消化性潰瘍
<FONT face=新細明體 size=2>
<P class=MsoNormal style="MARGIN: 0cm 0cm 0pt"><SPAN lang=EN-US style="FONT-SIZE: 10pt; FONT-FAMILY: 新細明體"><SPAN style="mso-tab-count: 1"> </SPAN></SPAN><SPAN style="FONT-SIZE: 10pt; FONT-FAMILY: 新細明體">胃潰瘍和十二指腸潰瘍有共同的特徵，且兩者有時會同時存在，故常總稱「消化性潰瘍」。</SPAN><SPAN lang=EN-US style="FONT-FAMILY: 新細明體"><?xml:namespace prefix = o ns = "urn:schemas-microsoft-com:office:office" /><o:p></o:p></SPAN></P>
<P class=MsoNormal style="MARGIN: 0cm 0cm 0pt"><FONT size=3><STRONG><SPAN style="FONT-FAMILY: 新細明體; LETTER-SPACING: 1.5pt">何謂消化性潰瘍：</SPAN></STRONG><SPAN lang=EN-US style="FONT-FAMILY: 新細明體"><o:p></o:p></SPAN></FONT></P>
<P class=MsoNormal style="MARGIN: 0cm 0cm 0pt"><SPAN style="FONT-SIZE: 10pt; FONT-FAMILY: 新細明體"> <SPAN lang=EN-US><SPAN style="mso-tab-count: 1"> </SPAN></SPAN>消化性潰瘍是指消化道部位受到胃液的腐蝕造成黏膜受損，使黏膜層產生糜爛的現象。</SPAN><SPAN lang=EN-US style="FONT-FAMILY: 新細明體"><FONT size=3> <o:p></o:p></FONT></SPAN></P>
<P class=MsoNormal style="MARGIN: 0cm 0cm 0pt 24pt; TEXT-INDENT: -24pt; mso-list: l0 level1 lfo1; tab-stops: list 24.0pt"><SPAN lang=EN-US style="FONT-FAMILY: Wingdings; mso-fareast-font-family: Wingdings; mso-bidi-font-family: Wingdings"><SPAN style="mso-list: Ignore"><FONT size=3>l</FONT><SPAN style="FONT: 7pt 'Times New Roman'"> </SPAN></SPAN></SPAN><SPAN style="FONT-SIZE: 10pt; FONT-FAMILY: 新細明體">胃液是什麼<SPAN lang=EN-US>?<SPAN style="mso-tab-count: 1"> </SPAN></SPAN><B>胃液含有消化食物的酵素和鹽酸</B>，不僅可協助食物的消化，且有殺菌作用。</SPAN><SPAN lang=EN-US style="FONT-FAMILY: 新細明體"><FONT size=3> <o:p></o:p></FONT></SPAN></P>
<P class=MsoNormal style="MARGIN: 0cm 0cm 0pt 24pt; TEXT-INDENT: -24pt; mso-list: l0 level1 lfo1; tab-stops: list 24.0pt"><SPAN lang=EN-US style="FONT-FAMILY: Wingdings; mso-fareast-font-family: Wingdings; mso-bidi-font-family: Wingdings"><SPAN style="mso-list: Ignore"><FONT size=3>l</FONT><SPAN style="FONT: 7pt 'Times New Roman'"> </SPAN></SPAN></SPAN><SPAN style="FONT-SIZE: 10pt; FONT-FAMILY: 新細明體">常見的消化性潰瘍以十二指腸潰瘍最多，其次是胃潰瘍。</SPAN><SPAN lang=EN-US style="FONT-FAMILY: 新細明體"><FONT size=3> <o:p></o:p></FONT></SPAN></P>
<P class=MsoNormal style="MARGIN: 0cm 0cm 0pt"><STRONG><SPAN style="FONT-FAMILY: 新細明體; LETTER-SPACING: 1.5pt"><FONT size=3>症狀</FONT></SPAN></STRONG><SPAN style="FONT-SIZE: 10pt; FONT-FAMILY: 新細明體">以上腹部的疼痛最為明顯。患者多半「火燒一般的」、「被插進去似的」以及「像被石頭壓在腹上一般的」疼痛，吃過飯以後就消失，而飢餓時又開始發痛。也有胸部燒灼感和噁心情形，但普通食慾不會減低。同時也很少出現消化不良的症狀。出血時，會排出如焦油狀的黑便，更惡化時會吐血。</SPAN><SPAN lang=EN-US style="FONT-FAMILY: 新細明體"><o:p></o:p></SPAN></P>
