevofloxacin uye Moxifloxacin uye Tetracycline Doxycycline inoshandawo. Mufunge, dzimwe nguva hadzishandewo. Saka inoramba iri njuga kana toreva nezve kurapwa. Mubatanidzwa ungave unogoneka muchiitiko chakadaro. Semuenzaniso, Azithromycin pazuva rekutanga kusvika rechishanu uye Moxifloxacin kwemavhiki maviri kubva pazuva rechipiri zvichienda mberi. Zvisinei, kunyange zvakadaro hapana vimbiso yekupora.
Zvinotaridza kunge vanachiremba veThai havasati vanyanya kuita zvakaipa panyaya iyi. Iwe zvino waedza zvinenge zvese uye zano rangu nderekushanyira STD kiriniki, semuenzaniso muBangkok. https://www.pulse-clinic.com
Tsika itsva dzinoda kutangwa mushure mekunge mange musina mishonga inorwisa mabhakitiriya kwemazuva angangoita gumi.
Usakanganwa Chlamydia
Heino imwe data: www.nhs.uk/news/medical-practice/new-guidelines-issued-sti-most-people-have-never-heard/
Chokwadi chekuti hausi kunzwa zvakanaka uye uine matambudziko emudumbu chinogona kunge chine chekuita nemishonga inorwisa mabhakitiriya.Panogona kunge paine chimwe chikonzero, semuenzaniso E-coli, mabhakitiriya emudumbu, izvo zvinopihwa simba ne mapiritsi ose.atora ura.
Ndosaka ndichifunga kuti cheki-up haisi sarudzo. Ita kuti ophthalmologist atarisewo. Zvinetso zveziso rako zvinogona kunge zvine chekuita neherpes zoster (shingles).
Ndinovimba izvi zvinobatsira kwauri.
Pachokwadi,
Dr. Maarten