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在journal of pediatrics這個產品中，有23篇Facebook貼文，粉絲數超過2萬的網紅中醫爸B - 馬琦傑醫師，也在其Facebook貼文中提到， 👩🏻‍🦳fans 問我「醫師，我跟左呢個diet 之後，頭髮白哂又甩左好多😭😭😭, 好似呢張相咁，我係個群組到見到，原來，好多人食左呢種餐單都有呢個頭髮問題，究竟食乜先可以令灰髮逆轉？ 我真係以為呢個餐單健康，又可以減肥，點知頭髮變成咁？！」 💁🏻‍♂️明白到明星效應；簡單D講，呢個餐單並不適合你...
　同時也有4部Youtube影片，追蹤數超過75萬的網紅志祺七七 X 圖文不符，也在其Youtube影片中提到，🕹 天菜傳說：激戰!!人類乳突病毒 🕹 ⚔️ 你是拯救世界的那個人嗎？HPV 肆虐的世界正在等待著你！！🦠🦠🦠 👉🏼 戰場傳送門：https://bit.ly/3eVWnGD ​​#男女都一樣 #HPV8成與你有關 👉🏼 ​​更多HPV小知識：https://bit.ly/302YCBQ 特別感...

journal of pediatrics 在 中醫爸B - 馬琦傑醫師 Facebook 的最佳貼文

中醫爸B - 馬琦傑醫師 By 中醫爸B - 馬琦傑醫師

2021-09-08 13:00:52 有 60 人按讚
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👩🏻‍🦳fans 問我「醫師，我跟左呢個diet 之後，頭髮白哂又甩左好多😭😭😭, 好似呢張相咁，我係個群組到見到，原來，好多人食左呢種餐單都有呢個頭髮問題，究竟食乜先可以令灰髮逆轉？
我真係以為呢個餐單健康，又可以減肥，點知頭髮變成咁？！」

💁🏻‍♂️明白到明星效應；簡單D講，呢個餐單並不適合你，係身體未有更大問題前，及時改變吧。

🧐呢個diet高脂高蛋白質但低碳水化合物，就似keto 生酮飲食。
原理是令身體以限制碳水化合物的攝入量，當沒有足夠的葡萄糖時，身體就會透過燃燒脂肪來獲取能量，達到減脂的效果。

😯外國不少文憲*已列出，長期keto 生酮飲食，有機會引起以下負作用，包括
1- 便祕
2- 女性停經
3- 男性睪固酮下降
4- 肌肉流失
5-疲倦
6- 頭疼
7- 失眠
8-記憶力及腦部反應速度都會變差
9- 提早衰老
10-掉髮、白髮
11- 腎石
12- 壞膽固醇提升、心律問題
Source:
WebMD, March 2020
Yonsei Medical Journal 2010
Oncology Reviews 2015
Atherosclerosis 2018
The Journal of Pediatrics 2015

🧐因為這個餐單缺乏平衡的營養（包括微量元素、維他命b6, b12、礦物質-銅，鋅、鐵等），令不少人出現「白髮」「甩頭髮」。另外一個原因，是當減少卡路里攝入量時，您的身體會做出保護反應，確保可用的能量用於最重要器官的功能上，如心臟、肺、肝等重要器官功能，這也會令頭髮得不到足夠營養。

💁🏻‍♂️中醫講求平衡，身體一失平衡，就會帶來身體的負擔，尤其是女性，肝氣腎氣非常重要！白頭髮出現是因為飲食不均衡所致，也是身體發出的健康警訊。

😨「腎藏精，其華在髮」、「肝藏血，髮為血之餘」，如過早出現白髮，甚至異常掉髮，那就是肝腎不足；那不得不注意。這和西方營養學不謀而合。

👇🏻👇🏻👇🏻👇🏻緊記以下2點👇🏻👇🏻👇🏻👇🏻
⚠️如果你以keto 生酮飲食一段時間，出現白髮、甩髮、疲倦、身體痛症，
1）立即暫停🤚🏻這個diet ，這個diet 不適合你體質。請不要硬來，否則，會為你身體帶來長期問題。

