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【明報專訊】天氣轉涼,鄭志文醫生向黃國田醫生遞上一碗熱騰騰的老火湯,讓他暖暖身。湯水以老黃瓜、豬肉、眉豆、赤小豆煲成,坊間普遍認為有利尿作用。鄭志文問:「有個病人問,如果覺得小便有阻塞,多飲利尿湯水『催谷』有沒有幫助?你有什麼看法?」<\/p>\n 黃國田呷了幾口,大讚好飲之餘答道:「日常飲用利尿湯水,對身體有益,但急性尿滯留發生時,切忌大量飲用水分、利尿飲品或湯水。因為病人已經不能排尿,若再製造更多小便,反而令膀胱更脹,增加泌尿系統的負荷!」<\/p>\n 他指出,有些食物可能會誘發急性尿滯留,令膀胱功能麻痺,收縮動力減弱,例如:燥熱食物、麻辣食物,原理可能類似中醫所講「燥熱」相關,冬天時亦不時遇到病人說進補或吃羊腩煲後,當晚排尿困難,這是臨牀所見情况,但暫時未具科學根據的解釋,亦暫未能有系統地結合中西醫理論解釋。<\/p>\n 感冒藥可致排尿困難<\/p>\n 「排尿排得好,首先要膀胱出口位置的膀胱頸放鬆,但一些常見的止咳藥、感冒藥會令膀胱頸收緊,致排尿困難。」黃國田解釋,自主神經系統影響內臟神經,分為副交感神經、交感神經,止咳藥常令副交感神經、交感神經喪失平衡,以致括約肌控制得不好,處於收緊狀態,難以排尿。這情况常見於前列腺增生患者,突然出現急性尿滯留,通常因感冒沒求醫,亂服止咳藥、感冒藥所致,所以呼籲前列腺增生病人,一旦患上傷風感冒,不要胡亂購買藥物服用,要找家庭醫生,亦不要在服食傷風感冒藥時自作聰明,擅自停服前列腺藥物,否則更難排尿。<\/p>\n