〃朙朙☆駄〃 发表于 6 天前

吃流感特效药,别用矿泉水

<section data-mpa-template="t" mpa-data-temp-power-by="yiban.io" mpa-from-tpl="t" data-mpa-action-id="miwqhwjw11qt" data-pm-slice="0 0 []"><section data-mpa-template="t" mpa-from-tpl="t" data-mpa-action-id="miwtkxcdowe" data-pm-slice="0 0 []"><section style="display: flex;justify-content: center;align-items: center;width: 100%;padding: 0px 8px 0px 8px;" data-mid="" mpa-from-tpl="t"><section style="display: flex;justify-content: flex-start;align-items: center;flex-direction: column;width: 100%;" data-mid="" mpa-from-tpl="t"><section style="width: 100%; padding: 19px 7px 18px 18px; border-width: 1px; border-style: solid; border-color: rgb(51, 51, 51);" data-mid="" mpa-from-tpl="t"><section style="line-height: 1.75em;margin: 0px;text-align: justify;text-indent: 2em;" mpa-from-tpl="t"><span style="font-size: 16px;"><span style="letter-spacing: 2px;" mpa-is-content="t" data-mpa-action-id="miwumwjqjo"><span textstyle="" style="letter-spacing: 1px;">最近甲流高发,很多人咨询说</span><span style="color: rgb(0, 122, 170); font-weight: bold;"><span textstyle="" style="letter-spacing: 1px;">吃了抗流感药物</span><span leaf="" style="justify-content: flex-start; align-items: center; flex-direction: column; text-indent: 2em; letter-spacing: 1px;">玛巴洛沙韦片</span><span textstyle="" style="letter-spacing: 1px;">(如“速福达”)是不是不能喝牛奶、鸡蛋也不能吃?</span></span><span textstyle="" style="letter-spacing: 1px;">甚至有人为此好几天没敢碰这些食物。</span><span style="font-weight: bold; letter-spacing: 1px;">医生解答来啦!</span></span><br/></span></section></section><section style="width: 18px;height: 21px;align-self: flex-end;display: flex;justify-content: center;align-items: center;margin: 0px;line-height: 1.75em;" data-mid="" mpa-from-tpl="t"><span style="font-size: 16px;"><br/></span></section></section></section></section></section><section data-mpa-template="t" mpa-data-temp-power-by="yiban.io" mpa-from-tpl="t" data-mpa-action-id="miwqlyaq1flt"><section data-mpa-template="t" mpa-from-tpl="t" data-mpa-action-id="miwtl4pd1jkn" data-pm-slice="0 0 []"><section style="display: flex;justify-content: center;align-items: center;width: 100%;" data-mid="" mpa-from-tpl="t"><section style="display: flex;justify-content: flex-start;align-items: center;flex-direction: column;" data-mid="" mpa-from-tpl="t"><section style="width: 14px;height: 15px;align-self: flex-start;margin: 0px;z-index: 1;line-height: 1.75em;" data-mid="" mpa-from-tpl="t" nodeleaf=""></section><section style="padding: 8px 25px 8px 18px;background: rgb(68, 153, 231);" data-mid="" mpa-from-tpl="t"><p style="font-size: 16px; font-family: PingFangSC-Semibold, PingFang SC; font-weight: bold; color: rgb(255, 255, 255); line-height: 1.75em; text-align: center; margin-top: 0px; margin-bottom: 0px;" data-mid=""><span style="letter-spacing: 2px; font-size: 16px;">说明书上提醒:</span></p><p style="font-size: 16px; font-family: PingFangSC-Semibold, PingFang SC; font-weight: bold; color: rgb(255, 255, 255); line-height: 1.75em; text-align: center; margin-top: 0px; margin-bottom: 0px;" data-mid=""><span style="font-size: 16px;"><span style="font-size: 16px; letter-spacing: 1px;" mpa-is-content="t">应避免与乳制品同时服用</span><span leaf="" style="font-size: 