2）補充足夠微量元素、維他命b6, b12、礦物質-銅，鋅、鐵等
多吃：三黑水、酵母菌
小吃： 人工合成營養補充劑

了解更好
➡️三黑水👉🏻👉🏻 https://bit.ly/3mpjRqA

#情況嚴重，務必儘快求醫！

其實，我有不少病人用不適合的方法減肥，到後來，要用更多時間去調理返自己的身體。

希望大家珍惜自己的身體❤️

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中醫爸B - 馬琦傑醫師

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Dr Kelvin Ma馬琦傑醫師
作為爸b，每日照顧寶貝女，換片，餵奶，孭帶，半夜蓋被，點都唔辛苦。 作為中醫，每日為左寶貝女，設計餐單，預防疾病，由零開始，健康開心成長就係我的簡單心願。
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journal of pediatrics 在 Facebook 的最佳貼文

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2021-07-09 21:00:07 有 617 人按讚
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Mình bàn chuyện Dậy thì sớm các mẹ ơi 🙋‍♀️🙋‍♀️

Nhiều mẹ cũng hay hỏi mình, bình sữa mình cho Ni mình chuyển sang thủy tinh thì có bất tiện không? Thú thiệt là có nha, bất tiện xen luôn bất an vì con mà không chú ý là bể như chơi. Nhưng dù có "bất" như nào thì Vannie vẫn quyết tâm dùng bình thủy tinh để hạn chế tối đa lượng hạt vi nhựa mà con vô tình nạp vào.

Lý do tại sao và vi nhựa liên quan gì đến Dậy thì sớm thì các mẹ đọc qua bài viết của bác Anh Nguyễn, Vannie chia sẻ lại cho mọi người đọc nha!

Cảm ơn chị Quỳnh Anh đã share để em đọc được bài bổ ích này nhen 💕
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‼️ DẬY THÌ SỚM Ở TRẺ ‼️
Cụm từ "Dậy thì sớm" đang được nhiều chuyên gia sức khỏe quan tâm trong những năm gần đây khi tổ chức Y Tế Thế giới WHO thống kê về độ tuổi dậy thì của các bé gái đang có hiện tượng sớm hơn 2-3 năm, trong khi bé trai cũng sớm hơn 1-2 năm.

NHỮNG TÁC HẠI KHÓ LƯỜNG LIÊN QUAN DẬY THÌ SỚM
Đi cùng với sự phát triển sớm của tuổi dậy thì, một số nghiên cứu cho thấy sự phát triển sớm hơn của các bệnh mãn tính như tiểu đường, béo phì, tim mạch… Những bệnh liên quan đến hormone sinh dục estrogen như ung thư vú, ung thư cổ tử cung… lại có sự liên hệ gần gũi với sự dậy thì sớm ở trẻ.

Nhiều cha mẹ khi thấy con dậy thì sớm, thân hình cao lớn và phát triển nhanh hơn các bạn thường vui mừng nhưng các trường hợp này thường có chiều cao thấp hơn chiều cao tiêu chuẩn khi trưởng thành vì hormone sinh dục kích thích sự phát triển xương sớm, các đầu xương đóng sớm khiến trẻ không phát triển chiều cao được nữa.

Nghiên cứu của nhóm nhà khoa học Sławomir Kozieł (Viện Hàn lâm Khoa học Ba Lan) cho thấy, trẻ trai dậy thì sớm hơn 1 năm so với tuổi dậy thì trung bình (11,9 tuổi) có chiều cao ước tính khi trưởng thành thấp hơn 2,9cm. Nếu xuất hiện sớm hơn trung bình 2 năm có chiều cao trưởng thành thấp hơn 6,8cm.

Trẻ em gái dậy thì sớm hơn 1 năm so với tuổi bắt đầu dậy thì (10 tuổi) có chiều cao trưởng thành ước tính thấp hơn 4,6cm. Dậy thì xuất hiện sớm hơn 2 năm thì chiều cao ước tính khi trưởng thành thấp hơn 10,8cm.

Vì sao trẻ dậy thì sớm? Ngoài những lý do liên quan nội tiết và bệnh lý di truyền, theo các chuyên gia dinh dưỡng của Hiệp Hội Dinh Dưỡng Anh và Mỹ: Sự phát triển sớm tuổi dậy thì có liên quan đến chế độ dinh dưỡng và cân nặng của các bé trong giai đoạn từ 0 - 10 tuổi. Bên cạnh đó, một phần đến từ sự phơi nhiễm với các chất hóa học liên quan đến biến đổi estrogen trong các sản phẩm đồ dùng không rõ nguồn gốc hằng ngày.

