{"id":28631,"date":"2023-04-28T18:03:17","date_gmt":"2023-04-28T11:03:17","guid":{"rendered":"http:\/\/noithathoaphat.in\/ctv\/?p=28631"},"modified":"2023-04-28T18:03:17","modified_gmt":"2023-04-28T11:03:17","slug":"cac-roi-loan-tam-than-do-ruou-chan-doan-theo-icd-10","status":"publish","type":"post","link":"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/04\/28\/cac-roi-loan-tam-than-do-ruou-chan-doan-theo-icd-10\/","title":{"rendered":"C\u00e1c r\u1ed1i lo\u1ea1n t\u00e2m th\u1ea7n do r\u01b0\u1ee3u: Ch\u1ea9n \u0111o\u00e1n theo ICD-10"},"content":{"rendered":"<p><strong>R\u01b0\u1ee3u bia \u0111ang r\u1ea5t ph\u1ed5 bi\u1ebfn trong cu\u1ed9c s\u1ed1ng c\u1ee7a ch\u00fang ta, \u0111\u1eb7c bi\u1ec7t l\u00e0 trong x\u00e3 h\u1ed9i hi\u1ec7n \u0111\u1ea1i nh\u01b0 ng\u00e0y h\u00f4m nay. \u0110i\u1ec1u n\u00e0y g\u00f3p ph\u1ea7n d\u1eabn t\u1edbi c\u00e1c r\u1ed1i lo\u1ea1n t\u00e2m th\u1ea7n do r\u01b0\u1ee3u \u0111ang l\u00e0 m\u1ed9t v\u1ea5n \u0111\u1ec1 nh\u1ee9c nh\u1ed1i. \u0110\u1ec3 hi\u1ec3u bi\u1ebft h\u01a1n v\u1ec1 nh\u00f3m r\u1ed1i lo\u1ea1n n\u00e0y, ch\u00fang ta h\u00e3y c\u00f9ng t\u00ecm hi\u1ec3u v\u1ec1 \u0111\u1ecbnh ngh\u0129a v\u00e0 ch\u1ea9n \u0111o\u00e1n R\u1ed1i lo\u1ea1n t\u00e2m th\u1ea7n do r\u01b0\u1ee3u theo ICD-10.<\/strong><\/p>\n<h2><b>1. \u0110\u1ecaNH NGH\u0128A<\/b><\/h2>\n<p>R\u01b0\u1ee3u l\u00e0 ch\u1ea5t t\u00e1c \u0111\u1ed9ng t\u00e2m th\u1ea7n, r\u1ed1i lo\u1ea1n t\u00e2m th\u1ea7n do r\u01b0\u1ee3u l\u00e0 nh\u00f3m c\u00e1c r\u1ed1i lo\u1ea1n ph\u1ee9c t\u1ea1p, \u0111a d\u1ea1ng ph\u00e1t sinh v\u00e0 ph\u00e1t tri\u1ec3n c\u00f3 li\u00ean quan ch\u1eb7t ch\u1ebd \u0111\u1ebfn nghi\u1ec7n r\u01b0\u1ee3u<\/p>\n<p>R\u1ed1i lo\u1ea1n lo\u1ea1n th\u1ea7n do r\u01b0\u1ee3u l\u00e0 h\u1eadu qu\u1ea3 t\u00e1c \u0111\u1ed9ng tr\u1ef1c ti\u1ebfp, k\u00e9o d\u00e0i c\u1ee7a r\u01b0\u1ee3u l\u00ean n\u00e3o.