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6骨科
| 半月板治療 | 醫生你好 我大概3個月前，接受半月軟骨切除手術，手術前有問醫生，會不會長回來 醫生說會，可是我自己查到，幾乎都不會長回來，請問半月軟骨真的會長回來嗎 我切除部分醫生是說靠近血液多地方，外翻所以被切除. 另外現在手術過了3個月，蹲下會疼痛、關節會卡，這樣要去做物理治療復健嗎 因位蹲下會痛，多多少少影響工作，這方面做復健可以解決嗎 在此先謝謝醫生幫忙解答感謝 | 切除後是不會再長回來的 如果是修補的或是又可能長回來的 會痛的話須要去復健的 | [
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5泌尿科
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| 小腿疼痛 | 醫師您好： 想請問這幾天晚上睡覺時都會被小腿痛醒（有時是小腿前側，有時是小腿外側），痛法是酸痛的感覺，一直換姿勢也無法改善。睡覺前並不會痛，是睡到一半時開始痛的。 另外若是翻右側，左側的小腿會馬上有酸痛的感覺。 想請問會是哪裡的問題？若要就醫，應該看哪一科呢？謝謝 | 您好 看骨科、神經外科有在處理脊椎的醫師，或是找復健科 | [
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| 懷孕 | 醫生你好我想問我１5晚上8點發生性行為的隔天16吃了ㄧ顆事後藥 但114月經才來 這是假性月經還是真的月經我覺得是真月經因為會痛 但我第一次月經來這麼痛 還是因為我113號有吃冰品 但是假性月經會痛嗎 還是要等月經結束在驗孕一次看看 | 提問者您好 事後避孕藥在行房後72小時內服用的效果有97，不果並不是百分之百，失敗率有3左右，但仍算是一個補救的方法。而事後避孕藥對月經的影響也不一定是提早或延後。建議如果月經過期一星期以上的話，仍然要檢查是否懷孕，謝謝 祝 平安 健康 張 醫師 回 | [
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0婦產科
| 避孕藥問題 | 醫生您好： 我想服用悅姿事前避孕來避孕 請問它的副作用真的會變胖 或是提高憂鬱症的風險嗎 | 您好 理論上和兩者無關。祝你健康 | [
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5泌尿科
| 睪丸問題 | 我縮肚子的時候睪丸也會跟著往上縮，肚子放鬆也會睪丸跟著回來，但我的問題是睪丸縮的時候右邊的會先縮然後左邊的才開始縮，感覺左邊的就是縮得比右邊的慢，而且右邊的睪丸會縮得比左邊的還進去，左邊縮的比較沒那麼進去。 請問這樣左右縮的速度跟深度不一樣是正常的嗎 還是正常的是要兩邊同時縮而且縮的深度一樣 | 您好 正常人兩側睪丸的大小及高低都會有小部分的差異 因此上述的症狀不需太擔心 若仍有疑問 請至泌尿科門診諮詢 | [
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| 菜花(尖性濕疣) | 醫師您好 小弟我在去年有發生幾次無套性行為最後一次在今年511有戴套 對象都是不認識的有驗過HIV陰性目前沒有菜花症狀 請問醫師到現在沒有出現菜花症狀可以排除感染菜花嗎 還是有可能有只是還沒發病 萬一有的話今天我弟弟穿了我穿過還沒洗的褲子 會不會害他感染到 很擔心我得到就算了不想害到他. | 唯 你好 若511到現在都沒有感染，可以排除。 藉由衣物傳染的機會不太高。除非脫下來馬上穿。 若有不詳盡之處，歡迎再度發問，互相再討論研究一下。 網路回答只能作為參考，有必要，還是要到醫療院所就醫。 衛生福利部 台東醫院 關心您 以上由 本院泌尿科 主任 許維愷 答覆 | [
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| 精索靜脈曲張 | 幾年前攝護腺無菌發炎，後來吃藥好轉後，又復發過2-3次，直到某次右睪丸疼痛發炎，剛好檢查出精索靜脈曲張 吃藥解決發炎後，過幾個月後下腹部2邊開始有時會有疼痛感，尤其是右邊居多，有時排尿也會感覺腹部兩側稍有疼痛感 另外右側的會陰或是右睪丸下方分辨不太出來也會隱隱的痛及腫腫的感覺，但因為腹部疼痛的感覺會影響工作，才想上來問問。 1.請問這些症狀算攝護腺發炎還是精索靜脈曲張 2.假如是精索靜脈曲張，但外觀肉眼也看不見，大該2級，會造成兩邊腹部及陰疼痛嗎 尤其是右邊居多 3.請問痔瘡會不會影響到精索靜脈曲張，造成腹部疼痛 | 這種骨盆的不舒服，原因很多也不易診斷，不過痔瘡發炎有可能導致骨盆的不舒服。聽你的描述，你的靜脈曲張可能與骨盆不適較無關聯。痔瘡本身則與精索靜脈曲張較無關聯。建議還是要去泌尿科檢查再醫師討論才行。 | [
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5泌尿科
| 勃起 | 醫師您好，我有往下爬過文，你都有建議說可以試著把包皮退下來看看，那有沒有什麼方法可以提供擴張包皮口，讓我們去嘗試看看到底能不能退下來，謝謝。 | 沒有方法可以提供擴張包皮口. 建議還是要去看泌尿科檢查才知道 | [
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6骨科
| 身高 | 醫師您好 根據粗略的身高公式家族沒有潛在隔代高個子基因，長輩男性幾乎都在170以下，而女性在165以下。根據父母身高可以計算出，兒子約略落在平均171處也有可能前一代營養不良，基因可以預期更高。 我好奇的點是，以我的身高175，弟弟差2歲177的情況來說，雖然我青春期不論作息，睡眠以及營養都比弟弟規律或豐富的情況下，運動量也較大，仍然沒有如許多網路文章所說，可以多長510公分一般的誇張程度，反而是弟弟比預期高出更多，我自己認為，除非青春期前生長板重傷，且不包括針對生長遲緩的專業生長激素治療，否則後天能影響的程度，感覺都在35公分內。不知道有沒有科學研究這一塊，我個人是不相信後天可以影響很大依我經驗，突然長得比父母高很多的，祖父母輩大概九成九都有高個子。否則，幾乎都會在公式預測範圍，謝謝 | 的確，對於身高的影响，先天因素遺傳的確比後天因素飲食、運動、生活作息的影响為大。 | [
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0婦產科
| 感染問題 | 醫師您好： 我去看了婦產科，醫師有幫我刮取陰道分泌物檢查、也有陰道內診、照超音波看子宮。他開了治療滴蟲藥帶寧錠、治療念珠菌的美康藥膏給我，並且當場幫我塞入塞劑，滅菌佳得陰道栓劑５００毫克。 我跟先生說，我好像有滴蟲感染（醫師沒有直接跟我說，只有說陰道炎⋯）我先生不相信他也要一起治療滴蟲。 1. 這代表我有滴蟲跟念珠菌感染對嗎？我看健保app只有寫女性骨盆炎性疾病。 2. 醫師可以當場在婦產科診所內用顯微鏡觀看陰道分泌物，發現滴蟲嗎？還是都要外送檢驗所？ 3. 我跟先生說他也要治療滴蟲，他不相信。還說他沒有病⋯我很擔心交叉感染。若要治療，他要去看婦產科？還是泌尿科？或是什麼科。 | 您好 用滴蟲的藥物不應代表有低蟲的感染，只是用抗生素而已，依照醫師講的是否感染為主。祝你健康 | [
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| 藥物副作用 | 最近吃悅己避孕藥已經達四個月因覺得胃不舒服打算停藥（停了兩天，這個月已經吃了六天），但過了兩天覺得不放心，所以之後兩天都吃兩顆後來恢復正常每天吃一顆但最近感到胃部微痛、右後方背部微痛、頭暈，雖然都不是持續很久但感到不舒服，不知道是否該停藥？（下禮拜五最後一天）原本就打算這個月吃完就不再吃了 | 您好 應該是副作用，如果不適，就先停藥，等月經來，可以考慮吃其他牌子避孕藥試試看。祝健康 | [