CHA MẸ CẦN LÀM GÌ ĐỂ NGĂN SỰ DẬY THÌ QUÁ SỚM Ở TRẺ?
A. QUẢN LÝ TỐT CÂN NẶNG CỦA TRẺ NHỎ
Cha mẹ ở nhiều quốc gia Châu Á, bao gồm VN, thường thích con bụ bẫm, mập mạp khi còn nhỏ. Do đó, thường cố ép trẻ ăn bằng mọi cách để con “mập như con nhà người ta”. Điều này vô tình khiến chúng ta đang đẩy trẻ đi lệch chiều hướng tăng trưởng khỏe mạnh bình thường.

Trong phát triển khỏe mạnh trước 6 tuổi, cân nặng thay đổi quá mức có thể ảnh hưởng đến 2 trong 5 yếu tố cực kỳ quan trọng trong giai đoạn này của trẻ. Đó là vận động và chiều cao.

+ Một nghiên cứu được dẫn đầu bởi GS. Stovitz, ĐH Minnesota, Mỹ đã cho thấy việc trẻ quá to béo lúc nhỏ, đặc biệt sau 2 tuổi, có liên quan đến chiều cao trưởng thành của trẻ giảm đáng kể so với các bé có cân nặng bình thường.

+ Khi nói đến khả năng vận động, TS. Bentley, ĐH Bắc Carolina, Mỹ nhấn mạnh rằng các trẻ nhỏ thừa cân và có lớp mỡ dưới da quá nhiều sẽ liên quan đến trì hoãn vận động so với các bé có cân nặng bình thường. Các bé có thể khó đi lại, khó phát triển tốt các cơ…
Ngoài ra, béo phì và thừa cân trước 10-12 tuổi làm gia tăng dậy thì sớm ở cả bé trai và gái.

Do đó, chế độ dinh dưỡng và vận động hợp lý lúc nhỏ sẽ giúp trẻ phát triển khỏe mạnh bình thường:

• Trẻ cần được giới thiệu ăn dặm từ 6 tháng tuổi và gia tăng sự đa dạng với các loại thực phẩm trước 2 tuổi. Trẻ nên được khuyến khích học hành vi ăn uống đúng, nhai và thử đa dạng vị và cấu trúc thực phẩm.

• Trẻ dưới 5 tuổi nên được cho ra công viên chơi ít nhất 2-3 ngày/tuần và trên 5 tuổi có thể tham gia 1 số môn thể thao 2-3 ngày/tuần như bơi lội, học võ, nhảy múa…

• Hạn chế các chất béo bảo hòa và transfat trong thực phẩm làm sẵn như bánh snack, đồ hộp, thức ăn làm sẵn, gà rán… Đặc biệt các loại bánh snack có đủ màu sắc, đủ hương vị có nhiều chất điều vị và hóa màu, một số có nguồn gốc từ hợp chất nguy hiểm Phthalate. Tuần chỉ nên giới hạn < 2 ngày dùng các loại trên hoặc < 3 bịch bánh snack loại 120gram/tuần hoặc < 1 bữa ăn gà rán/fast food/tuần.

• Hạn chế nước ngọt có ga hoặc không có ga. Thành phần đường rất cao trong các loại này sẽ ảnh hưởng đến chuyển hóa năng lượng trong cơ thể các bé. Bên cạnh đó, tất cả các loại này đều có caffeine -chất kích thích, có khả năng gây nghiện. Tuần không quá 3 chai loại 250ml cho các bé < 12 tuổi.

B. GIẢM THIỂU TRẺ TIẾP XÚC VỚI CÁC HÓA CHẤT ẢNH HƯỞNG ĐẾN TĂNG TRƯỞNG
+ Đọc thành phần các thực phẩm làm sẵn, tuyệt đối không cho bé dùng hoặc mẹ đang cho con bú cũng không nên dùng các sản phẩm chứa gốc phthalate như monobutyl phthalate (MBP), diethylhexyl phthalate (DEHP), diethyl phthalate (DEP), diisodecyl phthalate (DIDP), benzylbutyl phthalate (BZBP), monomethyl phthalate (MMP).