<\/p>\n<h2><b>2. NGUY\u00caN NH\u00c2N<\/b><\/h2>\n<p>M\u1ed9t s\u1ed1 y\u1ebfu t\u1ed1 thu\u1eadn l\u1ee3i cho nghi\u1ec7n r\u01b0\u1ee3u: tu\u1ed5i; c\u00e1c nh\u00e2n t\u1ed1 v\u0103n h\u00f3a x\u00e3 h\u1ed9i; di truy\u1ec1n<\/p>\n<h2><b>3. CH\u1ea8N \u0110O\u00c1N R\u1ed0I LO\u1ea0N T\u00c2M TH\u1ea6N DO R\u01af\u1ee2U<\/b><\/h2>\n<p><b>3.1. Ch\u1ea9n \u0111o\u00e1n nghi\u1ec7n r\u01b0\u1ee3u<\/b><\/p>\n<ul>\n<li><b>Nghi\u1ec7n r\u01b0\u1ee3u:\u00a0<\/b>Theo ICD 10 (1992), ch\u1ea9n \u0111o\u00e1n nghi\u1ec7n r\u01b0\u1ee3u khi c\u00f3 t\u1eeb 3 tr\u1edf l\u00ean c\u00e1c bi\u1ec3u hi\u1ec7n sau \u0111\u00e2y x\u1ea3y ra c\u00f9ng nhau trong v\u00f2ng \u00edt nh\u1ea5t 1 th\u00e1ng ho\u1eb7c n\u1ebfu t\u1ed3n t\u1ea1i trong kho\u1ea3ng th\u1eddi gian ng\u1eafn h\u01a1n 1 th\u00e1ng, th\u00ec c\u1ea7n l\u1eb7p \u0111i l\u1eb7p l\u1ea1i c\u00f9ng nhau trong kho\u1ea3ng th\u1eddi gian 12 th\u00e1ng: Th\u00e8m mu\u1ed1n m\u1ea1nh m\u1ebd ho\u1eb7c c\u1ea3m th\u1ea5y bu\u1ed9c ph\u1ea3i s\u1eed d\u1ee5ng r\u01b0\u1ee3u; Kh\u00f3 kh\u0103n trong vi\u1ec7c ki\u1ec3m so\u00e1t t\u1eadp t\u00ednh s\u1eed d\u1ee5ng r\u01b0\u1ee3u v\u1ec1 m\u1eb7t th\u1eddi gian b\u1eaft \u0111\u1ea7u, k\u1ebft th\u00fac ho\u1eb7c m\u1ee9c s\u1eed d\u1ee5ng; M\u1ed9t tr\u1ea1ng th\u00e1i cai sinh l\u00fd khi ng\u1eebng hay gi\u1ea3m b\u1edbt s\u1eed d\u1ee5ng r\u01b0\u1ee3u; C\u00f3 b\u1eb1ng ch\u1ee9ng v\u1ec1 hi\u1ec7n t\u01b0\u1ee3ng t\u0103ng dung n\u1ea1p (ch\u1ecbu \u0111\u1ef1ng) r\u01b0\u1ee3u nh\u01b0: c\u1ea7n ph\u1ea3i t\u0103ng li\u1ec1u \u0111\u1ec3 lo\u1ea1i b\u1ecf nh\u1eefng c\u1ea3m gi\u00e1c kh\u00f3 ch\u1ecbu do thi\u1ebfu r\u01b0\u1ee3u g\u00e2y ra; D\u1ea7n xao nh\u00e3ng c\u00e1c th\u00fa vui ho\u1eb7c nh\u1eefng th\u00edch th\u00fa tr\u01b0\u1edbc \u0111\u00e2y; Ti\u1ebfp t\u1ee5c s\u1eed d\u1ee5ng r\u01b0\u1ee3u m\u1eb7c d\u00f9 c\u00f3 b\u1eb1ng ch\u1ee9ng r\u00f5 r\u00e0ng v\u1ec1 h\u1eadu qu\u1ea3 tai h\u1ea1i.<\/li>\n<li><b>H\u1ed9i ch\u1ee9ng cai:\u00a0<\/b>l\u00e0 bi\u1ec3u hi\u1ec7n \u0111\u1eb7c tr\u01b0ng c\u1ee7a nghi\u1ec7n, h\u1ed9i ch\u1ee9ng n\u00e0y xu\u1ea5t hi\u1ec7n khi ng\u1eebng ho\u1eb7c gi\u1ea3m \u0111\u1ed9t ng\u1ed9t l\u01b0\u1ee3ng r\u01b0\u1ee3u ti\u00eau th\u1ee5. Ba trong c\u00e1c d\u1ea5u hi\u1ec7u sau ph\u1ea3i c\u00f3 m\u1eb7t:<\/li>\n<li><b>Run:\u00a0<\/b>l\u01b0\u1ee1i, mi m\u1eaft v\u00e0 khi du\u1ed7i