偏頭痛 逾八成發病前不會有徵兆
<p style="line-height: 190%;"><font face="新細明體"><span style="line-height: 190%; color: rgb(65, 65, 65); font-size: 11.5pt;">【台灣新生報／記者黃文彥／台北報導】<span style="font-weight: bold;"><br></span></span></font></p><p style="LINE-HEIGHT: 190%"><br><font face="新細明體"><span style="LINE-HEIGHT: 190%; COLOR: #414141; FONT-SIZE: 11.5pt; mso-ascii-font-family: Arial; mso-hansi-font-family: Arial; mso-bidi-font-family: Arial"><span style="font-weight: bold;"></span></span><strong><span style="LINE-HEIGHT: 190%; FONT-FAMILY: 'Arial','sans-serif'; COLOR: #0074ad; FONT-SIZE: 11.5pt" lang="EN-US"><o:p></o:p></span></strong></font></p>
<p style="LINE-HEIGHT: 190%"><strong><span style="LINE-HEIGHT: 190%; FONT-FAMILY: '新細明體','serif'; COLOR: #0074ad; FONT-SIZE: 11.5pt; mso-ascii-font-family: Arial; mso-hansi-font-family: Arial; mso-bidi-font-family: Arial">偏頭痛不一定在單側</span></strong><span style="LINE-HEIGHT: 190%; FONT-FAMILY: 'Arial','sans-serif'; COLOR: #414141; FONT-SIZE: 11.5pt"> <span lang="EN-US"><o:p></o:p></span></span></p>
<p style="LINE-HEIGHT: 190%"><span style="LINE-HEIGHT: 190%; COLOR: #414141; FONT-SIZE: 11.5pt; mso-ascii-font-family: Arial; mso-hansi-font-family: Arial; mso-bidi-font-family: Arial"><font face="新細明體">偏頭痛一定只發生在單側嗎？醫師表示不一定。</font></span><span style="LINE-HEIGHT: 190%; FONT-FAMILY: 'Arial','sans-serif'; COLOR: #414141; FONT-SIZE: 11.5pt"> <span lang="EN-US"><o:p></o:p></span></span></p>
<p style="LINE-HEIGHT: 190%"><span style="LINE-HEIGHT: 190%; COLOR: #414141; FONT-SIZE: 11.5pt; mso-ascii-font-family: Arial; mso-hansi-font-family: Arial; mso-bidi-font-family: Arial"><font face="新細明體">國泰醫院神經內科主治醫師黃柏豪醫師表示，偏頭痛英文名詞為</font></span><span style="LINE-HEIGHT: 190%; FONT-FAMILY: 'Arial','sans-serif'; COLOR: #414141; FONT-SIZE: 11.5pt" lang="EN-US">migraine</span><span style="LINE-HEIGHT: 190%; COLOR: #414141; FONT-SIZE: 11.5pt; mso-ascii-font-family: Arial; mso-hansi-font-family: Arial; mso-bidi-font-family: Arial"><font face="新細明體">，並不一定只會痛單邊，部分病患兩側都會頭痛，後腦也有可能，更常見的情況是整個頭都在痛。</font></span><span style="LINE-HEIGHT: 190%; FONT-FAMILY: 'Arial','sans-serif'; COLOR: #414141; FONT-SIZE: 11.5pt"> <span lang="EN-US"><o:p></o:p></span></span></p>
<p style="LINE-HEIGHT: 190%"><span style="LINE-HEIGHT: 190%; COLOR: #414141; FONT-SIZE: 11.5pt; mso-ascii-font-family: Arial; mso-hansi-font-family: Arial; mso-bidi-font-family: Arial"><font face="新細明體">黃柏豪醫師指出，偏頭痛與體質有關，目前醫學並未完全確定偏頭痛的因素，但可能與腦血管的收縮及放鬆有關，當腦血管收縮時病患會伴隨視覺閃光等預兆，放鬆時開始頭痛。</font></span><span style="LINE-HEIGHT: 190%; FONT-FAMILY: 'Arial','sans-serif'; COLOR: #414141; FONT-SIZE: 11.5pt"> <span lang="EN-US"><o:p></o:p></span></span></p>
<p style="LINE-HEIGHT: 190%"><span style="LINE-HEIGHT: 190%; COLOR: #414141; FONT-SIZE: 11.5pt; mso-ascii-font-family: Arial; mso-hansi-font-family: Arial; mso-bidi-font-family: Arial"><font face="新細明體">新光醫院神經內科主治醫師吳亞縈表示，偏頭痛有很多因素，最新的研究報告也有指出偏頭痛可能與三叉神經附近的神經、血管有關，儘管多數人確實只發生單側頭痛的情況，但是偏頭痛的確不會只有單側。</font></span><span style="LINE-HEIGHT: 190%; FONT-FAMILY: 'Arial','sans-serif'; COLOR: #414141; FONT-SIZE: 11.5pt"> <span lang="EN-US"><o:p></o:p></span></span></p>
