退休後如何預防失眠失智症课件

如何改善職場失眠疲倦 高醫 精神科 王興耀教授(退休) Evaluation only.Evaluation only. Created with Aspose.Slides for .NET 3.5 Client Profile .Created with Aspose.Slides for .NET 3.5 Client Profile . Copyright 2004-2011 Aspose Pty Ltd.Copyright 2004-2011 Aspose Pty Ltd. 天天開懷大笑 改善免疫、延年益壽 日本老人流行聚會，進行笑笑功 Evaluation only.Evaluation only. Created with Aspose.Slides for .NET 3.5 Client Profile .Created with Aspose.Slides for .NET 3.5 Client Profile . Copyright 2004-2011 Aspose Pty Ltd.Copyright 2004-2011 Aspose Pty Ltd. Evaluation only.Evaluation only. Created with Aspose.Slides for .NET 3.5 Client Profile .Created with Aspose.Slides for .NET 3.5 Client Profile . Copyright 2004-2011 Aspose Pty Ltd.Copyright 2004-2011 Aspose Pty Ltd. 迷你按摩操+深呼吸 (一)分段分區按摩全身(壓、揉、痛) (二)雙手指間(合谷穴道)開始 五指間關節腕關節肘肩 (三)雙耳垂(上下拉)太陽穴頭頂枕頭部 耳後脖子 (四)腋下胸廊雙邊(排骨)上下腰部 (五)膝關節上方膝關節膝關節下方 Evaluation only.Evaluation only. Created with Aspose.Slides for .NET 3.5 Client Profile .Created with Aspose.Slides for .NET 3.5 Client Profile . Copyright 2004-2011 Aspose Pty Ltd.Copyright 2004-2011 Aspose Pty Ltd. 改善失眠:結論 1.失眠是多重因素,需多方下手 2.危險因子(腰痛膝痛、頭痛、肥胖、熬夜) 3.澈底減重 4.迷你穴道按摩(深呼吸)、盲人按摩 5.游泳、溫水SPA 6.常運動(散步、隨時運動、床上、電視前) 7.營養(魚油+綜合維他命+鎂+Q10+SOD） 8.改善憂鬱、焦慮(抗鬱劑.吃太多) 9.不熬夜，10點後關電視、電腦手機iPad Evaluation only.Evaluation only. Created with Aspose.Slides for .NET 3.5 Client Profile .Created with Aspose.Slides for .NET 3.5 Client Profile . Copyright 2004-2011 Aspose Pty Ltd.Copyright 2004-2011 Aspose Pty Ltd. 疲倦原因 可逆的、不可逆的 1. B肝、C肝(藥物) 2. 癌症(藥物、電療、化療) 3. 洗腎(電解質、貧血、糖尿病、高血壓、腳不寧、 失眠) 4. 四.三高 、肥胖(高血壓、糖尿病、高血脂、藥物) 5. 五.貧血(缺鐵、地中海貧血) 6.六. 肺結核、氣喘、肺氣腫 7. 七. 睡眠呼吸中止、食道逆流、巴金森 8. 八.甲狀腺亢進或低下 9. 九.疼痛(腰痛、膝痛、頭痛或頭暈) 10.十.失眠、憂鬱 Evaluation only.Evaluation only. Created with Aspose.Slides for .NET 3.5 Client Profile .Created with Aspose.Slides for .NET 3.5 Client Profile . Copyright 2004-2011 Aspose Pty Ltd.Copyright 2004-2011 Aspose Pty Ltd. 疲倦原因 可逆的、不可逆的 1. B肝、C肝(藥物) 2. 癌症(藥物、電療、化療) 3. 洗腎(電解質、貧血、糖尿病、高血壓、 4. 腳不寧) 5. 四.三高 、肥胖(高血壓、糖尿病、高血 脂、 6. 藥物) 7. 五. 貧血(缺鐵、地中海貧血) Evaluation only.Evaluation only. Created with Aspose.Slides for .NET 3.5 Client Profile .Created with Aspose.Slides for .NET 3.5 Client Profile . Copyright 2004-2011 Aspose Pty Ltd.Copyright 2004-2011 Aspose Pty Ltd. 