<P class=MsoNormal style="MARGIN: 0cm 0cm 0pt"><STRONG><SPAN style="FONT-FAMILY: 新細明體; LETTER-SPACING: 1.5pt"><FONT size=3>診斷</FONT></SPAN></STRONG><SPAN style="FONT-SIZE: 10pt; FONT-FAMILY: 新細明體">患者服用鋇液後，以Ｘ光檢查，或使用<SPAN lang=EN-US><A href="http://www.ch.com.tw/doc-67B.htm"><SPAN lang=EN-US style="COLOR: windowtext; LETTER-SPACING: 1.5pt"><SPAN lang=EN-US>內視鏡</SPAN></SPAN></A>(</SPAN>照胃像機<SPAN lang=EN-US>)</SPAN>來檢查。受檢時難免會受些痛苦，但應與醫療人員合作才是。藥劑療法為主要方法，真正需要手術者只有一成左右。</SPAN><SPAN lang=EN-US style="FONT-FAMILY: 新細明體"><o:p></o:p></SPAN></P>
<P class=MsoNormal style="MARGIN: 0cm 0cm 0pt"><STRONG><SPAN style="FONT-FAMILY: 新細明體; LETTER-SPACING: 1.5pt"><FONT size=3>預防</FONT></SPAN></STRONG><SPAN style="FONT-SIZE: 10pt; FONT-FAMILY: 新細明體">胃酸具有溶化食物中蛋白質的強烈消化力。但胃壁本身不易被侵蝕，乃是因有黏膜的保護。<B>一旦胃酸強化或黏膜弱化，胃及十二指腸的一部分便被酸侵蝕而形成潰瘍</B>。</SPAN><SPAN lang=EN-US style="FONT-FAMILY: 新細明體"><o:p></o:p></SPAN></P>
<P class=MsoNormal style="MARGIN: 0cm 0cm 0pt; TEXT-INDENT: 24pt"><SPAN style="FONT-SIZE: 10pt; FONT-FAMILY: 新細明體">其原因即在於刺激性食物，或身心疲累等，因此必須儘量避免這些因素。同時為了保護胃壁，稍感飢餓時，喝杯牛奶<SPAN lang=EN-US>(</SPAN>對酸的中和力強，而且也是重要營養素<SPAN lang=EN-US>)</SPAN>也頗有效。<SPAN lang=EN-US><o:p></o:p></SPAN></SPAN></P>
<P class=MsoNormal style="MARGIN: 0cm 0cm 0pt"><FONT size=3><STRONG><SPAN style="FONT-FAMILY: 新細明體; LETTER-SPACING: 1.5pt">注意事項</SPAN></STRONG><SPAN lang=EN-US style="FONT-FAMILY: 新細明體"><o:p></o:p></SPAN></FONT></P>
<P class=MsoNormal style="MARGIN: 0cm 0cm 0pt 24pt; TEXT-INDENT: -24pt; mso-list: l1 level1 lfo2; tab-stops: list 24.0pt"><SPAN lang=EN-US style="FONT-FAMILY: Wingdings; mso-fareast-font-family: Wingdings; mso-bidi-font-family: Wingdings"><SPAN style="mso-list: Ignore"><FONT size=3>l</FONT><SPAN style="FONT: 7pt 'Times New Roman'"> </SPAN></SPAN></SPAN><SPAN style="FONT-SIZE: 10pt; FONT-FAMILY: 新細明體">吃飯要定時定量。</SPAN><SPAN lang=EN-US style="FONT-FAMILY: 新細明體"><FONT size=3> <o:p></o:p></FONT></SPAN></P>
<P class=MsoNormal style="MARGIN: 0cm 0cm 0pt 24pt; TEXT-INDENT: -24pt; mso-list: l1 level1 lfo2; tab-stops: list 24.0pt"><SPAN lang=EN-US style="FONT-FAMILY: Wingdings; mso-fareast-font-family: Wingdings; mso-bidi-font-family: Wingdings"><SPAN style="mso-list: Ignore"><FONT size=3>l</FONT><SPAN style="FONT: 7pt 'Times New Roman'"> </SPAN></SPAN></SPAN><SPAN style="FONT-SIZE: 10pt; FONT-FAMILY: 新細明體">進餐要細嚼慢嚥，且心情要放鬆，飯後略作休息再開始工作。</SPAN><SPAN lang=EN-US style="FONT-FAMILY: 新細明體"><FONT size=3> <o:p></o:p></FONT></SPAN></P>
