{"id":28446,"date":"2023-04-28T19:52:59","date_gmt":"2023-04-28T12:52:59","guid":{"rendered":"http:\/\/noithathoaphat.in\/ctv\/?p=28446"},"modified":"2023-04-28T19:52:59","modified_gmt":"2023-04-28T12:52:59","slug":"danh-gia-hoi-chung-parkinson-theo-thang-diem-hoehn-va-yahr","status":"publish","type":"post","link":"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/04\/28\/danh-gia-hoi-chung-parkinson-theo-thang-diem-hoehn-va-yahr\/","title":{"rendered":"\u0110\u00e1nh gi\u00e1 h\u1ed9i ch\u1ee9ng Parkinson theo thang \u0111i\u1ec3m Hoehn v\u00e0 Yahr"},"content":{"rendered":"

\u0110\u00e1nh gi\u00e1 h\u1ed9i ch\u1ee9ng Parkinson theo thang \u0111i\u1ec3m<\/a> Hoehn v\u00e0 Yahr l\u00e0 m\u1ed9t ph\u01b0\u01a1ng ph\u00e1p quan tr\u1ecdng \u0111\u1ec3 \u0111o l\u01b0\u1eddng m\u1ee9c \u0111\u1ed9 n\u1eb7ng c\u1ee7a b\u1ec7nh. Vi\u1ec7c \u0111\u00e1nh gi\u00e1 n\u00e0y gi\u00fap cho c\u00e1c chuy\u00ean gia y t\u1ebf c\u00f3 th\u1ec3 \u0111\u01b0a ra quy\u1ebft \u0111\u1ecbnh h\u1ee3p l\u00fd v\u1ec1 \u0111i\u1ec1u tr\u1ecb v\u00e0 ch\u0103m s\u00f3c cho b\u1ec7nh nh\u00e2n. Thang \u0111i\u1ec3m Hoehn v\u00e0 Yahr \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng trong nghi\u00ean c\u1ee9u l\u00e2m s\u00e0ng \u0111\u1ec3 \u0111\u00e1nh gi\u00e1 t\u00e1c d\u1ee5ng c\u1ee7a c\u00e1c lo\u1ea1i thu\u1ed1c v\u00e0 ph\u01b0\u01a1ng ph\u00e1p \u0111i\u1ec1u tr\u1ecb kh\u00e1c nhau \u0111\u1ed1i v\u1edbi h\u1ed9i ch\u1ee9ng Parkinson. \u0110\u00e1nh gi\u00e1 n\u00e0y c\u0169ng gi\u00fap cho c\u00e1c chuy\u00ean gia y t\u1ebf c\u00f3 th\u1ec3 theo d\u00f5i s\u1ef1 ti\u1ebfn tri\u1ec3n c\u1ee7a b\u1ec7nh v\u00e0 \u0111i\u1ec1u ch\u1ec9nh ph\u01b0\u01a1ng ph\u00e1p \u0111i\u1ec1u tr\u1ecb v\u00e0 ch\u0103m s\u00f3c ph\u00f9 h\u1ee3p.<\/strong><\/p>\n

\"\"
\u0110\u00e1nh gi\u00e1 h\u1ed9i ch\u1ee9ng Parkinson theo thang \u0111i\u1ec3m Hoehn v\u00e0 Yahr l\u00e0 m\u1ed9t ph\u01b0\u01a1ng ph\u00e1p quan tr\u1ecdng \u0111\u1ec3 \u0111o l\u01b0\u1eddng m\u1ee9c \u0111\u1ed9 n\u1eb7ng c\u1ee7a b\u1ec7nh<\/figcaption><\/figure>\n

