‧美國哈佛大學‧麻州眼耳醫院‧研究員‧中國醫藥大學附設醫院‧耳鼻喉頭頸外科‧主任吳志賢醫師‧
【醫師專欄-耳科】 眩暈症(03-8) - 美尼爾病 - 手術 Vertigo (03-8) - Meniere's disease - Surgery
～～ 相傳百年的眩暈科醫學諺語 ～～
～～ Proverbs of Vertigo Medicine ～～
～～ 眩暈不是疾病，而是一種症狀，如同發燒一樣，有數百種疾病會發生眩暈的情況 ～～
～～ Vertigo is not a disease but a symptom, like fever. There are hundreds diseases that can cause vertigo. ～～
～～ 人類的平衡系統主要有四個輸入與整合系統：視覺，內耳前庭，本體感覺，小腦。任何一個系統出現干擾，整個平衡系統就會出現紊亂，產生眩暈、頭暈、不平衡、步態不穩以及噁心、嘔吐、恐慌感 ～～
～～ The human balance system mainly has four input and integration systems: vision, inner ear vestibule, proprioception and cerebellum. If any one of the systems occur distaurbance, the entire balance system will be disordered, resulting in vertigo, dizziness, imbalance, unsteady gait, and nausea, vomiting, panic sensation. ～～
～～ 頭暈一詞可細分成四種症狀：眩暈、接近昏厥、不平衡、只是頭暈 ～～
～～ The term dizziness can be broken down into four categories of symptoms: vertigo, near syncope, imbalance, just dizzy ～～
～～ 眩暈症可歸因為三類疾病：末稍性眩暈、中樞性眩暈、反射性眩暈 ～～
～～ Vertigo can be classified into three categories of diseases: peripheral vertigo, central vertigo, reflex vertigo ～～
～～ 要選擇哪一科的醫生，就診原則就是找「具有眩暈專長的醫生」，能把眩暈治好的就是好醫生 ～～
～～ Which department doctor should be selected, the principle of seeing a doctor is to find "a doctor with vertigo expertise". Whoever cures vertigo is a good doctor. ～～
～～ 眩暈治癒的關鍵就是：詳細檢查，確認病因，追根究柢，對症下藥 ～～
～～ The key to cure vertigo is to make a detailed inspection, confirm the cause, follow up evidence, and take appropriate management. ～～
～～ 經常眩暈/頭暈是不是腦部出問題了？如有以下症狀一定要立即就醫：臉歪嘴斜，手腳無力；臉麻手麻，說話不清楚；胸痛，心悸，呼吸急促；頭痛，昏厥，意識不清 ～～
～～ Often vertigo / dizzy, is there a brain problem? Seek medical treatment immediately if you have the following symptoms: face crooked, mouth slanted, paralyzed limbs; facial numbness, hand numbness, unclear speech; chest pain, palpitation, short of breath; headache, fainting, unclear consciousness ～～
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醫院, hospital, 醫學中心, medical center, 院長, dean, 主任, director, 教授, professor, 博士, PhD, 醫師, doctor, 權威, expert, 推薦, recommended, 效果, effect, 一次見效, effective, 健保, 保險, insurance, 診斷證明書, certificate, 自費, 費用, charge, 價格, price, 萬, 千, 百, 元, dollar, 檢查, examination, 門診, clinic, 急診, emergence, 住院, admission, 手術, surgery, 藥, medication, 飲食, diet, 生活, life, 運動, exercise, 上班, go to work, 注意, careful, 術後, post-operation, 恢復期, convalescence, 正常現象, normal, 不正常abnormal, 瘀青, bruise, 消腫, swelling, 發炎, inflammation, 感染, infection, 副作用, side effect, 後遺症, 按摩, massage, 疤痕, scar, 動暈症, Motion sickness, 良性陣發性姿勢性暈眩, BPPV, benign paroxysmal positional vertigo, 美尼爾病, Meniere's disease, 拉莫葉滋症, Lermoyez syndrome, 遲發性內淋巴水腫, Delayed endolymphatic hydrops, 