六.肺結核、氣喘、肺氣腫 七.睡眠呼吸中止、食道逆流、巴金森 八.甲狀腺亢進或低下 九.疼痛(腰痛、膝痛、頭痛或頭暈) 十.失眠、憂鬱 Evaluation only.Evaluation only. Created with Aspose.Slides for .NET 3.5 Client Profile .Created with Aspose.Slides for .NET 3.5 Client Profile . Copyright 2004-2011 Aspose Pty Ltd.Copyright 2004-2011 Aspose Pty Ltd. 多種因素環環相扣 失眠 疲倦 憂鬱 肥胖 l免疫 l腰痛 l偏頭痛 Evaluation only.Evaluation only. Created with Aspose.Slides for .NET 3.5 Client Profile .Created with Aspose.Slides for .NET 3.5 Client Profile . Copyright 2004-2011 Aspose Pty Ltd.Copyright 2004-2011 Aspose Pty Ltd. 中風是多種因素造成 中風=膽固醇+血壓+血糖+肥胖 +憂鬱+抽菸+偏頭痛+風濕 關節炎+熬夜失眠+牙周病 +空氣污染(2.5g) Evaluation only.Evaluation only. Created with Aspose.Slides for .NET 3.5 Client Profile .Created with Aspose.Slides for .NET 3.5 Client Profile . Copyright 2004-2011 Aspose Pty Ltd.Copyright 2004-2011 Aspose Pty Ltd. 失眠症是多種因素造成 中風=膽固醇+血壓+血糖+肥胖+抽菸+ 牙周病+憂鬱+空氣污染 失眠=壓力+三高+肥胖+憂鬱+疼痛 +Omega-3+熬夜+少陽光+睡眠呼吸 中止+偏頭痛+免疫失調（氣喘、蕁 麻疹、牙週病、過敏性鼻炎） Evaluation only.Evaluation only. Created with Aspose.Slides for .NET 3.5 Client Profile .Created with Aspose.Slides for .NET 3.5 Client Profile . Copyright 2004-2011 Aspose Pty Ltd.Copyright 2004-2011 Aspose Pty Ltd. 改善失眠結論 1.失眠是多重因素,需多方下手 2.危險因子(腰痛膝痛、頭痛、肥胖、熬夜) 3.減重 4.迷你穴道按摩(深呼吸)、盲人按摩 5.游泳、溫水SPA 6.常運動(散步、隨時運動、床上、電視前) 7.營養(魚油+綜合維他命+鎂+Q10+SOD） 8.改善憂鬱、焦慮(抗鬱劑.吃太多) 9.不熬夜，10點後關電視、電腦手機iPad Evaluation only.Evaluation only. Created with Aspose.Slides for .NET 3.5 Client Profile .Created with Aspose.Slides for .NET 3.5 Client Profile . Copyright 2004-2011 Aspose Pty Ltd.Copyright 2004-2011 Aspose Pty Ltd. 聯詠約聘盲人按摩師 員工紓壓 Evaluation only.Evaluation only. Created with Aspose.Slides for .NET 3.5 Client Profile .Created with Aspose.Slides for .NET 3.5 Client Profile . Copyright 2004-2011 Aspose Pty Ltd.Copyright 2004-2011 Aspose Pty Ltd. (1)腳底按摩(foot reflexology)針對更年期婦女： 1.比起非特一性腳底按摩(non-specific foot massage)並無更有效於減輕(1)憂鬱(2)焦慮 (Williamson ,2002) 2.兩者方式都可以減輕憂鬱及焦慮(每週一次,九次以上) (2)改善、便秘、IBS、腰痛、頭痛、失眠(Touey,2002) (3)改善乳癌、肺癌患者之憂鬱、失眠(Stephnson,2000) 腳底按摩好處 Evaluation only.Evaluation only. Created with Aspose.Slides for .NET 3.5 Client Profile .Created with Aspose.Slides for .NET 3.5 Client Profile . Copyright 2004-2011 Aspose Pty Ltd.Copyright 2004-2011 Aspose Pty Ltd. 