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| 關節 | 家母年紀65歲，於1047月做了人工膝關節置換手術，人工關節是做健保給付項目，本次手術自費加了高抗力骨水泥、微創型脛骨延長桿，據醫院說開刀前三個月是黃金復健期，若三個月內沒有把膝關節的角度拉出來，那之後就會很困難，但家母自己在家做復健的方式錯誤，導致成效不章之外，連帶腰部也受傷，最後腰部檢查的結果是嚴重的骨質疏鬆導致，DXA T-SCORE是-4.7，所以腰部又開始另外的治療，膝關節部分只好改為每天都持續到醫院做復健，但目前持續了一年多，還是無法正常行走，約走20分鐘膝蓋後方就會緊繃疼痛，目前也無法蹲下，騎復健中心的腳踏車也是困難，不知這是否為攣縮現象或者是屬於手術失敗，請問這狀況有辦法改善嗎因為持續到醫院復健了一年多時間，主治醫生跟家母說再復健下去情況還是一樣。 現況是家母左腳開刀後，主要使用都著重在右腳，而右腳目前尚在注射玻尿酸治療，但醫生有說明過，若是使用不當的話，也是會提前走到開刀的階段，但左腳目前的復原狀況，讓家母對於右腳還要再開一次產生恐懼了。 望施醫生能回答我這個疑問，不勝感激。 | 全膝人工關節手術之後關節活動不良會讓功能變差一些 但不至於無法行走的 如果膝關節的彎度不到九十度 超過三個月之後要再彎曲就比較難了 手術後一年多了關節如果還持續疼痛就必須再去醫院檢查看看是否有其他的問題 右膝關節如果有退化性的關節要及早治療 藥物之外可以復健同時進行 | [
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11營養教室
| 其他 | 施桂梅營養師 你好 我想問一下 礦物質中ㄉ亞鉛與P吃多了對人體有沒有害 所謂ㄉ亞鉛是怎樣ㄉ東西 麻煩營養師幫我解答 謝謝你 | 宗隆先生您好：我很訝異您提到亞鉛與人體健康之關係，因為亞鉛通常運用於工業用途中，如化妝品、油漆等，雖然從飲食、飲水、空氣中有可能獲得鉛，但畢竟量很少人體可將之排出，吸入多量的鉛，可能會傷害神經、血液、腎臟及生殖系統。至於磷P是人體含量較多也是需要量較大的礦物質，而含磷的食物也非常廣泛，磷存於骨骼牙齒中，亦可調節身體的酸鹼平衡，通常磷攝取太多時，人體會自動排泄掉，但有嚴重腎臟疾病時，磷的保存量增加，而使血清鈣量降低，因此對於有腎臟疾病者，會適當建議限制磷的攝取。 行政院衛生署桃園醫院祝您闔家平安快樂 施桂梅營養師 | [
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0婦產科
| 避孕藥 | 醫生您好，我服用悅己事前避孕藥快一年，期間沒有中斷也並無漏吃，平常皆有使用保險套。今日碰巧是排卵期前後，與男友有發生無套但未內射的性行為。 想詢問醫生這樣是否需要額外再吃事後避孕藥？懷孕的機會高嗎？ 謝謝醫生。 | 您好 避孕藥有按時吃就有避孕效果，應該不需要額外再吃事後避孕藥，懷孕的機會應該不會，勿擔心。祝健康 | [
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5泌尿科
| 靜脈曲張 | 醫師你好， 我想問你 1.精索靜脈曲張手術後17天，我還是看得見陰囊浮現粗粗的血管，太概有3∼4條，我結紮了4條比較粗的靜脈，請問醫師我是不是該回診到開刀的醫院呢？ 2.精索靜脈曲張手術的效果，是需要時間，而不是立即改善嗎？ 謝謝醫師 | 您好 1 開完刀應回診 如果原先很嚴重 個人經驗有的會有此情形 不放心就回診 2.開刀完理論上就改善 但開刀後會有一段時間腫的現像 . 如果精索靜脈曲張是生活習慣造成的 生活習慣不改會有復發的可能. 祝健康 | [
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0婦產科
| 月經 | 醫生你好： 我的月經是上個月7月10號來的，但是到現在今天已經8月19號了，都沒有來，但是我的胸部已經漲痛一個禮拜有了，可是月經就是沒有來，可是我每次來月經都很正常，請問這樣我該去看醫生嗎？ 還是要再等待呢？ 請問最晚多久沒有來，就該去看醫生了？ | 提問者您好 影響月經週期的因素有很多，例如生活作息、壓力、情緒不穩、飲食、年齡…等，而您所提的症狀無法判斷是否會來經。因為已經過期一個星期，建議您現在就請婦產科醫師檢查是荷爾蒙失調或是早期懷孕較好，謝謝 祝 平安 健康 張 醫師 回 | [
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| 延經 | 您好 想請問關於第一次吃延經藥的問題 本來上個月月經是1018號來的（但9月份由於課業壓力大 月經沒來 算經期不穩定的體質） 但這個月因為1122以及1128∼121都有重要比賽，非常擔心卡到生理期，（本人生理痛非常嚴重，影響極大 ） 從1114就有胸部脹脹的現象，是月經要來的感覺 1115便趕緊去婦產科掛號拿了延經藥， 因為醫師沒辦法保證能讓他在1123∼1127中間這個空檔來潮， 便建議我直接吃17天份，吃到121事情辦完再停藥讓月經來 但本人在1115晚上吃完一顆延經藥後 今日1116肚子有些微悶痛感、上廁所有少量咖啡色分泌物（很像我來潮前一兩天的症狀）怕月經還是會來！ 請問這樣是正常的嗎？ 有辦法成功攔截月經那麼長時間嗎？ 謝謝！ | 如果要延經達2周，失敗的機會極高，建議可考慮停藥讓月經提早來，剛好也能避開重要比賽時間。另外，關於經期不規則與嚴重經痛就近至婦產科診所進行進一步評估與治療。 | [
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| 經期問題 | 我是國中生.我月經還沒來.我昨天發現我ㄉ內褲上有咖啡色ㄉ液體.我ㄅ知道那是為什ㄇ會出現咖啡色 我嬸嬸說那是越經來ㄌ可是我還會害怕ㄅ知道是ㄅ是月經來ㄌ 是月經來ㄌ嗎 | 小真您好： 如您所述應是您的初經第一次月經來了！表示您即將成為有懷孕能力的女人，由於您體內的女性荷爾蒙系統尚未完全建立，所以暫時月經來的時間和量會不太規則，有時會隔2-3個月才來一次，只要沒有不舒服或大量出血，一切都是正常的。否則可以到婦產科醫師門診作進一步檢查。 祝 如意 梁垠盤 822 | [
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| 減重 | 劉醫妳好 我的身高155公分體重53.6公斤我覺得自己還是很胖早餐吃炒麵中午吃自助餐晚餐的話有時吃麵包2個或者煮泡麵而且我吃東西都很快我一看到好吃的東西就會忍不住想吃而且都吃很快怎麼辦有時餓過頭滿腦袋都是吃的餓的時候工作都會發抖. 我的大腿內側有肥肉我的肚子有一大塊贅肉每天睡前我會做仰臥起坐40下側抬腿15下正抬腿20下這些運動已經做很久了不過有時太累了就沒做了假日會搖呼拉圈分鐘有流汗但是我不能搖太久我的腳會不舒服我是夜校生白天工作站立作業每天都很容易疲倦大腿肌肉酸痛. 我的問題很多劉醫師您一定要仔細看然後回答我呦 | 您好 先安慰你一下 信心是成功的第一要素 你一定要有信心ㄛ 減重沒有大學問 只有七字箴言--少吃 多動 有恆心背起來 吃東西前想一遍 看你那麼認真的做運動 是一定可以減重的啦-- 雖然沒有大學問小技巧倒是有一些 例如1一定要多吃蔬菜 --但不是水果ㄛ 每天吃生菜不加沙拉醬 泡菜或燙青菜 蔬菜湯 可以隨你吃 吃到飽 但不能加糖加油 所以肚子餓就多吃青菜吧 2不吃油炸的 油膩的 高脂肪的 3不喝飲料不吃甜點--就是有加糖的啦 今天先教你三招 你如果每天照著做 不會瘦 我請你 但是你一定要記得每天要做到 運動也要照做ㄛ 一個月應該可以瘦個2公斤 夏天時就苗條了 記得天天ㄛ 祝 苗條美麗 巧雲49 | [
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| 卵巢 | 我月經周期經常延後 調經己調了一年多藥是來潮第5天開始吃吃5天 可是下一次還是要吃催經的藥它才會來 驗血驗尿後醫師認為子宫很正常可能是卵巢功能退化 有提早停經的可能. 我今年33歲 有一個7歲的兒子懷孕之前月經也不規律但聽說生過baby後月經就會正常 所以當時也沒有調理. 現在我這種情行不知還有沒有標本兼治的補救方法 謝謝 | 一般月經週期若不超過45天，則不算不正常。或許有些人排卵較晚，就會月經晚來，想請教究竟妳不理它的時候，多久來一次？ | [
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| 事後避孕藥 | 醫師您好，前兩天做愛時保險套破掉，在1小時內有吃安立婷事後避孕藥 最近剛好有焦慮症的問題，所以前一天有吃抗憂鬱抗焦慮跟安眠藥，因為怕抗藥性的關係所以吃完事後藥就沒有吃其他任何藥，想請問醫生，吃完事後藥兩天了，可以繼續吃抗焦慮憂鬱跟安眠藥嗎，會不會還有抗藥性？ | 提問者您好 依您的描述而言，是可以繼續服用其他藥，而事後避孕藥的避孕效果並不是百分之百，失敗率有3左右，不過仍算是補救的方法。建議如果月經過期一星期以上的話，仍然要檢查是否懷孕，謝謝 祝 平安 健康 張 醫師 回 | [
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13肝膽腸胃科
