今天醫療保健單元，邀請老朋友、陽明大學神經藥理所兼任教授 潘懷宗來到空中，進行一個月一次的醫療新知單元，本集主題為《精細的子宮內手術挽救胎兒生命》

📻看資料按這裡！https://discovery.ettoday.net/amp/amp_news.php7?news_id=1994356
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◎精細的子宮內手術挽救胎兒生命

英國第四頻道電視台製播了一系列健康教育的影片，就如同筆者一直以來的健康界節目一樣，推廣基礎醫學常識。近期該節目介紹了倫敦的一個醫療團隊，該團隊可以執行精細的胎兒手術，給未出生的嬰兒一個健康活下去的機會。與此同時，英國每日郵報健康版記者奈特女士（Kathryn Knight）也在2021年4月底，寫了一篇專欄來介紹這項已經相當成熟的手術，大家可以想像一下，對於一位懷孕的準媽媽來說，當產檢醫師說，對不起，您的寶寶有嚴重問題，恐怕會危及生命時，他的心情可想而知。

胎兒手術是對子宮內未出生的胎兒所進行的一項手術，目的是想要改善患有特定先天缺陷嬰兒的出生結局，或給予活下去的機會。由於這些缺陷通常隨著胎兒的發育而加重，所以及早發現或早治療是不二法門。醫學界早在十多年前，就已經開始嘗試胎兒手術，但因為這項手術不僅僅是對手掌大小的胎兒風險很高，甚至對於母體都是相當危險的，風險包括子宮破裂、胎兒死亡、手術感染、早期分娩等等，由於需要極其精準的動作，所以英國政府早在多年前就贊助科學界，研發專門進行子宮內手術的機器手臂，讓執刀醫生能夠精準的執行各項動作，不會傷及胎兒和母親。由於機器手臂的商業化和手術的成熟度，目前已經可以執行非常多種類的不同手術。

現階段，利用胎兒手術可以治療子宮內胎兒的許多先天性缺陷，包括：羊膜帶綜合症(Amniotic band syndrome)、先天性肺囊性腺瘤樣畸形（CCAM）、先天性橫膈膜肌疝氣（Congenital diaphragmatic hernia）、先天性高氣道阻塞綜合症（Congenital high airway obstruction syndrome）、胎兒貧血、下尿路梗阻（Lower urinary tract obstruction）等等，無法全部列舉，我們期待更多的醫學進步，造福生命，筆者當持續用功為大家報告。

#運動恢復 #物理治療

哈囉各位看官大家好，我是魍魅物理治療師Amber～​
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🙋🏻‍♀️大家都希望運動後能夠縮短恢復時間以及提高運動表現，那今天Amber要來分享到底做完高強度運動後，什麼姿勢可以讓你恢復快速唷～～～​
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📍縮短運動恢復時間跟呼吸和心率是非常有相關性的，這牽涉到我們神經肌肉系統以及酸鹼平衡。​
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📙在2020年 Joana V.等學者的文獻中​
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-針對運動員在探討做完高強度間歇運動-HIIT後，這兩個姿勢（圖一: 姿勢Ａ;姿勢Ｂ）​
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❓哪一個可以快速恢復呼吸以及心律達到平衡​
（研究看HRR、VT、VCO2 ; 且運動皆在跑步機上進行）​
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📍結果發現：​
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-姿勢Ｂ的在恢復表現上是比較好的唷​
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👉🏻原因：​
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-姿勢Ｂ讓胸廓和橫隔膜能夠更加的貼合（diaphragmatic zone of apposition;ZOA）​
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-心率恢復的原因為刺激到副交感神經而讓心跳改變提升呼吸交換率​
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-手臂支撐在膝蓋上會讓腹部、肋間肌群降低使用需求而改善呼吸，而手臂的位置在先前研究已經證實會影響到呼吸功能唷～​
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🙋🏻‍♀️Amber 想說：​
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-姿勢的改變會影響到呼吸和運動恢復神經肌肉血管，現在也有很多研究針對各種不同的姿勢來看心率恢復以及副交感神經的相關變化。​
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-這次分享的研究針對高強度間歇運動跑步後的恢復，那針對足球員的運動恢復建議躺著唷，所以這真的是大有學問呀～​
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-運動恢復上其實功夫也是很多的，還是建議尋求體能相關訓練專業人員以及物理治療師唷！

Thank you Lavinia Chew for your time to give us such an informative LIVE session about CORE.

