{"id":7789,"date":"2016-12-26T00:00:00","date_gmt":"2016-12-25T16:00:00","guid":{"rendered":"\/\/www.afterroberto.com\/?guid=26eca45468d3f2999118050dd8702cec"},"modified":"2018-08-21T15:39:41","modified_gmt":"2018-08-21T07:39:41","slug":"%e5%95%8f%e9%86%ab%e7%94%9f%ef%bc%9a%e7%97%85%e6%af%92%e7%b4%b0%e8%8f%8c%e6%84%9f%e6%9f%93-%e5%a6%82%e4%bd%95%e5%88%86%e8%be%a8%ef%bc%9f","status":"publish","type":"post","link":"\/\/www.afterroberto.com\/%e5%95%8f%e9%86%ab%e7%94%9f%ef%bc%9a%e7%97%85%e6%af%92%e7%b4%b0%e8%8f%8c%e6%84%9f%e6%9f%93-%e5%a6%82%e4%bd%95%e5%88%86%e8%be%a8%ef%bc%9f\/","title":{"rendered":"\u554f\u91ab\u751f\uff1a\u75c5\u6bd2\/\u7d30\u83cc\u611f\u67d3 \u5982\u4f55\u5206\u8fa8\uff1f"},"content":{"rendered":"

\u3010\u660e\u5831\u5c08\u8a0a\u3011\u912d\uff1a\u912d\u5fd7\u6587\u91ab\u751f \u674e\uff1a\u674e\u79ae\u821c\u91ab\u751f \u89c0\uff1afacebook Live\u89c0\u773e<\/p>\n

\u912d\ufe55\u8981\u6e1b\u5c11\u4f7f\u7528\u6297\u751f\u7d20\uff0c\u5c31\u8981\u5c0d\u75c7\u4e0b\u85e5\u3002\u6297\u751f\u7d20\u7528\u65bc\u6bba\u6ec5\u7d30\u83cc\uff0c\u4f46\u5c0d\u771f\u83cc\u53ca\u75c5\u6bd2\u611f\u67d3\u6c92\u6548\u3002\u6709\u5efa\u8b70\u4f7f\u7528\u81e8\u7240\u6e2c\u8a66\uff0c\u5206\u8fa8\u51fa\u662f\u5426\u7d30\u83cc\u611f\u67d3\uff0c\u662f\u5426\u53ef\u884c\uff1f\u73fe\u6642\u53c8\u6709\u4ec0\u9ebc\u9078\u64c7\uff1f<\/p>\n

\u674e\ufe55\u81e8\u7240\u8a3a\u65b7\u6700\u4e3b\u8981\u662f\u5206\u958b\u75c5\u6bd2\u6216\u7d30\u83cc\u611f\u67d3\uff0c\u56e0\u70ba\u53ea\u6709\u7d30\u83cc\u611f\u67d3\u624d\u9700\u8981\u4f7f\u7528\u6297\u751f\u7d20\u3002\u76ee\u524d\u53ef\u4ee5\u8003\u616e\u9032\u884c\u75c5\u6bd2\u5b78\u6e2c\u8a66\uff0c\u7576\u78ba\u8a3a\u662f\u75c5\u6bd2\uff0c\u5c31\u6bcb\u9808\u7528\u6297\u751f\u7d20\u3002\u53e6\u5916\uff0c\u4ea6\u53ef\u5728\u8b77\u7406\u9ede\uff08\u5305\u62ec\u79c1\u5bb6\u91ab\u751f\u3001\u5065\u5eb7\u4e2d\u5fc3\u7b49\uff09\u9032\u884c\u964d\u9223\u7d20\u539f\u3001C\u53cd\u61c9\u86cb\u767d\u7b49\u6e2c\u8a66\u6709\u6c92\u6709\u56b4\u91cd\u611f\u67d3\u3002\u9019\u4e9b\u90fd\u53ef\u4ee5\u5354\u52a9\u91ab\u751f\u5206\u8fa8\u7d30\u83cc\u9084\u662f\u75c5\u6bd2\u611f\u67d3\uff0c\u4e0d\u904e\u6e96\u78ba\u5ea6\u4e26\u975e\u767e\u5206\u767e\u3002\u6240\u4ee5\uff0c\u91ab\u8b77\u4eba\u54e1\u6703\u6839\u64da\u81e8\u7240\u6307\u5f15\u4f5c\u8a3a\u65b7\uff0c\u4f8b\u5982\u75c5\u4eba\u5589\u56a8\u7d05\u816b\uff0c\u6709\u767d\u9ede\u5206\u6ccc\u7269\uff0c\u5c31\u662f\u7532\u578b\u93c8\u7403\u83cc\u54bd\u5589\u708e\uff08\u5716\uff09\u7684\u5fb5\u72c0\u3002<\/p>\n