tay; v\u00e3 m\u1ed3 h\u00f4i; bu\u1ed3n n\u00f4n, ho\u1eb7c n\u00f4n \u1ecde; nh\u1ecbp tim nhanh ho\u1eb7c t\u0103ng huy\u1ebft \u00e1p; k\u00edch \u0111\u1ed9ng t\u00e2m th\u1ea7n v\u1eadn \u0111\u1ed9ng; \u0111au \u0111\u1ea7u; m\u1ea5t ng\u1ee7; c\u1ea3m gi\u00e1c kh\u00f3 \u1edf ho\u1eb7c m\u1ec7t m\u1ecfi; c\u00e1c \u1ea3o t\u01b0\u1edfng \u1ea3o gi\u00e1c v\u1ec1 th\u00ednh gi\u00e1c, th\u1ecb gi\u00e1c ho\u1eb7c x\u00fac gi\u00e1c nh\u1ea5t th\u1eddi; \u0111\u1ed9ng kinh c\u01a1n l\u1edbn. H\u1ed9i ch\u1ee9ng cai r\u01b0\u1ee3u k\u00e9o d\u00e0i t\u1eeb v\u00e0i gi\u1edd \u0111\u1ebfn nhi\u1ec1u ng\u00e0y t\u00f9y m\u1ee9c \u0111\u1ed9 nghi\u1ec7n r\u01b0\u1ee3u.\n<p><figure id=\"attachment_28639\" aria-describedby=\"caption-attachment-28639\" style=\"width: 300px\" class=\"wp-caption aligncenter\"><img decoding=\"async\" loading=\"lazy\" class=\"size-medium wp-image-28639\" src=\"http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/04\/Tac-hai-tam-than-cua-ruou-300x187.jpg\" alt=\"Roi-loan-tam-than-do-ruou\" width=\"300\" height=\"187\" srcset=\"http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/04\/Tac-hai-tam-than-cua-ruou-300x187.jpg 300w, http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/04\/Tac-hai-tam-than-cua-ruou.jpg 660w\" sizes=\"(max-width: 300px) 100vw, 300px\" \/><figcaption id=\"caption-attachment-28639\" class=\"wp-caption-text\">R\u1ed1i lo\u1ea1n t\u00e2m th\u1ea7n do r\u01b0\u1ee3u<\/figcaption><\/figure><\/li>\n<\/ul>\n<p><b>3.2. Ch\u1ea9n \u0111o\u00e1n lo\u1ea1n th\u1ea7n do r\u01b0\u1ee3u<\/b><\/p>\n<p>Lo\u1ea1n th\u1ea7n do r\u01b0\u1ee3u l\u00e0 tr\u1ea1ng th\u00e1i lo\u1ea1n th\u1ea7n li\u00ean quan ch\u1eb7t ch\u1ebd t\u1edbi qu\u00e1 tr\u00ecnh s\u1eed d\u1ee5ng r\u01b0\u1ee3u, bi\u1ec3u hi\u1ec7n b\u1eb1ng r\u1ed1i lo\u1ea1n c\u1ea3m x\u00fac, h\u00e0nh vi, hoang t\u01b0\u1edfng, \u1ea3o gi\u00e1c\u2026 C\u00e1c bi\u1ec3u hi\u1ec7n r\u1ed1i lo\u1ea1n t\u00e2m th\u1ea7n th\u01b0\u1eddng m\u1ea5t \u0111i sau 1-6 th\u00e1ng ng\u1eebng s\u1eed d\u1ee5ng r\u01b0\u1ee3u.