{"id":5143,"date":"2016-11-15T00:00:00","date_gmt":"2016-11-14T16:00:00","guid":{"rendered":"\/\/www.afterroberto.com\/?guid=01fb1d5223121e89cd781cc2641020fb"},"modified":"2018-08-21T17:22:13","modified_gmt":"2018-08-21T09:22:13","slug":"%e3%80%90%e9%95%b7%e8%80%85%e5%81%a5%e5%ba%b7%e3%80%91%e8%ad%9a%e8%ab%87%e5%81%a5%e5%ba%b7%ef%bc%9a%e7%94%98%e8%bf%ba%e8%bf%aa%e5%92%8c%e6%96%87%e7%bf%a0%e7%8f%8a%e7%9a%86%e6%98%af%e9%95%b7%e6%9c%9f","status":"publish","type":"post","link":"\/\/www.afterroberto.com\/%e3%80%90%e9%95%b7%e8%80%85%e5%81%a5%e5%ba%b7%e3%80%91%e8%ad%9a%e8%ab%87%e5%81%a5%e5%ba%b7%ef%bc%9a%e7%94%98%e8%bf%ba%e8%bf%aa%e5%92%8c%e6%96%87%e7%bf%a0%e7%8f%8a%e7%9a%86%e6%98%af%e9%95%b7%e6%9c%9f\/","title":{"rendered":"\u8b5a\u8ac7\u5065\u5eb7\uff1a\u7518\u8ffa\u8fea\u548c\u6587\u7fe0\u73ca\u7686\u662f\u9577\u671f\u75c5\u60a3\u8005"},"content":{"rendered":"

\u3010\u660e\u5831\u5c08\u8a0a\u3011\u7f8e\u570b\u5df2\u6545\u7e3d\u7d71\u7518\u8ffa\u8fea\uff0c\u4e00\u5411\u7d66\u4eba\u7684\u5370\u8c61\u662f\u5e74\u8f15\u548c\u5145\u6eff\u6d3b\u529b\uff0c\u8eab\u9ad4\u975e\u5e38\u5065\u5eb7\u3002\u4f46\u6700\u8fd1\u7684\u7814\u7a76\u767c\u73fe\uff0c\u7518\u8ffa\u8fea\u7e3d\u7d71\u5176\u5be6\u662f\u53d7\u5230\u5f88\u591a\u75c5\u60a3\u7e8f\u7e5e\u7684\uff0c\u4ed6\u5e73\u5747\u6bcf\u5929\u8981\u5403\u8d85\u904e\u516b\u7a2e\u85e5\uff0c\u4f86\u7dad\u6301\u4ed6\u7684\u8eab\u9ad4\u5065\u5eb7\uff0c\u4f7f\u4ed6\u53ef\u4ee5\u7e7c\u7e8c\u6bcf\u5929\u7684\u5de5\u4f5c\u3002<\/p>\n

\u9808\u5b9a\u6642\u6253\u91dd\u670d\u85e5<\/p>\n

\u6700\u8fd1\u7684\u8cc7\u6599\u986f\u793a\uff0c\u7518\u8ffa\u8fea\u7e3d\u7d71\u662f\u60a3\u6709\u611b\u8fea\u751f\u6c0f\u75c5\uff08Addison’s Disease\uff09\uff0c\u5373\u814e\u4e0a\u817a\u529f\u80fd\u4e0d\u8db3\uff08Adrenal Insufficiency\uff09\uff0c\u4ea6\u5373\u814e\u4e0a\u817a\u7121\u6cd5\u5206\u6ccc\u8db3\u5920\u7684\u8377\u723e\u8499\uff0c\u5c24\u5176\u662f\u76ae\u8cea\u9187\uff08Cortisol\uff09\uff1b\u60a3\u8005\u9700\u8981\u9577\u671f\u5b9a\u6642\u670d\u7528\u85e5\u7269\uff0c\u7dad\u6301\u9ad4\u5167\u76ae\u8cea\u9187\u7684\u6c34\u5e73\u7a69\u5b9a\uff0c\u4ee5\u4fdd\u6301\u8eab\u9ad4\u6b63\u5e38\u904b\u4f5c\u3002<\/p>\n

