{"id":28444,"date":"2023-04-26T18:53:43","date_gmt":"2023-04-26T11:53:43","guid":{"rendered":"http:\/\/noithathoaphat.in\/ctv\/?p=28444"},"modified":"2023-04-26T18:53:43","modified_gmt":"2023-04-26T11:53:43","slug":"cac-trieu-chung-cua-roi-loan-van-dong-la-gi","status":"publish","type":"post","link":"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/04\/26\/cac-trieu-chung-cua-roi-loan-van-dong-la-gi\/","title":{"rendered":"C\u00e1c tri\u1ec7u ch\u1ee9ng c\u1ee7a r\u1ed1i lo\u1ea1n v\u1eadn \u0111\u1ed9ng l\u00e0 g\u00ec?"},"content":{"rendered":"<p><strong>C\u00e1c r\u1ed1i lo\u1ea1n v\u1eadn \u0111\u1ed9ng (c\u00f2n g\u1ecdi l\u00e0 r\u1ed1i lo\u1ea1n ngo\u1ea1i th\u00e1p) do t\u1ed5n th\u01b0\u01a1ng ch\u1ee9c n\u0103ng h\u1ea1ch n\u1ec1n g\u00e2y r\u1ed1i lo\u1ea1n \u0111i\u1ec1u h\u00f2a ho\u1ea1t \u0111\u1ed9ng v\u1eadn \u0111\u1ed9ng ch\u1ee7 \u00fd k\u00e8m theo thay \u0111\u1ed5i tr\u01b0\u01a1ng l\u1ef1c c\u01a1 v\u00e0 t\u01b0 th\u1ebf. R\u1ed1i lo\u1ea1n c\u00f3 t\u00ednh ch\u1ea5t t\u0103ng \u0111\u1ed9ng (hyperkinesia) ho\u1eb7c gi\u1ea3m \u0111\u1ed9ng (hypokinesia). Khi kh\u00e1m v\u1eadn \u0111\u1ed9ng b\u1ea5t th\u01b0\u1eddng c\u1ea7n ch\u00fa \u00fd: <\/strong><strong>V\u1ecb tr\u00ed c\u1ee7a c\u01a1 th\u1ec3 c\u00f3 v\u1eadn \u0111\u1ed9ng b\u1ea5t th\u01b0\u1eddngv\u00e0 s<\/strong><strong>\u1ef1 ph\u00e2n b\u1ed1. Th\u1ec9nh tho\u1ea3ng v\u1eadn \u0111\u1ed9ng b\u1ea5t th\u01b0\u1eddng ch\u1ec9 ra v\u1ecb tr\u00ed t\u1ed5n th\u01b0\u01a1ng \u1edf h\u1ea1ch n\u1ec1n, tuy nhi\u00ean c\u0169ng c\u00f3 th\u1ec3 kh\u00f4ng x\u00e1c \u0111\u1ecbnh \u0111\u01b0\u1ee3c v\u1ecb tr\u00ed t\u1ed5n th\u01b0\u01a1ng.<\/strong><\/p>\n<figure id=\"attachment_28542\" aria-describedby=\"caption-attachment-28542\" style=\"width: 300px\" class=\"wp-caption aligncenter\"><img decoding=\"async\" loading=\"lazy\" class=\"size-medium wp-image-28542\" src=\"http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/04\/istockphoto-1423005211-612x612-1-300x140.jpg\" alt=\"\" width=\"300\" height=\"140\" srcset=\"http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/04\/istockphoto-1423005211-612x612-1-300x140.jpg 