上星期報章上報道,一名老伯在海邊垂釣時,突然腳部的靜脈曲張爆破,血流如注,需要友人報警求助,救護員替他止血及包紮後,情況穩定過來,伯伯竟然拒絕送院,有趣的是,他還跟記者說,這情況在家中已多次發生,好像完全不覺得是甚麼一回事。
若靜脈曲張已經到達流血的狀況,可以肯定的說,已到達後期或嚴重階段。倒流的靜脈血液,過量地積聚於小腿附近的靜脈血管,令血管膨脹,血管壁薄弱,加上過高的靜脈壓力,令皮膚出現慢性發炎,引致濕疹及痕癢。很多時患者會不自覺地抓癢的地方,一不小心便會把靜脈抓破,導致出血。此外,若患者進行長期站立的活動,好像這位老伯的海邊垂釣,曲張的靜脈也可因過分膨脹而自動爆破出血。
這情況若出現的話,只要有一點急救知識,保持鎮定,幾個步驟已可把血止過來。首先,是在流血的位置用力按下,因為靜脈的壓力是不會很高的,即使是用一隻手指,也足以堵住流血的靜脈。接着就是躺下來,並把腳部提起,置於高於心臟的位置;靜脈內的血液,便以水向低流的原理,回流到心臟,當靜脈內的壓力降低,血流便會自然停止。這時便應再傷口上包紮,保持傷口上的壓力,再到醫院求診。記着,這樣做只是於急症的情況下止血,並沒有根治問題,正確的做法是進行掃描找出有問題的靜脈,並以適當的手術清除。否則,流血的情況是肯定會重複出現的!
作者為外科專科醫生 謝卓華
資料來源: AM730
以上所提供的資訊僅作為教育及參考用途,如果你有任何醫療問題,
應向醫生查詢,而不應單倚賴以上提供的資料。
It is an educational platform aim to provide information on i. veins. How to achieve the possible symptomatic, functional and cosmetic outcome by different treatments to the needs of individuals with venous problem. ii. Thyroid diseases, parathyroid, goiter, thyroid cancer, etc... 這是一個教育博客,提供教育關於腿部靜脈曲張及蜘蛛網血管問題,提供各類針對腿部靜脈的治療技術,包括微創靜脈腔內激光及射頻、超聲波導引注射、及外科手術等等。另提供甲狀腺, 甲狀腺亢進, 甲狀腺癌, 甲狀腺腫大, 甲狀腺腫瘤, 甲狀腺素, 甲狀腺 症狀, 甲狀腺素低, 甲狀腺素高, 甲狀腺結節, 甲狀腺醫生, 甲狀腺檢查教育
2016年5月31日 星期二
2016年5月25日 星期三
Causes of Goiter
Goiters are not equivalent to hyperthyroidism. Goiter describes hyperplasia of the thyroid gland which most commonly due to problems with the immune system. However, the increase in size of the thyroid gland does not have any relationship with the amount of hormone to be secreted.
In the more underdeveloped countries, goiters could be caused by iodine deficiency, as patients may not be able to intake enough iodine from seafood to fulfill their body needs. This causes the thyroid hormones T3 and T4 in the blood to be lower than normal, prompting the pituitary glands to continuously secrete TSH (Thyroid Stimulating Hormones), stimulating growth of the thyroid glands.
Amazing Seaweed – Nutritious, Low in Calorie and Prevent Goiter
Seaweed, which grows in the ocean, has excellent source of minerals especially iodine that can possess powers to prevent goiter. Goiter refers to over-production of thyroid hormones, leading to enlargement of the thyroid glands. Iodine is essential to maintain proper functioning of thyroid glands, which helps to regulate body’s metabolism, growth, temperature, heart rates etc., and deficiency in iodine can lead to a disease called goiter. Large and thick neck resulted from goiter that affects nearby organs such as esophagus and trachea may lead to dysphagia and breathing difficulty, while stunted growth and mental retardation can be seen in children with goiter due to hypothyroidism.