| 肝功能 | 一.檢測肝指數時是否須空腹進行 空腹檢測與非空腹檢測值兩者間是否存有誤差 二.利用凡士林滋潤嘴唇避免乾裂若不小心誤食是否對身體有影響 醫師是否認同以凡士林滋潤嘴唇亦或以其他護唇膏替之為宜 | 您好 （一）檢測肝指數通常毋需空腹進行，空腹與非空腸檢測值沒有太大差異。 （二）此問題請皮膚科醫師回覆。 行政院衛生署桃園醫院敬祝安康 腸胃內科楊培鎮醫師敬啟 | [
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| 結石 | 蔓越梅汁有抑制復發的功效請問有分"熟成的果實"或"未熟成的果實"作的嗎 那市面上有辦法分辨嗎請問醫師推薦哪個品牌的蔓越梅汁 | 林冠佑： 你好 我不知道有沒有分熟成與否。 沒有推薦品牌，因為，這是食物飲料，非藥物。 若有不詳盡之處，歡迎再度發問，互相再討論研究一下。 網路回答只能作為參考，有必要，還是要到醫療院所就醫。 行政院衛生署 台東醫院 關心您 以上由 泌尿科 主任 許維愷 答覆 | [
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| 腸胃問題 | 長期有腸胃方面的問題吃東西有的時候會反胃吐出來食慾一直不是很好 最近半年晚餐過後大約半小時左右就會拉肚子疼痛感跟吃壞肚子的那種一樣大約會拉2-3次1天 持續兩三天後會好轉大約再過幾周 又會這樣 都集中晚上飯後 以前都只有胃酸過多 跟嘔吐也有過激躁症 不過之前都是緊張壓力大才會拉 現在沒有這個狀況卻會腹瀉且不知為什麼 最近口水都會鹹鹹不知道有沒有關係 請問要怎麼處理及改善需要照大腸胃鏡嗎 感謝 | 多爲腸燥症，可飲食·藥物調理。擔心可驗一下糞便潛血。 | [
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| 性病 | 請問：1.我疑似有皰疹，看了許多別人的提問，聽說這是一般青年很常見的症狀，如果不去治療請問大約多久會好（我大約有一年以上都還沒好了，皰疹不會痛不會癢，另外我有包皮過長，是否會影響到治癒時間。麻煩您回答了謝謝。 | 田先生： 你好 先確定是否是皰疹。 一般皰疹，大約10-14天，自己就好了。不需要特別治療。 我沒聽說過一年以上一直有病灶沒有好的患者。 皰疹是終身帶原，只要你身體免疫力下降或過勞，就會不斷發病。 若有不詳盡之處，歡迎再度發問，互相再討論研究一下。 網路回答只能作為參考，有必要，還是要到醫療院所就醫。 衛生福利部 台東醫院 關心您 以上由 本院泌尿科 主任 許維愷 答覆 | [
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| 口腔 | 醫師您好，前幾天我的口腔黏膜出現了一粒一粒類似水泡的東西，很小，大概6、7顆，側面看是白色透明，正面看是紅色的，後來不確定是自己咬破還是自己消失的，就不見了。 隔天發現附近內側的牙齦舔起來一粒一粒的，感覺有一點腫但不會痛，想詢問這可能是什麼問題？ 以及牙科能不能處理？（所在地區很少口腔外科） 謝謝醫生！ | 如果發生在口腔黏膜的小水泡白色透明，但很快消失或破掉，不會痛但有點腫，這可能是口腔黏膜因免疫系統失調引起口腔黏膜上皮細胞的發炎反應，如果保持口腔清潔，一般而言會慢慢消失，但如果腫痛持續，則要懷疑口腔黏膜是否有二度感染，建議就要趕快就醫。 南投醫院牙科 曾光暉主任 | [
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| 膀胱癌 | 劉醫師您好 我朋友87年檢查出有膀胱癌經手術處理己刮除四年來回疹均正常但前陣子檢查報告卻出現二種情況. 1膀胱內視鏡正常 2膀胱靜脈注射x光卻有異常反應 請問該以何種檢查為準內視鏡是否會有死角如果做電腦斷層是否會更準確請問復發的機率多大 謝謝. | 膀胱癌的病人當定期檢查泌尿系統，包括腎臟、輸尿管及膀胱，一但有任何異常當然要做進一步的檢查，包括侵襲性的檢查，泌尿科醫師應該會根據你的病情，做適當進一步的檢查，請你的朋友請教負責治療他的泌尿科醫師。 | [
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| 腳部問題 | 醫生您好 我因為腳踝扭傷去看醫生，照了x光醫生說我腳踝骨頭斷了，醫生只用石膏固定再給我一星期口服藥 AceoCape Endase Wilcon-U 。 請問醫生 1即然我的腳骨頭斷了，上石膏可以讓骨頭癒和 2我的腳雖然不痛，偶爾會有麻麻及酸痛的感覺，腳趾頭以及腳掌部份呈現紫黑色的瘀青有一星期，這樣算正常嗎除了少走動，還要注意什麼嗎 麻煩醫生給我意見，謝謝 彰化LILI | 骨折如果沒有位移是可以用石膏固定達到癒合的結果的，一般足踝骨折癒合的時間大約是六個星期左右。腳有麻的現象有可能是淤血腫脹的關係，只要把下肢抬高一些改善血液循環就會變好一點的，不妨試一試看看，淤血大約四星期就會消失的。 | [
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| 懷孕機率 | 醫師好！我上次月經大概是119來，、1114走（平常都12-13號來，這個月有提早）。想請問在18號晚上跟男朋友有性行為。 如果用手摸到陰莖跟龜頭部分，再用手進入陰道裡面，這樣懷孕機率大嗎？ 然後口交後，這些口水會不會參雜到男生興奮時分泌的液體？如果手碰到口水混合物又放進陰道內，這樣會懷孕嗎？ 我們有隔著內褲摩擦私密處，我的內褲是濕的，他的也是（我不確定是不是我這邊滲透給他的）這要懷孕機率高嗎？ 之後他有戴套，不過沒有先洗手。但因為是第一次所以很痛，沒有完全把性器官放進來也沒有射精。只有大概進去10幾秒，但很痛我就讓他出來了。這樣懷孕機率高嗎？ . 以上，最後我想問這樣還需要吃事後避孕藥嗎？謝謝醫師 | 提問者您好 有行房雖未射精仍有受孕的機會，因為射精前的分泌物就可能有精蟲存在。而事後避孕藥的避孕效果並不是百分之百，失敗率有3左右，不過仍算是補救的方法。建議如果月經過期一星期以上的話，仍然要檢查是否懷孕，謝謝 祝 平安 健康 張 醫師 回 | [
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10兒科
| 黃疸 | 請問醫師 剛出生3天ㄉ嬰兒因黃疸指數過高要放進類似保溫箱內照 雖有蒙住雙眼 請問醫師那樣子多多少少會對小孩ㄉ眼睛或視力有影響ㄇ | 您好： 1新生兒黃疸照光的歷史已經30年了，在蒙住雙眼的保護下，至今並沒有視力傷害的報告。 2 蒙住雙眼還是得小心護眼罩鬆脫，或是妨礙呼吸等，醫護人員會注意這些事情，請別擔心。 祝 健康快樂！ 衛生署桃園醫院 小兒科主任 裴仁生 敬上 | [
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10兒科
| 兒童語言障礙 | 醫生請叫你一下 我女兒現在已經1歲快8個月了怎麼連說話都比較慢祇會叫爸爸 媽媽 還有一些小基本語言而已 我朋友的個個都比我女兒大的 小的 都會回答大人的話題 請問醫生我女兒是不是該給醫師檢查看看呢 女兒的反應是蠻快的只不過比較不喜歡說話只會伊伊歐歐都聽不懂他的話 我跟我老公蠻擔心 | 您好 依您所言她聽懂父母所說首先即可排除聽覺障礙其次是看有無其他發育遲緩之問題如粗動作細節動作社會適應能力等等若都無問題則考慮是否環境刺激不足可先找家庭醫師評估生理上是否正常.生活中多接觸同齡小孩大多都可以改善此狀況. 苗栗醫院小兒科醫師 梁鴻鑑 | [
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5泌尿科
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| 腹部問題 | 杜醫師您好： 前陣子有去肝膽腸胃科照腹部超音波 報告內容如下： Finding1.Livermarked increase brightness of parenchyma blurred intrahepatic vessels and far attenuation a small cyst at S4 0.6cm2.Gallbladdernegative3.Biliary Systemnegative4.Portal veinnegative5.Pancreasnegative6.Spleennegative7.Kidneymultiple hyperechoic focus at bil kidneys max. size 0.6cm at LK a cyst at LK 1.9cmFatty liver severeLiver cyst S4susp. Renal stones bilateralRenal cyst left 肝膽腸胃科的醫生只有說有脂肪肝問題 要追蹤 ，並未對腎臟的結果有進一步說明，想請問杜醫師 這樣的超音波結果，有需要進一步治療嗎，還是觀察追縱即可？ | 您好： Kidneymultiple hyperechoic focus at bil kidneys max. size 0.6cm at LK a cyst at LK 1.9cm 多個回音點在2腎，最大是 0.6 公分 左腎 左腎有一囊腫，1.9公分 祝健康 | [
