致力於傳播正確醫學觀念，以期突破媒體的壟斷
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之前我到朋友藥局聊天，看到他擺了很多紅豆水的產品，我勸他不要再賣，他只告訴我吃了有用，我搖頭不好意思再說，今天看到這篇報導，就拿來介紹一下。
報導中提到，如果身體有水腫，不看醫師，而用紅豆水來消腫，恐會錯失就醫的最佳時機，如果身體沒有水腫，利用紅豆水利尿的方式來消腫，要小心紅豆水含有大量的「鉀」與「磷」，這些離子都需靠腎臟排出，對腎臟是很大的負擔。
如果是以下短暫型水腫：熬夜、吃太鹹、女性月經來潮、長期久坐或久站，用紅豆水的效果微乎其微，就跟有人用瀉藥減肥一樣，一旦不吃，體重就會迅速回升。
臨床上甲狀腺低下也會有水腫的現象，千萬不能掉以輕心，最後引用顏宗海的話：顏宗海分析，我國慢性腎疾病患者居高不下的主因之一，就是當民眾碰到疾病，而非相信醫師的專業判斷，卻把希望寄託於國外的藥品甚至偏方草藥，腎疾病才會如此盛行，他提醒，倘若身體有異常情況，就得尋求醫師解決，以免丟失寶貴健康。
最後希望藥師們能夠秉持專業，不要隨波逐流，淪為不良商人的幫手。
下一篇為何詐領健保層出不窮
by admin
看到肥胖會得癌症這個標題，大家一定嚇一跳吧，我也是看到這篇新聞：女重度肥胖，手術防子宮內膜癌。新聞提到美國加州大學聖地牙哥分校團隊發表於《婦科腫瘤學》的研究指出，BMI值大於40的女性，罹患子宮內膜癌的比例是BMI值25女性的8倍；研究人員分析逾740萬名女性的就醫紀錄後發現，若接受「胃繞道」、「袖狀胃切除」、「胃束帶」等減重手術，可降低罹患子宮內膜癌比例逾7成，若患者在手術後能控制飲食及保持運動習慣，罹癌風險更可減少達81%。
但是千萬不要隨便相信新聞標題，不然就會犯了某位醫師犯的錯喲。附註：感冒到底應不應該吃藥。
我們附上該篇英文報告，看來是真有這麼回事。
Researchers at the University of California, San Diego School of Medicine and Moores Cancer Center report that bariatric surgery resulting in dramatic weight loss in formerly severely obese women reduces the risk of endometrial (uterine) cancer by 71 percent and as much as 81 percent if normal weight is maintained after surgery.
Published in the April issue of Gynecologic Oncology, the official publication of the Society of Gynecologic Oncology, the findings indicate obesity may be a modifiable risk factor for endometrial cancer, and bariatric surgery a viable option for eligible patients. They are based on a retrospective cohort study of 7,431,858 patients in the University HealthSystem Consortium database, which contains information from contributing academic medical centers in the United States and affiliated hospitals. Of this total, 103,797 patients had a history of bariatric surgery and 44,345 had a diagnosis of uterine malignancy.
Obesity is a widespread public health problem in the United States, with an estimated two-thirds of the U.S. adult population considered to be overweight or obese. The condition is strongly linked to a host of health risks, among them heart disease, diabetes and cancer, in particular endometrial cancer.
“Estimating from various studies that looked at increasing BMI and endometrial cancer risk, a woman with a Body Mass Index (BMI) of 40 would have approximately eight times greater risk of endometrial cancer than someone with a BMI of 25,” said first author Kristy Ward, MD, the senior gynecologic oncology fellow in the Department of Reproductive Medicine at UC San Diego School of Medicine. “This risk likely continues to go up as BMI goes up.”
Bariatric surgery is often the last resort for obese patients after all other non-surgical weight loss efforts have failed. To qualify, patients must be an acceptable surgical risk and be defined as either severely obese with a BMI of 40 or greater or have a BMI of 35 or greater with at least one related condition: diabetes, obstructive sleep apnea, obesity-related cardiomyopathy or heart muscle disease or severe joint disease.
Typically, bariatric surgery involves reducing the size of the stomach using a constrictive gastric band, removing a portion of the stomach or resecting and re-routing the small intestines to a small stomach pouch. In all cases, the surgery must be followed by lifestyle changes to ensure long-term weight loss success.
A number of biological mechanisms link obesity to endometrial cancer. Excessive adipose or fat tissue, for example, raises circulating levels of estrogen, which is associated with tumor creation and metastasis. Obesity also causes chronic inflammation, boosting insulin resistance and increased estrogen levels.
“The majority of endometrial cancers are estrogen-driven,” said Ward. “In a normal menstruating woman, two hormones control the endometrium (inner lining of the uterus). Estrogen builds up the endometrium and progesterone stabilizes it. A woman with excess adipose tissue has an increased level of estrogen because the fat tissue converts steroid hormones into a form of estrogen.
“So there is too much estrogen, causing the endometrium to build up, but not enough progesterone to stabilize it. The endometrium continues to grow and can undergo changes into abnormal tissue, leading to cancer.”
Bariatric surgery has been shown to reduce the impact of these factors: hormone levels become normal; inflammation decreases; insulin resistance drops; weight loss allows for increased physical activity and improved overall health.
“The obesity epidemic is a complicated problem,” she said. “Further work is needed to define the role of bariatric surgery in cancer care and prevention, but we know that women with endometrial cancer are more likely to die of cardiovascular causes than they are of endometrial cancer. It’s clear that patients who are overweight and obese should be counseled about weight loss, and referral to a bariatric program should be considered in patients who meet criteria.”
Co-authors include Angelica M. Roncancio, University of Texas School of Public Health; Nina R. Shah, Mitzie-Ann Davis, Cheryl C. Saenz, Michael T. McHale and Steven C. Plaxe, all of UC San Diego Moores Cancer Center.
下一篇咖啡對於降低肝癌的報告
by admin
飲品大哉問！你喝的是健康還是危機？豆漿比牛奶更健康？咖啡有害身體健康嗎？食物榨汁能保留最多養分嗎？蔓越莓汁能預防女性尿道炎，真的嗎？綠茶能幫助減肥嗎？紅酒是健康價值最高的酒類嗎？除了飯不能亂吃之外，飲品也不能亂喝！這集健康同學會通通告訴你！
主 持 人：張雅芳、隋安德
來 賓：
保健室主任 潘懷宗 藥理學教授
值班營養師 謝宜芳
值班藥師 高啟峰
６年７班代表 許晶晶 東森財經新聞台主播
６年９班代表 戴心怡 東森財經新聞台主播
６年１班代表 羅友志 媒體人
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