<\/p>\n<p>3.2.1. S\u1ea3ng r\u01b0\u1ee3u (s\u1ea3ng run)<\/p>\n<p>S\u1ea3ng r\u01b0\u1ee3u l\u00e0 m\u1ed9t tr\u1ea1ng th\u00e1i lo\u1ea1n th\u1ea7n c\u1ea5p t\u00ednh v\u00e0 tr\u1ea7m tr\u1ecdng, th\u01b0\u1eddng xu\u1ea5t hi\u1ec7n \u1edf ng\u01b0\u1eddi nghi\u1ec7n r\u01b0\u1ee3u m\u1ea1n t\u00ednh, khi c\u01a1 th\u1ec3 b\u1ecb suy y\u1ebfu hay v\u00ec m\u1ed9t b\u1ec7nh l\u00fd n\u00e0o \u0111\u00f3 (nhi\u1ec5m khu\u1ea9n, ch\u1ea5n th\u01b0\u01a1ng\u2026). S\u1ea3ng r\u01b0\u1ee3u c\u0169ng c\u00f3 th\u1ec3 xu\u1ea5t hi\u1ec7n sau khi cai r\u01b0\u1ee3u t\u01b0\u01a1ng \u0111\u1ed1i, tuy\u1ec7t \u0111\u1ed1i ho\u1eb7c sau khi s\u1eed d\u1ee5ng s\u1ed1 l\u01b0\u1ee3ng l\u1edbn.<\/p>\n<ul>\n<li><b>L\u00e2m s\u00e0ng:<\/b><\/li>\n<\/ul>\n<p><i>a. Giai \u0111o\u1ea1n kh\u1edfi ph\u00e1t:<\/i><\/p>\n<p>S\u1ea3ng r\u01b0\u1ee3u c\u00f3 th\u1ec3 kh\u1edfi ph\u00e1t c\u1ea5p t\u00ednh hay t\u1eeb t\u1eeb. Trong giai \u0111o\u1ea1n n\u00e0y ch\u1ee7 y\u1ebfu m\u1ec7t m\u1ecfi, ch\u00e1n \u0103n, r\u1ed1i lo\u1ea1n gi\u1ea5c ng\u1ee7, r\u1ed1i lo\u1ea1n th\u1ea7n kinh th\u1ef1c v\u1eadt.<\/p>\n<p>Thay \u0111\u1ed5i c\u1ea3m x\u00fac: ho\u1ea3ng h\u1ed1t, lo \u00e2u. B\u1ec7nh ti\u1ebfn tri\u1ec3n n\u1eb7ng d\u1ea7n, nh\u1ea5t l\u00e0 v\u1ec1 chi\u1ec1u t\u1ed1i, c\u00f3 th\u1ec3 c\u00f3 \u1ea3o t\u01b0\u1edfng th\u1ecb gi\u00e1c, h\u1ed3i \u1ee9c\u2026<\/p>\n<p><i>b. Giai \u0111o\u1ea1n to\u00e0n ph\u00e1t:<\/i><\/p>\n<p>\u00dd th\u1ee9c m\u00ea s\u1ea3ng ho\u1eb7c l\u00fa l\u1eabn; C\u00e1c \u1ea3o t\u01b0\u1edfng v\u00e0 \u1ea3o gi\u00e1c sinh \u0111\u1ed9ng, tri\u1ec7u ch\u1ee9ng run n\u1eb7ng. Th\u01b0\u1eddng c\u00f3 hoang t\u01b0\u1edfng, k\u00edch \u0111\u1ed9ng, m\u1ea5t ng\u1ee7\u2026<\/p>\n<p>R\u1ed1i lo\u1ea1n n\u0103ng l\u1ef1c \u0111\u1ecbnh h\u01b0\u1edbng th\u1eddi gian v\u00e0 kh\u00f4ng gian, \u0111\u1ecbnh h\u01b0\u1edbng xung quanh c\u00f3 th\u1ec3 l\u1ec7ch l\u1ea1c. M\u1ee9c \u0111\u1ed9 m\u00f9 m\u1edd \u00fd th\u1ee9c th\u01b0\u1eddng n\u1eb7ng l\u00ean v\u1ec1 chi\u1ec1u t\u1ed1i.<\/p>\n<p>C\u00e1c \u1ea3o gi\u00e1c nh\u01b0: \u1ea3o th\u1ecb, \u1ea3o thanh, \u1ea3o gi\u00e1c x\u00fac gi\u00e1c\u2026<\/p>\n<p>Hoang t\u01b0\u1edfng c\u0169ng r\u1ea5t th\u01b0\u1eddng g\u1eb7p v\u00e0 th\u01b0\u1eddng l\u00e0 c\u00e1c hoang t\u01b0\u1edfng c\u1ea3m th\u1ee5.