吳哲豪
育生中醫診所醫師
摘要 :
週期性麻痺(Periodic Paralysis)是與鉀離子代謝障礙有關的，以突發性反覆發作的骨骼肌弛緩性癱瘓為特徵的一組肌肉疾病。可分為原發性和繼發性兩類。原發性是指離子通道功能異常的遺傳性疾病，可分為低血鉀性、高血鉀性及正常血鉀性週期性麻痺；繼發性週期性麻痺則是繼發於其他疾病引起的血鉀改變而致病者，分為腦病性、肝性、腎性、腎上腺性、醛固酮性(aldosterone)、血糖性、甲狀腺性、損傷性、腫瘤性、酸血症性、鹼血症性及藥物性造成的週期性麻痺。根據不同的病因、臨床表現，透過四診合參、影像及實驗檢查，進而達到更明確的證型，並給予最適切的治療。
關鍵詞：
原發性週期性麻痺、低血鉀性週期性麻痺、高血鉀性週期性麻痺、繼發性週期性麻痺
Discussion on Causes of Periodic
Paralysis and Chinese Medicine
Wu Che-Hao
YuSheng Chinese Medical Clinic
Abstract
Periodic paralysis is related to disorder of potassium metabolism, bringing
on agroup of muscle disorders with sudden and repetitive flaccid paralysis
of skeletalmuscles. It can be subdivided into primary or secondary type.
Primary type pointsto genetic disease causing dysfunction of the ion
channel, and can be dividedinto hyperkalemia, hypokalemia, and normal
potassium type periodic paralysis.Secondary type points to other diseases
resulting in imbalance of potassium. Thesecan be differentiated into
encephelopathic disease, hepatic disease, renal disease,adrenal disease,
aldosterone disease, glycemic disease, thyroid disease, traumaticdisease,
neoplastic disease, acidosis, alkalosis, or drug induced. Clear diagnosisand
correct treatment depend on evaluating the different causes and clinicalpresentation,
as well as the four diagnostic parameters, diagnostic imaging, andlaboratory
diagnostics.
Key words:
Primary periodic paralysis, Hypokalemic periodic
paralysis,Hyperkalemic periodic paralysis, Secondary periodic paralysis
作者：吳哲豪
連絡地址：台北市羅斯福路三段 261號 4樓
Address：4 Fl., No.261, Sec.3, Roosevelt Rd. Taipei, Taiwan, R.O.C
Tel：02-23652975
E-Mail：Wu66wu66@gmail.com