{"id":4718,"date":"2017-05-01T00:00:00","date_gmt":"2017-04-30T16:00:00","guid":{"rendered":"\/\/www.afterroberto.com\/?guid=5d40b275722d138e79657299d3355028"},"modified":"2019-12-09T17:34:18","modified_gmt":"2019-12-09T09:34:18","slug":"%e4%bc%8a%e4%ba%ba%e9%86%ab%e4%ba%8b%ef%bc%9a%e7%99%8c%e7%97%87%e7%97%85%e4%ba%ba%e5%b9%b4%e8%bc%95%e5%8c%96%ef%bc%9f","status":"publish","type":"post","link":"\/\/www.afterroberto.com\/%e4%bc%8a%e4%ba%ba%e9%86%ab%e4%ba%8b%ef%bc%9a%e7%99%8c%e7%97%87%e7%97%85%e4%ba%ba%e5%b9%b4%e8%bc%95%e5%8c%96%ef%bc%9f\/","title":{"rendered":"\u4f0a\u4eba\u91ab\u4e8b\uff1a\u764c\u75c7\u75c5\u4eba\u5e74\u8f15\u5316\uff1f"},"content":{"rendered":"

\"\" <\/picture><\/a>\u3010\u660e\u5831\u5c08\u8a0a\u3011\u65e9\u524d\u91ab\u5b78\u7814\u8a0e\u6703\uff0c\u5750\u5728\u6211\u5de6\u5074\u662f\u4f4d\u5206\u5b50\u75c5\u7406\u5b78\u5c08\u5bb6\uff0c\u53f3\u908a\u662f\u4f4d\u816b\u7624\u79d1\u91ab\u751f\uff0c\u5c0d\u9762\u662f\u4f4d\u80f8\u80ba\u5916\u79d1\u91ab\u751f\u3002\u8ac7\u8d77\u8fd1\u5e74\u7d93\u9a57\uff0c\u611f\u5606\u75be\u75c5\u7684\u5e74\u8f15\u5316\u65e5\u8da8\u56b4\u91cd\u3002<\/p>\n

\u5206\u5b50\u5c08\u5bb6\u5c0d\u6211\u8aaa\uff1a\u300c\u90a3\u5929\u4f60\u8f49\u4ecb\u4f86\u5316\u9a57\u8178\u764c\u57fa\u56e0\u7684\u7537\u58eb\uff0c\u53ea\u5f97\u5341\u4e5d\u6b72\uff0c\u5be6\u5728\u592a\u904e\u4e0d\u5e78\uff01\u300d<\/p>\n

\u300c\u9019\u500b\u5e74\u982d\uff0c\u4e8c\u5341\u591a\u6b72\u60a3\u9f3b\u54bd\u764c\u3001\u7532\u72c0\u817a\u764c\u3001\u4e73\u764c\u3001\u5375\u5de2\u6216\u5b50\u5bae\u9838\u764c\u7684\uff0c\u53ef\u898b\u5f97\u591a\u4e86\uff1b\u767c\u75c5\u5e74\u9f61\u6bd4\u4ee5\u524d\u8b80\u91ab\u6240\u5b78\u7684\uff0c\u6574\u6574\u65e9\u4e86\u5341\u591a\u4e8c\u5341\u5e74\u3002\u6709\u6642\u770b\u5230\u764c\u75c7\u75c5\u4eba\u5e74\u7d00\u6bd4\u81ea\u5df1\u5c0f\uff0c\u4e0d\u7981\u6144\u7136\u5fc3\u9a5a\u3002\u300d\u6211\u8aaa\u3002<\/p>\n

