👨‍⚕️ Dr. BOSS 的一般外科衛教室｜Episode 06：嚴重憩室炎手術

👨‍⚕️ Dr. BOSS 的一般外科衛教室｜Episode 06：嚴重憩室炎手術 Dr. BOSS’s General Surgery Health Classroom｜Episode 06: Severe Diverticulitis Surgery 副標 / Subtitle 👨‍⚕️ Dr. BOSS × 🐨 Koala | 憩室炎：大腸「小口袋」的發炎風險 👨‍⚕️ Dr. BOSS × 🐨 Koala | Diverticulitis: Inflamed “Little Pockets” in the Colon --- 🟦 對話稿 Dialogue（中英對照） Koala： BOSS醫生，憩室炎是什麼？ Doctor BOSS, what is diverticulitis? BOSS 醫生： 憩室是大腸壁上形成的小囊袋，當這些囊袋發炎或感染，就會出現憩室炎。 Diverticula are small pouches in the colon wall. When these pouches become inflamed or infected, it leads to diverticulitis. Koala： 嚴重憩室炎需要手術嗎？ Does severe diverticulitis require surgery? BOSS 醫生： 對的，如果有穿孔、膿腫、反覆發作或嚴重出血，通常需要手術切除發炎段落並重新接腸。 Yes, if there’s perforation, abscess, recurrent attacks, or severe bleeding, surgery is usually needed to remove the inflamed segment and reconnect the colon. --- 🟦 診斷篇 Diagnosis（中英對照） 症狀 / Symptoms 左下腹疼痛、發燒、噁心、便秘或腹瀉。 Pain in the lower left abdomen, fever, nausea, constipation, or diarrhea. 檢查 / Examination 血液檢查、腹部CT或超音波，確認發炎程度與是否有膿腫或穿孔。 Blood tests, abdominal CT or ultrasound to assess inflammation and detect abscess or perforation. --- 🟦 治療方式 Treatment Methods（中英對照） 藥物治療 / Medical management 輕度憩室炎可使用抗生素、休息及流質飲食。 Mild diverticulitis can be treated with antibiotics, rest, and a liquid diet. 手術治療 / Surgical treatment 切除術 / Resection: 移除發炎段落，再將健康腸管重新接合（吻合）。 Resection: Remove the inflamed segment and reconnect healthy colon. 臨時造口 / Temporary ostomy: 若腸道受炎症嚴重損傷，可能暫時造口以保護吻合口。 Temporary ostomy: In severe inflammation, a temporary stoma may be created to protect the anastomosis. --- 🟦 術後照護 Postoperative Care（中英對照） 疼痛控制 / Pain management 依醫師指示使用止痛藥。 Take prescribed pain medication as directed. 飲食與活動 / Diet & activity 初期以流質或軟食為主，逐步恢復正常飲食；避免提重物 4–6 週。 Start with liquids or soft foods, gradually resume regular diet; avoid heavy lifting for 4–6 weeks. 傷口照護 / Wound care 保持清潔乾燥，注意紅腫、滲液或感染徵象。 Keep incision clean and dry; watch for redness, discharge, or infection. 復發預防 / Recurrence prevention 高纖維飲食、規律排便、保持水分充足。 High-fiber diet, regular bowel habits, stay well hydrated. --- 🟦 小知識 Mini Note（中英對照） Koala： 憩室炎為什麼會發生？ Why does diverticulitis happen? BOSS 醫生： 主要是因為大腸壓力增加或糞便滯留，導致憩室發炎。高纖飲食可降低大腸壓力，減少憩室形成和發炎風險。 It’s mainly due to increased pressure in the colon or fecal stasis, causing pouch inflammation. A high-fiber diet reduces colon pressure and lowers the risk of diverticula formation and inflammation. --- 🟦 小貼士 Quick Tip 中文：若出現左下腹劇痛、發燒、嘔吐或血便，應立即就醫，避免嚴重併發症。 English: Seek immediate medical care if you experience severe lower left abdominal pain, fever, vomiting, or blood in stool to prevent serious complications.