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俗稱「公主病」的「纖維肌痛症」雖然好發在3、40歲女性族群，但男性也不一定就可輕忽。50多歲的蕭先生，全身疼痛已經好幾個月了，看遍各醫院不同科別都沒有改善，直衝慢性疼痛科診間，一開口就急著要醫師給他止痛藥，診斷正是「纖維肌痛症」，經藥物治療及調整作息，這才明顯感受到疼痛減緩。

台北慈濟醫院醫師莊淨為表示，臨床統計，台灣的纖維肌痛症盛行率約為6至7%，全球盛行率更高，不如一般人想像的罕見；該病確切原因目前不明，但大多認為是由於神經系統不正常放電，造成神經失調，而產生疼痛感，觸發因子可能是突發性的生理或心理壓力。

臨床就發現，許多纖維肌痛症患者，是在遭受巨大壓力後才開始出現症狀，像是車禍、過勞、受虐、失業、親友過世等。

莊淨為指出，纖維肌痛症的疼痛是一種慢性、廣泛性，也是持續性的疼痛，對任何刺激產生超乎預期的「疼痛放大症候群」，可能遍及全身，會感受到疼痛跑來跑去，進而影響睡眠及感官，記憶力和認知功能也會跟著下降，且精神耗弱，形成惡性循環。

纖維肌痛症的症狀相當多樣，醫師提醒，因為診斷不易，病人往往都處在生理、心理一團亂的情形，進而無法工作、甚至失業，社會經濟壓力席捲而來，失眠、焦慮、負面情緒更加嚴重。

莊淨為強調，這群病患可能看遍不同醫院或科別，檢查卻都正常查不出病因，還可能被誤認為是無病呻吟，目前治療方式，多以藥物為主，如抗癲癇藥、抗憂鬱藥、抑制劑或是非類固醇止痛藥等，而適量有氧運動和肌力訓練、規律的生活作息、均衡的飲食，或是做一些調息律動、柔軟的伸展運動，都有助於減輕疼痛、疲勞和焦慮等症狀。

醫師提醒，若全身性疼痛超過3個月，長期性疲勞、焦慮，請務必找專科醫師診斷，及早確診才能對症治療，脫離不間斷的疼痛折磨。

Although the "fibromyalgia" commonly known as "the princess disease" occurs in the female population of 3 or 40 years old, men may not be negligent. Mr. Xiao, who is in his 50s, has been suffering from body pain for several months. He has seen no improvement in different departments in various hospitals. He has been rushing to the chronic pain clinic. He is anxious to ask the doctor to give him painkillers. The diagnosis is " Fibromyalgia, after drug treatment and adjustment of work and rest, this is clearly felt pain relief.

According to Zhuang Jing, a physician at the Tzu Chi Hospital in Taipei, clinical statistics show that the prevalence of fibromyalgia in Taiwan is about 6 to 7%. The global prevalence rate is higher than that of the average person. The exact cause of the disease is unknown, but most of them think that It is because the nervous system is not normally discharged, causing a nervous disorder, which causes pain, and the triggering factor may be sudden physical or psychological stress.

Clinically, many patients with fibromyalgia began to develop symptoms after suffering tremendous pressure, such as car accidents, overwork, abuse, unemployment, death of relatives and friends.

Zhuang Jing pointed out that the pain of fibromyalgia is a chronic, extensive, and persistent pain. The "pain amplification syndrome" that exceeds expectations for any stimulus may spread throughout the body and will feel the pain running around. In turn, affecting sleep and senses, memory and cognitive functions will also decline, and mental exhaustion, forming a vicious circle.

The symptoms of fibromyalgia are quite diverse. The doctor reminds that because the diagnosis is not easy, the patients are often in a physical and psychological disorder, and then unable to work or even lose their jobs. Social and economic pressures are swept up, insomnia, anxiety, and negative emotions. more serious.

Zhuang Jing stressed that this group of patients may see different hospitals or departments, but the examinations are normal and can not find the cause, and may be mistaken for disease-free, the current treatment methods, mostly based on drugs, such as anti-epileptic drugs, Antidepressants, inhibitors or non-steroidal analgesics, etc., and moderate aerobic exercise and muscle strength training, regular lifestyle, balanced diet, or some rhythmic rhythm, soft stretching exercises, can help alleviate Symptoms such as pain, fatigue and anxiety.

Physicians warn that if systemic pain exceeds 3 months, long-term fatigue, anxiety, please be sure to find a specialist diagnosis, early diagnosis can be symptomatic treatment, away from uninterrupted pain.

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