在加拿大ND (Naturopathic Doctor) 是否可以打美白针?

发布于 2020-08-07 14:29:15

好像有听说ND打针不合法,只有MD才行?但是看到了宣传广告,咨询了下觉得价格也挺合适的,所以特地来问一下
meibaizhen-nd
另外看着好多电视台采访,感觉很有名,但是没听说过

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文一
文一 2020-08-07

安大略省的ND 有一些可以有一些不能。主要看有没有 IVIT 的执照。如果有就是可以。如果没有就是没有静脉注射药物的操作权。

链接在这里,可以自己查:ND Registerer

为什么要选有执照的地方:因为会有管理和有保险。如果真的出了问题,没有执照的人没有负责的医疗机构可以惩罚,也可能没有专门的医疗机构保险,这样消费者就卡在了一个尴尬的位置。

上门Y o o o o o 列出来的药物很详细了。回答的也很全面。

我个人的意见是,美白针/谷胱甘肽+维C可以打,但是其他类的营养针没有太大必要。

为什么这么说– 医疗讲究的是Do No Harm. 这是医生宣誓时说的一句话。对于美白针,谷胱甘肽无法口服,因为会被分解,分解后无效所以需要静脉。维C 起到辅助谷胱甘肽的效果。然而这毕竟是静脉注射,永远都有那么一丁点几率会感染。如果静脉渠道感染了,这是非常危险的一件事。任何其他的营养针的成分,都可以口服,而且身体也会正常吸收使用。没有必要静脉。静脉注射就是增加了输液感染的可能性。所以在我看来,除了谷胱甘肽需要静脉注射,其他都违反了Do no harm 的规则。

而且维生素B族明明是水溶性维他命,上个厕所就没了。我真的不明白为什么有人一定要打针。*无奈*

 

Yooooo
Yooooo 2020-08-07

ND(naturopathic doctor),中文是自然疗法医生,目前的ND在美国、加拿大等国家都开始立法注册了。ND可操作的疗法包括针剂注射、小手术、临床营养学,饮食疗法、针灸、中医药学、植物医学、水疗、植物精油疗法、物理疗法等。自然疗法医学的基本准则是确保无副作用,激发人体固有的愈合能力,解决引发疾病的根本原因,通过个体化的治疗方案全方位治愈个体,提倡健康生活方式,以及预防疾病发生。ND不主张随意手术,化学药品、电疗、放疗等伤害大的治疗方式,是在医疗内相对温和的医疗方式。
 
对于ND能不能做美白针注射这个问题,其实你并不能找到一个很明确的YES或NO的答案,因为这取决于ND给你注射的美白针配方成分。但是有一点是肯定的,ND并不是所有的药物注射能做 。在安省的Law’s of Naturopathy General Regulation中有明确的列举了ND能够注射的药品类别名称(详细信息见TABLE)。
 
要了解ND是否能够注射美白针,首先要先了解美白针的成分。当然并不是每家诊所使用的美白针都是一模一样的成分,美白针的主要成分是谷胱甘肽、传明酸和维生素 C等成分组成,通过静脉注射抑制体内黑色素的产生达到美白效果。谷胱甘肽(glutathione)和维生素C(Vitamin C)是在列表中表明的可注射类成分,但传明酸并不属于以下列表。传明酸是一种人工合成的氨基酸,目前在医学上最大的用途是起到止血剂的作用,来帮助患者快速凝血。长期使用大量传明酸的副作用也是较大的,传明酸会促使血液流动变缓,月经不调和血栓等副作用。使用仅含有主要成分为谷胱甘肽(glutathione)和维生素C(Vitamin C)的美白针同样也能达到美白的效果,但使用添加传明酸的美白效果会更加的好。使用传明酸效果好,不适用传明酸能降低副作用,这也是为什么有些美白针的配方里使用传明酸而有些确不使用的原因。总结就是如果ND在给你注射的美白针中添加了除列表外的成分,那么你就要对这美白针成分安全比例做一个考量了,所以在打之前请先了解一下自己打的美白针的成分配方。
 