300w, http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/04\/istockphoto-1423005211-612x612-1.jpg 612w\" sizes=\"(max-width: 300px) 100vw, 300px\" \/><figcaption id=\"caption-attachment-28542\" class=\"wp-caption-text\">Run l\u00e0 m\u1ed9t r\u1ed1i lo\u1ea1n v\u1eadn \u0111\u1ed9ng th\u01b0\u1eddng g\u1eb7p<\/figcaption><\/figure>\n<h2><strong>1. T\u0103ng \u0111\u1ed9ng (Hyperkinesia)<\/strong><\/h2>\n<h3><strong>1.1. Run<\/strong><\/h3>\n<p><span style=\"font-weight: 400;\">L\u00e0 dao \u0111\u1ed9ng c\u00f3 nh\u1ecbp, kh\u00f4ng c\u00f3 m\u1ee5c \u0111\u00edch, kh\u00f4ng theo \u00fd mu\u1ed1n do co lu\u00e2n phi\u00ean gi\u1eefa c\u01a1 \u0111\u1ed3ng v\u1eadn v\u00e0 \u0111\u1ed1i v\u1eadn. Run \u0111\u01a1n gi\u1ea3n ch\u1ec9 li\u00ean quan m\u1ed9t nh\u00f3m c\u01a1, run ph\u1ee9c t\u1ea1p li\u00ean quan nhi\u1ec1u nh\u00f3m c\u01a1, v\u00ed d\u1ee5 c\u01a1 g\u1ea5p du\u1ed7i, s\u1ea5p ng\u1eeda, c\u01a1 c\u1ed1 \u0111\u1ecbnh v\u00e0 \u0111\u1ed3ng v\u1eadn. Run c\u1ed1 th\u1ec3 r\u00f5 khi ngh\u1ec9 hay ho\u1ea1t \u0111\u1ed9ng, th\u01b0\u1eddng t\u0103ng khi du\u1ed7i x\u00f2e c\u00e1c ng\u00f3n tay v\u1edbi c\u00e1nh tay \u0111\u1ec3 th\u1eb3ng. Run xu\u1ea5t hi\u1ec7n m\u1ed9t b\u00ean hay hai b\u00ean, th\u01b0\u1eddng \u1edf ng\u1ecdn chi nh\u01b0 b\u00e0n tay v\u00e0 ng\u00f3n, c\u00f3 th\u1ec3 quan s\u00e1t \u1edf c\u00e1nh tay b\u00e0n ch\u00e2n, l\u0169i mi m\u1eaft h\u00e0m v\u00e0 \u0111\u1ea7u hay to\u00e0n b\u1ed9 c\u01a1 th\u1ec3.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">C\u00e1c lo\u1ea1i run: run sinh l\u1ef7, run do chuy\u1ec3n h\u00f3a, run khi ngh\u1ec9 trong HC Parkinson, run v\u00f4 c\u0103n tu\u1ed5i gi\u00e0 hay c\u00f3 tinh ch\u1ea5t gia \u0111\u00ecnh, run ch\u1ee7 \u00fd trong b\u1ec7nh l\u00fd ti\u1ec3u n\u00e3o.<\/span><\/p>\n<ul>\n<li><span style=\"font-weight: 400;\">Run t\u01b0 th\u1ebf g\u1eb7p trong tr\u01b0\u1eddng h\u1ee3p run sinh l\u00fd, c\u00f3 nh\u1ecbp, t\u00ednh ch\u1ea5t nh\u00e0nh 8-12 chu k\u1ef3 gi\u00e2y \u1ecf c\u00e1c chi, xu\u1ea5t hi\u1ec7n l\u00fac duy tr\u00ec m\u1ed9t t\u01b0 th\u1ebf n\u00e0o \u0111\u1ed1, khi m\u1ec7t m\u1ecfi, x\u00fac c\u1ea3m, kh\u00f4ng c\u00f3 \u00fd ngh\u0129a b\u1ec7nh l\u00fd. Run v\u1eaby