1. T\u1ed5ng quan v\u1ec1 thang \u0111i\u1ec3m Hoehn v\u00e0 Yahr<\/h2>\n

Thang \u0111i\u1ec3m Hoehn v\u00e0 Yahr l\u00e0 m\u1ed9t c\u00f4ng c\u1ee5 \u0111\u00e1nh gi\u00e1 \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng \u0111\u1ec3 \u0111\u00e1nh gi\u00e1 m\u1ee9c \u0111\u1ed9 n\u1eb7ng c\u1ee7a h\u1ed9i ch\u1ee9ng Parkinson. N\u00f3 \u0111\u01b0\u1ee3c ph\u00e1t tri\u1ec3n b\u1edfi Melvin Yahr v\u00e0 Margaret Hoehn v\u00e0o n\u0103m 1967, v\u00e0 \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng r\u1ed9ng r\u00e3i trong nghi\u00ean c\u1ee9u v\u00e0 \u0111i\u1ec1u tr\u1ecb b\u1ec7nh Parkinson. Thang \u0111i\u1ec3m H&Y \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng \u0111\u1ec3 \u0111\u00e1nh gi\u00e1 t\u00ecnh tr\u1ea1ng b\u1ec7nh c\u1ee7a b\u1ec7nh nh\u00e2n trong nhi\u1ec1u t\u00ecnh hu\u1ed1ng kh\u00e1c nhau, bao g\u1ed3m c\u1ea3 trong nghi\u00ean c\u1ee9u l\u00e2m s\u00e0ng v\u00e0 trong th\u1ef1c ti\u1ec5n \u0111i\u1ec1u tr\u1ecb. N\u00f3 c\u0169ng \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng \u0111\u1ec3 theo d\u00f5i s\u1ef1 ti\u1ebfn tri\u1ec3n c\u1ee7a b\u1ec7nh v\u00e0 hi\u1ec7u qu\u1ea3 c\u1ee7a ph\u01b0\u01a1ng ph\u00e1p \u0111i\u1ec1u tr\u1ecb.<\/p>\n

Thang \u0111i\u1ec3m H&Y l\u00e0 m\u1ed9t ph\u01b0\u01a1ng ph\u00e1p \u0111\u00e1nh gi\u00e1 \u0111\u01a1n gi\u1ea3n v\u00e0 d\u1ec5 s\u1eed d\u1ee5ng, v\u00e0 \u0111\u01b0\u1ee3c ch\u1ea5p nh\u1eadn r\u1ed9ng r\u00e3i trong c\u1ed9ng \u0111\u1ed3ng y t\u1ebf to\u00e0n c\u1ea7u. N\u00f3 c\u0169ng \u0111\u01b0\u1ee3c coi l\u00e0 m\u1ed9t ph\u01b0\u01a1ng ph\u00e1p \u0111\u00e1nh gi\u00e1 tin c\u1eady, c\u00f3 \u0111\u1ed9 nh\u1ea1y v\u00e0 \u0111\u1ed9 \u0111\u1eb7c hi\u1ec7u cao. Tuy nhi\u00ean, thang \u0111i\u1ec3m H&Y c\u0169ng c\u00f3 m\u1ed9t s\u1ed1 h\u1ea1n ch\u1ebf, ch\u1eb3ng h\u1ea1n nh\u01b0 kh\u00f4ng \u0111\u00e1nh gi\u00e1 \u0111\u01b0\u1ee3c c\u00e1c tri\u1ec7u ch\u1ee9ng kh\u00e1c nh\u01b0 t\u00e2m l\u00fd v\u00e0 t\u00ecnh c\u1ea3m, kh\u00f4ng ph\u1ea3n \u00e1nh \u0111\u01b0\u1ee3c c\u00e1c bi\u1ebfn \u0111\u1ed9ng ng\u1eafn h\u1ea1n c\u1ee7a b\u1ec7nh, v\u00e0 c\u00f3 th\u1ec3 b\u1ecb \u1ea3nh h\u01b0\u1edfng b\u1edfi c\u00e1c y\u1ebfu t\u1ed1 kh\u00e1c nh\u01b0 thu\u1ed1c \u0111i\u1ec1u tr\u1ecb v\u00e0 s\u1ef1 kh\u00e1c bi\u1ec7t gi\u1eefa c\u00e1c c\u00e1 nh\u00e2n.<\/p>\n

