❌不需要直接按壓淋巴結
⭕刺激淋巴管,❌而不是刺激淋巴結
促進淋巴流動,加速淋巴循環. 其實是要傳送訊號給淋巴收集管上方的肌肉。
當平滑肌接收到訊號,就會整體加快收縮。
✅但大部分淋巴結是沒有平滑肌
(極少部分的器官旁淋巴結上可能有,但那也是觸碰不到的深層)
👩⚕️個案問,
要不要壓腋下淋巴結 ?? 要不要壓腹股溝(鼠蹊)淋巴結 ??要壓幾下,多大力??
👉其實是不需要直接按壓在淋巴結
上的
👩⚕️常常個案都把腋下和鼠蹊周邊的組織壓到紅腫,這反而是反效果。
因為不但沒有加速循環和加快流動,後續還造成周邊組織發炎,產生更多組織液。
而因為摸不到淋巴結,個案都力道過大想要壓到淋巴結,導致其他腋下或鼠蹊周邊紅腫,這也會影響到治療師治療時的判斷。
淋巴結有沒有腫大,是治療師每次執行治療時都需要去觀察的,若有莫名腫大,我們需要判斷是否有急性感染, 是否身體免疫系統出現問題,若出現問題,我們才能加快轉診或提醒個案注意皮膚傷口或免疫狀況。
👩⚕️
✅若是想加速上肢或下肢的淋巴循環~
👉上肢: 可以藉由延展stretch手臂內側皮膚或身體側邊靠近腋下的位置,給予神經訊號在這些鄰近位置來幫忙,但不需要真的壓到淋巴結
👉下肢: 同樣可以延展大腿內側,臀部,下腹部位置的皮膚給予淋巴管道刺激, 而不需要壓鼠蹊部.
(以下英文精簡版,看中文版比較清楚喔!)
……………………………………
👩⚕️No need to press the lymph
nodes directly
✅Stimulate the lymph vessels, not the lymph nodes.
Increase lymphatic flow and accelerate lymphatic circulation. In fact, it is to send a signal to the smooth muscles of the collector lymphatic vessel.
When the nerves of the smooth muscle receives the signal, it will accelerate the contraction.
But most lymph nodes have no smooth muscle.
🔽
The cases asked,
Do they need to press the axillary lymph nodes?? Do they want to press the groin lymph nodes??
How much pressure, how many times?
👉Actually, you don’t need to press directly on the lymph nodes.
If you want to speed up the lymphatic circulation of the upper or lower limbs:
Upper extremity: You can stretch the skin on the inside of the arm or the side of the body near the armpit. (Give nerve signals to the smooth muscles and help in these nearby locations, without actually pressing the lymph nodes directly.)
Lower limbs: It can also stretch the inner thighs, buttocks, and lower abdomen to stimulate the lymphatic vessels.
No need to press the groin lymph nodes directly.
#drvodderlymphedema
#drvodderlymphaticdrainage
#drvodder
#淋巴系統
#taichunglymphedema
#lymphaticdrainage
#Lymphaticsystem
@ Taichung, Taiwan
同時也有10部Youtube影片,追蹤數超過10萬的網紅Terrence Teo IFBB Pro,也在其Youtube影片中提到,立刻註冊以享受特惠價: https://terrenceteo.com?lang=zh (Chinese) Sign up NOW for a SPECIAL RATE: https://terrenceteo.com (English) 該計劃提供中文和英文兩種語言 | The program i...
