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body_diff: "[{\"diffs\":[[1,\"<html>\\\r\\\n<head>\\\r\\\n  <title>睡前6小時別喝太多水！泌尿科醫師：夜尿平均超過2次恐是「夜尿症」上身 | 信傳媒</title>\\\r\\\n  <basefont face=\\\"微软雅黑\\\" size=\\\"2\\\" />\\\r\\\n  <meta http-equiv=\\\"Content-Type\\\" content=\\\"text/html;charset=utf-8\\\" />\\\r\\\n  <meta name=\\\"exporter-version\\\" content=\\\"YXBJ Windows/608924 (zh-CN, DDL); Windows/10.0.0 (Win64); EDAMVersion=V2;\\\"/>\\\r\\\n  <style>\\\r\\\n\\tbody, td {\\\r\\\n\\t  font-family: 微软雅黑;\\\r\\\n\\t  font-size: 12pt;\\\r\\\n\\t}\\\r\\\n  </style>\\\r\\\n</head>\\\r\\\n<body>\\\r\\\n<a name=\\\"19698\\\"></a>\\\r\\\n<h1>睡前6小時別喝太多水！泌尿科醫師：夜尿平均超過2次恐是「夜尿症」上身 | 信傳媒</h1>\\\r\\\n\\\r\\\n<div><span>\\\n  <div style=\\\"--en-clipped-content:simplified; --en-clipped-source-url:https://www.cmmedia.com.tw/home/articles/29159?utm_source=YH; --en-clipped-source-title:睡前6小時別喝太多水！泌尿科醫師：夜尿平均超過2次恐是「夜尿症」上身 | 信傳媒;\\\">\\\n<div><br/></div><div style=\\\"min-height: 1561px; font-size: 16px; display:block; min-width: 100%;\\\"> <div style=\\\"background-color:transparent;font:inherit;vertical-align:baseline;\\\"><div style=\\\"background-color:transparent;font:inherit;vertical-align:baseline;font-family:&quot;PT Serif&quot;;font-size:16px;line-height:1.5em;color:rgb(31, 9, 9);text-align:left;\\\"><div style=\\\"margin:0px;padding:0px;border:0px;font:inherit;vertical-align:baseline;\\\"><div style=\\\"margin:0px;padding:0px;border:0px;font:inherit;vertical-align:baseline;width:36em;z-index:200;padding-left:2em;padding-right:2em;margin-left:auto;margin-right:auto;position:relative;\\\"><div style=\\\"margin:0px;padding:0px;border:0px;font:inherit;vertical-align:baseline;position:relative;margin-left:-25px;margin-right:25px;\\\"><div style=\\\"margin:0px;padding:0px;border:0px;font:inherit;vertical-align:baseline;padding-top:0px;padding-bottom:9em;position:relative;\\\"><div style=\\\"margin:0px;padding:0px;border:0px;font:inherit;vertical-align:baseline;margin-bottom:1.5em;\\\"><div style=\\\"margin:0px;padding:0px;border:0px;font:inherit;vertical-align:baseline;position:relative;margin-bottom:0px;\\\"><div style=\\\"margin:0px;padding:0px;border:0px;font:inherit;vertical-align:baseline;margin-bottom:0px;\\\"><div style=\\\"margin:0px;padding:0px;border:0px;font:inherit;vertical-align:baseline;margin-bottom:0px;\\\"><h1 style=\\\"font-family:&quot;PT Serif&quot;;text-align:left;border:0px;font:inherit;vertical-align:baseline;font-size:35px;font-weight:normal;line-height:35px;margin-bottom:20px;padding:0px;margin:0px;\\\">睡前6小時別喝太多水！泌尿科醫師：夜尿平均超過2次恐是「夜尿症」上身 | 信傳媒</h1><div style=\\\"padding:0px;border:0px;font:inherit;vertical-align:baseline;position:relative;height:1em;line-height:1;text-align:center;margin:0px;padding-top:1.5em;padding-bottom:1.5em;margin-bottom:0px;\\\"><div style=\\\"padding:0px;border:0px;font:inherit;vertical-align:baseline;background:-webkit-linear-gradient(0deg, rgb(243, 242, 238) 1%, rgb(31, 9, 9) 50%, rgb(243, 242, 238) 99%);position:absolute;left:-4em;top:50%;z-index:10;width:100%;padding-left:4em;padding-right:4em;height:0.1em;opacity:0.5;margin:0px;margin-bottom:0px;\\\"><span