現代人需補充哪些營養品？ 1. 魚油(omega-3):1000mg/天 2. Q10 (30、100、300mg): 300-600mg/天 3. 綜合維他命：善存(A、B、C、D、E、 鐵、鈣、鋅） 4. 鎂：至少服用400mg/天 5. 鈣 (維他命D)：10001500mg/天 6. 纖維素：30公克/天 7. *大部份民眾攝取不足,而不自覺 Evaluation only.Evaluation only. Created with Aspose.Slides for .NET 3.5 Client Profile .Created with Aspose.Slides for .NET 3.5 Client Profile . Copyright 2004-2011 Aspose Pty Ltd.Copyright 2004-2011 Aspose Pty Ltd. 現代人吃太少omeg-3脂肪酸 Evaluation only.Evaluation only. Created with Aspose.Slides for .NET 3.5 Client Profile .Created with Aspose.Slides for .NET 3.5 Client Profile . Copyright 2004-2011 Aspose Pty Ltd.Copyright 2004-2011 Aspose Pty Ltd. 老祖宗每天吃omega-3 1000mg 1.直接證據：抽血調查美國、日本、台灣民 眾，血中含量減少 2.間接證據：一萬年前開始飼養魚、牛、羊 、豬、雞、種植： 地瓜、玉米、稻米、 小麥雞蛋成分、魚肉成分：omega-3少 飼料omega- 6 fatty acid Evaluation only.Evaluation only. Created with Aspose.Slides for .NET 3.5 Client Profile .Created with Aspose.Slides for .NET 3.5 Client Profile . Copyright 2004-2011 Aspose Pty Ltd.Copyright 2004-2011 Aspose Pty Ltd. 魚油改善憂鬱、 失眠 、肥胖 一.成分：Omega-3脂肪酸(EPA180mg，DHA120mg) 二.好處：(1)降膽固醇、防中風、心臟病 (2)改善憂鬱、穩定情緒、改善部份失眠症 (3)防止老化、改善癡呆症 (4)改善免疫(風濕性關節炎、乳癌) (5)部份的人減少體重（肥胖） 三.壞處：含汞、多氯聯苯 吃凝血劑 熱量十卡 溶解保利龍 Evaluation only.Evaluation only. Created with Aspose.Slides for .NET 3.5 Client Profile .Created with Aspose.Slides for .NET 3.5 Client Profile . Copyright 2004-2011 Aspose Pty Ltd.Copyright 2004-2011 Aspose Pty Ltd. Omega-3脂肪酸可以改善 1.癌：乳癌、大腸癌、攝護腺癌、肺癌 2.精神病：嚴重憂鬱症、精神分裂、過動兒、 自閉症 3.自體免疫：紅斑性狼瘡、風濕關節炎、 ulcerative colitis、乾癬 4.過敏：氣喘、異位性皮膚炎、蕁麻疹、過敏 鼻炎 5.血脂、糖尿病、高血壓（比值omega-6/3） Evaluation only.Evaluation only. Created with Aspose.Slides for .NET 3.5 Client Profile .Created with Aspose.Slides for .NET 3.5 Client Profile . Copyright 2004-2011 Aspose Pty Ltd.Copyright 2004-2011 Aspose Pty Ltd. 深海魚油內含 (1)每顆capsule=1000mg含 EPA +DHA300mg 另外700mg是雜質（明膠、甘油、水） (2)低劑量(EPA:180mg,DHA:120mg)=300mg 高劑量(EPA:300mg,DHA:200mg)=500mg (3)吃素食者:亞麻酸油（Omega-3） (4)老祖宗每日吃1000mg(300x4顆=1200) Evaluation only.Evaluation only. Created with Aspose.Slides for .NET 3.5 Client Profile .Created with Aspose.Slides for .NET 3.5 Client Profile . Copyright 2004-2011 Aspose Pty Ltd.Copyright 2004-2011 Aspose Pty Ltd. 