<h1><span class="16"><span style="font-family: 宋体;">下肢血管阻塞正在年輕化？久坐族最容易忽略的隱形殺手</span></span></h1>
<p class="p"><span style="font-family: 宋体;">下肢血管阻塞（周邊動脈疾病</span> PAD<span style="font-family: 宋体;">）在台灣逐年上升，過去被認為是「老人病」，但近年 </span><span style="font-family: Calibri;">30&ndash;40 </span><span style="font-family: 宋体;">歲族群發生率顯著增加。久坐、肥胖、高血脂已成為主要誘因。</span>

<p class="p"><span class="16"><span style="font-family: 黑体;">：</span><span class="15"><span style="font-family: 黑体;">樂威壯</span><span style="font-family: 黑体;">Levifil</span></span><span class="16"> </span><span class="15"><span style="font-family: 黑体;">超級犀利士希愛力</span></span><span class="16"> </span><span class="15"><span style="font-family: 黑体;">印度必利勁</span><span style="font-family: 黑体;">60mg</span></span><span class="16"> </span><span class="15"><span style="font-family: 黑体;">印度必利吉藍皮</span></span><span class="16"> </span><span class="15"><span style="font-family: 黑体;">美國黃金偉哥</span><span style="font-family: 黑体;">Viag</span></span><span class="16"> </span><span class="15"><span style="font-family: 黑体;">GOODMAN陰莖增大丸</span></span><span style="font-family: Calibri;">● </span><span style="font-family: 宋体;">下肢血管阻塞的常見症狀</span>

<p class="p"><span class="16"><span style="font-family: 宋体;">走一小段路就小腿痠、痛，休息後改善</span></span>

<p class="p"><span class="16"><span style="font-family: 宋体;">腳冰冷、麻木、皮膚蒼白或發紫</span></span>

<p class="p"><span class="16"><span style="font-family: 宋体;">腳趾傷口久不癒合</span></span>

<p class="p"><span class="16"><span style="font-family: 宋体;">腿毛脫落，皮膚變薄</span></span>

<p class="p"><span style="font-family: 宋体;">這些症狀往往被誤以為是肌肉疲勞或神經問題，但其實是血液供應不足。</span>

<h3><span style="font-family: 宋体;">● 造成下肢血管病變的風險因子</span></h3>
<p class="p"><span class="16"><span style="font-family: 宋体;">抽菸（最大原因）</span></span>

<p class="p"><span class="16"><span style="font-family: 宋体;">糖尿病</span></span>

<p class="p"><span class="16"><span style="font-family: 宋体;">膽固醇過高</span></span>

<p class="p"><span class="16"><span style="font-family: 宋体;">高血壓</span></span>

<p class="p"><span class="16"><span style="font-family: 宋体;">久坐少動</span></span>

<p class="p"><span style="font-family: 宋体;">尤其抽菸者罹患</span> PAD <span style="font-family: 宋体;">的機率是一般人的 </span><span style="font-family: Calibri;">2</span><span style="font-family: 宋体;">〜</span><span style="font-family: Calibri;">4 </span><span style="font-family: 宋体;">倍。</span>

<p class="p"><span class="15"><span style="font-family: 黑体;">必利劲</span></span><span class="16"> </span><span class="15"><span style="font-family: 黑体;">超級雙效希愛力</span></span><span class="16"> </span><span class="15"><span style="font-family: 黑体;">威而鋼真實效果</span></span><span class="15"><span style="font-family: 黑体;">威而柔</span></span><span class="16"> </span><span class="15"><span style="font-family: 黑体;">德國紅魔威格拉</span></span><span class="16"> </span><span class="15"><span style="font-family: 黑体;">KAMAGRA-100水果味口含片</span></span><span class="16"> </span><span class="15"><span style="font-family: 黑体;">金鑽超級艾力達雙效片</span></span><span class="16"> </span><span class="15"><span style="font-family: 黑体;">香港老中醫正品效果</span></span>

<h3><span style="font-family: 宋体;">● 如何診斷與改善？</span></h3>
<p class="p"><span style="font-family: 宋体;">醫師會以</span> <span class="16">ABI <span style="font-family: 宋体;">腳踝上臂指數</span></span> <span style="font-family: 宋体;">檢查，正常應</span>>0.9<span style="font-family: 宋体;">，低於 </span><span style="font-family: Calibri;">0.7 </span><span style="font-family: 宋体;">就可能有阻塞。</span>

<p class="p"><span style="font-family: 宋体;">改善方式包括：</span>

<p class="p"><span class="16"><span style="font-family: 宋体;">每週至少</span> 4 <span style="font-family: 宋体;">次快走訓練，持續 </span><span style="font-family: Calibri;">30</span><span style="font-family: 宋体;">～</span><span style="font-family: Calibri;">45 </span><span style="font-family: 宋体;">分鐘</span></span>

<p class="p"><span class="16"><span style="font-family: 宋体;">嚴格控糖、控脂、控血壓</span></span>

<p class="p"><span class="16"><span style="font-family: 宋体;">戒菸、減重</span></span>

<p class="p"><span class="16"><span style="font-family: 宋体;">必要時使用抗血小板藥物或血管擴張藥</span></span>

<p class="p"><span style="font-family: 宋体;">嚴重阻塞者可能需要血管支架或繞道手術。</span>

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