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2牙科
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| 醫療諮詢 | 我本身是血液透析者 最近兩個禮拜發現 在晚上躺著休息的時候 睪丸附近跟陰莖感覺很敏感有點癢的感覺 又不是皮膚的問題 然後就一陣要射精的感覺 之後就射了出來沒有勃起狀態 有時候是連續的 射了之後大約沒10分鐘 那個射精感覺又來了 沒辦法控制忍下來 之前都很正常 目前這個狀況 但是正常勃起射精 也都OK 我平常都坐著大約1天座1214個小時 也很少運動 請問這個跟長時間坐著壓迫到有關係嗎 如果用運動改善的話會好嗎 還是這個甚麼病 需要去泌尿科做檢查 如去泌尿科要怎麼開口跟醫生說畢竟這個話題有點害羞 | 大熊 你好 無法確定，會不會是因為膀胱漲的關係？可以掃描一下膀胱，看是否排尿不乾淨，殘尿很多的關係。 另外，感染也可能造成這些症狀。 若有不詳盡之處，歡迎再度發問，互相再討論研究一下。 網路回答只能作為參考，有必要，還是要到醫療院所就醫。 行政院衛生署 台東醫院 關心您 以上由 泌尿科 主任 許維愷 答覆 | [
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7耳鼻喉科
| 口齒不清 | Dear季醫師，我在發某些注音時會發出一樣的聲音，如ㄢㄤ、ㄣㄥ、ㄙㄕ，並且每次講話前都一定要先有類似喉嚨清痰的動作才發得出聲音，另外從青春期過後，聲音就一直很沙啞低沉，無法一次講太長的句子，會有點喘不過氣的感覺，而且也無法長時間講話、發出較大的聲音，喉嚨會痛，本身生活作息正常、不菸不酒，近期有先到復健科就診，但問診後則是轉到語言治療師治療，已過一段時間，但上述這些症況則是都沒有改善，請問醫師我這種情況是否應該前往耳鼻喉科或是其他科就診呢 謝謝您！ | 您好， 依您描述的內容： 聲音沙啞的原因相當多 舉凡 聲帶發炎、聲帶水腫、聲帶長繭、聲帶運動不佳都有可能 建議先至耳鼻喉科進行內視鏡檢查 找出確切原因為佳 日常保養部分為 1.禁聲，並注意盡量"不要"發氣音、大聲吼叫、高音等等 盡量多休息多喝水 2.不抽菸 3.避免 咖啡、茶、香菸、酒、炸物、辣物等 皆會對症狀改善有幫助 若是聲帶長繭 通常先看繭的大小 若是過大的繭，通常是使用喉顯微手術，在全身麻醉下移除 若是較小的繭 通常採用保守藥物治療和日常生活保養 若是有此困擾，建議就診檢查為佳 且根據您的描述，建議耳鼻喉科和神經內科同步就診為佳 祝平安健康 | [
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| 避孕 | 醫生您好 我在427和男友發生性行為 是危險期 有戴套但是好像有點脫落 男友射後也有在陰道口附近徘徊 事後不到一個小時我就吞了事後避孕藥 但是因為有喝酒 那時候酒也還沒退 請問會影響事後避孕藥的避孕效果嗎？ | 提問者您好 有行房雖未射精仍有受孕的機會，因為射精前的分泌物就可能有精蟲存在。而事後避孕藥的避孕效果並不是百分之百，失敗率有3左右。 與口服避孕藥會產生交互作用的藥品有： 1.抗生素盤尼西林Penicillin、Cephalosporines、紅黴素Erythromycin、磺胺類Sulfonamides、Bactrim、Chloramphenicol -可能會減少胃腸道內幫助吸收的菌叢，因而降低避孕藥的效果 2.安眠藥Barbiturate -增加避孕藥的代謝，降低避孕效果 3.治療癲癇的藥品Primidone、Phenytoin、Carbamazepine -增加避孕藥的代謝，降低避孕效果 4.治療結核病的藥物Rifampicin、Isoniazid 5.降血糖藥物Rosiglitazone 6.Acetaminophen普拿疼、Ascorbic acid維生素C -可能會抑制雌激素的代謝，而造成體內濃度提高而增加副作用的發生。 7.口服避孕藥，會影響抗凝血劑的作用 8.抽菸 -增加避孕藥的代謝，降低避孕效果 建議如果月經過期一星期以上的話，仍然要檢查是否懷孕，謝謝 祝 平安 健康 張 醫師 回 | [
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2牙科
| 口腔 | 醫師你好 本人去年十一月做了甲狀腺癌全割手術今年二月十九服放射碘治療須住院四天現正在家自來我隔離這幾天發覺口腔內有一顆白色顆粒碓實時間沒法確定因位置於口腔隱閉之處約二mm.不痛也沒有消退績像但面頰有少麻感覺很擔心是口腔癌 請問醫師 放射治療後口腔活檢要相隔多久才可進行 若惡化速度加快我可如何 請指教 謝謝 李賢 | 小姐您好 感謝您的提問在這邊先回復您的問題並提供建議如下 甲狀腺癌手術後做放射治療會對口腔粘膜及牙齒等硬組織造成創傷 同時因唾液液腺受到傷害有口乾舌燥的症狀如果口腔內有白色顆粒 應盡速找牙醫師或口腔外科做檢查. 最後祝您 平安快樂 | [
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7耳鼻喉科
| 其他 | 醫師您好，我從小到大就一直有口水分泌過多的問題 不僅時常被口水噎到氣管目前為止保守估計有兩千次以上，睡覺時不太能側睡，幾乎不能趴睡因為會被大量流出來的口水淹醒，說話時也常有驚人份量的口水噴出，有許多困擾，我試過幾次拿100cc的養樂多空瓶做測試，常常都是三分鐘以內就分泌了100cc以上的口水了，最晚也很少超過五分鐘。所以想考慮割除部分的唾腺體，以舌下的為主。 想請問醫生： 我口水分泌的情形，像是有先天性唾腺體機能過剩的現象嗎？這種程度是否適合做部份唾腺的去除？ 台灣在做這種手術的醫院多嗎？健保是否有給付？如果沒有一次的費用約需多少？ 去除唾腺之後會不會有明顯的後遺症？ 謝謝！ | 敬愛的提問者： 您好，「口水太多」這個病症您描述起來有一點詭異，字面上描述尚無法確知您的病症，請問您會吞嚥困難嗎？會常喉嚨痛嗎？胃腸機能如何？ 衛生署桃園醫院醫師 天主教輔仁大學講師 陳建志 敬覆 | [
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12胸腔內科
| 咳嗽 | 最近只要天氣變冷or吃橘子或辣的就咳嗽不止就連蔥抓餅上加了胡椒粉也是醬子咳到氣管都快吐出來並且發出可怕的聲音這是不是代表快得氣喘了 | 您好： 從症狀上判斷比較像敏感性氣管，受到一些刺激就會有類似氣喘的症狀。如果過敏原檢測為陽性，血中Ige也昇高，肺功能有可回復性的氣管狹窄，則可診斷為氣喘。建議到胸腔科門診確定診斷。 祝您健康 衛生署桃園醫院 莊子儀醫師敬覆 | [
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| 生殖器官 | 醫生你好，我割完包皮已經快三個禮拜了前幾天發現到包皮裡面有長一顆東西摸起來圓圓硬硬的 正常捏不會痛 大力捏才會痛 可以跟皮膚捏起來 捏的時候會滑動，今天去幫我割包皮的醫生看他說是血塊不要摸和捏就好好 可是我不放心我去別家皮膚科看醫生說可能是腫瘤要割掉化驗，兩位醫生說的都不一樣 請問醫生這是腫瘤還是血塊呢 | 建議至本院門診就診由醫師為您診治 | [
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| 乳頭問題 | 兩邊乳頭都有被一層黑皮像是包覆的以樣子不完全 不知是否太乾 所以有時裂開一段時間後偶爾 洗澡的時候沖熱水或擦乳液會比較軟化 曾經摳下來 有點痛像連在皮膚上 摳下來的樣子像是厚厚的一層仙 平常不會清洗乳頭 會不會是沒洗乾淨 但之後又有所以就不理它 已經好幾年但沒看過醫生 症狀在網路上查蠻像慢性乳頭濕疹 但不會癢 | 以上描述的狀況 看起來還是 乳頭皮膚的濕症 | [
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16腫瘤科