現代人需補充哪些營養品？ 1. 魚油(omega-3):1000/天(2000mg?) 2. Q10 (30、300mg):30mg /天(300-600mg?) 3. 綜合維他命：善存(A、B、C、D、E、 鎂、鈣、鋅） 4. 鎂：至少服用400mg/天 5. 鈣 (維他命D)：10001500mg/天 6. 纖維素：30公克/天 7. *大部份民眾攝取不足,而不自覺 Evaluation only.Evaluation only. Created with Aspose.Slides for .NET 3.5 Client Profile .Created with Aspose.Slides for .NET 3.5 Client Profile . Copyright 2004-2011 Aspose Pty Ltd.Copyright 2004-2011 Aspose Pty Ltd. 過敏性鼻炎惡化失眠、肥胖、疲倦 1.和一百年前人類相比，增加兩倍的比例 為什麼? 2.原因:空氣污染、農藥、熬夜、生活壓力 過度乾淨(寄生蟲、疫苗)、自來水含氯 3.慢性發炎及過敏的結果 治療:四合一營養(魚油 鎂、善存、Q10)、早睡早起 空氣淨化器、減少電腦、電視、改善失眠 Evaluation only.Evaluation only. Created with Aspose.Slides for .NET 3.5 Client Profile .Created with Aspose.Slides for .NET 3.5 Client Profile . Copyright 2004-2011 Aspose Pty Ltd.Copyright 2004-2011 Aspose Pty Ltd. 現代人需補充哪些營養品？ 1. 魚油(omega-3):1000/天(2000mg?) 2. Q10 (30、300mg):30mg /天(300-600mg?) 3. 綜合維他命：善存(A、B、C、D、E、 鎂、鈣、鋅） 4. 鎂：至少服用400mg/天 5. 鈣 (維他命D)：10001500mg/天 6. 纖維素：30公克/天 7. *大部份民眾攝取不足,而不自覺 Evaluation only.Evaluation only. Created with Aspose.Slides for .NET 3.5 Client Profile .Created with Aspose.Slides for .NET 3.5 Client Profile . Copyright 2004-2011 Aspose Pty Ltd.Copyright 2004-2011 Aspose Pty Ltd. 現代人服用營養鎂不足 1. 19世紀，人類平均每天服用鎂600mg，目 前每天服用只剩100mg。善存? 2.鎂來源：綠蔬菜，以葉綠素為主。 因為施肥(鉀肥、氮肥、磷肥)缺乏鎂， 因此蔬菜徒有綠色，但少有鎂。 3.鎂缺乏：容易造成文明病，如失眠、憂 鬱、三高、肥胖、乳癌、大腸癌、中風 、心臟病 4.補充：氧化鎂、氯化鎂 Evaluation only.Evaluation only. Created with Aspose.Slides for .NET 3.5 Client Profile .Created with Aspose.Slides for .NET 3.5 Client Profile . Copyright 2004-2011 Aspose Pty Ltd.Copyright 2004-2011 Aspose Pty Ltd. 鎂食物來源 (一) 蔬菜：菠菜、芥菜、甘藍、蘆筍 、 茄子、香菇 (二) 水果：香蕉、草莓、蕃茄 (三) 堅果：南瓜子、腰果、杏仁 (四) 五穀：糙米、燕麥、芝麻、綠豆 、 黑豆、豆腐、大豆、花生、扁豆 美國RDA建議量：男性450mg/天 女性400mg/天 Evaluation only.Evaluation only. Created with Aspose.Slides for .NET 3.5 Client Profile .Created with Aspose.Slides for .NET 3.5 Client Profile . Copyright 2004-2011 Aspose Pty Ltd.Copyright 2004-2011 Aspose Pty Ltd. 