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Date Posted: 15:55:12 06/30/07 Sat
Author: Vancomycin
Subject: Re: 頭暈頭痛
In reply to: Chris 's message, "Re: 頭暈頭痛" on 04:50:35 06/30/07 Sat

「耳水不平衡」其實係個俗稱。頭暈其實有好多原因(我之前亦都講過): 可以由梅尼爾病引發﹐可以係內兒淋巴通道發炎﹐亦可以係benign positional vertigo (通常轉換頭部方向-->有一套向前向後重複動作﹐醫生會教你做﹐做完通常會自行消失)。藥物同感染(如水痘病毒復發)都會引起。

如果耳鼻喉科醫生話係「耳水不平衡」﹐我相信佢指係梅尼爾病(不過妳要問清楚係唔係)因為病徵可以係突然其來﹐亦伴有突然其來頭暈､嘔吐､失聰等情況。梅尼爾病多數係30-40歲病發﹐但20歲甚至更細病人亦有。如果係梅尼爾病有藥食去gum底病發時不適﹐長遠計亦有手術可以做﹐但需要耳鼻喉科醫生確診+商量最好醫治方法。

至於神經系統方面問題則較罕見同嚴重。聽覺同頭暈感覺係靠第八顱內神經傳達。呢條第八神經亦可以生腫瘤(十分罕見﹐但如果有則頗為嚴重需要做手術/化療)-->該腫瘤叫Schwannoma。要確診需要做CT或磁力共振。不過應該放心﹐就算耳鼻喉科專科日日睇症一年都未必見到一個case...而其他關乎大腦腫瘤同一個叫multiple sclerosis(MS)病﹐神經會慢慢失去傳導功能而令患者慢慢虛弱死亡。不過亦都放心﹐呢個係溫帶同寒帶病﹐基本上係香港(熱帶)大o既人冇機會患上(但倘若不幸患上﹐只能靠藥物減慢神經被破壞速度)

至於打「通血針」我就唔清楚了。可能耳鼻喉專科有指引(我唔係耳鼻喉科)。不過妳可以問多一個耳鼻喉科醫生到底需唔需要。

至於耳鳴﹐有時候真係冇得醫。如果排除organic dysfunction(如有耳屎塞住(通o左耳鳴自行消失)﹐服用對耳朵神經有害藥物等)則可以試試非傳統療法(如食維他命B雜/白果精華/針灸等)。

如果有問題再問! Good luck!

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