18px;"><br/></span></span></p><p style="font-size: 16px; font-family: PingFangSC-Semibold, PingFang SC; font-weight: bold; color: rgb(255, 255, 255); line-height: 1.75em; text-align: center; margin-top: 0px; margin-bottom: 0px;" data-mid=""><span style="letter-spacing: 1px; font-size: 16px;">如喝过牛奶,记得间隔4小时</span></p></section><section style="width: 15px;height: 17px;align-self: flex-end;margin: 0px;line-height: 1.75em;" data-mid="" mpa-from-tpl="t" nodeleaf=""></section></section></section></section></section><p style="line-height: 1.75em; margin-top: 0px; margin-bottom: 0px; text-indent: 2em;"><span style="font-size: 16px;"><span style="color: rgba(0, 0, 0, 0.9); font-family: mp-quote, PingFang SC, system-ui, -apple-system, BlinkMacSystemFont, Helvetica Neue, Hiragino Sans GB, Microsoft YaHei UI, Microsoft YaHei, Arial, sans-serif; font-size: 16px; letter-spacing: 1px;">据报道,</span><span textstyle="" style="font-size: 16px; letter-spacing: 1px;">浙江大学医学院附属第二医院药学部主任药师周权表示,说起</span><span textstyle="" style="font-size: 16px; letter-spacing: 1px; color: rgb(123, 12, 0); font-weight: bold;">“不能喝牛奶”</span><span textstyle="" style="font-size: 16px; letter-spacing: 1px;">这个提醒,它的根源在于药物说明书里的一条重要提示:</span><span style="font-size: 16px; color: rgba(0, 0, 0, 0.9); font-family: mp-quote, PingFang SC, system-ui, -apple-system, BlinkMacSystemFont, Helvetica Neue, Hiragino Sans GB, Microsoft YaHei UI, Microsoft YaHei, Arial, sans-serif; letter-spacing: 0.034em;"><span textstyle="" style="font-size: 16px; letter-spacing: 1px; color: rgb(123, 12, 0); font-weight: bold;">应避免与乳制品、钙强化饮料,以及含钙、镁、铁、锌等金属离子的补充剂或某些胃药同时服用</span><span textstyle="" style="font-size: 16px; letter-spacing: 1px;">。但这绝不是因为牛奶或鸡蛋里的蛋白质有什么问题,关键在于一些特殊食物、药物或保健品中的二价及二价以上阳离子(例如钙、镁、锌、铁、硒、铝)会在肠道中,以配位键与玛巴洛沙韦化学结构中多个基团原子发生螯合作用,形成含有金属离子的杂环结构(螯环),从而导致玛巴洛沙韦口服吸收率降低。所以,</span><span textstyle="" style="font-size: 16px; letter-spacing: 1px; color: rgb(123, 12, 0); font-weight: bold;">问题的核心是“金属离子干扰吸收”,而不是“食物本身相克”</span><span textstyle="" style="font-size: 16px; letter-spacing: 1px;">。明白了这个道理,我们就能知道,鸡蛋中的蛋白质并不需要担心。</span></span></span></p><p style="line-height: 1.75em; margin-top: 0px; margin-bottom: 0px; text-indent: 2em;"><span style="color: rgba(0, 0, 0, 0.9); font-family: mp-quote, PingFang SC, system-ui, -apple-system, BlinkMacSystemFont, Helvetica Neue, Hiragino Sans GB, Microsoft YaHei UI, Microsoft YaHei, Arial, sans-serif; letter-spacing: 0.034em; font-size: 16px;"><span textstyle="" style="color: rgba(0, 0, 0, 0.9); font-family: mp-quote, PingFang SC, system-ui, -apple-system, BlinkMacSystemFont, Helvetica Neue, Hiragino Sans GB, Microsoft YaHei UI, Microsoft YaHei, Arial, sans-serif; font-size: 16px; letter-spacing: 1px;">那么,最实际的问题来了:</span><span textstyle="" style="font-family: mp-quote, PingFang SC, system-ui, -apple-system, BlinkMacSystemFont, Helvetica Neue, Hiragino Sans GB, Microsoft YaHei UI, Microsoft YaHei, Arial, sans-serif; font-size: 16px; letter-spacing: 1px; color: rgb(123, 12, 0); font-weight: bold;">吃药和喝牛奶之间到底要避开多久?