嘴歪眼斜口水不止 當心顏面神經麻痺
<p style="line-height: 170%; margin: 0cm 0cm 0pt; background: none repeat scroll 0% 0% white;" class="MsoNormal"><span style="LINE-HEIGHT: 170%; FONT-FAMILY: 'Verdana','sans-serif'; FONT-SIZE: 11.5pt; mso-fareast-font-family: 新細明體; mso-bidi-font-family: 新細明體; mso-font-kerning: 0pt" lang="EN-US">(</span><span style="LINE-HEIGHT: 170%; FONT-FAMILY: '新細明體','serif'; FONT-SIZE: 11.5pt; mso-bidi-font-family: 新細明體; mso-font-kerning: 0pt; mso-ascii-font-family: Verdana; mso-hansi-font-family: Verdana">優活</span><span style="LINE-HEIGHT: 170%; FONT-FAMILY: 'Verdana','sans-serif'; FONT-SIZE: 11.5pt; mso-fareast-font-family: 新細明體; mso-bidi-font-family: 新細明體; mso-font-kerning: 0pt" lang="EN-US"><span style="FONT-FAMILY: '新細明體','serif'; COLOR: windowtext; TEXT-DECORATION: none; mso-ascii-font-family: Verdana; mso-hansi-font-family: Verdana; text-underline: none" lang="EN-US"><span lang="EN-US">健康</span></span></span><span style="LINE-HEIGHT: 170%; FONT-FAMILY: '新細明體','serif'; FONT-SIZE: 11.5pt; mso-bidi-font-family: 新細明體; mso-font-kerning: 0pt; mso-ascii-font-family: Verdana; mso-hansi-font-family: Verdana">網新聞部／綜合報導</span><span style="LINE-HEIGHT: 170%; FONT-FAMILY: 'Verdana','sans-serif'; FONT-SIZE: 11.5pt; mso-fareast-font-family: 新細明體; mso-bidi-font-family: 新細明體; mso-font-kerning: 0pt" lang="EN-US">)</span><span style="LINE-HEIGHT: 170%; FONT-FAMILY: 'Gulim','sans-serif'; FONT-SIZE: 9pt" lang="EN-US"> </span><span style="line-height: 170%; font-family: 'Gulim','sans-serif'; font-size: 11pt;">：</span></p><p style="LINE-HEIGHT: 170%; MARGIN: 0cm 0cm 0pt; BACKGROUND: white; mso-margin-top-alt: auto; mso-margin-bottom-alt: auto; mso-pagination: widow-orphan" class="MsoNormal"><br><span style="LINE-HEIGHT: 170%; FONT-FAMILY: 'Gulim','sans-serif'; FONT-SIZE: 11pt"></span><span style="LINE-HEIGHT: 170%; FONT-FAMILY: 'Verdana','sans-serif'; FONT-SIZE: 11pt; mso-fareast-font-family: 新細明體; mso-bidi-font-family: 新細明體; mso-font-kerning: 0pt" lang="EN-US"><o:p></o:p></span></p>
<p style="LINE-HEIGHT: 170%; MARGIN: 0cm 0cm 0pt; BACKGROUND: white; mso-margin-top-alt: auto; mso-margin-bottom-alt: auto; mso-pagination: widow-orphan" class="MsoNormal"><span style="LINE-HEIGHT: 170%; FONT-FAMILY: '新細明體','serif'; FONT-SIZE: 11.5pt; mso-bidi-font-family: 新細明體; mso-font-kerning: 0pt; mso-ascii-font-family: Verdana; mso-hansi-font-family: Verdana">不曉得大家有沒有過一覺醒來嘴巴歪斜、眼睛閉不起來、說話口齒不清、吃東西直流口水的經驗呢？多數這樣患者會擔心是不是</span><span style="LINE-HEIGHT: 170%; FONT-FAMILY: 'Verdana','sans-serif'; FONT-SIZE: 11.5pt; mso-fareast-font-family: 新細明體; mso-bidi-font-family: 新細明體; mso-font-kerning: 0pt" lang="EN-US"><span style="FONT-FAMILY: '新細明體','serif'; COLOR: windowtext; TEXT-DECORATION: none; mso-ascii-font-family: Verdana; mso-hansi-font-family: Verdana; text-underline: none" lang="EN-US"><span lang="EN-US">中風</span></span></span><span style="LINE-HEIGHT: 170%; FONT-FAMILY: '新細明體','serif'; FONT-SIZE: 11.5pt; mso-bidi-font-family: 新細明體; mso-font-kerning: 0pt; mso-ascii-font-family: Verdana; mso-hansi-font-family: Verdana">了？。其實，這是顏面神經麻痺，又有人會稱之為臉中風（台語）。</span><span style="LINE-HEIGHT: 170%; FONT-FAMILY: 'Verdana','sans-serif'; FONT-SIZE: 11.5pt; mso-fareast-font-family: 新細明體; mso-bidi-font-family: 新細明體; mso-font-kerning: 0pt" lang="EN-US"><o:p></o:p></span></p>
