Maarten Vasbinder anogara kuIsaan. Basa rake ndere general practitioner, basa raainyanya kudzidzira kuSpain. PaThailandblog anopindura mibvunzo kubva kuvaverengi vanogara muThailand.
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
- Chero zvabuda murabhoritari uye kumwe kuongororwa
- Zvinogoneka BP
Mapikicha uye zvakanamirwa zvinogona kutumirwa kune [email inodzivirirwa] zvese zvinogona kuitwa zvisingazivikanwe, zvakavanzika zvako zvinovimbiswa.
Wadiwa Martin,
Ndiri A, ndine makore makumi manomwe nemashanu. Ini handipute, ndinonwa girazi rewaini chena mazuva ese. Ndiri 75cm uye 181kg. Ndinoputira 77x pazuva nekuda kweasthma (Foster 2/200) uye ndinoshandisa famotidine 6 mg nguva dzose, kwete zuva nezuva.
Nemhaka yokunzwa kuneta mumuviri wangu, ndakanoongororwa zvakazara muchipatara. mhedzisiro mishoma yaindinetsa: BUN 22, Creatinine 1.34 uye eGFR 51,45 uye Cholesterol 217 (HDL 36; LDL158), mushure mezvose zvangu vascular profile yaive imwe inokodzera 90 yemakore! (Arterial kuoma 2082 Kurudyi uye 2177 Kuruboshwe uye Arterial Stenosis 1.18 Kurudyi uye 1.33 Kuruboshwe).
Nekuda kwemusoro unogumbura wakatora mavhiki e4 ndaizofanira kuita MRI scan. Kuti izvi zviitike, kushanda kweitsvo dzangu kwakaongororwazve. Iyo creatinine yakakwira kusvika ku6 mumavhiki matanhatu; zvimwe zvikamu zviviri zvaive nani zvishoma zvichienzaniswa nechidzidzo chekutanga. pahwaro hwechigumisiro ichi, hapana musiyano wepakati wakabaiwa. CT scan yakazoitwa yakaratidza kuti mumusoro mangu makanga musina mabundu kana zvimwe zvisingadiwe. Kuongororwa kwekupedzisira kushushikana kwemusoro, kushungurudza asi kwete nengozi.
Chandinonyanya kunetseka chine chekuita nekushanda kweitsvo dzangu. Chii chandingaita kana kusaita kuti ndivandudze kana kuwedzera kwe creatinine kunowira pasi pemusoro wakapfava? Iyo vascular profile zvachose haikodzeri mararamiro angu uye hapana mutoro wenhaka; Ini ndinorovedzera muviri zvakanyanya, ndinodya zvine hutano hwakanaka (hapana chekudya chekukurumidza). Pandinoenda kuNetherlands mumwedzi mishomanana, ndichava neprofile yangu yevascular yakatemerwa zvakare.
Ndatenda zvikuru pamberi nemhinduro yako.
Kwazisai,
A.
*****
Akanakisisa A,
Usanyengerwa neprofile yako yevascular. Hapana zvaungaita pamusoro pazvo, kunze kwekufamba zvakakwana. Uyezve, inhure yehumwe, kana lab. mhedzisiro.
Edza kana inhaler yako kamwe pazuva inewo mhedzisiro. Iyo yemusoro inogonawo kuenderana nazvo.
Sezvineiwo, scan yemusoro wako yakanaka. Kutemwa kwemusoro kunowanzokonzerwa nekunetseka. Vane makore 75 ezera vanogona kubata izvo. Nokudaro, kufungidzira kwekuongororwa ikoko kwakanaka.
Kana zviri zveitsvo dzako, neBUN 60 unofanira kutanga kunetseka. Gadzira 1,45 yakajairika kuzera rako. Izvo zvakafanana zvinoenda kune eGFR
Dai ndaive iwe ndainwa zvakanyanya kwete kutora ma statins. Ivo vanongoshanda muindasitiri propaganda. Kuona kuomarara kwe arterial hakuna zvakunobatsira, asi iwe unofanirwa kuzviziva iwe pachako.
Ndini wenyu,
Dr. Maarten
Iwe une mubvunzo kuna Maarten uye unogara muThailand here? Tumira izvi kumupepeti: www.thailandblog.nl/contact/ Zvakakosha kuti upe ruzivo rwechokwadi (ona runyoro pamusoro pepeji).