頸椎病|港男頭暈耳鳴揭2姿勢致頸椎受傷 中醫列5大症狀+推介湯水減痛
2023-03-24 00:00
頸梗膊痛很常見,然而部分頸膊痛患者卻可伴有頭暈、耳鳴等不適,嚴重時甚至有嘔吐、上肢痠麻脹痛、肌肉無力等症狀,註冊中醫師張勇指,這類頸梗個案,屬於頸椎病。由於頸椎病徵狀多樣,故亦常被患者誤以為患上耳水不平衡等其他疾病,延誤了接受正確治療的時間。
常見頸椎病 引發連串症候群
- 張勇醫師表示,頸椎病是本港很常見的都市病,此症不但可以引發頸梗膊痛,還可導致連串的多樣化症狀,形成臨牀症候群。
- 當中包括頸椎的骨關節或椎間盤,以及其他周圍軟組織岀現損傷、退變,導致頸椎神經、椎動脈、頸交感神經,甚至頸段脊髓受到刺激或壓逼。
- 形成頸椎病致痛的背景原因,主要是不良姿勢及壞習慣,至於容易罹患此症的高風險人士則包括:
![](https://image.hkhl.hk/f/1024p0/0x0/100/none/9537a7e5bf03cee052ebaf1294e85b8a/2023-03/1_0_143.png)
![](https://image.hkhl.hk/f/1024p0/0x0/100/none/c787394c313b829cd1e99a4b989950ce/2023-03/2_0_101.png)
![](https://image.hkhl.hk/f/1024p0/0x0/100/none/2bd6e40bfad01a9e62a0fe0541f4fc9d/2023-03/3_0_92.png)
![](https://image.hkhl.hk/f/1024p0/0x0/100/none/1ecd089aa3952781c519a49ccee80781/2023-03/4_0_101.png)
![](https://image.hkhl.hk/f/1024p0/0x0/100/none/479e65bfc88844b350ba87750467a94b/2023-03/5_0_96.png)
![](https://image.hkhl.hk/f/1024p0/0x0/100/none/be26839368d942f628d570b86229a466/2023-03/6_0_67.png)
![](https://image.hkhl.hk/f/1024p0/0x0/100/none/f281f8d7a608639752f632e02b5fd22d/2023-03/7_0_63.png)
![](https://image.hkhl.hk/f/1024p0/0x0/100/none/1142969c2c1c3c41328015d879d57fbf/2023-03/8_0_51.png)
![](https://image.hkhl.hk/f/1024p0/0x0/100/none/8cb57f7e2089030dacf532aee6d02a89/2023-03/9_1_24.png)
![](https://image.hkhl.hk/f/1024p0/0x0/100/none/56170a74d2b07acb24c052e12ca3cd93/2023-03/10_1_22.png)
頸椎病易誤診 徵狀多樣化
- 頸椎病徵狀多樣,因此常被患者誤以為是患上其他疾病。
- 最常見是以為有耳水不平衡,因為患者可能伴有耳鳴、暈眩等不適。
- 張勇醫師表示,臨牀上有不少上述這類患者,好像近期便有一名男患者,因為頭暈,以為是身體機能不佳、或耳水不平衡等而求診,最後確診原來是頸椎病引發所致:
![](https://image.hkhl.hk/f/1024p0/0x0/100/none/31a6140a55b45a4b634295e79685cd41/2023-03/11_2_4.png)
![](https://image.hkhl.hk/f/1024p0/0x0/100/none/8971830e3716427c1c4072178547519d/2023-03/12_1_11.png)
![](https://image.hkhl.hk/f/1024p0/0x0/100/none/1a75186732d13c0b909bf43a3d21ef49/2023-03/13_2_6.png)
![](https://image.hkhl.hk/f/1024p0/0x0/100/none/9c8aaa6ff1daa32eb12c14e2289e26e4/2023-03/14_1_4.png)
![](https://image.hkhl.hk/f/1024p0/0x0/100/none/e4bb36a09f117e09434eb93e1dc0b0ec/2023-03/15_1_5.png)
![](https://image.hkhl.hk/f/1024p0/0x0/100/none/929ce2354be0fa929dac9b53b99ce071/2023-03/16_1_4.png)
![](https://image.hkhl.hk/f/1024p0/0x0/100/none/d8a63c2d5f5824f5bc35f0a4432f203d/2023-03/17_1_3.png)
頸椎病分類
- 頸椎病可以分為不同類型,其中混合型頸椎病即是2種或以上類型的頸椎病混合出現。
- 像上述個案的中年男患者,便屬於出現「椎動脈型頸椎病」和「神經根型頸椎病」症狀的混合型個案。
