English translated version as followed by the Chinese version
台大醫院醫師最近掀起一股超音波檢查熱,原因是該院一位才 37 歲的主治醫師就是因為太過仰賴肝功能指數檢查(GOT、GPT),卻在春節前被檢出已有 10公分 肝癌!且肝已被撐破!
臨床上有太多太多人都迷信肝功能指數,以為指數正常就一切OK,這樣的誤解,連很多專業醫師都會犯,這些平時要民眾建立正確保健常識的醫生,自己的常識竟還不正確。
肝癌的預防要好,但台大早年推動肝癌防治,但最後仍是死於肝癌的許子秋署長最令人印象...,另外還有病理界頗負盛名的林文教授、醫界耆老杜教授,以及台大內科醫師、醫學院內科博士班的學生KK,均因罹患肝癌宣告不治.
肝病防治學術基金會執行長、台大醫院內科教授許金川指出,近十幾年來,隨著小型肝癌的研究,臨床上才確定肝臟好壞並不能全然仰賴GOT、GPT數值,但醫學發展至此,觀念竟依然如故。
許金川表示,醫生對肝病的防治都可能發生錯誤認知,更遑論一般民眾了;曾有一位 醫師也是誤信GOT、GPT,結果只幫他岳父監測數值,後來這位岳父大人還是得了肝癌!
台大這位年輕醫師,係因右上腹不舒服,自行用超音波探頭檢查才發現腫瘤。
許金川說,肝臟本身並沒有什麼神經,因此常常在得肝癌已經很大了才會發現,但卻為時太晚;這也是肝癌為何如此難以治療的最大原因。
在台灣,每天有30人死於肝病,肝臟疾病已是威脅國人健康的最大殺手,在肝病常識有限下,許醫師感嘆,有太多人都是被無知給害死的。
日前,許醫師門診也是有位病人,最近一個月經常肚子痛而且體重也減輕了不少;經超音波檢查發現,肝臟部位有一個很大的肝癌,幾乎 80%的肝臟都「吃」掉了。
病人大吃一驚,直呼「怎麼可能?去年才做健康檢查,結果都是正常的,怎麼可能才短短的一年,就長出這麼大的肝癌?」原來病人接受的體檢只有做肝功能檢查,檢查結果病人的肝功能都是「正常」?
病人接受的肝功能檢查,是肝臟檢查項目中最讓一般人耳熟能詳的一種檢查,但這項檢查卻是被國人誤解最深的一項。因為,很多人以為只要肝功能檢查出來的數值正常的,那肝臟就沒有什麼問題了;結果一樁樁喪失治療先機的悲劇就一而再再而三的發生。
許金川說:GOT、GPT是肝細胞裡面最多的酵素,如果肝臟發炎,或者是不管什麼原因細胞壞死,壞死之後GOT、GPT會跑出來,導致血液裡的GOT、GPT數值升高;但是,GOT、GPT指數不高,卻不代表病人沒有肝硬化或是肝癌。
因為形成肝硬化的時候,大部份肝炎患者,就算發炎情形都已經停止了,可是纖維化、肝硬化卻已經形成;一旦變成肝硬化,病人就很容易形肝癌。
另外,肝癌在早期,肝指數也不會高,因為肝癌在生長的時候,只有在肝癌周圍被肝癌壓迫侵犯的肝細胞才會壞死,因此,GOT、GPT仍可能是正常的,即使會升高,不會太高;但是,由於很多人缺乏這些知識,因此造成不幸悲劇。
肝的致命傷原因如下:
1 .晚睡晚起為最大致命傷。
2.早上不排便。
3.暴飲暴食。
4 .不吃早餐→透支體力而不自知。
5 .服用藥物過度。
6 .防腐劑、添加物、色素、人工甘味(如:沙茶醬)
7 .不當的油脂(如:沙拉油為不穩定油),烹調盡量少用油,即便是好油,如:橄欖油。疲倦時不吃油炸物,若要吃趁精神好時吃。
8 .不生食(完全熟食)亦不利肝。青菜生吃或煮三分或五分熟,炒過的青菜當天吃完,不要隔夜吃。
9 .錯誤的價值觀,只追求卓越,欠缺和平、博愛。
1 0.急躁。
要做到,完全不需花錢,只要注意起居與飲食習慣的調整。食療加上時療,讓身體在正確的時間內主動進行吸收與排毒的動作。
原因:
晚上9- 1 1 點為免疫系統(淋巴)排毒時間,此段時間應安靜或聽音樂。倘若此時,作母親的仍處於焦慮狀態,如洗碗盤、盯孩子功課,對健康不利。
晚間11-凌晨 1 點 肝的排毒,需在熟睡中進行。
凌晨1-3點 膽的排毒亦同。
凌晨3- 5 點肺的排毒,此即為何咳嗽的人在這段時間咳得最劇烈;因排毒動作已走到肺經,不應用止咳藥,以免抑制廢積物的排除。
凌晨5- 7 點 大腸的排毒,應上廁所排便。
早晨7- 9 點 小腸大量吸收營養的時段,應吃早餐。療病者最好早吃,在6點半前,養生者在7點半前,不吃早餐者應改變習慣,即使拖到 9 、 10點吃都比不吃好。
晚睡晚起 混亂整個排毒過程;另外,半夜至凌晨4點為脊椎造血時段,必須熟睡,不宜熬夜。
肝炎有四個現象
若有以下任何一個現象經常性的發作時要注意,為了大家的健康,請將本文舉手之勞傳送給您周遭的親朋好友們!
一、 右上腹悶痛
二、 右後腰酸痛
三、 右肩感覺酸、麻、痛,甚至造成右手舉不起來
四、 小腿晚上睡覺時,容易抽筋
