👨‍⚕️ Dr. BOSS 的聊天室｜Episode 19b：腸阻塞 / Bowel Obstruction

👨‍⚕️ Dr. BOSS 的聊天室｜Episode 19b：腸阻塞 / Bowel Obstruction BOSS Doctor’s Chatroom｜Episode 19b: Bowel Obstruction 副標 / Subtitle 👨‍⚕️ Dr. BOSS × 🐨 Koala | 腸道被堵住了怎麼辦？ 👨‍⚕️ Dr. BOSS × 🐨 Koala | When Your Intestine is Blocked --- 🟦 對話稿 Dialogue（中英對照） Koala： BOSS醫生，腸阻塞是什麼？怎麼會發生？ Doctor BOSS, what is a bowel obstruction, and how does it happen? BOSS 醫生： 腸阻塞是指小腸或大腸的內容物無法正常通過，可能因腫瘤、糞石、腸扭結或粘連造成。症狀包括腹脹、嘔吐、便秘和劇烈腹痛。 Bowel obstruction occurs when contents cannot pass normally through the small or large intestine. It may be caused by tumors, fecal impaction, volvulus, or adhesions. Symptoms include bloating, vomiting, constipation, and severe abdominal pain. Koala： 這樣會很危險嗎？ Is it dangerous? BOSS 醫生： 如果不及時處理，腸道可能缺血、壞死甚至穿孔，造成嚴重感染或休克，因此大多數腸阻塞需要急診處理。 If untreated, the intestine may lose blood supply, become necrotic, or perforate, leading to serious infection or shock. Most bowel obstructions require urgent medical attention. --- 🟦 結構篇 Structure（中英對照） BOSS 醫生： 腸阻塞可以發生在小腸或大腸： Bowel obstruction can occur in the small intestine or large intestine: 1. 小腸阻塞 Small Bowel Obstruction 中文：通常腹痛較劇烈、嘔吐早出現、腹脹較明顯 English: Pain is often severe, vomiting occurs early, and bloating is noticeable 2. 大腸阻塞 Large Bowel Obstruction 中文：腹脹明顯、便秘或排氣減少、疼痛可能較鈍 English: Marked bloating, constipation or reduced gas, pain may be dull 常見原因 Common Causes: 腸道粘連 Adhesions (常見於手術後) / after surgery 腫瘤 Tumors 腸扭結 Volvulus 糞石 Fecal impaction --- 🟦 日常使用 Daily Use（中英對照） Koala： 平常可以怎麼保護腸道，降低阻塞風險？ How can we protect our intestines to reduce obstruction risk? BOSS 醫生： 保持腸道通暢和健康生活習慣很重要： Maintaining bowel patency and healthy lifestyle is key: 舉例 Examples: 高纖維飲食 High-fiber diet 保持水分充足 Adequate hydration 規律運動 Regular exercise 避免過量用瀉藥 Avoid excessive laxatives 注意手術後粘連 Post-surgical adhesion awareness --- 🟦 小知識 Mini Note（中英對照） Koala： 腸阻塞為什麼會嘔吐？ Why does bowel obstruction cause vomiting? BOSS 醫生： 當腸道被阻塞時，食物和消化液無法順利通過，積聚的壓力刺激腸壁，導致反射性嘔吐。 When the intestine is blocked, food and digestive fluids cannot pass. The accumulating pressure stimulates the intestinal wall, causing reflex vomiting.