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,
Ndiri murume ane makore 72, 1.80 m ne108 kg. Ndine chirwere cheshuga 2, kubvira makore 9, ayo makore matanhatu pametformin. Hapana mushonga wemakore matatu apfuura nekuda kwekudya kwakadzika-carbohydrate uye kuongororwa mwedzi mitatu yega yega. Uyezve, ndine high blood pressure inosvika 6/3 nemishonga uye Conn's syndrome. Mushonga:
- 1x Lozartan potassium 50mg
- 2x Inspra (eplerenone) 50mg
Mubvunzo wangu, Inspra inowanikwa muThailand here? Nekuda kwekurasikirwa ndaive mupfupi uye ndave kuma pharmacy mashanu. Vaviri muNakhon Sawan uye vatatu muBangkok, asi havana kukwanisa kundibatsira.
Kwazisai,
A.
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Akanakisisa A,
Zviri pamutemo, Inspra inowanikwa pano, asi hazvireve kuti inowanikwa. Edza chitoro chemishonga chinoitwa nemaHindu. Vanowanzova nedzidzo iri nani uye vanoziva kwekuodha chimwe chinhu.
Aldarone (Spironolacctone) inogona kushanda sechinhu chinotsiva. Zvechokwadi inoshanda zvakafanana neConn's syndrome. Iine bhenefiti yakawedzerwa yekuve yakachipa zvakanyanya. Chisina kunaka ndechekuti anti-androgenic mhedzisiro ye spironolactone inoratidzika kunge yakakura. Inspra haina kumboonekwa kuti iri nani, pane yakawanda kupfuura isiri-yakaderera, iyo inoisa muchikwata chemishonga inodhura-asi-hapana-bhenefit-enhancing.
Iko kusanganiswa kweEplerenone/Lozartan kana Spironolactone/Lozartan (an ARC) inopesana uye inogona kutungamirira ku hyperkalaemia yakaoma (yakawanda ye potassium muropa). Naizvozvo, iyo electrolytes (Potassium, Sodium) inofanira kuongororwa nguva dzose. Imwe sarudzo ndeyekutsiva Losartan neCa antagonist yakadai seAdalat (Nifidipine) 20 retard kana Amlodipine 5-10mg. Tora manheru. Asi wakanga usiri mubvunzo.
Heano mamwe mashoko: https://www.farmacotherapeutischkompas.nl/bladeren/preparaatteksten/s/spironolacton Ichi chinyorwa chine zvakare chinongedzo kuEplerenone
Pachokwadi,
Dr. Maarten