\u6feb\u7528\u6297\u751f\u7d20 \u53ef\u81f4\u80a5\u80d6\u3001\u54ee\u5598<\/p>\n

\u89c0\ufe55\u6297\u751f\u7d20\u4e0d\u55ae\u6bba\u6b7b\u60e1\u83cc\uff0c\u4ea6\u6703\u6bba\u6b7b\u597d\u83cc\uff0c\u4ee4\u8eab\u9ad4\u62b5\u6297\u529b\u6e1b\u5f31\uff0c\u4e0d\u98df\u6297\u751f\u7d20\uff0c\u53ef\u4ee5\u55ce\uff1f\u9032\u98df\u76ca\u751f\u83cc\u4f5c\u4ee3\u66ff\uff0c\u662f\u5426\u53ef\u884c\uff1f<\/p>\n

\u674e\ufe55\u8fd1\u5e74\u6108\u4f86\u6108\u591a\u6297\u751f\u7d20\u7684\u7814\u7a76\uff0c\u4ee4\u6211\u5011\u66f4\u52a0\u4e86\u89e3\u5b83\u7684\u526f\u4f5c\u7528\u3002\u904e\u5f80\u5df2\u77e5\u6297\u751f\u7d20\u7684\u526f\u4f5c\u7528\uff0c\u4e3b\u8981\u662f\u51fa\u73fe\u654f\u611f\u53ca\u767d\u8840\u7403\u504f\u4f4e\uff0c\u800c\u8fd1\u5e74\u767c\u73fe\u6703\u5f71\u97ff\u5230\u4eba\u9ad4\u5167\u7684\u5fae\u751f\u7269\u7fa4\u7d44\uff0c\u5176\u4e2d\u6700\u5e38\u898b\u5c0e\u81f4\u8178\u708e\u3002\u5982\u679c\u670d\u7528\u592a\u591a\u6297\u751f\u7d20\uff0c\u5c07\u597d\u83cc\u58de\u83cc\u4e00\u4f75\u6bba\u6b7b\uff0c\u53cd\u800c\u51fa\u73fe\u66f4\u591a\u58de\u83cc\uff0c\u5c0e\u81f4\u51fa\u73fe\u809a\u75db\u3001\u8179\u7009\u7b49\u554f\u984c\uff0c\u56b4\u91cd\u53ef\u81f4\u547d\u3002\u53e6\u5916\uff0c\u8fd1\u5e74\u4ea6\u6709\u7814\u7a76\u986f\u793a\uff0c\u7528\u592a\u591a\u6297\u751f\u7d20\u6703\u81f4\u80a5\u80d6\u3001\u7cd6\u5c3f\u75c5\u3001\u54ee\u5598\uff0c\u4ee5\u53ca\u5404\u6a23\u7684\u654f\u611f\u554f\u984c\uff0c\u5c24\u5176\u5e38\u898b\u65bc\u5c0f\u670b\u53cb\u8eab\u4e0a\u3002\u9019\u4e9b\u7814\u7a76\u4ee4\u6211\u5011\u660e\u767d\uff0c\u6297\u751f\u7d20\u4e0d\u80fd\u80e1\u4e82\u4f7f\u7528\u3002<\/p>\n

\u4f46\u4e00\u65e6\u78ba\u8a8d\u662f\u7d30\u83cc\u6027\u611f\u67d3\uff0c\u5c31\u5fc5\u9808\u4f7f\u7528\u91dd\u5c0d\u6027\u7684\u6297\u751f\u7d20\u3002\u76ca\u751f\u83cc\u4e3b\u8981\u4f5c\u7528\u4e26\u975e\u6bba\u83cc\uff0c\u6240\u4ee5\u4e0d\u80fd\u4ee3\u66ff\u6297\u751f\u7d20\u3002<\/p>\n