| 淋巴 | 醫師 自8月份開始右頸內有一粒硬又圓的長在耳朵后看不見只摸到這裡久都不退是否癌症機會很大淋巴腺賬大的機會又有嗎如果我絕不願意用FNA的方法還有其他方法檢驗嗎 另外左腹估計是直腸自十二歲起就間歇性痛多數是隱隱作痛會是什麼病 | kommy 耳後之物自八月至今若都沒什麼變化，那麼是癌症的機會不大。不過還是快找耳鼻喉科醫生檢查一下有無鼻咽腔腫瘤吧。其他檢驗最乾脆的就是整個切下來化驗了。左腹痛的問題，會不會是子宮內膜異位？要不要找婦科醫生瞧瞧？ | [
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| 避孕 | 我319月經來，41和男友發生性行為 事後發現保險套破掉 有內射 兩小時之後吃了事後避孕藥 45、6有出血 顏色是咖啡色的 量和一般月經差不多 持續了4-5天 月經週期約30天正負一個禮拜 4月的月經已經延遲了四天 請問這樣是懷孕嗎？還是單純的亂經？ | 提問者您好 有行房雖未射精仍有受孕的機會，因為射精前的分泌物就可能有精蟲存在。而事後避孕藥的避孕效果並不是百分之百，失敗率有3左右。建議如果月經過期一星期以上的話，仍然要檢查是否懷孕，謝謝 祝 平安 健康 張 醫師 回 | [
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6骨科
| 鋼釘 | 主任你好： 我因右手舟狀骨骨折，今年4月2號開刀，醫生說我骨折後骨頭都沒長出來我拖了3個多月才就醫，所以手術時要挖旁邊的骨頭來補，並且還放一支鋼釘在裡面固定，醫生說這支鋼釘要取出來不容易，所以不用拔除，請問鋼釘這樣跟隨我ㄧ輩子可以嗎？老了會不會有後遺症？風濕痛之類的？謝謝您 | 小益 原則上可以不拔除 但若鋼釘過長 刮到其他關節面造成疼痛 就要拔除. | [
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| 心律不整 | 醫生你好，因為去年懷孕時，有妊娠高血壓，今年生完之後，一直都有自己在家量血壓，白天起床量都正常，但到了晚上偶爾會14090左右飄蕩，這樣我是高血壓嗎😭 導致我1h內不斷的量，在休息的情況下，脈搏60幾到90幾都有，請問醫生我這樣是心律不整嗎😭 | 是否有心律不整需要到醫院做心電圖的檢查。 | [
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5泌尿科
| 射精 | 醫生你好 我一直有這個困擾直到最近因為交了女友 在親密過後 射完精 休息了 容易出現尿失禁 可能在休息後的230分鐘開始 到23天之間 會變成說 一不小心就漏尿 或者頻尿一小時跑23次 但是尿量不多 有時候在班時間 可能還沒走到廁所 內褲已經尿溼了 以前還沒交過女友 DIY後就 也會尿失禁 是不是以前縱欲過度了 現在交了女友 因為射精次數變多了 尿失禁的現象好像更嚴重 這種問題 其實兩三天就會停止 但是 卻一直困擾著我的生活 掛號門診的話 我也不知道該怎麼啟齒 唉ˊˋ 直接掛 泌尿科就可以了嗎 射完精後 會感覺肛門裡面脹脹的 這是不是得了 或是長了什麼壞東西的原因 還是說只能靠吃藥抵制了 唉唉 麻煩醫生線上回答我了 | 如現在還有頻尿情形建議至醫院泌尿科求診.必要時需做檢查 | [
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1精神科
| 自律神經 | 梁醫生您好， 我的上腹疼痛，有壓迫感已持續約半年，時好時壞但是沒有痊癒過，常噁心影響食慾， 這半年陸續到醫院做各種檢查，包括胃鏡、超音波、X光.能做的都做過了，卻一切正常完全查不出原因 是否有可能是精神問題？若是自律神經失調可藉由中醫調理嗎？因為已經吃西藥好久了. 謝謝醫生解答！ | Lucy妳好 長期的身心壓力確實也有可能造成腸胃不適，建議回想在放鬆時或從事自己喜愛的活動時腸胃不適是否有改善，若有此現象，有可能和壓力有關。 規律健康的生活型態、運動、健康的休閒嗜好，都可以幫助自己適度的抒壓。 若狀況一直沒有改善，建議可就醫尋求協助。 至於自律神經失調是否可用中醫調理，這可能得請教中醫師。 祝福妳 | [
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| 醫療諮詢 | 許維愷醫師您好 您說：梅毒、淋病，是細菌，可能存活較久。不過，也無法抵抗消毒劑。 請問肥皂算是消毒劑嗎？可以殺死細菌（梅毒.淋病）嗎？ | opop： 肥皂，可以殺死病毒。 細菌，可能抵抗力比較大。 一般細菌，建議使用抗菌肥皂、消毒藥劑等比較有效果。 若有不詳盡之處，歡迎再度發問，互相再討論研究一下。 網路回答只能作為參考，有必要，還是要到醫療院所就醫。 行政院衛生署 台東醫院 關心您 以上由 泌尿科 主任 許維愷 答覆 | [
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7耳鼻喉科
| 鼻咽問題 | 本人有慢性鼻竇炎，曾經在2012年9月做過右邊鼻瘜肉切，因為沒有特別的在注意，前些日子有去耳鼻喉診所照內視鏡，目前狀態右邊無鼻瘜肉但有術後有沾黏類似架橋、鼻中膈較窄，左邊則有鼻瘜肉增生，醫生向我說明無腫瘤等問題，目前我感到不舒服的地方是，鼻子很難聞到氣味、須靠近，原本鼻塞嚴重都是單側輪流塞，最近持續使用鼻噴劑已改善很多，但感覺鼻涕倒流問題還是有、唾液分泌變少，耳下感覺痛緊但我分辨不出是否為腫塊，耳鳴感覺比較困擾我，這種耳鳴不是那種高頻刺耳的，而是低頻且持續的伊伊伊的感覺，比較常出現在安靜或是我特別再意耳朵耳鳴的時候，比較常發生在右側，偶爾太吵雜耳鳴會蓋過去！我一直在懷疑是不是鼻咽癌，但診所都給我的答案為鼻竇炎引起，還是我必須做鼻瘜肉切片才能安心？近期還有胃食道逆流等問題，身心俱疲感覺好累！！本人是三班輪班制，作息不太正常，因為這些症狀讓我感覺像是鼻咽癌症狀，但診所像我保證沒有不好的東西，今天（1115）擤鼻涕兩側都噴涕血（大量）倒流後的涕也是有血，目前看似止住，但不確定是否為鼻咽癌的發病狀況，請教醫生目前我該怎麼做？ | 您好 若擔心有鼻咽癌 可進行內視鏡檢查 若確實有鼻咽腫塊 則進一步於醫院進行鼻咽腫塊切片予以化驗 祝 平安健康 | [
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5泌尿科
| 包皮問題 | 醫師您好，有個問題已經困擾我好久了！ 我的小弟弟平時未勃起時，包皮是包覆著龜頭的， 而在勃起後，包皮也能順利後退，露出整個龜頭， 但是包皮卻無法退到最後，而呈現一圈皺摺在龜頭冠狀溝的位置， 如用手動把包皮退到最後，則會拉扯到龜頭下的包皮繫帶，而導致疼痛， 另外在極度興奮、完全勃起的時候，也會因繫帶而有微痛不舒服的感覺。 這樣子的症狀，是因為包皮過長嗎？需要割包皮嗎？ 由於並無造成包莖、清潔、或其他的問題存在， 單純只是包皮繫帶因拉扯而疼痛， 所以我其實很不想割包皮 想讓包皮能包覆龜頭，維持龜頭的敏感度。 這樣子的話，可以不割包皮，只做包皮繫帶的切除嗎？ 我不是分隔線 另外，像包皮繫帶這樣的切除手術， 自費約需多少費用呢？應該不會有健保 付吧？ 還有其手術，是在首次門診時，即可施行嗎？ 還是在首次門診後，須另在預約手術時間呢？ .以上 煩請 許醫師能詳盡解答我困擾已久的問題，實感德便。 | 龜龜： 你好，嗯，蠻特別的代號 一般龜頭下方的繫帶，會有一定的敏感，是屬於男性的敏感帶之一。當然，因為位置或者長度的問題，有的人確實在勃起時會有牽扯、斷裂的現象發生。至於需不需要接受手術切除，還是要看勃起時的情形：比如有無因繫帶而造成彎曲、疼痛的程度等 手術，非常簡單，就是將繫帶上下各縫一針，將中間剪開就好了。大約1-2週，線頭會自然脫落。費用應該在1000-2000左右。你可以先到醫院檢查，瞭解一下實際的情形與費用再做打算。 一般要另外安排手術室的時間，很少當場手術。 以上，若有不詳盡之處，歡迎再度發問，互相再討論研究一下。 行政院衛生署台東醫院 關心您 泌尿科 主任 許維愷 答覆 | [
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11營養教室
| 排便問題 | 您好， 網路上有些文章說早上起床空腹時可以喝 10cc 的橄欖油還消除便秘。請問這是可行的嗎？有沒有健康上的風險？ 謝謝！ | 您好 有研究針對橄欖油亞麻籽油等對於軟化糞便有幫助，橄欖油亞麻籽油可以搭配食物低溫烹調或是涼拌可以增加食物風味以及增加不同營養素的攝取。 便秘問題與膳食纖維飲水量進食量活動量有關係，建議先調整再觀察便秘情況。 | [
