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沈意清
2018.01.09 寒流泡湯烤箱取暖 高血壓患者恐「烤」出危險來
2018.01.09 寒流泡湯烤箱取暖 高血壓患者恐「烤」出危險來
2018.01.09 寒流泡湯烤箱取暖 高血壓患者恐「烤」出危險來
By
沈意清
Senior Account Executive
・
Yilan County, Taiwan
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面對入冬首波寒流來襲,民眾取暖的方式也多元,泡湯、三溫暖烤箱、吃火鍋樣樣來,不過羅東博愛醫院心臟血管內科蕭如豐醫師提醒,心血管疾病患者取暖招式樣樣來、也得樣樣注意,否則冬天取暖不慎恐取命! 入冬以來首波寒流報到,週三到週五將是這波寒流威力最強的時候,宜蘭民眾就近有礁溪溫泉可以泡湯暖身,只不過心血管疾病患者、三高族群可要特別注意,蕭如豐醫師提醒只要掌握「五不」原則,就能安全泡湯。 一、不要泡太高溫、40度以下;二、不要泡太久、約10分鐘左右;三、不要單獨前往泡湯;四、不要冷熱湯交換泡,五、不要使用烤箱。其中,不要使用烤箱的原因是因為烤箱內空氣不流通、氧氣供給量不足外,當烤箱溫度升高、促使血管擴張時,血液會往四肢流動就容易導致腦部與心臟血液循環變差,烤箱使用不慎恐出現頭暈、無力、突然昏倒等危險狀況。 另外,吃火鍋也是民眾必備取暖招式之一,只是火鍋久煮湯頭越來越濃,相對鈉離子也會變高,加上一般民眾習慣再用沙茶醬、醬油等沾醬調味,如此一來鈉離子又會增加,由於高血壓控制與鈉離子的攝取量息息相關,因此蕭如豐醫師建議可以使用天然的調味食材,例如蒜、薑、醋等進行調味,減少鈉離子的攝取,血壓也比較容易控制妥當。 對於本週天氣驟變,心血管疾病患者日常照顧更顯重要,蕭如豐醫師尤其叮嚀高風險族群如老年人、吸菸族群或糖尿病、高血壓患者等,在血管無法承受這麼劇烈的溫度變化時,即使在室內不覺得冷,外出時還是務必確保頭部、頸部與四肢末端的保暖,必要時可以戴上口罩。老人家、心血管疾病患者如果要在半夜上廁所時,也一定要先動一動、暖暖身,讓四肢手腳溫暖一點再起床,避免突然起床導致血壓變化太大,造成心臟無法負荷,甚至導致腦部血液循環不足、也容易發生中風。 最後,氣溫驟降時請民眾、病友格外注意身體變化,即使平日有固定服藥的高血壓病人也要定時規律量血壓,因為有可能在服藥之下,依然受到溫差大、冬天天氣太冷等因素導致血壓出現劇烈的起伏,如果發現藥物控制狀況不佳,務必回診請醫師評估藥物是否需要調整,才能避免受氣候更迭所產生的健康威脅。
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沈意清
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Published: Apr 29th 2019
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