Thang \u0111i\u1ec3m Hoehn v\u00e0 Yahr \u0111\u01b0\u1ee3c chia th\u00e0nh 5 c\u1ea5p \u0111\u1ed9, t\u1eeb c\u1ea5p \u0111\u1ed9 1 \u0111\u1ebfn c\u1ea5p \u0111\u1ed9 5, ph\u1ea3n \u00e1nh m\u1ee9c \u0111\u1ed9 n\u1eb7ng c\u1ee7a b\u1ec7nh. C\u1ea5p \u0111\u1ed9 1 l\u00e0 b\u1ec7nh nh\u1eb9 nh\u1ea5t, trong khi c\u1ea5p \u0111\u1ed9 5 l\u00e0 b\u1ec7nh n\u1eb7ng nh\u1ea5t. Thang \u0111i\u1ec3m n\u00e0y d\u1ef1a tr\u00ean c\u00e1c tri\u1ec7u ch\u1ee9ng c\u1ee7a b\u1ec7nh nh\u01b0 rung nh\u1eb9, c\u01b0\u1eddng \u0111\u1ed9 c\u1ee7a rung, \u0111\u1ed9 b\u1ec1n c\u1ee7a c\u00e1c tri\u1ec7u ch\u1ee9ng v\u00e0 m\u1ee9c \u0111\u1ed9 \u1ea3nh h\u01b0\u1edfng c\u1ee7a b\u1ec7nh \u0111\u1ebfn ho\u1ea1t \u0111\u1ed9ng h\u00e0ng ng\u00e0y c\u1ee7a b\u1ec7nh nh\u00e2n.<\/p>\n

2. \u0110\u00e1nh gi\u00e1 h\u1ed9i ch\u1ee9ng Parkinson theo thang \u0111i\u1ec3m Hoehn v\u00e0 Yahr<\/h2>\n

Vi\u1ec7c \u0111\u00e1nh gi\u00e1 h\u1ed9i ch\u1ee9ng Parkinson theo thang \u0111i\u1ec3m Hoehn v\u00e0 Yahr \u0111\u01b0\u1ee3c th\u1ef1c hi\u1ec7n b\u1eb1ng c\u00e1ch quan s\u00e1t v\u00e0 \u0111\u00e1nh gi\u00e1 c\u00e1c tri\u1ec7u ch\u1ee9ng c\u1ee7a b\u1ec7nh nh\u00e2n. C\u00e1c tri\u1ec7u ch\u1ee9ng bao g\u1ed3m rung nh\u1eb9, c\u01b0\u1eddng \u0111\u1ed9 c\u1ee7a rung, \u0111\u1ed9 b\u1ec1n c\u1ee7a c\u00e1c tri\u1ec7u ch\u1ee9ng v\u00e0 m\u1ee9c \u0111\u1ed9 \u1ea3nh h\u01b0\u1edfng c\u1ee7a b\u1ec7nh \u0111\u1ebfn ho\u1ea1t \u0111\u1ed9ng h\u00e0ng ng\u00e0y c\u1ee7a b\u1ec7nh nh\u00e2n.<\/p>\n

C\u00e1c c\u1ea5p \u0111\u1ed9 c\u1ee7a thang \u0111i\u1ec3m Hoehn v\u00e0 Yahr l\u00e0 nh\u01b0 sau:<\/p>\n

Giai \u0111o\u1ea1n 1: tri\u1ec7u ch\u1ee9ng m\u1ed9t b\u00ean<\/p>\n

Giai \u0111o\u1ea1n 2: tri\u1ec7u ch\u1ee9ng hai b\u00ean, c\u00f2n ph\u1ea3n x\u1ea1 t\u01b0 th\u1ebf<\/p>\n

