{"id":7152,"date":"2022-05-06T01:12:00","date_gmt":"2022-05-05T17:12:00","guid":{"rendered":"https:\/\/www.mind.org.hk\/mental-health\/%e5%a5%b3%e6%80%a7%e7%b2%be%e7%a5%9e%e5%81%a5%e5%ba%b7\/%e8%8d%b7%e7%88%be%e8%92%99%e8%88%87%e7%b2%be%e7%a5%9e%e5%81%a5%e5%ba%b7\/"},"modified":"2025-03-16T02:51:37","modified_gmt":"2025-03-15T18:51:37","slug":"%e8%8d%b7%e7%88%be%e8%92%99%e8%88%87%e7%b2%be%e7%a5%9e%e5%81%a5%e5%ba%b7","status":"publish","type":"mental-health","link":"https:\/\/www.mind.org.hk\/zh-hant\/mental-health-a-to-z\/%e5%a5%b3%e6%80%a7%e7%b2%be%e7%a5%9e%e5%81%a5%e5%ba%b7\/%e8%8d%b7%e7%88%be%e8%92%99%e8%88%87%e7%b2%be%e7%a5%9e%e5%81%a5%e5%ba%b7\/","title":{"rendered":"\u8377\u723e\u8499\u8207\u7cbe\u795e\u5065\u5eb7"},"content":{"rendered":"<h3>\u8377\u723e\u8499\u8207\u7cbe\u795e\u5065\u5eb7<\/h3>\n<h3>\u6027\u8377\u723e\u8499<\/h3>\n<p>\u5f71\u97ff\u5973\u6027\u7cbe\u795e\u5065\u5eb7\u7684\u4e09\u500b\u4e3b\u8981\u6027\u8377\u723e\u8499\u5305\u62ec\u96cc\u6fc0\u7d20\uff08Estrogen\uff09\u3001\u776a\u916e\uff08Testosterone\uff09\u53ca\u9ec3\u9ad4\u7d20\uff08Progesterone\uff09\u3002<\/p>\n<ul>\n<li aria-level=\"1\">\u5728\u5375\u5de2\u5206\u6ccc\u7684\u96cc\u6fc0\u7d20\u6703\u5f71\u97ff\u5973\u6027\u9752\u6625\u671f\u767c\u80b2\u53ca\u6210\u9577\u3002\u96cc\u6fc0\u7d20\u7684\u6307\u6578\u8b8a\u5316\u5f71\u97ff\u60c5\u7dd2\u8d77\u4f0f\u3002\u9019\u5c07\u5f71\u97ff\u5973\u6027\u7684\u4e00\u751f\uff0c\u5c24\u5176\u5728\u66f4\u5e74\u671f\u5176\u9593\u66f4\u70ba\u660e\u986f\u3002<\/li>\n<li aria-level=\"1\">\u776a\u916e\u65bc\u7537\u6027\u9ad4\u5167\u542b\u91cf\u66f4\u9ad8\uff0c\u4f46\u5973\u6027\u7684\u5b50\u5bae\u548c\u814e\u4e0a\u817a\u7d20\u4e5f\u6703\u88fd\u9020\u5c11\u91cf\u776a\u916e\u3002\u73fe\u5b58\u7684\u7814\u7a76\u6307\u51fa\u7537\u6027\u7684\u60c5\u7dd2\u8d77\u4f0f\u8207\u776a\u916e\u4e0d\u7a69\u5b9a\u542b\u91cf\u6709\u95dc\u3002\u96d6\u7136\u776a\u916e\u5c0d\u5973\u6027\u7cbe\u795e\u5065\u5eb7\u7684\u5f71\u97ff\u4e0d\u660e\u78ba\uff0c\u5973\u6027\u7684\u4e0d\u7a69\u5b9a\u7684\u776a\u916e\u6307\u6578\u5c0d\u751f\u7406\u5065\u5eb7\u7684\u5f71\u97ff\u80fd\u9593\u63a5\u5730\u589e\u52a0\u60a3\u4e0a\u7cbe\u795e\u5065\u5eb7\u56f0\u64fe\u7684\u98a8\u96aa\u3002<\/li>\n<li aria-level=\"1\">\u9ec3\u9ad4\u7d20\u652f\u63f4\u61f7\u5b55\u548c\u5f71\u97ff\u6708\u7d93\u9031\u671f\u3002\u5b83\u5728\u5b50\u5bae\u5206\u6ccc\uff0c\u4e26\u5f71\u97ff\u6708\u7d93\u9031\u671f\u548c\u61f7\u5b55\u3002\u7814\u7a76\u6307\u51fa\u9ec3\u9ad4\u7d20\u8207\u6211\u5011\u7684\u7126\u616e\u7a0b\u5ea6\u4e92\u76f8\u5f71\u97ff\u3002<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n<h3>\u50ac\u7522\u7d20<\/h3>\n<p>\u50ac\u7522\u7d20\u65bc\u4e0b\u4e18\u8166\uff08Hypothalamus\uff09\u5206\u6ccc\u3002\u50ac\u7522\u7d20\u7684\u5206\u6ccc\u8207\u80a2\u9ad4\u63a5\u89f8\u548c\u611f\u60c5\u3001\u793e\u4ea4\u548c\u6027\u884c\u70ba\u76f8\u95dc\u3002\u6b64\u5916\uff0c\u5b83\u8207\u5973\u6027\u751f\u80b2\u6709\u7dca\u5bc6\u95dc\u4fc2 \u2014\u2014 \u5b83\u6703\u5728\u751f\u7522\u548c\u54fa\u4e73\u6642\u98c6\u5347\u3002<\/p>\n<p>\u6211\u5011\u4ecd\u672a\u80fd\u6e05\u6670\u4e86\u89e3\u50ac\u7522\u7d20\u7684\u5177\u9ad4\u4f5c\u7528\u3002\u6709\u4e9b\u7814\u7a76\u6307\u51fa\u50ac\u7522\u7d20\u5c0d\u58d3\u529b\u53cd\u61c9\u3001\u793e\u4ea4\u884c\u70ba\u8207\u6210\u766e\u7684\u9593\u63a5\u95dc\u4fc2\u3002<\/p>\n<p>\u6709\u7814\u7a76\u4ea6\u6307\u51fa\u50ac\u7522\u7d20\u7684\u89e3\u58d3\u4f5c\u7528\u3002\u54fa\u4e73\u6642\u4e0a\u5347\u7684\u50ac\u7522\u7d20\u80fd\u8212\u7de9\u8ca0\u9762\u7684\u58d3\u529b\u53cd\u61c9 (<a href=\"https:\/\/www.sciencedirect.com\/science\/article\/pii\/S0306453015000591?casa_token=zk-qdjuRp4sAAAAA:kSFWDFjhPi0bUyyzly-JvGw1kkcnUXVaFyGQDUzsP2I94gu668ZqAgaupGkGW6Xwp9qzFw2pNt4\" target=\"_blank\" rel=\"noopener\">Cox et al., 2015<\/a>)\u3002<\/p>\n<p>\u8377\u723e\u8499\u80fd\u4ee5\u591a\u7a2e\u65b9\u5f0f\u5f71\u97ff\u5927\u8166\u7684\u5316\u5b78\u4e92\u52d5\uff0c\u7c21\u4ecb\u5f71\u97ff\u6211\u5011\u7684\u60c5\u7dd2\u8207\u7cbe\u795e\u5065\u5eb7\u3002\u5973\u6027\u5728\u8377\u723e\u8499\u8d77\u4f0f\u7684\u6642\u5019\u611f\u53d7\u5230\u60c5\u7dd2\u8b8a\u5316\u662f\u7d55\u5c0d\u6b63\u5e38\u7684\uff0c\u6bd4\u5982\u7d93\u671f\u671f\u9593\u3001\u61f7\u5b55\u548c\u66f4\u5e74\u671f\u3002<\/p>\n<p>&nbsp;<\/p>\n<h3>\u7d93\u671f<\/h3>\n<p>\u5973\u6027\u7684\u8377\u723e\u8499\u6307\u6578\u6703\u5728\u6708\u7d93\u671f\u9593\u8d77\u4f0f\u3002\u90e8\u5206\u5973\u6027\u6703\u7d93\u6b77\u7d93\u524d\u75c7\u5019\u7fa4\uff0c\u800c\u56b4\u91cd\u7684\u7d93\u524d\u75c7\u5019\u7fa4\u5247\u53ef\u80fd\u6703\u88ab\u8a3a\u65b7\u70ba\u7d93\u524d\u4e0d\u6085\u75c7\u2014\u2014\u9019\u662f\u5176\u4e2d\u4e00\u7a2e\u6291\u9b31\u75c7\u3002<\/p>\n<h4>\u7d93\u524d\u75c7\u5019\u7fa4\u548c\u7d93\u524d\u4e0d\u6085\u75c7<\/h4>\n<p>\u7d93\u524d\u75c7\u5019\u7fa4\uff08PMS\uff09\u901a\u5e38\u5728\u6708\u7d93\u524d\u6578\u65e5\u51fa\u73fe\u3002\u7d93\u6b77\u7d93\u524d\u75c7\u5019\u7fa4\u7684\u5973\u6027\u5e38\u5e38\u6703\u51fa\u73fe\u4e0d\u540c\u7684\u751f\u7406\u548c\u60c5\u7dd2\u5fb5\u72c0\u300290%\u7684\u5973\u6027\u66fe\u5728\u67d0\u500b\u968e\u6bb5\u7d93\u6b77\u7d93\u524d\u75c7\u5019\u7fa4\u7684\u5fb5\u72c0 (<a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/16734317\/\" target=\"_blank\" rel=\"noopener\">Winer &amp; Rapkin, 