style=\\\"font:inherit;position:absolute;left:-4em;top:50%;z-index:10;width:100%;padding-left:4em;padding-right:4em;height:0.1em;margin:0px;opacity:0.5;background:-webkit-linear-gradient(0deg, rgb(243, 242, 238) 1%, rgb(31, 9, 9) 50%, rgb(243, 242, 238) 99%);\\\"></span></div></div></div><div style=\\\"margin:0px;padding:0px;border:0px;font:inherit;vertical-align:baseline;margin-bottom:1.5em;\\\"><span style=\\\"margin:0px;padding:0px;border:0px;font:inherit;vertical-align:baseline;\\\">信傳媒編輯部</span><span style=\\\"margin:0px;padding:0px;border:0px;font:inherit;vertical-align:baseline;\\\">2021-08-08 14:01</span><div style=\\\"margin:0px;padding:0px;border:0px;font:inherit;vertical-align:baseline;margin-bottom:0px;\\\"><div style=\\\"margin:0px;padding:0px;border:0px;font:inherit;vertical-align:baseline;margin-bottom:0px;\\\">醫師指出，只要平均夜尿超過2次就需要就醫瞭解是否有「夜尿症」的狀況。（圖片來源／sunsun@photoAC）</div></div></div><blockquote style=\\\"margin:0px;padding:0px;border:0px;font:inherit;vertical-align:baseline;quotes:none;margin-bottom:1.5em;font-style:italic;border-left:5px solid;margin-left:2em;padding-left:1em;\\\"><span style=\\\"font:inherit;quotes:none;font-style:italic;\\\"></span><p style=\\\"margin:0px;padding:0px;border:0px;font:inherit;vertical-align:baseline;margin-bottom:1.5em;\\\"><strong style=\\\"margin:0px;padding:0px;border:0px;font:inherit;vertical-align:baseline;font-weight:bold;\\\">一天早上門診，一個年約60歲的伯伯，身形不高、中等身材，頂著一個「慈祐宮」的帽子進來，看起來十分的疲倦。</strong></p><p style=\\\"margin:0px;padding:0px;border:0px;font:inherit;vertical-align:baseline;margin-bottom:1.5em;\\\"><strong style=\\\"margin:0px;padding:0px;border:0px;font:inherit;vertical-align:baseline;font-weight:bold;\\\">「伯伯早安，今天哪裡不舒服嗎？」我微笑問到。</strong></p><p style=\\\"margin:0px;padding:0px;border:0px;font:inherit;vertical-align:baseline;margin-bottom:1.5em;\\\"><strong style=\\\"margin:0px;padding:0px;border:0px;font:inherit;vertical-align:baseline;font-weight:bold;\\\">「我一個晚上可以7次。」伯伯看起來有點絕望地說。</strong></p><p style=\\\"margin:0px;padding:0px;border:0px;font:inherit;vertical-align:baseline;margin-bottom:1.5em;\\\"><strong style=\\\"margin:0px;padding:0px;border:0px;font:inherit;vertical-align:baseline;font-weight:bold;\\\">我心想難道他的意思是晚上跟太太7次嗎？是因為太頻繁而困擾？「伯伯你晚上7次是跟太太？」我說。</strong></p><p style=\\\"margin:0px;padding:0px;border:0px;font:inherit;vertical-align:baseline;margin-bottom:0px;\\\"><strong style=\\\"margin:0px;padding:0px;border:0px;font:inherit;vertical-align:baseline;font-weight:bold;\\\">「不是啦，是我一個晚上起來尿尿7次啦！」 </strong></p><span style=\\\"font:inherit;quotes:none;font-style:italic;\\\"></span></blockquote><p style=\\\"margin:0px;padding:0px;border:0px;font:inherit;vertical-align:baseline;margin-bottom:1.5em;\\\">你是否曾經在睡眠中，因為想上廁所驚醒，而上完廁所後又躺回床上想要睡著呢？這樣的情形我們就成為一次的「夜尿」。<strong style=\\\"margin:0px;padding:0px;border:0px;font:inherit;vertical-align:baseline;font-weight:bold;\\\">醫學上只要平均夜尿超過2次，就是需要治療的症狀了。</strong>夜尿除了會造成長期的睡眠不足之外，也會造成憂鬱、高血壓、心臟病甚至造成跌倒骨折等問題，是一個不可輕忽的疾病。</p><p style=\\\"margin:0px;padding:0px;border:0px;font:inherit;vertical-align:baseline;margin-bottom:1.5em;\\\">夜尿不但很惱人也常常是很多疾病的表徵，初步原因可以大致分為三類：夜間尿量過多、膀胱容積過小或是以上兩者的混合。