Genesis2 7

Genesis2 7
Bible Verse

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Friday, May 23, 2008

May30,08膽結石 可以不開刀嗎?Gallstone surgery can not?+創世記 Genesis26:19-27

創世記
26:19 以撒的僕人在谷中挖井,便得了一口活水井,
26:20 基拉耳的牧人與以撒的牧人爭競說:“這水是我們的。”以撒就給那井起名叫埃色,因為他們和他相爭(註:“埃色”就是“相爭”的意思)。
26:21 以撒的僕人又挖了一口井,他們又為這井爭競,因此以撒給這井起名叫西提拿(註:就是“為敵”的意思)。
26:22 以撒離開那裡,又挖了一口井,他們不為這井爭競了,他就給那井起名叫利河伯(註:就是“寬闊”的意思)。他說:“耶和華現在給我們寬闊之地,我們必在這地昌盛。”
26:23 以撒從那裡上別是巴去。
26:24 當夜耶和華向他顯現,說:“我是你父親亞伯拉罕的 神,不要懼怕!因為我與你同在,要賜福給你,並要為我僕人亞伯拉罕的緣故,使你的後裔繁多。”
26:25 以撒就在那裡築了一座壇,求告耶和華的名,並且支搭帳棚。他的僕人便在那裡挖了一口井。
26:26 亞比米勒同他的朋友亞戶撒和他的軍長非各,從基拉耳來見以撒。
26:27 以撒對他們說:“你們既然恨我,打發我走了,為甚麼到我這裡來呢?”
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以神的智慧謙讓,會帶來和睦。然而甚麼時候該謙讓,甚麼時候該力爭?
26:17-22 以撒他們挖了三口新的井。前兩次發生爭執時,他都離開了。後來找到寬闊的地方,大家都能各取所需。以撒為著和睦,寧可讓步,也不願引起嚴重的衝突。你願意為了保持和睦而放棄重要的地位或貴重的財產嗎?求神賜我們智慧,使我們知道在甚麼時候應當退讓,甚麼時候應當據理力爭。
化敵為友,好像是不可能的事,然而以神的愛,卻……
26:26-31 以撒的敵人既然想跟他訂立和約,他就迅速回應,把握這次化敵為友的機會,大擺筵席慶祝。我們要接納那些想與我們和平共處的人。當別人,甚至是敵人,被神在我們生命中的工作吸引時,我們一定要把握機會以神的愛來接觸他們。
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Genesis
26:19
And Isaac's servants digged in the valley, and found there a well of springing water.
26:20
And the herdmen of Gerar did strive with Isaac's herdmen, saying, The water is ours: and he called the name of the well Esek; because they strove with him.
26:21
And they digged another well, and strove for that also: and he called the name of it Sitnah.
26:22
And he removed from thence, and digged another well; and for that they strove not: and he called the name of it Rehoboth; and he said, For now the LORD hath made room for us, and we shall be fruitful in the land.
26:23
And he went up from thence to Beersheba.
26:24
And the LORD appeared unto him the same night, and said, I am the God of Abraham thy father: fear not, for I am with thee, and will bless thee, and multiply thy seed for my servant Abraham's sake.
26:25
And he builded an altar there, and called upon the name of the LORD, and pitched his tent there: and there Isaac's servants digged a well.
26:26
Then Abimelech went to him from Gerar, and Ahuzzath one of his friends, and Phichol the chief captain of his army.
26:27
And Isaac said unto them, Wherefore come ye to me, seeing ye hate me, and have sent me away from you?
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Humility to God's wisdom, will bring about harmony. But when the humility, when the strive »
26:17-22 Isaac they dug three new wells. The previous two had a dispute when he left. Later, to find broad areas, we everybody. Isaac as a harmonious, and would prefer to make concessions, but also unwilling to cause serious conflict. In order to maintain harmony you are willing to give up an important position or valuable property? » Pray thanks to our wisdom so that we know that at any time should give way any time should argue the case.
Turning hostility into friendship, seems to be impossible, but to God's love, but……
26:26-31 Isaac enemy since he would like to make peace treaty, he quickly responded, turning hostility into friendship seize this opportunity to put large banquet to celebrate. We have to accept those who want to peaceful coexistence with our people. When others, even the enemy, God in our lives to the work, we must seize the opportunity to God's love to contact them.
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膽結石 可以不開刀嗎?