Seaweed is categorized into three main groups, and they are red, green, and brown seaweeds. Brown seaweed has the highest iodine content, with dry kelp contains 1500-8000 ppm (parts per million), while red and green seaweeds have lower contents, about 100-300 ppm in dried seaweed, but still considered as high when compared to other land plants. Adults and children who are actively growing are recommended to have a daily intake of 150 µg and 90-120 µg iodine respectively, which is actually covered by very little amount of seaweed, as only one gram of dried brown seaweed can already provide 500-8,000 µg of iodine. Thus, just a tablespoon of seaweed is already enough for recommended daily intake.
In addition to iodine, seaweed is also an excellent source of calcium and iron, which is especially suitable for vegetarians who avoid dairy and meat products. Therefore, seaweed is highly recommended to be included in our diet. This can be done by sprinkling kelp flakes onto a salad or soup, wrapping rice or vegetables using nori sheets or having seaweeds snacks during tea time. Although iodine intake may be related to the situation of Goiter, other factors can also lead to Goiter. Thus, it is recommended to seek a doctor immediately for medical check when the problem of thyroid enlargement arises.
Reference information: http://www.thyro.com.hk/goiter-thyroid.html
It is not intended as medical advice to any specific person. If you have any need for personal advice or have any questions regarding your health, please consult your doctor for diagnosis and treatment.
2016年5月24日 星期二
Goiters
Goiter is a condition where enlargement of the thyroid gland causes swelling in the neck. It is a form of hyperplasia of the thyroid gland, and occurs more often among females. In Hong Kong, patients usually suffer from this condition due to problems with their immune systems.
The thyroid glands are located under both sides of the neck, with the main function of secreting thyroid hormones to regulate metabolism. However, when thyroid tissues increase excessively, pressure may be placed on the trachea which causes difficulty in breathing.
This condition may also affect the patient’s appearance and may create a risk of cancer. Patients can undergo minimally invasive thyroidectomy to remove the growth tissues without leaving any scars.
Reference information: http://www.thyro.com.hk/goiter-disease.html
It is not intended as medical advice to any specific person. If you have any need for personal advice or have any questions regarding your health, please consult your doctor for diagnosis and treatment.
2016年5月17日 星期二
Colonoscopy
1. What is Colonoscopy?
Colonoscopy is the use of the endoscope, going into the lower digestive system through the patient's anus, rectum, sigmoid colon, descending colon, transverse colon, ascending colon, or cecum. Doctor can observe the internal status, to carry out examination, diagnosis and appropriate treatment.
2. What is the function of Colonoscopy?
The colonoscopy can check the patient's lower digestive tract, including anus, rectum, sigmoid colon, descending colon, transverse colon, ascending colon, cecum, and various parts of the colon internal situation. If patient is suspecting of suffering from the intestine diseases such as cancer, bleeding or with occult blood stool, change in bowel habits, chronic diarrhea or constipation, difficulty in defecation, etc, colonoscopy is advised to find out the causes of discomfort. During the colonoscopy, with the assistive devices, doctor can get a biopsy for further laboratory testing or treatment, such as removal of polyps.
3. Before Colonoscopy, what do I need to prepare and pay attention?
Points to note for patients before colonoscopy:
Sign the consent form for receiving colonoscopy examination or treatment after well understanding with doctor’s explanation.
Stop the iron supplement according to doctor’s instruction one week before the colonoscopy. Avoid high fiber food intake, such as fruits and vegetables. Administer the mild laxative medication under the doctor’s prescription.
One day before colonoscopy, patient needs to have the colon cleansing with laxative drug which is prescribed by doctor. Meanwhile, patient can take the fluid diet only on that day until the colonoscopy examination
Follow doctor’s instruction for arrangement of taking the chronic illness medication (diabetes, hypertension, or drug allergy).
Follow the date, time and place for meeting the appointment of the colonoscopy.