l\u00e0 lo\u1ea1i run t\u01b0 th\u1ebf trong b\u1ec7nh l\u00fd chuy\u1ec3n h\u00f3a nh\u01b0 r\u1ed1i lo\u1ea1n \u0111i\u1ec7n gi\u1ea3i, cai r\u01b0\u1ee3u, suy gan, th\u1eadn, ph\u1ed5i. Khi kh\u00e1m, y\u00eau c\u1ea7u b\u1ec7nh nh\u00e2n du\u1ed7i th\u1eb3ng c\u00e1nh tay v\u1edbi c\u1ed5 tay v\u00e0 c\u00e1c ng\u00f3n du\u1ed7i.<\/span><\/li>\n<li><span style=\"font-weight: 400;\">Run ch\u1ee7 \u00fd x\u1ea3y ra trong khi ho\u1ea1t \u0111\u1ed9ng. N\u1ebfu b\u1ec7nh nh\u00e2n ch\u1ea1m ng\u00f3n tay v\u00e0o m\u0169i, c\u00e1nh tay s\u1ebd b\u1ed9c l\u1ed9 run khi c\u1eed \u0111\u1ed9ng, r\u00f5 khi ng\u00f3n tay \u0111\u1ebfn g\u1ea7n m\u1ee5c ti\u00eau. Run ch\u1ee7 \u00fd c\u00f3 th\u1ec3 do t\u1ed5n th\u01b0\u01a1ng cu\u1ed1ng ti\u1ec3u n\u00e3o tr\u00ean, ng\u1ed9 \u0111\u1ed9c phenytoin hay r\u01b0\u1ee3u, c\u00f3 th\u1ec3 g\u1eb7p \u1edf b\u1ec7nh Wilson.<\/span><\/li>\n<li><span style=\"font-weight: 400;\">Run khi ngh\u1ec9 th\u01b0\u1eddng g\u1eb7p trong HC Parkinson, t\u1ea7n s\u1ed1 4-6 Hz, run c\u00f3 nh\u1ecbp \u1edf tay v\u1edbi c\u1eed \u0111\u1ed9ng v\u1ec1 thu\u1ed1c \u1edf ng\u00f3n c\u00e1i v\u00e0 ng\u00f3n tr\u1ecf, g\u1eadp du\u1ed7i lu\u00e2n phi\u00ean ng\u00f3n tay v\u00e0 c\u1ed5 tay hay s\u1ea5p ng\u1eeda lu\u00e2n phi\u00ean c\u1eb3ng tay. Ngo\u00e0i ra, run khi ngh\u1ec9 g\u1eb7p trong b\u1ec7nh Wilson, ng\u1ed9 \u0111\u1ed9c kim lo\u1ea1i n\u1eb7ng.<\/span><\/li>\n<\/ul>\n<h3><strong>1.2. M\u00faa gi\u1eadt (Chorea)<\/strong><\/h3>\n<p><span style=\"font-weight: 400;\">L\u00e0 nh\u1eefng bi\u1ec3u hi\u1ec7n gi\u1eadt c\u01a1 kh\u00f4ng \u0111\u1ec1u, nhanh, x\u1ea3y ra kh\u00f4ng ch\u1ee7 \u00fd v\u00e0 kh\u00f4ng d\u1ef1 \u0111o\u00e1n \u0111\u01b0\u1ee3c. Xu\u1ea5t hi\u1ec7n gi\u1edbi h\u1ea1n \u1edf m\u1ed9t ph\u1ea7n chi, m\u1eb7t, \u0111\u1ea7u hay chi tr\u00ean, n\u1eeda ng\u01b0\u1eddi. C\u00e1c \u0111\u1ed9ng t\u00e1c ch\u1ee7 \u00fd hay n\u1ed1i ti\u1ebfp nhanh b\u1ecb bi\u1ebfn d\u1ea1ng v\u00e0 tr\u1edf n\u00ean v\u1ee5ng v\u1ec1. D\u00e1ng \u0111i nh\u01b0 m\u00faa, l\u1eddi n\u00f3i kh\u00f4ng \u0111\u1ec1u. K\u00edch th\u00edch c\u1ea3m gi\u00e1c, x\u00fac c\u1ea3m l\u00e0m t\u0103ng tri\u1ec7u ch\u1ee9ng. Tr\u01b0\u01a1ng l\u1ef1c c\u01a1 gi\u1ea3m trong m\u00faa gi\u1eadt Sydenham hay t\u0103ng trong m\u00faa gi\u1eadt do b\u1ec7nh l\u00fd tho\u00e1i h\u00f3a.