</span></span></p><p style="line-height: 1.75em; margin-top: 0px; margin-bottom: 0px; text-indent: 2em;"><span style="font-size: 16px;"><span style="color: rgba(0, 0, 0, 0.9); font-family: mp-quote, PingFang SC, system-ui, -apple-system, BlinkMacSystemFont, Helvetica Neue, Hiragino Sans GB, Microsoft YaHei UI, Microsoft YaHei, Arial, sans-serif; font-size: 16px; letter-spacing: 1px;">说明书没有明确写具体时间,这常常让大家困扰。根据这个药物在体内吸收代谢的特点,</span><span textstyle="" style="font-size: 16px; letter-spacing: 1px;">周权主任药师</span><span style="font-size: 16px; color: rgba(0, 0, 0, 0.9); font-family: mp-quote, PingFang SC, system-ui, -apple-system, BlinkMacSystemFont, Helvetica Neue, Hiragino Sans GB, Microsoft YaHei UI, Microsoft YaHei, Arial, sans-serif; letter-spacing: 0.034em;"><span textstyle="" style="font-size: 16px; letter-spacing: 1px;">建议:</span><span textstyle="" style="font-size: 16px; letter-spacing: 1px; color: rgb(123, 12, 0); font-weight: bold;">间隔4小时就足够了</span><span textstyle="" style="font-size: 16px; letter-spacing: 1px;">。</span></span></span></p><p style="line-height: 1.75em; margin-top: 0px; margin-bottom: 0px; text-indent: 2em;"><span style="font-size: 16px; color: rgba(0, 0, 0, 0.9); font-family: mp-quote, PingFang SC, system-ui, -apple-system, BlinkMacSystemFont, Helvetica Neue, Hiragino Sans GB, Microsoft YaHei UI, Microsoft YaHei, Arial, sans-serif; letter-spacing: 0.034em;"><span textstyle="" style="font-size: 16px; letter-spacing: 1px;">因为口服之后,药物的活性形式巴洛沙韦大约4小时达到血药浓度峰值,这意味着主要的吸收过程已经基本完成。所以,一个很简单的做法就是:</span><span textstyle="" style="font-size: 16px; letter-spacing: 1px; color: rgb(123, 12, 0); font-weight: bold;">服药后的头4个小时,注意避免同时喝牛奶、吃钙片或服用含铝、镁、钙离子的胃药</span><span textstyle="" style="font-size: 16px; letter-spacing: 1px;">;4小时之后,药物已经充分吸收,您就可以正常饮用牛奶等乳制品以及其他含有高价金属离子的药物了。&nbsp;完全没必要战战兢兢地忌口好几天。</span></span></p><p><br/></p><section data-mpa-template="t" mpa-data-temp-power-by="yiban.io" mpa-from-tpl="t" data-mpa-action-id="miwqmks3hqx"><section data-mpa-template="t" mpa-from-tpl="t"><section style="display: flex;justify-content: center;align-items: center;width: 100%;" data-mid="" mpa-from-tpl="t"><section style="display: flex;justify-content: flex-start;align-items: center;flex-direction: column;" data-mid="" mpa-from-tpl="t"><section style="width: 14px;height: 15px;align-self: flex-start;margin: 0px;z-index: 1;line-height: 1.75em;" data-mid="" mpa-from-tpl="t" nodeleaf=""></section><section style="padding: 8px 25px 8px 18px;background: rgb(68, 153, 231);" data-mid="" mpa-from-tpl="t"><p style="font-size: 16px; font-family: PingFangSC-Semibold, PingFang SC; font-weight: bold; color: rgb(255, 255, 255); line-height: 1.75em; text-align: center; margin-top: 0px; margin-bottom: 0px;" data-mid=""><span style="font-size: 16px; letter-spacing: 1px;">最好不要直接用矿泉水来送服<br/></span></p><p style="font-size: 16px; font-family: PingFangSC-Semibold, PingFang SC; font-weight: bold; color: rgb(255, 255, 255); line-height: 1.75em; text-align: center; margin-top: 0px; margin-bottom: 0px;" data-mid=""><span style="letter-spacing: 2px; font-size: 16px;">矿泉水含有不少钙、镁离子</span></p><p style="font-size: 16px; font-family: PingFangSC-Semibold, PingFang SC; font-weight: bold; color: rgb(255, 255, 255); line-height: 1.75em; text-align: center; margin-top: 0px; margin-bottom: 0px;" data-mid=""><span style="font-size: 16px;"><span style="font-size: 