4. During the Colonoscopy, what do I need to cooperate for making procedure go smooth?
Before start, doctor will inject appropriate amount of tranquilizers or analgesic drug intravenously to patients for reducing patient anxiety and pain. Patient is required to band the knee and lie on one side. The endoscope can go into the colon via anus smoothly. During the process, doctor can make appropriate measures for diagnostic or treatment, such as taking biopsy, removal of polyps or hemostasis Patient is staying awake. Generally, the examination takes around 30 to 60 minutes. Time may take longer for some complicated cases or the need of special treatment.
5. After Colonoscopy, any follow-up or points to note for patients?
After the colonoscopy, the patient may feel abdominal discomfort, but it will disappear shortly. If feeling abdominal pain, please let doctor know. For those who has been taken biopsy, or polypectomy, patient may find the little blood stain stool. If the bloody stool passed, please let doctor know immediately. Patient can go home with friends or relatives after doctor final assessment.
6. What is the adverse effect(s) of Colonoscopy?
Patients usually feel mild abdominal discomfort after colonoscopy, which is a normal and no need to worry. It can be disappear shortly and advice to take rest. Colonoscopy may cause perforation of the intestines, intestinal bleeding or some other complications, but is highly unlikely to occur.
Reference information: http://esteemmedical.com.hk/colonoscopy.html
It is not intended as medical advice to any specific person. If you have any need for personal advice or have any questions regarding your health, please consult your doctor for diagnosis and treatment.
2016年5月16日 星期一
九十歲動手術
在新聞中看到英國國民大事慶祝他們女王的90歲大壽,的確,能健康活到90歲是值得慶祝的。其實在香港,90多歲的老人家,比比皆是,但在醫院遇到的,大多是健康有點問題。
最近收了一位九十多歲的婆婆,是長期煙民,那時開始吸煙她已經記不清楚了,故已患有慢性肺氣腫多年,走路快點也會氣喘,上樓梯也上不到一層。
她在作身體檢查時,無意中發現肚內的主動脈血管,不正常地擴張了,由正常的兩公分直徑,擴張至七公分。情況就好像把氣球不斷吹張直至爆破,體積越大,爆裂流血的機會越高。一旦爆裂,是百分百致命的。這情況,醫學上稱之為「腹部主動脈瘤」。
正常的的醫治方法,是接受手術修補血管瘤,雖說現今的手術,大多以微創方式進行,手術風險大大降低,但在90多歲的病人身上動手術,總是有很多變數的,況且婆婆的呼吸系統問題極不理想,稍有點感染或痰阻塞,也可有生命危險的。
若您是婆婆或其家人,你會接受手術嗎?
大家意見紛紜,有的說都90多歲了,還想一百歲嗎?還是順其自然吧!萬一手術有什麼差池,出現併發症,死可不怕,最怕受苦啊!
有的說可以醫的為什麼不醫,難道等爆破了流血時才動手術嗎?況且每天帶着計時炸彈,不知何時爆,什麼也做不了,像在等死,這才最受罪! 正是公說公有理、婆說婆有理。
醫生,你有什麼建議呢?….........待續。
外科專科醫生
謝卓華
資料來源: AM730
以上所提供的資訊僅作為教育及參考用途,如果你有任何醫療問題,
應向醫生查詢,而不應單倚賴以上提供的資料。
最近收了一位九十多歲的婆婆,是長期煙民,那時開始吸煙她已經記不清楚了,故已患有慢性肺氣腫多年,走路快點也會氣喘,上樓梯也上不到一層。
她在作身體檢查時,無意中發現肚內的主動脈血管,不正常地擴張了,由正常的兩公分直徑,擴張至七公分。情況就好像把氣球不斷吹張直至爆破,體積越大,爆裂流血的機會越高。一旦爆裂,是百分百致命的。這情況,醫學上稱之為「腹部主動脈瘤」。
正常的的醫治方法,是接受手術修補血管瘤,雖說現今的手術,大多以微創方式進行,手術風險大大降低,但在90多歲的病人身上動手術,總是有很多變數的,況且婆婆的呼吸系統問題極不理想,稍有點感染或痰阻塞,也可有生命危險的。
若您是婆婆或其家人,你會接受手術嗎?