- 頸椎病包括以下六大類型:
![](https://image.hkhl.hk/f/1024p0/0x0/100/none/23d204edc7bd463ae764bd1cd23f9524/2023-03/18_30.png)
![](https://image.hkhl.hk/f/1024p0/0x0/100/none/1b2aba3911aeec8c14cc37cb2b55e222/2023-03/19_31.png)
![](https://image.hkhl.hk/f/1024p0/0x0/100/none/b0a25673ac7f9803623446a8a1106cc1/2023-03/20_35.png)
![](https://image.hkhl.hk/f/1024p0/0x0/100/none/142f5077ecc9d4a1194235e69404269d/2023-03/21_23.png)
![](https://image.hkhl.hk/f/1024p0/0x0/100/none/0202f75539bf665f37c0c995043c3822/2023-03/22_24.png)
![](https://image.hkhl.hk/f/1024p0/0x0/100/none/e0a029ae4adebc5e2e768aac0283c7b5/2023-03/23_24.png)
![](https://image.hkhl.hk/f/1024p0/0x0/100/none/22fbdc7554061b9efab297351f8d7808/2023-03/24_25.png)
神經根型類別 成因及徵狀
- 張勇醫師表示,神經根型頸椎病是頸椎病中十分常見的類型,它的病理特點是因各種因素導致壓逼到神經根。
- 箇中最常見的成因,包括以下:
![](https://image.hkhl.hk/f/1024p0/0x0/100/none/e4c292f5a2fbebd45d8bbd0769a42522/2023-03/25_0_3.png)
![](https://image.hkhl.hk/f/1024p0/0x0/100/none/4ff6de3f62512a477290757434d4c723/2023-03/26_0_4.png)
![](https://image.hkhl.hk/f/1024p0/0x0/100/none/cb22c608243ab08fa8e723e86d12949d/2023-03/27_0_4.png)
![](https://image.hkhl.hk/f/1024p0/0x0/100/none/f3bdfc2a75e117713d4943302e08d329/2023-03/28_0_3.png)
![](https://image.hkhl.hk/f/1024p0/0x0/100/none/135e9ea215e5b935909e892c3c2cf859/2023-03/29_17.png)
![](https://image.hkhl.hk/f/1024p0/0x0/100/none/9c4e01f5612eb0344b6289b0f6e65f27/2023-03/30_18.png)
![](https://image.hkhl.hk/f/1024p0/0x0/100/none/e1a4bf2daf838b741443dbe92ec080ff/2023-03/31_19.png)
![](https://image.hkhl.hk/f/1024p0/0x0/100/none/172f5dbf5b25fba5e50ee1482c65a301/2023-03/32_16.png)
![](https://image.hkhl.hk/f/1024p0/0x0/100/none/4374c122f20ccd107e2e8c6a7acd1960/2023-03/33_15.png)
![](https://image.hkhl.hk/f/1024p0/0x0/100/none/179e1d30d699eda2b26eca919c8d92eb/2023-03/34_15.png)
![](https://image.hkhl.hk/f/1024p0/0x0/100/none/72b23176a5c0157a945100c761285193/2023-03/35_16.png)
![](https://image.hkhl.hk/f/1024p0/0x0/100/none/374fbb39e6dbd8a4ae1a6f18c6573930/2023-03/36_15.png)
椎動脈型頸椎病 成因及徵狀
- 椎動脈型頸椎病則是因椎動脈受壓逼或刺激,導致椎動脈供血受影響。
- 椎動脈型頸椎病成因及特定徵狀,包括:
![](https://image.hkhl.hk/f/1024p0/0x0/100/none/f0693c0501c02f0aff631b2daf1c60e5/2023-03/37_15.png)
![](https://image.hkhl.hk/f/1024p0/0x0/100/none/c1e1d3db04f207d25d2fae21e6757e30/2023-03/38_15.png)
