台灣心肌梗塞學會將於
2021年10月7日
舉辦台灣心肌梗塞學會/亞太心臟學會聯合國際前瞻研討會

TAMIS 台灣心肌梗塞學會【突破極限大師全球高峰會系列 5 】

主題：Type 2 Diabetes and Heart disease

會議連結如下：
ZOOM:
https://us02web.zoom.us/j/9996789876
線上直播網址如下
Youtube: https://www.youtube.com/channel/UCl6LnwGSOSoSFAHuIKWZIXQ/

繼續教育積分申請:台灣內科醫學會、台灣急救加護醫學會

TỪ VỰNG IELTS - CHỦ ĐỀ STRESS
PHẦN TỪ VỰNG
- to live a stress-free life: sống một cuộc sống không còn căng thẳng
- to overcome life’s challenges: vượt qua các thử thách của cuộc sống
- to stay positive: lạc quan
- the ongoing pressures of day-to-day life: những áp lực liên tục của cuộc sống hàng ngày
- to shield sb from sth: bảo vệ ai đó khỏi gì
- an essential part of life: một phần thiết yếu của cuộc sống
- to complete important tasks: hoàn thành các nhiệm vụ quan trọng
- to fail to do sth: thất bại/ không làm được việc gì
- to dampen your spirits: làm giảm tinh thần của bạn
- to feel a greater sense of control: cảm thấy mình kiểm soát sự việc tốt hơn
- to develop a realistic, practical plan: xây dựng một kế hoạch thực tế
- to fit your own needs: phù hợp với nhu cầu của riêng bạn
- to lead a more peaceful life: dẫn tới một cuộc sống bình yên hơn
- life-altering events: những sự kiện thay đổi cuộc đời
- to care for a loved one during illness: chăm sóc người thân trong thời gian bị bệnh
- to deal with a painful loss: đối phó với một mất mát đau đớn
- to live through a difficult divorce: sống qua một cuộc ly hôn đầy khó khăn
- to feel completely overwhelmed: cảm thấy hoàn toàn choáng ngợp
- to be key foundations of happiness: là nền tảng chính của hạnh phúc
- to struggle with debt: đấu tranh với nợ nần
- a period of economic instability: thời kỳ bất ổn kinh tế
- to enter a stable job market: tham gia vào một thị trường việc làm ổn định
- stress resilience: khả năng phục hồi sau một giai đoạn căng thẳng
- to provoke worry: kích động trạng thái lo lắng
- to heighten anxiety: làm tăng sự lo âu
- to make positive changes: tạo ra những thay đổi tích cực
- to increase the risk of cardiovascular disease, cancer and high blood pressure: tăng nguy cơ mắc bệnh tim mạch, ung thư và huyết áp cao
- to be vulnerable to sth: dễ bị tổn thương với cái gì
- to make good use of sth: sử dụng tốt thứ gì
- to create a positive outcome: tạo ra một kết quả tích cực
- to cultivate positive emotions: nuôi dưỡng cảm xúc tích cực
- to take constructive steps to tackle sth: thực hiện các bước mang tính xây dựng để giải quyết vấn đề gì
- to make time for sth: dành thời gian cho
- to recover from a period of pressure: phục hồi sau một thời gian áp lực
- to establish a good rapport with sb: thiết lập mối quan hệ tốt với ai
- to do a great deal of harm: gây ra nhiều thiệt hại
- to instill a sense of confidence: làm thấm nhuần niềm tin
- to suffer from an anxiety disorder: bị rối loạn lo âu

PHẦN VÍ DỤ: https://ielts-nguyenhuyen.com/tu-vung-ielts-chu-de-stress/
#ieltsnguyenhuyen

Taiwan reported seven new #COVID19 cases on Thursday, all contracted overseas, and zero deaths from the disease for the third consecutive day, according to the Central Epidemic Command Center (CECC).
https://focustaiwan.tw/society/202109300008

今月はなかなか動画が作れず、事後報告になりすみません。
実は少し前にネコ吉が結膜炎と言う病気（目の粘膜が炎症を起こす病気）に掛かってしまい、動画の内容の通り、つい最近まで目薬による治療を行っていました。
ネコ吉は元々虹彩メラノーシスと言う目の病気（目の虹彩の色が染まる病気）を患っていますが、今回の病気はそれとは関係がなく、病院で処方された目薬を差していればすぐに良くなるだろう‥と考えていたら、これがなかなか治らず、ずっと涙も止まらなかったので大変心配しました(T_T)

お陰様で今はもうすっかり良くなっていて、動画の後もう一度病院で診てもらい、先生お墨付きの元、目薬による治療も完全に終了。
結膜炎は猫の病気としては割と多く、やはり完治するまで平均で2～3週間ほど掛かるみたいなので、もし皆さんの家の猫さんに同じような症状が出ても、動物病院で症状に合った目薬を処方してもらい、焦らずに看てもらえれば次第に良くなっていくと思います。

わが家では初めての経験で毎日胸が痛かったので、元気になって本当に良かったです。

☆動画を見て頂き有難うございます☆
当チャンネルでは二匹の猫（ネコ吉＆ボス吉）の楽しい日常や、モノ作りが大好きな飼い主ドラ吉のDIY動画等を公開しています。基本的にお昼に公開しているのがショート動画で、夜に公開しているのがメイン動画です。
皆様に楽しんで貰えるような動画をどんどん作っていきますので、是非チャンネル登録をお願いします。

Thank you for watching our videos. On this channel, we have uploaded happy daily life videos of the two cats and DIY for Cats videos. If you like the videos, please register this channel by all means.