2006<\/a>)\u3002\u7d93\u524d\u75c7\u5019\u7fa4\u7684\u75c5\u56e0\u5c1a\u672a\u6e05\u6670\uff0c\u4f46\u7814\u7a76\u4eba\u54e1\u76f8\u4fe1\u8377\u723e\u8499\u8b8a\u5316\u662f\u5176\u4e2d\u4e00\u500b\u539f\u56e0\u3002<\/p>\n<p>\u7d93\u524d\u4e0d\u6085\u75c7\uff08PMDD\uff09\u662f\u8f03\u56b4\u91cd\u7684\u7d93\u671f\u75c7\u5019\u7fa4\uff0c\u5f71\u97ff\u8457 2-5% \u7684\u5973\u6027 (<a href=\"https:\/\/www.ncbi.nlm.nih.gov\/pmc\/articles\/PMC4097038\/\" target=\"_blank\" rel=\"noopener\">Epperson, 2013<\/a>\uff09\u3002\u5982\u679c\u4e00\u540d\u5973\u6027\u5728\u5169\u500b\u9023\u7e8c\u7684\u6708\u7d93\u9031\u671f\u3001\u51fa\u73fe\u4e0b\u5217\u81f3\u5c11\u4e94\u500b\u500b\u5fb5\u72c0\uff0c\u4e26\u4e14\u65e5\u5e38\u751f\u6d3b\u5927\u53d7\u5f71\u97ff\uff0c\u5c31\u6709\u53ef\u80fd\u6703\u88ab\u8a3a\u65b7\u3002<\/p>\n<ul>\n<li aria-level=\"1\">\u60c5\u611f\u75c7\u72c0\u5305\u62ec\uff1a\n<ul>\n<li aria-level=\"2\">\u60c5\u7dd2\u4e0d\u7a69\uff08\u4f8b\u5982\u5ffd\u7136\u60b2\u50b7\u3001\u60f3\u54ed\u3001\u654f\u611f\uff09<\/li>\n<li aria-level=\"2\">\u6025\u8e81\u3001\u6613\u6012\u3001\u8f03\u5bb9\u6613\u767c\u751f\u4eba\u969b\u885d\u7a81<\/li>\n<li aria-level=\"2\">\u60c5\u7dd2\u4f4e\u843d\u3001\u611f\u5230\u7d55\u671b\u3001\u51fa\u73fe\u8cb6\u4f4e\u81ea\u5df1\u7684\u60f3\u6cd5<\/li>\n<li aria-level=\"2\">\u7126\u616e\u548c\u7dca\u7e43\uff0c\u5bb9\u6613\u611f\u5230\u7126\u8e81<\/li>\n<\/ul>\n<\/li>\n<li aria-level=\"1\">\u751f\u7406\u75c7\u72c0\u5305\u62ec\uff1a\n<ul>\n<li aria-level=\"2\">\u5c0d\u65e5\u5e38\u6d3b\u52d5\u7684\u8208\u8da3\u6e1b\u5c11<\/li>\n<li aria-level=\"2\">\u96e3\u4ee5\u5c08\u6ce8<\/li>\n<li aria-level=\"2\">\u5bb9\u6613\u75b2\u7d2f\u3001\u7cbe\u529b\u4e0d\u8db3<\/li>\n<li aria-level=\"2\">\u6539\u8b8a\u98df\u6b32\uff1b\u904e\u91cf\u9032\u98df\u548c\u6e34\u6c42\u67d0\u7a2e\u98df\u7269<\/li>\n<li aria-level=\"2\">\u55dc\u7761\u6216\u662f\u5931\u7720<\/li>\n<li aria-level=\"2\">\u611f\u5230\u4e0d\u77e5\u6240\u63aa\u3001\u5931\u53bb\u63a7\u5236<\/li>\n<li aria-level=\"2\">\u751f\u7406\u5fb5\u72c0\u5982\u4e73\u623f\u7dca\u7e43\u816b\u8139\u3001\u95dc\u7bc0\u808c\u8089\u75db\u3001\u816b\u8139\u3001\u589e\u91cd<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<p>\u7de9\u89e3\u5fb5\u72c0\u548c\u6cbb\u7642\uff1a<\/p>\n<ul>\n<li aria-level=\"1\">\u85e5\u7269\uff1a\u91ab\u751f\u53ef\u80fd\u6703\u8655\u65b9\u6297\u6291\u9b31\u85e5\u7269\u4f86\u7de9\u89e3\u6291\u9b31\u5fb5\u72c0<\/li>\n<li aria-level=\"1\">\u5fc3\u7406\u6cbb\u7642\uff1a\u5fc3\u7406\u6cbb\u7642\u53ef\u5e6b\u52a9\u75c5\u4eba\u8fa8\u5225\u548c\u6574\u7406\u60f3\u6cd5\uff0c\u4e5f\u6703\u5b78\u6703\u65b0\u7684\u61c9\u5c0d\u65b9\u6cd5\u4f86\u9762\u5c0d\u751f\u6d3b\u96e3\u95dc<\/li>\n<li 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