(中英字幕EngSub)痛風症: 網上最易明白關於痛風症的影片；病因、病徵、食療及藥物資訊一目了然 An idiot guide to gout and how to get rid of it

[@WWTam]

雖然痛風不是大病，但斷唔到尾，好麻煩。要注意飲食及多運動。預防勝治療。

[@歐耀良]

你好,劉醫生,非常感謝你分享醫學知識…亦希望不久有更多其他的健康資訉…例如一些常見的都市病…中風、糖尿病、高血壓、心臟病…等等，祝你心想事成、闔家安康😊

[@dianeso6786]

你所提到的都市病,劉醫生已經講過,

[@lcm3328]

好好的醫學資訊謝謝你

[@hinglau7747]

謝謝醫生你講觧和分釋痛風的知識👍👍👍🙏

[@captainjayc9217]

Glad to see that the doctor has branched off to other non-COVID topics.

[@shingkam]

Thanks 🙏 Dr. Rex 解釋痛風症成因症狀和準確診斷方法及治療藥物👍

[@miuhiu912]

多謝Dr Rex資訊，並巳看了全部廣告😅希望繼續多啲分享醫學資訊⋯給大眾參考⋯繼續支持

[@alquentin]

A million thanks to you Dr Rex for all your youtube videos making medical knowledge so much more accessible to a wider English and Chinese literate public (not limited to HK Cantonese speakers), thanks to the English and Chinese subtitles.

[@wendychui12]

多謝醫生，耐性的講解!👍

[@selina1834]

多謝Dr. Rex 對痛風的分析，我托賴沒有痛風病，touch wood。但我把這個視頻轉介給聽説經常痛風的朋友，他們對Dr. Rex 的視頻頗有興趣。

[@Pam8338]

多謝Dr.Rex 講解之餘也提供治療藥物之中英名字，真的增識不少。衷心感謝！🙏

[@mruncleseven]

感謝醫生資訊🙏

[@yettichiu3696]

Thank you! Please produce videos about degenerative scoliosis and 腦退化症. Thanks again! 😊

[@mariapoon7461]

十分好的醫學資訊、謝謝劉醫生👍👍👏👏🙏🙏

[@hochung5046]

Thanks for the precise and easy to understand teaching of Gout, much appreciated.

[@鄭德華-v8x]

感謝🙏Dr.Rex 個膝頭哥紅成咁，肯定好痛！😞

[@galalee4706]

Thank you very much Dr. Rex for the information!

[@sekkitsek]

I have gout since I was 20yo and I have used Allopurinol at 24yo. I had Stevens Johnsons Syndrome (SJS) right after I have used Allopurinol and almost died from it. Then I have used only colchicine and Ibuprofen to treat my gout thereafter. I have tried Acroxia in the meantime to treat the inflammation but I found that my skin forms blisters when I took it, so I stopped taking it.(and I found another SJS friend has the same problem with Acroxia) Later, I have found that I have accumulated quite a lot of crystals around my joint area now at the age of 47, so I was recommended to use Febuxostat to treat it now, and it seems to work quite well so far. This video is a very good summary of what I have tried and experienced in all these years. Thank you very much Dr. Rex

[@DrRex-lb7gn]

o yours is a textbook type of case study you should be host of this video my friend

[@DrRex-lb7gn]

and glad eventually you are out of it

[@esthernglc]

劉醫生，你真好， 向我們講解有關痛風新知識，有助我向家中長者分享。謝謝你!

[@leotsang214]

劉醫生，可否請你講下尋蕁麻疹及如何處理？

[@samshukporkwong6698]

Thanks for sharing the gout medication options. In US, providers recommended gouts patients to run a genotype test to reduce the risk of developing a severe cutaneous adverse reaction to Allopurinol.

[@DrRex-lb7gn]

o I don't know that thanks

[@jl2000doramail]

I was tested positive on the genetic test. The doctor recommended me to take Uloric. Han Chinese has a greater chance to develop complications from Allopurinol.

[@celiaip2116]

Thank you Dr Rex. 好想聽下你講解骨質疏鬆的問題。謝謝你🙏🏻🙏🏻

[@RickyChim-y1y]

Very clear message, millions thanks

[@Linda嘉欣1398]

Thank you Dr. Rex 👍👍👍

[@angelalee1987]

Thanks Dr. Rex for sharing your professional knowledge in such a simple to understand way. Your efforts are much appreciated. Thanks again.

[@jennykong1262]

多謝醫生分享，家有長者有痛風，使我了解更复🙏🙏

[@janettang1157]

多謝劉醫生

[@aliceyhlleung]

Dr Rex 多謝你的資訊 可否請您講解一下“口水線阻塞”是什麼一回事？成因，有什麼要留意，及如何處理？是否一定要做手術？🙏🙏🙏

[@yuklingchu5314]

Dr. Rex, can you explain the topic of arthritis? How to treat it effectively?