<p style="LINE-HEIGHT: 170%; MARGIN: 0cm 0cm 0pt; BACKGROUND: white; mso-margin-top-alt: auto; mso-margin-bottom-alt: auto; mso-pagination: widow-orphan" class="MsoNormal"><span style="LINE-HEIGHT: 170%; FONT-FAMILY: '新細明體','serif'; FONT-SIZE: 11.5pt; mso-bidi-font-family: 新細明體; mso-font-kerning: 0pt; mso-ascii-font-family: Verdana; mso-hansi-font-family: Verdana">阮綜合</span><span style="LINE-HEIGHT: 170%; FONT-FAMILY: 'Verdana','sans-serif'; FONT-SIZE: 11.5pt; mso-fareast-font-family: 新細明體; mso-bidi-font-family: 新細明體; mso-font-kerning: 0pt" lang="EN-US"><span style="FONT-FAMILY: '新細明體','serif'; COLOR: windowtext; TEXT-DECORATION: none; mso-ascii-font-family: Verdana; mso-hansi-font-family: Verdana; text-underline: none" lang="EN-US"><span lang="EN-US">醫院</span></span></span><span style="LINE-HEIGHT: 170%; FONT-FAMILY: '新細明體','serif'; FONT-SIZE: 11.5pt; mso-bidi-font-family: 新細明體; mso-font-kerning: 0pt; mso-ascii-font-family: Verdana; mso-hansi-font-family: Verdana">神經內科陳巧霓醫師表示，它跟真正的中風不同，中風為血管性</span><span style="LINE-HEIGHT: 170%; FONT-FAMILY: 'Verdana','sans-serif'; FONT-SIZE: 11.5pt; mso-fareast-font-family: 新細明體; mso-bidi-font-family: 新細明體; mso-font-kerning: 0pt" lang="EN-US"><span style="FONT-FAMILY: '新細明體','serif'; COLOR: windowtext; TEXT-DECORATION: none; mso-ascii-font-family: Verdana; mso-hansi-font-family: Verdana; text-underline: none" lang="EN-US"><span lang="EN-US">疾病</span></span></span><span style="LINE-HEIGHT: 170%; FONT-FAMILY: '新細明體','serif'; FONT-SIZE: 11.5pt; mso-bidi-font-family: 新細明體; mso-font-kerning: 0pt; mso-ascii-font-family: Verdana; mso-hansi-font-family: Verdana">，可能是阻塞或出血；顏面神經麻痺則多數人發生原因不明，少部份為</span><span style="LINE-HEIGHT: 170%; FONT-FAMILY: 'Verdana','sans-serif'; FONT-SIZE: 11.5pt; mso-fareast-font-family: 新細明體; mso-bidi-font-family: 新細明體; mso-font-kerning: 0pt" lang="EN-US"><span style="FONT-FAMILY: '新細明體','serif'; COLOR: windowtext; TEXT-DECORATION: none; mso-ascii-font-family: Verdana; mso-hansi-font-family: Verdana; text-underline: none" lang="EN-US"><span lang="EN-US">病毒</span></span></span><span style="LINE-HEIGHT: 170%; FONT-FAMILY: '新細明體','serif'; FONT-SIZE: 11.5pt; mso-bidi-font-family: 新細明體; mso-font-kerning: 0pt; mso-ascii-font-family: Verdana; mso-hansi-font-family: Verdana">或細菌感染造成。中風患者單純以顏面神經麻痺表現並不常見，患者多半會伴隨肢體無力或麻痹以及其他神經學症狀。此狀況發生在男性女性的比例相當，更不是老人的專利，各年齡層都可能遇到，不過</span><span style="LINE-HEIGHT: 170%; FONT-FAMILY: 'Verdana','sans-serif'; FONT-SIZE: 11.5pt; mso-fareast-font-family: 新細明體; mso-bidi-font-family: 新細明體; mso-font-kerning: 0pt" lang="EN-US"><span style="FONT-FAMILY: '新細明體','serif'; COLOR: windowtext; TEXT-DECORATION: none; mso-ascii-font-family: Verdana; mso-hansi-font-family: Verdana; text-underline: none" lang="EN-US"><span lang="EN-US">糖尿病</span></span></span><span style="LINE-HEIGHT: 170%; FONT-FAMILY: '新細明體','serif'; FONT-SIZE: 11.5pt; mso-bidi-font-family: 新細明體; mso-font-kerning: 0pt; mso-ascii-font-family: Verdana; mso-hansi-font-family: Verdana">患者的比例可能高一些些；有少數患者甚至會在多年後再次發生，可以是與第一次發病的同側臉，亦可能是另一側。</span><span style="LINE-HEIGHT: 170%; FONT-FAMILY: 'Verdana','sans-serif'; FONT-SIZE: 11.5pt; mso-fareast-font-family: 新細明體; mso-bidi-font-family: 新細明體; mso-font-kerning: 0pt" lang="EN-US"><o:p></o:p></span></p>
