{"id":4825,"date":"2017-03-20T00:00:00","date_gmt":"2017-03-19T16:00:00","guid":{"rendered":"\/\/www.afterroberto.com\/?guid=4c64c34c2c8f5b9a3da2e027192dfa30"},"modified":"2018-08-21T15:17:16","modified_gmt":"2018-08-21T07:17:16","slug":"%e5%95%8f%e9%86%ab%e7%94%9f%ef%bc%9a%e9%90%b5%e4%b8%b8%e5%89%af%e4%bd%9c%e7%94%a8-%e8%85%b8%e8%83%83%e4%b8%8d%e9%81%a9%e5%a4%a7%e4%be%bf%e9%bb%91","status":"publish","type":"post","link":"\/\/www.afterroberto.com\/%e5%95%8f%e9%86%ab%e7%94%9f%ef%bc%9a%e9%90%b5%e4%b8%b8%e5%89%af%e4%bd%9c%e7%94%a8-%e8%85%b8%e8%83%83%e4%b8%8d%e9%81%a9%e5%a4%a7%e4%be%bf%e9%bb%91\/","title":{"rendered":"\u554f\u91ab\u751f\uff1a\u9435\u4e38\u526f\u4f5c\u7528 \u8178\u80c3\u4e0d\u9069\u5927\u4fbf\u9ed1"},"content":{"rendered":"

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\/\/www.afterroberto.com\/wp-content\/uploads\/2017\/07\/M70515i.jpg;<\/inline><\/p>\n","protected":false},"excerpt":{"rendered":"

【明報專訊】觀：Facebook Live觀眾 李：李卓廣 鄭：鄭志文<\/p>\n

觀：貧血，鐵丸可否有效治理？我曾服用三星期鐵丸，隨後發現大便呈黑色。這跟服食鐵丸有沒有關係？<\/p>\n

李：貧血，先要弄清楚原因。在南中國海地區，可能是隱性地中海貧血。地中海貧血是一種遺傳疾病，由家族性病歷可以推斷，若父母其中一個患有隱性地中海貧血，孩子就有50%機率攜有地貧的基因。大部分地貧基因攜帶者沒有任何病徵，小部分會有輕微貧血，毋須接受治療。<\/p>\n

如果確診是缺鐵性貧血，醫生可以處方鐵丸。服食鐵丸，病人可能出現不適，常見包括腸胃不適、便秘、大便呈深色等。除了鐵丸，改善飲食習慣，增加鐵質吸收，也相當重要。<\/p>\n

順帶一提，服食鐵丸的時間可以較長。充分補足，令體內鐵質達到正常水平之餘，最好能夠提升儲備，效果更加理想。<\/p>\n

鄭：服食鐵丸，病人往往出現疑團。食鐵丸會令大便呈黑色。而胃出血其中一個徵狀也是大便黑色。大家便會擔心是否胃出血導致貧血？所以，醫生處方鐵丸，都會事先告知病人，服後會令大便帶黑和偏綠。<\/p>\n

■產後補鐵過火 加劇便秘<\/p>\n

觀：孕婦產後出現貧血，如何處理？<\/p>\n

李：懷孕期間，準媽媽除了照顧自己身體所需，也要提供大量養分給予胎兒發育。很多時候，孕婦維持均衡飲食之餘，醫生往往建議補充葉酸，或多進食含有豐富鐵質的食物。不過，孕婦需要注意：懷孕期間，胎兒的生長擠壓腸道，令到腸胃活動減少，容易出現便秘。過量鐵質，也會加劇便秘。記緊補充足夠的水分和膳食纖維，就可以解決問題。 <\/p>\n

孕婦在生產過程失血，亦導致產後貧血，或加劇原來貧血程度。生產過後，醫生多會處方鐵丸，媽媽需要完成一段時間的補充療程。當然，媽媽也要注意飲食；多以膳食鐵質搭配含有豐富維他命C的蔬果，增加鐵質的吸收量。<\/p>\n

■茹素夠「營」 大師捐血101次<\/p>\n

觀：吃素容易貧血？<\/p>\n

李：植物性食物所含鐵質較動物性食物高；不過，植物性食物的鐵質吸收率較動物性食物的鐵質吸收率低（相差4至5倍）。換句話說，素食人士需要食用大分量的蔬菜，才能吸收足夠鐵質。<\/p>\n

紅十字會流動捐血隊會前往一些佛教團體進行捐血活動，接觸長期純素食的僧人捐血，完全沒有問題。我最近前往一個捐血站，遇見一位大師，捐血第101次。他的血紅素很好，全靠良好飲食習慣。<\/p>\n

鄭：其實素食也要注意素食平衡。不是只吃蔬菜，還有豆類和豆類製品（豆腐、腐竹）等。如果不是嚴守純素，可以考慮蛋奶素食。蛋類和奶類製品都可提供豐富營養。<\/p>\n

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