由香港婦產科醫生提供各種婦科資訊, 產科, 孕婦資訊, 懷孕, 唐氏綜合症, 產科篩查, 希望可及早檢測患上女性疾病的風險, 以便增加治癒機會,提供適合的專業治療和預防疾病的生活建議。
2017年3月29日 星期三
3D立體斷層乳房造影 - 低輻射及更有效檢測乳癌
甚麼是3D立體斷層乳房造影 ?
3D立體斷層乳房造影是一項突破性的X光造影技術,經多個臨床研究顯示,能有效找出早期乳房病變。此項技術,已獲FDA及國際認可,用於乳病診斷及乳癌普 查。3D立體斷層乳房造影需要大約4秒,儀器便能從X光數據中,重組出立體斷層影像。將乳房的結構及可能出現的病變,以多張影像清楚地呈現出來,大大改善 傳統影像技術中乳腺組織重疊的弱點,有效提高準確度。
適合人士包括
40 歲或以上女士 - 建議每 1 至 2 年進行一次乳房造影檢查。
若有家族病史,建議 30 歲開始每年進行一次乳房X光造影檢查。
出現或懷疑有乳房造影檢查例如乳房腫塊。
曾接受乳房手術的女性也適合進行 3D立體斷層乳房造影。
3D立體斷層乳房造影的特性
準確度
有效移除干擾診斷的乳腺組織重疊。
減少加照或乳房重複按壓。
有效偵查腫塊﹑結構扭曲和不對稱密度,清晰地分析疾病範圍。
安全性
比傳統菲林或電腦X光影像系統為低。
舒適度
只需輕微按壓,便能造出清晰影像。
使用C-View技術,將立體數據重組,縮短乳房按壓時間。
缺點
由於所得的影像一般較傳統造影多數十倍,放射科醫生需要較多的時間審閱立體乳房造影影像,同時成本也較高。
參考資料: http://womencare.com.hk/
以上所提供的資訊僅作為教育及參考用途,如果你有任何醫療問題,
應向自己的婦產科專科醫生查詢,而不應單倚賴以上提供的資料
2017年3月20日 星期一
懷孕初期10大疑問(下)
6. 為何情緒突然變得低落?
因荷爾蒙關係,易有作嘔作悶、憂慮懷孕所出現的轉變,又擔心BB健康,既想向公司申請產假,但又怕BB出事等事宜,深感壓力。所以,孕婦要盡量保持平和心境,需與丈夫分擔憂慮。
7. 陰道分泌特別多?
不會,應與平日差不多,只是在接近足月,開始作動前,分必物便顯著增加。如果在懷孕初期,分泌物增多,宜向醫生求助。
8. 作小產是怎樣?
作小產時,易見紅、肚痛、排出肉塊或胎盤組織等。每10個孕婦中,有1-2個均出現小產,大部份也可能是染色體出錯,胚胎著床出現問題,或原因不明,而身體隨即啟動自我保護機制,以防誕下畸胎。隨著年紀越大,小產機會越高,因卵子質素大幅下降,增加染色體出錯機會。
9. 嘔吐令胎兒不夠營養?
在12周前,胎兒體積尚小,唯一必需要攝取的營養素,便是葉酸,理應計劃懷孕前已服用。而孕婦奶粉,糖份偏高,不適合高齡,家族有糖尿病歷史的孕婦飲用;如孕婦真的有需要,可考慮飲用,有助補鈣。
10. 為何會有胸脹?
由於女姓荷爾蒙逐漸偏高,孕婦出現胸脹屢見不鮮,當懷孕周數越多,胸脹更明顯。因著身體要預備製造乳汁,會有奶水滲出,而乳房組織有機會在腋下增生,也可能出現脹大情況。
婦產科專科醫生 黃凝
參考資料: Pregnancy
以上所提供的資訊僅作為教育及參考用途,如果你有任何醫療問題,
應向自己的婦產科專科醫生查詢,而不應單倚賴以上提供的資料
2017年3月16日 星期四
懷孕初期10大疑問(上)
傷口處理不善而發現。
傷口處理失當也會引致發炎、流血、含膿、爆裂等情況,但正常來說這些情況並不常見。當碰上發炎時,產婦會發現傷口又紅又腫,便要立即看醫生。醫生會給予抗生素,及為傷口放膿等。
懷孕,對你可能是全新課題,一堆平日不曉得的大肚術語,開始成為妳口中常用的詞彙。也許,此刻妳膽戰心驚,別怕,只要妳盡早了解初期常有的疑問,便可免去不必要的擔心。
1. 如何計算預產期?
傳 統預產期的計算方法,是將最後一次月經的第一天推後40周,因此預產期就是懷孕第40周。但是,排卵期是在最後經期的兩個星期才出現。所以,行房及受孕的 日子是在排卵期,即期經後約兩星期。換言之,當醫生告訴妳,現在是懷孕8周,如月經準確,妳應該是8周前來過月經,但是大約在6周前行房及排卵,如月經不 準,醫生可以用超聲波計算預產期。
2. 點知BB有冇心跳?
在6周前,要知道BB是否有心跳,需用陰道超聲波,因肚皮阻隔很多光線,解像度很低,所以不能肚皮超聲波;但7周以後,則可透過照肚皮超聲波看到。而12周之後,待胎兒離開盆骨,升上肚皮位置,可用胎心機檢測,原理是測試胎兒的血流量,再演變一種音頻,便能成功測試。
3. 點解會流啡?