+ Chọn các sản phẩm nhựa uy tín và có chỉ số nhựa an toàn là hình tam giác có chỉ số là 2, 4, 5 dưới đáy chai. Các số còn lại 1,3, 6, 7 nên tránh với các bé. Nếu không có kí hiệu nhựa là không có nguồn gốc rõ ràng. Bên cạnh đó, các loại này không nên chứa BPA và Phthalate.

Notes:
Özen, S., & Darcan, Ş. (2011). Effects of Environmental Endocrine Disruptors on Pubertal Development. Journal of Clinical Research in Pediatric Endocrinology, 3(1), 1–6.
Liu, S. et al. (2020). The association between vitamin D levels and precocious puberty: a meta-analysis, Journal of Pediatric Endocrinology and Metabolism, 33(3), 427-429.
Bentley M. et al. (2010) Infant overweight is associated wit deplayed motor development, Journal of Pediatrics, 157(1):20-25.
Stovitz SD. et al (2011) Growing into obesity: patterns of height growth in those who become normal weight, overweight or obese as young adults. Am J Hum Biol; 23:635-641
Kozieł, S. et al. (2015) Age of onset of a normally timed pubertal growth spurt affects the final height of children. Pediatr Res 78, 351–355.

Cre: Bác Anh Nguyen https://www.facebook.com/anhnguyen.nutrition
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journal of pediatrics 在 調皮女醫皮膚專科林昀萱醫師 Facebook 的精選貼文

調皮女醫皮膚專科林昀萱醫師 By 調皮女醫皮膚專科林昀萱醫師

2021-06-04 08:38:30 有 56 人按讚
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「停課不停學」的孩子們在家還好嗎？在家的時間變長又不能出去玩，大家使用3C產品玩電動、電腦遊戲的時間是不是也跟著變多？除了要擔心用眼過度、近視外，#打電動也會出現皮膚症狀喔！

1.#遊戲機手掌汗腺炎(PlayStation palmar hidradenitis)：手掌突然出現會痛的紅色腫塊，跟長時間緊握電玩的操縱器使得汗腺發炎有關。治療的方法就是10天不要打電動就會自然痊癒！
2.#遊戲機拇指(PlayStation thumb)：大拇指的側面出現疼痛水泡，或是角質增厚的顆粒，跟大拇指長時間(尤其>3小時)反覆按壓電玩按鍵有關。手指還會有其他症狀，例如：肌肉僵硬、水腫、指頭變紅、麻或是刺痛。此外，指甲也有可能甲床分離，或是伴隨點狀出血點。女>男。
3.#遊戲機唇(PlayStation lip) : 玩遊戲很緊張刺激，不斷咬下唇，結果造成下唇流血、潰瘍。
4.#遊戲機紫斑(PlayStation purpura) : 食指或其他手指屈側跟側邊出現無症狀出血紫斑。主要跟電玩操縱器會震動造成的皮下出血有關。
5.#眼周暗沈(Periorbital hyperpigmentation) : 玩電動如果每天>1個小時，睡眠剝奪的狀況會增加，因而造成眼周暗沈。男>女。
6.#螢幕皮膚炎(Screen dermatitis) : 長時間盯著電腦或電視螢幕看的人可能會出現類似酒糟的皮膚症狀，例如臉上產生紅色丘疹跟膿包，且有熱、痛、癢的感覺。但目前沒有明確的證據能證實電磁波會對皮膚造成這樣的影響。
7.#火逼性紅斑(Erythema ab igne) : 用筆電打電動產出的熱能可以高達70度C，而將筆電放在大腿會影響散熱，長時間接觸的結果就會造成局部網狀紅斑跟色素沈積。筆電不放在大腿上也要過2~5個月病灶才會慢慢消退。
8.#摩擦皮膚病(Friction dermatosis) : 手掌、手腕、手指頭都有可能因為長時間使用電腦、鍵盤、滑鼠而出現角質增厚的病灶。
9.#脂肪萎縮(Semicircular lipoatrophy of the thighs) : 在雙大腿前側出現單一或多個半圈無症狀水平帶狀凹陷。皮膚和肌肉沒受到影響，只有脂肪萎縮。目前推測跟筆電放大腿，還有電磁波影響脂肪細胞分化有關。
10.#過敏性接觸性皮膚炎(Allergic contact dermatitis) : 在手掌或是大拇指的指腹會有紅疹跟脫屑，指尖也會出現龜裂，主要跟3C產品含有金屬鎳有關！基本上，筆電、滑鼠、平板、遊戲機的最大鎳含量有受到法律的規範，但是如果你使用的時間長，手部濕熱或是流手汗，就會讓過敏原容易穿透皮膚，容易形成接觸性皮膚炎。
11.#異位性皮膚炎(Atopic dermatitis) : 會讓異位性皮膚炎惡化的原因很多，但大家一定沒想到打電動也是其中一項吧！研究發現，異位性皮膚炎患者打電動後，皮膚點刺測試(prick test)的反應會增強，體內跟異位性皮膚炎相關細胞激素則會上升 ; 此外，也有些專家認為使用手機也會讓這些病人的皮膚狀況惡化。文獻指出，每天看電視加打電動的時間>5小時的話，異位性皮膚炎跟氣喘的狀況會比較嚴重。

