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2018世界盃足球賽賽事正踢得如火如荼,不少人熬夜觀賽,喜歡喝上幾杯啤酒、再大口吃肉,但泌尿科醫師警告,正是「過度喝酒加上肉類」這樣的吃法,容易誘發泌尿道結石上身,提醒曾有過結石病史的民眾務必謹慎飲食。

萬芳醫院泌尿科主治醫師石宏仁強調,世足賽開踢,民眾不管在家或在運動酒吧,總免不了喝上幾杯助興,但啤酒含有草酸、普林,經代謝會成形成尿酸,如果再配上肉類或海鮮等高蛋白質食物,就更容易形成尿酸結石。

尤其,夏天本來就是泌尿道結石好發季節,因為大量流汗、同時水分又攝取不足,醫師提醒民眾必須多喝水,且每日排尿量要達到一天2000cc才能有效預防。

至於網路盛傳「喝啤酒利尿有助排出結石」究竟有沒有這回事?石宏仁提醒,這屬於「似是而非」的觀念,因為酒精確實會利尿,可幫助結石排出,但同時酒精又含有高濃度草酸,如果長期將啤酒替代水喝,將攝取過多的草酸,碰到體內的鈣時會結合成草酸鈣結石,反而導致結石情況更嚴重。

石宏仁指出,輸尿管大小約為0.5cm,若結石小於0.5cm,只要多喝水及排尿即可將碎石排出;但結石若大於0.5cm且阻塞明顯,恐導致腎水腫,造成疼痛,須以體外震波碎石或由經尿道輸尿管內視鏡取石術治療,建議民眾還是勿貪杯,酌量飲用。

The 2018 World Cup soccer tournament is in full swing. Many people watch the game day and night, like to drink a few beers and eat more meat, but the urologist warns that it is the "excessive drinking and meat" way. It is easy to induce the upper body of the urinary tract stones, reminding people who have had a history of stone disease to be cautious.

Shi Hongren, the attending physician of the urology department of Wanfang Hospital, stressed that the World Football Championship kicks off. People can't help but drink a few cups at home or in the sports bar. But the beer contains oxalic acid and puer, which will form uric acid after metabolism. High-protein foods such as meat or seafood are more likely to form uric acid stones.

In particular, summer is the season of urinary tract stones. Because of the heavy sweating and insufficient intake of water, the doctor reminds the public to drink plenty of water, and the daily urine output should reach 2000cc a day to prevent it.

As for the Internet rumor, "Drinking beer and diuretic helps to remove stones" Is there such a thing? Shi Hongren reminded that this is a "plausible" concept, because alcohol does diuretic, which can help the stone to be discharged, but at the same time, alcohol contains high concentration of oxalic acid. If the beer is replaced by water for a long time, it will ingest too much oxalic acid and hit the body. Calcium will combine with calcium oxalate stones, which will lead to more serious stones.

Shi Hongren pointed out that the size of the ureter is about 0.5cm. If the stone is less than 0.5cm, the gravel can be discharged by drinking more water and urinating. However, if the stone is more than 0.5cm and the obstruction is obvious, it may cause kidney edema and cause pain. Extracorporeal shock wave lithotripsy or treatment by transurethral ureter endoscopic stone removal, it is recommended that the public should not be greedy, drink as appropriate.

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