肝臟出現問題時,我們的身體會產生的現象會有:肝臟像拳頭一樣,有正面,有背面,正面如果硬化、腫大,會擠到我們的肋間神經,肋間神經就會脹痛;如果在背後,會造成右腰酸痛。
全身的筋,都由肝臟主管,晚上血液必須進到肝,若肝臟有問題,血液進到肝臟會比較困難,所以翻來覆去睡不著;血液好不容易進入肝臟,出去也相對的困難,全身的筋需要血來滋養,人在睡覺翻身的時後需要動,動就需要血液提供,血液不容易從肝臟出來,筋就會僵硬,僵硬過度就會抽筋。
肝臟不好,晚上睡眠品質會不好,翻來覆去不容易睡著;起床後口乾、口苦、口臭,刷牙時牙齦會流血。平常為食物沒有興趣,不吃不餓,吃一點點就有飽感;走路走個兩步小腿就會很酸, 會感覺全身越來越疲勞,手腳也是越來越沒有力。
肝臟不好的人,腳會經常扭到,扭到了又好不了,不小心割傷了,傷口也不容易癒合。
喜歡喝酒的朋友,忽然酒量減少了。或是有久治不癒的皮膚病,週而復始好不了,都要注意肝。
Translation in English using Google Translate.
National Taiwan University Hospital recently set off a sonogram heat, because the hospital has a 37-year-old physician - because too dependent on liver function examination (GOT, GPT), before the Spring Festival he has been detected in 10 cm Liver cancerous tumor! And the liver has been bursting!
Clinically, there are far too many people are superstitious at liver function index, that index normal means OK, this misconception is even believed by many professional doctors. These doctors usually have to establish the correct health knowledge among people, but their own common sense actually is still not correct .
Liver Disease Prevention and Treatment Research Foundation executive director of National Taiwan University Hospital, professor of internal medicine Jin-Chuan Sheu noted that in the last decade of research in small liver cancer, deciding clinically the liver is of good condition or not can't completely rely on the liver GOT, GPT values, but with medical advances so far, this misconception still remains the same.
Jin-Chuan Sheu said this misconception has lead to many doctors making wrong judgement towards liver disease in the public; There was a physician who was helping his father in law to monitor the liver condition - believed on just checking the GOT, GPT, in the end, then the father in law still got liver cancer!
There is a young physician in NTU, due to the right upper stomach's discomfort, he did self-examination with ultrasound probe and discovered it's a tumor.
