糖尿病危機|糖尿病有樣睇? 醫生揭6部位變黑或患病嚴重隨時飄異味
撰文: 羅嘉欣
發布時間: 2024/08/02 18:26
最後更新: 2024/08/04 09:29
▲ 有醫生列出6部位變黑有可能代表患有糖尿病,嚴重者甚至隨時會飄出異味。
【黑色棘皮症/肥胖/糖尿病/內分泌失調/異味/胰島素阻抗/代謝症候群】身體某些部位膚色特別暗沉、粗糙,有可能是糖尿病警號!台灣有醫生指出,腋下、脖子等地方的皮膚特別暗沉、粗糙,經常會被誤以為是身體「沒洗乾淨」,但其實有可能是患上「黑色棘皮症」(Acanthosis Nigricans),而這種疾病往往與罹患糖尿病有所關聯。
最新影片:
台灣皮膚科專科醫生王佑鑫,日前在個人Facebook專頁上發文,表示「黑色棘皮症」會在皮膚的屈側部位出現棕色至灰黑色的增厚,且摸起來觸感粗糙,嚴重時甚至會夾帶異味,容易令人誤會身體「沒洗乾淨」。他續指,「黑色棘皮症」常出現在特定部位的皮膚皺褶處,以下7個部位都是常見發病處:
- 腋下
- 頸部
- 腹股溝
- 大腿內側
- 手肘
- 膝蓋
- 指關節
至於人們為甚麼會患上黑色棘皮症?王佑鑫就解釋,黑色棘皮症多半是由胰島素濃度過高或內分泌失常,引起皮膚的角質細胞及成纖維細胞異常增生,繼而導致局部皮膚變得深色及粗糙,常見於肥胖及胰島素阻抗人士身上,尤其是二型糖尿病患者。不過,黑色棘皮症亦有可能與遺傳因素或特定的藥物使用相關,常見成因包括體重過重、糖尿病、藥物誘發、多囊卵巢綜合症及代謝症候群(如高血壓、高血糖及膽固醇異常等),還有可能是惡性腫瘤導致。
那麼黑色棘皮症又該如何治療?王佑鑫就建議視乎不同成因對症下藥,如果是體重過重、代謝症候群等患者,應認真進行飲食控制及規律運動;內分泌異常的患者應先治療疾病,才能改善肌膚;如果是由藥物誘發,則必須與主診醫生討論調整配方,切記不能擅自停藥、減藥或改藥。此外,即使排除上述原因,水楊酸、果酸換膚、雷射等療程等亦可在一定程度上改善症狀,有需要時可尋求專業皮膚科醫師診斷,透過藥物或醫美治療改善。
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同場加映:4大不良習慣恐誘糖尿病
瑞金醫院急診科副主任盛慧球強調,不少年輕糖尿病患者求醫時,多數不知道自身患有糖尿病,這些人普遍都有以下4大不良習慣,再加上一些關於感染的誘發因素,便可能發展為敗血症甚至敗血症休克:
![](https://static04.hket.com/res/v3/image/content/3800000/3801417/555_1024_600.jpg)
![](https://static04.hket.com/res/v3/image/content/3800000/3801417/14_1024_600.jpg)
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![](https://static04.hket.com/res/v3/image/content/3800000/3801417/666_1024_600.jpg)
糖尿病8大症狀
![](https://static04.hket.com/res/v3/image/content/3800000/3801417/555_1025_600.jpg)
![](https://static04.hket.com/res/v3/image/content/3800000/3801417/1_600_1024_600.jpg)
![](https://static04.hket.com/res/v3/image/content/3800000/3801417/9_600_1024_600.jpg)
![](https://static04.hket.com/res/v3/image/content/3800000/3801417/8_600_1024_600.jpg)
![](https://static04.hket.com/res/v3/image/content/3800000/3801417/6_600_1024_600.jpg)
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![](https://static04.hket.com/res/v3/image/content/3800000/3801417/5_600_1024_600.jpg)
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![](https://static04.hket.com/res/v3/image/content/3800000/3801417/666_1025_600.jpg)
8種食物可逆轉糖尿病
台灣腎臟科醫生江守山曾在其著作《生病一定要吃藥嗎?》中,分享以下8種有助逆轉糖尿病的食物:
![](https://static04.hket.com/res/v3/image/content/3800000/3801417/555_1026_600.jpg)
![](https://static04.hket.com/res/v3/image/content/3800000/3801417/1_600.jpg)
![](https://static04.hket.com/res/v3/image/content/3800000/3801417/2_600.jpg)
![](https://static04.hket.com/res/v3/image/content/3800000/3801417/3_600.jpg)
![](https://static04.hket.com/res/v3/image/content/3800000/3801417/4_600.jpg)
![](https://static04.hket.com/res/v3/image/content/3800000/3801417/5_600.jpg)
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![](https://static04.hket.com/res/v3/image/content/3800000/3801417/7_600.jpg)
![](https://static04.hket.com/res/v3/image/content/3800000/3801417/8_600.jpg)
![](https://static04.hket.com/res/v3/image/content/3800000/3801417/9_600.jpg)
![](https://static04.hket.com/res/v3/image/content/3800000/3801417/666_1026_600.jpg)
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