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常有人當頭痛是感冒的症狀，感冒藥水一直喝。 也有人頭痛選擇忍耐不吃藥，一直痛到想撞牆。 常頭痛其實要找醫師做鑑別診斷，頭痛原因百百種，找到真正頭痛的原因對症下藥，才有可能改善生活品質，減少不必要的止痛藥使用。
【你常頭痛嗎？偏頭痛 (migraine) 的藥物預防～】
頭痛是種病，痛起來要人命！頭痛 (headache)的成因非常多，分類也不少，常見的包括叢集型頭痛 (cluster headache)、偏頭痛 (migraine)、張力型頭痛 (tension headache)等等～
等到痛起來時再吃藥，很多人都在問＂可不可以先預防阿！！＂
事實上，許多藥物可以預防頭痛喔！請看↓↓↓
偏頭痛→乙型阻斷劑 (beta-blocker)、NSAIDs、三環抗憂鬱藥物 (TCAs)等
叢集型頭痛→鈣離子阻斷劑、抗癲癇藥物 (topiramate、valproate)
張力型頭痛→NSAIDs、TCAs等
有頭痛問題還是要經過醫師評估診治喔！！
資料來源：Goldman's Cecil Medicine, 24e
#PleaseShare #COVID19
#武漢肺炎防疫重點英文版
According to the WHO and Chinese officials, the incubation period of the novel corona virus between disease exposure to the onset of symptoms ranges from 2 to 12 days (7 days on average).
However,based on the general view,the incubation period of COVID-19could be up to 14 days.
Based on the current literature related toCOVID-19, the clinical expression ofCOVID-19caninclude fever, weakness, respiratory symptoms (mainly dry cough) and in some cases,breathing difficulties can follow.
About 1 to 2 percent of the patients might develop severe pneumonia, adult respiratory distress syndrome (ARDS), multiple organ failure or shock, leading to death.Most of the deceased patients had concurrent chronic disease such as diabetes, liver disease, kidney disease or cardiovascular disease.
*Prevension
There is no vaccine to prevent corona virus infections. Daily preventative steps to take include avoiding affected regions, avoiding local hospitals or clinics unless necessary, avoiding eating uncooked meat or eggs,avoiding being in contact with animals and dead animals,and maintain good health habits.
Steps to practice good health habits are as follows:
Please keep your hands clean and wash your hands with soap frequently. If soap and water are not available, use an alcohol-based hand sanitizers.
However, soap and water should be used preferentially if hands are visibly dirty. You should wash your hands immediately after coughing or sneezing; after using the toilet; and if your hands touch any secretions from your respiratory tract, stool or body fluids such as urine. In addition, please refrain from touching your eyes, nose and mouth with your hands.
Pay attention to respiratory tract hygiene and cough etiquette.
a. If you have respiratory symptoms, please wear a medical-grade face mask and keep at least 1 meter away from others while talking to them.
b. If your hands touch any secretions from your respiratory tract, please wash your hands with soap and water thoroughly.
c. If you develop a cough or other respiratory symptoms, you should wear a medical face mask. When your mask is contaminated by secretions of nose or mouth, please fold it, throw it into the trash immediately, and wear a new one.
d. You should cover your mouth and nose with a tissue or handkerchief when coughing or sneezing. If you don’t have a tissue or handkerchief, cough or sneeze into your upper sleeve.
*Use of masks
a. Medical-grade face masks are mainly used for preventing the spread of disease and protect people around you. People are advised to wear medical masks when you go to see a doctor or accompany a patient; when you have symptoms of respiratory infections; and if you go out with people with weak immune systems or chronic disease. You should wash your hands frequently to protect yourself from catching illness in other situations.
b. To wear a medical mask properly, you should ensure that the water-repellent side (usually green) faces outwards. You should not remove your mask when talking, coughing or sneezing to prevent the spread of disease. You should replace your face mask if it is visibly soiled.
c. Steps to put on a medical face mask:
i. Open the package and examine if the mask is damaged.
ii. Put the elastic bands around both ears, fit the metallic strip over the nose bridge and extend the mask to cover your chin.
iii. Press firmly down on the metallic strip so that it fits around your nose
iv. Ensure that there are no gaps
d. You don’t need a face mask in open spaces, including walking on the streets or doing outdoor exercises.
