Ndine mubvunzo pamusoro pekutengeswa kwemushonga weAnti Epilepsy LECETAM (LEVETIRACETAM 500 MG). Ndine inishuwarenzi neinishuwarenzi muPattaya, asi pfari haina kubatanidzwa. Saka bhadhara chikamu changu mwedzi wega wega muFacino pharmacy, uye ona chiremba wetsinga muSriracha.
Shamwari mushonga wakanakisisa
Sekuona kwangu, musikana wangu munhu ane hunyanzvi uye ndinowanzowana zita rekuti 'slob' kubva kwaari. Mune ruzivo rwangu, handisi izvo zvachose, asi ndinongoshanda zvakanyanya nekukurumidza uye ndinogona kuita sarudzo nekukurumidza.
Ndinomboshandisa masleeping tablets kuti andibatsire kurara. Izvi hazvidzoserwe neinsurer yehutano yangu. Ini zvino dzimwe nguva ndinoaraira painternet, asi izvo zvinodhura uye handizive kana ndichawana mahwendefa akanaka. Ikozvino ndiri kuenda kuThailand uye ndinoda kutenga imwe stock ikoko. Ndakanzwa kubva kune mumwe munhu kuti ma pharmacy mazhinji anonetsa nezve masleeping tablets, zvakare nekuti vanhu vakaora mwoyo vanogona kushandisa mapiritsi iwayo kuti vapedze.
Kutumira Muverengi: Kutenga Insulin muBangkok
Senyanzvi yekurapa, zvinogona zvakare kuitika kuti iwe unoda kutenga insulin peni kuti ungove padivi rakachengeteka. Pane iyi blog ndakanga ndaverenga kuti inogona kuve chiitiko chinopedza nguva.
Ndinoda kutenga mishonga panguva yandinogara muThailand. Izvi hazvidzoserwe muNetherlands uye zvakachipa muThailand. Asi izvozvo zvinoshanda sei? Unogona here kupinda muchitoro chemishonga wotenga izvi? Haudi here tsamba yachiremba? Uye ndinoudza sei musiyano pakati pechitoro chemishonga nechitoro chemishonga?
Mubvunzo kuna GP Maarten: Yakanyanya kudiki Fenprocumon (yakatetepa ropa) nekuda kwekukanganisa kwemishonga.
Nekuda kwekukanganisa kwemuchitoro chemishonga, handina Fenprocumon yakakwana neni. Izvi zviripo here? Kana zvakadaro, nemishonga yechiremba kana zvakare inowanikwa pachena mu pharmacy?
Mubvunzo kunaChiremba Maarten: High blood pressure kana uchishanyira chiremba wemazino
Sei zvakakosha zvakanyanya kune high blood pressure usati washanyira chiremba wemazino? Zera rangu ndine makore makumi manomwe nematatu uye ndinotarisira kusvitsa makore makumi manomwe nemana muna Kukadzi. Gara muThailand kwemakore mapfumbamwe uye shanyira chipatara chidiki muKutchap padhuze neUdonthani. Ndinoita cheki-up yangu yemwedzi mitatu (yekudzivirira?) muchipatara chimwe chete. Nekuda kwekurwadziwa nezino, zvimwe nekuzvimba, ndakashanyira chiremba wemazino musi waDecember 73 uye ndakaonekwa kuti ndaiva neBP ye74. Yakatumirwa neparacetamol uye inotarisirwa kudzoka mangwanani anotevera.
Mubvunzo kune general practitioner Maarten: Mushonga muchiitiko chekusagadzikana muzasi kumashure.
Masvondo mashoma apfuura ndakakubvunza mubvunzo pamusoro pekurwadziwa kuzasi kwangu. Pandakafunga kuti ndingangove neitsvo stones. Panguva iyi, ndakazviongorora pachangu muchipatara cheKhon Kaen. Nhau dzakanaka kune rumwe rutivi hapana matombo eitsvo kana matambudziko neurinary system, asi ivo vakawana zvisirizvo muzasi mangu kuburikidza ne x-ray. Izvi zvine chekuita nekusafamba wakatwasuka, kudzvanya kwakawanda uye kuverenga chinyararire makore, maererano nachiremba anorapa.
Mubvunzo waGP Maarten: Kushandiswa kwemishonga mushure mehutachiona hweSalmonella bacteria
Ndiri murume, ane makore 75, uye ndagara muThailand kwenguva yakareba. Iniwo munguva pfupi yapfuura ndakabvunza mubvunzo nezvematambudziko angu emudumbu.
