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  想婚了卻被女友嫌棄床事不給力
发布: 天知道 - 04-06-2020, 09:29 AM - 版块: 整形医美情报分享版 - 回复数 (1)

這件事說來話長
總之就是她一直支支吾吾地後來才知道她覺得我的功力不佳
更慘的是還覺得我太小讓她很無感= =
這種事情叫我該怎麼辦阿……
我又不能控制大小

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  改良式胃繞道手術 減重不必餓肚子
发布: 四川穎兒 - 04-06-2020, 06:47 AM - 版块: 整形医美情报分享版 - 无回复

夏季的腳步越來越近,厚重衣物收起、輕薄短衫上場,身形曲線立馬現形,一旦對美食缺乏克制力,往往不知不覺吃進過多食物而難以消「瘦」。一位年近40歲的女性糖尿病患,體重70多公斤,常因抵擋不住美食的誘惑而控制不了體重,所幸經由改良式胃繞道手術後,糖化血色素從原本的8至10之間降到6,血糖獲得改善,術後兩、三個月體重也降至60公斤,健康減重成效頗佳。

對於試過各種減重方式屢屢失敗,甚至自嘲連呼吸、喝水都會胖的人,最後都不得不尋求手術方式改善。加美診所丁立文醫師表示,新型改良式胃繞道與傳統胃繞道手術略有差異,傳統胃繞道手術是將胃和食道連結部位截斷,將食道接到小腸,讓胃逐漸縮小失去作用;改良式胃繞道手術則不將胃和食道截斷,採另闢一條新路徑的作法,將食道接到小腸,讓食物直接從食道進入小腸,不經過胃部消化作用,使食物吸收率降低,長期下來胃容量變小,食量也變少,進而達到瘦身目的。

改良式胃繞道手術在臨床實驗上,證實對降低食慾有效,手術後不易發生暴飲暴食狀況,加上胃部與食道連結處並未被截斷,日後若反悔,可以再進行手術回復原狀。正因為胃部和十二指腸的功能皆保留,不像傳統胃繞道手術後,必須長期補充礦物質和維他命,否則皮膚可能會失去光澤、或是出現掉髮等現象,改良式胃繞道手術的安全性高、副作用相對也較低。

減重手術多元,但常聽到患者因飢餓難耐,體重又回到原點。丁立文醫師指出,有些胃部切除縮小或傳統胃繞道手術患者,術後進食量被迫突然驟減,對於平時食量大、嗜美食者,從原先兩碗飯變成只能吃半碗,初期通常能盡力配合,但時間一久難以忍受,很容易就恢復到原本的食欲,不僅無法達到預期效果,減重計畫也徹底破功了。

經過改良的胃繞道手術在保留胃部功能後,主要作用在減少吸收,並非減少進食量,亦即減少「口欲戒斷」的煎熬期。術後前半個月以流質食物為主,半個月後調整為半流質,一個月後就可恢復正常飲食,每餐建議六分飽即可,或採少量多餐,飲食均衡勿暴飲暴食,如此有助傷口盡速癒合。

丁立文醫師建議,BMI值過重、食欲太好或體重過重已影響到情緒和睡眠,抑或長期吃減肥藥、抽脂多次,甚至進食量也不多,卻仍然瘦不下來的人,可以考慮改良式胃繞道手術。他也提醒,施行對象必須為20歲以上的成年人,孕婦不宜,心血管和糖尿病患者應待醫師評估後再決定。

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  女人評價性福就是要高潮 丁立文:關鍵在G點
发布: 四川穎兒 - 04-06-2020, 06:46 AM - 版块: 整形医美情报分享版 - 无回复

【健康傳媒 編輯部/台北報導】2018.10.15


  女性私密處長久以來一直是禁忌的話題,但是隨著風氣日漸開放,現代女性已經能堂而皇之的討論,尤其像是陰部整型的問題,甚至被搬上螢幕,一度成為熱門影集「慾望城市」劇中的熱門話題。目前透過進步的醫美整形方式,無論是鬆弛的陰唇,或是性行為時敏感度不夠的G點,都可以獲得改善,使女性盡享歡愉的同時,還能達到快感。