Giai \u0111o\u1ea1n 3: tri\u1ec7u ch\u1ee9ng hai b\u00ean, r\u1ebfi lo\u1ea1n ph\u1ea3n x\u1ea1 t\u01b0 th\u1ebf nhung c\u00f2n kh\u1ea3 n\u0103ng di chuy\u1ec3n \u0111\u1ed9c l\u1eadp<\/p>\n

Giai \u0111o\u1ea1n 4: tri\u1ec7u ch\u1ee9ng tr\u1ea7m tr\u1ecdng \u0111\u00f2i h\u1ecfi s\u1ef1 gi\u00fap \u0111\u1ee1<\/p>\n

Giai \u0111o\u1ea1n 5: giai \u0111o\u1ea1n cu\u1ed1i, n\u1eb1m t\u1ea1i gi\u01b0\u1eddng hay di chuy\u1ec3n tr\u00ean xe l\u0103n<\/p>\n

3. \u01afu \u0111i\u1ec3m c\u1ee7a thang \u0111i\u1ec3m Hoehn v\u00e0 Yahr<\/h2>\n

Thang \u0111i\u1ec3m Hoehn v\u00e0 Yahr c\u00f3 nhi\u1ec1u \u01b0u \u0111i\u1ec3m, bao g\u1ed3m:<\/p>\n

– \u0110\u01a1n gi\u1ea3n v\u00e0 d\u1ec5 s\u1eed d\u1ee5ng: Thang \u0111i\u1ec3m n\u00e0y d\u1ec5 hi\u1ec3u v\u00e0 d\u1ec5 s\u1eed d\u1ee5ng, gi\u00fap c\u00e1c chuy\u00ean gia y t\u1ebf \u0111\u00e1nh gi\u00e1 m\u1ee9c \u0111\u1ed9 n\u1eb7ng c\u1ee7a b\u1ec7nh nhanh ch\u00f3ng v\u00e0 d\u1ec5 d\u00e0ng.
\n– \u0110\u00e1ng tin c\u1eady v\u00e0 ch\u00ednh x\u00e1c: Thang \u0111i\u1ec3m n\u00e0y \u0111\u00e3 \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng trong nhi\u1ec1u nghi\u00ean c\u1ee9u v\u00e0 \u0111\u00e3 \u0111\u01b0\u1ee3c ch\u1ee9ng minh l\u00e0 \u0111\u00e1ng tin c\u1eady v\u00e0 ch\u00ednh x\u00e1c trong vi\u1ec7c \u0111\u00e1nh gi\u00e1 m\u1ee9c \u0111\u1ed9 n\u1eb7ng c\u1ee7a h\u1ed9i ch\u1ee9ng Parkinson.
\n– Th\u00edch h\u1ee3p cho vi\u1ec7c theo d\u00f5i ti\u1ebfn tri\u1ec3n c\u1ee7a b\u1ec7nh: Thang \u0111i\u1ec3m n\u00e0y cung c\u1ea5p m\u1ed9t ph\u01b0\u01a1ng ti\u1ec7n \u0111\u1ec3 theo d\u00f5i ti\u1ebfn tri\u1ec3n c\u1ee7a b\u1ec7nh v\u00e0 \u0111\u00e1nh gi\u00e1 hi\u1ec7u qu\u1ea3 c\u1ee7a c\u00e1c ph\u01b0\u01a1ng ph\u00e1p \u0111i\u1ec1u tr\u1ecb.<\/p>\n

4. H\u1ea1n ch\u1ebf<\/h2>\n

M\u1eb7c d\u00f9 thang \u0111i\u1ec3m Hoehn v\u00e0 Yahr c\u00f3 nhi\u1ec1u \u01b0u \u0111i\u1ec3m, nh\u01b0ng n\u00f3 c\u0169ng c\u00f3 m\u1ed9t s\u1ed1 h\u1ea1n ch\u1ebf c\u1ea7n \u0111\u01b0\u1ee3c c\u00e2n nh\u1eafc khi s\u1eed d\u1ee5ng, bao g\u1ed3m:<\/p>\n

