Showing posts with label arthritis. Show all posts
Showing posts with label arthritis. Show all posts

Saturday, April 28, 2018

Steroids rely on liver to metabolize 類固醇靠肝臟代謝


TODAY’S WORDS 今日單字
1. allergy n.過敏 
例: Other alternatives are available for people with a penicillin allergy. (對盤尼西林過敏的人有其他選擇。)
2. arthritis n. 關節炎 
例: Her arthritis got so bad that she had to stop playing the piano. (她的關節炎嚴重到要停止彈琴。)
3. prescription drug n. phr.處方藥 
 例: What is a prescription drug in one country may be an over-the-counter drug in another country. (在一個國家也許是處方藥的藥品,在另外一國家可以是非處方用藥。)

Officials from the Food and Drug Administration under the Department of Health say steroids are used to treat inflammations of the body, and are appropriate for rheumatism and allergies, including rheumatoid arthritis as well as allergies and inflammation of the eyes or nose. Since steroids are a prescription drug, they must be administered by a certified doctor. 衛生署食品藥物管理局官員表示,類固醇是治療身體發炎的症狀,適用風濕性疾患與過敏性疾病,因此包括風濕性關節炎、眼睛、鼻子過敏與發炎等,都可能使用。由於是醫師處方用藥,必須由合格醫師開立使用。


Yang Ti-shan, head of orthopedics at Ton Yen General Hospital in Hsinchu County, says steroids rely on the liver to metabolize and have too many side effects, adding that they are not used in orthopedics to treat osteoarthritis or arthritic pain any longer. When dealing with muscular inflammations or when drug treatment is not working, he does not use steroids unless absolutely necessary and keeps the dosage under 0.5 cubic centimeters. Yang also administers an equal dosage of pain relievers to ensure that the body is able to metabolize everything within 24 hours. 新竹縣東元綜合醫院骨科主任楊迪山說,類固醇因靠肝臟代謝,有太多的副作用,目前醫界骨科幾乎都不再用於治療退化性關節炎或關節疼痛。他在面對肌膜發炎且經藥物治療都無效下,實在逼不得已才會使用,使用的劑量則控制在零點五CC以下,而且還必須搭配一比一的止痛藥,以確保患者一天就能代謝掉。

Yang says that he only administers steroids to be taken orally for an extended period of time in cases of rheumatoid arthritis, systematic lupus erythematosus, and anklosing spondylitis, and he only administers them together with pain relievers during treatment. 楊迪山說,目前只有類風濕性關節炎、紅斑性狼瘡、或是僵直性脊椎炎等,才會以長期口服的方式,合併使用類固醇及止痛藥進行治療。
(Liberty Times, Translated by Kyle Jeffcoat)

Saturday, November 30, 2013

Yoga for Knee Damage 運動過度損軟骨 引發髕股骨關節炎


Seniors participate in a sports meet in Chiayi County on May 25.
老人五月二十五日於嘉義縣參加運動會。

Photo: Tsai Tsung-hsun, Liberty Times
照片:自由時報記者蔡宗勳

Peng is a 52-year-old man who has been ardently in love with exercising since he was a child. Aside from boxing, he also enjoys running and mountaineering. Half a year ago his knees started swelling and changing shape, but painkillers and hyaluronic acid did not help. Eventually he also began experiencing unbearable pains in his lumbar region and back, so he decided to see an orthopedist, who diagnosed that the cartilage in his knees was severely damaged and had caused patellofemoral arthritis.
Liu Hwa-chang, a doctor in the orthopedic surgery department at Taiwan Adventist Hospital, says that 80 percent of people over the age of 65 in Taiwan have degenerative arthritis in their knees, and that with the decrease in temperatures during autumn and winter, the knees will make crackling sounds while moving, particularly when going up and down stairs, getting up or squatting on the toilet. Not only is the pain unbearable, but in some serious cases the knee also changes shape. Degenerative arthritis is not limited to seniors. Clinical studies show that many people in their 40s and 50s suffer from the condition from being obese, excessive exercise, moving heavy objects or wearing high heels too often. If the kneecaps endure heavy weight for an extended amount of time it causes damage to cartilage, which can lead to arthritis or patellofemoral pain syndrome (PFPS).

If overused, the patella, commonly known as the kneecap, can do harm to posterior cartilage and cause pain. Clinical studies show that people often go to the doctor due to pain in the kneecaps, but X-rays do not show anything. Orthopedists must first eliminate whether any abnormalities in the anterior or posterior joints exist and check to see if the joints of the kneecap are slanted or turning outward before determining if the patient has patellofemoral arthritis.
TODAY’S WORDS 今日單字
1. ardently adv.
熱心地;熱烈地 (re4 xin1 de5; re4 lie4 de5)
例: Russian President Vladimir Putin is ardently anti-Western.
(俄羅斯總理佛拉迪米爾‧普廷熱烈反對西方。)
2. unbearable adj.
難以忍受的 (nan2 yi3 ren3 shou4 de5)
例: The cost of living in this city has become an unbearable burden.
(住這城市的費用已成為難以忍受的負擔了。)
3. abnormality n.
反常;異常;變態 (fan3 chang2; yi4 chang2; bian4 tai4)
例: Engineers are checking for any abnormalities in the new system.
(工程師在檢查新系統是否有任何異常之處。)
Aside from using conservative therapy to treat patellofemoral arthritis, strengthening quadricep muscles and losing weight can also be used. If a doctor’s evaluation permits, the use of surgery might also be considered.
(Liberty Times, Translated by Kyle Jeffcoat)
五十二歲的彭先生從年輕時就酷愛運動,除了打拳擊外,也喜歡跑步及爬山,半年前雙腳膝蓋出現腫脹、變形,吃止痛藥及打玻尿酸都無效,最後腰背疼痛難耐,到骨科就醫,經診斷為膝蓋軟骨嚴重磨損,引起髕股骨關節炎。
台安醫院骨科醫師劉華昌表示,台灣六十五歲以上老年人有八成罹患退化性膝關節炎,每到秋冬氣溫下降時,膝蓋活動時,就喀喀作響,尤其在上下樓梯、起身或蹲廁所時,不但疼痛難耐,嚴重者還會變形,但退化性關節炎不是老年人的專利。臨床上,常見許多四十到五十歲患者因肥胖、過度運動、搬重物或經常穿高跟鞋,膝蓋長期飽受過度承重造成軟骨磨損,引發關節炎或髕骨疼痛。
劉華昌指出,「髕骨」就是俗稱的「膝蓋骨」,長期過度使用會造成外側軟骨磨損,引起疼痛。臨床上,常見患者因膝蓋疼痛就醫,照了X光卻查不出問題。骨科醫師會先排除內、外側關節面異常問題,並檢查患者的髕股骨關節是否出現傾斜或外翻,以診斷患者是否罹患髕股骨關節炎。
髕股骨關節炎患者的治療除了採保守治療,藉由強化四頭肌力量強度及減重方式減緩外,若經醫師評估許可,可考慮手術治療。
(自由時報記者魏怡嘉)

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