  開業醫師丁立文指出,女性能不能「性」福,G點是重要關鍵之一,由於一般人的G點大多較短、小,位置又較為隱密,再加上東方人對性的觀念不及歐美國家開放,因此造成許多人會有不知道G點位置、G點不敏感等問題。此外,G點若無法時常碰觸、刺激,久了就會慢慢萎縮,變得更不容易摩擦到,導致女性在做愛時更難達到高潮。

  G點是1950年代由德國醫師愛倫斯特.葛貝芬格(Dr.Ernest Grafenberg)所提出,指女性陰道下1/3,靠近恥骨的陰道前壁的一塊區域。經由性刺激,這塊區域會產生突起反應,女性也因此達到高潮。「G」為此葛醫師名字的第一個字母,為紀念他的發現而命名。

  此外,丁立文指出,陰道鬆弛是產後婦女最常見的困擾之一,往往會使得夫妻間的性生活大受影響,而現代人生活壓力大,荷爾蒙分泌不足,也會使陰道較為乾澀,尤其在陰道下1/3,靠近恥骨的陰道前壁的G點敏感度下降,影響行房的快感。

  丁立文說明,G點重建術原在歐美較為流行,患者多為25到45歲之女性,但由於國內最近觀念漸漸開放,故諮詢及接受手術的人有日益增加之趨勢。G點重建術能有效提高女性敏感度,並改善性冷感問題。

  丁立文表示,除了影響美觀,陰唇肥大或不對稱可能還會影響女性的自信心,有些女性甚至會因陰唇肥大,時常與內褲磨擦,或性交時陰唇被帶入陰道內,而造成不便與疼痛。建議有此困擾的民眾可以考慮接受陰唇整型,在局部麻醉下切除過大、多餘的陰唇組織,以達到改善、美化的效果。

  此外,丁立文提醒,做G點重建術或陰唇手術前,一定要找專業醫師做諮詢;術後要注意保持器官的乾淨,建議術後的1個月內,可將陰毛全剃除,以方便陰部盥洗,但切記不可用太過刺激的除毛方式(如:蜜蠟除毛)。若想預防感染,可使用含抗生素的陰道塞劑,平日也要以寬鬆、透氣的衣著為主,幫助術後傷口復原。

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  改良式胃繞道手術 丁立文:減重評價高
发布: 舞長空 - 04-06-2020, 06:43 AM - 版块: 整形医美情报分享版 - 无回复

---------------------------------------------------------------------------------------
一旦對美食缺乏克制力,往往不知不覺吃進過多食物而難以消「瘦」。
---------------------------------------------------------------------------------------

  即將邁入冬天,天冷易使食慾提升,若對美食缺乏克制力,往往不知不覺吃進過多食物而難以消「瘦」。一位年近40歲的女性糖尿病患,體重70多公斤,常因抵擋不住美食的誘惑而控制不了體重,所幸經由改良式胃繞道手術後,糖化血色素從原本的8至10之間降到6,血糖獲得改善,術後兩、三個月體重也降至60公斤,健康減重成效頗佳。


  對於試過各種減重方式屢屢失敗,甚至自嘲連呼吸、喝水都會胖,最後只能尋求手術方式改善。丁立文醫師表示,新型改良式胃繞道與傳統胃繞道手術略有差異,傳統胃繞道手術是將胃和食道連結部位截斷,將食道接到小腸,讓胃逐漸縮小失去作用;改良式胃繞道手術則不將胃和食道截斷,採另闢一條新路徑的作法,將食道接到小腸,讓食物直接從食道進入小腸,不經過胃部消化作用,使食物吸收率降低,長期下來胃容量變小,食量也變少,進而達到瘦身目的。


  丁立文指出,改良式胃繞道在網路上討論度高,手術在臨床實驗上,證實對降低食慾有效,手術後不易發生暴飲暴食狀況,加上胃部與食道連結處並未被截斷,日後若反悔,可以再進行手術回復原狀。正因為胃部和十二指腸的功能皆保留,不像傳統胃繞道手術後,必須長期補充礦物質和維他命,否則皮膚可能會失去光澤、或是出現掉髮等現象,改良式胃繞道手術的安全性高、副作用相對也較低。