– Kh\u00f4ng ph\u1ea3n \u00e1nh t\u1ea5t c\u1ea3 c\u00e1c tri\u1ec7u ch\u1ee9ng c\u1ee7a b\u1ec7nh: Thang \u0111i\u1ec3m n\u00e0y ch\u1ec9 t\u1eadp trung v\u00e0o c\u00e1c tri\u1ec7u ch\u1ee9ng rung v\u00e0 t\u00ecnh tr\u1ea1ng di chuy\u1ec3n c\u1ee7a b\u1ec7nh nh\u00e2n, v\u00e0 kh\u00f4ng \u0111\u00e1nh gi\u00e1 c\u00e1c tri\u1ec7u ch\u1ee9ng kh\u00e1c nh\u01b0 r\u1ed1i lo\u1ea1n gi\u1ea5c ng\u1ee7, r\u1ed1i lo\u1ea1n th\u1ea7n kinh, v\u00e0 c\u00e1c tri\u1ec7u ch\u1ee9ng t\u00e2m l\u00fd kh\u00e1c.
\n– Kh\u00f4ng ph\u00e2n bi\u1ec7t c\u00e1c tri\u1ec7u ch\u1ee9ng c\u1ee7a b\u1ec7nh: Thang \u0111i\u1ec3m n\u00e0y kh\u00f4ng ph\u00e2n bi\u1ec7t gi\u1eefa c\u00e1c tri\u1ec7u ch\u1ee9ng kh\u00e1c nhau c\u1ee7a b\u1ec7nh. Do \u0111\u00f3 kh\u00f4ng \u0111\u00e1nh gi\u00e1 m\u1ee9c \u0111\u1ed9 \u1ea3nh h\u01b0\u1edfng c\u1ee7a t\u1eebng tri\u1ec7u ch\u1ee9ng \u0111\u1ebfn ch\u1ea5t l\u01b0\u1ee3ng cu\u1ed9c s\u1ed1ng c\u1ee7a b\u1ec7nh nh\u00e2n.
\n– Kh\u00f4ng ph\u1ea3n \u00e1nh s\u1ef1 kh\u00e1c bi\u1ec7t gi\u1eefa c\u00e1c b\u1ec7nh nh\u00e2n: Thang \u0111i\u1ec3m n\u00e0y kh\u00f4ng ph\u1ea3n \u00e1nh s\u1ef1 kh\u00e1c bi\u1ec7t gi\u1eefa c\u00e1c b\u1ec7nh nh\u00e2n. Do \u0111\u00f3 kh\u00f4ng \u0111\u00e1nh gi\u00e1 m\u1ee9c \u0111\u1ed9 \u1ea3nh h\u01b0\u1edfng c\u1ee7a c\u00e1c y\u1ebfu t\u1ed1 kh\u00e1c nhau nh\u01b0 tu\u1ed5i t\u00e1c, gi\u1edbi t\u00ednh v\u00e0 s\u1ee9c kh\u1ecfe t\u1ed5ng th\u1ec3 c\u1ee7a b\u1ec7nh nh\u00e2n.<\/p>\n