\u50b7\u98a8\u54b3\u4e0d\u65b7\u5c3e\uff1f \u6216\u56e0\u904e\u654f<\/p>\n

\u89c0\ufe55\u6bcf\u7576\u751f\u75c5\u6642\uff0c\u5982\u91ab\u751f\u4e0d\u8655\u65b9\u6297\u751f\u7d20\uff0c\u75c5\u60c5\u5c31\u6703\u62d6\u5ef6\u4e00\u6bb5\u6642\u9593\u624d\u80fd\u75ca\u7652\uff0c\u61c9\u5426\u4e3b\u52d5\u53eb\u91ab\u751f\u958b\u6297\u751f\u7d20\uff1f<\/p>\n

\u674e\ufe55\u662f\u5426\u9700\u8981\u6297\u751f\u7d20\uff0c\u6700\u4e3b\u8981\u770b\u91ab\u751f\u7684\u81e8\u7240\u8a3a\u65b7\u3002\u91ab\u751f\u6700\u5e38\u9047\u898b\u7684\u60c5\u51b5\uff0c\u75c5\u4eba\u6709\u75c5\u6bd2\u6027\u611f\u67d3\uff0c\u5982\u50b7\u98a8\uff0c\u4f46\u75ca\u7652\u5f8c\u4ecd\u4e0d\u505c\u6d41\u9f3b\u6c34\u6216\u54b3\u55fd\uff0c\u4fbf\u4ee5\u70ba\u4e26\u672a\u75ca\u7652\u3002\u5176\u5be6\u9019\u5f80\u5f80\u662f\u75ca\u7652\u5f8c\u7684\u904e\u654f\u5fb5\u72c0\uff0c\u4e26\u975e\u96d9\u91cd\u611f\u67d3\u3002\u6240\u4ee5\u61c9\u8a72\u8981\u91dd\u5c0d\u75c5\u5fb5\uff0c\u800c\u9032\u884c\u7d13\u7de9\u6027\u7684\u6cbb\u7642\uff0c\u800c\u975e\u670d\u7528\u6297\u751f\u7d20\u3002<\/p>\n

\u912d\ufe55\u65e5\u5e38\u8a3a\u75c7\uff0c\u75c5\u4eba\u4e0d\u6642\u8981\u6c42\u8655\u65b9\u6297\u751f\u7d20\uff0c\u4f46\u5982\u75c5\u4eba\u4e0d\u662f\u7d30\u83cc\u611f\u67d3\uff0c\u8655\u65b9\u6297\u751f\u7d20\u4e5f\u4e0d\u6703\u52a0\u5feb\u75ca\u7652\u3002\u6240\u4ee5\uff0c\u6211\u7684\u505a\u6cd5\u662f\u5148\u4e86\u89e3\u75c5\u4eba\u70ba\u4f55\u6709\u9019\u8981\u6c42\uff0c\u4ed6\u5011\u53ef\u80fd\u8aaa\u8003\u8a66\u81e8\u8fd1\u3001\u660e\u5929\u51fa\u9060\u9580\u7b49\uff0c\u6211\u6216\u6703\u8655\u65b9\u6297\u751f\u7d20\uff0c\u4f46\u63d0\u9192\u5c0d\u65b9\u4e0d\u8981\u6025\u7740\u670d\u7528\uff0c\u8981\u5145\u5206\u4f11\u606f\u53ca\u5b9a\u6642\u670d\u7528\u5176\u4ed6\u85e5\u7269\uff0c\u82e5\u75c5\u60c5\u597d\u8f49\uff0c\u5c31\u6bcb\u9808\u670d\u7528\u6297\u751f\u7d20\u3002\u7576\u75c5\u4eba\u6709\u6297\u751f\u7d20\u4f5c\u70ba\u300c\u5b89\u6170\u5291\u300d\uff0c\u672a\u5fc5\u6703\u670d\u7528\uff0c\u7684\u78ba\u80fd\u6e1b\u4f4e\u6297\u751f\u7d20\u7684\u4f7f\u7528\u3002<\/p>\n

https:\/\/health2.mingpao.com\/ftp\/Health2\/20161226\/news\/_26YA001_.jpg\uff08\u5716\uff1a\u53d7\u8a2a\u8005\u63d0\u4f9b\uff09;<\/inline><\/p>\n","protected":false},"excerpt":{"rendered":"

