hansem668 2012-4-11 16:45
鋁過量 腎不好易中毒病變
<P style="TEXT-ALIGN: right; LINE-HEIGHT: 150%; MARGIN: 0cm 0cm 0pt; WORD-BREAK: break-all" class=MsoNormal align=right><SPAN style="LINE-HEIGHT: 150%; FONT-FAMILY: '新細明體','serif'; COLOR: dimgray; FONT-SIZE: 10pt; mso-ascii-font-family: Arial; mso-hansi-font-family: Arial; mso-bidi-font-family: Arial; mso-font-kerning: 0pt">【聯合報</SPAN><SPAN style="LINE-HEIGHT: 150%; FONT-FAMILY: 細明體; COLOR: dimgray; FONT-SIZE: 10pt; mso-bidi-font-family: 細明體; mso-font-kerning: 0pt" lang=EN-US>╱</SPAN><SPAN style="LINE-HEIGHT: 150%; FONT-FAMILY: '新細明體','serif'; COLOR: dimgray; FONT-SIZE: 10pt; mso-ascii-font-family: Arial; mso-hansi-font-family: Arial; mso-bidi-font-family: Arial; mso-font-kerning: 0pt">記者</SPAN><SPAN style="LINE-HEIGHT: 150%; FONT-FAMILY: 'Arial','sans-serif'; COLOR: dimgray; FONT-SIZE: 10pt; mso-font-kerning: 0pt; mso-fareast-font-family: 新細明體" lang=EN-US><A href="http://blog.udn.com/miaolinews" target=_blank><SPAN style="FONT-FAMILY: '新細明體','serif'; COLOR: #414141; TEXT-DECORATION: none; mso-ascii-font-family: Arial; mso-hansi-font-family: Arial; text-underline: none" lang=EN-US><SPAN lang=EN-US>范榮達</SPAN></SPAN></A></SPAN><SPAN style="LINE-HEIGHT: 150%; FONT-FAMILY: '新細明體','serif'; COLOR: dimgray; FONT-SIZE: 10pt; mso-ascii-font-family: Arial; mso-hansi-font-family: Arial; mso-bidi-font-family: Arial; mso-font-kerning: 0pt">/整理】</SPAN><SPAN style="LINE-HEIGHT: 150%; FONT-FAMILY: 'Arial','sans-serif'; COLOR: dimgray; FONT-SIZE: 10pt; mso-font-kerning: 0pt; mso-fareast-font-family: 新細明體" lang=EN-US>2012.04.11 08:57 am<?xml:namespace prefix = o ns = "urn:schemas-microsoft-com:office:office" /><o:p></o:p></SPAN></P>
<P style="LINE-HEIGHT: 190%; MARGIN: 0cm 0cm 0pt; WORD-BREAK: break-all; mso-pagination: widow-orphan; mso-margin-top-alt: auto; mso-margin-bottom-alt: auto" class=MsoNormal><SPAN style="LINE-HEIGHT: 190%; FONT-FAMILY: '新細明體','serif'; COLOR: #414141; FONT-SIZE: 11.5pt; mso-ascii-font-family: Arial; mso-hansi-font-family: Arial; mso-bidi-font-family: Arial; mso-font-kerning: 0pt">案例:消基會日前公布部分食品使用含鋁膨鬆劑,苗栗市</SPAN><SPAN style="LINE-HEIGHT: 190%; FONT-FAMILY: 'Arial','sans-serif'; COLOR: #414141; FONT-SIZE: 11.5pt; mso-font-kerning: 0pt; mso-fareast-font-family: 新細明體" lang=EN-US>50</SPAN><SPAN style="LINE-HEIGHT: 190%; FONT-FAMILY: '新細明體','serif'; COLOR: #414141; FONT-SIZE: 11.5pt; mso-ascii-font-family: Arial; mso-hansi-font-family: Arial; mso-bidi-font-family: Arial; mso-font-kerning: 0pt">歲徐姓婦人因愛吃名單中的食品,擔心鋁長期累積在體內,影響腎臟功能,尋求醫師諮詢。</SPAN><SPAN style="LINE-HEIGHT: 190%; FONT-FAMILY: 'Arial','sans-serif'; COLOR: #414141; FONT-SIZE: 11.5pt; mso-font-kerning: 0pt; mso-fareast-font-family: 新細明體"> <SPAN lang=EN-US><o:p></o:p></SPAN></SPAN></P>