<p style="LINE-HEIGHT: 190%"><span style="LINE-HEIGHT: 190%; COLOR: #414141; FONT-SIZE: 11.5pt; mso-ascii-font-family: Arial; mso-hansi-font-family: Arial; mso-bidi-font-family: Arial"><font face="新細明體">黃柏豪醫師進一步解釋，典型的偏頭痛會伴隨畏光、怕吵、視覺跳動的情況，更有部分病人可能會出現半邊麻痺、失語症的情況，但有超過百分之八十的病患在發病前不會出現任何預兆。</font></span><span style="LINE-HEIGHT: 190%; FONT-FAMILY: 'Arial','sans-serif'; COLOR: #414141; FONT-SIZE: 11.5pt"> <span lang="EN-US"><o:p></o:p></span></span></p>
<p style="LINE-HEIGHT: 190%"><span style="LINE-HEIGHT: 190%; COLOR: #414141; FONT-SIZE: 11.5pt; mso-ascii-font-family: Arial; mso-hansi-font-family: Arial; mso-bidi-font-family: Arial"><font face="新細明體">黃柏豪醫師指出，臨床上判斷偏頭痛有幾項簡單標準，包含頭痛反覆出現，頭痛過程持續</font></span><span style="LINE-HEIGHT: 190%; FONT-FAMILY: 'Arial','sans-serif'; COLOR: #414141; FONT-SIZE: 11.5pt" lang="EN-US">3</span><span style="LINE-HEIGHT: 190%; COLOR: #414141; FONT-SIZE: 11.5pt; mso-ascii-font-family: Arial; mso-hansi-font-family: Arial; mso-bidi-font-family: Arial"><font face="新細明體">小時以上，甚至長達三天，並伴隨出現噁心嘔吐的情況。</font></span><span style="LINE-HEIGHT: 190%; FONT-FAMILY: 'Arial','sans-serif'; COLOR: #414141; FONT-SIZE: 11.5pt"> <span lang="EN-US"><o:p></o:p></span></span></p>
<p style="LINE-HEIGHT: 190%"><span style="LINE-HEIGHT: 190%; COLOR: #414141; FONT-SIZE: 11.5pt; mso-ascii-font-family: Arial; mso-hansi-font-family: Arial; mso-bidi-font-family: Arial"><font face="新細明體">父母親有偏頭痛，下一代約有</font></span><span style="LINE-HEIGHT: 190%; FONT-FAMILY: 'Arial','sans-serif'; COLOR: #414141; FONT-SIZE: 11.5pt" lang="EN-US">50</span><span style="LINE-HEIGHT: 190%; COLOR: #414141; FONT-SIZE: 11.5pt; mso-ascii-font-family: Arial; mso-hansi-font-family: Arial; mso-bidi-font-family: Arial"><font face="新細明體">％機率也會有偏頭痛的情況，且女性患者比男性患者多。黃柏豪醫師表示，含有咖啡因的飲料可以減緩頭痛症狀，臨床治療則是以止痛藥為主。</font></span><span style="LINE-HEIGHT: 190%; FONT-FAMILY: 'Arial','sans-serif'; COLOR: #414141; FONT-SIZE: 11.5pt"> <span lang="EN-US"><o:p></o:p></span></span></p>
<p style="LINE-HEIGHT: 190%"><span style="LINE-HEIGHT: 190%; COLOR: #414141; FONT-SIZE: 11.5pt; mso-ascii-font-family: Arial; mso-hansi-font-family: Arial; mso-bidi-font-family: Arial"><font face="新細明體">吳亞縈醫師指出，儘管咖啡因確實能減緩頭痛，但過量也有可能引發另一次的偏頭痛，因此不建議病患以咖啡、茶等飲料來舒緩頭痛。</font></span><span style="LINE-HEIGHT: 190%; FONT-FAMILY: 'Arial','sans-serif'; COLOR: #414141; FONT-SIZE: 11.5pt"> <span lang="EN-US"><o:p></o:p></span></span></p>
<p style="LINE-HEIGHT: 190%"><span style="LINE-HEIGHT: 190%; COLOR: #414141; FONT-SIZE: 11.5pt; mso-ascii-font-family: Arial; mso-hansi-font-family: Arial; mso-bidi-font-family: Arial"><font face="新細明體">導致偏頭痛的因素不明，因此無法痊癒。黃柏豪醫師建議，生活應適度調整，避免壓力過大。吳亞縈醫師建議，每個人偏頭痛的因素不同，患者應確實做好頭痛日記，並配合醫師治療，才能降低偏頭痛找上門的機會。</font></span><span style="LINE-HEIGHT: 190%; FONT-FAMILY: 'Arial','sans-serif'; COLOR: #414141; FONT-SIZE: 11.5pt"> <span lang="EN-US"><o:p></o:p></span></span></p>