【Pastel Cat World】メインチャンネル
https://www.youtube.com/channel/UCq_TsRds1PuHzPfLoSqGyZw

【Pastel Cat World Ⅱ】セカンドチャンネル
https://www.youtube.com/channel/UC7xW_s3Sk3WrNGDTn4_pEhA

【ネコ吉ワールド】（公式HP）
http://xn--tck8b540n.com/

【インスタグラム】
https://www.instagram.com/pastelcatworld/

【TopBuzz】https://www.topbuzz.com/user/6618771975987511302/publish

【ネコ吉LINEスタンプ】
https://store.line.me/stickershop/author/132599

【Eng CC】と言う表記について
一部の動画のタイトルやサムネイルに入っているEng CCと言う表記は、その動画が英語字幕に対応している事を表しています。
Eng CC対応の動画では、動画再生画面右下の字幕アイコンをクリックする事で、英語字幕のオンオフが出来ます。

【当チャンネルで使用させて頂いている楽曲の提供サイト様】
DOVA-SYNDROME https://dova-s.jp/
甘茶の音楽工房 https://amachamusic.chagasi.com/
HURT RECORD https://www.hurtrecord.com/
魔王魂 https://maou.audio/
TAM Music Factory https://www.tam-music.com/
MusicMaterial http://musicmaterial.jpn.org/
OtoLogic https://otologic.jp/free/onerous-contract.html
MusMus https://musmus.main.jp/
Epidemic Sound https://www.epidemicsound.com/

💋我推薦的漱口水💋

【防口臭漱口水】TheraBreath Fresh Breath Oral Rinse
👉https://amzn.to/2JlH2Eq

【防口乾漱口水】Biotene Dry mouth
👉https://amzn.to/37g1mzu

【防牙周病漱口水】Crest Pro-Health Multi-Protection
👉https://amzn.to/37gHQmg

💋我的愛用品💋

【高路潔美白牙膏】 Colgate Optic White Renewal Toothpaste （選下面有寫enamel strength)
👉 https://amzn.to/3Bh1U5p

【抗敏感牙膏】Sensodyne Pronamel Toothpaste
👉 https://amzn.to/38iYkvh

*****牙膏一定要買新版的Colgate Optic White Renewal，舊版的比較沒有這麼好的美白效果******

【我現在用的電動牙刷】 Phillips Sonicare DiamondClean
👉 https://amzn.to/3ptTemZ

【升級版電動牙刷】 Phillips Sonicare DiamondClean Smart
👉 https://amzn.to/3lAUN04

【我用的沖牙機】 Waterpik
👉 https://amzn.to/3sTlBMy

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Disclaimer: This video is not intended to provide diagnosis, treatment or medical advice. Content provided on this Youtube channel is for informational purposes only. Please consult with a physician or other healthcare professional regarding any medical or health related diagnosis or treatment options. Information on this Youtube channel should not be considered as a substitute for advice from a healthcare professional. The statements made about specific products throughout this video are not to diagnose, treat, cure or prevent disease.

大家中秋節快樂！
之前在Totoro IG有提到過Totoro生病了。
媽媽其實在今年過年的時候就剪了影片想記錄這件事，
沒想到一拖就拖到現在了。
這幾天終於增增減減上字幕做出了這個影片，當作個小紀錄吧！
Totoro生病的來龍去脈紀錄如下(文章超級長XD)
------------------------------------------------------------------------------------------------------------
Totoro在去年10月底確診了腎衰竭。
他在去年9月底的時候先是精神不好，體重下降，水喝異常多，沒多久右腳莫名的腫起來，但是完全沒有外傷。
因為腫起的右腳有戴腳環，醫生和我們一開始都懷疑是不是在哪邊勾到拉扯到造成的，先做了基礎糞檢後吃藥觀察。
之後雖然他精神好轉了，但腳還是一直沒有好，甚至開始長出一顆小白點。
最後在醫生建議下做了抽血檢查，並對小白點做細針採樣。
結果出來，他的尿酸指數飆高到正常值的五倍多，小白點檢驗結果是尿酸的結晶，確診為腎衰竭。醫生說，看過這麼多玄鳳都很難看到一隻有這麼誇張的尿酸指數。
原來他的右腳無外傷莫名腫起，是尿酸堆積造成的痛風。
我們不停的想，是什麼原因造成的呢？

