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
- Optional: mhedzisiro yerabhoritari uye kumwe bvunzo
- Zvinogoneka BP
Unogona kutumira mafoto ku [email inodzivirirwa] zvese zvinogona kuitwa zvisingazivikanwe, zvakavanzika zvako zvinovimbiswa.
Wadiwa Martin,
Zita rangu ndinonzi André, ndine makore 63 uye ndinorema 79 kg. 169 masendimita saizi, bhasikoro rakawanda uye ndiri pescatarian.
Mubvunzo wangu ndewekuti kune L-thyroxine 125 mcg (ini ndinotora yethyroid) inowanikwa muThailand kana chero mushonga unogona kuitsiva? Ndakaita tsaona yakaita kuti pituitary gland isashande zvakanaka, saka ndinobaya jekiseni re genonorm 5,3 (kudzvanya kaviri husiku hwega hwega ndisati ndarara).
Ndine yakakwana yemushonga uyu, ndinongoda tsono dzechishandiso cheBD micro-fine 8mm (0,25mm x 8mm).
Zvakare mubvunzo ndeupi bvunzo dzakanakira palpitations, maererano nachiremba muSatuek (uyo akaita ultrasound uye akaona kukuvadza kudiki) Ndinofanira kuita bvunzo yecardio.
Ini zvakare ndine Type 2 chirwere cheshuga chandisiri kutora chero mushonga wandiri kuedza kuzvidzora kuburikidza nekudya uye maekisesaizi (160 sober mangwanani ano, funga zvishoma zvakanyanya?). Ini ndaimbotora metformin 850.
Ndinogara kuSatuek makiromita makumi mana kubva kuBuriram, unofunga kuti kuferefetwa kunogoneka ikoko?
Ndatenda nekumberi uye zvakanaka,
A.
*****
Akanakisisa A,
L-thyroxine inowanikwa pano seLevothyroxine (Thyrosit) mu50 uye 100 mcg mapiritsi. Ita kuti T4 yako itariswe mushure memavhiki mashoma, nekuti pane misiyano mishoma pakati pemishonga yakasiyana yethyroid.
Nezve tsono dzine chekuita, zvakanakisa kubvunza ku pharmacy kana kuodha online.
Iwe unogona kukumbira 24-awa ECG ye palpitations uye cardio MRI kana CT scan kune chero kukanganisa. Chiremba wako pasina mubvunzo achakumbira izvozvo, uye pamwe zvakare coronary angiography.
Uku kurova kwemoyo kunogonawo kukonzerwa neiyo yakanyanya kuwanda yeL-thyroxine uye/kana genonorm.
Zveshuwa yako ndaizotanga futi metformin.
Chero zvazvingava, zviongorore zvakakwana, kusanganisira kuongororwa ropa.
Handizive zvinogoneka muBuriram, asi unogona kubvunza. Kune zvipatara zvitatu, kusanganisira chipatara cheyunivhesiti.
Pachokwadi,
Dr. Maarten
Vatori:Munewo mubvunzo here kuna chiremba Maarten? Shandisa contact form uye ipa ruzivo rwechokwadi (ona runyoro kumusoro kumusoro).