補充鎂，可常規治療輔助療法 證據強：高血壓、糖尿病、偏頭痛、 骨質疏鬆、 經前痛、腰膝痛 證據中：憂鬱、失眠、氣 喘 *證據力:強中弱 Evaluation only.Evaluation only. Created with Aspose.Slides for .NET 3.5 Client Profile .Created with Aspose.Slides for .NET 3.5 Client Profile . Copyright 2004-2011 Aspose Pty Ltd.Copyright 2004-2011 Aspose Pty Ltd. 近200年,作息生態嚴重改變 1.近視(戴眼鏡) 2.拖鞋(腳底按摩,健康步道) 3.(a)值夜班抽菸,喝咖啡 (b)晚睡早起(或晚起)抽菸,喝咖啡 (c)週六日補眠,抽菸,喝咖啡 3.3C:電視,電腦,手機,iPAD(-室內定點腳踏車) 4.吃藥開刀:文明病(三高,黃斑病變,癌,食道逆流 ) 4.白天疲倦,注意力不集中,記性減退 5.過度乾淨氯水疫苗(吃益生菌,昆蟲寄生蟲) 6.少動少太陽(鈣片維骨力,乳癌開刀) 7.空污(2.5pm )(空氣清淨器)8.健康食品 Evaluation only.Evaluation only. Created with Aspose.Slides for .NET 3.5 Client Profile .Created with Aspose.Slides for .NET 3.5 Client Profile . Copyright 2004-2011 Aspose Pty Ltd.Copyright 2004-2011 Aspose Pty Ltd. 現代人需補充哪些營養品？ 1. 魚油(omega-3):1000/天(準病人2000mg) 2. Q10 (30、300mg):30mg /天(準病人300mg) 3. 綜合維他命：善存(A、B、C、D、E、 鎂、鈣、鋅.硒） 4. 鎂：至少服用400mg/天 5. 鈣1500mg/天(維他命D,400IU/天) 6. 纖維素：30公克/天 7. *大部份民眾攝取不足,而不自覺 Evaluation only.Evaluation only. Created with Aspose.Slides for .NET 3.5 Client Profile .Created with Aspose.Slides for .NET 3.5 Client Profile . Copyright 2004-2011 Aspose Pty Ltd.Copyright 2004-2011 Aspose Pty Ltd. 維他命D攝取充足-不可能 1.日照時間縮短. 2.台灣人血中濃度不足佔38%,中年婦女 (60%). 3.牛奶在紫外線照射,強化維他命D. 4.陽光手腳露出30公分,在陽光下曬30分鐘 . 5.每日需補800Iu(單位)=20ug(毫克) Evaluation only.Evaluation only. Created with Aspose.Slides for .NET 3.5 Client Profile .Created with Aspose.Slides for .NET 3.5 Client Profile . Copyright 2004-2011 Aspose Pty Ltd.Copyright 2004-2011 Aspose Pty Ltd. 現代人需補充哪些營養品？ 1. 魚油(omega-3):1000/天(2000mg?) 2. Q10 (30、300mg):30mg /天(300-600mg?) 3. 綜合維他命：善存(A、B、C、D、E、 鎂、鈣、鋅） 4. 鎂：至少服用400mg/天 5. 鈣 (維他命D)：10001500mg/天 6. 纖維素：30公克/天(三多膳食纖維) Evaluation only.Evaluation only. Created with Aspose.Slides for .NET 3.5 Client Profile .Created with Aspose.Slides for .NET 3.5 Client Profile . Copyright 2004-2011 Aspose Pty Ltd.Copyright 2004-2011 Aspose Pty Ltd. 改善失眠結論 1.失眠是多重因素,需多方下手 2.危險因子(腰痛、頭痛、肥胖、熬夜) 3.減重 4.迷你穴道按摩(深呼吸)、盲人按摩 5.游泳、溫水SPA 6.常運動(散步、隨時運動、床上、電視前) 7.營養(魚油+綜合維他命+鎂+Q10+SOD） 8.改善憂鬱、焦慮(抗鬱劑.吃太多) 9.不熬夜，10點後關電視、電腦手機iPad Evaluation only.Evaluation only. Created with Aspose.Slides for .NET 3.5 Client Profile .Created with Aspose.Slides for .NET 3.5 Client Profile . Copyright 2004-2011 Aspose Pty Ltd.Copyright 2004-2011 Aspose Pty Ltd. 