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「我再也不騎車了,連馬拉松都跑不了了」
從熱愛戶外運動的Chrissy口中聽到這些話
震驚到久久不能自已
以至於完全無法回應眼前的她
我知道這對她來說
是多麼痛徹心扉的失去
跟著詩婷跑 Run With Chrissy
因為運動而認識這位好友
看著她達成六大馬夢想
成為台灣第一位完成的跑者
接著一一設定接下來的目標
用著異於常人的自律與努力接連達成
直到某天聽到Chrissy發生摔車意外
不只腦內出血、過程完全失憶
接下來聽到的消息不是漸漸康復重返運動場
而是看著精力旺盛的勁量小兔子似乎跳慢了下來
「TBI,Traumatic Brain Injury」
這是Chrissy這輩子要長期與之共處的狀況
腦部損傷後的病人
即使外在看起來與常人無異
但腦中主管的語言、記憶、情緒、視力等等各種能力
都再也與過去不同了
現在的Chrissy跑幾百公尺就得停下來休息
騎上訓練台用很低的強度都沒辦法踩太久
甚至外出用餐環境過多雜音都能讓她崩潰
但Chrissy終究還是Chrissy
受傷後的365天不但積極地治療復健
更傾力研究TBI
即使在台灣醫界資源為零
她也想盡辦法提高社會對TBI的認識
希望能夠盡力協助有相同困擾的病人
聽完今天的演講
眼眶中的淚水不只是心疼她的努力
更是為她而感到無限驕傲
萬分期待Chrissy未來在醫界對TBI有更多的貢獻
更期待有這麼一天
能再與Chrissy一起在運動場上揮汗
享受追求更好的自己之快感💪🏻
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寫到這邊再有人跟我說騎車不想戴安全帽
我真心也不想跟你們講話了
健康是你自己的
隨便你!(氣炸)😡
⚠️補充一下,Chrissy摔車當下有戴安全帽還這麼嚴重,完全不敢想像沒戴安全帽是什麼狀況,請大家不要拿自身安全開玩笑🙏🏻
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#LindaLovesCycling
#Linda愛打卡打掐
#RunWithChrissy
#RestartWithChrissy
#TBI
同時也有1部Youtube影片,追蹤數超過5,910的網紅Linora Low,也在其Youtube影片中提到,Subscribe to my channel : http://youtube.com/linoralow Training and Nutrition Around The Menstrual Cycle with Ben Siong A really informative chat w...
「traumatic brain injury」的推薦目錄:
traumatic brain injury 在 陳柏臣醫師的健康診間 Facebook 的精選貼文
traumatic brain injury 在 加護病房查房日誌 Facebook 的精選貼文
加護病房查房日誌20191129
請問各位同學病人腦部外傷(TBI)後,會不會使用抗癲癇藥物來預防seizure?
基本上呢,早期創傷後seizure大概有30%的病人會在第一或兩周TBI後出現。此外若用持續監測electroencephalography (EEG),約有15-25%的病人會伴隨昏迷但沒有癲癇的發作,但可從EEG上看出來腦部有放電。基本上有些專家學者,在EEG的seizures,但是臨床上沒有症狀還是會持續給抗seizure的藥品。
預防早期的seizure,可以預防之後變成status epilepticus的風險,而且反覆的seizure發作還會增加CBF和ICP等併發症。
過往老師在SI的時候,就常看到用phenytoin 100 mg q8h IV。
在文獻部份,在Neurology 2003 Jan 14;60(1):10-6.得文獻指出,使用phenytoin 預防TBI病人的seizure風險可降到 0.37, 95% CI: 0.18-0.74。
的確,目前2017年的準則,Guidelines for the Management of Severe Traumatic Brain Injury, Fourth Edition.Carney N, Totten AM, O'Reilly C, Ullman JS, Hawryluk GW, Bell MJ, Bratton SL, Chesnut R, Harris OA, Kissoon N, Rubiano AM, Shutter L, Tasker RC, Vavilala MS, Wilberger J, Wright DW, Ghajar J Neurosurgery. 2017;80(1):6. ,建議腦部外傷後的前七天要使用phenytoin預防早發性創傷後癲癇,但有些學者是建議用levetiracetam,源自於Prospective, randomized, single-blinded comparative trial of intravenous levetiracetam versus phenytoin for seizure prophylaxis. Szaflarski JP, Sangha KS, Lindsell CJ, Shutter LA Neurocrit Care. 2010;12(2):165. 。
此外在某些研究中發現,phenytoin的累積劑量較高,較高的副作用發生率,還有長期認知異常的情況,而且在隨機對照研究中,指出levetiracetam和phenytoin用於NICU的病人,預防癲癇發生的效果相當。
老師想要問問看大家,現在是用phenytoin比較多呢?還是levetiracetam預防TBI後的seizure呢?
traumatic brain injury 在 Linora Low Youtube 的最佳解答
Subscribe to my channel : http://youtube.com/linoralow
Training and Nutrition Around The Menstrual Cycle with Ben Siong
A really informative chat with fitness and health expert Ben Siong. For all my sisters, who have always questioned bout why they have irregular periods, why they bloat, why they have painful periods, what's the possible cause for bleeding more than two weeks here's a video that will help explain those questions!
The human body is very complicated and my dear sisters, ours is even more complicated cause we have a thing called the period. Ben is one of the few coaches who takes the time to not only understand the physiology of the body but also the mind which is incredibly crucial. I do hope you take away valueable information from this video, because Ben's had shared a lot of his expertise during this 1 hour. :)
Questions Timestamps:
1:50 We hear a lot from old folks that women shouldn’t lift lower body higher than stomach for optimal reproductive system. Truth or myth?
8:25 Should we train during period?
10:15 Pre period - what to eat to avoid bloating (if ur vegan or vegetarian) so u still have the energy to lift weights?
15:16 What exercises to do pre period so that during menses it’s less painful?
16:55 Why do some cycles end quicker for instance as quick as 4 days? Should she consult the gynae?
21:00 My Personal encounter of bleeding 4 months straight, what would have been the response for excessive bleeding?
24:00 Brief chat on understanding PCOS and PCO
29:27 In a paper "Preliminary Evidence for a Window of Increased Vulnerability to Sustain a Concussion in Females: A Brief Report" the author states that declining or low levels of estrogen and progesterone (specifically in the late luteal phase and first two days of menstruation) can reduce neuroprotection and blunt recovery time from traumatic brain injury symptoms (i.e. concussions). Would those decreased levels of hormones, and reduced neuroprotection also impact CNS recovery? And would female athletes have to then avoid highly taxing sessions/peaking periods during this time frame?
37:11 I've read that lower back pain during menstruation is caused by the uterus swelling which can create pressure on the uterosacral ligaments and lead to pain in the lower back and pelvis. Is this accurate? If so should females generally avoid deadlifts/front squats/lower back intensive exercises during this period? Should they be left out entirely, or replaced by something else?
38:21 Besides the supplementation of magnesium and iron, are there other ways we should change the way we eat around our cycles?
39:48 Personally, I do workout during this period of time & it does make me feel better.
However, I realised that if I perform very high intensity workout on the first two days of my period, I tend to have lesser flow for the month. I feel completely well & healthy but I’m not sure if that’s something I should be worried about
41:53: I have irregular period, in that case what type of training and nutrition I should opt for coach?
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traumatic brain injury 在 Traumatic brain injury: pathology review - YouTube 的推薦與評價
What is a traumatic brain injury? TBIs occur when a head trauma leads to temporary or permanent brain dysfunction. ... <看更多>