[@肥仔-q2r]

今次嘅topic 非常啱我😅，Thx Dr. Rex🙏🏻

[@helenwong4903]

Thanks Dr. Rex for sharing this useful information 🙏

[@williamchan7673]

醫生講解一貫清晰易明, 超過20萬訂閱絕不含糊, 祝醫生本年內可募集半百萬粉絲.

[@poloklui3378]

感謝無私🙏🙇‍♂️

[@lornalee8316]

多謝Dr Rex詳細解釋，了解多咗Thanks

[@joeyli3031]

Thank you Dr Lau for the explanation👍👍👍👍👍👍

[@archiekleung]

Thanks

[@cindyyip8926]

多谢刘医生讲解🙏🙏🙏， 都係嗰句，食得清淡啲健康啲

[@fongwu8640]

最近診斷 坐骨神經痛希望多了解這病痛謝謝你

[@chanjoy2195]

長知識,謝謝医生

[@Fatima-wp9oq]

Hi, Dr Rex, I would certainly appreciate if you could talk about Varicose vein. It’s common but when do we need to seek immediate medical attention? Thanks.

[@samueltsang8237]

謝謝你的資訊。很實際和有用。

[@janettang1157]

講吓乙型肝炎帶菌！謝謝

[@derhorringhk2962]

thanks a lots

[@pettysit2720]

Thank you Dr Rex for the details and also happy to see you, you look great 🥰.

[@tatlunglee6039]

Thx

[@huluRu]

Hello doctor Rex, can you share some info concerning zona? How to reduce the pain after the rashes has disappeared already ? Thank you.

[@hchiuyeung7637]

解得非常清楚，谢谢你。

[@ericchan6266]

Thank you very much Dr. Rex for the information! My personal experience with gout didn't come from meats or other typical causes. I was making 五青汁. That wasn't the problem. The problem arose when I added the stems (trunks, stalks) of broccoli (西蘭花） and kale (羽衣甘藍) in making the juice. The gout attacks disappeared after I stopped using the stalks of broccoli and kale in making the 五青汁. Just my anecdotal experience without scientific proof.

[@DrRex-lb7gn]

Broccoli is a trigger

[@ericchan6266]

@@DrRex-lb7gnThank you Dr. Rex! Yes, I found out the hard way! I thought all veggies were safe. As soon as I stopped making juice with broccoli trunks, the gout attacks were gone.

[@dwaica]

Dr. Rex, Thanks for the information. When have a moment, maybe introduce Heimlich Maneuver? 🙏

[@alsucelam]

你好劉醫生。感謝你的分享。🎉。可否説明一下，有什麼方法，可以消除腳上的痛風“晶石”，還是一直吃降尿酸藥，就可以消除痛風晶石呢？😅。。謝謝。

[@rakuraku8043]

Colchicine works like a charm!!! Usually I take about 6-8 pills in first 3 days and the pain/swelling will go away!! My doctor suggestsed I could keep using Colchicine if I only get gout attacks 3-4 times a year!! I started recently to drink TONS of water (8 cups) every single day, totally quit beer....... and I haven't had gout for 6 months now!!!

[@monaliny]

Thank you so much Doctor 🙏🙏🙏

[@kamshingng73]

希望多了解坐骨神经痛Thanks

[@ronalxi1477]

謝謝醫生資訊😬

[@TCH-c9b]

多謝Dr Rex, 我老公有痛風，醫生開了F 字頭那款痛風藥比佢，佢話食住都會有發作，自己去買維特健靈消尿酸食，最近去完重慶，食過2次火煱之後又反覆發作，只食Bufren 類藥和維特健靈消尿酸，我叫佢睇醫生，他就話F字的尿酸藥無效⋯⋯好頭痛😅

[@cc4612]

Thank you Dr. Rex.