憂鬱 疼痛 常失眠、疲倦 Evaluation only.Evaluation only. Created with Aspose.Slides for .NET 3.5 Client Profile .Created with Aspose.Slides for .NET 3.5 Client Profile . Copyright 2004-2011 Aspose Pty Ltd.Copyright 2004-2011 Aspose Pty Ltd. 腰痛和疲倦憂鬱症關係 疲倦憂鬱症病患容易日後合併腰痛 腰痛病患容易日後合併疲倦憂鬱症 疲倦憂鬱症 腰痛 失眠 Evaluation only.Evaluation only. Created with Aspose.Slides for .NET 3.5 Client Profile .Created with Aspose.Slides for .NET 3.5 Client Profile . Copyright 2004-2011 Aspose Pty Ltd.Copyright 2004-2011 Aspose Pty Ltd. 危險因子：慢性疼痛(3月) 1.腰痛(骨刺、椎間突出、僵直型脊椎炎、 風濕性) 2.膝痛(骨刺、外傷、風濕性) 3.肩痛 4.頭痛(偏頭痛) 5.三叉神經痛、糖尿病神經痛、疱疹痛 魚油(2000mg)+鎂(400mg)游泳.SPA.盲人按摩 Evaluation only.Evaluation only. Created with Aspose.Slides for .NET 3.5 Client Profile .Created with Aspose.Slides for .NET 3.5 Client Profile . Copyright 2004-2011 Aspose Pty Ltd.Copyright 2004-2011 Aspose Pty Ltd. 如何改善腰痛 1.減重(兩餐間吃水果、喝水，少吃米飯、 麵、丟餅乾) 2.床上腳踏車、剪刀運動、游泳 3.擴胸仰頭運動、隨時動 4.魚油(改善情緒、抑制胃口、止痛) 5.綜合維他命(ABCD礦物質之鎂鈣硒鋅) 6.泳池SPA、按摩、游泳 +鎂(400mg) 7.迷你穴道按摩+深呼吸 8.鬧鐘早起、早起早睡 Evaluation only.Evaluation only. Created with Aspose.Slides for .NET 3.5 Client Profile .Created with Aspose.Slides for .NET 3.5 Client Profile . Copyright 2004-2011 Aspose Pty Ltd.Copyright 2004-2011 Aspose Pty Ltd. 慢性疼痛會惡化失眠 病例1：自從腰痛或骨折後不再出門、散 步、游泳、或上教堂 病例2：因為腰痛，長年在骨科診治並作復 健，長年吃安眠藥（3年），不久 得憂鬱症及嚴重失眠 Evaluation only.Evaluation only. Created with Aspose.Slides for .NET 3.5 Client Profile .Created with Aspose.Slides for .NET 3.5 Client Profile . Copyright 2004-2011 Aspose Pty Ltd.Copyright 2004-2011 Aspose Pty Ltd. 對抗腰痛、膝痛、臀痛 多運動是可以止痛的 書名：酸痛速解 （腰、臀、腿） 作者：謝霖芬、李祖芹 出版：台視文化 Evaluation only.Evaluation only. Created with Aspose.Slides for .NET 3.5 Client Profile .Created with Aspose.Slides for .NET 3.5 Client Profile . Copyright 2004-2011 Aspose Pty Ltd.Copyright 2004-2011 Aspose Pty Ltd. 擴胸運動 參考網址：.tw/hot/hot06/ Evaluation only.Evaluation only. Created with Aspose.Slides for .NET 3.5 Client Profile .Created with Aspose.Slides for .NET 3.5 Client Profile . Copyright 2004-2011 Aspose Pty Ltd.Copyright 2004-2011 Aspose Pty Ltd. 