{"id":28690,"date":"2023-05-01T23:04:25","date_gmt":"2023-05-01T16:04:25","guid":{"rendered":"http:\/\/noithathoaphat.in\/ctv\/?p=28690"},"modified":"2023-05-01T23:04:25","modified_gmt":"2023-05-01T16:04:25","slug":"benh-parkinson","status":"publish","type":"post","link":"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/05\/01\/benh-parkinson\/","title":{"rendered":"Parkinson: Tri\u1ec7u ch\u1ee9ng v\u00e0 \u0111i\u1ec1u tr\u1ecb"},"content":{"rendered":"

B\u1ec7nh Parkinson l\u00e0 m\u1ed9t trong nh\u1eefng b\u1ec7nh li\u00ean quan \u0111\u1ebfn h\u1ec7 th\u1ea7n kinh ph\u1ed5 bi\u1ebfn nh\u1ea5t \u1edf ng\u01b0\u1eddi cao tu\u1ed5i. \u0110\u00e2y l\u00e0 m\u1ed9t b\u1ec7nh l\u00fd d\u1eabn \u0111\u1ebfn kh\u1ea3 n\u0103ng \u0111i\u1ec1u khi\u1ec3n chuy\u1ec3n \u0111\u1ed9ng c\u1ee7a c\u01a1 th\u1ec3 b\u1ecb suy gi\u1ea3m, khi\u1ebfn cho b\u1ec7nh nh\u00e2n g\u1eb7p nhi\u1ec1u kh\u00f3 kh\u0103n trong sinh ho\u1ea1t th\u01b0\u1eddng ng\u00e0y.<\/strong><\/p>\n

I. \u0110\u1ecbnh ngh\u0129a<\/strong><\/h2>\n

B\u1ec7nh Parkinson l\u00e0 m\u1ed9t b\u1ec7nh l\u00fd th\u1ea7n kinh ti\u1ebfn tri\u1ec3n ch\u1eadm, c\u00f3 t\u00e1c \u0111\u1ed9ng \u0111\u1ebfn kh\u1ea3 n\u0103ng \u0111i\u1ec1u khi\u1ec3n chuy\u1ec3n \u0111\u1ed9ng v\u00e0 g\u00e2y ra c\u00e1c tri\u1ec7u ch\u1ee9ng nh\u01b0 run ch\u00e2n tay, \u0111\u1ee9ng kh\u00f4ng v\u1eefng, c\u1ee9ng c\u1ed5, kh\u00f3 n\u00f3i, v\u00e0 c\u00e1c v\u1ea5n \u0111\u1ec1 v\u1ec1 gi\u1ea3m kh\u1ea3 n\u0103ng nh\u00ecn, nghe v\u00e0 c\u1ea3m nh\u1eadn. B\u1ec7nh Parkinson \u0111\u01b0\u1ee3c coi l\u00e0 m\u1ed9t b\u1ec7nh l\u00fd th\u1ea7n kinh b\u1ea9m sinh v\u00e0 th\u01b0\u1eddng xu\u1ea5t hi\u1ec7n \u1edf ng\u01b0\u1eddi tr\u01b0\u1edfng th\u00e0nh tr\u00ean 60 tu\u1ed5i, tuy nhi\u00ean, c\u0169ng c\u00f3 tr\u01b0\u1eddng h\u1ee3p b\u1ec7nh xu\u1ea5t hi\u1ec7n \u1edf ng\u01b0\u1eddi tr\u1ebb tu\u1ed5i.<\/p>\n

\"mo-ta-parkinson\"
Minh h\u1ecda b\u1ec7nh parkinson<\/figcaption><\/figure>\n

C\u00e1c nguy\u00ean nh\u00e2n c\u1ee7a b\u1ec7nh Parkinson v\u1eabn ch\u01b0a \u0111\u01b0\u1ee3c x\u00e1c \u0111\u1ecbnh ch\u00ednh x\u00e1c, tuy nhi\u00ean, c\u00e1c nh\u00e0 khoa h\u1ecdc cho r\u1eb1ng, b\u1ec7nh Parkinson c\u00f3 th\u1ec3 li\u00ean quan \u0111\u1ebfn m\u1ed9t s\u1ed1 y\u1ebfu t\u1ed1 nh\u01b0 di truy\u1ec1n, m\u00f4i tr\u01b0\u1eddng, v\u00e0 tu\u1ed5i t\u00e1c. B\u1ec7nh n\u00e0y c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c ch\u1ea9n \u0111o\u00e1n th\u00f4ng qua c\u00e1c ph\u01b0\u01a1ng ph\u00e1p nh\u01b0 ki\u1ec3m tra ch\u1ee9c n\u0103ng th\u1ea7n kinh, ch\u1ee5p c\u1ed9ng h\u01b0\u1edfng t\u1eeb h\u1ea1t nh\u00e2n, hay theo d\u00f5i c\u00e1c tri\u1ec7u ch\u1ee9ng c\u1ee7a b\u1ec7nh.<\/p>\n