<P class=MsoNormal style="MARGIN: 0cm 0cm 0pt 24pt; TEXT-INDENT: -24pt; mso-list: l1 level1 lfo2; tab-stops: list 24.0pt"><SPAN lang=EN-US style="FONT-FAMILY: Wingdings; mso-fareast-font-family: Wingdings; mso-bidi-font-family: Wingdings"><SPAN style="mso-list: Ignore"><FONT size=3>l</FONT><SPAN style="FONT: 7pt 'Times New Roman'"> </SPAN></SPAN></SPAN><SPAN style="FONT-SIZE: 10pt; FONT-FAMILY: 新細明體">少量多餐。除三餐外，並於上、下午、睡前各加一次點心。</SPAN><SPAN lang=EN-US style="FONT-FAMILY: 新細明體"><FONT size=3> <o:p></o:p></FONT></SPAN></P>
<P class=MsoNormal style="MARGIN: 0cm 0cm 0pt 24pt; TEXT-INDENT: -24pt; mso-list: l1 level1 lfo2; tab-stops: list 24.0pt"><SPAN lang=EN-US style="FONT-FAMILY: Wingdings; mso-fareast-font-family: Wingdings; mso-bidi-font-family: Wingdings"><SPAN style="mso-list: Ignore"><FONT size=3>l</FONT><SPAN style="FONT: 7pt 'Times New Roman'"> </SPAN></SPAN></SPAN><SPAN style="FONT-SIZE: 10pt; FONT-FAMILY: 新細明體">食用溫和飲食。</SPAN><SPAN lang=EN-US style="FONT-FAMILY: 新細明體"><FONT size=3> <o:p></o:p></FONT></SPAN></P>
<P class=MsoNormal style="MARGIN: 0cm 0cm 0pt 24pt; TEXT-INDENT: -24pt; mso-list: l1 level1 lfo2; tab-stops: list 24.0pt"><SPAN lang=EN-US style="FONT-FAMILY: Wingdings; mso-fareast-font-family: Wingdings; mso-bidi-font-family: Wingdings"><SPAN style="mso-list: Ignore"><FONT size=3>l</FONT><SPAN style="FONT: 7pt 'Times New Roman'"> </SPAN></SPAN></SPAN><SPAN style="FONT-SIZE: 10pt; FONT-FAMILY: 新細明體">每餐由六大類食物中廣泛的攝取各種食物，以獲得均衡的營養。</SPAN><SPAN lang=EN-US style="FONT-FAMILY: 新細明體"><FONT size=3> <o:p></o:p></FONT></SPAN></P>
<P class=MsoNormal style="MARGIN: 0cm 0cm 0pt 24pt; TEXT-INDENT: -24pt; mso-list: l1 level1 lfo2; tab-stops: list 24.0pt"><SPAN lang=EN-US style="FONT-FAMILY: Wingdings; mso-fareast-font-family: Wingdings; mso-bidi-font-family: Wingdings"><SPAN style="mso-list: Ignore"><FONT size=3>l</FONT><SPAN style="FONT: 7pt 'Times New Roman'"> </SPAN></SPAN></SPAN><SPAN style="FONT-SIZE: 10pt; FONT-FAMILY: 新細明體">不抽菸、不喝酒不要純吃澱粉含量高的食物。</SPAN><SPAN lang=EN-US style="FONT-FAMILY: 新細明體"><FONT size=3> <o:p></o:p></FONT></SPAN></P>
<P class=MsoNormal style="MARGIN: 0cm 0cm 0pt 24pt; TEXT-INDENT: -24pt; mso-list: l1 level1 lfo2; tab-stops: list 24.0pt"><SPAN lang=EN-US style="FONT-FAMILY: Wingdings; mso-fareast-font-family: Wingdings; mso-bidi-font-family: Wingdings"><SPAN style="mso-list: Ignore"><FONT size=3>l</FONT><SPAN style="FONT: 7pt 'Times New Roman'"> </SPAN></SPAN></SPAN><SPAN style="FONT-SIZE: 10pt; FONT-FAMILY: 新細明體">生活要有秩序，不要熬夜，減少無謂的煩惱，心情保持愉快。</SPAN><SPAN lang=EN-US style="FONT-FAMILY: 新細明體"><FONT size=3> <o:p></o:p></FONT></SPAN></P>
<P></FONT> </P>