<p style="LINE-HEIGHT: 170%; MARGIN: 0cm 0cm 0pt; BACKGROUND: white; mso-margin-top-alt: auto; mso-margin-bottom-alt: auto; mso-pagination: widow-orphan" class="MsoNormal"><span style="LINE-HEIGHT: 170%; FONT-FAMILY: '新細明體','serif'; FONT-SIZE: 11.5pt; mso-bidi-font-family: 新細明體; mso-font-kerning: 0pt; mso-ascii-font-family: Verdana; mso-hansi-font-family: Verdana">顏面神經麻痹發生的時間常在一兩天之內，少數患者在發病前會有耳後痛的症狀，另外有些人會覺得患側</span><span style="LINE-HEIGHT: 170%; FONT-FAMILY: 'Verdana','sans-serif'; FONT-SIZE: 11.5pt; mso-fareast-font-family: 新細明體; mso-bidi-font-family: 新細明體; mso-font-kerning: 0pt" lang="EN-US"><span style="FONT-FAMILY: '新細明體','serif'; COLOR: windowtext; TEXT-DECORATION: none; mso-ascii-font-family: Verdana; mso-hansi-font-family: Verdana; text-underline: none" lang="EN-US"><span lang="EN-US">臉部</span></span></span><span style="LINE-HEIGHT: 170%; FONT-FAMILY: '新細明體','serif'; FONT-SIZE: 11.5pt; mso-bidi-font-family: 新細明體; mso-font-kerning: 0pt; mso-ascii-font-family: Verdana; mso-hansi-font-family: Verdana">感覺變的比較鈍。此外，有些人還會感到嘴巴乾、味覺異常、</span><span style="LINE-HEIGHT: 170%; FONT-FAMILY: 'Verdana','sans-serif'; FONT-SIZE: 11.5pt; mso-fareast-font-family: 新細明體; mso-bidi-font-family: 新細明體; mso-font-kerning: 0pt" lang="EN-US"><span style="FONT-FAMILY: '新細明體','serif'; COLOR: windowtext; TEXT-DECORATION: none; mso-ascii-font-family: Verdana; mso-hansi-font-family: Verdana; text-underline: none" lang="EN-US"><span lang="EN-US">眼睛乾澀</span></span></span><span style="LINE-HEIGHT: 170%; FONT-FAMILY: '新細明體','serif'; FONT-SIZE: 11.5pt; mso-bidi-font-family: 新細明體; mso-font-kerning: 0pt; mso-ascii-font-family: Verdana; mso-hansi-font-family: Verdana">刺痛、聲音聽來異常的大聲或聽來不真實等，這與顏面神經受損的部位有關。</span><span style="LINE-HEIGHT: 170%; FONT-FAMILY: 'Verdana','sans-serif'; FONT-SIZE: 11.5pt; mso-fareast-font-family: 新細明體; mso-bidi-font-family: 新細明體; mso-font-kerning: 0pt" lang="EN-US"><o:p></o:p></span></p>
<p style="LINE-HEIGHT: 170%; MARGIN: 0cm 0cm 0pt; BACKGROUND: white; mso-margin-top-alt: auto; mso-margin-bottom-alt: auto; mso-pagination: widow-orphan" class="MsoNormal"><span style="LINE-HEIGHT: 170%; FONT-FAMILY: '新細明體','serif'; FONT-SIZE: 11.5pt; mso-bidi-font-family: 新細明體; mso-font-kerning: 0pt; mso-ascii-font-family: Verdana; mso-hansi-font-family: Verdana">陳巧霓醫師說，治療的部份則多為症狀治療，例如無法閉眼的人可戴上眼鏡或眼罩，眼睛乾澀會痛者則可使用人工淚液或塗上眼藥膏幫忙隔絕刺激物直接接觸</span><span style="LINE-HEIGHT: 170%; FONT-FAMILY: 'Verdana','sans-serif'; FONT-SIZE: 11.5pt; mso-fareast-font-family: 新細明體; mso-bidi-font-family: 新細明體; mso-font-kerning: 0pt" lang="EN-US"><span style="FONT-FAMILY: '新細明體','serif'; COLOR: windowtext; TEXT-DECORATION: none; mso-ascii-font-family: Verdana; mso-hansi-font-family: Verdana; text-underline: none" lang="EN-US"><span lang="EN-US">角膜</span></span></span><span style="LINE-HEIGHT: 170%; FONT-FAMILY: '新細明體','serif'; FONT-SIZE: 11.5pt; mso-bidi-font-family: 新細明體; mso-font-kerning: 0pt; mso-ascii-font-family: Verdana; mso-hansi-font-family: Verdana">，中醫的針灸也可能有些幫助。藥物的部份，一般可再發病的前一兩週使用較大量的類固醇降低顏面神經發炎，縮短一些復原時間；在發病的三天內使用效果似乎較佳。糖尿病本來就控制不佳的患者，或者有胃腸潰瘍的患者，由於大量的類固醇可能會讓這些情況惡化，要不要使用可視情況與醫師討論。</span><span style="LINE-HEIGHT: 170%; FONT-FAMILY: 'Verdana','sans-serif'; FONT-SIZE: 11.5pt; mso-fareast-font-family: 新細明體; mso-bidi-font-family: 新細明體; mso-font-kerning: 0pt" lang="EN-US"><o:p></o:p></span></p>