TABLE
prescribed Substances that may be Administered by Injection

Substance Route of Administration Limitation
Acetylcysteine Intravenous Must be in combination with other amino acids.
Adenosine triphosphate Intravenous No limitation specified.
Alanine Intravenous Must be in combination with other amino acids.
Arginine Intravenous Must be in combination with other amino acids.
Aspartic Acid Intravenous Must be in combination with other amino acids.
Atropine Intravenous Administered to a patient by the member in his or her office only in emergency circumstances. In an emergency, administer 0.5-1 mg q3-5 min. Dose must be 0.5 mg or higher but must not exceed 2 mg. 
Biotin Intravenous No limitation specified.
Calcium Chloride Intravenous No limitation specified.
Calcium Gluconate Intravenous No limitation specified.
Calcium Glycerophosphate Intravenous No limitation specified.
Carbohydrates in sodium chloride solution Intravenous No limitation specified.
Chromium Intravenous No limitation specified.
Copper Sulfate Intravenous No limitation specified.
Cupric Chloride Intravenous No limitation specified.
Dextrose Injection Intravenous No limitation specified.
Diphenhydramine Hydrochloride Intravenous, Intramuscular Administered to a patient by the member in his or her office only in emergency circumstances with a maximum dose of 100 mg.
Epinephrine Hydrochloride Intramuscular Administered to a patient by the member in his or her office only in emergency circumstances with a maximum dose of 1.5 mg.
Ferrous Sulphate Intramuscular Must be administered by z-track only.
Folic Acid Intravenous, Intramuscular No limitation specified.
Glutamine Intravenous Must be in combination with other amino acids.
Glutamic Acid Intravenous Must be in combination with other amino acids.
Glycine Intravenous Must be in combination with other amino acids.
Glutathione Intravenous, Intramuscular No limitation specified.
Histidine Intravenous Must be in combination with other amino acids.
Hydrochloric Acid Intravenous In ratio of 1:1000 or 1:500.
Isoleucine Intravenous Must be in combination with other amino acids.
L-Tryptophan Intravenous No limitation specified.
Lactated Ringer’s Solution Intravenous No limitation specified.
Leucine Intravenous Must be in combination with other amino acids.
Levocarnitine and its salts Intravenous No limitation specified.
Lysine Intravenous Must be in combination with other amino acids.
Magnesium Sulfate Intravenous, Intramuscular Must never be administered by the member for the treatment of eclampsia or pre-eclampsia.
Magnesium Chloride Intravenous, Intramuscular Must never be administered by the member for the treatment of eclampsia or pre-eclampsia.
Manganese Intravenous No limitation specified.
Methionine Intravenous Must be in combination with other amino acids.
Molybdenum Intravenous No limitation specified.
Ornithine Intravenous Must be in combination with other amino acids.
Phenylalanine Intravenous Must be in combination with other amino acids.
Potassium Chloride Intravenous In dosage form not more than 0.3 mEq/kg/hr.  Must never be administered as a single agent or by intravenous push.
Potassium Phosphate Intravenous In dosage form not more than 0.3 mEq/kg/hr. Must never be administered as a single agent or by intravenous push.
Proline Intravenous Must be in combination with other amino acids.
Ringer’s Solution (sodium, chloride, potassium and calcium) Intravenous No limitation specified.
Saline Solution Intravenous, Intramuscular No limitation specified.
Selenium Intravenous No limitation specified.
Serine Intravenous Must be in combination with other amino acids.
Sodium Bicarbonate Intravenous No limitation specified.
Sodium Iodide Intravenous Must be in combination with other minerals.
Sterile Water Intravenous, Intramuscular Must be in combination with other substances.
Strontium and its salts Intravenous No limitation specified.
Taurine Intravenous No limitation specified.
Threonine Intravenous Must be in combination with other amino acids.
Vanadium Intravenous Must be in combination with other minerals.
Viscum Album Intravenous, Subcutaneous No limitation specified.
Vitamin A Intravenous Maximum daily dose of 10,000 International Units.
Vitamin B1 Intravenous No limitation specified.
Vitamin B2 Intravenous No limitation specified.
Vitamin B3 Intravenous No limitation specified.
Vitamin B5 Intravenous No limitation specified.
Vitamin B6 Intravenous No limitation specified.
Vitamin B12 Intravenous, Intramuscular No limitation specified.
Vitamin C Intravenous Must administer no more than 15 g per day when patient’s G6PD is deficient.
Vitamin D Intravenous, Intramuscular No limitation specified.
Vitamin E Intravenous No limitation specified.
Vitamin K1 Intramuscular No limitation specified.
Zinc Chloride Intravenous No limitation specified.
Zinc Sulphate Intravenous No limitation specified.

(Reference: https://www.ontario.ca/laws/regulation/150168)
 

命犯桃花
命犯桃花 2020-08-07

其实护士Nurse Practioner就可以呀,ND反而不行了? 😛 

boomqueen
boomqueen 2020-08-07

应该是不行的。但是依然有广告会这么打,比如:
冷医生
但是网站业务中又不曾提到:
冷医生介绍
让我们来看一眼bio:

冷医师 (Carry Leng) 出生于中医世家,于中医学院毕业后移居加拿大,至今近10年。祖母是当地知名中医,尤其擅长儿科和各类疑难杂症。
在临床中结合祖传的中医技术及董氏奇穴、刘氏头针等各类中医学派的精髓,自创系统疗法,强调修复人体系统功能以加速局部病情的康复,减少疾病的复发机率,对于各类痛症有其快速而有效的一套系统治疗康复方法。用药秉承经典,推广经方,使用安全检测过的科学中药,对于慢性病有良好的效果,减少和避免对西药的依赖。
2015年冷医师加入了北美自然医美协会,倡导用自然医学美容针灸方式(韩国INNO医生的微针整容)达到脸部微整容的效果,做到无任何副作用及风险来保持脸部的最佳状态。

可能不是本人做吧…

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