\u8c50\u8863\u8db3\u98df\u60f9\u7684\u798d\uff1f<\/p>\n

\u300c\u80ba\u764c\u4e5f\u662f\uff1b\u4e0d\u50c5\u60a3\u8005\u6108\u4f86\u6108\u5e74\u8f15\uff0c\u7a2e\u985e\u4e5f\u4e0d\u540c\u3002\u300d\u80f8\u80ba\u79d1\u91ab\u751f\u8aaa\uff1a\u300c\u4ee5\u524d\u66f8\u4e0a\u660e\u660e\u8aaa\u9c57\u72c0\u7d30\u80de\u764c\u6700\u5e38\u898b\uff0c\u800c\u5438\u7159\u662f\u4e3b\u8981\u8a98\u56e0\uff1b\u53ef\u662f\u73fe\u4eca\u6211\u6bcf\u5929\u505a\u624b\u8853\u7684\uff0c\u5e7e\u4e4e\u5168\u662f\u60a3\u4e0a\u817a\u764c\u3001\u4e0d\u7159\u4e0d\u9152\u7684\u4e2d\u5e74\u5973\u6027\u3002\u300d\u80f8\u80ba\u5916\u79d1\u91ab\u751f\u8aaa\uff1a\u300c\u662f\u56e0\u70ba\u907a\u50b3\u57fa\u56e0\u8b8a\u5316\u55ce\uff1f\u300d<\/p>\n

\u300c\u53ea\u4e0d\u904e\u77ed\u77ed\u5e7e\u5341\u5e74\uff0c\u4e0d\u8db3\u4ee5\u4ee4\u4eba\u985e\u57fa\u56e0\u51fa\u73fe\u5982\u6b64\u5de8\u5927\u7684\u8f49\u8b8a\u3002\u300d\u5206\u5b50\u5c08\u5bb6\u8aaa\uff1a\u300c\u4e00\u5b9a\u662f\u74b0\u5883\u56e0\u7d20\uff0c\u4f8b\u5982\u8f3b\u5c04\u3001\u6c61\u67d3\u3001\u5316\u5b78\u7269\u4e4b\u985e\u3002\u300d<\/p>\n

\u300c\u662f\u56e0\u70ba\u592a\u904e\u8c50\u8863\u8db3\u98df\u7684\u751f\u6d3b\u554a\u3002\u300d\u816b\u7624\u91ab\u751f\u958b\u53e3\u4e86\uff1a\u300c\u6211\u7684\u75c5\u4eba\u907a\u50b3\u4e86\u5bb6\u65cf\u6027\u8178\u764c\u57fa\u56e0\uff0c\u672a\u5230\u56db\u5341\uff0c\u6574\u689d\u5927\u8178\u5c31\u9577\u6eff\u5e7e\u767e\u9846\u761c\u8089\u3001\u751f\u4e86\u5e7e\u8655\u6bd2\u7624\uff0c\u8981\u505a\u7d50\u8178\u5b8c\u5168\u5207\u9664\u624b\u8853\uff1b\u4ed6\u7684\u7956\u6bcd\u6709\u7740\u4e00\u6a21\u4e00\u6a23\u7684\u57fa\u56e0\uff0c\u4e5d\u5341\u591a\u6b72\u537b\u53ea\u5f97\u5e7e\u9846\u7121\u95dc\u8981\u7dca\u7684\u5c0f\u761c\u8089\u3002\u4e0a\u4ee3\u4eba\u7d93\u6b77\u6230\u798d\u8271\u82e6\uff0c\u5403\u5f97\u5c11\uff0c\u52de\u52d5\u591a\uff0c\u764c\u75c7\u57fa\u56e0\u5f88\u9072\u624d\u767c\u4f5c\u51fa\u4f86\u3002\u73fe\u4ee3\u4eba\u5247\u592a\u904e\u71df\u990a\u8c50\u5bcc\uff0c\u6cb9\u9e7d\u91ac\u7cd6\u3001\u7159\u9152\u5561\u8336\uff0c\u5168\u90fd\u662f\u534a\u4e16\u7d00\u524d\u96e3\u5f97\u7684\u5962\u4f88\uff1b\u751f\u6d3b\u65b9\u4fbf\u800c\u7bc0\u594f\u6025\u4fc3\uff0c\u665d\u591c\u985b\u5012\uff0c\u6f5b\u4f0f\u5728\u9ad4\u5167\u7684\u75be\u75c5\u57fa\u56e0\u5c31\u63d0\u65e9\u904b\u4f5c\u4e86\u3002\u300d<\/p>\n