「upper body中文」的推薦目錄:
- 關於upper body中文 在 淋巴水腫專科物理治療師/陳品君物理治療師 Ping- Chun Chen Physiotherapist Facebook 的最佳貼文
- 關於upper body中文 在 Roger Chung 鍾一諾 Facebook 的最佳解答
- 關於upper body中文 在 蘇怡寧醫師愛碎念 Facebook 的最佳貼文
- 關於upper body中文 在 Terrence Teo IFBB Pro Youtube 的最佳貼文
- 關於upper body中文 在 emi wong Youtube 的精選貼文
- 關於upper body中文 在 emi wong Youtube 的最佳貼文
- 關於upper body中文 在 倒三角的秘密|30秒搞定運動量|英語私人教練 - YouTube 的評價
upper body中文 在 Roger Chung 鍾一諾 Facebook 的最佳解答
今早為Asian Medical Students Association Hong Kong (AMSAHK)的新一屆執行委員會就職典禮作致詞分享嘉賓,題目為「疫情中的健康不公平」。
感謝他們的熱情款待以及為整段致詞拍了影片。以下我附上致詞的英文原稿:
It's been my honor to be invited to give the closing remarks for the Inauguration Ceremony for the incoming executive committee of the Asian Medical Students' Association Hong Kong (AMSAHK) this morning. A video has been taken for the remarks I made regarding health inequalities during the COVID-19 pandemic (big thanks to the student who withstood the soreness of her arm for holding the camera up for 15 minutes straight), and here's the transcript of the main body of the speech that goes with this video:
//The coronavirus disease 2019 (COVID-19) pandemic, caused by the SARS-CoV-2 virus, continues to be rampant around the world since early 2020, resulting in more than 55 million cases and 1.3 million deaths worldwide as of today. (So no! It’s not a hoax for those conspiracy theorists out there!) A higher rate of incidence and deaths, as well as worse health-related quality of life have been widely observed in the socially disadvantaged groups, including people of lower socioeconomic position, older persons, migrants, ethnic minority and communities of color, etc. While epidemiologists and scientists around the world are dedicated in gathering scientific evidence on the specific causes and determinants of the health inequalities observed in different countries and regions, we can apply the Social Determinants of Health Conceptual Framework developed by the World Health Organization team led by the eminent Prof Sir Michael Marmot, world’s leading social epidemiologist, to understand and delineate these social determinants of health inequalities related to the COVID-19 pandemic.
According to this framework, social determinants of health can be largely categorized into two types – 1) the lower stream, intermediary determinants, and 2) the upper stream, structural and macro-environmental determinants. For the COVID-19 pandemic, we realized that the lower stream factors may include material circumstances, such as people’s living and working conditions. For instance, the nature of the occupations of these people of lower socioeconomic position tends to require them to travel outside to work, i.e., they cannot work from home, which is a luxury for people who can afford to do it. This lack of choice in the location of occupation may expose them to greater risk of infection through more transportation and interactions with strangers. We have also seen infection clusters among crowded places like elderly homes, public housing estates, and boarding houses for foreign domestic helpers. Moreover, these socially disadvantaged people tend to have lower financial and social capital – it can be observed that they were more likely to be deprived of personal protective equipment like face masks and hand sanitizers, especially during the earlier days of the pandemic. On the other hand, the upper stream, structural determinants of health may include policies related to public health, education, macroeconomics, social protection and welfare, as well as our governance… and last, but not least, our culture and values. If the socioeconomic and political contexts are not favorable to the socially disadvantaged, their health and well-being will be disproportionately affected by the pandemic. Therefore, if we, as a society, espouse to address and reduce the problem of health inequalities, social determinants of health cannot be overlooked in devising and designing any public health-related strategies, measures and policies.
