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【明報專訊】世界衛生組織推算，2020年抑鬱症的發病率將僅次於心臟病，成為全球疾病排行榜的第二位。現時香港超過30萬人患上抑鬱症，世衛資料則顯示，全球患者逾一億，卻只有少於四分之一人尋求治療。<\/p>\n

面對這個疾病，傳統治療主要是口服藥，而近期引入的新療法，透過「腦磁激」（TMS）治療控制病情，給予抑鬱症患者另類選擇。<\/p>\n

說到腦磁激治療，很多人都會自然想起電影中的「電腦」橋段，其實「腦電盪」跟「腦磁激」大有不同。<\/p>\n

磁場波刺激腦神經元<\/p>\n

「腦電盪」，是透過接通最小的電流，產生能量，這些電流能直接刺激腦部，令腦部產生羊癇狀態，從而作出治療。治療過程中必須全身麻醉，所以必須在醫院施行。「腦電盪」適合治療嚴重抑鬱症、精神分裂等患者，對藥物無效而病情較嚴重，例如有嚴重自殺傾向、不飲不食及多次因情緒病而尋死的患者。<\/p>\n

「腦磁激」原理如磁力共振，儀器以強力的磁場產生力量，直接刺激和情緒有關的腦部神經網絡（左額前葉），產生輕微電流，令局部「神經元」因電流的刺激而產生去極化作用，從而釋放神經遞質。當大腦控制情緒的系統接收到信息後，原本有問題和缺乏動力的物質變得活躍，使血液流動，葡萄糖新陳代謝亦相繼提升，患者的情緒得以改善。<\/p>\n

事實上「腦磁激」近年已非常流行，是現時唯一擁有美國食品及藥物管理局（FDA）及歐盟認證書，用作治療抑鬱症的設備；它亦是唯一經臨牀驗證非藥物治療，專為抑鬱症而設的療程。對於一些對抑鬱症藥物療程無效，或有很多副作用的病人來說是喜訊。<\/p>\n

毋須麻醉 最快三周見效<\/p>\n

治療期間毋須使用麻醉藥，患者或會聽到「噠噠」聲，並感到儀器在額頭有輕微敲擊，這時儀器會產生高度集中一連串等同磁力共振的磁場波，去刺激腦神經元，從而刺激原本有問題的部位，令其回復活躍的動力。整個療程為30次，患者每星期到診所3至5次，每次約37分鐘治療。研究顯示，患者在接受10至15次治療後，都會明顯感到有良好的效果，逾半人認為病情有好轉。<\/p>\n

24歲的Mandy剛大學畢業，眼見身邊的同學陸續找到工作，自己卻遲遲未找到，患上了嚴重抑鬱症。Mandy對任何事物總是提不起勁，而且經常感到疲勞，於是經常賴在家中，終於在家人的陪同下來到精神科診所求診。初時她服用三種精神科藥物，病情漸趨穩定，還找到了工作。惟其中的一種藥物令她胃口大增， 經一年的治療後體重增加約20磅，雖然試過換藥，但結果不如理想，要重用該三種藥，而體重增加也令她自信下降，未能完全走出陰霾。雖然我不建議她減藥，但她仍然堅持；及後她嘗試「腦磁激」治療取代藥物，在十次治療後，Mandy已感覺到病情有明顯改善，治療期間亦沒有副作用。<\/p>\n

治療後頭部或感輕微敲打<\/p>\n

療效方面，「腦磁激」與藥物治療成效相若，不過藥物有一定副作用，療程亦較長，一般來說患者需要服藥7至10天才見到成效，醫生這時才能開始評估藥物對病人的成效，並決定加藥或是減藥，一般來說藥物需要6至8星期才能發揮最好的效果。用藥後，即使患者痊癒，也需要服藥約6至9個月才能完全穩定病情。至於「腦磁激」治療，最快3星期（9至15次治療）便可看見成效，加上副作用很少，只有小部分人在治療後，頭部有輕微敲打不適的感覺，而通常在第三次治療之後，因腦部區域已經適應這些敲擊， 所以不會感到痛楚。<\/p>\n

文：精神科專科醫生何美怡 <\/p>\n

圖：精神科專科醫生何美怡<\/p>\n

編輯：梁小玲<\/p>\n

https:\/\/health2.mingpao.com\/ftp\/Health2\/20170123\/news\/_23yd101.jpg;https:\/\/health2.mingpao.com\/ftp\/Health2\/20170123\/news\/_23yd102.jpg刺激左額前葉——「腦磁激」原理有如磁力共振，儀器以強力磁場產生力量，直接刺激和情緒有關的左額前葉，達至治療作用。（圖：精神科專科醫生何美怡）;https:\/\/health2.mingpao.com\/ftp\/Health2\/20170123\/news\/_23YD001_X.jpg比服藥快見效——何美怡醫生（左）指「腦磁激」治療最快3星期（9至15次治療）便看見成效，比傳統服藥快。（圖：精神科專科醫生何美怡）;<\/inline><\/p>\n","protected":false},"author":2,"featured_media":9770,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"rank_math_lock_modified_date":false,"site-sidebar-layout":"default","site-content-layout":"","ast-site-content-layout":"","site-content-style":"default","site-sidebar-style":"default","ast-global-header-display":"","ast-banner-title-visibility":"","ast-main-header-display":"","ast-hfb-above-header-display":"","ast-hfb-below-header-display":"","ast-hfb-mobile-header-display":"","site-post-title":"","ast-breadcrumbs-content":"","ast-featured-img":"","footer-sml-layout":"","theme-transparent-header-meta":"","adv-header-id-meta":"","stick-header-meta":"","header-above-stick-meta":"","header-main-stick-meta":"","header-below-stick-meta":"","astra-migrate-meta-layouts":"default","ast-page-background-enabled":"default","ast-page-background-meta":{"desktop":{"background-color":"var(--ast-global-color-4)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"ast-content-background-meta":{"desktop":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"footnotes":""},"categories":[3],"tags":[52,66,1085],"class_list":["post-7701","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-3","tag-52","tag-66","tag-1085"],"publishpress_future_action":{"enabled":false,"date":"2026-11-16 02:32:38","action":"change-status","newStatus":"draft","terms":[],"taxonomy":"category"},"publishpress_future_workflow_manual_trigger":{"enabledWorkflows":[]},"_links":{"self":[{"href":"\/\/www.afterroberto.com\/wp-json\/wp\/v2\/posts\/7701"}],"collection":[{"href":"\/\/www.afterroberto.com\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"\/\/www.afterroberto.com\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"\/\/www.afterroberto.com\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"\/\/www.afterroberto.com\/wp-json\/wp\/v2\/comments?post=7701"}],"version-history":[{"count":0,"href":"\/\/www.afterroberto.com\/wp-json\/wp\/v2\/posts\/7701\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"\/\/www.afterroberto.com\/wp-json\/wp\/v2\/media\/9770"}],"wp:attachment":[{"href":"\/\/www.afterroberto.com\/wp-json\/wp\/v2\/media?parent=7701"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"\/\/www.afterroberto.com\/wp-json\/wp\/v2\/categories?post=7701"},{"taxonomy":"post_tag","embeddable":true,"href":"\/\/www.afterroberto.com\/wp-json\/wp\/v2\/tags?post=7701"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}