懶人的運動騎腳踏車 Evaluation only.Evaluation only. Created with Aspose.Slides for .NET 3.5 Client Profile .Created with Aspose.Slides for .NET 3.5 Client Profile . Copyright 2004-2011 Aspose Pty Ltd.Copyright 2004-2011 Aspose Pty Ltd. SPA Evaluation only.Evaluation only. Created with Aspose.Slides for .NET 3.5 Client Profile .Created with Aspose.Slides for .NET 3.5 Client Profile . Copyright 2004-2011 Aspose Pty Ltd.Copyright 2004-2011 Aspose Pty Ltd. 如何改善腰痛 1.減重(兩餐間吃水果、喝水，少吃米飯、 麵、丟餅乾) 2.床上腳踏車、剪刀運動、游泳 3.擴胸仰頭運動、隨時動 4.魚油(改善情緒、抑制胃口、止痛) 5.綜合維他命(ABCD礦物質之鎂鈣硒鋅) 6.泳池SPA、按摩、游泳 +鎂(400mg) 7.迷你穴道按摩+深呼吸 8.鬧鐘早起、早起早睡 Evaluation only.Evaluation only. Created with Aspose.Slides for .NET 3.5 Client Profile .Created with Aspose.Slides for .NET 3.5 Client Profile . Copyright 2004-2011 Aspose Pty Ltd.Copyright 2004-2011 Aspose Pty Ltd. 腰痛 腰痛會失眠憂鬱，只吃藥不易好轉 Evaluation only.Evaluation only. Created with Aspose.Slides for .NET 3.5 Client Profile .Created with Aspose.Slides for .NET 3.5 Client Profile . Copyright 2004-2011 Aspose Pty Ltd.Copyright 2004-2011 Aspose Pty Ltd. Evaluation only.Evaluation only. Created with Aspose.Slides for .NET 3.5 Client Profile .Created with Aspose.Slides for .NET 3.5 Client Profile . Copyright 2004-2011 Aspose Pty Ltd.Copyright 2004-2011 Aspose Pty Ltd. 跳樓老翁脊椎側彎 1. 74歲老榮民到醫學中心掛急診，腰痛，打 止痛針後，須住院進一步治療，因無健保床 ，須急診等候，妻子辦手續，老翁柱著柺 杖，跑到二十二樓陽台欲跳樓,家屬苦勸中 時， 94/04/08 2. 脊椎側彎，疼痛難以成眠，憂鬱症? 3. 人格不理性、認知功能 Evaluation only.Evaluation only. Created with Aspose.Slides for .NET 3.5 Client Profile .Created with Aspose.Slides for .NET 3.5 Client Profile . Copyright 2004-2011 Aspose Pty Ltd.Copyright 2004-2011 Aspose Pty Ltd. Evaluation only.Evaluation only. Created with Aspose.Slides for .NET 3.5 Client Profile .Created with Aspose.Slides for .NET 3.5 Client Profile . Copyright 2004-2011 Aspose Pty Ltd.Copyright 2004-2011 Aspose Pty Ltd. 偏頭痛和失眠、憂鬱症關係 憂鬱症病患容易日後合併偏頭痛 偏頭痛病患容易日後合併憂鬱症 憂鬱症 偏頭痛 失眠 Evaluation only.Evaluation only. Created with Aspose.Slides for .NET 3.5 Client Profile .Created with Aspose.Slides for .NET 3.5 Client Profile . Copyright 2004-2011 Aspose Pty Ltd.Copyright 2004-2011 Aspose Pty Ltd. 什麼是偏頭痛？ 1.血管性頭痛、腦殼內血管一縮一放 2.痛一邊或兩邊均有、和心跳一致脈動性的抽痛 3.伴隨：噁心、想吐、流淚、流鼻涕、月經前不 舒服、拉肚子、便秘、腹脹（大腸急躁） 4.伴隨：失眠、不安、情緒不好、憂鬱 5.