夜間尿量過多可能是由於心臟衰竭、睡眠呼吸中止症、尿崩症、或是抗利尿激素分泌不足所造成的。膀胱容積過小可能是由攝護腺肥大、膀胱過動症、膀胱結石等問題所引起的。臨床上治療夜尿最重要的是找到可能的病因並且對症下藥。</p><p style=\\\"margin:0px;padding:0px;border:0px;font:inherit;vertical-align:baseline;margin-bottom:1.5em;\\\">在求診之前有夜尿的病患可以嘗試先用生活習慣調整的方式來減輕自己的症狀。可以做的方式有：</p><p style=\\\"margin:0px;padding:0px;border:0px;font:inherit;vertical-align:baseline;margin-bottom:1.5em;\\\"><strong style=\\\"margin:0px;padding:0px;border:0px;font:inherit;vertical-align:baseline;font-weight:bold;\\\"><span style=\\\"margin:0px;padding:0px;border:0px;font:inherit;vertical-align:baseline;background-color:rgb(234, 226, 96);transition:background-color 0.4s ease 0s;color:black;font-weight:inherit;font-style:unset;-evernote-highlight:true;\\\" title=\\\"点击以取消高亮显示\\\">1. 睡前6小時盡量減少水分的攝取，才不會在睡眠中產生太多的尿液。</span></strong></p><p style=\\\"margin:0px;padding:0px;border:0px;font:inherit;vertical-align:baseline;margin-bottom:1.5em;\\\"><strong style=\\\"margin:0px;padding:0px;border:0px;font:inherit;vertical-align:baseline;font-weight:bold;\\\"><span style=\\\"margin:0px;padding:0px;border:0px;font:inherit;vertical-align:baseline;background-color:rgb(234, 226, 96);transition:background-color 0.4s ease 0s;color:black;font-weight:inherit;font-style:unset;-evernote-highlight:true;\\\" title=\\\"点击以取消高亮显示\\\">2. 睡前一定要排尿，睡前的膀胱如果太過滿漲，就可能會在睡眠當中因為膀胱太滿溢而驚醒。</span></strong></p><p style=\\\"margin:0px;padding:0px;border:0px;font:inherit;vertical-align:baseline;margin-bottom:1.5em;\\\"><strong style=\\\"margin:0px;padding:0px;border:0px;font:inherit;vertical-align:baseline;font-weight:bold;\\\"><span style=\\\"margin:0px;padding:0px;border:0px;font:inherit;vertical-align:baseline;background-color:rgb(234, 226, 96);transition:background-color 0.4s ease 0s;color:black;font-weight:inherit;font-style:unset;-evernote-highlight:true;\\\" title=\\\"点击以取消高亮显示\\\">3. 不要在傍晚以後飲用含有咖啡因的飲料或是酒精類飲料。</span></strong></p><p style=\\\"margin:0px;padding:0px;border:0px;font:inherit;vertical-align:baseline;margin-bottom:1.5em;\\\"><strong style=\\\"margin:0px;padding:0px;border:0px;font:inherit;vertical-align:baseline;font-weight:bold;\\\">如果以上三者都已經做到，但是仍然有夜尿的問題就建議到泌尿科門診求診。</strong></p><p style=\\\"margin:0px;padding:0px;border:0px;font:inherit;vertical-align:baseline;margin-bottom:1.5em;\\\">夜尿的治療主要是針對各種不同的原因來量身治療。例如攝護腺肥大可以利用藥物或手術治療、膀胱容積過小可以利用藥物或是手術的方式來增加膀胱的容量、睡眠呼吸中止症可以使用睡眠輔具或是手術治療等等。</p><p style=\\\"margin:0px;padding:0px;border:0px;font:inherit;vertical-align:baseline;margin-bottom:1.5em;\\\">建議有這類問題的民眾不需要忍耐，可以先到泌尿科門診作初步的檢查要對症下藥才能獲得最好的生活和睡眠品質。</p><blockquote style=\\\"margin:0px;padding:0px;border:0px;font:inherit;vertical-align:baseline;quotes:none;font-style:italic;border-left:5px solid;margin-left:2em;padding-left:1em;margin-bottom:0px;\\\"><span style=\\\"font:inherit;quotes:none;font-style:italic;\\\"></span><p style=\\\"margin:0px;padding:0px;border:0px;font:inherit;vertical-align:baseline;margin-bottom:0px;\\\"><strong style=\\\"margin:0px;padding:0px;border:0px;font:inherit;vertical-align:baseline;font-weight:bold;\\\">原文作者為臺北醫學大學附設醫院 泌尿科主治醫師 顧芳瑜，本文轉載自《北醫附醫健康報》</strong></p><span 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