16px; letter-spacing: 1px;" mpa-is-content="t">和牛奶类似</span><span leaf="" style="font-size: 18px;"><br/></span></span></p></section><section style="width: 15px;height: 17px;align-self: flex-end;margin: 0px;line-height: 1.75em;" data-mid="" mpa-from-tpl="t" nodeleaf=""></section></section></section></section></section><p style="line-height: 1.75em; margin-top: 0px; margin-bottom: 0px; text-indent: 2em;"><span style="font-size: 16px; color: rgba(0, 0, 0, 0.9); font-family: mp-quote, PingFang SC, system-ui, -apple-system, BlinkMacSystemFont, Helvetica Neue, Hiragino Sans GB, Microsoft YaHei UI, Microsoft YaHei, Arial, sans-serif; letter-spacing: 0.034em;"><span textstyle="" style="font-size: 16px; letter-spacing: 1px;">这里还要特别提醒大家注意一个容易被忽略的细节:</span><span textstyle="" style="font-size: 16px; letter-spacing: 1px; color: rgb(123, 12, 0); font-weight: bold;">最好不要直接用矿泉水来送服这个药</span><span textstyle="" style="font-size: 16px; letter-spacing: 1px;">。因为很多矿泉水都含有不少的钙、镁离子,原理和牛奶类似。不同品牌的矿泉水,离子含量差异可能很大,但我们没必要在治病的关键时刻去“冒险”。</span><span textstyle="" style="font-size: 16px; letter-spacing: 1px; color: rgb(123, 12, 0); font-weight: bold;">最稳妥、最推荐的方法,就是用纯净水或者凉白开来送服</span><span textstyle="" style="font-size: 16px; letter-spacing: 1px;">,这样百分之百安全,没有任何相互作用的后顾之忧。</span></span></p><p style="line-height: 1.75em; margin-top: 0px; margin-bottom: 0px; text-indent: 2em;"><span style="color: rgba(0, 0, 0, 0.9); font-family: mp-quote, PingFang SC, system-ui, -apple-system, BlinkMacSystemFont, Helvetica Neue, Hiragino Sans GB, Microsoft YaHei UI, Microsoft YaHei, Arial, sans-serif; letter-spacing: 0.034em; font-size: 16px;"><span textstyle="" style="color: rgba(0, 0, 0, 0.9); font-family: mp-quote, PingFang SC, system-ui, -apple-system, BlinkMacSystemFont, Helvetica Neue, Hiragino Sans GB, Microsoft YaHei UI, Microsoft YaHei, Arial, sans-serif; font-size: 16px; letter-spacing: 1px;">此外,关于服药剂量大家也要留心:玛巴洛沙韦片是单次服用的,非常方便,但剂量需要根据体重来调整。通常,</span><span textstyle="" style="font-family: mp-quote, PingFang SC, system-ui, -apple-system, BlinkMacSystemFont, Helvetica Neue, Hiragino Sans GB, Microsoft YaHei UI, Microsoft YaHei, Arial, sans-serif; font-size: 16px; letter-spacing: 1px; color: rgb(123, 12, 0); font-weight: bold;">体重在20公斤到80公斤之间服用40毫克</span><span textstyle="" style="color: rgba(0, 0, 0, 0.9); font-family: mp-quote, PingFang SC, system-ui, -apple-system, BlinkMacSystemFont, Helvetica Neue, Hiragino Sans GB, Microsoft YaHei UI, Microsoft YaHei, Arial, sans-serif; font-size: 16px; letter-spacing: 1px;">(如果是40毫克规格药品,则1片;如果是20毫克规格,则2片),</span><span textstyle="" style="font-family: mp-quote, PingFang SC, system-ui, -apple-system, BlinkMacSystemFont, Helvetica Neue, Hiragino Sans GB, Microsoft YaHei UI, Microsoft YaHei, Arial, sans-serif; font-size: 16px; letter-spacing: 1px; color: rgb(123, 12, 0); font-weight: bold;">80公斤及以上则服用80毫克</span><span textstyle="" style="color: rgba(0, 0, 0, 0.9); font-family: mp-quote, PingFang SC, system-ui, -apple-system, BlinkMacSystemFont, Helvetica Neue, Hiragino Sans GB, Microsoft YaHei UI, Microsoft YaHei, Arial, sans-serif; font-size: 16px; letter-spacing: 1px;">(如果是40毫克规格,则2片;如果是20毫克规格,则4片)。请务必仔细阅读说明书或严格遵守医嘱。