\u814e\u4e0a\u817a\u7684\u8377\u723e\u8499\uff0c\u5c24\u5176\u662f\u76ae\u8cea\u9187\uff0c\u5c0d\u4eba\u9ad4\u7684\u65b0\u9673\u4ee3\u8b1d\u975e\u5e38\u91cd\u8981\u3002\u6b20\u7f3a\u76ae\u8cea\u9187\uff0c\u75c5\u4eba\u6703\u611f\u89ba\u5341\u5206\u75b2\u7d2f\uff0c\u6642\u5e38\u6703\u8840\u7cd6\u504f\u4f4e\uff0c\u8840\u6db2\u4e2d\u7684\u9209\u4e5f\u6703\u504f\u4f4e\uff0c\u4f46\u9240\u537b\u504f\u9ad8\uff0c\u56b4\u91cd\u8005\u8840\u58d3\u4e5f\u504f\u4f4e\uff0c\u60a3\u8005\u5bb9\u6613\u6688\u7729\u3002<\/p>\n

\u6cbb\u7642\u611b\u8fea\u751f\u6c0f\u75c5\u7684\u65b9\u6cd5\uff0c\u7576\u7136\u662f\u7d66\u75c5\u4eba\u88dc\u5145\u8db3\u5920\u7684\u76ae\u8cea\u9187\uff0c\u4e5f\u5373\u662f\u985e\u56fa\u9187\u3002\u73fe\u5728\uff0c\u6211\u5011\u77e5\u9053\u539f\u4f86\u9577\u671f\u670d\u7528\u985e\u56fa\u9187\uff0c\u5c0d\u8eab\u9ad4\u6709\u5f88\u591a\u526f\u4f5c\u7528\uff0c\u5982\u9aa8\u8cea\u758f\u9b06\u75c7\u3001\u8840\u58d3\u9ad8\u3001\u8840\u7cd6\u504f\u9ad8\uff0c\u4ee5\u81f3\u7cd6\u5c3f\u75c5\u3001\u767d\u5167\u969c\u7b49\uff1b\u4f46\u5728\u90a3\u6642\uff0c\u91ab\u751f\u5011\u4e26\u4e0d\u77e5\u9053\u985e\u56fa\u9187\u6709\u9019\u9ebc\u591a\u7684\u526f\u4f5c\u7528\u3002\u4e5f\u6709\u5c08\u5bb6\u8a8d\u70ba\uff0c\u7531\u65bc\u7518\u8ffa\u8fea\u7e3d\u7d71\u9577\u671f\u670d\u7528\u985e\u56fa\u9187\uff0c\u5f15\u81f4\u9aa8\u8cea\u758f\u9b06\u3001\u810a\u9aa8\u9000\u5316\uff0c\u800c\u4f7f\u4ed6\u7684\u810a\u9aa8\u627f\u53d7\u4e0d\u8d77\u4ed6\u8eab\u8ec0\u7684\u91cd\u91cf\uff1b\u9577\u6642\u9593\u4ee5\u4f86\uff0c\u4ed6\u90fd\u9700\u8981\u7528\u7dca\u8eab\u8863\u548c\u652f\u67b6\u4f86\u652f\u6490\u4ed6\u7684\u8eab\u9ad4\uff0c\u4f7f\u4ed6\u7684\u8eab\u9ad4\u80fd\u9577\u6642\u9593\u633a\u76f4\u3002\u7518\u8ffa\u8fea\u7e3d\u7d71\u7684\u80cc\u75db\uff0c\u548c\u5f8c\u4f86\u4ed6\u9700\u8981\u505a\u80cc\u810a\u7684\u624b\u8853\uff0c\u5f88\u6709\u53ef\u80fd\u662f\u7531\u65bc\u9577\u671f\u670d\u7528\u985e\u56fa\u9187\u6240\u5f15\u8d77\u7684\u4f75\u767c\u75c7\u3002<\/p>\n