<\/p>\n<p>C\u00f3 th\u1ec3 c\u00f3 k\u00edch \u0111\u1ed9ng, r\u1ed1i lo\u1ea1n gi\u1ea5c ng\u1ee7\u2026<\/p>\n<p>C\u00e1c r\u1ed1i lo\u1ea1n to\u00e0n th\u00e2n r\u00f5 r\u1ec7t: run ch\u00e2n tay; run l\u01b0\u1ee1i; v\u00e3 m\u1ed3 h\u00f4i, s\u1ed1t nh\u1eb9\u2026<\/p>\n<p>C\u00e1c tri\u1ec7u ch\u1ee9ng k\u00e9o d\u00e0i th\u01b0\u1eddng kh\u00f4ng qu\u00e1 1 tu\u1ea7n.<\/p>\n<ul>\n<li><b>Ch\u1ea9n \u0111o\u00e1n ph\u00e2n bi\u1ec7t.<\/b><\/li>\n<\/ul>\n<p>M\u00ea s\u1ea3ng kh\u00f4ng do r\u01b0\u1ee3u; sa s\u00fat tr\u00ed tu\u1ec7; t\u00e2m th\u1ea7n ph\u00e2n li\u1ec7t<\/p>\n<p>3.2.2. \u1ea2o gi\u00e1c do r\u01b0\u1ee3u.<\/p>\n<p>\u1ea2o gi\u00e1c do r\u01b0\u1ee3u l\u00e0 tr\u1ea1ng th\u00e1i lo\u1ea1n th\u1ea7n do r\u01b0\u1ee3u. Th\u01b0\u1eddng g\u1eb7p \u1edf ng\u01b0\u1eddi nghi\u1ec7n r\u01b0\u1ee3u m\u1ea1n t\u00ednh.<\/p>\n<ul>\n<li><b>L\u00e2m s\u00e0ng:\u00a0<\/b>kh\u1edfi ph\u00e1t c\u1ea5p t\u00ednh hay t\u1eeb t\u1eeb, c\u00f3 th\u1ec3 k\u00e8m hoang t\u01b0\u1edfng; \u1ea3o th\u00ednh; \u1ea3o th\u1ecb; \u1ea3o gi\u00e1c x\u00fac gi\u00e1c.<\/li>\n<\/ul>\n<p>3.2.3. Hoang t\u01b0\u1edfng do r\u01b0\u1ee3u.<\/p>\n<p>Hoang t\u01b0\u1edfng ghen tu\u00f4ng: Ph\u00e1t tri\u1ec3n tr\u00ean c\u01a1 s\u1edf nghi\u1ec7n r\u01b0\u1ee3u m\u1ea1n t\u00ednh.<\/p>\n<p>L\u00fac \u0111\u1ea7u hoang t\u01b0\u1edfng ghen tu\u00f4ng ch\u1ec9 xu\u1ea5t hi\u1ec7n trong tr\u1ea1ng th\u00e1i say, v\u1ec1 sau tr\u1edf th\u00e0nh th\u01b0\u1eddng xuy\u00ean v\u00e0 c\u00f3 n\u1ed9i dung v\u00f4 l\u00fd.<\/p>\n<p>Hoang t\u01b0\u1edfng ghen tu\u00f4ng c\u00f3 th\u1ec3 k\u00e8m theo c\u00e1c \u00fd t\u01b0\u1edfng b\u1ecb theo d\u00f5i, b\u1ecb \u0111\u1ea7u \u0111\u1ed9c.<\/p>\n<p>Hoang t\u01b0\u1edfng b\u1ecb h\u1ea1i: C\u00f3 th\u1ec3 c\u00f9ng xu\u1ea5t hi\u1ec7n v\u1edbi hoang t\u01b0\u1edfng b\u1ecb theo d\u00f5i ho\u1eb7c hoang t\u01b0\u1edfng ghen tu\u00f4ng\u2026<\/p>\n<p><b>Ch\u1ea9n \u0111o\u00e1n x\u00e1c \u0111\u1ecbnh lo\u1ea1n th\u1ea7n do r\u01b0\u1ee3u v\u1edbi hoang