</span></span></p><p style="line-height: 1.75em; margin-top: 0px; margin-bottom: 0px; text-indent: 2em;"><span style="color: rgba(0, 0, 0, 0.9); font-family: mp-quote, PingFang SC, system-ui, -apple-system, BlinkMacSystemFont, Helvetica Neue, Hiragino Sans GB, Microsoft YaHei UI, Microsoft YaHei, Arial, sans-serif; letter-spacing: 0.034em; font-size: 16px;"><span textstyle="" style="color: rgba(0, 0, 0, 0.9); font-family: mp-quote, PingFang SC, system-ui, -apple-system, BlinkMacSystemFont, Helvetica Neue, Hiragino Sans GB, Microsoft YaHei UI, Microsoft YaHei, Arial, sans-serif; font-size: 16px; letter-spacing: 1px;">其实,目前的抗流感口服药有不同类型。像玛巴洛沙韦及其同机制的药物例如玛舒拉沙韦,虽然一次用药很方便,但确实需要注意这个与金属离子的相互作用。</span><span textstyle="" style="font-family: mp-quote, PingFang SC, system-ui, -apple-system, BlinkMacSystemFont, Helvetica Neue, Hiragino Sans GB, Microsoft YaHei UI, Microsoft YaHei, Arial, sans-serif; font-size: 16px; letter-spacing: 1px; color: rgb(123, 12, 0); font-weight: bold;">而大家更早熟悉的奥司他韦(治疗用药:每天两次,需要连服5天;预防用药:每天一次,需要连服10天),则没有这类饮食上的禁忌</span><span textstyle="" style="color: rgba(0, 0, 0, 0.9); font-family: mp-quote, PingFang SC, system-ui, -apple-system, BlinkMacSystemFont, Helvetica Neue, Hiragino Sans GB, Microsoft YaHei UI, Microsoft YaHei, Arial, sans-serif; font-size: 16px; letter-spacing: 1px;">。医生会根据您的具体情况选择最合适的药物,了解这些注意事项,是为了让药物发挥出最好的效果,而不是给大家增添烦恼。</span></span></p><section data-mpa-template="t" mpa-from-tpl="t"><section style="display: flex;justify-content: center;align-items: center;width: 100%;padding: 0px 8px 0px 8px;" data-mid="" mpa-from-tpl="t"><section style="display: flex;justify-content: flex-start;align-items: center;flex-direction: column;width: 100%;" data-mid="" mpa-from-tpl="t"><section style="width: 100%; padding: 19px 7px 18px 18px; border-width: 1px; border-style: solid; border-color: rgb(51, 51, 51);" data-mid="" mpa-from-tpl="t" data-mpa-action-id="miwquiv31hid" data-pm-slice="0 0 []"><section style="line-height: 1.75em;text-align: center;margin: 0px;" mpa-from-tpl="t"><span style="color: rgb(0, 122, 170); font-weight: bold; letter-spacing: 2px; font-size: 16px;">医生提醒</span></section><section style="line-height: 1.75em;margin: 0px;text-indent: 2em;" mpa-from-tpl="t"><span style="font-weight: bold; color: rgba(0, 0, 0, 0.9); font-family: mp-quote, PingFang SC, system-ui, -apple-system, BlinkMacSystemFont, Helvetica Neue, Hiragino Sans GB, Microsoft YaHei UI, Microsoft YaHei, Arial, sans-serif; letter-spacing: 0.034em; font-size: 16px;">甲流来袭,科学用药至关重要。</span></section><section style="line-height: 1.75em;margin: 0px;text-indent: 2em;" mpa-from-tpl="t"><span style="font-size: 18px; letter-spacing: 2px;"><span textstyle="" style="font-size: 16px; letter-spacing: 1px;">请记住两个关键点:</span><span style="justify-content: flex-start; align-items: center; flex-direction: column; text-indent: 2em; font-family: mp-quote, PingFang SC, system-ui, -apple-system, BlinkMacSystemFont, Helvetica Neue, Hiragino Sans GB, Microsoft YaHei UI, Microsoft YaHei, Arial, sans-serif; font-size: 16px; letter-spacing: 1px; color: rgb(123, 12, 0); font-weight: bold;">第一,用纯净水或凉白开送药;第二,与牛奶、钙剂等富含金属离子的食物或药物,间隔4小时即可。