Hi\u1ec7n t\u1ea1i, ch\u01b0a c\u00f3 ph\u01b0\u01a1ng ph\u00e1p \u0111i\u1ec1u tr\u1ecb \u0111\u1ec3 ch\u1eefa tr\u1ecb b\u1ec7nh Parkinson ho\u00e0n to\u00e0n. Tuy nhi\u00ean, c\u00e1c ph\u01b0\u01a1ng ph\u00e1p \u0111i\u1ec1u tr\u1ecb nh\u01b0 d\u00f9ng thu\u1ed1c, ph\u1eabu thu\u1eadt, v\u00e0 \u0111i\u1ec1u tr\u1ecb b\u1eb1ng t\u1ebf b\u00e0o th\u1ea7n kinh c\u00f3 th\u1ec3 gi\u00fap ki\u1ec3m so\u00e1t c\u00e1c tri\u1ec7u ch\u1ee9ng c\u1ee7a b\u1ec7nh v\u00e0 c\u1ea3i thi\u1ec7n ch\u1ea5t l\u01b0\u1ee3ng cu\u1ed9c s\u1ed1ng c\u1ee7a b\u1ec7nh nh\u00e2n. Ngo\u00e0i ra, c\u00e1c bi\u1ec7n ph\u00e1p h\u1ed7 tr\u1ee3 nh\u01b0 t\u1eadp th\u1ec3 d\u1ee5c \u0111\u1ecbnh k\u1ef3, ch\u1ebf \u0111\u1ed9 \u0103n u\u1ed1ng l\u00e0nh m\u1ea1nh c\u0169ng c\u00f3 th\u1ec3 gi\u00fap gi\u1ea3m c\u00e1c tri\u1ec7u ch\u1ee9ng c\u1ee7a b\u1ec7nh Parkinson.<\/p>\n

2. D\u1ecbch t\u1ec5 h\u1ecdc b\u1ec7nh Parkinson<\/strong><\/h2>\n

C\u00e1c nghi\u00ean c\u1ee9u d\u1ecbch t\u1ec5 h\u1ecdc cho th\u1ea5y r\u1eb1ng t\u1ea7n su\u1ea5t c\u1ee7a b\u1ec7nh Parkinson t\u0103ng l\u00ean theo \u0111\u1ed9 tu\u1ed5i v\u00e0 th\u01b0\u1eddng xu\u1ea5t hi\u1ec7n \u1edf ng\u01b0\u1eddi tr\u00ean 60 tu\u1ed5i. B\u1ec7nh n\u00e0y c\u0169ng th\u01b0\u1eddng xu\u1ea5t hi\u1ec7n \u1edf nam gi\u1edbi nhi\u1ec1u h\u01a1n so v\u1edbi n\u1eef gi\u1edbi. Ngo\u00e0i ra, m\u1ed9t s\u1ed1 nghi\u00ean c\u1ee9u cho th\u1ea5y r\u1eb1ng c\u00e1c y\u1ebfu t\u1ed1 m\u00f4i tr\u01b0\u1eddng, ch\u1eb3ng h\u1ea1n nh\u01b0 ti\u1ebfp x\u00fac v\u1edbi c\u00e1c h\u00f3a ch\u1ea5t \u0111\u1ed9c h\u1ea1i, c\u00f3 th\u1ec3 t\u0103ng nguy c\u01a1 m\u1eafc b\u1ec7nh Parkinson. \u0110\u1eb7c bi\u1ec7t, m\u1ed9t s\u1ed1 nghi\u00ean c\u1ee9u g\u1ea7n \u0111\u00e2y \u0111\u00e3 ch\u1ec9 ra m\u1ed1i li\u00ean quan gi\u1eefa vi\u1ec7c s\u1eed d\u1ee5ng thu\u1ed1c ch\u1ed1ng tr\u1ea7m c\u1ea3m v\u00e0 nguy c\u01a1 m\u1eafc b\u1ec7nh Parkinson.<\/p>\n