懷孕初期,胚胎著床於子宮,若著床不好,有機會出現滲血情況;鮮血是紅色的,但在子宮待了一會才流出,便呈啡色,俗稱「流啡」。假如胎盤出現分離、子宮有瘜肉,也可能「流啡」。有時,流啡屬流產先兆,但仍有很多BB也可以順利出生。所以,最好先看醫生,觀察BB的狀況。
4. 瘦過未懷孕前?
由於荷爾蒙轉變,令孕婦經常作嘔作悶,難以進食及喝水,自然體重下降。不過,孕婦不用緊張,胎兒體積細小,需要的營養素不多,反而水份一定要足夠。建議服用止嘔藥,始終沿用多年,對胎兒必定安全,所以寧願服用止嘔藥,飲下適量水份,總比缺水需入院吊鹽水為佳。
5. 冇胃口怎麼辦?
初期出現的沒有胃口情況,多由妊娠嘔吐引致,因此,最好吃上嘔藥,飲用果汁、維他奶等,以補充身體的水份;同時,宜進食乾糧,如餅乾等,較飯及麵類容易入口。
.......續
婦產科專科醫生 黃凝
參考資料: Pregnancy
以上所提供的資訊僅作為教育及參考用途,如果你有任何醫療問題,
應向自己的婦產科專科醫生查詢,而不應單倚賴以上提供的資料
2017年3月8日 星期三
Scales tipping as more boys born in HK
The number of boys born in Hong Kong is soaring
compared with girls, spurred by an influx of mainland mothers who prefer
sons. Many use sex-selection services that are illegal across the
border.
At this rate it may soon approach the 120 to 130 found in some provinces on the mainland.
The trend is backed up by the first comprehensive study of its kind in Hong Kong. The researchers noted that many mothers came to Hong Kong specifically to learn the sex of their babies. Some would cancel their birth bookings on finding that they were expecting girls.
Since a landmark Court of Final Appeal ruling in 2001 gave permanent resident status to children born in Hong Kong to mainland parents, the city has become a “birth hub”.
These Hong Kong-born children may not be raised in the city during their early childhood, but they can come here at any time to enjoy their full rights to education and social services. In 2008, mainland mothers accounted for 42.6 per cent of all births in Hong Kong.
The overall male-to-female ratio in Hong Kong was only 1106.4 to 100 in the 1980s and 1990s, on a par with the international average of 105 to 107.
The study by three obstetricians and gynaecologists at hospitals in Kowloon West – Grace Wong Ying, Leung Wing-cheong and Robert chin kien-howe – was published recently in the Journal of Perinatal Medicine.
The team retrieved data on all the 194,602 babies born in public hospitals between 2003 and 2007. Of these, 140,962 (72.4 per cent) were born to Hong Kong Chinese and 52,741 (27.1 per cent) to mainland mothers. The overall sex ratio at birth during that five-year period was 108.8 to 100. But the ratio is lower for Hong Kong mothers, at 107.8, than for mainland mothers, 111.6.
Wong, the study’s chief author, said the rapid rise in the ratio was a result of and influx of mainlanders who practiced sex selection more than locals.
The researchers said as most mainland women giving birth in Hong Kong came from southern China, biological or environmental reasons alone probably could not explain such a “skewed” sex ratio.
“The most plausible explanation for this is the practice of sex selection. However, these findings do not provide direct evidence that such a high sex ratio is a result of selective abortion of females in women of higher birth order,” the report said.
“It is also possible that patients from mainland China tend to spend more resources on their sons, and are more willing to give birth in Hong Kong if their pregnancy is of a male baby.”
Wong, who formerly worked at the public Princess Margaret Hospital and switched to private practice a year ago, said almost 90 per cent of her patients were from the mainland.
“We have come across several cases in which the mainland mothers have defaulted or cancelled their booking for a delivery in Hong Kong after learning that they are carrying a girl. Some even disappeared without paying the medical fee after an ultrasound scan,' Wong said. The team also analysed the sex ratio of each birth order. They found that while mainland women did not have a clear preference for a son in their first pregnancy, they may have practised some form of sex selection from their second pregnancy.
For Hong Kong women, the sex ratios were 106 to 100 for the first baby, 107.3 for the second and 118.4 for the third child or above. The ratio increases much more steeply among mainland women - from 104.7 for a first baby, 114.9 for the second and 174.5 for the third child or above. The researchers warned that the 'abnormally skewed' sex ratio may have disastrous social consequences. 'High sex ratios at birth have deprived female fetuses of their birth rights. Mothers also suffer from tremendous psychological pressure and reproductive health risks while undergoing abortion.
'Discrimination against women is detrimental for both men and women, hindering the overall economic development. The phenomenon of missing girls will lead to a shortage of marriageable females,' the team said. There are now more women than men among the Hong Kong population aged 20 to 35. But University of Hong Kong demographer Dr Paul Yip Siu-fai said the changing sex ratio at birth would only have a limited effect on the overall sex ratio. 'This is because many Hong Kong men will marry mainland women and bring them to Hong Kong, and women's life expectancy is longer.' He called on the government to monitor demographic trends and prepare for an influx of Hong Kong-born children from the mainland.
Children born in Hong Kong enjoy full residency status In 2008, mainland mothers accounted for the following proportion of births in the city: 42.6%
Reference information: SCMP
The information aims to provide educational purpose only. Anyone reading it should consult obstetrics and gynecologys before considering treatment and should not rely on the information above.

.jpg)