電玩可以當作適當消遣，但玩的時間還是要有所節制，我小時候也曾因為放暑假電動玩太久而出現遊戲機拇指XD今天提到的皮膚疾病，絕大多數只要停止打電動後就會慢慢改善，如果皮膚真的很不舒服，記得還是請皮膚科醫生幫忙喔！
Ref :
International Journal of Pediatrics and Adolescent Medicine 8 (2021) 68-75

#林政賢皮膚科

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journal of pediatrics 在 志祺七七 X 圖文不符 Youtube 的最讚貼文

志祺七七 X 圖文不符 By 志祺七七 X 圖文不符

2020-07-27 19:15:00 有 68,597 人看過 有 1,874 人喜歡
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🕹 天菜傳說：激戰!!人類乳突病毒 🕹
⚔️ 你是拯救世界的那個人嗎？HPV 肆虐的世界正在等待著你！！🦠🦠🦠
👉🏼 戰場傳送門：https://bit.ly/3eVWnGD

​​#男女都一樣 #HPV8成與你有關
👉🏼 ​​更多HPV小知識：https://bit.ly/302YCBQ

特別感謝：
「亞洲大學附屬醫院泌尿科邱鴻傑醫師」提供內容諮詢。

這支影片是黃標嗎？＃對這支影片是黃標
如果你覺得它不應該被黃標
歡迎留言 ＃ItDeservesGreenMark　＃這應該綠標
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各節重點：
00:00 開頭
00:55 怎麼樣的症狀可能是「菜花」？
02:52 菜花從哪裡來？
05:05 菜花怎麼治療？
06:12 預防菜花的方式
07:52 我們的觀點
09:08 「天菜傳說」遊戲試玩

【 製作團隊 】

｜企劃：宇軒
｜腳本：宇軒
｜編輯：土龍
｜剪輯後製：絲繡
｜剪輯助理：范范、歆雅
｜演出：志祺

——

【 本集參考資料 】

關於菜花
→沒性行為竟感染菜花！這些公共廁所、浴巾不要亂用，當心染乳突病毒...提高子宮頸癌、陰莖癌風險 - 今周刊：https://bit.ly/2CjHC1K
→「菜花」無所不在嗎？醫師詳解菜花症狀與傳染途徑 - 早安健康：https://bit.ly/2ZPCGdc
→會痛嗎？會致癌嗎？認識性病「菜花」- 元氣網：https://bit.ly/2BEJnXJ
→如何消除菜花？ - 林政賢醫師：https://bit.ly/2ZKyqMg
→菜花症狀有哪些？如何治療與預防？醫師完整解說！ - MedPartner： https://bit.ly/2VWeiWk