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5泌尿科
| 排尿問題 | 醫生，您好，之前有去驗尿，有蛋白質，尿膽素，結晶體，細菌跟混濁度呈現異常，然後酸鹼值過高，根據上個問題您說我睪丸疼痛是神經問題為多，我國中時有憋尿憋不住尿在路上的經驗，最近還尿在了電梯裡，一直感到很羞恥，當我一想到要上廁所時，那尿液感會突然息來，而且都憋不住，不去想的話反到都沒有想尿的感覺，想請問我會不會是神經性膀胱呢，然後腎臟是不是出問題了，是否要再去看個泌尿科呢？ | 您好 看您的尿檢 應是喝水不多 一般喝水量要夠 尿色要淡黃 清而非濁 突然想解小便 如果一個月有一次忍不住建議要就醫檢查 如果只是想尿 可以忍 就看您個人 有空就醫也可以. 祝健康. | [
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2牙科
| 智齒 | 請問我左邊上下的智齒都算正常生長但是都只長一點點牙醫說它們應該是長不出來所以希望我拔掉如果不拔可以嗎 | 拔掉應該比較好，如果不拔，您一定要徹底清潔，否則細菌容易堆積，造成發炎，那就麻煩了 | [
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| 勃起 | 杜醫師，您好，我想問幾個我最近遇到的事情，大約三個月前，我在某一天晚上突然感到陰莖有一種前所未有的無力感，而似乎從那時開始事情就逐漸變調，後來我經歷了約兩個禮拜的陰莖無法勃起或很快就軟了，不硬，之後事情逐漸變好，那我因為一個月沒打手槍了我就去稍微解放了一下有看片，我發現似乎看片不太能硬，但用手或者是摸我自己的乳頭，皆可達到勃起的狀態，只是沒之前正常時來的硬，就這樣又過了一個月後，直到現在我看到A片大致上都能夠勃起包括清涼照等，但有時還是會力不從心，或覺得沒新鮮感。 1.我是一個性慾中等的人，我平均一個月打手槍約46次不等，目前仍以課業為主，之前您有講到要偶一而為之，不知道我的頻率會不會太高 2.我這樣算是功能有障礙嗎 3.為甚麼有時候本來很硬，但注意力分散時逐漸軟掉，再來如果看片就比較不容易硬 4.為甚麼有時打完手槍會有一陣空虛感，而且注意力會較不集中，頭腦變得沒那麼清楚 抱歉我問題比較多，可能要麻煩醫師耐心看完了，謝謝您。 | 您好： 1 不會 2 可勃起，可射精 即屬正常 3 屬常態 ，注意身體健康就好 4 興奮後的常見反應，祝健康。 | [
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| 前列腺 | 再度麻煩醫生.前天我去看泌尿科.醫生開了Harnalidge.連續兩晚我服用後晚上醒來數次.陰莖都是勃起的.未吃藥之前並不會這樣.請問這情形是Harnalidge的副作用嗎.可是藥袋並沒寫有此狀況.另外想問怎麼跟醫生說.才會幫我做前列腺的檢查.謝謝您. | 您好： 回覆您的問題。 Harnalidge有少數病人會增進勃起功能，對身體是無害。前列腺增生，除了症狀詢問，一般會做小便檢查，前列腺癌篩檢指診或超音波檢查，這些都是基本的檢查，只要有前列腺問題都會做。 | [
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| 龜頭問題 | 我這幾天發現龜頭和包皮內側有很多一顆一顆白色的東西大小不一樣不知道是什麼有時候會癢 是性病嗎 還是發現 | 您好： 如果有性行為，要醫院泌尿科診查，如果沒有性行為，一般是皮膚發炎，可先保持清潔，乾燥，有包皮，尿完皮膚不要濕濕的。內褲不要太緊，每天用清水沖洗，再擦乾。如果皮膚發紅，白點會變多，變大，也要就醫。祝健康。 | [
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13肝膽腸胃科
| 食道問題 | 目前我食道狹窄 請問食道弛緩不能症手術後會有後遺症嗎 會不會食道逆流 對日常生活會不會有影響 手術需要住院幾天 高雄有哪間醫院手術比較好 | Stanley您好 食道遲緩不能症手術，可能會有食道逆流情形，有些內視鏡括約肌切開術ㄧ般會合併抗逆流術來預防胃酸逆流症狀的發生。手術有何後遺症最好請教胸腔外科醫師，高雄有長庚、義大等醫院的胸腔外科，有做此手術。 祝您健康 衛生署桃園醫院 林明慧醫師 敬啟 | [
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1精神科
| 藥物諮詢 | 醫生開給我吃威克倦Wellbutrin XL 150mg的藥 在某個文章看到說咖啡因過量的話發生癲癇的機率會變大本身沒癲癇 請問是要多少咖啡因呢我現在幾乎每天都會喝飲料 一杯大杯黑咖啡會不會過量呢 還有吃這種藥可以運動嗎 第一次吃這種藥有點怕怕的，問題比較多 謝謝 | Hans 你好 一天一杯大杯咖啡應該是不會過量。 Welbutrium 是安全性高的藥物，正常運動應是不會有問題的。 另外，建議飲料不要喝太多，建議改喝溫開水，也許一開始會有點不習慣，但久了習慣之後，身體的健康狀況應該會更好。 祝福你 | [
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11營養教室
| 營養諮詢 | 我發現有些食品上標示ㄉ營養成分實在錯的離譜. 像是萊X富的麻婆蓋飯.上次看ㄌ看熱量900多嗯正常. 一看到碳水化合物糖類700多.買回去後看ㄌ看 頂多一碗多一點點ㄉ飯，怎ㄇ碳水化合物會高達700多. | 您好 市售的營養成份標示的確有些值得商確 畢竟並沒有經過一致的營養成份分析化驗 不過碳水化合物並不是只有飯 配菜中也常有含碳水化合物的食物 如玉米芋頭蕃薯馬鈴薯等等 這些也必須計算進去 祝平安健康 秀雯 | [
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| 藥物諮詢 | 醫師您好 我小姑最近淋巴腫起來 有去看醫生 醫生開了一種藥叫Levaquin 500mg 我想要知道這是什麼藥是專門治哪方面的疾病用藥 有沒有什麼副作用 | 您好Levaquin就是Levofloxacin 是一種新的Quinolone廣效口服抗菌劑也就是Quinolone類抗生素對葡萄球菌肺炎球菌化膿鏈球菌革蘭氏陽性菌 綠膿桿菌都有效. 適應症細菌性的呼吸道感染耳鼻喉科感染中耳炎化膿性唾液腺炎泌尿道感染腸炎巴多林氏腺炎膽囊炎細菌性赤痢感染性腸炎 副作用：偶有過敏性反應、黃疸、肌肉痛、腹痛、低血糖、溶血性貧血，浮腫蕁麻疹、偶而GOT 、GPT上升。 本品是由腎臟排泄如果有嚴重腎臟障礙者藥謹慎服用、老年人服用時劑量要小心使用。不知如此回答您滿意嗎.謝謝您. | [
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| 性行為 | 請問醫師 我已婚目前跟先生發生性關係時都會疼痛連手指伸進去也都會疼痛. 因為結婚一段時間了很想懷孕如果想要看醫師請問可做什麼樣的檢查想先了解一下. 謝謝醫師 | 您好 發生性關係時都會疼痛，有可能是不夠濕潤的關係，一般不孕症的定義是有正常的性行為超過1年沒有受孕才稱為不孕症，如果是不孕症男女双方都須至婦產科做檢查，包括精液檢查、輸卵管攝影檢查、排卵檢查和荷爾蒙抽血檢查等等，如還有疑慮，可咨詢常看的婦產科醫師。祝健康 您好 | [
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0婦產科
| 懷孕機率 | 醫生您好， 我平常運經都很準時，但偶爾會遲到10天左右。上次經期是82994，平常周期大概是30天左右。 從來沒有和男友發生插入的性交行為，但是在927、928與929有和男友親密接觸，他有用龜頭抵住在洞口摩擦30秒左右，上面有黏液，但沒有射精，但後來有幫他口交手交射出來。 後來預計102月經要來，但是卻遲遲未來，於是在1012號用早晨第一泡尿搭配驗孕棒檢驗，呈現陰性只有一條線。不知道這樣會不會懷孕呢機率高嗎 感謝醫生 | 平常運經都很準時，但偶爾會遲到10天左右。上次經期是82994，平常周期大概是30天左右。 從來沒有和男友發生插入的性交行為，但是在927、928與929有和男友親密接觸，他有用龜頭抵住在洞口摩擦30秒左右，上面有黏液，但沒有射精，但後來有幫他口交手交射出來。 後來預計102月經要來，但是卻遲遲未來，於是在1012號用早晨第一泡尿搭配驗孕棒檢驗，呈現陰性只有一條線。不知道這樣會不會懷孕呢機率高嗎 Ans 只用龜頭抵住在洞口摩擦30秒左右，這樣不會懷孕 | [