小兒良性陣發性暈眩症, BPVC, benign paroxysmal vertigo of childhood, 內耳迷路震盪, Labyrinthine concussion, 外淋巴瘻管, Perilymphatic fistula, 上半規管裂損症, SSCD, semicircular canal dehiscence syndrome, 前庭神經炎, Vestibular neuronitis, 侖謝亨特症, Ramsay Hunt syndrome, 梅毒性內耳迷路炎, Syphilic labyrinthitis, 脊椎腦底動脈循環不全, VBI, vertebrobasilar insufficiency, 內耳迷路中風, Labyrinthine infarction, 聽神經瘤, 小腦橋腦角瘤, Acoustic neuroma, CP (cerebellopontine) angle tumor, 自體免疫內耳疾病, AIED, autoimmune inner ear disease, 寇甘症, Cogan's syndrome, 偏頭痛, Migraine, 暈眩型癲癇, Epileptic vertigo, 新陳代謝型暈眩, Metabolic vertigo, 藥致耳毒性, Drug-induced ototoxicity 多發性硬化症, Multiple sclerosis, 神經退化性疾患, Neurodegenerative disorder, 陣發性不協調第二型, Episodic ataxia type 2, 阿諾德-奇阿里畸形, Arnold-Chiari malformation, 暈眩, vertigo, 美尼爾病, Meniere’s disease, 耳鳴, tinnitus, 喉咽逆流, laryngopharyngeal reflux, 鼻骨折, nasal bone fracture, 鼻扭曲症, twisted nose, 各種耳鼻喉頭頸疾病, various diseases of otorhinolaryngology head and neck surgery, 耳前瘻管, pre-auricular fistula, 耳廓外傷, auricular trauma, 耳廓血腫, othematoma, 耳痛, otalgia, 耳癢, auricular itching, 耳流膿, purulent ear discharge, 耳垢, cerumen, 閉塞性角化症, keratosis obturans, 外耳炎, otitis externa, 耳鰴菌症, otomycosis, 異物, FB in ear, 耳帶狀疱疹, herpes zoster oticus, Ramsay Hunt症, 顏面神經麻痺, facial palsy, Bell麻痺, 顳顎關節症, TM joint disorder, 中耳炎, otitis media, 耳膜破洞, perforation of tympanic membrane, 耳膜硬化症, tympanosclerosis, 乳突炎, mastoiditis, Bezold膿腫, abscess, 珍珠瘤, cholesteatoma, 膽脂瘤, 聽小骨疾病, ossicular chain disorder, 耳硬化症, otosclerosis, 耳膜內陷, retracted tympanic membrane, 耳壓不平衡, tympanic pressure imbalance, 耳咽管開放症, e-tube patulus, 突發性耳聾, sudden sensorineural hearing loss, 重聽, 聽力障礙, 聽力損失, 聲創傷, acoustic trauma, 助聽器, hearing aid, 聽力語言訓練, 電子耳, cochlear implant, 頭暈, dizziness, 動暈症, motion sickness, 姿勢性暈眩, benign paroxysmal positional vertigo, 耳石脫落症, Lermoyez症, 前庭神經炎, vestibular neuronitis, 內耳迷路炎, labyrinthitis, 內耳迷路梅毒, syphilis of labyrinth, 多發性硬化症, multiple sclerosis, 偏頭痛, migraine, 失眠, insomnia, 脊椎顱底動脈循環不良症, vertebrobasilar insufficiency, 神經纖維瘤, neurofibromatosis, 聽神經瘤, acoustic neuroma, 小腦橋腦角腫瘤, cerebellopontine angle tumor, 鼻痛, nasal pain, 鼻癤, nasal vestibular furuncle, 蜂窩性組織炎, cellulitis, 流鼻涕, purulent rhinorrhea, 流鼻血, epistaxis, 異物, FB in nose, 鼻癢, nasal itching, 打噴嚏, sneezing, 過敏性鼻炎, allergic rhinitis, 慢性肥厚性鼻炎, chronic hypertrophic rhinitis, 鼻甲肥大, hypertrophy of nasal turbinate, 血管動力性鼻炎, vasomotor rhinitis, 藥物性鼻炎, rhinitis medicamentosa, 萎縮性鼻炎, atrophic rhinitis, 鼻中膈彎曲deviated nasal septum, 鼻中膈穿孔, perforation of nasal septum, 鼻因性頭痛, rhinogenic headache, 空鼻症, empty nose syndrome, 鼻竇炎, rhinosinusitis, 鰴菌性鼻竇炎, fungal, 鼻息肉, nasal polyp, Aspirin三徵, triad, 上頷竇後鼻孔息肉, choncal troanal polyp, 囊狀纖維化, cystic