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Sinh l\u00fd b\u1ec7nh kh\u00f4ng r\u00f5, th\u1ec3 v\u00e2n th\u01b0\u01a1ng t\u1ed5n th\u01b0\u01a1ng, ho\u1ea1t \u0111\u1ed9ng dopaminergic t\u0103ng trong th\u1ec3 v\u00e2n.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">\u0110i\u1ec1u tr\u1ecb: benzodiazepine, phenothiazin nh\u01b0 haldol, n\u1ebfu kh\u00f4ng hi\u1ec7u qu\u1ea3 c\u1ed5 th\u1ec3 d\u00f9ng thu\u1ed1c l\u00e0m c\u1ea1n ngu\u1ed3n dopamine nh\u01b0 reserpine, tetrabenazine.<\/span><\/p>\n<h3><strong>1.3. M\u00faa vung (Ballismus)<\/strong><\/h3>\n<p><span style=\"font-weight: 400;\">L\u00e0 nh\u1eefng c\u1eed \u0111\u1ed9ng xoay, vung n\u00e9m chi, bi\u00ean \u0111\u1ed9 r\u1ed9ng, nhanh, kh\u00f4ng m\u1ee5c \u0111\u00edch, th\u01b0\u1eddng x\u1ea3y ra khi th\u1ee9c, li\u00ean quan g\u1ed1c chi nhi\u1ec1u h\u01a1n ng\u1ecdn, thay \u0111\u1ed5i kh\u00f4ng \u0111\u1ec1u, kh\u00f4ng d\u1ef1 \u0111o\u00e1n \u0111\u01b0\u1ee3c, ch\u1ec9 c\u00f3 th\u1ec3 \u1ee9c ch\u1ebf m\u00faa vung trong ph\u00fat ch\u1ed1c, xu\u1ea5t hi\u1ec7n m\u1ed9t b\u00ean hay hai b\u00ean, tay \u1ea3nh h\u01b0\u1edfng h\u01a1n ch\u00e2n v\u00e0 m\u1eb7t.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">T\u1ed5n th\u01b0\u01a1ng \u1edf nh\u00e2n d\u01b0\u1edbi \u0111\u1ed3i.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">\u0110i\u1ec1u tr\u1ecb: haloperidol, phenothiazine. Reserpine, tetrabenazine \u01b0ong tr\u01b0\u1eddng h\u1ee3p n\u1eb7ng.<\/span><\/p>\n<h3><strong>1.4. M\u00faa v\u1eddn (Athetosis)<\/strong><\/h3>\n<p><span style=\"font-weight: 400;\">L\u00e0 v\u1eadn \u0111\u1ed9ng ch\u1eadm, kh\u00f4ng \u0111\u1ec1u, ngo\u1eb1n ngo\u00e8o, kh\u00f4ng m\u1ee5c \u0111\u00edch, li\u00ean t\u1ee5c, co c\u1ee9ng, bao g\u1ed3m nh\u1eefng c\u1eed \u0111\u1ed9ng \u0111\u01a1n \u0111\u1ed9c kh\u00f4ng kh\u1edfi ph\u00e1t ngay t\u1ee9c kh\u1eafc, c\u00f3 hi\u1ec7n t\u01b0\u1ee3ng ng\u1eebng kh\u00f4ng theo \u00fd mu\u1ed1n v\u00e0 k\u00e9o d\u00e0i ho\u1ea1t \u0111\u1ed9ng, th\u01b0\u1eddng x\u1ea3y ra \u1edf ng\u1ecdn chi, tuy nhi\u00ean c\u01a1 b\u1ea3 vai c\u00e1nh tay hay ch\u1eadu \u0111\u00f9i c\u0169ng c\u00f3 li\u00ean quan. T\u00e4hg tr\u01b0\u01a1ng l\u1ef1c c\u01a1 c\u00f3 th\u1ec3 g\u00e2y ra t\u01b0 th\u1ebf b\u1ea5t th\u01b0\u1eddng c\u1ed1 \u0111\u1ecbnh v\u00e0 \u1ea3nh h\u01b0\u1edfng \u0111\u1ebfn v\u1eadn t\u1ed1c c\u1ee7a c\u1eed \u0111\u1ed9ng ch\u1ee7 \u00fd v\u00e0 kh\u00f4ng ch\u1ee7 \u00fd. \u0110\u1ed9ng t\u00e1c \u0111\u01a1n gi\u1ea3n hay ph\u1ee9c t\u1ea1p b\u1ecb r\u1ed1i lo\u1ea1n nh\u01b0 \u0111\u1ee9ng, \u0111i, ng\u1ed3i, \u0103n, ng\u00f4n ng\u1eef, r\u1ed1i lo\u1ea1n v\u1eadn ng\u00f4n.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">\u0110i\u1ec1u tr\u1ecb: haloperidol, clopromazin<\/span><\/p>\n<h3><strong>1.5. Lo\u1ea1n tr\u01b0\u01a1ng l\u1ef1c c\u01a1 (Dystonia)<\/strong><\/h3>\n<p><span style=\"font-weight: 400;\">L\u00e0 nh\u1eefng c\u1eed \u0111\u1ed9ng m\u1ea1nh, duy tr\u00ec, ch\u1eadm, v\u1eb7n v\u1eb9o c\u1ee7a c\u01a1 tr\u1ee5c, c\u01a1 th\u00f4ng d\u1ee5ng nh\u1ea5t l\u00e0 c\u1ed5, th\u00e2n, ph\u1ea7n g\u1ed1c chi. R\u1ed1i lo\u1ea1n c\u00f3 th\u1ec3 lan t\u1ecfa (dystonia musculorum deformans), hay gi\u1edbi h\u1ea1n \u1edf m\u1ed9t v\u00f9ng c\u01a1 th\u1ec3 (m\u1ed9t hay v\u00e0i chi b\u1ecb \u1ea3nh h\u01b0\u1edfng hay ch\u1ec9 v\u00e0i nh\u00f3m c\u01a1). V\u00ec c\u1eed \u0111\u1ed9ng b\u1ea5t th\u01b0\u1eddng n\u00e0y c\u00f3 t\u00ednh duy tr\u00ec n\u00ean c\u00f3 th\u1ec3 \u0111\u01b0a \u0111\u1ebfn t\u01b0 th\u1ebf b\u1ea5t th\u01b0\u1eddng, nh\u1ea5t l\u00e0 khi tri\u1ec7u ch\u1ee9ng \u1ea3nh h\u01b0\u1edfng c\u01a1 tr\u1ee5c \u1edf l\u01b0ng. Trong m\u1ed9t s\u1ed1 tr\u01b0\u1eddng h\u1ee3p, ch\u1ec9 x\u1ea3y ra trong khi ho\u1ea1t \u0111\u1ed9ng ch\u1ee7 \u00fd hay nh\u1eefng ho\u1ea1t \u0111\u1ed9ng \u0111\u1eb7c bi\u1ec7t nh\u01b0 n\u00f3i, vi\u1ebft, nhai.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">V\u1ecb tr\u00ed t\u1ed5n th\u01b0\u01a1ng c\u00f3 th\u1ec3 \u1edf b\u00e8o s\u1eabm. \u0110i\u1ec1u tr\u1ecb kh\u00f3 kh\u0103n, d\u00f9ng kh\u00e1ng cholinergic li\u1ec1u cao, diazepam, \u0111\u1ed9c t\u1ed1 botulinum type A ti\u00eam trong lo\u1ea1n tr\u01b0\u01a1ng l\u1ef1c c\u01a1 c\u1ee5c b\u1ed9.