大家意見紛紜,有的說都90多歲了,還想一百歲嗎?還是順其自然吧!萬一手術有什麼差池,出現併發症,死可不怕,最怕受苦啊!
有的說可以醫的為什麼不醫,難道等爆破了流血時才動手術嗎?況且每天帶着計時炸彈,不知何時爆,什麼也做不了,像在等死,這才最受罪! 正是公說公有理、婆說婆有理。
醫生,你有什麼建議呢?….........待續。
外科專科醫生
謝卓華
資料來源: AM730
以上所提供的資訊僅作為教育及參考用途,如果你有任何醫療問題,
應向醫生查詢,而不應單倚賴以上提供的資料。
位置:
香港
2016年5月12日 星期四
Gastroscopy (2)
4. During the Gastroscopy, what do I need to cooperate for making procedure go smooth?
Firstly, doctor will give the anesthetic throat spray for local anesthesia. If necessary, relaxants or painkillers may be given intravenously to relieve the patient anxiety or stress. Patients should follow the doctor advice and gradually swallow the slender endoscope. Meanwhile, patient is able to breathe as usual. If keeping relax and cooperate, the whole procedure can be completed in minutes. Doctor can also get biopsy or specimen from the patient's stomach for laboratory test. Patient will not feel the pain under this process. Also for some other cases, doctor can treat the bleeding site in case it is found during the endoscopy.
5. After Gastroscopy, any follow-up or points to note for patients?
The throat anesthesia will last for about an hour after the endoscopy examination. Do not do the mouthwash immediately. Allow to drink or eat after at least 1 hour or doctor assessment. If patient has under the relaxant injection, he/she will forget some examination memory, so it is advised they should be accompanied by relatives or friends, to listen to the preliminary examination report and take care of patient when going home.
6. What is the adverse effect(s) of Gastroscopy?
Patients usually feel a sore throat, a small amount of flatulence and dizziness after gastroscopy, which will be subsided shortly. Gastroscopy may cause the stomach perforation, inner lining bleeding, but very rare to occur.
Reference information: http://esteemmedical.com.hk/gastroscopy.html
It is not intended as medical advice to any specific person. If you have any need for personal advice or have any questions regarding your health, please consult your physicians for diagnosis and treatment.
2016年5月11日 星期三
Gastroscopy (1)
1. What is Gastroscopy?
Gastroscopy is the use of endoscope, going into upper digestive system through the patient's mouth, esophagus, into the stomach, duodenum and jejunum. The doctor can observe the internal status in order to carry out the examination, diagnosis and appropriate treatment.
2. What is the function of Gastroscopy?
By the use of endoscope, doctor can check the internal conditions of the upper digestive system (esophagus, stomach, duodenum and jejunum). If necessary, the doctor can perform some treatments as follow:
Biopsy collection for lab test
Removal of foreign body
Varicose veins treatment
Laser treatment
Pyloroplasty for Pyloric Stenosis
Polypectomy
Inner lining hemostasis
3. Before Gastroscopy, what do I need to prepare and pay attention?
Points to note for patients before gastroscopy:
Sign the consent form for receiving gastroscopy examination or treatment after well understanding with doctor’s explanation.
Do not eat within 6 hours before the examination in order to avoid aspiration when inducing vomiting, and provide a clear vision view for gastroscopy.
Follow doctor’s instruction for arrangement of taking the chronic illness medication (diabetes, hypertension, or drug allergy).
Follow the date, time and place for meeting the appointment of the gastroscopy.
.......cont'l
Reference information: http://esteemmedical.com.hk/gastroscopy.html
It is not intended as medical advice to any specific person. If you have any need for personal advice or have any questions regarding your health, please consult your physicians for diagnosis and treatment.
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