偏头痛社区窦性偏头痛
2023年3月9日·189 阅读
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<span style="font-size: 18px;">您是否为了治疗鼻窦炎服用过大把的各种抗生素，甚至进行过一些手术，却没有收到任何效果？如果被我说中了，那么您的这些症状，其实可能只是窦性偏头痛或面中部偏头痛引起的症状。这种窦性偏头痛被误诊为鼻窦炎的情况，目前依然非常普遍。</span>
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<span style="font-size: 18px;">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、<span style="font-variant-numeric: normal; font-variant-east-asian: normal; font-stretch: normal; font-size: 13.3px; line-height: normal; font-family: "PingFang SC"; font-kerning: none; color: rgb(61, 61, 61);">鼻后滴涕</span>、以及喉咙痛。<span style="font-size: 18px; font-variant-numeric: normal; font-variant-east-asian: normal; font-stretch: normal; line-height: normal; font-family: Palatino;"> </span></span>
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<span style="font-size: 18px;">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-stretch: normal; line-height: normal; font-family: Palatino;"> </span></span>
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<span style="font-size: 18px;">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。</span>
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<span style="font-size: 18px;">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。</span>
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<span style="font-size: 18px;">窦性偏头痛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。有时伴有典型的偏头痛症状，如头部疼痛、恶心、以及畏光畏声和气味敏感等。<span style="font-size: 18px; font-variant-numeric: normal; font-variant-east-asian: normal; font-stretch: normal; line-height: normal; font-family: Palatino;"> </span></span>
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<span style="font-size: 18px;">窦性偏头痛最常见于中年女性，通常在更年期会更加严重。</span>
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<span style="font-size: 18px;">鼻窦炎和窦性偏头痛之间的区别是什么？</span>
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<span style="font-size: 18px;"><span style="font-size: 18px; font-variant-numeric: normal; font-variant-east-asian: normal; font-stretch: normal; line-height: normal; font-family: Palatino;">1.</span>窦性偏头痛的特点是鼻腔分泌物量非常大；相比之下，鼻窦炎的分泌物少，特点是非常粘稠，颜色异常，而且有很糟糕的味道。</span>
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<span style="font-size: 18px;"><span style="font-size: 18px; font-variant-numeric: normal; font-variant-east-asian: normal; font-stretch: normal; line-height: normal; font-family: Palatino;">2.</span>鼻窦炎和窦性偏头痛都会导致头痛症状，但鼻窦炎（引发的头痛）不伴随恶心，呕吐以及光声和嗅觉敏感性等，如果伴随这些症状，则属于窦性偏头痛（引起的头痛）。</span>
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<span style="font-size: 18px;"><span style="font-size: 18px; font-variant-numeric: normal; font-variant-east-asian: normal; font-stretch: normal; line-height: normal; font-family: Palatino;">3.</span>通过是否有偏头痛家族史，有助于区分两种病症。<span style="font-size: 18px; font-variant-numeric: normal; font-variant-east-asian: normal; font-stretch: normal; line-height: normal; font-family: Palatino;"> </span></span>
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<span style="font-size: 18px;"><span style="font-size: 18px; font-variant-numeric: normal; font-variant-east-asian: normal; font-stretch: normal; line-height: normal; font-family: Palatino;">4.</span>偏头痛的症状往往在一生中发生变化，所以，窦性偏头痛可能是由你之前的偏头痛发展而成。<span style="font-size: 18px; font-variant-numeric: normal; font-variant-east-asian: normal; font-stretch: normal; line-height: normal; font-family: Palatino;"> </span></span>
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<span style="font-size: 18px;">抗生素、类固醇或鼻窦手术，可以作为窦性偏头痛的治疗手段吗？</span>
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<span style="font-size: 18px;">抗生素和类固醇一般作为鼻窦炎的一线治疗方式。但是服用抗生素或类固醇后是否有效，不能以此作为区分鼻窦感染和窦性偏头痛的标准，因为服用这些药物后因为其减轻炎症和镇静神经的作用，同样可以短期内缓解窦性偏头痛的症状。</span>
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<span style="font-size: 18px;">当抗生素治疗失败后，有些患者会选择鼻窦手术，因为手术会破坏神经，同样可以暂时缓解窦性偏头痛带来的疼痛和压力。</span>
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<span style="font-size: 18px;">然而，许多人并没有从这些选择（治疗鼻窦炎的方式）中得到任何缓解。因为鼻窦炎的治疗方式并不是窦性偏头痛的最佳策略。</span>
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<span style="font-size: 18px;">那么我们该如何治疗窦性偏头痛呢？</span>
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<span style="font-size: 18px;">典型的中断和预防性偏头痛的治疗方式也可以缓解窦性偏头痛症状。曲普坦作为偏头痛中断治疗的药物，已被证明对窦性偏头痛有效。另外，曲普坦可以作为区分诊断的手段，如果你服用后症状得到缓解，那说明你大概率是窦性偏头痛而不是鼻窦炎。</span>
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<span style="font-size: 18px;">如果您出现鼻窦炎症状并认为可能是窦性偏头痛，请在就诊时告知医生。建议由神经科医生和耳鼻喉科医生进行会诊，以排除其他原因，使你的窦性偏头痛能得到适当的治疗。</span>
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