<\/span><\/p>\n<h2><strong>1.6. H\u1ed9i ch\u1ee9ng Tic<\/strong><\/h2>\n<p><span style=\"font-weight: 400;\">Tic l\u00e0 nh\u1eefng co th\u1eaft nhanh, kh\u00f4ng theo \u00fd mu\u1ed1n, l\u1eadp \u0111i l\u1eadp l\u1ea1i, \u0111\u1ecbnh h\u00ecnh, theo th\u00f3i <\/span><span style=\"font-weight: 400;\">quen, c\u00f3 th\u1ec3 kh\u1edfi ph\u00e1t b\u1edfi x\u00fac c\u1ea3m, c\u00f3 th\u1ec3 \u1ee9c ch\u1ebf ch\u1ee7 \u00fd trong m\u1ed9t th\u1eddi gian n\u00e0o \u0111\u00f3, \u0111\u01b0\u1ee3c xem l\u00e0 c\u00f3 ngu\u1ed3n g\u1ed1c t\u00e2m l\u00fd. Tic bao g\u1ed3m c\u00f3 m\u1ed9t nh\u00f3m c\u01a1 hay c\u00e1c nh\u00f3m c\u01a1 v\u1edbi ki\u1ec3u m\u1eabu k\u1ef3 d\u1ecb ph\u1ee9c t\u1ea1p.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Tic li\u00ean quan \u0111\u1ebfn b\u1ea5t c\u1ee9 v\u00f9ng n\u00e0o c\u1ee7a c\u01a1 th\u1ec3, tic \u1edf mi m\u1eaft c\u00f3 th\u1ec3 kh\u1edfi ph\u00e1t b\u1eb1ng k\u00edch th\u00edch \u1edf m\u1eaft bi\u1ec3u hi\u1ec7n gi\u1ed1ng v\u1edbi co th\u1eaft m\u1eb7t (blepharospasm), tic \u1edf m\u1eb7t c\u00f3 th\u1ec3 xu\u1ea5t hi\u1ec7n \u1edf m\u1eb7t, \u0111\u1ea7u hay vai v\u1edbi c\u1eed \u0111\u1ed9ng xoay hay nh\u00fan vai, tic \u1edf c\u01a1 b\u1ee5ng hay c\u01a1 ho\u00e0nh g\u00e2y ra co gi\u1eadt gi\u1ed1ng nh\u01b0 n\u1ea5c c\u1ee5c v\u00e0 g\u00e2y ra c\u1eed \u0111\u1ed9ng to\u00e0n c\u01a1 th\u1ec3. Tic th\u01b0\u1eddng xu\u1ea5t hi\u1ec7n \u1edf tr\u1ebb con h\u01a1n ng\u01b0\u1eddi l\u1edbn.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">H\u1ed9i ch\u1ee9ng Gilles de la Tourette l\u00e0 h\u1ed9i ch\u1ee9ng hi\u1ebfm g\u1eb7p \u1edf tr\u1ebb con, th\u01b0\u1eddng \u1edf b\u00e9 trai, bi\u1ec3u hi\u1ec7n nhi\u1ec1u tics, d\u00e1ng b\u1ed9 b\u1eaft ch\u01b0\u1edbc, c\u00e1c \u0111\u1ed9ng t\u00e1c \u0111\u1ecbnh h\u00ecnh, n\u00f3i l\u1ea7m b\u1ea7m r\u00ean r\u1ec9 hay b\u00f9ng n\u1ed5.