如何区别窦性偏头痛和窦性头痛 - 偏头痛社区

<p style="margin-top: 0px; margin-bottom: 0px; text-indent: 2em; font-variant-numeric: normal; font-variant-east-asian: normal; font-variant-alternates: normal; font-kerning: auto; font-optical-sizing: auto; font-feature-settings: normal; font-variation-settings: normal; font-stretch: normal; line-height: normal; font-family: "Songti SC"; white-space: normal; text-align: left;">有一种容易被忽略的偏头痛类型，就是窦性偏头痛。窦性偏头痛被误诊为鼻窦炎的情况，目前依然非常普遍。<p style="margin-top: 0px; margin-bottom: 0px; text-indent: 2em; font-variant-numeric: normal; font-variant-east-asian: normal; font-variant-alternates: normal; font-kerning: auto; font-optical-sizing: auto; font-feature-settings: normal; font-variation-settings: normal; font-stretch: normal; line-height: normal; white-space: normal; text-align: left;">鼻窦炎，是位于眼睛和鼻子周围骨骼内的鼻窦组织被感染而产生的炎症。症状包括流鼻涕或鼻塞、面部疼痛或压迫感、头痛、粘液（鼻涕）变色、鼻后滴涕、以及喉咙痛。<span style="font-family: Palatino; font-size: 18px; font-variant-numeric: normal; font-variant-east-asian: normal; font-variant-alternates: normal; font-kerning: auto; font-optical-sizing: auto; font-feature-settings: normal; font-variation-settings: normal; font-stretch: normal; line-height: normal;"> <p style="margin-top: 0px; margin-bottom: 0px; text-indent: 2em; font-variant-numeric: normal; font-variant-east-asian: normal; font-variant-alternates: normal; font-kerning: auto; font-optical-sizing: auto; font-feature-settings: normal; font-variation-settings: normal; font-stretch: normal; font-size: 13px; line-height: normal; font-family: "Songti SC"; white-space: normal; text-align: left;">如果这些症状持续三个月以上那就是慢性鼻窦炎了。<span style="font-size: 18px; font-variant-numeric: normal; font-variant-east-asian: normal; font-variant-alternates: normal; font-kerning: auto; font-optical-sizing: auto; font-feature-settings: normal; font-variation-settings: normal; font-stretch: normal; line-height: normal; font-family: Palatino;"> <p style="margin-top: 0px; margin-bottom: 0px; text-indent: 2em; font-variant-numeric: normal; font-variant-east-asian: normal; font-variant-alternates: normal; font-kerning: auto; font-optical-sizing: auto; font-feature-settings: normal; font-variation-settings: normal; font-stretch: normal; font-size: 13px; line-height: normal; font-family: "Songti SC"; white-space: normal; text-align: left;">大多数情况下，鼻窦炎用抗生素，类固醇治疗，或在某些情况下用手术治疗。如果通过以上典型治疗后病情并未得到改善，那么就需要重新诊断，考虑窦性偏头痛的可能性。<p style="margin-top: 0px; margin-bottom: 0px; text-indent: 2em; font-variant-numeric: normal; font-variant-east-asian: normal; font-variant-alternates: normal; font-kerning: auto; font-optical-sizing: auto; font-feature-settings: normal; font-variation-settings: normal; font-stretch: normal; font-size: 13px; line-height: normal; font-family: "Songti SC"; white-space: normal; text-align: left;">窦性偏头痛是由于三叉神经和自律神经系统的超敏反应所引发。专家们认为，三叉神经的第一个分叉是偏头痛发作时头部疼痛的原因；而第二个分叉与鼻窦组织相关联，这会导致在前额、眼睛或鼻子后面、脸颊下方，出现压力和疼痛感，形成与鼻窦炎类似的症状。<p style="margin-top: 0px; margin-bottom: 0px; text-indent: 2em; font-variant-numeric: normal; font-variant-east-asian: normal; font-variant-alternates: normal; font-kerning: auto; font-optical-sizing: auto; font-feature-settings: normal; font-variation-settings: normal; font-stretch: normal; line-height: normal; font-family: "Songti SC"; white-space: normal; text-align: left;"><a href="http://migrainecn.com/index.php/article/jichuzhishi/48.html" target="_blank">（详细的关于窦性偏头痛的知识，大家可以去网站视频专区看一下。）</a><p style="margin-top: 0px; margin-bottom: 0px; text-indent: 2em; font-variant-numeric: normal; font-variant-east-asian: normal; font-variant-alternates: normal; font-kerning: auto; font-optical-sizing: auto; font-feature-settings: normal; font-variation-settings: normal; font-stretch: normal; line-height: normal; font-family: "Songti SC"; white-space: normal; text-align: left;">由于窦性偏头痛的表现与鼻窦炎很相似，患者也可能出现鼻塞、流泪、流鼻涕、耳痛或耳闷、以及头晕等症状。那么如何分辨自己究竟是哪种情况呢？除了观察鼻腔分泌物和通过头痛日记来区分，还有一个很简单的方法可以帮助你识别：<p style="margin-top: 0px; margin-bottom: 0px; text-indent: 2em; font-variant-numeric: normal; font-variant-east-asian: normal; font-variant-alternates: normal; font-kerning: auto; font-optical-sizing: auto; font-feature-settings: normal; font-variation-settings: normal; font-stretch: normal; line-height: normal; font-family: "Songti SC"; white-space: normal; text-align: center;"><img src="/uploads/ueditor/20230321/ad7d6f367ff9bf350fb677bd0c744c93.jpg" title="ad7d6f367ff9bf350fb677bd0c744c93.jpg" alt="ad7d6f367ff9bf350fb677bd0c744c93.jpg"/><p style="margin-top: 0px; margin-bottom: 0px; text-indent: 2em; font-variant-numeric: normal; font-variant-east-asian: normal; font-variant-alternates: normal; font-kerning: auto; font-optical-sizing: auto; font-feature-settings: normal; font-variation-settings: normal; font-stretch: normal; line-height: normal; font-family: "Songti SC"; white-space: normal; text-align: left;">将头向前弯向地面，如果疼痛会变得更严重，几乎痛到希望有人砍掉你的头，那你就是鼻窦性头痛；<p style="margin-top: 0px; margin-bottom: 0px; text-indent: 2em; font-variant-numeric: normal; font-variant-east-asian: normal; font-variant-alternates: normal; font-kerning: auto; font-optical-sizing: auto; font-feature-settings: normal; font-variation-settings: normal; font-stretch: normal; line-height: normal; font-family: "Songti SC"; white-space: normal; text-align: left;">如果低头会加重额头和鼻窦腔的疼痛，或者全脸和额头的疼痛，甚至是头顶痛，你可能是严重的鼻窦炎。<p style="margin-top: 0px; margin-bottom: 0px; text-indent: 2em; font-variant-numeric: normal; font-variant-east-asian: normal; font-variant-alternates: normal; font-kerning: auto; font-optical-sizing: auto; font-feature-settings: normal; font-variation-settings: normal; font-stretch: normal; line-height: normal; font-family: "Songti SC"; white-space: normal; text-align: left;">而窦性偏头痛则不会，低头的动作最多轻微增加疼痛感。