[@ericchoy2198]

謝謝

[@FG-ov6eb]

Dr. Rex, 多谢你的分享。 可以讲一讲子宫肌瘤的起因及治疗吗？多谢。

[@evachan8684]

感謝醫生資訊🙂 我家有成員患上痛風症。

[@ericlo4091]

多謝Dr,可否講下皮膚敏感，蕚麻疹，市面上有幾款藥，又話第一代第三代，請問有乜分別，Thanks Dr😊

[@shuitong8187]

容易有痛風嘅係夏季，因為炎熱而開咗冷氣機瞓覺，但又容易忽略而露出下肢，故此痛風就多數响脚部發作，尤其是固定咗把風扇吹住。我本人試過三次，第一次係無跌無撞就脚瓜痛，要睇西醫，打一針即止痛。其他兩次係响脚眼內外側，無睇醫生，改用椰子水(唔係椰子奶) 溝紅茶或綠茶 (唔要茶葉)嚟飲。又好似得喎，好耐都無發作。原理唔知係咩嘢，只求急救、方便就算了。等醫護同化驗師去追尋、深究了 。

[@meisuenmaychan869]

Thank you❤

[@NelsonGor-gc6hk]

你好，想知？坊間有好多視頻及名醫講述排了先方法，但從來沒有一位會講解如何醫治高尿酸方法，請問有冇方法醫治尿酸高？感謝回覆。

[@木子风林]

Dr.Rex： 我系廣東的粉絲。我媽媽患類風濕已經足足二十年，由於早期不科學服用激素藥，兩邊股骨頭已經做了壞死更換手術，目前右手及左右腳的腳趾骨已經變形，部分彎曲。而為了減輕痛楚一直服用一位湖北醫生開的所謂中藥藥粉，已有十年。估計裏面還是有激素成份。我想請教你，近年內地醫院講話有植物製劑，能抑制哩個病疼痛嘅藥，當中是否沒有激素，是否對類風濕病人有實際效用又唔似激素咁會傷害身體呢？期待你幫忙解答。感恩，多謝！

[@smartlam]

近年多咗一隻特效藥，就係 DR , Rex 05:43 提及、非布司他（Febuxostat），我多年前轉食至今未翻發過，但係要每日都要服用 🙂

[@allezvenga7617]

謝謝分享

[@irene8882]

Thanks Dr Rex, 加油

[@rebekahkwok]

劉醫生：我想問你呢嗰個係靜脈曲張曲呢？點樣醫治或者有冇其他藥物治療方法❤🙏🙏

[@shirleyleung5692]

仁心仁術🙏🏻

[@evilcat4579]

我之前就有尿酸 隻腳種咗一舊野 就算不發作，如關節位撞親都會痛，後來食咗隻叫菲布力 Feburic的藥 開頭無咩反應， 食了一年左右，發覺關節位完全唔再痛，好似好返晒咁。 唔知是否同你最後講的藥是同一款。

[@Mic-Channel]

Dr Rex 可唔可以講下鼻竇炎😢⋯⋯ 係咪一定要做手術先可以完全根治？ 有冇其他方法？ 我已經去專科洗鼻，但都係斷唔到😢 我每日已經用NeilMed 出嘅Xylito 木糖醇和鹽水洗鼻！ 真的十分困擾！ Thxxx

[@arionchoi5061]

Thank you Dr Rex

[@ironheart0623]

劉医可否講下老年人（大於 65歲）的攝護腺pst指數解讀？謝了.

[@jeanso3820]

thx Dr!

[@sprosahury5214]

Do patients take Allopurinol for life? Could they stop taking once the uric acid reach at a lower level? How low is safe to stop?

[@YYfengshui]

Dr. Rex, 想聽下你講下d西藥的原材料，例如糖尿及血壓葯。因為想知大家究竟食咗咩嘢落肚。😅

[@francoise2436]

在 FB 見到有人問這個問題：「今日有group友煲魚湯用了8個鐘，亦有group友勸唔好煲咁多老火湯易有痛風。咁我用高壓㷛，半個鐘相等明火兩個半鐘。咁算唔算老火湯。 哪，我唔係 討論魚湯煲幾耐，我係想知用高壓㷛縮短煲湯時間，會唔會都容易有痛風。」 我也想知。 Dr. Rex 可以聽聽你的意見？

[@pearllaw]

非常清楚!

[@yl4847]

多謝Dr.Rex痛風症資訊不幸本人今年84岁才有痛風病但是我是素食人更不吃豆類食品每天只吃二餐巳四十年设吃米饭鷄旦没有三高体重113 身高5'4精神上我想知道正常驗血標準数量是什么?

[@wingtam9342]

Dr Rax. 我是你Fans！我家移居多倫多四年 ，丈夫的痛風發作次數多過在香港那邊 雙手雙腳輪着痛 更慘是耳水不平衡及耳鳴也多發生 請問你有冇聽過痛風 會影響到耳神經線也會發炎？

[@robertchan5997]

劉醫生好，想問個問題，我仔10幾嵗已尿酸好高，但從未痛風發作過，我夫婦兩人都系尿酸高的，唔知系咪遺傳，依家醫生叫佢吃緊Feburic,隔日40mg，但長期吃藥始終有副作用，如劉生方面，可否給建議，謝謝你🙏

[@kwaiyanfung3706]

你好呀，医生，我丈夫很喜歡飲啤酒，佢又有痛風，每次病發都痛到死去活來，又唔肯介口，請問除咗介口之外有咩幫到佢呢

[@michaelng873]

我很瘦，但壞膽固醇超標，Dr. Rex 可唔可以講下，thanks.