\u75be\u75c5\u57fa\u56e0\u63d0\u65e9\u904b\u4f5c<\/p>\n

\u300c\u73fe\u4ee3\u751f\u6d3b\u4ee4\u75be\u75c5\u57fa\u56e0\u63d0\u65e9\u8868\u73fe\uff0c\u96d6\u7136\u4ecd\u6709\u8a31\u591a\u672a\u80fd\u89e3\u91cb\u7684\u5730\u65b9\uff0c\u53ef\u662f\u6211\u5011\u5929\u5929\u770b\u75c5\uff0c\u96e3\u9053\u9084\u89c0\u5bdf\u4e0d\u51fa\u4f86\u55ce\uff1f\u300d\u5927\u5bb6\u90fd\u6df1\u6df1\u7684\u5606\u4e00\u53e3\u6c23\u3002<\/p>\n

\u4e0d\u540c\u7684\u751f\u6d3b\u65b9\u5f0f\uff0c\u6703\u5c0d\u6211\u5011\u7684DNA\u767c\u51fa\u4e0d\u540c\u7684\u4fe1\u606f\uff0c\u5f9e\u800c\u5f71\u97ff\u57fa\u56e0\u8868\u73fe\uff08gene expressions\uff09\uff1b\u5f9e\u53e6\u4e00\u89d2\u5ea6\u770b\uff0c\u9019\u4e5f\u672a\u5617\u4e0d\u662f\u500b\u9f13\u821e\u7684\u6d88\u606f\u3002\u6709\u764c\u75c5\u5bb6\u65cf\u53f2\u7684\u5e74\u8f15\u4eba\uff0c\u8a72\u52aa\u529b\u57f9\u990a\u5065\u5eb7\u7684\u751f\u6d3b\u7fd2\u6163\uff1a\u98f2\u98df\u7c21\u6a38\uff0c\u4f5c\u606f\u5b9a\u6642\uff0c\u904b\u52d5\u8eab\u9ad4\uff0c\u8abf\u7bc0\u60c5\u7dd2\uff0c\u4fbf\u6709\u6a5f\u6703\u63a8\u9072\u57fa\u56e0\u767c\u4f5c\u7684\u5e74\u9f61\uff0c\u751a\u81f3\u53ef\u80fd\u6e1b\u5c11\u75be\u75c5\u7684\u56b4\u91cd\u6027\u3002<\/p>\n

\u6587\uff1a\u8a31\u5ae3\uff08\u75c5\u7406\u79d1\u5c08\u79d1\u91ab\u751f\uff09<\/p>\n

 <\/p>\n","protected":false},"excerpt":{"rendered":"

【明報專訊】早前醫學研討會，坐在我左側是位分子病理學專家，右邊是位腫瘤科醫生，對面是位胸肺外科醫生。談起近年經驗，感嘆疾病的年輕化日趨嚴重。<\/p>\n

分子專家對我說：「那天你轉介來化驗腸癌基因的男士，只得十九歲，實在太過不幸！」<\/p>\n

「這個年頭，二十多歲患鼻咽癌、甲狀腺癌、乳癌、卵巢或子宮頸癌的，可見得多了；發病年齡比以前讀醫所學的，整整早了十多二十年。有時看到癌症病人年紀比自己小，不禁慄然心驚。」我說。<\/p>\n

豐衣足食惹的禍？<\/p>\n

「肺癌也是；不僅患者愈來愈年輕，種類也不同。」胸肺科醫生說：「以前書上明明說鱗狀細胞癌最常見，而吸煙是主要誘因；可是現今我每天做手術的，幾乎全是患上腺癌、不煙不酒的中年女性。」胸肺外科醫生說：「是因為遺傳基因變化嗎？」<\/p>\n

