菠菜和鈣一起吃較不會得結石, 咖啡加牛奶是否也比較好?

[TC]

昨天看電視 : "老師沒教的事", 是在講菠菜, 有提到說如果單單只吃菠菜, 它的草酸會被腸道吸收, 然後跑到腎臟就和鈣結合在一起, 形成草酸鈣, 久了可能形成泌尿系統結石. 但如果菠菜跟鈣一起食用, 像是柴魚片, 牛奶, 等等含鈣的東西一起吃, 不但可以減少澀味, 還可以減少腸道吸收草酸, 直接排到嗯嗯中. 由此看來, 以前的觀念說含草酸食物(菠菜, 咖啡, 茶...)不宜和鈣一起吃的觀念似乎反而不對. 那是不是也可以說咖啡加牛奶一起喝會比較好? 但是先前也有人提到說咖啡加牛奶會形成不易消化的物質, 讓胃腸不適. 所以應該是有利有弊吧.

咖啡加牛奶的報導:

"適量飲用咖啡（每天不超過兩杯）對心臟和大腦有好處。富含鈣的牛奶則是令骨骼堅固的上佳飲品。然而把牛奶和咖啡掺在一起長期飲用，則會對肝造成損害，因為這種混合會產生一種不太穩定且難以消化的乳狀液。法國人是世界上飲用咖啡加牛奶最多的，不過他們當中患肝炎的人數並不比别的國家多，原來這裡面有個小竅門：要把咖啡倒在奶裡，而不要把奶倒在咖啡裡，且最好用脱脂牛奶。這樣就可以防止牛奶在你的胃裡變質。"

我覺得他講得還是不太清楚, 咖啡倒進牛奶, 或牛奶倒進咖啡, 有何不同? 我猜想是"少量咖啡倒進牛奶"才對. 但比例應該如何比較健康, 可能要有人去研究研究了.

[歌劇迷]

要把咖啡倒在奶裡，而不要把奶倒在咖啡裡，且最好用脱脂牛奶。這樣就可以防止牛奶在你的胃裡變質。"

請問您：這中間的差異在哪兒？

我的確喝咖啡加牛奶，也是把咖啡倒入（加熱後的）牛奶中.......不過，我喜歡用全脂牛奶，那比較香。不知道全脂牛奶為何被檢討？

順便請教：我上星期因為坐姿不正，引起腰痛（很痛那種）.....去看了骨科。但是因為有稿子在昨天dued，所以沒做復健，只拿藥。昨天看到自由醫藥版說：那種藥會造成胃部問題－－尤其是我這種有潰瘍病史的人。我因此立刻停藥。請問：我是否還是應該乖乖去做復健？如果不去，是否會有嚴重後遺症？去做復健曠日費時，我幾乎沒有一次能夠做完一個療程。我是個很爛的病人我知道，但是，我能夠在家自己做點什麼嗎？（這個問題，如果您不方便回應，我可以了解.....請不必勉強回答.......我只是偷懶，絕對不是為了省錢 ）

[TC]

請問您：這中間的差異在哪兒？

咖啡加入牛奶, 可能是咖啡少牛奶多吧.

順便請教：我上星期因為坐姿不正，引起腰痛（很痛那種）.....去看了骨科。但是因為有稿子在昨天dued，所以沒做復健，只拿藥。昨天看到自由醫藥版說：那種藥會造成胃部問題－－尤其是我這種有潰瘍病史的人。我因此立刻停藥。請問：我是否還是應該乖乖去做復健？如果不去，是否會有嚴重後遺症？去做復健曠日費時，我幾乎沒有一次能夠做完一個療程。我是個很爛的病人我知道，但是，我能夠在家自己做點什麼嗎？（這個問題，如果您不方便回應，我可以了解.....請不必勉強回答.......我只是偷懶，絕對不是為了省錢 ）

那種藥是"消炎止痛藥", 是會有傷胃的副作用沒錯. 但如果不是有潰瘍病史, 或是長期大量吃, 應該都還好. 有潰瘍病史的話也可以吃普拿疼止痛也有效.

復健如果不能去做, 在家就是多休息, 勿久坐, 做做伸展運動, 多走動, 泡熱水浴, 熱敷.... 不做會不會有嚴重後遺症要看原本的病情而定吧.

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