關於 HPV
→認識 HPV - 國民健康署：https://bit.ly/3e9YMfu
→HPV - 臺灣癌症基金會 ：https://bit.ly/2O63sc4
→男性感染「人類乳突病毒HPV 」的比例遠高於女性？ - 泛科學：https://bit.ly/38FxmNM
→男生也要打HPV疫苗！不只防菜花 還降低這 3 種癌風險 | Heho健康：https://bit.ly/3fcCLOw
→子宮頸癌疫苗知多少／什麼是HPV疫苗？該怎麼選？ - 康健雜誌：https://bit.ly/2DhTdyZ
→病毒疣如何根治與預防？冷凍治療比擦藥好嗎？醫師圖文解答：https://bit.ly/2BNShSG
→預防6癌1病　男女都應打HPV疫苗 - 康健雜誌：https://bit.ly/3gCR0wo
→HPV 潛伏期的文獻：Davis, A. J., & Emans, S. J. (1989). Human papilloma virus infection in the pediatric and adolescent patient. The Journal of pediatrics, 115(1), 1-9.""
https://bit.ly/3gBJpy7
→各型HPV在台灣的盛行率（文獻1）：Chen, Hui‐Chi, et al. "Prevalence of genotype‐specific human papillomavirus infection and cervical neoplasia in Taiwan: A community‐based survey of 10,602 women." International journal of cancer 128.5 (2011): 1192-1203. ：https://bit.ly/2AHvWWo
→各型HPV在台灣的盛行率（文獻2）：Lai, Chyong‐Huey, et al. "Human papillomavirus genotype in cervical cancer: a population‐based study." International journal of cancer 120.9 (2007): 1999-2006.：https://bit.ly/2VYxwdP


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Hiho 大家好，我是志祺。 你現在收看的是志祺七七， 365 天不斷更的時事議題評論型頻道！ 在這裡，你會看到⋯⋯ ? // 即時議題・堅持每日發片的時事分析 // 遇到各種議題的時候，社會上總是充滿對立。 常常不同立場之間，只剩下謾罵，無法互相溝通、討論。 志祺七七，剖析不同立場觀點， 能讓關心社會上重要議題、擔心立場極化的你， 了解不同立場的不同想法。 ? // 多元議題・不同立場都說讚 ? // 人權、同婚、兩岸關係、中美貿易戰、能源議題、政治評論... 志祺七七不畏懼各種敏感議題，全盤呈現多樣化主題與觀點。 同時，也獲得不同政治立場的一致好評！ 成為台灣唯一訪問過蔡英文、郭台銘、韓國瑜、朱立倫等一線政治人物的新世代時事評論員 ✨ 　　＿＿＿＿＿＿＿＿＿＿＿＿＿＿＿＿＿＿＿＿＿＿＿ ?　 探索世界・現在就開啟右上角鈴鐺訂閱志祺七七吧　? 　　￣￣￣￣￣￣￣￣￣￣￣￣￣￣￣￣￣￣￣￣￣￣￣ ? 如果你想與志祺七七合作，歡迎寫信到：[email protected] 與我們聯繫 【 關於團隊 】 YouTube ｜志祺七七｜ 是由台灣最強資訊設計團隊「圖文不符」所開發策劃，融鑄多年議題設計經驗，由團隊共同創辦人張志祺作為節目主持人，以時下最熱門的 YouTube 影音頻道形式做呈現。 FaceBook｜圖文不符｜ 推出台灣第一個製作時事議題懶人包的團隊，被譽為懶人包始祖，在 FB 上創造總瀏覽量超過三千萬人次。 現正活躍於台灣在地文化採集與設計轉譯，期望將更多關於台灣、關於生活、關於土地的知識帶給社會大眾，期望透過設計帶來更好的內容環境。 定期籌備大型議題策劃，喜歡精緻細膩的設計作品，閱讀台灣之美的你不可錯過。 圖文不符 FB 專頁：www.facebook.com/simpleinfo Our Brand｜簡訊設計｜ 是我們成立的商業設計品牌，橫跨議題—設計—行銷，服務涵蓋社群內容經營、網站設計、動畫設計與整合行銷專案。曾獲 2 座德國紅點 Best of the Best 大獎。 合作洽談請至：[email protected] - 贊助志祺七七，讓我們可以走得更久更遠：https://bit.ly/support-shasha77 如有遇到金流問題，麻煩請聯繫：[email protected]
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journal of pediatrics 在 POPA Channel Youtube 的最佳貼文

POPA Channel By POPA Channel

2019-03-06 08:30:01 有 2,456 人看過 有 51 人喜歡
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對新手父母而言，BB 未出生，已經要張羅很多事情，有很多事情要做決定：順產還是開刀，私院還是公院，人奶還是奶粉，每個家庭每對父母都有不同考量。但往往礙於資訊太多，令父母覺得無所適從。其中一個眾說紛紜的安排就是BB一出生應否立即交給媽媽照顧。