【劉惠敏】張先生健檢時發現有膽結石,好像也不大,聽說是可以不用管,不過最近肚子會痛,好像就是右上腹部,該怎麼辦,一定要開刀嗎?有沒有別的治療方法?

台北國泰醫院汐止分院腸胃科主任楊瑞表示,膽結石患者將近八成都沒有症狀,不需要特別治療,只要定期超音波追蹤檢查,改變飲食、作息。膽結石大小不重要,有無症狀要看膽結石是否「作怪」引發疼痛,但膽結石引發的疼痛千奇百怪,除了右上腹部外,也有人感到腹部其他位置,甚至肩膀疼痛。

是否要治療,首先要確認疼痛是否為膽結石造成,有些人健檢時知道自己有膽結石,當腹痛出現時,會自以為膽結石發作,還有人過度擔心,出現疼痛症狀。

建議先讓醫師診斷,透過問診,醫師會詳細詢問疼痛的感覺,例如是否飽食後易痛、吃胃藥無法改善以及疾病史等,也會以超音波檢查膽囊壁是否有增厚、水腫等現象,確認是否膽結石在作怪。

在治療上,若是結石較鬆散如膽沙,可服用溶解膽結石的藥物,能讓膽汁循環變好,約二、三成可治癒。其他得考慮開刀,現在腹腔鏡切除膽囊技術已相當成熟,傷口較傳統手術小得多、疼痛感也較低,恢復期短,住院約三到四天即可返回工作崗位。

有人擔心切除膽囊影響功能,由於負責膽汁分泌的是肝臟,膽囊則儲存膽汁之處,但人體有代償作用,如果缺少膽囊,膽管會變大以便儲存膽汁,因此不用過於擔心。

至於利用震波震碎結石,效果則不一定,有時結石較大,反而震成小碎石若是掉到膽管等部位,反而造成問題。

建議患者改變飲食習慣,多食纖維豐富的蔬果、減少高脂、高蛋白食物,不要禁食過久,減低膽結石作怪的機率。

2008-05-26



閱覽更多新聞,請看世界日報。

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Gallstone surgery can not?

[LIU Hui-min - Mr. Zhang Jian seized when found gallstones, as if not much, I heard that can not control, but will be the last stomach pain, like that of the right upper quadrant, how to do this, you must surgery » There are no other treatment »
Cathay General Hospital in Taipei branch of gastrointestinal Hsichih director Yang said that nearly eight patients with gallstones Chengdu no symptoms, do not need special treatment, as long as regular follow-up ultrasound examination, change diet, and rest. Gallstones size is not important, gallstones are asymptomatic depends on whether the "mischief" caused pain, but pain caused by gallstones variety, in addition to the Department of the right upper abdomen, was also felt in other locations abdomen, and even shoulder pain.

Whether or not to treatment, we must first confirm whether the pain caused by gallstones, some people aware of their health check at a gallstone, when the abdominal pain appears, since that would gallstone attack, was also worried that excessive, a pain.

Proposal to let doctors diagnosis, through the Wenzhen, doctors will be asked in detail about the feeling of pain, for example, whether After Bao Si Yi pain, eating Weiyao not improve and the history of the disease, also ultrasound to check whether there is a thickening of the gallbladder wall, edema, and other phenomena, Confirm whether gallstones in mischief.

In treatment, if gall stones such as a loose sand, gallstones can be dissolved taking the drug, allowing bile cycle, and about 2, 30% curable. Others may consider surgery, laparoscopic gallbladder removal technology has been quite mature, the wound was much smaller than the traditional surgery, the pain is lower, shorter recovery period, the hospitalization of about 3-4 days to return to work.

Some people worry that affect function of the gallbladder removal, as bile secretion is responsible for the liver, gallbladder, bile in the store, but a compensatory role in the human body, the absence of the gallbladder, bile duct will become so large store bile, so do not have to worry too much.

As for the use of shock waves shattered stones, the results are not necessarily, and sometimes larger stones, but if the earthquake rubble fell into small parts, such as bile duct, but cause problems.

The proposed change in eating habits, and more fresh fruits and vegetables rich in fiber, reduce the high fat, high-protein food, not fast for too long, reducing the probability of gallstone mischief.

2008-05-26

Read more news, see World Journal.

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