fibrosis, Kartagener症, Samter三徵, triad, 黏液囊腫, mucocele, 鼻唇囊腫nasolabial cyst, 嗅覺障礙, olfactory disorder, 倒生性乳頭瘤, inverted papilloa, 鼻腫瘤, nasal tumor, Wegener肉芽腫, granuloma, 鼻涕倒流, postnasal drip, 鼻淚管阻塞, obstruction of nasolacrimal duct, Tornwaldt囊腫, cyst, 鼻咽脊索瘤, chordoma, 口腔潰瘍, oral ulcer, 口腔白斑, oral leukoprekia, 紅斑, red spot, 黏膜下纖維化, submucosal fibrosis, 口腔食道念珠菌症, oral thrush, Bowen病, 舌頭炎, glossitis, 牙齦炎, gingivitis, 毛狀白斑, hairy leukoplakia, Kaposi肉瘤, sarcoma, 蛤蟆腫, ranula, Eagle症, 扁桃腺炎, tonsillitis, 扁桃腺結石, tonsolith, 口臭, halitosis, 扁桃腺旁膿瘍, peritonsillar abscess, Vincent咽峽炎, angina, 疱疹性咽峽炎, herpangina, 手足口病, HMF disease, 異物, FB, 魚刺, fish bone, 喉嚨癢, itching throat, 顎裂, cleft palate, 咽炎, pharyngitis, 喉炎, laryngitis, 結核性喉炎, tuberculus, 會厭炎, epiglottitis, 喉乳頭狀瘤, laryngeal papilloma, 聲音沙啞, hoarseness, 聲帶炎, vocal corditis, Reinke聲帶水腫, edema, 聲帶溝, sulcus vocalis, 聲帶結節, nodule, 聲帶息肉, polyp, 聲帶囊腫, cyst, 聲帶麻痺, paralysis, 老年性聲帶萎縮, presbylaryngis, 語言障礙, speech, language, 口吃, stutter, 聲門下峽窄, subglottic stenosis, 咳血, hemoptysis, 吞嚥困難, dysphagia, 清喉嚨, throat cleaning, 喉嚨卡卡, throat globus sensation, 喉嚨腫, throat swelling, 火燒心, heart burn, 吐酸, acid regurgitation, 喘鳴, stridor, 打呼, snoring, 打鼾, 睡眠呼吸中止症, sleep apnea, 起床頭暈頭痛, headache, 白天疲憊, malaise, 嗜睡, drowsiness, 記憶力差, poor memory, 脾氣暴躁, short temper, 慢性咳嗽, chronic cough, 深頸部感染, deep neck infection, Ludwig咽峽炎, 頸部腫瘤, neck mass, 甲狀舌管囊腫, thyroglossal duct cyst, 甲狀腺腫瘤, thyroid tumor, 甲狀腺炎, thyroditis, 胸腺瘤, thymoma, 鰓裂囊腫, branchial cleft cyst, 唾液腺結石, sialolithiasis, 唾液腺腫瘤, salivary gland tumor, 混合瘤, mixed, Warthin瘤, Frey症, 腮腺炎, mump, 乾燥症, sjorgren, 頸部淋巴腺腫大, enlargement of neck lymph node, Kikuchi病, Kimura病, 淋巴癌, lymphoma, EB病毒, EB virus, 鼻咽癌, nasopharyngeal carcinoma, 口腔癌, oral cancer, 口咽腫瘤, oropharyngeal, 下咽腫瘤, hypopharyngeal, 喉癌, laryngeal, 食道癌, esophageal, 小兒耳鼻喉, pediatric, 中耳積水, middle ear effusion, 腺樣體肥大, adenoid hypertrophy, 扁桃腺肥大, tonsillar hypertrophy, 發育不良, 生長遲緩, growth retardation, 哮吼, croup, 感冒, common cold, 上呼吸道感染, upper respiratory infection, 腸胃炎, acute gastroenteritis, 喉嚨痛, sore throat, 鼻塞, nasal obstruction, 流鼻水, clear rhinorrhea, 咳嗽, cough, 痰, sputum, 發燒, fever, 頭痛, headache, 肚子痛, abdominal pain, 拉肚子, diarrhea, 流感, influenza, , 全身無力, debility, 全身痠痛, general soreness, 鼻咽血管纖維瘤, angiofibroma, 喉頭軟化症, laryngomalacia, Langerhans細胞組織球增生症, cell histiocytosis, 囊狀水瘤, cystic hygroma, 隆鼻, augmentation rhinoplasty, 鼻整形, 眉心, glabella, 鼻山根, nasion, 鼻樑, dorsum, 鼻頭, nasal tip, 鼻柱, columella, 鼻翼, alar, 鼻基底, subnasale, 鼻唇溝, nasolabial groove, 矮鼻, low dorsum, 塌鼻, 短鼻, short nose, 朝天鼻, nostril show, 寬鼻, wide
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