自律神經失調專區

冇做呀
$18000
佢話如果驗到有嘢會send file 去美國果邊跟

返到工
最初果時同生蛇一樣咁痛7/24 手腳+全身生蛇咁痛

六月之前同而家差好遠
記性都差埋

你可以send多一次出嚟？
遲啲我諗住搵個網絡醫生，叫佢睇吓保險包到幾多

在本研究中，我們觀察到普瑞巴林和阿米替林在疼痛、疲勞、睡眠障礙、殘疾、心理因素和認知功能方面的效果相似；然而，阿米替林在緩解實驗性疼痛方面更有效，而普瑞巴林對神經性疼痛更有幫助。
由於纖維肌痛患者描述了廣泛的臨床表現，因此有人認為與神經性疼痛有重疊。 FMS 中也可以觀察到神經性疼痛中出現的痛覺過敏、異常疼痛和感覺異常。幾乎所有這些患者都存在中樞疼痛機制受損、神經內分泌異常、大腦傷害感受域異常活化的情況。這些多重異常強烈顯示纖維肌痛症是一種神經性疼痛綜合徵

你等等 我晏啲揾下

之前都試過
手痛腳痛胃痛勁攰
睇極醫生都唔好
用左成年先慢慢好番

Thx bro
不過任醫生都似搶錢式
佢嗰間，得黃秉康個感覺係似有心啲

time heals
兩個月左右冇事

The most important side effects of pregabalin are somnolence and dizziness. They are typically observed within the first 1 to 2 weeks of starting the drug therapy, and are more marked among the elderly [17, 35]. Among the most frequently seen side effects of tricyclic antidepressants are anticholinergic effects, such as dry mouth and constipation, and postural hypotension, sedation, and weight gain [36]. In our study, consistent with literature findings, the most frequently seen side effects of pregabalin users were dizziness (8.5%) and sleep disorders (2.8%); however, none of the patients discontinued the treatment due to these side effects. In the amitriptyline group, the most frequent side effects were sleep disorders (8.5%) and dizziness (2.8%). Dizziness was more common in the pregabalin group than the amitriptyline group. Generally, tolerance developed in 2 to 3 weeks, and these complaints decreased at control visits.
In our study, PPTs and skin temperature were measured at all fibromyalgia control and tender points using an algometer and an infrared thermometer, respectively. In both the amitriptyline and pregabalin groups, control point scores did not change after treatment relative to baseline, while tender point and total myalgia scores improved in both groups. Tender point PPTs, which are considered a laboratory (experimental) assessment of pain, decreased more dramatically in the amitriptyline group after the treatment.
The main limitation of this study is the small number of participants and the inability to prolong the follow-up period due to strict exclusion criteria of the study.
In conclusion, based on the data we gathered in this study, we can say that neither drug is superior in terms of effectiveness on systemic symptoms of myalgia. However, we can state that amitriptyline is more effective in decreasing experimental pain, whereas pregabalin is more effective in relieving neuropathic complaints. Accordingly, a preference for pregabalin may be recommended for FMS patients primarily complaining of neuropathic pain.

普瑞巴林最重要的副作用是嗜睡和頭暈。它們通常在開始藥物治療後的前 1 至 2 週內觀察到，並且在老年人中更為明顯 [17, 35]。三環抗憂鬱劑最常見的副作用是抗膽鹼能作用，例如口乾和便秘，以及姿勢性低血壓、鎮靜和體重增加[36]。在我們的研究中，與文獻研究結果一致，普瑞巴林使用者最常見的副作用是頭暈（8.5%）和睡眠障礙（2.8%）；然而，沒有患者因這些副作用而停止治療。在阿米替林組中，最常見的副作用是睡眠障礙（8.5%）和頭暈（2.8%）。普瑞巴林組的頭暈現像比阿米替林組更常見。一般來說，耐受性會在 2 至 3 週內形成，這些症狀在對照訪視時會減少。
在我們的研究中，分別使用海藻計和紅外線溫度計測量了所有纖維肌痛控制點和壓痛點的 PPT 和皮膚溫度。在阿米替林組和普瑞巴林組中，治療後控制點評分相對於基線沒有變化，而兩組的壓痛點和總肌痛評分均有所改善。壓痛點 PPT（被認為是疼痛的實驗室（實驗）評估）在阿米替林組治療後顯著下降。
這項研究的主要限制是參與者數量少，並且由於研究嚴格的排除標準而無法延長追蹤期。
總之，根據我們在本研究中收集的數據，我們可以說這兩種藥物在治療肌痛全身症狀的有效性方面都不優越。然而，我們可以說阿米替林在減輕實驗性疼痛方面更有效，而普瑞巴林在緩解神經症狀方面更有效。因此，對於主要抱怨神經性疼痛的 FMS 患者，可能會建議優先使用普瑞巴林。

你係咪已經照過MRI?
會唔會係貧血？

會再大check一次 玩埋顯影
貧血未驗
驗咗甲狀腺先

面甲狀腺功能檢查抽血檢查
游離甲狀腺素 Free T4
游離亞甲狀腺素 Free T3
促甲狀腺激素 Thyroid Stimulating Hormone (TSH)
甲狀腺球蛋白抗體 Anti-Thyroid Antibody (ATA)
甲狀腺過氧化物酶抗體 Thyroid Peroxidase Antibody (TPO Ab)
甲促素結合體抗體 TSH Receptor Antibody
超聲波掃描
甲狀腺超聲波掃描 Ultrasound for Thyroid

介紹你去港怡醫院揾麻醉科教授張志偉
佢用藥果方面好到位

我未開口講 佢已經話Lyrica 好衰 只係好到一半

我食緊阿米替林10mg
醫好神經痛、失眠、胃酸倒流減輕好多

差腦未照
好耐之前試過係街暈低check過，擲界但又冇貧血，不過你提醒咗我呢啲係好耐之前check，要prioritize番個貧血檢查

去邊度驗？

你睇邊個？