<P style="LINE-HEIGHT: 190%; MARGIN: 0cm 0cm 0pt; WORD-BREAK: break-all; mso-pagination: widow-orphan; mso-margin-top-alt: auto; mso-margin-bottom-alt: auto" class=MsoNormal><SPAN style="LINE-HEIGHT: 190%; FONT-FAMILY: '新細明體','serif'; COLOR: #414141; FONT-SIZE: 11.5pt; mso-ascii-font-family: Arial; mso-hansi-font-family: Arial; mso-bidi-font-family: Arial; mso-font-kerning: 0pt">署立苗栗醫院腎臟內科主任吳文中:最近門診或諮詢的民眾,類似的疑慮確實比較多,其實除了腎衰竭病人外,腎臟健康的人不用太擔心。</SPAN><SPAN style="LINE-HEIGHT: 190%; FONT-FAMILY: 'Arial','sans-serif'; COLOR: #414141; FONT-SIZE: 11.5pt; mso-font-kerning: 0pt; mso-fareast-font-family: 新細明體"> <SPAN lang=EN-US><o:p></o:p></SPAN></SPAN></P>
<P style="LINE-HEIGHT: 190%; MARGIN: 0cm 0cm 0pt; WORD-BREAK: break-all; mso-pagination: widow-orphan; mso-margin-top-alt: auto; mso-margin-bottom-alt: auto" class=MsoNormal><SPAN style="LINE-HEIGHT: 190%; FONT-FAMILY: '新細明體','serif'; COLOR: #414141; FONT-SIZE: 11.5pt; mso-ascii-font-family: Arial; mso-hansi-font-family: Arial; mso-bidi-font-family: Arial; mso-font-kerning: 0pt">日常生活到處可見到鋁暴露,例如含鋁烹煮容器、含鋁的抑制胃酸劑,自來水加入明礬當沈澱劑,及含鋁膨鬆劑的食物,正常腎功能的成年人,僅有千分之三經由腸胃道吸收。</SPAN><SPAN style="LINE-HEIGHT: 190%; FONT-FAMILY: 'Arial','sans-serif'; COLOR: #414141; FONT-SIZE: 11.5pt; mso-font-kerning: 0pt; mso-fareast-font-family: 新細明體"> <SPAN lang=EN-US><o:p></o:p></SPAN></SPAN></P>
<P style="LINE-HEIGHT: 190%; MARGIN: 0cm 0cm 0pt; WORD-BREAK: break-all; mso-pagination: widow-orphan; mso-margin-top-alt: auto; mso-margin-bottom-alt: auto" class=MsoNormal><SPAN style="LINE-HEIGHT: 190%; FONT-FAMILY: '新細明體','serif'; COLOR: #414141; FONT-SIZE: 11.5pt; mso-ascii-font-family: Arial; mso-hansi-font-family: Arial; mso-bidi-font-family: Arial; mso-font-kerning: 0pt">存在人體內的鋁有百分之九十到九十五與蛋白質結合,不會瞬間被排出,人體內的鋁有百分之五到十呈游離態,可被腎絲球過濾,而排到尿液。</SPAN><SPAN style="LINE-HEIGHT: 190%; FONT-FAMILY: 'Arial','sans-serif'; COLOR: #414141; FONT-SIZE: 11.5pt; mso-font-kerning: 0pt; mso-fareast-font-family: 新細明體"> <SPAN lang=EN-US><o:p></o:p></SPAN></SPAN></P>