t\u01b0\u1edfng\/\u1ea3o gi\u00e1c chi\u1ebfm \u01b0u th\u1ebf:<\/b><\/p>\n<p>Tr\u1ea1ng th\u00e1i lo\u1ea1n th\u1ea7n xu\u1ea5t hi\u1ec7n trong khi ho\u1eb7c ngay sau s\u1eed d\u1ee5ng r\u01b0\u1ee3u (th\u01b0\u1eddng trong v\u00f2ng 48 gi\u1edd). C\u00e1c \u1ea3o gi\u00e1c, hoang t\u01b0\u1edfng chi\u1ebfm v\u1ecb tr\u00ed h\u00e0ng \u0111\u1ea7u.<\/p>\n<p>Kh\u00f4ng ch\u1ea9n \u0111o\u00e1n khi c\u00f3 ng\u1ed9 \u0111\u1ed9c ho\u1eb7c cai r\u01b0\u1ee3u ph\u1ed1i h\u1ee3p; s\u1eed d\u1ee5ng ch\u1ea5t g\u00e2y \u1ea3o gi\u00e1c. Kh\u00f4ng ch\u1ea9n \u0111o\u00e1n khi: \u1ea3o gi\u00e1c, hoang t\u01b0\u1edfng c\u00f3 tr\u01b0\u1edbc khi l\u1ea1m d\u1ee5ng r\u01b0\u1ee3u ho\u1eb7c nh\u1eefng giai \u0111o\u1ea1n t\u00e1i di\u1ec5n kh\u00f4ng li\u00ean quan \u0111\u1ebfn r\u01b0\u1ee3u.<\/p>\n<p><b>Ch\u1ea9n \u0111o\u00e1n ph\u00e2n bi\u1ec7t hoang t\u01b0\u1edfng\/\u1ea3o gi\u00e1c do r\u01b0\u1ee3u:<\/b><\/p>\n<p>T\u00e2m th\u1ea7n ph\u00e2n li\u1ec7t; s\u1ea3ng r\u01b0\u1ee3u (s\u1ea3ng run)<\/p>\n<p>3.2.4. Tr\u1ea7m c\u1ea3m do r\u01b0\u1ee3u.<\/p>\n<ul>\n<li><b>L\u00e2m s\u00e0ng<\/b><\/li>\n<\/ul>\n<p>B\u1ec7nh c\u1ea3nh th\u01b0\u1eddng kh\u00f4ng \u0111i\u1ec3n h\u00ecnh, gi\u1ea3m kh\u00ed s\u1eafc \u00edt g\u1eb7p, kh\u00ed s\u1eafc kh\u00f4ng \u1ed5n \u0111\u1ecbnh, bu\u1ed3n b\u1ef1c, c\u00e1u k\u1ec9nh, c\u00f4ng k\u00edch, m\u1ec7t m\u1ecfi, m\u1ea5t sinh l\u1ef1c, m\u1ea5t quan t\u00e2m th\u00edch th\u00fa, gi\u1ea3m ho\u1ea1t \u0111\u1ed9ng.<\/p>\n<p>M\u1ea5t ng\u1ee7 v\u00e0 \u00e1c m\u1ed9ng c\u0169ng l\u00e0 tri\u1ec7u ch\u1ee9ng r\u1ea5t th\u01b0\u1eddng g\u1eb7p<\/p>\n<ul>\n<li><b>Ti\u00eau chu\u1ea9n ch\u1ea9n \u0111o\u00e1n:<\/b><\/li>\n<\/ul>\n<p>Kh\u1edfi ph\u00e1t c\u00e1c tri\u1ec7u ch\u1ee9ng tr\u1ea7m c\u1ea3m x\u1ea3y ra trong v\u00f2ng hai tu\u1ea7n c\u00f3 s\u1eed d\u1ee5ng r\u01b0\u1ee3u.<\/p>\n<p>C\u00e1c tri\u1ec7u ch\u1ee9ng tr\u1ea7m c\u1ea3m t\u1ed3n t\u1ea1i h\u01a1n 48 ti\u1ebfng, kh\u00f4ng v\u01b0\u1ee3t qu\u00e1 6 th\u00e1ng.<\/p>\n<ul>\n<li><b>Ch\u1ea9n \u0111o\u00e1n ph\u00e2n bi\u1ec7t:\u00a0<\/b>tr\u1ea7m c\u1ea3m c\u00f3 tr\u01b0\u1edbc khi l\u1ea1m d\u1ee5ng ho\u1eb7c nghi\u1ec7n r\u01b0\u1ee3u.