![](https://image.hkhl.hk/f/1024p0/0x0/100/none/bbb94ef9814f0084d019fa550d3dd15d/2023-03/39_14.png)
![](https://image.hkhl.hk/f/1024p0/0x0/100/none/03a7975e2b1552324c831d00b3782ef4/2023-03/40_14.png)
![](https://image.hkhl.hk/f/1024p0/0x0/100/none/8b3ebe5d6e2850085b72f8a99eb5bfe8/2023-03/41_16.png)
![](https://image.hkhl.hk/f/1024p0/0x0/100/none/341f84d89d6ef09da9f1ee705f2b01d0/2023-03/42_15.png)
![](https://image.hkhl.hk/f/1024p0/0x0/100/none/3257abc61b2646f62b015bc13f553a89/2023-03/43_14.png)
![](https://image.hkhl.hk/f/1024p0/0x0/100/none/48adbea658e045de6c3aee84a1f627a2/2023-03/44_13.png)
![](https://image.hkhl.hk/f/1024p0/0x0/100/none/524a41434cf5d1add79b8219591aa121/2023-03/45_13.png)
![](https://image.hkhl.hk/f/1024p0/0x0/100/none/5fa270adf7bb6037fecb3eacf0538b44/2023-03/46_13.png)
![](https://image.hkhl.hk/f/1024p0/0x0/100/none/cb63e5ee34f2cb9822f66fe84353f1b1/2023-03/47_13.png)
![](https://image.hkhl.hk/f/1024p0/0x0/100/none/a1f6233d0a33908b5a0b02e5c3800851/2023-03/48_12.png)
![](https://image.hkhl.hk/f/1024p0/0x0/100/none/abcdac5e36b1147506fddd5f60333283/2023-03/49_12.png)
治療頸椎病 按緩急分輕重
- 張勇醫師指,治療方面,以針灸止痛消炎見效迅速,再用手法復位舒緩肌肉痙攣,整復小關節的錯位壓逼。
- 治療到位即一次就能舒緩疼痛,而麻痹症狀則需要一段較長時間才可治瘉。
- 疼痛急性期配合活血止痛的中藥内服,重點在於消炎止痛、兼安神舒筋。
- 除以針灸快速消炎助止痛急救外,也可進行穴位按摩,加以舒緩及保健:
![](https://image.hkhl.hk/f/1024p0/0x0/100/none/b2abf43ebec5046a308059406218cbd0/2023-03/50_12.png)
![](https://image.hkhl.hk/f/1024p0/0x0/100/none/219f776e86760ac78c6b839bc43a4fea/2023-03/51_12.png)
![](https://image.hkhl.hk/f/1024p0/0x0/100/none/fe93eedde9900ca6b8db3682d1d65f6a/2023-03/52_10.png)
![](https://image.hkhl.hk/f/1024p0/0x0/100/none/a97e3b883dfb3aa8002c87d23dec7299/2023-03/53_11.png)
![](https://image.hkhl.hk/f/1024p0/0x0/100/none/864fafcc2d7ca991a398f4d053dada73/2023-03/54_12.png)
![](https://image.hkhl.hk/f/1024p0/0x0/100/none/1c8ce23738134f08f51fa84eaccaea67/2023-03/55_13.png)
![](https://image.hkhl.hk/f/1024p0/0x0/100/none/4f22cb72187dc6701e3938ef82e84fff/2023-03/56_12.png)
![](https://image.hkhl.hk/f/1024p0/0x0/100/none/1a1c5e5a3bc1c2c668cc528cf8b4470e/2023-03/57_11.png)
![](https://image.hkhl.hk/f/1024p0/0x0/100/none/07b751169e631b2ef5beacadab999777/2023-03/58_10.png)
![](https://image.hkhl.hk/f/1024p0/0x0/100/none/3d2f6e85e3291fc8fa20ac6b62ac8063/2023-03/59_10.png)