[@brendawong9356]

謝謝你保重

[@nla-yh6cw]

🙏分享

[@andychan6660]

我想請問腳面痛如何醫治痛風症，因為我食咗消炎藥同必理痛都無法醫治，醫生開咗痛風藥但我食完肚痾，希望能夠解決我嘅問題？謝謝🙏

[@paullu7876]

劉醫生，你可否能在大倫敦地區內開一間診所，做福我們香港和海外華人，中國同胞，謝謝你，請回覆，多謝。

[@janetho8830]

劉醫生我有痛風結石，係手指及腳指上好難睇，請問那些石可以請醫生割除或用針揪走嗎？

[@KP-rp2cz]

Thanks Dr Rex, 要知道尿酸高唔高，我以為係驗尿，原來係驗血。咁平時驗尿只是用來驗糖尿？

[@francishuang2723]

可以講一期脂肪肝

[@MrKamVideo]

Dr. Rex！黃豆及相關的食物可以吃嗎....？唔該

[@kwokchiu8775]

Dr. Rex. Thanks 😊

[@TheCityAnimal]

其實就是要節制飲食, 和有運動

[@CaTHong115]

係外面講都幾正

[@borischan7502]

你好最近呢一兩年都有痛風問題，腳指公嗰個位好痛，一年都有一次。但係發現依一兩年如果運動多咗隻腳趾公會痛，其實算唔算有關連？

[@AngusChan]

秋水仙鹼 Colchicine 它能夠減低痛風引致的痛楚及紅腫。於症狀初出現時服用，以達至最佳藥效。服藥期間避免進食西柚或喝西柚汁。常見副作用有腸胃不適、肚瀉、嘔吐等。 服藥後如有腹瀉或嘔吐，請立即停止服用。

[@lemonklemonk]

又學到嘢！好彩食嘢一向比較清淡。Dr. ，我想知：幫臨死嘅病人做搶救， 有邊幾種方法呢？ 有乜嘢分別呢？ 乜嘢時候用呢～？ 太多問題好想知， 因為揀錯咗，就會變成一生有遺憾。 係咪唔揀會好啲呢。。。～～ 希望解答，謝謝！

[@emmalau7989]

搶救？ 臨死？ 要看年齡、 健康背景、 什麼原因導致現在的危殆！ 假如病者 70 多歲, 百病纏身！ 而病者仍清醒能理性作決定, 医生成 team 會計算利害, 病人是次治療有否顯注成效（ 抽血報告顯示 -- 炎症指數有否回落 ）再和病人及其家屬商討, 解釋. 再決定是否 Not For Reduce 心臟停頓時不急救. 或是情況轉差會否轉深切治療或採取進取治療. 一同取得共識. 要是病者未能作出理性決定（ 痴呆, 或是因病而未能保持清醒, 那決定權將由家人作出. The best is 全家上下, 不論國外內, 仔仔女女孫, 全部人一致同意, otherwise 医生會再給病人時間看看情況有否好轉, 再 update 家人. Even NFR 不急救已決定並寫下, 医生仍會繼續治療病者. 直到最後一刻！ 當然要是某些葯物對病人是做成身體另一負擔, 医生會改葯或停用. 不同時間會採取不同葯物. 要讓病者知道 NFR 不是由他去等死, 在死前的階段未知有多長, 但仍要給病者家人去計劃餘下時間可做些什麼才無憾！ 要是全家even 病者也想医生繼續試, 医生也會尊重病者及其家屬. 繼續治療, 觀察療效,之後再詢問 家屬. 以上是澳洲医院的医生處理方法. 不知香港如何

[@SunnieWoo]

Dr Rex 所講嘅痛風係咪 Gout? 咁痛風同類風濕關節炎嘅症狀係咪好相似呢？多謝🙏🏻

[@DrRex-lb7gn]

very different

[@jessicaleung2932]

Dr. Rex…我想一問在片末的飲食建議附圖中看到痛風可食豆和堅果，反之含糖飲料則不建議，這是何解的？因我媽媽、兩個弟弟都患痛風，而我這個姐姐年過40之時已開始尿酸偏高，只是至今還未出現痛症而已。

[@mamameimei9490]

Please talk about NET

[@chloeho6047]

Dr. Rex, 想請問下, 如果有凍瘡可以買咩藥膏搽呀?謝謝!🙏