👨‍⚕️ Dr. BOSS 的聊天室｜Episode 08：胃潰瘍與十二指腸潰瘍

👨‍⚕️ Dr. BOSS 的聊天室｜Episode 08：胃潰瘍與十二指腸潰瘍 BOSS Doctor’s Chatroom｜Episode 08: Gastric & Duodenal Ulcers 副標 / Subtitle 👨‍⚕️ Dr. BOSS × 🐨 Koala | 潰瘍：胃與十二指腸的隱形傷口 👨‍⚕️ Dr. BOSS × 🐨 Koala | Ulcers: Hidden Wounds in the Stomach and Duodenum --- 🟦 對話稿 Dialogue（中英對照） Koala： BOSS醫生，什麼是胃潰瘍和十二指腸潰瘍？ Doctor BOSS, what are gastric and duodenal ulcers? BOSS 醫生： 潰瘍是胃或十二指腸黏膜受損形成的傷口。胃潰瘍在胃內，十二指腸潰瘍則在小腸最初的部分。 Ulcers are sores that form when the lining of the stomach or duodenum is damaged. Gastric ulcers occur in the stomach, while duodenal ulcers are in the first part of the small intestine. Koala： 會有什麼症狀呢？ What symptoms do they cause? BOSS 醫生： 常見症狀包括上腹痛、腹脹、噁心、食慾不振，嚴重時可能吐血或黑便。十二指腸潰瘍常在空腹時疼痛，胃潰瘍則可能在餐後加劇。 Common symptoms include upper abdominal pain, bloating, nausea, and loss of appetite. Severe cases can cause vomiting blood or black stools. Duodenal ulcers often hurt when fasting, while gastric ulcers may worsen after meals. --- 🟦 結構篇 Structure（中英對照） BOSS 醫生： 潰瘍可能影響胃或十二指腸的哪些部位？ Which parts are affected by ulcers? 1. 胃 Stomach 中文：胃黏膜受損，酸液刺激形成潰瘍 English: Stomach lining is damaged, ulcer formed by acid irritation 2. 十二指腸 Duodenum 中文：接胃後的小腸前段，酸液和消化酶可能破壞黏膜形成潰瘍 English: First part of the small intestine after the stomach; acid and digestive enzymes may damage the lining, causing ulcers --- 🟦 日常使用 Daily Use（中英對照） Koala： 我該如何照顧潰瘍？ How should I take care of ulcers? BOSS 醫生： 一句話：潰瘍 = 減少刺激 + 促進修復 In short: Ulcers = reduce irritation + promote healing 舉例 Examples： 避免刺激性食物 Avoid spicy, acidic, or greasy foods 定時進食，少量多餐 Eat small, frequent meals at regular times 避免吸煙和過量咖啡 No smoking, limit caffeine 遵醫囑使用抗酸或保護胃藥 Follow prescribed acid-reducing or protective medications --- 🟦 習慣與保養 Habits & Care（中英對照） BOSS 醫生： 潰瘍常見原因： Common causes of ulcers: 幽門螺旋桿菌感染 Helicobacter pylori infection 長期使用止痛藥 NSAIDs overuse 精神壓力大、作息不規律 Stress and irregular lifestyle 不良飲食習慣 Poor dietary habits 改善方式 Tips for Improvement： 根除幽門螺旋桿菌 Treat H. pylori infection if present 避免長期使用NSAIDs Limit long-term NSAID use 均衡飲食，少刺激 Balanced diet, avoid irritants 放鬆身心，規律作息 Stress reduction and regular lifestyle --- 🟦 小知識 Mini Note（中英對照） Koala： 為什麼十二指腸潰瘍空腹時疼痛？ Why do duodenal ulcers hurt when fasting? BOSS 醫生： 因為空腹時胃酸仍分泌，沒有食物緩衝，酸液直接刺激十二指腸潰瘍，引起疼痛。 When fasting, gastric acid continues to be secreted without food to buffer it, so the acid directly irritates the duodenal ulcer, causing pain.