關於 extraction醫學 ，我們在網路上蒐集到這些相關的討論、資訊與評價

#無與倫比的情人節禮物👉投資老公的頂上不動產😎
重建老公自信心，也讓你賞心悅目🥰何樂而不為？！
#情人節快樂❤️ #happyvalentinesday❤️
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🤔如何重建？
當然就是👉#FUE植髮手術（Follicular Unit Extraction,毛囊單位摘取術）介由馬達動力或是手動、全自動等方式，將將後腦勺的毛囊一株一株鑽取下來再移植到頂上貧瘠之處。相較傳統手術方式，傷口較小、疼痛感較低、癒合也較快！
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想了解更多😍立刻看文章 https://www.dr-jimmy.com/info5f41d23beb565.htm.
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👉很多無法靠自己改善的問題，需要適時的求助於專業，讓我們一起努力！
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生命美好卻轉眼瞬間，我們都是自己生命的掌舵者，努力划向自己想去的地方。如果你想改變，現在就是最好的時刻！出發吧！我們一起出發！🏃🏃‍♂️🏃‍♀️
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✨勇敢改變 https://www.dr-jimmy.com/home.htm
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#植髮 #植鬍 #植眉 #微整形 #高雄植髮推薦 #高雄植髮 #高雄醫學院 #大同醫院 #高醫 #雷射 #男性女乳 #抽脂 #腹部整形 #鼻整形 #自體脂肪移植 #眼睛整形

昨天開了兩台植入性胎盤。

第二個孕婦來住院前，某天晚上在家中發生大出血。據她描述，家中床墊、浴廁都是大灘的血，連大廈的電梯、走道也都是，不知情的鄰居，不知道會不會以為是發生了什麼兇殺案了😰。

病人送來了醫院，又安胎了一陣子，昨天順利幫她摘除炸彈，出血僅800毫升，子宮保留住，結束時已經接近黃昏，而放射科又繼續幫她做栓塞到晚上。

病人那時意識清醒，開心的跟我說：「醫師你真的很棒!」

我笑著跟她說:「妳還可以生下一胎呢。」

當然她不敢了。

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今天門診則是一個上胎植入性胎盤的第三胎孕婦回診，我用自己發表的王蟲縫合法保留了她子宮，沒想到她很快又懷孕來生產😅，再次手術中沒發現沾粘、上個月順利地封肚，因此她寫了張卡片感謝我。

美國婦產科醫學會在2012年發表No.529植入性胎盤專家建議，其中說到「Generally, planned attempts at manual placental removal should be avoided. Except in specific cases, hysterectomy remains the treatment of choice for patients with placenta accreta.」典型的植入性胎盤治療，不可以剝胎盤，就是要直接子宮切除。

但在去年出版的No. 529 號指南有了更新，悄悄加了這一段話，
For patients with focal placental adherence, removal of the placenta by either manual extraction or surgical excision followed by repair of the resulting defect has been associated with uterine preservation in some cases (83).

現在ACOG說可以考慮做子宮修補，不一定要直接切除了。(不過還是要考慮手術純熟度與後援)

過去認為我開刀違反專家共識的人，現在應該不會再指責我了，
因為國外專家修正了他們共識，並把我們用的方法，寫進建議中。

墨守成規比較保險，不會被同儕指責。

要改變是需要有勇氣的😅，但我認為最重要的是要以病人福利為前提。

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前幾天，一位比我年輕的印尼醫師，寫信來和我討論他的新論文。

前一陣子聽他說，比他資深的醫師，因為武漢肺炎肆虐的關係，許多疑似病患的刀都不願意開。結果我這位年輕朋友，不但要開植入性胎盤的大刀，其中有些孕婦還感染了武漢肺炎。

不幸的是，他也被傳染了。

幸好他年輕，在住院治療一陣子後，一週前出院，然後繼續投入戰場。
(他一個月的植入性胎盤手術量，比我一整年還多。)

他跟我說，其實他們很多武漢肺炎病例都沒報導出來，官方網站看到的都低估了。

他真是抱著同體大悲，
我不入地獄、誰入地獄的心態，在為他的同胞服務。

這點，我比不上他。

【有關這些事 】你有聽過這些傳聞嗎？

#凡事要factcheck
#人人化身性事小博士
#星期六放輕身心

性事謬誤真與假？
坊間有不少有關性事的傳聞，你又有否聽過？但又知否這是真還是謬誤？

1/ 事後用可樂清洗？
「有傳聞說女性事後用可樂清洗下體可殺精，減低懷孕的機會。」
NO！
可樂其實是甜味的碳酸飲品，雖然接觸對皮膚無礙，但著實沒有殺精的功效。相信沒有人會想用甜膩的可樂來洗澡吧，還要是沖洗身體最嬌嫩的部位，而且糖分更有可能殘留在陰道，濕潤的環境會令細菌容易滋生，有機會形成陰道發炎！

2/ 打孖上更安全？
「一個避孕套不夠安全？打孖上就多一層保護了！」
NO！
其實一個比兩個安全得多！戴兩個避孕套更有能在過程中因摩擦而脫落及破損，所以有時多不一定是好！