<\/span><\/p>\n<h3><strong>1.7. Myoclonus<\/strong><\/h3>\n<p><span style=\"font-weight: 400;\">G\u1ed3m nh\u1eefng bi\u1ec3u hi\u1ec7n gi\u1eadt nhanh, ng\u1eafn, \u0111\u1ed9t ng\u1ed9t, nh\u01b0 \u0111i\u1ec7n gi\u1eadt, kh\u00f4ng c\u00f3 nh\u1ecbp, li\u00ean quan \u0111\u1ebfn m\u1ed9t ph\u1ea7n c\u01a1, to\u00e0n b\u1ed9 c\u01a1 hay c\u00e1c nh\u00f3m c\u01a1, th\u01b0\u1eddng x\u1ea3y ra \u1edf chi hay th\u00e2n, c\u00f3 th\u1ec3 x\u1ea3y ra \u1edf m\u1eb7t, h\u00e0m, l\u01b0\u1ee1i, h\u1ea7u, thanh qu\u1ea3n. Myoclonus c\u00f3 th\u1ec3 lan t\u1ecfa hay c\u1ee5c b\u1ed9, xu\u1ea5t hi\u1ec7n t\u1ef1 ph\u00e1t, sau k\u00edch th\u00edch c\u1ea3m gi\u00e1c hay l\u00fac kh\u1edfi \u0111\u1ea7u \u0111\u1ed9ng t\u00e1c (myoclonus ho\u1ea1t \u0111\u1ed9ng). Myoclonus c\u00f3 th\u1ec3 x\u1ea3y ra \u1edf ng\u01b0\u1eddi kh\u1ecfe m\u1ea1nh (myoclonus sinh l\u00fd), ho\u1eb7c l\u00e0 bi\u1ec3u hi\u1ec7n c\u1ee7a \u0111\u1ed9ng kinh (myoclonus \u0111\u1ed9ng kinh) hay trong r\u1ed1i lo\u1ea1n chuy\u1ec3n h\u00f3a, tho\u00e1i h\u00f3a, nhi\u1ec5m tr\u00f9ng (myoclonus tri\u1ec7u ch\u1ee9ng).<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Myoclonus lan t\u1ecfa: myoclonus x\u1ea3y ra khi b\u1eaft \u0111\u1ea7u \u0111i v\u00e0o gi\u1ea5c ng\u1ee7 hay n\u1ea5c c\u1ee5t, myoclonus v\u00f4 c\u0103n, myoclonus \u0111\u1ed9ng kinh c\u1ea7n ph\u00e2n bi\u1ec7t l\u00e2m s\u00e0ng v\u1edbi th\u1ec3 kh\u00f4ng \u0111\u1ed9ng kinh b\u1eb1ng EEG.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Myoclonus c\u1ee5c b\u1ed9: xu\u1ea5t ph\u00e1t t\u1eeb sang th\u01b0\u01a1ng \u1edf v\u1ecf n\u00e3o, th\u00e2n n\u00e3o hay t\u1ee7y s\u1ed1ng. Tai bi\u1ebfn m\u1ea1ch m\u00e1u n\u00e3o, x\u01a1 c\u1ee9ng r\u1ea3i r\u00e1c, u c\u00f3 th\u1ec3 g\u00e2y myoclonus kh\u1ea9u c\u00e1i (palatal myoclonus) \u0111i ti\u1ebfng click c\u00f3 th\u1ec3 nghe th\u1ea5y c\u00f9ng v\u1edbi gi\u1eadt \u0111\u1ed3ng b\u1ed9 c\u01a1 m\u1eb7t m\u1eaft, c\u01a1 chi ph\u1ed1i b\u1edfi h\u00e0nh t\u1ee7y. R\u1ed1i lo\u1ea1n chuy\u1ec3n h\u00f3a nh\u01b0 t\u0103ng \u0111\u01b0\u1eddng huy\u1ebft th\u1ea9m th\u1ea5u c\u00f3 th\u1ec3 g\u00e2y ra \u0111\u1ed9ng kinh c\u1ee5c b\u1ed9 li\u00ean t\u1ee5c (epilepsia partialis continua), trong \u0111\u00f3 c\u00f3 s\u1ef1 ph\u00f3ng l\u1ef1c c\u1ee5c b\u1ed9 li\u00ean t\u1ee5c \u1edf di\u1ec7n v\u1eadn \u0111\u1ed9ng c\u1ea3m gi\u00e1c g\u00e2y ra myoclonus c\u1ee5c b\u1ed9.