<\/li>\n<\/ul>\n<p>3.2.5. H\u1ed9i ch\u1ee9ng qu\u00ean do r\u01b0\u1ee3u<\/p>\n<ul>\n<li><b>L\u00e2m s\u00e0ng:\u00a0<\/b>\u0110\u00e2y l\u00e0 m\u1ed9t trong c\u00e1c th\u1ec3 b\u1ec7nh n\u00e3o th\u1ef1c t\u1ed5n m\u1ea1n t\u00ednh do r\u01b0\u1ee3u.B\u1ec7nh lo\u1ea1n th\u1ea7n Korsakov x\u1ea3y ra trong giai \u0111o\u1ea1n mu\u1ed9n c\u1ee7a nghi\u1ec7n r\u01b0\u1ee3u.<\/li>\n<li><b>Ch\u1ea9n \u0111o\u00e1n ph\u00e2n bi\u1ec7t:\u00a0<\/b>h\u1ed9i ch\u1ee9ng qu\u00ean th\u1ef1c t\u1ed5n kh\u00f4ng do r\u01b0\u1ee3u, h\u1ed9i ch\u1ee9ng th\u1ef1c t\u1ed5n kh\u00e1c d\u1eabn \u0111\u1ebfn suy gi\u1ea3m tr\u00ed nh\u1edb r\u00f5 r\u1ec7t, r\u1ed1i lo\u1ea1n tr\u1ea7m c\u1ea3m.<\/li>\n<\/ul>\n<p>3.2.6. C\u1eadn l\u00e2m s\u00e0ng<\/p>\n<p>&#8211;\u00a0T\u1ed5ng ph\u00e2n t\u00edch t\u1ebf b\u00e0o m\u00e1u ngo\u1ea1i vi: tr\u01b0\u1edbc v\u00e0 sau \u0111i\u1ec1u tr\u1ecb.<\/p>\n<p>&#8211;\u00a0Sinh ho\u00e1 m\u00e1u: Glucose, ure, creatinin, acid uric; CK (tr\u01b0\u1edbc v\u00e0 sau \u0111i\u1ec1u tr\u1ecb, n\u1ebfu b\u1ea5t th\u01b0\u1eddng x\u00e9t nghi\u1ec7m h\u00e0ng ng\u00e0y trong tu\u1ea7n \u0111\u1ea7u); \u0111i\u1ec7n gi\u1ea3i \u0111\u1ed3 (tr\u01b0\u1edbc v\u00e0 sau \u0111i\u1ec1u tr\u1ecb, x\u00e9t nghi\u1ec7m h\u00e0ng ng\u00e0y trong tu\u1ea7n \u0111\u1ea7u \u0111i\u1ec1u tr\u1ecb n\u1ebfu c\u00f3 b\u1ea5t th\u01b0\u1eddng); GOT, GPT (\u0111\u00e1nh gi\u00e1 tr\u01b0\u1edbc \u0111i\u1ec1u tr\u1ecb v\u00e0 sau 1 tu\u1ea7n v\u00e0 2 tu\u1ea7n \u0111i\u1ec1u tr\u1ecb), GGT, protein, albumin, bilirubin TP v\u00e0 TT, lipid m\u00e1u (cholesterol, triglicerid, LDL, HDL).<\/p>\n<p>&#8211;\u00a0\u0110\u00f4ng m\u00e1u c\u01a1 b\u1ea3n, t\u1ed5ng ph\u00e2n t\u00edch n\u01b0\u1edbc ti\u1ec3u<\/p>\n<p>&#8211;\u00a0\u0110\u1ecbnh l\u01b0\u1ee3ng n\u1ed3ng \u0111\u1ed9 c\u1ed3n trong m\u00e1u, trong h\u01a1i th\u1edf.<\/p>\n<p>&#8211;\u00a0Vi sinh: HIV, HbsAg, Anti HCV, huy\u1ebft thanh ch\u1ea9n \u0111o\u00e1n giang mai.<\/p>\n<p>&#8211;\u00a0XQ tim ph\u1ed5i; si\u00eau \u00e2m \u1ed5 b\u1ee5ng; n\u1ed9i soi d\u1ea1 d\u00e0y\u2026<\/p>\n<p>&#8211;\u00a0Tr\u1eafc nghi\u1ec7m t\u00e2m l\u00fd: th\u1ef1c hi\u1ec7n tr\u01b0\u1edbc v\u00e0 sau \u0111i\u1ec1u tr\u1ecb.