有人說初生嬰兒很脆弱，抵抗力又差，易受感染，最好一出生就交給專業醫護隔離照顧。而且媽媽生產很辛苦，BB有專人看照，她才可以爭取時間休息。不過亦有人說，若BB一出生就能跟媽媽緊密相處，對BB 身心發展也很重要。到底有什麼重要？

很多人也知道「黃金一小時」這個講法，在分娩完一小時內就立即餵食母乳，可以令BB少點病痛。而之後媽媽有多些時間同BB一齊，也可以確保BB適時吃到母乳。

BB剛出生時會吃得較密，其中一個原因是初生BB的胃部只有櫻桃般大小，所以要少食多餐。

這個時候，母乳中最珍貴的「黃金初乳」就變得重要。這些初乳，在生產後頭幾天的「限量版」母乳，容量少卻有濃縮營養，最適合初生BB。當中含有的乳鐵蛋白，更被醫護界形容為BB第一支預防針，因為它可以增進BB的免疫力，預防多種腸病毒。BB年紀愈小，就愈需要乳鐵蛋白去完善消化系統。

如果交給醫護隔離照顧是因為擔心嬰兒抵抗力弱，那麼讓BB吃到「黃金初乳」可能更為重要。

參考資料

A Scientific Overview. (2016, February 21.). Retrieved from Breast Crawl.

Gutierrez, E., & Michigan State University. (2013, January 08). Attachment: Building trust in your infant. Retrieved from MICHIGAN STATE UNIERSITY.

Legrand, D. (2016). Overview of Lactoferrin as a Natural Immune Modulator. The Journal of Pediatrics, 173. doi:10.1016/j.jpeds.2016.02.071

McCulloch, S., Dip CBEd in Birth. (2018, June 10). 7 Huge Benefits of An Undisturbed First Hour After Birth. Retrieved from bellybelly.

Respond with Sensitivity. (n.d.). Retrieved from Attachment parenting INTERNATIONAL.
Rooming-In: Benefits Of Postpartum Recovery. (2016, October 3). Retrieved from Cleveland Clinic.

Early initiation of breastfeeding to promote exclusive breastfeeding. (n.d.). Retrieved from WHO.

黃章翹（2017）。〈母嬰同房‧母乳餵哺第一步〉。愛嬰醫院香港協會網站。

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幾個家長走埋一齊，將從閱讀所得的知識整合，化繁為簡，與大家分享正面育兒(POSITIVE PARENTING)的資訊。 ===================================== 幾年前，初為父母，第一次抱住自己的孩子，發覺養育、教育孩子，是一門高深學問。時代不同，父母對我們的一套，應用在自己孩子身上，亦未必適合。因而開始閱讀育兒書籍、兒童心理學等文獻，發現學術界近年對兒童成長發展的深入了解，其實對家長們極為實用。 但現今父母日日為口奔馳、回家要湊BB都已經筋疲力竭，哪有餘暇、精力去搜尋、閱讀又長又悶的學術文章？於是，我們幾個家長，以正面態度去養育孩子為前題，將自己從閱讀所得的知識，透過輕鬆易明的手法，與各位關心孩子成長發展的父母，分享實用資訊。 POPA Channel 亦因而誕生！ ===================================== Official Homepage: http://popa.hk Facebook Page: www.facebook.com/popachannel
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journal of pediatrics 在 黑眼圈奶爸Dr.徐嘉賢醫師 Youtube 的最佳解答

黑眼圈奶爸Dr.徐嘉賢醫師 By 黑眼圈奶爸Dr.徐嘉賢醫師

2017-06-26 11:52:53 有 413 人看過 有 1 人喜歡
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睡眠守則：分房睡