和醫生討論後，原因可能是因為他一直無法斷奶，主食一直以來都是靠人工餵鳥奶粉。而一般鳥奶粉是幼鳥用，蛋白質含量較高，長期下來對腎臟造成負擔。

他為什麼無法斷奶呢？
這個也是快五年以來一直困擾著我們的問題。他小時候一個月大左右，曾經生病不吃飯，體重只剩下瀕危的50幾克。那時媽媽先咬牙學著用軟管少量多餐灌食維持營養，甚至半夜都要爬起來餵，慢慢的讓他胖到70多克，精神體力也好很多。
當他看似恢復健康有精神，我們想讓他自己開始學吃時，卻發現他的體重會無法維持。每當掉到66克左右像是病鳥的體重，我們就不敢再繼續嘗試下去，而把奶量加回來，他的體重也才回升。
找了愛吃鬼同伴吃的津津有味給他看也沒用﹙望向咕嘰快100g的胸肌…﹚，只要我們想嘗試減量，他就會漸漸消瘦。
曾經看過醫生，檢查便便嗉囊無異常，詢問了這個狀況開怎麼處理。醫生說就只能盡量找方法讓他自己吃，但體重掉太誇張的話也只能再補奶。
Totoro一直以來除了這個問題之外，就是個活潑亂跳皮到不行的小鬼頭，所以我們在他約兩三歲的時候漸漸放棄了嘗試，現在非常後悔於自己的無知和短視。以前總想著，等有時間要來想辦法讓他斷奶，就算要我一顆一顆餵他也行。結果等有時間的時候已經來不及了。
一開始知道這個消息真的很崩潰，就像聽到作為我避風港的家人得到絕症般，每天看著他自責懊悔著。甚至跟老天許願，只要他多活一年，我就願意減一年性命給他。那陣子幾乎沒法好好做自己的事，只想照顧他，陪著他，心情跟著他的病況時好時壞的起伏著。
腎臟病是不可逆的，所以只能給他做支持治療，打輸液、吃降尿酸和止痛藥。
飲食方面醫生建議既然他自己沒法吃飽，就把幼鳥奶粉換成一般滋養丸，選擇蛋白質含量不要太高的打成粉泡給他吃。
前兩三個月我們幾乎每天跑醫院讓醫生給他打皮下輸液，因為他的指數雖然有下降，但還是一直沒有回到正常值之內。
看著他每次打完針腳濕濕毛亂亂的，心情很差的樣子，就會跟著很難過，
那陣子上網查了許多鳥類腎臟病的照護，隨著抽血結果不停調整尋找著適合他的飲食。
記得是在過年前左右，Totoro的指數第一次降到正常範圍內。
雖然是在及格邊緣，但還是超級開心。而我後來也跟醫生學了打輸液的方法，才大大減少了跑醫院的次數。
到現在Totoro維持著定期血檢，指數還是在邊緣上上下下的。我們根據血檢照醫生建議調整著輸液次數，也微調著飲食。
腎臟病很麻煩，給他太多營養怕他代謝不掉，但不給營養又不行，我們只能在中間小心翼翼地尋找著平衡點。
他的尿酸指數降下來後，血檢結果變成營養不良，我們嘗試著微量增加餵食濃度後尿酸又貌似會跟著增高。於是現在就維持著較低濃度的滋養丸奶，持續著每天的輸液和吃藥來達到不完全平衡但可以接受的狀態。
一方面也盡量讓他自己吃穀物，這隻雞上輩子大概是太上皇，一定要有人陪在旁邊才會願意自己吃，鳥奴們只好定時盯著他陪他吃飯。
他的精神活力現在大部份都還是很好，還是很愛磨屁屁，心情好的時候喜歡跳舞唱歌學狗叫。看著他狀況穩定，雖然血檢結果仍上上下下著，心也漸漸寬了下來。
他也讓我們學到，與其每天懊悔過去，擔心未來，珍惜現在擁有的每一刻才是最重要的。

Totoro，再來要去哪裡玩呢？



Totoro was diagnosed with kidney failure in last October, and he has gout thus his right foot is swelling.

We were nearly devastated when hearing about the news, and tried to think why he’ll have such a disease. Maybe it’s because he’d never really successfully weaning and were fed with baby parrot hand feed formula since he was born (That was a long story, he couldn’t sustain his light-already weight and eat by himself if we stop hand feeding him).
We’re having regular subcutaneous fluids and medicines to support his kidney function for almost one year until now.
Although his urid acid level is still lingering between normal and abnormal value, he is having rather stable condition in recent months, dancing and singing when he has a good mood.
The video was shoot after Totoro’s diagnosis.
Totoro teaches us that, it is better to cherish the moment we have than regret over past decision or worry what might happen in the future.
#玄鳳鸚鵡#鸚鵡腎衰竭#TotoroTheCockatiel