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12胸腔內科
| 其他 | 醫師您好 想請教我偶爾會有心臟跟左手手背（大拇指指節附近）同時刺痛的問題，且刺痛位置都無變化，時長約5-10秒，多於靜態時發生，有此症狀約一年以上，平均一個月1-2次，想詢問會是一般神經痛嗎？謝謝 | 您好 您的年紀比較不是心臟疾病好發的年齡且平常行動及運動都沒有症狀應可排除心臟疾病大拇指指節偶爾刺痛如果感到困擾可以看神經內科 | [
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| 拔智齒 | 曾主任您好我今年20歲最近因為要做牙齒矯正的關係我開刀拔了左下邊的智齒還沒長出來在拔之前醫生看我全口X光片後說有可能會傷到神經但即使傷到幾天後就會好叫我不要擔心還好拔完後都沒事已過1個多月了. 但因為接下來還要拔右下邊的智齒我有點擔心萬一永久傷到神經怎麼辦而且這一家只有X光的設備並沒有電腦斷層的設備 可是我是在這家做牙齒矯正不好意思到別家有電腦斷層設備的醫院去拔另一顆智齒我怕醫生會誤會我不信任他.所以我想問醫生 1依照下面備註對X光簡單的描述我需要擔心我拔智齒拔到神經斷掉而造成神經永久傷害嗎那種傷到幾周或幾月就會好的我不擔心 2我需要大費周章去找另一家有電腦斷層的醫院拔我的智齒嗎 3一般人的智齒的齒根會跟神經沾黏而造成在拔出的時候把神經一起拔斷掉嗎 謝謝醫生 註診所有傳那全口X光片給我我的智齒的牙根那兩隻腳不是很明顯的分開甚至不是很清楚的可看出是2隻腳但是是有與第1根神經重疊但沒有與第2根神經重疊我的智齒的牙根長的順順的並沒有所謂明顯倒勾我智齒約往門牙方向傾斜3045度 | 介先生您好： 1.如果X光片顯示智齒的最下緣跟離下顎神經骨有一段距離，則不必擔心智齒會影響到下齒槽神經。 2.如果有疑問可以找有電腦斷成設備的牙科院所做一下電腦斷層，確認智齒的位置。 3.正常的智齒會和下顎神經有一距離，不會緊貼著下齒槽神經。 南投醫院牙科 曾光暉主任 | [
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| 身高問題 | 醫生您好： 我現在國二 身高152 爸爸175 媽媽163 今年九月的時候剛來月經 之前有去測過骨齡比其他人慢一年 但也是蠻久以前了 想請問一下我還能長高嗎 還有其實我都蠻晚睡的 大概要幾點睡會比較好 因為我蠻忙的 還有如果現在47公斤會算胖嗎 因為班上同學會說我胖 如果吃得少一點可以嗎 謝謝 | 一般女生停止長高的時間約為初經來後二到三年所以你還是有長高的機會晚上11點到凌晨1點是生長激素分泌最旺盛的時候所以晚上10點到早上7點半是最佳的睡眠時間除了睡眠以外定時適當的運動和曬太陽也有增加身高的益處。你的身體質量指數並不到過重的程度以你的身高體重約為52公斤以上才會算過重。 | [
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13肝膽腸胃科
| 大便相關問題 | 醫生 您好 我目前是30出頭年紀 每天的排便時間蠻固定的早上起床10分鐘內而且幾乎都蠻順暢 鮮少有便秘的問題 不過最近留意到排便時，常常不是條狀而是糊狀泥狀居多 因為我是每天晚上都會喝拿鐵咖啡牛奶 所以一直覺得是乳糖不耐正的問題 不過最近這兩天嘗試2天不喝拿鐵卻也還是糊狀泥狀 目前還不確定是不是因為喝太多冰水我平常只喝冰水、飲食冷熱交替熱湯冷飲、 還是喝隔夜水我房間同一杯水可能喝好幾天等因素導致，目前還在逐步嘗試找尋根源 這次發問主要想請問的是 1. 排便都是泥狀糊狀顏色正常，但不會不舒服不會絞痛或對生活造成不便，這樣有需要特別去看醫生嗎 例如做個糞便潛血檢查或大腸鏡 2. 排便都是泥狀糊狀大概持續多久可以視為正常，持續多久需要去做檢查 3. 如果是乳糖不耐正而引起的類似腹瀉狀態，但不會絞痛也不會對生活造成影響，除了腹瀉需留意水分補充外，可以無視這種腹瀉狀態嗎 網路上有些文章說這種腹瀉不會對腸胃造成損害，因為我個人習慣每天喝拿鐵 謝謝醫生 | 衹要無血便或體重下降，都可少油少奶再觀察。 | [
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0婦產科
| 會懷孕嗎？ | 上次月經23號 平常月經都正常 週期27天左右 214有性行為（推測為危險期） 第一次性行為有無套磨蹭但沒有碰到龜頭 第二次性行為的時候也是無套磨蹭有碰到龜頭 應該有沾到前列腺液 請問這樣懷孕機率大嗎？ 剩下的時間都有用保險套 且第二次男方在磨蹭前有泡過澡 請問突然的泡澡會影音精子品質嗎？ 想問問看如果前列腺液真的有精子的成分在 那大概是多少呢？ 那請問現在218我的分泌物還沒有蛋清狀的樣子 請問這樣是正常的嗎？ 有蛋清分泌物大概多久之後排卵？ | 您好 214 有可能是危險期，有做一些防護措施，應該是懷孕機會不大，現在也超過事後避孕藥的期間，最好做完成的避孕措施。祝健康 | [
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11營養教室
| 食物諮詢 | 您好喔我想請問像是媽媽常常去麵包店買麵包或是糕點之類的食物，有時候買回來會直接送冰箱擺放，那請問可以擺幾天然後它們都不會壞掉呢？就像是3.4天如果都一直放在冰箱裡，拿出來吃還是好的嗎？謝謝您 | 小芳您好 食物會不會壞掉要看食物買回時已經製造多久了有沒有開封過 冷藏時有沒有包裝有沒有和其他食物放在一起 一般而言開封後的食物放置冰箱都建議不要放超過兩天 超過兩天吃會不會有什麼問題呢 如果細菌量不多個人腸道功能 還不錯可能也不會有症狀但是如果是一些毒素型的細菌例如有 蛋成份或是有香腸臘肉等那麼可能問題就較大了不僅是腹瀉還 可能會有神經症狀較危險 食物是儘快吃完較不會有問題如果真的份量太多建議是放冷凍 可以放較久但是若已經變質冷凍也沒有比較好喔 祝您健康 以上由衛生署南投醫院蔡秀雯營養師回覆 | [
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2牙科
| 拔牙 | 醫生您好： 因為牙齒矯正的關係，醫生說我要拔三6和四6（我不知道是不是這樣寫，我只知道是左右各一顆但不知道是哪一顆牙）而我拔牙醫生要同時拔兩顆 醫生說會幫我縫合，想詢問： 1.縫合是會加速癒合時間嗎？ 2.我同時拔左右各一顆會不會影響進食呢？（有和醫生討論看可不可以分兩次拔，但醫生都只回覆我同時拔，要我放輕鬆她會縫合） 3.縫完後還是要咬著紗布嗎？ 4.可以選擇可吸收的線嗎？還是說一定要用傳統縫線然後再預約拆線時間呢？ 5.因為我六點下班，七點要拔，拔完後可以洗澡嗎？（剛好週一拔隔一天還要上班） 謝謝醫生撥空回覆我，謝謝您，辛苦了！ | 您好 若擔心一次拔兩側會影響進食，建議您還是堅次分次拔牙即可。 拔完會咬紗布30分鐘60分鐘，以利加壓止血。 可選擇可吸收的縫線，不過還是建議要拆線縫線或多或少都會造成發炎反應。 拔完可以洗澡，頭24小時，拔牙傷口勿直接碰到熱水。 謝謝 | [
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13肝膽腸胃科
| B型肝炎 | 李醫師你好我想再請問你檢查b肝的儀器不同事否標準值就有所不同.因為我的b肝表面抗原數值0.09陽性.表面抗體5.34陰性根據你的說法是屬於實驗性誤差.可是我打電話去原檢驗醫院詢問.他們的回答是b肝表面抗原大於0.05就是陽性所以檢驗是正確的我受到b型肝炎傳染.這讓我很頭痛生活不正常.還要等3個月後復檢一個月都度不了了還要等三個月可以在詳細的說明ㄇ我想知道真的是每一台儀器檢驗的標準值都不一樣ㄇ還是診斷錯誤因為那檢驗是公司性健康檢查一次檢查700多個謝謝 | 請您六個月後再抽一次血檢查B肝表面抗原，或者自費檢測血液中是否含有B肝DNA病毒約2000元次，藉以澄清沒有病毒在血液中。因為學理上是先有B肝表面抗原消失後一段時間，才會出現表面抗體，和你的抽血結果不同。一般我們定義慢性Ｂ型肝炎帶原者是說，Ｂ型肝炎病毒表面抗原HBsAg 為陽性者，且存在半年以上（即兩次抽血間隔半年以上都是陽性），亦即血液中有Ｂ型肝炎病毒表面抗原存在，因此目前為止，您還不是帶原者。人工檢測難免有出入，另外，標準或許沒有絕對，譬如最近沸沸揚揚的瘦肉精含量標準就很難訂出來。不同機器或不同檢驗師做都有些許誤差，但是醫師醫療的是病人，不是實驗數據，請您就近到附近肝膽科醫師的門診做後續追蹤，謝謝 | [