<P style="LINE-HEIGHT: 190%; MARGIN: 0cm 0cm 0pt; WORD-BREAK: break-all; mso-pagination: widow-orphan; mso-margin-top-alt: auto; mso-margin-bottom-alt: auto" class=MsoNormal><SPAN style="LINE-HEIGHT: 190%; FONT-FAMILY: '新細明體','serif'; COLOR: #414141; FONT-SIZE: 11.5pt; mso-ascii-font-family: Arial; mso-hansi-font-family: Arial; mso-bidi-font-family: Arial; mso-font-kerning: 0pt">因此只有長期腎絲球過濾低或寡尿期的腎衰竭病人,合併長期吸收過量的鋁,才會造成鋁中毒的病變,包括鋁中毒相關的老年癡呆症、骨質病變及貧血等。</SPAN><SPAN style="LINE-HEIGHT: 190%; FONT-FAMILY: 'Arial','sans-serif'; COLOR: #414141; FONT-SIZE: 11.5pt; mso-font-kerning: 0pt; mso-fareast-font-family: 新細明體"> <SPAN lang=EN-US><o:p></o:p></SPAN></SPAN></P>
<P style="LINE-HEIGHT: 190%; MARGIN: 0cm 0cm 0pt; WORD-BREAK: break-all; mso-pagination: widow-orphan; mso-margin-top-alt: auto; mso-margin-bottom-alt: auto" class=MsoNormal><SPAN style="LINE-HEIGHT: 190%; FONT-FAMILY: '新細明體','serif'; COLOR: #414141; FONT-SIZE: 11.5pt; mso-ascii-font-family: Arial; mso-hansi-font-family: Arial; mso-bidi-font-family: Arial; mso-font-kerning: 0pt">值得注意的是,腎是沈默的器官,平時就要注意腎的健康,等到身體抗議,已經來不及了,因此定期健康檢查很重要,平時適當喝水,不要憋尿,一天尿液正常量是</SPAN><SPAN style="LINE-HEIGHT: 190%; FONT-FAMILY: 'Arial','sans-serif'; COLOR: #414141; FONT-SIZE: 11.5pt; mso-font-kerning: 0pt; mso-fareast-font-family: 新細明體" lang=EN-US>1000</SPAN><SPAN style="LINE-HEIGHT: 190%; FONT-FAMILY: '新細明體','serif'; COLOR: #414141; FONT-SIZE: 11.5pt; mso-ascii-font-family: Arial; mso-hansi-font-family: Arial; mso-bidi-font-family: Arial; mso-font-kerning: 0pt">西西到</SPAN><SPAN style="LINE-HEIGHT: 190%; FONT-FAMILY: 'Arial','sans-serif'; COLOR: #414141; FONT-SIZE: 11.5pt; mso-font-kerning: 0pt; mso-fareast-font-family: 新細明體" lang=EN-US>2000</SPAN><SPAN style="LINE-HEIGHT: 190%; FONT-FAMILY: '新細明體','serif'; COLOR: #414141; FONT-SIZE: 11.5pt; mso-ascii-font-family: Arial; mso-hansi-font-family: Arial; mso-bidi-font-family: Arial; mso-font-kerning: 0pt">西西,如果尿量少,也要特別注意。</SPAN><SPAN style="LINE-HEIGHT: 190%; FONT-FAMILY: 'Arial','sans-serif'; COLOR: #414141; FONT-SIZE: 11.5pt; mso-font-kerning: 0pt; mso-fareast-font-family: 新細明體"> <SPAN lang=EN-US><o:p></o:p></SPAN></SPAN></P><SPAN style="FONT-FAMILY: '新細明體','serif'; COLOR: #414141; FONT-SIZE: 11.5pt; mso-ascii-font-family: Arial; mso-hansi-font-family: Arial; mso-bidi-font-family: Arial; mso-font-kerning: 0pt; mso-ansi-language: EN-US; mso-fareast-language: ZH-TW; mso-bidi-language: AR-SA">如果腎已經發生問題,除了求助醫師,也要避免過多的鋁暴露,飲水最好經過去離子或逆滲透處理,至於大部分正常腎功能的成年人,應該不用太擔心。</SPAN><SPAN style="FONT-FAMILY: 'Arial','sans-serif'; COLOR: #414141; FONT-SIZE: 11.5pt; mso-font-kerning: 0pt; mso-fareast-font-family: 新細明體; mso-ansi-language: EN-US; mso-fareast-language: ZH-TW; mso-bidi-language: AR-SA"> </SPAN>