Jin-Chuan Sheu said that the liver itself has no sensory gland, so often the liver cancer was diagnosed when it has worsened to quite severe stage, but it was too late; This is the biggest reason why liver cancer is difficult to treat.
In Taiwan, there are 30 people die of liver disease every day. Under a limited knowledge, liver disease has been the biggest killer in Taiwan and became a threat to people's health. Physician Xu sighed, too many innocent people are killed.
Recently, Xu has a clinic patient who claimed a frequent stomach pain last month and experienced also a lot of weight loss; The sonography found he has a liver cancer, almost 80% of the liver has been "eaten" out .
The patient was shocked, asked him "how it could be?" He just did health checks last year, the results were normal, how could it happened just in one year, that the liver tumor has grown to so big?" Actually the patient just did the liver functionality test, and the results shown were "normal"
Jin-Chuan Sheu said: GOT, GPT is the largest enzymes inside liver cells, if there is any inflammation of the liver, or for whatever reason which cause cell necrosis, the GPT and GOT will come out into the blood resulting in the GOT and GPT values increased; Therefore, if the GOT , GPT index is not high, it does not mean that patients are not experiencing cirrhosis or liver cancer.
The ALT level is tested to look for and evaluate damage to the liver. This test measures the amount of an enzyme called glutamate pyruvate transaminase (GPT) in your blood. This enzyme is found in many body tissues in small amounts, but it is very concentrated in the liver. It is released into the blood when cells that contain it are damaged.
(The GOT glutamic oxaloacetic transaminase or GPT glutamate pyruvate transaminase is also known as AST and ALT)
Although the patients with hepatitis has their inflammation stopped, but when there is formation of cirrhosis of the liver and fibrosis and cirrhosis has been formed, the liver cancer is more easily occurred.
Furthermore, usually in the early stage liver cancer, the liver index is not high, because the growth of cancer tumor will only damage the surrounding liver cells, thus, GOT, GPT could be still normal, even if it's increased, it wont be too high. Because many people are lacking of this knowledge, thus causing many unfortunate tragedies.
The following are the reasons that cause fatal liver injury:
1. Sleep late.
2. No defecation in the morning.
3 Overeating.
4 Do not eat breakfast
5. Overuse of medication.
6. Taking preservatives, additives, coloring, artificial sweeteners (such as: barbecue)
7. Improper intake of oil (eg: salad as an unstable oil), cooking oil as little as possible, even good oil, such as: olive oil. When feeling tired do not eat fried things
8. Do not eat raw food (fully cooked) has adverse liver. Eat One-third or one-fifth raw or cooked vegetables, roasted vegetables must be finished on that day, do not eat it overnight.
9 wrong values, only go for pursuit of excellence, lack of peace and fraternity.
10. Impatient.Pay attention to the adjustment of living and eating habits.
When coupled with diet therapy, allowing the body to take the initiative at the right time for absorption and detoxification action.
Dr Chen earlier has mentioned that liver plays a very important role in our body.
The liver is the biggest gland in the body, and the scientists estimated it has over 500 different functions! The main functions of the liver are to:
- Assist in the food digestion. It makes bile, which is needed to digest fats
- Make many chemicals important for function of all over the body.
- Filter blood, remove toxins, dead cells, microorganism from bloodstream
- Regulate fat metabolism
- Burn fat - major fat-burning organ in the body
- Store carbohydrates in the form that allows a quick release of energy when it is needed. This is why people with liver damage may lack of energy.
- Regulate blood sugar
- Make plasma proteins, needed to help blood clot
Therefore, there is a direct link between our liver and heart.
By properly nourishing our liver, we can keep our cholesterol level in a good balance and thereby we will be able to prevent cardiovascular diseases.
SUPERFOODs which can nourish our LIVER:1. KUMAZASA
2. ASHITABA
Both are 2 japanese herbs well-known as longevity herbs!
More info about Kumazasa and Ashitaba:
https://healthywholesomefood.blogspot.sg/2013/08/longevity-herbs-kumazasa-ashitaba.html
Best regards,
Joselyne
Nutritional Immunology Consultant
+65-9090 9942
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