<\/p>\n<p>&#8211;\u00a0M\u1ee9c \u0111\u1ed9 tr\u1ea7m c\u1ea3m (HDRS, Beck); m\u1ee9c \u0111\u1ed9 lo \u00e2u (HARS, Zung); m\u1ee9c \u0111\u1ed9 r\u1ed1i lo\u1ea1n s\u1eed d\u1ee5ng r\u01b0\u1ee3u (AUDIT); m\u1ee9c \u0111\u1ed9 cai r\u01b0\u1ee3u (CIWA); \u0111\u1eb7c \u0111i\u1ec3m nh\u00e2n c\u00e1ch (EPI, MMPI); m\u1ee9c \u0111\u1ed9 r\u1ed1i lo\u1ea1n gi\u1ea5c ng\u1ee7 (PSQI); ngo\u00e0i ra c\u00f3 th\u1ec3 th\u1ef1c hi\u1ec7n c\u00e1c tr\u1eafc nghi\u1ec7m \u0111\u00e1nh gi\u00e1 r\u1ed1i lo\u1ea1n nh\u1eadn th\u1ee9c (MMSE), r\u1ed1i lo\u1ea1n stress-lo \u00e2u-tr\u1ea7m c\u1ea3m (DASS)\u2026<\/p>\n<p>&#8211;\u00a0\u0110i\u1ec7n t\u00e2m \u0111\u1ed3; \u0111i\u1ec7n n\u00e3o \u0111\u1ed3, l\u01b0u huy\u1ebft n\u00e3o, CT, MRI\u2026.<\/p>\n<p>&#8211;\u00a0C\u00e1c x\u00e9t nghi\u1ec7m c\u1eadn l\u00e2m s\u00e0ng n\u1ebfu c\u00f3 b\u1ea5t th\u01b0\u1eddng c\u1ea7n ki\u1ec3m tra h\u00e0ng ng\u00e0y.<\/p>\n<p>Ngu\u1ed3n: B\u1ed9 Y t\u1ebf<\/p>\n<p>Xem th\u00eam: <a href=\"https:\/\/www.vinmec.com\/vi\/tin-tuc\/thong-tin-suc-khoe\/roi-loan-tam-do-ruou-nhung-dieu-can-nho\/\">R\u1ed1i lo\u1ea1n t\u00e2m th\u1ea7n do r\u01b0\u1ee3u: Nh\u1eefng \u0111i\u1ec1u c\u1ea7n nh\u1edb<\/a><\/p>\n","protected":false},"excerpt":{"rendered":"<p>R\u01b0\u1ee3u bia \u0111ang r\u1ea5t ph\u1ed5 bi\u1ebfn trong cu\u1ed9c s\u1ed1ng c\u1ee7a ch\u00fang ta, \u0111\u1eb7c bi\u1ec7t l\u00e0 trong x\u00e3 h\u1ed9i hi\u1ec7n \u0111\u1ea1i nh\u01b0 ng\u00e0y h\u00f4m nay. \u0110i\u1ec1u n\u00e0y g\u00f3p ph\u1ea7n d\u1eabn t\u1edbi c\u00e1c r\u1ed1i lo\u1ea1n t\u00e2m th\u1ea7n do r\u01b0\u1ee3u \u0111ang l\u00e0 m\u1ed9t v\u1ea5n \u0111\u1ec1 nh\u1ee9c nh\u1ed1i. \u0110\u1ec3 hi\u1ec3u bi\u1ebft h\u01a1n v\u1ec1 nh\u00f3m r\u1ed1i lo\u1ea1n n\u00e0y, ch\u00fang ta [&hellip;]<\/p>\n","protected":false},"author":26,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":[],"categories":[10],"tags":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v20.4 - 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