Mubvunzo kuna chiremba mukuru Maarten: Ndingafenda here nekuda kwekurova kwemoyo kwakaderera?
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,
Ndine mubvunzo unonetsa uye pamwe unoziva zvekuita. Ndine makore 72 uye kamwechete mune grey yapfuura (anenge makore 17 apfuura) yakaiswa paAtenolol neAcenocoumarol nachiremba wemwoyo nekuda kweatrial fibrillation. Anenge makore gumi apfuura akasunungurwa pakushanya kwekuongorora nekuti chichemo chakange chisisipo.
Ndakatamira kuThailand makore masere apfuura uye handisati ndamborwara nearrhythmias pano zvakare. Zvisinei, BP yangu (yepamusoro peBP) yakaramba yakakwira zvikuru. Iye zvino shandisa Atenol 8 mgr p zuva (Prenolol pano). Negative pressure ok Upper pressure inoramba yakakwira. Izvi zvisati zvaitika ndakanga ndatora Cooversyl kwemwedzi mishomanana uye zvakandiita kuti ndive nedzungu uye ndakarega kuitora. Pane imwe sarudzo yekuwana iyo yekumusoro kumanikidza pasi pekutonga? Kumanikidzwa kweropa mangwanani ano 100-155, kupomba 67.
Makore maviri apfuura ndakadonha nemudhudhudhu ndisina chandaona. Sezviri pachena akafenda achityaira? Mhedzisiro 2 mbabvu dzakatyoka, bendekete rakatyoka, kucheka uye mabrasions. Munguva pfupi yapfuura, ikozvino 2 makore gare gare, zvinoitika kwandiri zvakare. Sezvineiwo Ben akabva adonha mumugwagwa waive nevanhu vakawanda, haana chaakaona akabva asvika padivi penzira. Mudhudhudhu nezvipfeko zvakafukidzwa nemafuta edhiziri. Sezviri pachena akatsvedza? Kusaziva! Mhedzisiro 2 mbabvu dzakatyoka, dzakapwanyika hudyu, kucheka-kupwanya. Ndiri kutsvaga chikonzero nekuti handichada izvi zvakare.
Ndinoshamisika, nekuda kweAtenolol, kurova kwemoyo dzimwe nguva kunodonha pasi pe40. Zvingave here kuti kamuri yepamusoro inowana oksijeni shoma kwenguva pfupi uye ini handizivi kuti chii chiri kuitika kwechinguva? Kana kuti ndiri kukanganisa zvachose?
Kana ndiri chokwadi, isarudzo yekudzikisa Atonolol uye kuitsiva neimwe mumiririri?
Zverekodhi: Ini handitore chero mumwe mushonga uye kazhinji ndinonzwa ndakakosha uye ndine hutano. Kureba 186 uremu 87 kg.
Ndinoda kunzwa kubva kwamuri.
Kwazisai,
S.
******
Wadiwa S,
Chokwadi, kupuruzira kwakadzikira kunogona kuita kuti unzwe dzungu, kana kurasikirwa nepfungwa dzako zvachose. Izvi zvinogona kunge zvakakonzerwa neAtenolol. Igaye nepakati nekukasira uye mirira nemoped kusvika kupuruzira kwako kwaita 60 kana kudarika.
Siya ropa kuti zviite sei.
Kana imwe nguva kuputika kwave kudzorwa, zvichida nekumisa zvachose atenolol, ropa reropa rinova rinokosha zvakare. 155 haina kunyanya kukwira.
Iwe unogona kunge uchikodzera kune calcium blocker. Muchiitiko ichi, zvichida verapamil, iyo inokanganisawo moyo rhythm. Zvikasadaro, semuenzaniso, amlodipine.
Pakutanga, dzimwe nguva vane musoro semigumisiro. Naizvozvo tanga wakaderera (tora manheru).
Diuretics yakadai sehydrochlorothiazide, chlorthalidone kana espironolactone yakakodzerawo (inotorwa mangwanani).
Zvitsva uye zvakanyanya kudhura nzira hazvisi nani. Zvimwe zviwanikwa hazviratidzike zvakakodzera.
Ndapota kurukurai izvi nachiremba wemwoyo.
Shingai,
Dr. Maarten