【明報專訊】鄭：鄭志文醫生 李：李禮舜醫生 觀：facebook Live觀眾<\/p>\n

鄭﹕要減少使用抗生素，就要對症下藥。抗生素用於殺滅細菌，但對真菌及病毒感染沒效。有建議使用臨牀測試，分辨出是否細菌感染，是否可行？現時又有什麼選擇？<\/p>\n

李﹕臨牀診斷最主要是分開病毒或細菌感染，因為只有細菌感染才需要使用抗生素。目前可以考慮進行病毒學測試，當確診是病毒，就毋須用抗生素。另外，亦可在護理點（包括私家醫生、健康中心等）進行降鈣素原、C反應蛋白等測試有沒有嚴重感染。這些都可以協助醫生分辨細菌還是病毒感染，不過準確度並非百分百。所以，醫護人員會根據臨牀指引作診斷，例如病人喉嚨紅腫，有白點分泌物，就是甲型鏈球菌咽喉炎（圖）的徵狀。<\/p>\n

濫用抗生素 可致肥胖、哮喘<\/p>\n

觀﹕抗生素不單殺死惡菌，亦會殺死好菌，令身體抵抗力減弱，不食抗生素，可以嗎？進食益生菌作代替，是否可行？<\/p>\n

李﹕近年愈來愈多抗生素的研究，令我們更加了解它的副作用。過往已知抗生素的副作用，主要是出現敏感及白血球偏低，而近年發現會影響到人體內的微生物群組，其中最常見導致腸炎。如果服用太多抗生素，將好菌壞菌一併殺死，反而出現更多壞菌，導致出現肚痛、腹瀉等問題，嚴重可致命。另外，近年亦有研究顯示，用太多抗生素會致肥胖、糖尿病、哮喘，以及各樣的敏感問題，尤其常見於小朋友身上。這些研究令我們明白，抗生素不能胡亂使用。<\/p>\n

但一旦確認是細菌性感染，就必須使用針對性的抗生素。益生菌主要作用並非殺菌，所以不能代替抗生素。<\/p>\n

傷風咳不斷尾？ 或因過敏<\/p>\n

觀﹕每當生病時，如醫生不處方抗生素，病情就會拖延一段時間才能痊癒，應否主動叫醫生開抗生素？<\/p>\n

李﹕是否需要抗生素，最主要看醫生的臨牀診斷。醫生最常遇見的情况，病人有病毒性感染，如傷風，但痊癒後仍不停流鼻水或咳嗽，便以為並未痊癒。其實這往往是痊癒後的過敏徵狀，並非雙重感染。所以應該要針對病徵，而進行紓緩性的治療，而非服用抗生素。<\/p>\n

鄭﹕日常診症，病人不時要求處方抗生素，但如病人不是細菌感染，處方抗生素也不會加快痊癒。所以，我的做法是先了解病人為何有這要求，他們可能說考試臨近、明天出遠門等，我或會處方抗生素，但提醒對方不要急着服用，要充分休息及定時服用其他藥物，若病情好轉，就毋須服用抗生素。當病人有抗生素作為「安慰劑」，未必會服用，的確能減低抗生素的使用。<\/p>\n

https:\/\/health2.mingpao.com\/ftp\/Health2\/20161226\/news\/_26YA001_.jpg（圖：受訪者提供）;<\/inline><\/p>\n","protected":false},"author":2,"featured_media":9792,"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":[385,772,1097,1096],"class_list":["post-7789","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-3","tag-385","tag-772","tag-1097","tag-1096"],"publishpress_future_action":{"enabled":false,"date":"2026-11-22 09:55:06","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\/7789"}],"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=7789"}],"version-history":[{"count":0,"href":"\/\/www.afterroberto.com\/wp-json\/wp\/v2\/posts\/7789\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"\/\/www.afterroberto.com\/wp-json\/wp\/v2\/media\/9792"}],"wp:attachment":[{"href":"\/\/www.afterroberto.com\/wp-json\/wp\/v2\/media?parent=7789"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"\/\/www.afterroberto.com\/wp-json\/wp\/v2\/categories?post=7789"},{"taxonomy":"post_tag","embeddable":true,"href":"\/\/www.afterroberto.com\/wp-json\/wp\/v2\/tags?post=7789"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}