T\u00f3m l\u1ea1i, thang \u0111i\u1ec3m Hoehn v\u00e0 Yahr l\u00e0 m\u1ed9t c\u00f4ng c\u1ee5 \u0111\u00e1nh gi\u00e1 s\u1eed d\u1ee5ng \u0111\u1ec3 \u0111o l\u01b0\u1eddng m\u1ee9c \u0111\u1ed9 n\u1eb7ng c\u1ee7a h\u1ed9i ch\u1ee9ng Parkinson. N\u00f3 l\u00e0 m\u1ed9t c\u00f4ng c\u1ee5 \u0111\u00e1nh gi\u00e1 \u0111\u01a1n gi\u1ea3n v\u00e0 d\u1ec5 s\u1eed d\u1ee5ng, cho ph\u00e9p c\u00e1c b\u00e1c s\u0129 v\u00e0 nh\u00e2n vi\u00ean y t\u1ebf \u0111\u00e1nh gi\u00e1 m\u1ee9c \u0111\u1ed9 n\u1eb7ng c\u1ee7a h\u1ed9i ch\u1ee9ng Parkinson m\u1ed9t c\u00e1ch nhanh ch\u00f3ng v\u00e0 d\u1ec5 d\u00e0ng. Tuy nhi\u00ean, n\u00f3 c\u0169ng c\u00f3 nh\u1eefng h\u1ea1n ch\u1ebf nh\u01b0 kh\u00f4ng \u0111\u00e1nh gi\u00e1 \u0111\u01b0\u1ee3c c\u00e1c tri\u1ec7u ch\u1ee9ng kh\u00e1c c\u1ee7a h\u1ed9i ch\u1ee9ng Parkinson v\u00e0 kh\u00f4ng ph\u1ea3n \u00e1nh s\u1ef1 ti\u1ebfn tri\u1ec3n c\u1ee7a b\u1ec7nh qua th\u1eddi gian. Do \u0111\u00f3, n\u00f3 n\u00ean \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng k\u1ebft h\u1ee3p v\u1edbi c\u00e1c ph\u01b0\u01a1ng ph\u00e1p kh\u00e1c \u0111\u1ec3 \u0111\u00e1nh gi\u00e1 v\u00e0 theo d\u00f5i t\u00ecnh tr\u1ea1ng c\u1ee7a b\u1ec7nh nh\u00e2n m\u1eafc h\u1ed9i ch\u1ee9ng Parkinson.<\/p>\n

Ngu\u1ed3n tham kh\u1ea3o: Th\u1ea7n kinh h\u1ecdc – \u0110H Y TP H\u1ed3 Ch\u00ed Minh<\/em><\/p>\n","protected":false},"excerpt":{"rendered":"

\u0110\u00e1nh gi\u00e1 h\u1ed9i ch\u1ee9ng Parkinson theo thang \u0111i\u1ec3m Hoehn v\u00e0 Yahr l\u00e0 m\u1ed9t ph\u01b0\u01a1ng ph\u00e1p quan tr\u1ecdng \u0111\u1ec3 \u0111o l\u01b0\u1eddng m\u1ee9c \u0111\u1ed9 n\u1eb7ng c\u1ee7a b\u1ec7nh. Vi\u1ec7c \u0111\u00e1nh gi\u00e1 n\u00e0y gi\u00fap cho c\u00e1c chuy\u00ean gia y t\u1ebf c\u00f3 th\u1ec3 \u0111\u01b0a ra quy\u1ebft \u0111\u1ecbnh h\u1ee3p l\u00fd v\u1ec1 \u0111i\u1ec1u tr\u1ecb v\u00e0 ch\u0103m s\u00f3c cho b\u1ec7nh nh\u00e2n. Thang \u0111i\u1ec3m […]<\/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":"\n\u0110\u00e1nh gi\u00e1 h\u1ed9i ch\u1ee9ng Parkinson theo thang \u0111i\u1ec3m Hoehn v\u00e0 Yahr<\/title>\n<meta name=\"description\" content=\"\u0110\u00e1nh gi\u00e1 h\u1ed9i ch\u1ee9ng Parkinson theo thang \u0111i\u1ec3m Hoehn v\u00e0 Yahr l\u00e0 m\u1ed9t ph\u01b0\u01a1ng ph\u00e1p quan tr\u1ecdng \u0111\u1ec3 \u0111o l\u01b0\u1eddng m\u1ee9c \u0111\u1ed9 n\u1eb7ng c\u1ee7a b\u1ec7nh. 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