{"id":7851,"date":"2016-12-12T00:00:00","date_gmt":"2016-12-11T16:00:00","guid":{"rendered":"\/\/www.afterroberto.com\/?guid=15d5d5b55c77aba2b4aa132d49897f55"},"modified":"2018-08-21T15:41:27","modified_gmt":"2018-08-21T07:41:27","slug":"%e5%bf%8d%e5%87%ba%e7%a6%8d-%e8%86%80%e8%83%b1%e8%b0%b7%e7%88%86%e5%b0%bf%e4%b8%8d%e5%87%ba-%e6%80%a5%e6%80%a7%e5%b0%bf%e6%bb%af%e7%95%99%e5%82%b7%e8%85%8e","status":"publish","type":"post","link":"\/\/www.afterroberto.com\/%e5%bf%8d%e5%87%ba%e7%a6%8d-%e8%86%80%e8%83%b1%e8%b0%b7%e7%88%86%e5%b0%bf%e4%b8%8d%e5%87%ba-%e6%80%a5%e6%80%a7%e5%b0%bf%e6%bb%af%e7%95%99%e5%82%b7%e8%85%8e\/","title":{"rendered":"\u3010\u6709\u7247\u3011\u5fcd\u51fa\u798d \u8180\u80f1\u8c37\u7206\u5c3f\u4e0d\u51fa \u6025\u6027\u5c3f\u6eef\u7559\u50b7\u814e"},"content":{"rendered":"

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\u60a3\u8005\u7537\u6bd4\u5973\u591a10\u500d<\/p>\n

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\u6587\ufe55\u5433\u7a4e\u6e58<\/p>\n

\u5716\ufe55\u8607\u5fd7\u946b<\/p>\n

https:\/\/video3.mingpao.com\/201610\/HET20161027_06.mp4\u6025\u5c3f\u5c59\u5514\u51fa\uff0c\u9ede\u89e3\uff1f;https:\/\/video3.mingpao.com\/201610\/HET20161027_07.mp4\u6025\u6027\u5c3f\u6eef\u7559\u6392\u5c3f\u65b9\u6cd5;https:\/\/video3.mingpao.com\/201610\/HET20161027_08.mp4\u5229\u5c3f\u6e6f\u6c34\u50ac\u8c37\u5c0f\u4fbf\uff1f\uff01;https:\/\/video3.mingpao.com\/201610\/HET20161027_09.mp4 Facebook LIVE\u8db3\u672c;https:\/\/health2.mingpao.com\/ftp\/Health2\/20161212\/news\/_12ya101.jpg\uff08\u5716\ufe55\u8607\u5fd7\u946b\uff09;<\/inline><\/p>\n","protected":false},"excerpt":{"rendered":"

【明報專訊】坐長途車尿急，唯有「死忍」，幾經辛苦忍至下車上廁所，卻又排不出來，膀胱愈谷愈脹，點算好？會否谷爆膀胱？<\/p>\n

抑或要狂灌利尿的汽水、啤酒或咖啡，「催谷」排尿？<\/p>\n

愈谷愈辛苦，小心患上急性尿滯留，谷壞腎臟！<\/p>\n

「前陣子有一個病人到診所求診，等候時坐立不安，不停在診所走來走去，樣子很辛苦，嚇怕了姑娘。」家庭醫生鄭志文一問病情，原來這個病人尿急卻排不出，於是飲了幾罐啤酒，希望幫助排尿。結果仍然不能排尿，而不適感覺加劇，跑來診所求診，「這些情况可能是急性尿滯留，我立即召救護車送他到急症室」。<\/p>\n

尿液倒流可致腎炎<\/p>\n

泌尿外科專科醫生黃國田說：「病人會感到非常不適，有強烈的尿急感覺，甚至會腹痛，亦可能冒汗、頭暈。這情况較多發生在中年男士身上，40至50歲過後，直至80至90歲，理論上年紀愈大風險愈高，尤其本身前列腺增生、肥大，小便早已不太暢順，加上忍尿、誤服某些藥物，很容易誘發急性尿滯留。」忍尿一段長時間，膀胱脹滿，令推進動力減弱，而尿液愈積愈多，愈來愈重，加上忍尿時需要收緊括約肌，到終於可排尿時，膀胱好多時因不夠力排尿而排不出來。<\/p>\n

貯尿太多，膀胱脹大、壓力過大，甚至令腎臟的尿液不能落到膀胱，腎臟無法排泄毒素，毒素便會累積在血液，影響腎功能。若輸尿管與膀胱之間的單向活瓣失靈，尿液更有可能倒流上腎臟，過程中可能會將細菌帶上腎臟，令腎臟發炎。<\/p>\n

患者男比女多10倍<\/p>\n

黃國田指，急性尿滯留患者除了感到疼痛不適，更有可能出現併發症，令腎功能衰退；加上急性尿滯留期間，膀胱內滋生細菌有可能造成泌尿系統感染。而膀胱愈來愈脹，亦易令膀胱壁內的微絲血管撕裂造成血尿。<\/p>\n

「急性尿滯留的男性患者比女性患者多10倍，因女性尿道相對較短而闊，阻力較小，借助腹部用力推進，好多時都可幫助排尿。」不過，偶爾都有女病人因為某些急性因素可令膀胱動力突然減弱，如盆腔「生蛇」，即帶狀疱疹，可影響神經系統令膀胱收縮的動力減弱。<\/p>\n

臨牀上，黃國田亦有遇過一些尿急而排尿不出的女病人，雖然徵狀跟急性尿滯留相似，但經超聲波檢查後，發現膀胱內並無積聚尿液，反而是其他疾病（例如：尿道炎）引致有類似徵狀。甚至曾有病人經超聲波檢查，的確照到一攤水，但並非尿液，而是卵巢水瘤，「所以，有時看似病徵明顯，亦可有不同可能性，不一定是急性尿滯留，如有不適，最好求醫診斷」，黃國田說。<\/p>\n

■有片睇<\/p>\n

想現場直擊家庭醫生睇醫生，可登入 www.mingpaohealth.com\/doc.htm<\/a><\/p>\n

編輯：王翠麗<\/p>\n

文﹕吳穎湘<\/p>\n

圖﹕蘇志鑫<\/p>\n

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