{"id":9214,"date":"2017-08-07T00:00:00","date_gmt":"2017-08-06T16:00:00","guid":{"rendered":"\/\/www.afterroberto.com\/?guid=75600a2886b74f6bfafb01ebd78db496"},"modified":"2018-08-17T18:11:23","modified_gmt":"2018-08-17T10:11:23","slug":"%e3%80%90%e8%ae%80%e8%80%85mail-box%e3%80%91%e5%bf%83%e8%87%9f%e8%a1%b0%e7%ab%ad%e6%82%a3%e8%80%85%e7%9a%84%e8%87%aa%e6%88%91%e7%ae%a1%e7%90%86","status":"publish","type":"post","link":"\/\/www.afterroberto.com\/%e3%80%90%e8%ae%80%e8%80%85mail-box%e3%80%91%e5%bf%83%e8%87%9f%e8%a1%b0%e7%ab%ad%e6%82%a3%e8%80%85%e7%9a%84%e8%87%aa%e6%88%91%e7%ae%a1%e7%90%86\/","title":{"rendered":"\u3010\u8b80\u8005MailBox\u3011\u5fc3\u81df\u8870\u7aed\u60a3\u8005\u7684\u81ea\u6211\u7ba1\u7406"},"content":{"rendered":"

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https:\/\/health2.mingpao.com\/ftp\/Health2\/20170807\/news\/_07YG007_.jpg\u6ce8\u610f\u904b\u52d5\u5f37\u5ea6\u2014\u2014\u5fc3\u81df\u8870\u7aed\u75c5\u4eba\u61c9\u6bcf\u5929\u904b\u52d530\u5206\u9418\uff0c\u4f46\u6ce8\u610f\u4e0d\u5fc5\u904e\u5206\u5287\u70c8\u3002\uff08\u8cc7\u6599\u5716\u7247\uff09;<\/inline><\/p>\n","protected":false},"excerpt":{"rendered":"

【明報專訊】問：我有一個朋友，約四十歲時因心臟肌肉退化引致心臟衰竭，需要植入心臟起搏器，經治療後情况保持穩定。直至最近，他因情况變差而需要入院接受治療，原來他的體重在一個月內增加了10公斤，而且出現心律不整。究竟是什麼原因引起他再次發病？<\/p>\n

勿忽視非典型病徵：食慾不振<\/p>\n

答：心臟其實就如一個泵，負責將充滿養分的血液輸送到身體不同部分。但心臟衰竭病人的心臟因出現毛病，無法把血液有效地帶到身體。心臟衰竭通常由冠心病導致的心臟肌肉受損而引起，但亦可由心瓣疾病、心律不整、甲狀腺疾病或不良生活習慣如酗酒等引起。心臟衰竭的典型徵狀包括氣喘、肢體水腫及體重在短時間內急增等。但臨牀所見，不少病人都容易忽略一些非典型病徵，如食慾不振，病人宜增加對疾病的認知，以免因忽略病徵而增加入院風險。<\/p>\n

一周增5磅應求醫<\/p>\n

自我管理在眾多病症中都是十分重要的一環，而心臟衰竭亦不例外，病人假若能積極自我管理，住院機會及死亡率都能大大減低。假若在日常生活中監察自己的病况，就可以及早察覺出身體的異常，採取行動紓緩自己的病徵，避免入院。<\/p>\n

心臟衰竭病人的良好自我管理，包括良好生活習慣、監察病情及出現病徵時的正確行為。病人可先從生活習慣入手，水分攝取每日不宜超過2公升；鹽分或鈉質亦不宜過量，普通病人每日進食鈉質不宜超過1.5克，而嚴重病人每日則不宜超過3克。<\/p>\n

此外，我們亦建議病人每天運動約30分鐘，不用過分劇烈，運動至有少許氣喘便已足夠。若果仍然出現病徵，可進一步減少流質及鹽分攝取，亦可考慮多服半粒至一粒去水丸。病人亦要懂得監察自己的病情，每天量度體重，檢查足踝，並將結果記錄。一旦出現異常，如體重在一星期內增加5磅或肢體水腫增加，就應盡早求醫。<\/p>\n

文：陳藝賢（心臟科專科醫生）<\/p>\n

https:\/\/health2.mingpao.com\/ftp\/Health2\/20170807\/news\/_07YG007_.jpg注意運動強度——心臟衰竭病人應每天運動30分鐘，但注意不必過分劇烈。（資料圖片）;<\/inline><\/p>\n","protected":false},"author":2,"featured_media":9301,"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":[4],"tags":[875,274,923],"class_list":["post-9214","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-4","tag-875","tag-274","tag-mailbox"],"publishpress_future_action":{"enabled":false,"date":"2026-11-16 09:49:00","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\/9214"}],"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=9214"}],"version-history":[{"count":0,"href":"\/\/www.afterroberto.com\/wp-json\/wp\/v2\/posts\/9214\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"\/\/www.afterroberto.com\/wp-json\/wp\/v2\/media\/9301"}],"wp:attachment":[{"href":"\/\/www.afterroberto.com\/wp-json\/wp\/v2\/media?parent=9214"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"\/\/www.afterroberto.com\/wp-json\/wp\/v2\/categories?post=9214"},{"taxonomy":"post_tag","embeddable":true,"href":"\/\/www.afterroberto.com\/wp-json\/wp\/v2\/tags?post=9214"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}