*What to do while sick
If you have flu-like symptoms, including fever, headache, runny nose, sore throat, cough, muscle aches, fatigue/tiredness, and sometimes diarrhea. After your symptoms develop, you should rest, take and record your temperature regularly, drink water and eating nourishing food, observe your condition and take symptom-relieving drugs such as pain relievers/fever reducers to observe if they work.
You should rest at home for at least 24 hours after the symptoms improve.
You should seek medical attention if your fever lasts longer than 24 hours or is accompanied by other symptoms, such as purulent nasal discharge and purulent sputum, severe vomiting or shortness of breath.
You should inform the doctor of any history of travel, occupation, contact, and cluster (TOCC) when seeking medical attention.
You should follow the triage arrangement at the hospital if you have a fever to ensure efficient medical care and the health of medical personnel.
You should avoid going to school or work, attending gatherings and visiting crowded or poorly-ventilated public spaces while sick. You should avoid using public transportation to prevent the spread of disease if you need to go outside.
While staying at home, you should stay in a specific room, keep good airflow in the house, and avoid close contact with other people in your home, such as eating at the same table, kissing, hugging or sexual contact.
People living with the sick person should also pay attention to personal hygiene, wash hands frequently and refrain from touching eyes, nose and mouth with hands. Babies, children and the elderly or people with compromised immune system in the same household must keep at least 1 meter away from the sick person.
If the living environment requires disinfection, you can apply 1:100 diluted bleach (500 ppm).
That is, household chlorine bleach (a 5-6% sodium hypochlorite solution, providing 50,000–60,000ppm available chlorine) is diluted in water at 1:100 to clean object surfaces, such as doorknobs, desks and switches.
You can use disposable teaspoons (one teaspoon is about 20 cc), small Yakult bottles (one bottle is about 100 cc) and large plastic bottles (one bottle is about 1,250 cc) and follow the instructions below to make diluted bleach: �
a. Large amount: mix 100 cc of bleach (5 teaspoons or 1 small Yakult bottle) in 10 liters of water (8 large plastic bottles) and fully stir the solution before using.
b. Small amount: pour 10 cc of bleach into 1 liter of water and fully stir the solution before using.
For more information:
https://www.cdc.gov.tw/File/Get/HAvRHGs_EjKeROHYmzWm5w
" Ma'am, your child needs to take a test for the second time. "
" Please doctor. I am very poor for my child."
From The Glass Mirror, we see clearly the 4-Month-old baby has been didiagnos positive covid-19 from the first test. Now after a few period need to take another test for the second time.
Long swab wood needs to be put through the nose to the nose. This baby's eyes are coughing and watering. Not one side of the nose but both sides.
Her Mother's tears are dripping seeing her child being treated like that. It is a sad view but we are not cruel. We are not the heart of the stomach. It is compulsory to be made so that we can make sure the test results that are obtained are accurate.
We who are adults can't stand it until someone throbbing headache take this test what else is this small baby. Must be sick. Just can't be expressed with words.
Pity Him, it will perch and go straight to the salur. Pity Him, he doesn't know how to complain to his mother. Pity Him, need to face this kind of challenge with this small age.
If before, many cases come from cluster tabligh. But now this virus doesn't know where it came from. She spreads so fast. Like a hungry tiger looking for a victim to be in. If there is no chance, it will continue to be in our bodies.
Continue to be at home. If you come back from buying items, make sure you keep washing your hands with soap before you touch your child. Change all clothes and shower. Worried that we are actually carrying this virus from outside.
Covid 19 doesn't know who. No matter young or old, male or female, adult or baby. It doesn't even choose skin color, let alone the race.
We take care of us.
Dr Ahmad Samhan
- we will face this struggle together -
cluster headache 在 Mayo Clinic Minute: 'Tis the season for cluster headaches 的八卦
A cluster headache is a rare headache disorder that differs from a typical migraine or headache. Less than 1% of the population have cluster ... ... <看更多>