「只不過短短幾十年，不足以令人類基因出現如此巨大的轉變。」分子專家說：「一定是環境因素，例如輻射、污染、化學物之類。」<\/p>\n

「是因為太過豐衣足食的生活啊。」腫瘤醫生開口了：「我的病人遺傳了家族性腸癌基因，未到四十，整條大腸就長滿幾百顆瘜肉、生了幾處毒瘤，要做結腸完全切除手術；他的祖母有着一模一樣的基因，九十多歲卻只得幾顆無關要緊的小瘜肉。上代人經歷戰禍艱苦，吃得少，勞動多，癌症基因很遲才發作出來。現代人則太過營養豐富，油鹽醬糖、煙酒啡茶，全都是半世紀前難得的奢侈；生活方便而節奏急促，晝夜顛倒，潛伏在體內的疾病基因就提早運作了。」<\/p>\n

疾病基因提早運作<\/p>\n

「現代生活令疾病基因提早表現，雖然仍有許多未能解釋的地方，可是我們天天看病，難道還觀察不出來嗎？」大家都深深的嘆一口氣。<\/p>\n

不同的生活方式，會對我們的DNA發出不同的信息，從而影響基因表現（gene expressions）；從另一角度看，這也未嘗不是個鼓舞的消息。有癌病家族史的年輕人，該努力培養健康的生活習慣：飲食簡樸，作息定時，運動身體，調節情緒，便有機會推遲基因發作的年齡，甚至可能減少疾病的嚴重性。<\/p>\n

文：許嫣（病理科專科醫生）<\/p>\n

<\/inline><\/p>\n","protected":false},"author":2,"featured_media":6123,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"rank_math_lock_modified_date":false,"site-sidebar-layout":"default","site-content-layout":"","ast-site-content-layout":"","site-content-style":"default","site-sidebar-style":"default","ast-global-header-display":"","ast-banner-title-visibility":"","ast-main-header-display":"","ast-hfb-above-header-display":"","ast-hfb-below-header-display":"","ast-hfb-mobile-header-display":"","site-post-title":"","ast-breadcrumbs-content":"","ast-featured-img":"","footer-sml-layout":"","theme-transparent-header-meta":"","adv-header-id-meta":"","stick-header-meta":"","header-above-stick-meta":"","header-main-stick-meta":"","header-below-stick-meta":"","astra-migrate-meta-layouts":"default","ast-page-background-enabled":"default","ast-page-background-meta":{"desktop":{"background-color":"var(--ast-global-color-4)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"ast-content-background-meta":{"desktop":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"footnotes":""},"categories":[3600,3601],"tags":[46,340,1167],"class_list":["post-4718","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-3600","category-3601","tag-46","tag-340","tag-1167"],"publishpress_future_action":{"enabled":false,"date":"2026-11-15 17:27:32","action":"change-status","newStatus":"draft","terms":[],"taxonomy":"category"},"publishpress_future_workflow_manual_trigger":{"enabledWorkflows":[]},"_links":{"self":[{"href":"\/\/www.afterroberto.com\/wp-json\/wp\/v2\/posts\/4718"}],"collection":[{"href":"\/\/www.afterroberto.com\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"\/\/www.afterroberto.com\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"\/\/www.afterroberto.com\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"\/\/www.afterroberto.com\/wp-json\/wp\/v2\/comments?post=4718"}],"version-history":[{"count":0,"href":"\/\/www.afterroberto.com\/wp-json\/wp\/v2\/posts\/4718\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"\/\/www.afterroberto.com\/wp-json\/wp\/v2\/media\/6123"}],"wp:attachment":[{"href":"\/\/www.afterroberto.com\/wp-json\/wp\/v2\/media?parent=4718"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"\/\/www.afterroberto.com\/wp-json\/wp\/v2\/categories?post=4718"},{"taxonomy":"post_tag","embeddable":true,"href":"\/\/www.afterroberto.com\/wp-json\/wp\/v2\/tags?post=4718"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}