《醫研薈萃》2021公開講座 — 免疫失衡
HKU Department of Medicine
@hkudeptmedicineAbout
一百多年前的香港正值風雨飄搖，醫療發展尚未發達，普羅大眾飽受各種頑疾困擾。香港華人西醫書院創立於1887年，目的是培育華人西醫，惠澤民生。其後西醫書院發展為香港大學醫學院，是香港歷史最悠久的高等教育機構。香港大學醫學院內科學系成立於1923年，坐落於港島之西，橫亙一個世紀，培育無數醫護專業人員，默默守護香港人民的健康福𧘲。 醫學分為不同專科，其中內科博大精深, 再細分不同科目，包括風濕科、心臟科、胸肺科、腸胃及肝臟科、腦神經科、老人科、皮膚科、腎科、血液科、內分泌科、免疫科、腫瘤科和感染科。人體生理結構錯綜複雜，所以每項分科亦是環環相扣，情況好比山川河嶽，分流相連，滙入大海。每名內科專科醫生除了對某一分科有深入細緻的了解，也對其他分科有着廣博的認識，需把各科知識融會貫通，才能作出臨床判斷。在患者出現症狀時，醫生需在病人提供的病歷、驗血報告、影像掃描等去尋找蛛絲馬跡，鉅細無遺，反覆推敲，以解決疑難雜症。診斷的過程猶如名偵探福爾摩斯探案，需經過多重步驟，抽絲剝繭，病因才能微露端倪。 學生寒窗埋首典籍數載，立志從醫的初衷是仿效華陀，以濟世為懷之心，幫助病人。香港大學醫學院致力提供最優質的教學, 與時並進, 採用最新的教學元素培訓專業人才，包括問題導向學習、臨床真實案例、解讀醫學雜誌文獻等，鼓勵學生進行自主性分析思考，以激發批判性思維。醫學院教職員循循善誘，和醫學生在知識交流中打成一片，和睦歡暢；彼此樂也融融，建立了亦師亦友的良好關係。醫學院春風化雨，提供細雨潤澤的環境，滋養著醫學生的心靈成長。 內科學系醫生除了要兼顧臨床和教學的職務，也非常重視學術研究。內科學術研究者心繫病人，努力不懈地探索，希望研究能改善大眾健康。我們時刻警惕自己，力求突破；秉承著前人的豐功偉績，精益求精。醫學教職員和醫生不屈不撓的精神讓香港大學醫學院蜚聲國際，並於 2023 年泰晤士高等教育世界大學 (Times Higher Education) 排名為全球第 13 位和 QS 世界大學排名為全球第 31 位。正如唐代詩人李商隱在七言律詩《無題》提到的「春蠶到死絲方盡，蠟炬成灰淚始乾」，醫學教職員和醫生們無私奉獻的精神造就了今天碩果纍纍的成就，猶如漫天星斗，耀眼生輝。香港大學醫學院內科人才濟濟, 精神抖擻，將繼往開來，譜出醫學史上輝煌的新樂章!
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#類風濕性關節炎 是一種慢性（長期）自體免疫疾病，大多數情況下影響關節，例如腕關節、手、腳、脊柱、膝蓋和下頜。 #藥物過敏 是指身體的 #免疫系統 對藥物有異常反應，無論是處方藥、非處方藥或草藥都可能導致藥物過敏。本集內容包括 認識類風濕性關節炎的 #新一代治療方法 和 講解 藥物過敏的 #成因與解決方案 第一節: 類風濕性關節炎: 新一代的治療 (2:00) 講者：香港大學李嘉誠醫學院內科學系名譽臨床副教授 #何紫筠醫生 2:25 類風濕關節炎與風濕的分別 及引發因素 4:56 健康關節與類風濕關節炎的不同 及病徵 8:21 診斷方法 10:24 昋港風濕學會治療類風濕關節炎 – 2019年更新方案指引 12:06 治療方法 – 藥物治療 12:28 藥物治療 – 止痛藥 15:24 藥物治療 – 控制病情的抗風濕藥 16:15 傳統抗風濕藥 – 甲氨蝶呤、柳氮磺吡啶、抗瘧疾藥、來氟米特 21:33食用皮質類固醇與皮質類固醇關節內注射療法 24:52 生物制劑注射療法 26:34 鏢靶治療 28:18 新一代抗風濕療法的安全性和副作用 31.19 非藥物治療 34:50 支援組織 35:24 總結 36:00 答問環節 第二節: 藥物過敏的問題和解決方案（52:45） 講者：香港大學李嘉誠醫學院內科學系臨床助理教授 #李曦醫生 54:25 藥物負作用不等於藥物敏感 56:31 個案分享：如何把敏感匪徒繩之以法 1:02:50 個案分享：為無辜藥物找回清白 1:08:43 香港常見引致過敏的藥物是… 1:12:31 錯誤標籤藥物過敏的危險性 1:18:20 診斷及測試方法 1:22:46 低風險盤尼西林過敏診所每年為約300病人進行測試 1:25:08 過敏科醫學會於2021年9月發出COVID-19 疫苗注射建議 1:27:42 總結 1:29:35 答問環節 #香港大學內科學系 #港大內科 #醫研薈萃 #醫學講座 #公開講座 #網上講座 #類風濕性關節炎 #藥物過敏 #免疫系統 #何紫筠醫生 #李曦醫生 #陳昭慧醫生 更多《醫研薈萃》公開講座影片，歡迎大家收看： 高血壓與痛風►►https://youtu.be/lTTedf1Q-UI 常見腸胃病及肝病►►https://youtu.be/7_73j2ZI1_8 晚期照顧►►https://youtu.be/Ppim_H4v2vY 傳染病攻略 ─ 溫故與知新►►https://youtu.be/4BFaU0g9qEE 治療乳癌跟血癌的新進展►►https://youtu.be/2V53F1fEHOI 慢性腎病知多少 - 常見成因，預防及治療►►https://youtu.be/9LUFqq4njZ4 認識常見腦科疾病 - 中風及柏金遜症►►https://youtu.be/LvSbiWgNRM8 呼吸科疾病診療之新進展►►https://youtu.be/xc9AzIpgZIU 訂閱《醫研薈萃》Youtube ►►https://www.youtube.com/channel/UCyuVCCJHPBKkUSH26lkgzoA **報紙專欄** 快速測試 減「誤判」盤尼西林敏感病例 #李曦醫生 ►►https://medic.hku.hk/en/Knowledge-Exchange/Newspaper-Columns/27-November-2021 《醫研薈萃》網站 : https://medic.hku.hk/en/Knowledge-Exchange/Public-Lecture-Series
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