</span><br/></span></section></section><section style="width: 18px;height: 21px;align-self: flex-end;display: flex;justify-content: center;align-items: center;margin-right: 5px;margin-top: -26.1px;" data-mid="" mpa-from-tpl="t"><span style="font-size: 16px;"><br/></span></section></section></section></section><p><br/></p><section style="margin: 0px; padding: 0px; outline: 0px; max-width: 100%; font-size: 17px; letter-spacing: 0.544px; text-wrap: wrap; visibility: visible; caret-color: rgb(255, 0, 0); background-color: rgb(255, 255, 255); color: rgb(34, 34, 34); font-family: mp-quote, -apple-system-font, BlinkMacSystemFont, Arial, sans-serif; hyphens: auto; word-break: break-word; hyphenate-limit-chars: 6 3 3; hyphenate-character: -; line-height: 1.5em; max-inline-size: 100%; box-sizing: border-box !important; overflow-wrap: break-word !important;"><section data-mpa-md-content="t" data-mpa-md-action-id="mgc7fmbci9v" style="margin: 0px 0px 8px;padding: 0px;outline: 0px;max-width: 100%;box-sizing: border-box !important;overflow-wrap: break-word !important;"><section style="margin: 0px; padding: 0px; outline: 0px; max-width: 100%; letter-spacing: 0.544px; line-height: 1.5em; box-sizing: border-box !important; overflow-wrap: break-word !important;"><section data-pm-slice="0 0 []" style="margin: 0px; padding: 0px; outline: 0px; max-width: 100%; color: rgba(0, 0, 0, 0.9); text-align: justify; visibility: visible; font-family: PingFang SC, system-ui, -apple-system, BlinkMacSystemFont, Helvetica Neue, Hiragino Sans GB, Microsoft YaHei UI, Microsoft YaHei, Arial, sans-serif; box-sizing: border-box !important; overflow-wrap: break-word !important;"><section data-role="paragraph" style="margin: 0px 0px 0em; 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margin: 0px; padding: 0px; outline: 0px; max-width: 100%; line-height: 1.6em; clear: both; min-height: 1em; visibility: visible; letter-spacing: 0.5525px; float: none;">来源:</span><span leaf="" style="widows: 2; font-weight: 400; caret-color: rgba(0, 0, 0, 0); color: rgb(136, 136, 136); font-family: Helvetica Neue, Helvetica, Hiragino Sans GB, Microsoft YaHei, Arial, sans-serif; font-size: 16px; hyphens: auto; word-break: break-word; hyphenate-limit-chars: 6 3 3; max-inline-size: 100%; -webkit-tap-highlight-color: transparent; margin: 0px; padding: 0px; outline: 0px; max-width: 100%; line-height: 1.6em; clear: both; min-height: 1em; visibility: visible; letter-spacing: 0.5525px; float: none;">都市快报、</span><span leaf="" style="widows: 2; font-weight: 400; caret-color: rgba(0, 0, 0, 0); color: rgb(136, 136, 136); font-family: Helvetica Neue, Helvetica, Hiragino Sans GB, Microsoft YaHei, Arial, sans-serif; font-size: 16px; -webkit-tap-highlight-color: transparent; margin: 0px; padding: 0px; outline: 0px; max-width: 100%; line-height: 1.6em; clear: both; min-height: 1em; visibility: visible; letter-spacing: 0.5525px; float: none;">浙大二院</span></span></p></section></h2></section></section></section></section></section></section></section></section><p><br/></p><p><br/></p><link rel="stylesheet" href="//www.fqlook.cn/source/plugin/wcn_editor/public/wcn_editor_fit.css?v134_cKz" id="wcn_editor_css"/>

半度微凉 发表于 6 天前

间隔4小时就足够了。

阿白tg1 发表于 5 天前

化学还是要好好学
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