Mubvunzo kuna GP Maarten: Kurwadza kwemhuru yekuruboshwe, zvinogona kuitika thrombosis

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,

Pakupera kwaGumiguru ndakatanga kurwadziwa nepfuti mumhuru yangu yekuruboshwe. Kunenge pakarepo mushure menguva iyoyo gumbo rangu rezasi, chidzitiro netsoka zvakatanga kuzvimba. Marwadzo akapera pandakasimudza tsoka. Musi wa22 Gumiguru, ndakaenda kukiriniki yakazvimirira, ndikawana mushonga uye chiremba uyu akandiendesa kuchipatara.

Muchipatara, scanner duku, sokudana kwavaiita, yakaitwa pagumbo rangu roruboshwe, kwakawanikwa kuti kutenderera kweropa kwakanga kwavhiringidzwa. Ndakapihwa mushonga weDAFOMIN 500mg weizvi. Kugadzwa kwakaitwa kuti kuve ne "major scan" yakaitwa nenyanzvi munaNovember 27. Ndakadzoka muna Zvita 3 kune zvawanikwa uye ndakapihwa mushonga weWARFARIN 3 mg. Tora piritsi rimwe chete usati warara. Musi waDecember 24, cheki uye kuongorora ropa kwakaratidza kuti kukosha kweropa kwakanyanyisa, 5 pane 2/3.

Akagamuchira mishonga yakafanana, asi ikozvino piritsi rose kwemazuva matatu nehafu yepiritsi kwemazuva mana. Ndakapihwawo mushonga weLASIX 40mg wekubvisa diuretic. Musi waNdira 4 zvakare kune kuongororwa uye ikozvino kukosha kweropa kwaive kwakanaka zvakare uye chiremba akarayira kuenderera mberi nemishonga imwechete. Kutevera tarisa muna Ndira 24.

Mubvunzo wangu kwauri ndewekuti, iyi ndiyo mishonga chaiyo here nekuti ini hapana budiriro yandinoona? Pandinosimuka gumbo rangu rakajairika, asi awa imwe gare gare mushure mekuita basa rinozvimba zvakare. Kana zvisina kudaro, ndeipi mishonga yaungaraira uye inowanikwa muThailand?

Zera rangu rinenge 72 makore, ndatsanangura chichemo nemishonga. Usasvuta uye usina kunwa doro kwemwedzi mitatu. Hazvina zvakawanda panguva iyoyo. Kureba 1.84 uye 87 kg. Kupimwa kweropa kumba kwakajairika 132-79, kwakakwira zvakanyanya muchipatara.

Ndinovimba ruzivo urwu rwakakwana kuumba pfungwa yemamiriro angu. Ndinoda kunzwa kubva kwamuri kuti zvingave nani kuti ndishandure mumwe mushonga.

Ndinobvunza izvi nokuti takaudzwa kuti chiremba wandakaenda kwaari kaviri kekupedzisira akanga asiri chiremba wechirwere chemwoyo asi chiremba wepulmonologist.

Ndinokutendai mberi,

Ndakaperera,

W.

******

Wadiwa W,

Zvinenge zvave chokwadi kuti wakamboita thrombosis uye wava kurwara neratinoti gumbo rekurovera. Nyaya yako inonyatsoenderana nazvo. Kurwadziwa kwemhuru uye kuzvimba kwegumbo kunorira bhero kune chiremba wese.

Iyo pulmonologist inobatanidzwa kuti itarise kana iwe wakatambura pulmonary embolism nekuti ropa clot rapfura kubva pagumbo kuenda kumapapu. MuNetherlands yaizoenderera mberi ichibatwa neinternist, asi ndizvo zvazviri munyika.

Panzvimbo yeDafomin, iyo yawakave nayo, yakaderera molecular uremu Heparin majekiseni angangodaro angave ari nani, semuenzaniso Enoxiparin. Chiyero chinoenderana nehuremu (15 mg pa10 kilos pazuva). Dafomin inowanzoshandiswa kune hemorrhoids, kunyange zvazvo isina kuratidzwa kuti inoshanda. Unogona kupa majekiseni aya eheparin iwe pachako pasi peganda remudumbu rakatenderedza guvhu. Zvadaro ice cube. Izvi zvinogona kudzivirira ronda. Chenjerera kuti usatora mishonga miviri panguva imwe chete, yakadai sewarfarin uye heparin. Izvozvo zvine ngozi.

Unogona kugara uchitanga kuita izvozvo, asi pamwe zvanyanya kunonoka. Ndakave nekubudirira kwesporadic nekurapa kwenguva refu heparin (mwedzi ye3), asi izvo zvinobudirira zvakanyanya anecdotal. Yakanga iri nzira yekupedzisira yedambudziko renguva refu risati razivikanwa nenyanzvi.

Chisina kunaka cheHeparin mukana wekuti maplatelet adonhe, inova yakakomba asi isingawanzo mhedzisiro (HIT (T)) syndrome. Sezvineiwo handina kumbozviona. Nekudaro, iyo mimwe mishonga inewo yakakomba asi isingawanzo mhedzisiro.

Warfarin kurapwa ndiyo chaiyo yekutevera kurapwa. Pradaxa (Dabigatran) 2x 150 mg pazuva inokodzerawo. Ipapo kugwamba kwako hakudi kuongororwa

Iyo Lasix haiporese gumbo rako. Zvisinei, iwe unomhanya mungozi yekushaya mvura mumuviri, iyo inovawo ngozi ye thrombosis. Saka inwa zvinwiwa zvakawanda kana ukaramba uchidaro.

Ivawo nekuongorora kwakakwana kunoitwa nekuda kwezvikonzero zvinokonzeresa.

Kufamba kwakawanda kwakanaka. Mira pazvigunwe zvako kakawanda nguva dzose. Mhedzisiro yemasokisi ekutsigira inopokana, asi ichokwadi kuti masitokisi ekutsigira haafadze zvakanyanya munzvimbo dzinopisa.

Usashandura mushonga wako usina kubvunza chiremba wako.

Nguva shoma yekurapa imwedzi mitatu, zvichienderana nezvikonzero zvese.

Zvakare ndinoda kutaura kuti mvura yakakwana isina doro ndiyo inofanirwa mumamiriro ekunze aya. Izvi zvinogona kudzivirira marudzi ese ezvirwere uye aches.

Meer informatie: /www.trombosestichting.nl/trombose/wat-is-thrombose/

Pachokwadi,

Dr. Maarten