Ndakanga ndine Salmonella bacteria infection, uye chiremba akandipa mishonga inorwisa mabhakitiriya kwemavhiki maviri, Floxiopro 500 mg. 2 x pazuva, Metrolex 400 mg. Inorayirwa katatu pazuva. Akaenda kunoongororwa uye maererano nachiremba kurapwa kwemishonga inorwisa mabhakitiriya kwakanga kwaita basa rayo zvakanaka, iye zvino anopa mamwe mavhiki matatu, (3 awa isati yasvika), kutora Controloc (Panoprazole 3 mg) kamwe chete pazuva nokuda kweGastoenteritis uye Coliitis.
Raive rinenge gore rapfuura pandakakubvunza zano nezve mushonga wandakanyorerwa kuNetherlands uye kana paine dzimwe nzira dzakanaka muThailand. Panguva yandaigara pamunda wetii pedyo neChiang Sean kwandaiedza kuderedza huremu hwangu. Wakanyora panguva iyoyo kuti pane mushonga wandaisazoda uye pane 1 aitove wrong. Ini ndairema 135 kg panguva iyoyo uye parizvino kudzikira kuri kudzika pa98 kg.
Mubvunzo kunaChiremba Maarten: Ndinokwanisa here kuwedzera chipimo chemushonga wangu weBP?
Ndanga ndichishandisa Metropolol kweanenge makore gumi. Yaimbove 10mg asi ikozvino yakawedzerwa kusvika 50mg makore mashoma apfuura. Uye zvino ndine makore 100 okukura. BP yangu zvino yawedzera zvakare kusvika paavhareji ye63/157.
Ndinogona here kuwedzera dosi yangu kusvika ku125mg Metropolol kana ku150mg?
Vanachiremba vazhinji vanobvuma kuti dzimwe nguva vanonyorera mishonga isina basa kana kuongororwa
Vanopfuura 80 muzana vevanachiremba vanobvuma kurayira mishonga uye/kana marapiro avanoziva kuti haana basa kana kuti haashandi. Izvi zvinoshandawo kune chemotherapy mune varwere vane kenza yepamusoro, sekutsvagurudza kwakaitwa neChirungu Academy yeMedical Royal Colleges.
Mubvunzo waGP Maarten: Mushonga werudzi rwechipiri chirwere cheshuga uye high blood pressure
Ndiri murume ane makore makumi matanhatu nemasere uye ndave nemwedzi mitanhatu ndichigara muThailand. Ndinotora mushonga we Type II diabetes uye high blood pressure. Ikozvino mishonga yandakauya nayo yave kupera (ichiri kukwana kwemavhiki matatu). Ndichigara munharaunda yeKorat, ndakatoshanyira zvitoro zvemishonga zvitatu uye nguva yega yega ndaiudzwa kuti mishonga iyoyo yakanga isipo.
Mubvunzo kuna general practitioner Maarten: Mushonga uye mhedzisiro pakurova kwemoyo wangu?
Ndichatanga ndazvizivisa. Ndave ndichigara muThailand kwemakore akati wandei. Ndine makore 76 uye ndinorema 114 kg uye 200 cm kureba. Handina kumbobvira ndarwara kana kutombonwa chero mushonga kusvika zvino. Handina kumbobvira ndaputa uye handinwi doro. Haana kumbotambura chero chinhu. Handipfeki magirazi uye ndinogona kuverenga ndisina iwo. Ini ndinoongororwa ropa uye weti inounzwa uye yakatariswa muPattaya gore rega rega .. kusvika zvino nguva dzose cholesterol, shuga, psa value etc etc mukati mehutano hwehutano.
Mubvunzo kune general practitioner Maarten: Kushandiswa kwemishonga mushure memyocardial infarction uye diving.
Pana 20/07/2017 ndakaita chirwere chemoyo muNetherlands. Yakagamuchirwa pa25/7 uye 28/7 uye yakaendeswa kunoongororwa ngarava uye pamwe nekuisa stents. Izvi zvakaitikawo, 3 stents yakaiswa. Ndakapiwa mushonga ndikanzwa zvakanaka, asi ndakanzwawo saizvozvo ndisati ndarova mwoyo.
Mushure mekuvhiyiwa kwekoloni, ndinoshandisa 2 sachets yeMacrogol uye electrolytes Sandoz, 13,8 G, poda yemuromo mhinduro zuva nezuva. Izvi zvinokonzerwa netsvina. Tave kuenda kuThailand zvakare kwemwedzi mitatu uye poda idzi dzinotora nzvimbo yakawanda mumasutukesi. Chero zano kana idzi poda dziri kutengeswawo muThailand (pharmacy?) Nemitengo.
Bvunza general practitioner Maarten: Migumisiro ye statin inopesana ne high cholesterol
Paakabvunzwa nezve GFR kutadza kweitsvo, Dr Maarten vanopindura nezve mashandiro eitsvo yavo kuti aya magiredhi anomiririra senge cholesterol. Iye zvino cholesterol yangu yakakwira zvakanyanya. Asi ndakamisa statin yacho nekuti ndaive neakawanda maside effects.