Although a higher rate of incidence and deaths have been widely observed in the socially disadvantaged groups, especially in countries with severe COVID-19 outbreaks, this phenomenon seems to be less discussed and less covered by media in Hong Kong, where the disease incidence is relatively low when compared with other countries around the world. Before the resurgence of local cases in early July, local spread of COVID-19 was sporadic and most cases were imported. In the earlier days of the pandemic, most cases were primarily imported by travelers and return-students studying overseas, leading to a minor surge between mid-March and mid-April of 874 new cases. Most of these cases during Spring were people who could afford to travel and study abroad, and thus tended to be more well-off. Therefore, some would say the expected social gradient in health impact did not seem to exist in Hong Kong, but may I remind you that, it is only the case when we focus on COVID-19-specific incidence and mortality alone. But can we really deduce from this that COVID-19-related health inequality does not exist in Hong Kong? According to the Social Determinants of Health Framework mentioned earlier, the obvious answer is “No, of course not.” And here’s why…
In addition to the direct disease burden, the COVID-19 outbreak and its associated containment measures (such as economic lockdown, mandatory social distancing, and change of work arrangements) could have unequal wider socioeconomic impacts on the general population, especially in regions with pervasive existing social inequalities. Given the limited resources and capacity of the socioeconomically disadvantaged to respond to emergency and adverse events, their general health and well-being are likely to be unduly and inordinately affected by the abrupt changes in their daily economic and social conditions, like job loss and insecurity, brought about by the COVID-19 outbreak and the corresponding containment and mitigation measures of which the main purpose was supposedly disease prevention and health protection at the first place. As such, focusing only on COVID-19 incidence or mortality as the outcomes of concern to address health inequalities may leave out important aspects of life that contributes significantly to people’s health. Recently, my research team and I collaborated with Sir Michael Marmot in a Hong Kong study, and found that the poor people in Hong Kong fared worse in every aspects of life than their richer counterparts in terms of economic activity, personal protective equipment, personal hygiene practice, as well as well-being and health after the COVID-19 outbreak. We also found that part of the observed health inequality can be attributed to the pandemic and its related containment measures via people’s concerns over their own and their families’ livelihood and economic activity. In other words, health inequalities were contributed by the pandemic even in a city where incidence is relatively low through other social determinants of health that directly concerned the livelihood and economic activity of the people. So in this study, we confirmed that focusing only on the incident and death cases as the outcomes of concern to address health inequalities is like a story half-told, and would severely truncate and distort the reality.
Truth be told, health inequality does not only appear after the pandemic outbreak of COVID-19, it is a pre-existing condition in countries and regions around the world, including Hong Kong. My research over the years have consistently shown that people in lower socioeconomic position tend to have worse physical and mental health status. Nevertheless, precisely because health inequality is nothing new, there are always voices in our society trying to dismiss the problem, arguing that it is only natural to have wealth inequality in any capitalistic society. However, in reckoning with health inequalities, we need to go beyond just figuring out the disparities or differences in health status between the poor and the rich, and we need to raise an ethically relevant question: are these inequalities, disparities and differences remediable? Can they be fixed? Can we do something about them? If they are remediable, and we can do something about them but we haven’t, then we’d say these inequalities are ultimately unjust and unfair. In other words, a society that prides itself in pursuing justice must, and I say must, strive to address and reduce these unfair health inequalities. Borrowing the words from famed sociologist Judith Butler, “the virus alone does not discriminate,” but “social and economic inequality will make sure that it does.” With COVID-19, we learn that it is not only the individuals who are sick, but our society. And it’s time we do something about it.
Thank you very much!//
Please join me in congratulating the incoming executive committee of AMSAHK and giving them the best wishes for their future endeavor!
Roger Chung, PhD
Assistant Professor, CUHK JC School of Public Health and Primary Care, @CUHK Medicine, The Chinese University of Hong Kong 香港中文大學 - CUHK
Associate Director, CUHK Institute of Health Equity
upper body中文 在 蘇怡寧醫師愛碎念 Facebook 的最佳貼文
來聊聊乳房下垂
來函照登
===================
蘇醫師不好意思打擾,我想製作一段影片,需要關於產後乳房下垂的事情,查了網路多半都是醫美的廣告,或者是部落客的文章,也不確定是否正確,就算有醫師的文章大部分都指一般的狀況,很少有針對哺乳時期的,有搜尋過置頂文沒有"乳房下垂"等相關字,可否請醫師提供醫些訊息呢?
例如,甚麼情況下的哺乳容易導致加速乳房下垂,乳房下垂跟甚麼原因比較有關係,哺乳期間或是之後可以做些甚麼來延緩乳房下垂,雖然我知道遲早都會下垂,不過還是想知道....
非常感謝,不好意思打擾了
===================
上星期有某母嬰平台小編寫訊息來問我這個問題
開玩笑我總機可不是幹假的
好喔
先回答問題
根據目前的研究顯示
哺餵母乳並不會導致乳房下垂
哺餵母乳並不會導致乳房下垂
哺餵母乳並不會導致乳房下垂
結束。
但我相信你一定不滿意這個答案
好啦
我知道你在意的一定是有沒有辦法預防乳房下垂?