\u5805\u5f37\u610f\u5fd7 \u61c9\u4ed8\u7e41\u91cd\u516c\u52d9<\/p>\n

\u82f1\u570b\u9996\u76f8\u6587\u7fe0\u73ca\uff0c\u662f\u82f1\u570b\u7b2c\u4e8c\u4f4d\u5973\u9996\u76f8\uff0c\u5979\u8981\u9818\u5c0e\u82f1\u570b\u812b\u6b50\uff0c\u540c\u6642\u7dad\u8b77\u82f1\u570b\u4eba\u7684\u5c0a\u56b4\u548c\u5229\u76ca\uff0c\u8cac\u4efb\u91cd\u5927\u3002\u539f\u4f86\u5979\u4e5f\u662f\u4e00\u500b\u9577\u671f\u75c5\u60a3\u8005\uff0c\u60a3\u6709\u56b4\u91cd\u7684\u7cd6\u5c3f\u75c5\uff0c\u6bcf\u5929\u90fd\u8981\u6ce8\u5c04\u80f0\u5cf6\u7d20\uff0c\u7576\u7136\u4e5f\u8981\u5b9a\u6642\u76e3\u6e2c\u8840\u7cd6\u3002\u4f46\u770b\u5979\u7cbe\u795e\u98fd\u6eff\uff0c\u6709\u6c7a\u5fc3\u3001\u6709\u80fd\u529b\u5728\u9019\u56f0\u96e3\u6642\u671f\u9818\u5c0e\u82f1\u570b\uff0c\u5b8c\u5b8c\u5168\u5168\u6c92\u6709\u56e0\u70ba\u6709\u75c5\u800c\u4f7f\u5979\u9000\u7e2e\u548c\u7336\u8c6b\u3002<\/p>\n

\u6211\u5011\u53ef\u4ee5\u898b\u5230\u4ed6\u5011\u5169\u4eba\uff0c\u96d6\u7136\u6709\u9577\u671f\u75c5\u60a3\uff0c\u6bcf\u5929\u90fd\u8981\u5b9a\u6642\u6253\u91dd\u670d\u85e5\uff0c\u4f46\u90fd\u53ef\u4ee5\u6709\u6548\u5730\u5de5\u4f5c\uff0c\u800c\u4e14\u64d4\u7576\u5148\u9032\u570b\u5bb6\u9818\u8896\u7684\u4f4d\u7f6e\uff0c\u61c9\u4ed8\u5de8\u5927\u7684\u58d3\u529b\u548c\u7e41\u91cd\u7684\u516c\u52d9\uff0c\u5b8c\u5168\u6c92\u6709\u554f\u984c\u3002\u6211\u5011\u5c31\u77e5\u9053\uff0c\u5c31\u7b97\u8eab\u9ad4\u6709\u4e9b\u75be\u75c5\uff0c\u53ea\u9700\u8981\u6309\u7167\u91ab\u751f\u6307\u793a\uff0c\u5b9a\u6642\u670d\u85e5\uff0c\u4fdd\u6301\u8eab\u9ad4\u5065\u5eb7\uff0c\u52a0\u4e0a\u5805\u5f37\u7684\u610f\u5fd7\u548c\u8010\u529b\uff0c\u4f9d\u7136\u662f\u53ef\u4ee5\u70ba\u81ea\u5df1\u7684\u76ee\u6a19\u596e\u9b25\uff0c\u70ba\u793e\u6703\u4f5c\u51fa\u4e0d\u51e1\u7684\u8ca2\u737b\u3002<\/p>\n

\u4f5c\u8005\u7c21\u4ecb\uff1a\u814e\u75c5\u79d1\u5c08\u79d1\u91ab\u751f\uff0c\u95dc\u5fc3\u5065\u5eb7\uff0c\u95dc\u5fc3\u793e\u6703<\/p>\n