![](https://image.hkhl.hk/f/1024p0/0x0/100/none/a8133953a56d8c70380ad271070c518f/2023-03/60_11.png)
防頸椎病復發 助減痛強本湯水
- 除了針灸及穴位按摩,還可以一併配合能補腎補骨、調理氣血等中藥湯療,在辨證論治的基礎上,內外兼治,改善疼痛症狀,以及預防復發:
![](https://image.hkhl.hk/f/1024p0/0x0/100/none/c673ba7f8b4605ceb932322816361e2c/2023-03/61_10.png)
![](https://image.hkhl.hk/f/1024p0/0x0/100/none/fc81237011939c167229cf37e542fea3/2023-03/62_10.png)
![](https://image.hkhl.hk/f/1024p0/0x0/100/none/ecabb6ed8ea5760ec1d25dbc818b7253/2023-03/63_9.png)
![](https://image.hkhl.hk/f/1024p0/0x0/100/none/f1e7102ca4a880408280ca15d2eca389/2023-03/64_9.png)
![](https://image.hkhl.hk/f/1024p0/0x0/100/none/1ee4e4c3a9b882f7b04aee4f6fa3f39b/2023-03/65_10.png)
![](https://image.hkhl.hk/f/1024p0/0x0/100/none/20d2cfd5af10d6abfb94ecc384691b1a/2023-03/66_8.png)
![](https://image.hkhl.hk/f/1024p0/0x0/100/none/67da4a64dbcaf40a01008eb439c5bdce/2023-03/67_8.png)
![](https://image.hkhl.hk/f/1024p0/0x0/100/none/3f465b3c3ab03f976f422dbb84b00930/2023-03/68_8.png)
![](https://image.hkhl.hk/f/1024p0/0x0/100/none/4102f526c8f4c85045d49e34f3c21081/2023-03/69_7.png)
![](https://image.hkhl.hk/f/1024p0/0x0/100/none/af10ff85dd7d23c133d401671496ca87/2023-03/70_7.png)
![](https://image.hkhl.hk/f/1024p0/0x0/100/none/90bfd85491255207f9c28ece876b63cb/2023-03/71_8.png)
![](https://image.hkhl.hk/f/1024p0/0x0/100/none/ff3facc516f70877cb9e3335432ae6a8/2023-03/72_7.png)
![](https://image.hkhl.hk/f/1024p0/0x0/100/none/186755e2951794608af2af938ca30f8b/2023-03/73_7.png)
![](https://image.hkhl.hk/f/1024p0/0x0/100/none/a1a4cc48d439f0e14ab5edf8acbf1736/2023-03/74_7.png)
![](https://image.hkhl.hk/f/1024p0/0x0/100/none/629dee0a445f4146a79a3c8286ccdb82/2023-03/75_7.png)
![](https://image.hkhl.hk/f/1024p0/0x0/100/none/df89339a4fd19c7c4e94c0c11cbf207f/2023-03/76_7.png)
![](https://image.hkhl.hk/f/1024p0/0x0/100/none/33d8e913b02e59733f882ebdb81eb87b/2023-03/77_7.png)
![](https://image.hkhl.hk/f/1024p0/0x0/100/none/2e4e0718df4d94b8f7f7de85d9732c59/2023-03/78_7.png)
![](https://image.hkhl.hk/f/1024p0/0x0/100/none/96cf554f2319ab2bc2d4762966ee864c/2023-03/79_7.png)
![](https://image.hkhl.hk/f/1024p0/0x0/100/none/cefbee315fd7490f18adb443d58ed0f9/2023-03/80_7.png)
《星島申訴王》於3月1日隆重登場,節目為民請命抱不平、追蹤城中熱話,亦會搜羅溫情小故事。你申訴,我跟進,搵91999933,《星島申訴王》隨時候命!
立即報料: https://bit.ly/3IMunqd
你的獨家報料一旦被採用及報導,將獲得乙份獎品。
《星島頭條》APP經已推出最新版本,請立即更新,瀏覽更精彩內容:https://bit.ly/3yLrgYZ
關鍵字
最新回應