但很遺憾的
答案是
沒有。
好的
關於乳房下垂
我相信很多媽咪還是很介意這個問題
因此
我特別拜託我們整形外科陳志軒醫師幫大家寫了一篇文章
你不想看我也不會勉強你
但我必須說
我們帥哥陳這篇文章是我看過在中文世界裡針對這個主題整理的最好最專業的了
我簡單把重點節錄在下面了👇👇👇
===================
經邏輯回歸分析,發現年齡,體重減輕顯著(50 lbs)史,懷孕史,懷孕次數,較高的體重指數(BMI),孕前較豐滿的胸部罩杯大小,以及吸煙史是導致乳腺下垂的重要危險因素。
母乳喂養史(Breastfeeding history),妊娠期間體重增加和缺乏規律進行上身運動(Upper body exercise)均未發現是乳房下垂的重要危險因素。
至於知道懷孕時,有沒有辦法預防乳房形狀改變?
很遺憾的
沒有。
我們可以試著分析看看,可以由前述的表格看到影響乳房下垂的危險因子是:
1)年齡:沒辦法改變
2)體重顯著減輕史:已經發生的事情也沒有辦法改變
3)懷孕史:這就是說,只要知道懷孕後,媽咪們就要跟自己的乳房say sorry了…
4)懷孕次數:這個可以怪室友嗎?
5)BMI:高的BMI真的帶給人類許多不利影響
6)懷孕前胸圍較大:怎麼辦,該怎麼選擇,是要選胸大,還是選下垂…
7)抽煙史:終於怪不了別人了!
因此,在懷孕時能夠做什麼事情來避免胸部下垂嗎?
沒有。
===================
但真的沒有處理方法嗎?
請自己連結過去把文章看完喔
答案就在文章裡
全文在此
有興趣的同學請麻煩自己點過去研究一下喔👇👇👇
https://drcch.com/母親的美麗與哀愁談乳房下垂/
https://www.facebook.com/1663754547002376/posts/3132451903465959/?d=n
各位同學
我們有目錄
新同學要發問前可以先找一下
你乖
我過去寫過文章的目錄在這裡👇👇👇👇
https://drsu.blog/2017/12/18/super-list/
不然
置頂文也有
https://www.facebook.com/1737494576543429/posts/1807370666222486?s=1727931221&sfns=mo
對了
有同學說我寫太多很難找
關於這點我很抱歉
可以善用搜尋功能喔
https://drsu.blog/2018/01/01/super180101/
upper body中文 在 Terrence Teo IFBB Pro Youtube 的最佳貼文
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___
我叫张国华,在这里我会分享我朝向 Olympia 的脚步,分享我个人健身的方式,饮食、烹饪?、supplements 以及等等。
我是一位IFBB PRO 健体运动员。我健身已经超过15年了,在2013年已经开始了我的比职业赛的生涯,我在世界各地的比赛已经超过17次了,就如美国,印尼,新加坡,泰国,香港,马来西亚,中国,日本,菲利宾等等。我的最高荣誉就是在美国的Musclemania 获得8次冠军。
I'm an IFBB Pro Men's Physique athlete. I started training 15 years ago and began competing at a professional level from 2013. Since then I've competed in over 14 bodybuilding competitions worldwide from U.S.A. to Japan, China, Philippines, Indonesia, Singapore, Thailand, Hong Kong and Malaysia.
Some of my highlights include holding the title as a 7x World Physique Champion under the Muslemania Universe and Musclemania America as well as being the 1st Runner Up at the IFBB Japan Pro 2018.
upper body中文 在 emi wong Youtube 的精選貼文
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upper body中文 在 倒三角的秘密|30秒搞定運動量|英語私人教練 - YouTube 的推薦與評價
【Let's Exercise】#5 Upper body exerciseWhich exercise is best for training your upper body muscles?哪一種運動最能訓練你上半身的肌肉? ... <看更多>