12399456https://www.upal.com.my/zh/feeds/jobFeedKwongwahArray
(
[0] => HTTP/1.1 200 OK
[1] => Date: Sat, 30 Nov 2024 10:33:28 GMT
[2] => Content-Type: text/xml; charset=utf-8
[3] => Connection: close
[4] => Vary: Accept-Encoding
[5] => X-Powered-By: PHP/7.4.33
[6] => Cache-Control: no-cache, private
[7] => Set-Cookie: UpalLiveSession=eyJpdiI6IjhaT1VPazRmaHpuclJFOURKK3NLblE9PSIsInZhbHVlIjoid3Ryb3JsM2lQalpueVZoa1VcLzVpR3dUR1NHRjhXY0ZGU254T0V4a0F6RUM2bkVGZGhyV3JpMXF5VkpOTUdLcE9RVVJLMWNKVTNiQ1IzN0NEWVBNa05RPT0iLCJtYWMiOiIyMjJkNjc2ZTY1MGEwMDA0YzNlNjI4NWExYmU5ZGY5NTFhYWMyZWFmOGFhMjMwZjBjZjQ0NTVjNDlkMWUwMjYwIn0%3D; expires=Tue, 30-Nov-2027 10:33:28 GMT; Max-Age=94608000; path=/; HttpOnly
[8] => X-Frame-Options: SAMEORIGIN
[9] => X-XSS-Protection: 1; mode=block
[10] => X-Content-Type-Options: nosniff
[11] => Referrer-Policy: no-referrer-when-downgrade
[12] => CF-Cache-Status: DYNAMIC
[13] => Report-To: {"endpoints":[{"url":"https:\/\/a.nel.cloudflare.com\/report\/v4?s=fS6kwLilz4AgPqDlCj0Xftw8jnT6kOYKK64Fj09DUJAMhVBLGAutiuMw8XGFp81X3mmO6gHXv%2F9RMCJZbHQ4jLbThZR6S%2BFJx7wF1KNMS9WXjSRYkKJKk9sLgU3qKROPqCk%3D"}],"group":"cf-nel","max_age":604800}
[14] => NEL: {"success_fraction":0,"report_to":"cf-nel","max_age":604800}
[15] => Server: cloudflare
[16] => CF-RAY: 8eaa2ded5bde0fe8-LAX
[17] => alt-svc: h3=":443"; ma=86400
[18] => server-timing: cfL4;desc="?proto=TCP&rtt=205668&min_rtt=205571&rtt_var=57918&sent=5&recv=6&lost=0&retrans=0&sent_bytes=2999&recv_bytes=756&delivery_rate=14087&cwnd=33&unsent_bytes=0&cid=26613cf54c7978f3&ts=1026&x=0"
)
789
医生,我吃那么多药都没效,真想干脆一次全吞下去,睡着别再醒来算了。”一名70多岁妇人长年久病,吃药吃到烦,向精神科医生哭诉。诸如此类久病厌药的个案,医生需不断给病人心理建设,防止他们轻率做傻事。
年近8旬的陈老太太,光是治筋骨酸痛、眼睛酸涩及慢性支气管炎等病的药物,就摆满床头柜,从早到晚药不离口,经常哀叹。
因久病厌药而到精神科求诊的长辈越来越多,当中以中风、失能或罹癌的老人居多。他说,这名老太太看诊边掉泪说,有高血压及糖尿病,每周还要洗肾3天,经常睡不着,药吃很多,但还是没好,不仅自己难过还拖累家人,很想一次把药全吞了,睡着后干脆别醒来。说着说着,老泪纵横。
医生说,约6成1老人看完诊会拿3到5种药,失能老人有8成会开5种以上的药物,3成8开10种以上药。说老人吃的药比米饭还多,虽是玩笑话,但不难看出长辈长期服药的身心负担。
长者多数不只一种疾病,服用多种药物,但会到久病“厌”药,应该还是与忧郁症有关。年纪大的人因为病痛多,加上心理、社会因素,忧郁症比率较高,病痛与忧郁又形成恶性循环。但多数忧郁老人不会到精神科就医,是更值得关怀的一群。
有些忧郁症老人“逛”医院,吃了这家的药觉得没效,又换别家,事实上,可能是忧郁症产生的头痛、食欲不振等症状,却因没有到精神科就诊,对症下药,怎么吃药也吃不好。
有些医院会在门诊协助病人整合药物,避免重复用药,目前健保云端药历也让医师可查出是否有重复开药的情况。同时提醒民众,家中老人如果常有“吃这么多药不如去死”抱怨,家人应多关怀、情况严重时应陪同到精神科就诊。
找工作, 就找这里!
› 立即申请
- GMBB Part Timer
- Event
- Kuala Lumpur
-
MYR 100.00 /Day
› 立即申请
- Social Media Marketing Executive
- Advertising & Marketing
- Kuala Lumpur
-
MYR 6K /Month
› 立即申请
- PHP Software Developer
- Information Technology
- Wilayah Persekutuan
-
MYR 6K /Month
› 立即申请
- DevOps Software Engineer
- Information Technology
- Kuala Lumpur
-
MYR 6.5K /Month
› 立即申请
- Java Software Engineer
- Information Technology
- Kuala Lumpur
-
MYR 10K /Month
› 立即申请
- 软件测试与客户支持专员 Software Testing & Customer Support Specialist
- Information Technology
- Kuala Lumpur
-
MYR 3K /Month
› 立即申请
- Gallery Sitter
- Event
- Kuala Lumpur
-
MYR 100.00 /Day
› 立即申请
- Cashier and Kiosk Management for Kiosk
- Event
- Kuala Lumpur
-
MYR 100.00 /Day
› 立即申请
- Curated Store
- Event
- Kuala Lumpur
-
MYR 100.00 /Day
//
//
//
//