  減重手術多元,但常聽到患者因飢餓難耐,體重又回到原點。丁立文醫師強調,有些胃部切除縮小或傳統胃繞道手術患者,術後進食量被迫突然驟減,對於平時食量大、嗜美食者,從原先兩碗飯變成只能吃半碗,初期通常能盡力配合,但時間一久難以忍受,很容易就恢復到原本的食欲,不僅無法達到預期效果,減重計畫也徹底破功了。


  經過改良的胃繞道手術在保留胃部功能後,主要作用在減少吸收,並非減少進食量,亦即減少「口欲戒斷」的煎熬期。術後前半個月以流質食物為主,半個月後調整為半流質,一個月後就可恢復正常飲食,每餐建議六分飽,或採少量多餐,飲食均衡切勿暴飲暴食,如此有助傷口盡速癒合。


  丁立文醫師建議,BMI值過重、食欲太好或體重過重會連帶影響到情緒和睡眠,若是長期吃減肥藥、抽脂多次,甚至進食量也不多,卻仍然瘦不下來的人,可以考慮改良式胃繞道手術。他也提醒,施行對象必須為20歲以上的成年人,孕婦不宜,心血管和糖尿病患者應待醫師評估後再決定。

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關鍵字:改良式胃繞道手術、減肥、減重手術、丁立文醫師

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  處理醫糾實則遭詐騙! 丁立文:診所PTT評價降
发布: 舞長空 - 04-06-2020, 06:42 AM - 版块: 整形医美情报分享版 - 无回复

---------------------------------------------------------------------------------------------------------
為避免發生醫糾,醫師於術前應耐心向病患說明,並做成書面,讓消費者簽名確認;在醫療過程中,儘可能拍照錄影存證。
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  詐騙把戲層出不窮,醫美行業首當其衝!開業醫師丁立文指出,曾有與黑道共同成立的詐騙集團,專門吸收護士,借以潛入各大醫療院所,伺機行騙勒索鉅額賠償,以豐胸手術聞名的亞太醫美外科診所也深受其害。為遏制詐騙集團繼續肆虐危害,丁立文呼籲各大醫美、醫院同業醫療人員應謹慎應對。

  丁立文表示,詐騙集團成員的護士則以術後照顧客戶為名義,多次進出休息區跟客戶攀談以取得微信或是Line等即時通訊方式,事後與客戶勾結,以手術發炎、術後成果不理想等理由,向診所強行索賠。

  丁立文也深受其害,整起詐騙案之所以會東窗事發,主要是參與詐騙的手術客戶拿到鉅額賠償金後,沒有依約定的拆帳方式匯款給黑道共犯,黑道因為分贓不均,一氣之下將診所護士的通訊對話坦誠公開,這才得知自己成了詐騙集團眼中的肥羊。

  詐騙集團橫行,醫美診所如何防範?律立律師事務所陳科升律師建議,為避免發生醫糾,醫師於術前應耐心向病患說明,並做成書面,讓消費者簽名確認;在醫療過程中,儘可能拍照錄影存證。醫糾發生時,把談判的工作交給律師處理,即使發生訴訟,只要備齊有利證據,醫師不見得有過失,千萬不要貿然簽下和解書。

  時下許多消費者愛逛醫美診所、愛比價,陳科升說,這往往只能問出優惠,不問實際醫療上的問題,一旦診所便宜行事,十分容易在術後被消費者抓住把柄,狠敲一筆。要防範這類憾事發生,診所醫師一定要做足準備,「凡事詳細說明,並且留下書面紀錄,讓消費者簽署確認」。

  陳科升指出,以割雙眼皮手術來說,舉凡手術會有哪些副作用?可能有的併發症?雙眼皮能割到什麼程度?這些都盡可能寫進書面,讓消費者清楚明白。術前、術中、術後多拍照存證紀錄,就多留下一些保護自己的證據。

  最後,丁立文提醒,患者如有相關醫療病史,術前溝通時要如實告知醫師。和醫師共同簽署麻醉同意書前,一定要詳盡說明自己是否有藥物過敏史、家族病史、是否曾經接受過全身麻醉、半身麻醉、局部麻醉等手術麻醉經驗,更應詳盡告知醫師現在正在服用哪些藥物,尤其是正在吃抗凝血劑的人,如此才能確保手術安全,避免醫糾發生。

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