\u6587\uff1a\u8b5a\u570b\u6b0a<\/p>\n

\/\/www.afterroberto.com\/wp-content\/uploads\/2017\/07\/27BB003_.jpg;<\/inline><\/p>\n","protected":false},"excerpt":{"rendered":"

【明報專訊】美國已故總統甘迺迪，一向給人的印象是年輕和充滿活力，身體非常健康。但最近的研究發現，甘迺迪總統其實是受到很多病患纏繞的，他平均每天要吃超過八種藥，來維持他的身體健康，使他可以繼續每天的工作。<\/p>\n

須定時打針服藥<\/p>\n

最近的資料顯示，甘迺迪總統是患有愛迪生氏病（Addison’s Disease），即腎上腺功能不足（Adrenal Insufficiency），亦即腎上腺無法分泌足夠的荷爾蒙，尤其是皮質醇（Cortisol）；患者需要長期定時服用藥物，維持體內皮質醇的水平穩定，以保持身體正常運作。<\/p>\n

腎上腺的荷爾蒙，尤其是皮質醇，對人體的新陳代謝非常重要。欠缺皮質醇，病人會感覺十分疲累，時常會血糖偏低，血液中的鈉也會偏低，但鉀卻偏高，嚴重者血壓也偏低，患者容易暈眩。<\/p>\n

治療愛迪生氏病的方法，當然是給病人補充足夠的皮質醇，也即是類固醇。現在，我們知道原來長期服用類固醇，對身體有很多副作用，如骨質疏鬆症、血壓高、血糖偏高，以至糖尿病、白內障等；但在那時，醫生們並不知道類固醇有這麼多的副作用。也有專家認為，由於甘迺迪總統長期服用類固醇，引致骨質疏鬆、脊骨退化，而使他的脊骨承受不起他身軀的重量；長時間以來，他都需要用緊身衣和支架來支撐他的身體，使他的身體能長時間挺直。甘迺迪總統的背痛，和後來他需要做背脊的手術，很有可能是由於長期服用類固醇所引起的併發症。<\/p>\n

堅強意志 應付繁重公務<\/p>\n

英國首相文翠珊，是英國第二位女首相，她要領導英國脫歐，同時維護英國人的尊嚴和利益，責任重大。原來她也是一個長期病患者，患有嚴重的糖尿病，每天都要注射胰島素，當然也要定時監測血糖。但看她精神飽滿，有決心、有能力在這困難時期領導英國，完完全全沒有因為有病而使她退縮和猶豫。<\/p>\n

我們可以見到他們兩人，雖然有長期病患，每天都要定時打針服藥，但都可以有效地工作，而且擔當先進國家領袖的位置，應付巨大的壓力和繁重的公務，完全沒有問題。我們就知道，就算身體有些疾病，只需要按照醫生指示，定時服藥，保持身體健康，加上堅強的意志和耐力，依然是可以為自己的目標奮鬥，為社會作出不凡的貢獻。<\/p>\n

作者簡介：腎病科專科醫生，關心健康，關心社會<\/p>\n

文：譚國權<\/p>\n

<\/inline><\/p>\n","protected":false},"author":2,"featured_media":6349,"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":[3],"tags":[691,1166,353,858],"class_list":["post-5143","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-3","tag-691","tag-1166","tag-353","tag-858"],"publishpress_future_action":{"enabled":false,"date":"2026-11-22 14:36:00","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\/5143"}],"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=5143"}],"version-history":[{"count":0,"href":"\/\/www.afterroberto.com\/wp-json\/wp\/v2\/posts\/5143\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"\/\/www.afterroberto.com\/wp-json\/wp\/v2\/media\/6349"}],"wp:attachment":[{"href":"\/\/www.afterroberto.com\/wp-json\/wp\/v2\/media?parent=5143"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"\/\/www.afterroberto.com\/wp-json\/wp\/v2\/categories?post=5143"},{"taxonomy":"post_tag","embeddable":true,"href":"\/\/www.afterroberto.com\/wp-json\/wp\/v2\/tags?post=5143"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}