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25 Jul 2017
使唔使戒口㗎?
骨科專科醫生 羅宜昌
每日大概回覆五至十次的問題,其中一個係「醫生使唔使戒口㗎?」
身體有毛病,本地人其中一個根深蒂固的概念是要戒除某些食物,雞蛋生魚會令傷口增生疤痕,變得難看;芒果燒鵝牛肉有毒,會影響傷口康復;有骨折要戒食酸味的食物,否則會令骨頭融化掉;海鮮貝殼更加會發散,引起嚴重併發症。
還有「生冷嘢」、菌類、辛辣食物等等,都有不同程度的傳說……
其實傷口癒合困難,原因非常廣泛,病人本身營養狀態、病情、年齡、傷口附近血液循環、傷口大小形狀位置、手術規模、有否受細菌污染……
簡單來說,傷口需要清潔及穩定的環境去康復,有足夠血液供應,病人本身營養充足……這些都需要從食物得到補給。
所謂發散的食物,大都含蛋白質及其他營養,從來無實質證明此等含有甚麼毒素。
從前農村社會,未有細菌的概念,當傷口康復不順利,大家便盡力尋找一切可能原因去嘗試解釋,將傷口出事的責任,推說為患者出錯「食錯嘢」,雖則可以令患者乖乖聽聽話話,以後好好料理自己以康復,但亦會錯過機會去尋找真正令傷口出事的原因。
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