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6骨科
| 關節 | 爸爸（70 yo，嚴重骨鬆）：股骨頸骨折後，已歷經2次手術：第一次是開放式復位，但固定的植體插出造成髖臼外側缺損；第二次，半髖關節置換髖臼外側骨釘補骨頭，但三個月後（現在），補的骨頭掉了，脫臼，必須要進行第三次手術，全髖關節置換 想請問，對於骨鬆的病人，在第一次骨折的時候通常不會立刻考慮全髖關節置換嗎？一定要歷經多次手術，採用階段性的方式，復位—》半髖—》全髖，所謂留後路的方式真的比一次全髖到位相較，對病人比較好？骨鬆的病人，植入髖臼的部分，使用骨水泥會不會穩定性比較高？ | 妳好，一般而言，股骨頸骨折若無位移，健保給付規定只能開放式復位併骨釘內固定打骨釘，其實只要骨釘位置適當、使用助行器且患肢不踩地，成功率可達九成。 若股骨頸骨折合併位移，健保給付規定只能施行打骨釘半髖關節置換。 若第一次手術打骨釘失敗，髖臼未缺損，則施行半髖關節置換較適當。 若第一次手術打骨釘失敗，髖臼有缺損，則施行全髖關節置換較適當。 骨鬆的病人，施行全髖關節置換，植入髖臼的部分，目前仍不建議使用骨水泥，因成功率不會比較高。 | [
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| 睪丸問題 | 您好： 我今日走路的時候，突然覺得右邊睪丸有些發麻的感覺，右腳也有，但大概五分鐘左右就好了，這有問題嗎 | 如果連腳都有，可能是神經的問題，建議先觀察，若症狀持續出現建議至門診就診。 | [
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6骨科
| 手肘問題 | 醫師您好 因為練舞的關係，手肘撞到朋友的拳頭，當下非常痛且整隻手麻痺約10分鐘 從事發至今約10天了，狀況已經改善很多，但是小指及無名指還是會有一點麻麻的感覺很輕微 手肘活動正常，不會有痠痛感。 上網爬文可能是尺神經受傷，且用右手去觸摸手肘尺神經的位置，感覺受傷的手比另一隻手敏感很多，稍微往內摸就會有像被電到的感覺。 請問熱敷加上藥酒的治療會慢慢康復嗎 正常而言大概需要多久時間才會康復 還是需要做針灸之類的治療 感謝撥空回答 | 您好 您的症狀 應該是尺神經受傷 與其他肌肉 韌帶等軟組織相比 神經的受傷 復原的時間須要比較久 如果傷得厲害 是有留下後遺症的可能 不過 依您所述 受傷的機轉並非太厲害 所以 個人覺得復原的機會應該很高 受傷後應先冰敷 過了五天後可以開始熱敷 另外 也可以合併口服 alinamin-F 來滋養神經 觀察約三-四週 如果復原不如預期 還請您到門診作進一步檢查 謝謝 | [
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1精神科
| 壓力問題 | 醫師您好 我的問題是只要上台演出或考試就會眼前發黑，手軟拿不住東西，腳軟站不住腳快要跌倒，甚至會呼吸不過來要暈不暈的 偶爾會有前一天或結束後胃痛，或前幾天開始做惡夢的情況 上大學的第一次樂團演出以為只是錯覺 但之後就越來越嚴重 甚至還有在樂團上課練習時也輕微的發生，腳站不住跟失神差點跌倒的狀況 以前在樂團並沒有類似的情況 過去九年都沒有，就上了大學後開始出現 倒是個人比賽時有類似的情況 但也是後面幾年才出現 曾經有想過是不是太難而自己沒有做好的原因 但很多人一起上台不應該會有害怕緊張的感覺，而且有時候其實並不難但還是會發生 | 敬啟者您好 從您的來信 可以明顯感受到您的不適和困擾 因為您同時有緊張以及疑似上台的壓力，這可能需要就醫治療。 1. 面對不確定的未來，焦慮緊張為現代人常見的問題，若為疾病需要長期治療方能康復。 2. 長期困擾需要持續就醫對您的狀況才會有幫助，但因每人體質的差異，適合的治療會需要時間確認，請耐心與您的醫師配合。 3. 單純就藥物治療而言，每一種主線用藥都需要4至6週來確認療效，建議您如果有任何不適症狀，先記下持續的時間及發作的頻率，生理疾病的部分請在回診時和醫師好好討論，因為有些症狀可能是原來疾病的問題，但也有可能是藥物的副作用。本院周一至周五上午與下午皆有門診建議您考慮來院讓醫師親自評估您的症狀共同討論出對您最好的決定。 敬祝 身心愉快 一般精神科 張耿嘉醫師 上 | [
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3藥物
| 藥物治療 | 請問伏冒熱飲 G6PD患者能服用嗎 | Dear信： 可以。 祝 健康快樂 | [
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| 黴菌感染 | 我之前有過黴菌感染 和膀胱發炎的例子 黴菌感染 沒多久後 兩次膀胱發炎 然後又黴菌感染 最近我開始感覺外陰部癢癢的 我以為又是黴菌感染 結果開始有膀胱發炎的症狀 小便的時候會痛痛的 擦拭的時候有血 但是 同時外陰部有點癢癢的而且感覺有傷口 還有濕疹 請問我這樣該去看泌尿科呢 還是婦產科 好苦惱 | A4 你好 若陰道有溼疹，可以看一下婦產科。 另外，若經常如此，可能要考慮是否因為局部清潔做的不恰當。 是否習慣使用清潔用品做會陰部沖洗？ 是否在性行為後，沖洗陰道？ 或者性行為時，男性的陰莖沒有做適當地清潔？ 諸如此類，都有可能是經常感染的原因。 建議長期使用蔓越莓，像果汁、果乾或錠劑都可以有效避免感染。 | [
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6骨科
| 韌帶 | 楊醫師您好： 我父親已七十歲了，一個月前得到肝膿痒經高雄榮總治療檢查後，細菌已感染脊隨，爾且細菌已侵蝕脊椎，並且侵蝕了一節骨頭，在一星期前經過開刀換了一節人工骨頭，於二天前可下床用輔助器行走，但是今天卻因為痛風發作無法下床。 請問醫師： 人工骨頭堅固嗎？以後需要再換新的嗎？ 以上情形在飲食及生活上需要注意甚麼？ 謝謝您的回答！！ | 親愛的kitty 肝膿瘍合併脊椎骨髓炎是相當難治療的疾病. 如果造成脊椎的不穩定 就需要如你所說的手術治療 一般的做法是兩次手術 一次先由後方開 釘上脊椎鋼釘之後 再由前開 徹底刮除感染的部位 釘上骨頭一般是自 己的骨頭移植過來 再用前開用的鋼板鋼釘固定. 您所提的人工骨頭 也許是骨水泥或自體移植骨頭的誤稱 目前的人工代用骨 仍不夠力量去取代脊椎 也沒有醫師會用這種方法治療. 放在已經徹底刮除的部位的骨頭 目的就在取代生病的脊椎 所以 大概是不需 要再換新的了. 至於日常生活該注意的事情 除了背架必須穿戴六個月以上 大概就是注意肝膿瘍 的狀況 隨時配合醫師服藥 這樣才能有效控制此一疾病. 祝妳們抗戰勝利 楊正帆 | [
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5泌尿科
| 菜花 | 我患有假性濕疣 前幾個禮拜讓女朋友口交了 請問會傳染到女朋友的嘴巴嘛？ | 林： 你好 假性溼疣，不是尖頭溼疣，不是性病。 若有不詳盡之處，歡迎再度發問，互相再討論研究一下。 網路回答只能作為參考，有必要，還是要到醫療院所就醫。 衛生福利部 台東醫院 關心您 以上由 本院泌尿科 主任 許維愷 答覆 | [
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6骨科
| 車禍受傷 | 醫師你好，距離車禍到今已經快4個月了，之前撞到腳整個瘀青腫脹，雖然骨頭沒有脆掉但被診斷為骨膜炎，現在雖然已經有比之前消腫，但是還是覺得腳有時都緊緊的，到了晚上又開始覺得腫腫的，請問這狀況要如何改善才會比較快好，骨膜炎的修復期都這麼久嗎 中醫跟骨科都看過了有推薦要去看什麼科再被診斷檢查看看嗎 | 您好 足踝的受傷 會常常腫脹 尤其一天下來 愈到晚上腫脹的情況愈厲害 這不見得能完全回復 可以先熱敷 使用護踝看看 謝謝 | [
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6骨科
| 關節 | 王醫生您好： 我在上個月接受肩關節唇瓣修補手術，但是肩關節在活動的的時候，仍會有喀喀聲音，在進行Anterior Slide Test的的時候也明顯感覺有一塊骨頭在滑動，請問是否有可能是內部縫線鬆脫導致肩關節唇又再次裂開了呢？ | 您好， 若肩關節無再次受傷或活動過度， 縫線鬆脫可能性不大， 且軟組織完全復原， 至少須二個月，且須手術前後比較， 建議諮詢手術醫師。 彰化醫院 關心您的健康 王守吉 | [
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