运动性头痛 - 诊断与治疗 - 妙佑医疗国际

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运动性头痛

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诊断

您的医生可能会建议进行影像学检查，尤其是在以下情况下：头痛持续了几个小时头痛突然发作，像雷声一般您的年龄在 40 岁以上您还有其他体征和症状，例如恶心、呕吐或视力障碍在这些情况下，不同类型的影像学检查可以帮助医生确认您只是患有无害的运动性头痛，而不是由结构或血管异常引起的类型。核磁共振成像 (MRI)。这项检查利用磁场和无线电波创建大脑内部结构的横截面图像。磁共振血管造影术 (MRA) 和 CT 扫描血管造影术。这些检测可以可视化通往大脑的血管和大脑内部的血管。 CT 扫描。CT 扫描使用 X 线生成大脑的横截面图像。这项检查可以显示出刚刚或最近渗入大脑或大脑周围的出血，如果头痛发生时间不足 48 小时，通常可以使用该检查。有时还需要进行腰椎穿刺，尤其是在近期头痛突然发作且脑部影像学检查结果正常的情况下。

治疗

如果您的运动性头痛不是由潜在的结构或血管问题引起的，医生可能会建议您定期服药以预防头痛。医生通常会开吲哚美辛（Indocin、Tivorbex）这种消炎药。降压药普萘洛尔（Inderal、Innopran XL）也用于预防运动性头痛。据报道，其他疗法对某些患者也有效，包括萘普生 (Naprosyn)、苯乙嗪 (Nardil) 和麦角新碱。如果您的运动性头痛是可以预测的，则您可以在计划的事件前一两个小时服药，例如在网球比赛或高海拔远足之前。如果您的运动性头痛经常发生或无法预测，那么可能需要每天服用预防药物。申请 Mayo Clinic 预约

准备您的预约

您可能会首先去看家庭医生或全科医生。在某些情况下，您可能会被转诊给神经科医生。最好做好就诊准备。以下信息可以帮助您做好就诊准备，并了解医生可能会做些什么。

您能做些什么

了解就诊前是否有任何限制规定。当您预约时，询问是否需要提前做什么准备，例如限制您的饮食。写下您目前出现的所有症状，包括那些看起来与您安排本次预约无关的任何症状。写下关键的个人信息，包括既往疾病和手术、主要压力或近期生活变化以及您家族中遗传的任何医学问题。列出您正在使用的所有药物、维生素或补充剂。尽可能请家人或朋友陪同。有人陪同可以帮您记住漏掉或忘记的信息。写下要向医生咨询的问题。准备好问题清单有助于充分利用就诊时间。对于运动性头痛，要问医生的一些基本问题包括：我的症状或病情是什么原因引起的？我的症状或疾病还有其他可能的原因吗？我需要做哪些检查？我的病症可能是暂时问题还是长期病症？最好的治疗方法是什么？除了您推荐的治疗方法以外，还有什么替代方案吗？我还有其他健康问题。我如何同时管理好这些疾病？我是否需要遵循什么限制？我应该去看专科医生吗？您开的药物有同类仿制药可替代吗？有没有我可以带回家的手册或其他印刷材料？您推荐哪些网站？在就诊期间，您可以随时提出任何其他问题。

医生可能做些什么

您的医生可能会询问您一些问题，例如：您何时开始出现运动性头痛？您的运动性头痛是持续的，还是偶尔的？您过去有过相似问题吗？您是否有其他类型的头痛？请描述。您的直系亲属中是否有人发生过偏头痛或运动性头痛？有没有任何因素看似能缓解您的头痛？有没有任何因素会加重您的头痛？

What you can do

Be aware of any pre-appointment restrictions. When you make the appointment, ask if there's anything you need to do in advance, such as restricting your diet. Write down any symptoms you're experiencing, including any that may seem unrelated to the reason for which you scheduled the appointment. Write down key personal information, including past illnesses and operations, major stresses or recent life changes, and any medical problems that run in your family. Make a list of all medications, vitamins and supplements you take. Take a family member or friend along, if possible. Someone who accompanies you may remember something you missed or forgot. Write down questions to ask your provider. Preparing a list of questions will help you make the most of your time with your provider. For exercise headaches, some basic questions to ask your provider include: What's causing my symptoms or condition? Are there other possible causes for my symptoms or condition? What tests do I need? Is my condition likely temporary or chronic? What is the best course of action? What are the alternatives to the approach you're suggesting? I have other health conditions. How can I best manage them together? Are there any restrictions I need to follow? Should I see a specialist? Is there a generic alternative to the medicine you're prescribing? Are there brochures or other printed material I can take home? What websites do you recommend? Don't hesitate to ask any other questions that come up during your appointment.

What to expect from your doctor

Your provider is likely to ask you a number of questions, such as: When did you begin experiencing exercise headaches? Have your exercise headaches been continuous or occasional? Have you had a similar problem in the past? Have you had other kinds of headaches? Describe them. Has anyone in your immediate family experienced migraines or exercise headaches? What, if anything, seems to help your headaches? What, if anything, makes your headaches worse? 来自妙佑医疗国际员工申请 Mayo Clinic 预约症状与病因 July 03, 2022 打印 Share on: FacebookTwitterWeChat

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CloseWeibo 显示参考文献 Cutrer FM, et al. Cough, exercise, and sex headaches. Neurology Clinics. 2014;32:433. Headache: Hope through research. National Institute of Neurological Disorders and Stroke. http://www.ninds.nih.gov/disorders/headache/detail_headache.htm#142883138. Accessed Jan. 19, 2015. Ropper AH, et al. Adams & Victor's Principles of Neurology. 10th ed. New York, N.Y.: The McGraw-Hill Companies; 2014. http://accessmedicine.mhmedical.com/book.aspx?bookid=690. Accessed Jan. 19, 2015. Cutrer FM. Exertional headaches. http://www.uptodate.com/home. Accessed Jan. 19, 2015. Longo DL, et al. Harrison's Principles of Internal Medicine. 18th ed. New York, N.Y.: The McGraw-Hill Companies; 2012. http://www.accessmedicine.com/resourceTOC.aspx?resourceID=4. Accessed Jan. 19, 2015. Primary exertional headache. International Headache Society. http://ihs-classification.org/en/02_klassifikation/02_teil1/04.03.00_other.html. Accessed Jan. 19, 2015.