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生理適應 · HARD · SATA

視網膜剝離術後的病人,哪些活動是不建議的?(選所有適合的)

Which of the following activities are discouraged for a client with a recent detached retina? (Select all that apply.)

  • AHeavy lifting✓ 正解
    搬運重物
  • BStraining during bowel movements✓ 正解
    排便時用力
  • CBending at the waist✓ 正解
    彎腰
  • DReading or writing
    閱讀或書寫
  • ELight walking
    輕度散步
Explanation · 中文詳解

視網膜剝離術後應避免會增加眼壓或造成眼球快速移動的活動:A. 搬重物會升高腹壓進而眼壓;B. 解便用力(Valsalva)會顯著升高眼壓;C. 彎腰使頭部血流增加並升高眼壓。其他:D. 一般閱讀與書寫並非禁忌——只需避免快速大幅度眼球運動,正常閱讀對視網膜癒合不會造成顯著傷害;E. 輕度行走是被鼓勵的活動,可預防血栓且不增加眼壓。

After retinal detachment surgery, the client should avoid activities that raise intraocular pressure or cause rapid eye movement: A. heavy lifting increases intra-abdominal and thus intraocular pressure; B. straining during defecation (Valsalva maneuver) significantly elevates intraocular pressure; C. bending at the waist increases blood flow to the head and raises intraocular pressure. Regarding the others, D. ordinary reading and writing are not contraindicated — only rapid, large-amplitude eye movements need to be avoided, and normal reading does not significantly impair retinal healing; E. light walking is encouraged because it prevents thrombosis and does not raise intraocular pressure.

✦ 台美臨床差異

美台眼科衛教一致,皆強調避免眼壓升高的活動。

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