Mubvunzo kunaChiremba Maarten: Mamota munduru
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 senge: Zera, kwaunogara, mushonga, chero mapikicha, uye nhoroondo yekurapa iri nyore. 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,
Shamwari yangu yekuThai haizive zvekuita. Kupfurikidza ne<em>ultrasound, mumwe chiremba akawana kuti akanga ane mapundu maduku matatu mudura renduru yake. Hapana biopsy yakaitwa, saka hauna chokwadi kana yakashata, asi pamwe maererano nachiremba nekuti izvi zvinowanzoitika kune bile tumors.
Chiremba vakurudzira kubvisa mapundu iwayo kuburikidza nekuvhiya. Shamwari yangu inofunga kuti zvingave nani kuti iite lasered, i.e. radiation. Haana zviratidzo zvenduru inovharira kubuda muura, saka hapana maziso eyero, marara asina ruvara, marwadzo mudumbu repamusoro rekurudyi, mwaranzi kurudyi rwemusana nepafudzi, nezvimwe.
Anoshandisa mishonga yeBP, asati ashandisa systolic pressure 220 kune dzimwe nguva 280!, Iye zvino kuti ari kutora mishonga systolic pressure yakadzokera ku140, uyewo cholesterol mishonga. Paanodya mafuta anombonzwa kuzvimba mudumbu, asi asingarwadzi. Anofarira chikafu chine mafuta, iyo bile ingaremerwa kwenguva yakareba uye nekudaro mamota?
Iye ane makore 76 okukura, zvingasarudzwa here kusaita chinhu chipi nechipi namamota enyongo nemhaka yokuti mapundu acho haachakurumidzi kukura pazera rake, sezvinowanzoitwa neprostate? Ndezvipi zvakaipa zvinokonzerwa nekuvhiyiwa kana kuti mwaranzi? Ko chemotherapy aftercare inodiwa here?
Iko kusahadzika kune chekuita neinotevera: kuvhiyiwa, radiation, biopsy kutanga kana kusaita chinhu?
Iwe une chero zano rekuwedzera kutevera kuti ndibvise kupokana kweshamwari yangu?
Ndinokutendai nekuteerera kwenyu uye nerutsidzo rwenyu,
B.
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Wadiwa B,
Dai ndaiva shamwari yako yeThai, ndaiteerera chiremba. Ita kuti gallbladder yako ibviswe kana iine hanya nemamota. Gomarara reGallbladder rakashata zvikuru. Kana ari matombo, zvinotsanangura kuputika kwake kana achidya mafuta.
Irradiation haina basa. Ita CT scan uye / kana MRI.
Zviratidzo zvaunotsanangura, jaundice, zvichingodaro, ndezviya zvekuvharisa zvachose bile duct.
A biopsy zvakare oparesheni uye mune iyi kesi iwe unogona zvakare, kana zvirinani, kubvisa gallbladder zvachose. Zviratidzo zvakashata zvekushanda hazvina kunyanya kukosha kana pasina mamwe matambudziko anoitika. Wobva wadya mafuta zvine mwero, nekuti hapana bile volume iripo. Chiropa chokwadi chinoramba chichiburitsa bile.
Kusaita chinhu haisi sarudzo nekuda kwezviratidzo zvakakomba zvinozotevera.
Chemo chete ine palliative effect, zvinoreva kuti inoderedza zviratidzo.
Zvechokwadi, nguva dzose zvinogoneka kuti zvinongotaura nezvematombo. ipapo kumirira isarudzo yakanaka, asi nekudya kusina mafuta.
Mhedziso: Ita CT scan kana MRI uye kuongororwa ropa hongu. Zvadaro sarudza.
Ngativimbei kuti shamwari yako ine rombo rakanaka.
Pachokwadi,
Martin Vasbinder