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">\u0110i\u1ec1u tr\u1ecb: kh\u00f3 \u0111i\u1ec1u tr\u1ecb, th\u1ec9nh tho\u1ea3ng \u0111\u00e1p \u1ee9ng v\u1edbi valproic acid, 250-500 mg u\u1ed1ng 3 l\u1ea7n\/ng\u00e0y hay clonazepam, 0,5 mg u\u1ed1ng 3 l\u1ea7n\/ng\u00e0y r\u1ed3i t\u0103ng d\u1ea7n l\u00ean.<\/span><\/p>\n<h2><strong>2. Gi\u1ea3m \u0111\u1ed9ng<\/strong><\/h2>\n<p><span style=\"font-weight: 400;\">G\u1ed3m c\u1ee9ng c\u01a1, b\u1ea5t \u0111\u1ed9ng nh\u01b0 <a href=\"https:\/\/www.vinmec.com\/vi\/benh\/parkinson-3113\/\">b\u1ec7nh Parkinson<\/a><\/span><\/p>\n<p>Ngu\u1ed3n tham kh\u1ea3o: <em>Th\u1ea7n kinh h\u1ecdc- \u0110H Y TP H\u1ed3 Ch\u00ed Minh<\/em><\/p>\n","protected":false},"excerpt":{"rendered":"<p>C\u00e1c r\u1ed1i lo\u1ea1n v\u1eadn \u0111\u1ed9ng (c\u00f2n g\u1ecdi l\u00e0 r\u1ed1i lo\u1ea1n ngo\u1ea1i th\u00e1p) do t\u1ed5n th\u01b0\u01a1ng ch\u1ee9c n\u0103ng h\u1ea1ch n\u1ec1n g\u00e2y r\u1ed1i lo\u1ea1n \u0111i\u1ec1u h\u00f2a ho\u1ea1t \u0111\u1ed9ng v\u1eadn \u0111\u1ed9ng ch\u1ee7 \u00fd k\u00e8m theo thay \u0111\u1ed5i tr\u01b0\u01a1ng l\u1ef1c c\u01a1 v\u00e0 t\u01b0 th\u1ebf. R\u1ed1i lo\u1ea1n c\u00f3 t\u00ednh ch\u1ea5t t\u0103ng \u0111\u1ed9ng (hyperkinesia) ho\u1eb7c gi\u1ea3m \u0111\u1ed9ng (hypokinesia). Khi kh\u00e1m v\u1eadn [&hellip;]<\/p>\n","protected":false},"author":5,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":[],"categories":[10,33],"tags":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v20.4 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>C\u00e1c tri\u1ec7u ch\u1ee9ng c\u1ee7a r\u1ed1i lo\u1ea1n v\u1eadn \u0111\u1ed9ng l\u00e0 g\u00ec? - Vinmec<\/title>\n<meta name=\"description\" content=\"C\u00e1c r\u1ed1i lo\u1ea1n v\u1eadn \u0111\u1ed9ng (c\u00f2n g\u1ecdi l\u00e0 r\u1ed1i lo\u1ea1n ngo\u1ea1i th\u00e1p) do t\u1ed5n th\u01b0\u01a1ng ch\u1ee9c n\u0103ng h\u1ea1ch n\u1ec1n g\u00e2y r\u1ed1i lo\u1ea1n \u0111i\u1ec1u h\u00f2a ho\u1ea1t \u0111\u1ed9ng v\u1eadn \u0111\u1ed9ng ch\u1ee7 \u00fd ...\" \/>\n<meta name=\"robots\" content=\"noindex, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"C\u00e1c tri\u1ec7u ch\u1ee9ng c\u1ee7a r\u1ed1i lo\u1ea1n v\u1eadn \u0111\u1ed9ng l\u00e0 g\u00ec? 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