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號稱台灣濱崎步,以神曲《保庇BOBEE》紅遍大街小巷的資深女藝人王彩樺,今年於傅達仁兒子婚禮表演後,突然感到眩暈不適,一量血壓才發現指數飆高,低血壓竟然才90。其實王彩樺年約50,許多人認為熟齡族的耳鳴、眩暈是自然老化現象,其實也常發生在年輕人身上,眩暈與頭暈不一樣,千萬別輕忽。

耳鼻喉科醫師李宏信表示,中高年齡的患者,彎腰、長時間步行,忽然眼前一陣「烏暗暈」無法站立,此類眩暈症的發作,多數是內耳淋巴液積水壓迫引起。因耳朵的內耳構造由蝸牛體、三半規管所組成,蝸牛體掌管聽覺變化、三半規管則掌管平衡功能,隨著人體及頭部的移動,管內淋巴液振動時,刺激管內神經,產出判別速度、方向、移動的感覺。當內耳淋巴腫脹壓迫神經,或內耳血管因膽固醇以及血脂肪沉澱,引發阻塞、血流不通暢,都會發生眩暈。

李宏信指出,許多民眾較為粗心,只單純將眩暈視為老化症狀的一種,倘若未及時處理,後果影響甚大。眩暈可大致分為三階段,急診期、急性期、慢性期。眩暈急性嚴重發作時,天旋地轉、噁心嘔吐,甚至躺在床上無法起床或站立,此時稱為「急診期」,甚至只好打119送往醫院急診。一般採取打針、打點滴,症狀很快就能解除。但返家後1至2日,若又突然發作,此時則反反覆覆,令人感到恐慌,幾乎無法正常生活及作息,則稱為「急性期」,必須使用更強的藥物,連續治療一周後才能抑制嚴重眩暈。

若輕度症狀而常常發病的患者,則屬於慢性眩暈症,必須持續服3個月左右,使內耳功能恢復正常生理功能,病情穩定才能不易再復發。目前在臨床上「慢性期」會給予患者神經營養、血管擴張以及增加血液滲透作用等藥物,達到防止神經細胞老化及萎縮。故以打通血路、讓血管通暢及血管滲透作用,以促進內耳循環以增進供應氧氣及養分之輸送,重建內耳功能才能成功治療惱人之眩暈症狀。

家醫科醫師李政道呼籲,多數眩暈症都可透過藥物控制獲得改善,就醫服藥期間,眩暈症患者應該避開高糖、高鹽份,咖啡、辛辣、酒精等刺激性食品。尤其眩暈與生活作息、心情有極大關係,飲食吃太鹹容易身體積水、淋巴水腫循環變差、新陳代謝緩慢。應清淡飲食、多補充水分、避免累積過度壓力、養成固定睡眠時間,才能遠離眩暈症的威脅。

Known as Taiwan’s Ayumi Hamasaki, Wang Caihua, a veteran female artist who is fascinated by the sacred song “Baobo BOBEE”, has suddenly felt dizzy and uncomfortable after the wedding performance of Fu Daren’s son. After a blood pressure, the index was found to be high and the hypotension was only 90. . In fact, Wang Caihua is about 50 years old. Many people think that the tinnitus and dizziness of the mature people are natural aging phenomena. In fact, they often occur in young people. Dizziness and dizziness are not the same. Don't neglect.

The otolaryngologist Li Hongxin said that patients of middle and high ages, who stooped and walked for a long time, suddenly could not stand in front of the eyes. The episodes of such vertigo were mostly caused by the pressure of water in the inner ear. Because the inner ear structure of the ear is composed of snail body and three semicircular canals, the snail body controls the auditory change, and the three semicircular canal controls the balance function. As the body and the head move, when the lymph fluid in the tube vibrates, the inner nerve is stimulated, and the speed of the output is determined. The sense of direction, movement. When the inner ear lymph is swollen and oppressed, or the inner ear blood vessels are blocked by cholesterol and blood fat, causing obstruction and blood flow is not smooth, dizziness may occur.

Li Hongxin pointed out that many people are more careless and only regard vertigo as a kind of aging symptoms. If not treated in time, the consequences will be greatly affected. Dizziness can be roughly divided into three stages, the emergency period, the acute phase, and the chronic phase. When the vertigo is acute and severe, it turns around, nausea and vomiting, and even can't get up or stand in bed. It is called "emergency period", and even had to call 119 to the hospital for emergency. Usually take injections, drip, the symptoms will be lifted soon. However, one to two days after returning home, if there is a sudden episode, then it will be repeated and it will cause panic. It is almost impossible to live and work. It is called "acute phase". It must be treated with stronger drugs and continuous treatment. Severe vertigo can be suppressed after a week.

If the patient is often ill with mild symptoms, it belongs to chronic vertigo. It must be taken for about 3 months to restore the normal function of the inner ear. It is difficult to relapse after the condition is stable. At present, in the clinical "chronic phase", patients will be given neurotrophic, vasodilating and blood permeation effects to prevent aging and shrinkage of nerve cells. Therefore, to open the blood, let the blood vessels patency and vascular permeability, to promote the circulation of the inner ear to enhance the supply of oxygen and nutrients, and to reconstruct the inner ear function in order to successfully treat the annoying vertigo symptoms.

Li Zhengdao, a medical doctor, has called for the majority of vertigo to be improved through drug control. During medical treatment, patients with vertigo should avoid high-sugar, high-salt, coffee, spicy, alcohol and other irritating foods. In particular, dizziness has a great relationship with life, mood, and eating too salty, easy to lose body volume, lymphatic edema, and slow metabolism. It is necessary to lighten the diet, add more water, avoid accumulating excessive stress, and develop a fixed sleep time to stay away from the threat of vertigo.

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