3/ 女性事後小便防感染？
YES！
這是對的，女性天生的身體構造問題，尿道、陰道與肛門位置很接近，因此比較容易被細菌感染出現尿道炎，而且性交時更有可能把外來的細菌帶進體內，性交後小便可把尿道的細菌沖洗出來，減低出現尿道炎的機會。

4/ 性交後跳兩下防懷孕？
「性交完事後跳幾下，把精子戥出來就不會懷孕。」
NO！
相信原因也不用多說了，還是好好選用正確的避孕方法吧！

5/ 花生油當潤滑劑？
「家中沒有潤滑劑，花生油也是植物油應該也可替代吧！」
NO！
食用花生油經榨取過程，味道香濃，但由於提煉過程以食用為基本而非外用，還是不建議用作潤滑劑，最好還是選用醫學認證的更穩妥。假如你對有化學成分的潤滑劑過敏，建議使用無添加的天然萃取基底油，如甜杏仁油或葡萄籽油更安全，最好還是有認證的更好，也要注意油性潤滑劑不宜與避孕套同用。

6/ 男人一輩子只有2公升？
「有人說男人一輩子只有2公升的精液，用完就沒有了！」
NO！
其實這都是謬誤，但縱慾或自慰過度的確會令男士出現腎陰虛的症狀，從而影響生殖能力，久而久之也有可能出現遺精、早泄、陽萎及不孕的情況。

7/ 經期間性交不會懷孕？
「經期時不就是最安全，不用避孕也不會懷孕！」
NO！
首先，在經期間性交先要注意衛生問題，這時候接觸感染的風險會變得較高，更要小心保護以防被傳染及感染。另外，有些女性會有排卵期重疊的問題，而且精子能在女性體內存活72小時以上，即使來經時性交也有可能受孕。

8/ 沒有性交也會感染性病？
「有人說即使沒有『真正』的性交，透過手或毛巾也會傳染性病的。」
YES！
要明白某些病毒的生存力強及存活時間較長，假如不加好好消毒，有可能留在衣物、毛巾等物件的表面，也會透過接觸受感染的體液例如血液、陰道液或精液而感染，因此也要小心保護自己。

Sex related myths and facts
There are a lot of myths surrounding sex. Have you heard of them? And do you know if they are true or not?

1/ Douching with Coke after sex? 
"There are rumors that women can use cola to clean your vaginal area to kill sperm and reduce the chance of pregnancy."
NO!
Coke is actually a sweet carbonated drink. Although the contact does not hurt with the skin, it does not have the effect of killing sperm. No one enjoy a bath with sweet cola, let alone washing the most delicate parts of the body,l. The sugar is likely to remain in the vagina, and the humid environment will allow bacteria easy to breed easily, which may actually lead to vaginal inflammation!

2/ Is it safer to wear two condoms?
"Wearing a condom is not safe enough? Two condoms have stronger protection!"
NO!
In fact, one is much safer than two! Wearing two condoms is more likely to cause them to fall off and break in the process due to friction, so it is not necessarily good to wear extra condoms!

3/ Urinating after sex can prevent infection?
YES!
This is correct, because of women's natural body structure, urethra, vagina and anus are very close to each other, so it is easier to be infected with urethritis by bacteria, and more likely to bring outer bacteria into the body during sexual intercourse. Urinating after sex can douch the bacteria in the urethra to reduce the chance of urethritis.

4/ Jumping twice after sex to prevent pregnancy?
"Jumping a few times after sex can take out the sperm and you will not get pregnant."
NO!
There is nothing to explain. Choose the correct method of contraception!

5/ Peanut oil as a lubricant?
"There is no lubricant in the house. Peanut oil is also a vegetable oil that can be used instead!"
NO!
The edible peanut oil is extracted, and the taste is strong. However, since the refining process is based on consumption rather than external use, it is not recommended to be used as a lubricant. It is safer to use lubricant by medical certification. If you are allergic to chemical lubricants, it is recommended to use natural extraction base oil without additive, such as sweet almond oil or grapeseed oil. It is better to have certification. Also pay attention to oily lubricants and condoms can not be used at the same time.

6/ Men only have 2 liters semen in their lifetime?
"Some people say that a man has only 2 liters worth of semen in his life, and there is no more extra volume!"
NO!
In fact, this is a fallacy. However, having too much sex or excessive masturbation does cause men to have symptoms of kidney yin deficiency, which affects reproductive ability. Over time, there may be cases of nocturnal emission, premature ejaculation, impotence and infertility.

7/ Will not get pregnant if you have sex during menstruation?
"It is the safest period during menstruation. You will not get pregnant without contraception!"
NO!
First of all, having sex during menstruation can have hygiene related issues. At this time, the risk of exposure to infection is higher. In addition, some women have problems with overlapping ovulation, and sperm can survive in women for more than 72 hours, even if they have sex during menstruation, they may still become pregnant.

8/ You can get sexually transmitted diseases without having sex?
"Some people say that even if there is no "real" sexual intercourse, sexually transmitted diseases can be transmitted through hands or towels."
YES!
It is necessary to understand that some viruses have strong viability and long survival time. If they are not properly disinfected, they may remain on the surface of clothes, towels, etc., and may also spread through contact with infected body fluids such as blood, vaginal fluids, or semen so be careful to protect yourself.

#男 #女 #我狀態OK