常是急性子、完美主義或極端散漫 Evaluation only.Evaluation only. Created with Aspose.Slides for .NET 3.5 Client Profile .Created with Aspose.Slides for .NET 3.5 Client Profile . Copyright 2004-2011 Aspose Pty Ltd.Copyright 2004-2011 Aspose Pty Ltd. 如何改善頭痛 1.減重(兩餐間吃水果、喝水，少吃米飯、 麵、丟餅乾) 2.床上腳踏車、剪刀運動、游泳 3.擴胸,仰頭運動、隨時動 4.魚油(改善情緒、抑制胃口、止痛) 5.綜合維他命(ABCD礦物質之鎂鈣硒鋅) 6.泳池SPA、按摩、游泳 +鎂(400mg) 7.迷你穴道按摩+深呼吸 8.鬧鐘早起、早起早睡 Evaluation only.Evaluation only. Created with Aspose.Slides for .NET 3.5 Client Profile .Created with Aspose.Slides for .NET 3.5 Client Profile . Copyright 2004-2011 Aspose Pty Ltd.Copyright 2004-2011 Aspose Pty Ltd. 乳癌之遠因 1.喝塑化劑（塑膠袋內,裝豆漿,薑母鴨） 2.熬夜（10點後上床） 3.少陽光（血中維他命D不足） 4.Omega-3缺乏(魚油亞麻仔苦茶油橄欖油) 5.壓力 Evaluation only.Evaluation only. Created with Aspose.Slides for .NET 3.5 Client Profile .Created with Aspose.Slides for .NET 3.5 Client Profile . Copyright 2004-2011 Aspose Pty Ltd.Copyright 2004-2011 Aspose Pty Ltd. 綱要 1. 憂鬱症之定義、內涵多樣性、易混亂 2. 那些人容易憂鬱症（生態指標） 3. 那些人容易的憂鬱症（身體指標） 4. 認識強迫症、恐慌症、非典型憂鬱 5. 常默唸正向語言 6. 如何預防憂鬱 Evaluation only.Evaluation only. Created with Aspose.Slides for .NET 3.5 Client Profile .Created with Aspose.Slides for .NET 3.5 Client Profile . Copyright 2004-2011 Aspose Pty Ltd.Copyright 2004-2011 Aspose Pty Ltd. 憂鬱症是多種因素造成 憂鬱症壓力+遺傳+三高+肥胖+慢性疼痛 （腰痛+膝痛）+偏頭痛+失眠+熬 夜 +omega-3缺乏+少陽光+戶內 活動 +少運動+免疫失調（氣喘 蕁麻疹、牙週病） Evaluation only.Evaluation only. Created with Aspose.Slides for .NET 3.5 Client Profile .Created with Aspose.Slides for .NET 3.5 Client Profile . Copyright 2004-2011 Aspose Pty Ltd.Copyright 2004-2011 Aspose Pty Ltd. 憂鬱症吃藥不易完全好 1.節食減重、運動（陽光） 2.改善危險因子(腰痛、頭痛、肥胖、熬夜) 3.改善免疫失調（氣喘、蕁麻疹、牙週病） 4.穴道按摩、深呼吸 5.游泳、SPA、盲人按摩 6.營養(魚油、鎂、綜合維他命、Q10) 7.不熬夜，10點後關電視、電腦手機iPad Evaluation only.Evaluation only. Created with Aspose.Slides for .NET 3.5 Client Profile .Created with Aspose.Slides for .NET 3.5 Client Profile . Copyright 2004-2011 Aspose Pty Ltd.Copyright 2004-2011 Aspose Pty Ltd. 改善情緒的方法 1.節食減重、運動（陽光） 2.改善危險因子(腰痛、頭痛、肥胖、熬夜) 3.改善免疫失調（氣喘、蕁麻疹、牙週病） 4.穴道按摩、深呼吸 5.游泳、SPA、盲人按摩 6.營養(魚油、鎂、綜合維他命、Q10) 7.不熬夜，10點後關電視、電腦手機iPad Evaluation only.Evaluation only. Created with Aspose.Slides for .NET 3.5 Client Profile .Created with Aspose.Slides for .N