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  3. 全身莫名疼痛罹患公主病? 醫: 大腦前額葉功能失調導致

全身莫名疼痛罹患公主病? 醫: 大腦前額葉功能失調導致

2021/12/15
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40歲王先生是竹科工程師,最近工作壓力變大,身體多處開始出現莫名疼痛,看遍各科找不出病因,懷疑自己得了不治之症,導致心情憂鬱產生輕生念頭,經身心科周伯翰醫師做自律神經與腦功能檢測後,發現患者是罹患「纖維肌痛症」,經過藥物治療合併「經顱磁刺激(rTMS)」治療後,個案的憂鬱症狀改善,身上莫名的疼痛也得到緩解。

 

中醫大新竹附醫周伯翰醫師表示,纖維肌痛症又稱「神秘的疼痛症」,患者會出現全身性的身體疼痛,還會有睡眠障礙、疲累感、憂鬱、焦慮、記憶力變差、頭痛與肚子痛等情形,盛行率約2%,常見於女性,最有名的名人案例就是女神Lady Gaga。由於患者身體疼痛常缺勤,常被誤解有公主病,其實此病和大腦功能失調有關。

 

周伯翰過去發表在國際期刊的研究顯示: 利用近紅外光腦光譜儀(NIRS)檢測,發現患者的大腦前額葉功能低下,前額葉功能和身體感覺統合、情緒調節與認知功能有關,也因此患者常合併憂鬱與焦慮與記憶力不佳症狀,研究也顯示患者常有要求完美、心理創傷與容易緊張的人格特質。

 

 

周伯翰指出,纖維肌痛症治療藥物包括抗憂鬱劑與治療神經痛的藥物,此外,適當放鬆的活動,如太極、瑜伽、冥想、輕音樂等,也能達到放鬆肌肉效果。如果治療效果不佳,且合併有嚴重憂鬱,研究顯示合併使用rTMS治療也可以改善患者的憂鬱、疼痛與生活品質。

 

 

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