除了大家耳熟能詳的「不要趴睡」以外，近年來另一個議題是什麼時候要跟孩子分房睡？
尤其是前陣子的趴睡窒息死亡案例，那位嬰兒是放在自己獨立的嬰兒房中。兒科醫學會是建議父母跟嬰兒不要同「床」但要同「房」，目的在於方便餵奶及照顧。（母乳哺育要同床又是另一個議題，今天不多談）
想要跟孩子分房睡幾乎是每個父母會面對到的。絕大部分的人會認為：分房睡可以讓孩子更獨立。錯！沒有根據，而且研究顯示，分房睡，沒有什麼特別的好處。反而會可能讓小朋友更沒安全感，更喜歡吸手指。跟父母同房的小孩，反而表現出來更有安全感、更有自信，研究的真實性與可信度為何？這又是另外一個議題，但是歐美逐漸現在反其道而行，提倡跟父母同房（不同床）room-sharing.
那麼應該要什麼時候才可以分房睡呢？不同的文化，有不同的做法：據統計，美國有87%的小朋友跟父母是分房睡，在新加坡只有20% ,在北歐大約有50%。所以不同的家庭文化，有不同的狀況。其實在醫學上，還真的沒什麼文獻跟規則，告訴父母應該什麼時候分房睡比較好。這個問題因素太多，但是最重要，就是要等孩子跟全部人都準備好才實行，不要操之過急。
有些網路上流傳著「性蕾期就最好要分房睡」、「不分房睡會性早熟」、「不分房睡以後會變媽寶」。其實都沒什麼相關。媽寶方面，那是體質關係…（不分房會導致性早熟，麻煩可以再扯遠一點、再離譜一點）
這幾年流行很多育兒方法，其中一種是百歲醫師的隨他哭cry it out。隨他哭或百歲醫師的書中所提到的是比較偏教養的方式，本來教養就沒有什麼對錯，這個就不評論也沒有不對。但是其中的一點，在兒科界裹，最為人詬病的是「趴睡」。有多少個嬰兒因為看了相關的書籍與概念，而發生意外，沒有人統計過。但是統計發現，不要趴睡，要躺著睡（back to sleep)，確實可以減少嬰兒猝死症後群S I DS的發生，這是一個事實。
除了躺著睡（ back to sleep)以外，現在還有一個概念，值得父母大家去留意。就是父母也要陪著孩子 #趴著玩 tummy to play：
1️⃣建議每天陪著小朋友趴著玩（清醒的時候）
2️⃣每天玩三到5分鐘
3️⃣一天兩至三次

這樣的目的在於，減少頭部的壓力（很多父母都很在意頭型），改善頭骨不對稱的發展。也可以訓練寶寶的頸部與背部的肌肉支撐力，萬一發生小朋友他想要翻身的時候，有能力處理。要陪同喔,不能放著小朋友自己一個人爬著玩。

兒科醫學會也認為市面上的頭骨固定枕，或者頭型塑型產品，都沒有用。所以大家別浪費錢在哪些產品身上。

另外其實也要分辨小朋友頭型歪的原因，是單純習慣的問題？常常頭轉向固定一邊？還是說有斜頸的可能？這就要由兒科醫師來幫忙判斷

參考資料：
https://www.aap.org/en-us/about-the-aap/aap-press-room/pages/american-academy-of-pediatrics-announces-new-safe-sleep-recommendations-to-protect-against-sids.aspx

https://www.healthychildren.org/English/ages-stages/baby/sleep/Pages/A-Parents-Guide-to-Safe-Sleep.aspx

Mileva-Seitz VR, Luijk MPCM, van Ijzendoorn MH, Jaddoe VWV, Hofman A, et al. Association between infant nighttime-sleep location and attachment security: no easy verdict. Infant Mental Health Journal 2016; 37: 1-12. Infant Ment Health J. 2016 Jan-Feb;37(1):5-16. doi: 10.1002/imhj.21547. Epub 2015 Dec 31.

Barajas RG, Martin A, Brooks-Gunn J, Hale L. Mother-child bed-sharing in toddlerhood and cognitive and behavioral outcomes. Pediatrics 2011; 128: e339-47.

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Children, an international, peer-reviewed Open Access journal. ... Particles, Pathogens, Pathophysiology, Pediatric Reports, Pharmaceuticals, Pharmaceutics ...

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PEDIATRICS INTERNATIONAL is the official bimonthly English journal of the Japan ... articles of scientific excellence in pediatrics and child health.

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Indian Journal of Pediatrics (IJP) contains research-based articles by experienced pediatric journal experts for the management of child health.

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