Conclusion! CORE is ❌ ABS!
CORE is the whole mid trunk of your body including your back.

We talked about:
1. *What are the common misconception about core?*
- the abs, the 6 packs
- crunches and sit ups strengthens the core
- core exercises reduces belly fat, or it's slimming
- activate by sucking in and holding your breath

2. *What is the core anyway?* 3. *Why is core so important?*
- Provide balance of your upper body and lower body
- Provide stability to your spine

4. *What happens if the core is weak and posture is bad?* 5. *What are some exercise you can do to train the core?*
- Diaphragmatic breathing
- Pelvic Tilt
- Alternate leg raises, with progression
- Bear Crawl
- Plank with breathing technique

Most of the exercises even your daily movement will need to engage core.

Strong core helps you to prevent injury and help in mobility too. Even for jogging or hiking, If you engage CORE, it will help you in those activities too.

Do practise those techniques, video down, and tag us, let us know your daily progress. We will try to help you improve.

And please comment below if there’s any more questions or topics that you would like us to do next.

Follow @lavcms IG!

#oalworkout #oalfitnessjourney #CORE #fitness #femalefitness

https://www.instagram.com/tv/CB-7xfRpms5/?utm_source=ig_web_copy_link

คำอธิบายอย่างย่อ สำหรับการฝึกหายใจด้วยท้อง
หายใจออกให้ยาว ปล่อยลมหายใจเข้าให้ไหลเข้าไปเอง
กำหนดจังหวะการหายใจเข้าออกตามสภาพร่างกาย
ไม่จำเป็นต้องตามจังหวะของคลิป
เนื้อหาโดยหมอประเวช ตันติพิวัฒนสกุล
ผลิตโดย แผนงานสร้างเสริมสุขภาพจิต สสส.

Combat Conditioning at Tiger Muay Thai: Pool WorkoutTiger Muay Thai offers a combat conditioning pool workout once a week.
A various number of workouts from swimming to shadow boxing underwater can part of the session.
Recovery in any sport is a crucial aspect of training. While some athletes have a preferred method or routine that fits their training program, recent studies have provided some scientific evidence that aquatic-based recovery workout method may actually be more beneficial over another.
Any pain-inducing inflammation from MMA, Muay Thai or any other various types of training -- whether it be muscle soreness, contusions or joint pain-- has to be flushed out of the area. Because you float in water, you can work your muscles and engage in movement, intense or relaxed, while submerged without adding further wear and tear to the troubled areas as you would on land.
An aquatic-based recovery workout reduces muscle fatigue and post-exercise pain, partly because the hydrostatic properties of water help decrease inflammation, according to a study in the “International Journal of Sports Medicine.” Dynamic range-of-motion exercises combined with diaphragmatic breathing also decrease muscular tension and increase relaxation.
The workout is ran by head strength and conditioning coach Vis Vires Athletics

www.tigermuaythai.com

A new addition to the ever popular Combat Conditioning classes is a pool recovery session ran by strength and conditioning coach, Andrew Wood. A various number of workouts from swimming to shadow boxing underwater can part of the session.

Coach Andrew Wood has been using this method for years with our fighters and has added it to our Combat Conditioning Classes.

Recovery in any sport is a crucial aspect of training. While some athletes have a preferred method or routine that fits their training program, recent studies have provided some scientific evidence that aquatic-based recovery workout method may actually be more beneficial over another.

Any pain-inducing inflammation from MMA, Muay Thai or any other various types of training -- whether it be muscle soreness, contusions or joint pain-- has to be flushed out of the area. Because you float in water, you can work your muscles and engage in movement, intense or relaxed, while submerged without adding further wear and tear to the troubled areas as you would on land.

An aquatic-based recovery workout reduces muscle fatigue and post-exercise pain, partly because the hydrostatic properties of water help decrease inflammation, according to a study in the “International Journal of Sports Medicine.” Dynamic range-of-motion exercises combined with diaphragmatic breathing also decrease muscular tension and increase relaxation.

A Jeff Sainlar film
http://www.jeffsainlar.com/
http://www.tigermuaythai.com/