Ngo\u00e0i ra, c\u00e1c nghi\u00ean c\u1ee9u d\u1ecbch t\u1ec5 h\u1ecdc c\u0169ng \u0111\u00e3 x\u00e1c \u0111\u1ecbnh m\u1ed9t s\u1ed1 y\u1ebfu t\u1ed1 di truy\u1ec1n c\u00f3 th\u1ec3 \u1ea3nh h\u01b0\u1edfng \u0111\u1ebfn nguy c\u01a1 m\u1eafc b\u1ec7nh Parkinson, ch\u1eb3ng h\u1ea1n nh\u01b0 c\u00e1c bi\u1ebfn th\u1ec3 c\u1ee7a gene SNCA v\u00e0 LRRK2.<\/p>\n

T\u00f3m l\u1ea1i, d\u1ecbch t\u1ec5 h\u1ecdc b\u1ec7nh Parkinson gi\u00fap ch\u00fang ta hi\u1ec3u r\u00f5 h\u01a1n v\u1ec1 t\u1ea7n su\u1ea5t v\u00e0 c\u00e1c y\u1ebfu t\u1ed1 nguy c\u01a1 li\u00ean quan \u0111\u1ebfn b\u1ec7nh, t\u1eeb \u0111\u00f3 gi\u00fap c\u1ea3i thi\u1ec7n c\u00e1c chi\u1ebfn l\u01b0\u1ee3c ph\u00f2ng ng\u1eeba v\u00e0 \u0111i\u1ec1u tr\u1ecb b\u1ec7nh Parkinson.<\/p>\n

3. Nguy\u00ean nh\u00e2n c\u1ee7a b\u1ec7nh Parkinson<\/strong><\/h2>\n

C\u00e1c nh\u00e0 khoa h\u1ecdc v\u1eabn ch\u01b0a t\u00ecm ra nguy\u00ean nh\u00e2n ch\u00ednh x\u00e1c c\u1ee7a b\u1ec7nh Parkinson. Tuy nhi\u00ean, c\u00e1c nghi\u00ean c\u1ee9u cho th\u1ea5y r\u1eb1ng b\u1ec7nh Parkinson c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c g\u00e2y ra b\u1edfi m\u1ed9t s\u1ef1 k\u1ebft h\u1ee3p c\u1ee7a c\u00e1c y\u1ebfu t\u1ed1 di truy\u1ec1n, m\u00f4i tr\u01b0\u1eddng v\u00e0 tu\u1ed5i t\u00e1c.<\/p>\n

Theo Trung t\u00e2m Ki\u1ec3m so\u00e1t v\u00e0 Ph\u00f2ng ng\u1eeba D\u1ecbch b\u1ec7nh Hoa K\u1ef3 (CDC), “Nguy\u00ean nh\u00e2n ch\u00ednh x\u00e1c c\u1ee7a b\u1ec7nh Parkinson v\u1eabn ch\u01b0a \u0111\u01b0\u1ee3c bi\u1ebft \u0111\u1ebfn, nh\u01b0ng c\u00e1c nh\u00e0 khoa h\u1ecdc \u0111ang nghi\u00ean c\u1ee9u c\u00e1c y\u1ebfu t\u1ed1 gen, m\u00f4i tr\u01b0\u1eddng v\u00e0 sinh l\u00fd c\u00f3 th\u1ec3 \u0111\u00f3ng vai tr\u00f2 trong s\u1ef1 ph\u00e1t tri\u1ec3n c\u1ee7a b\u1ec7nh.”<\/p>\n

Theo T\u1ed5 ch\u1ee9c Y t\u1ebf Th\u1ebf gi\u1edbi (WHO), “Nguy\u00ean nh\u00e2n ch\u00ednh x\u00e1c c\u1ee7a b\u1ec7nh Parkinson v\u1eabn ch\u01b0a \u0111\u01b0\u1ee3c bi\u1ebft \u0111\u1ebfn, nh\u01b0ng c\u00e1c nh\u00e0 nghi\u00ean c\u1ee9u cho r\u1eb1ng b\u1ec7nh c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c g\u00e2y ra b\u1edfi m\u1ed9t s\u1ef1 k\u1ebft h\u1ee3p c\u1ee7a c\u00e1c y\u1ebfu t\u1ed1 di truy\u1ec1n, m\u00f4i tr\u01b0\u1eddng v\u00e0 tu\u1ed5i t\u00e1c. C\u00e1c y\u1ebfu t\u1ed1 m\u00f4i tr\u01b0\u1eddng bao g\u1ed3m ti\u1ebfp x\u00fac v\u1edbi c\u00e1c h\u00f3a ch\u1ea5t \u0111\u1ed9c h\u1ea1i nh\u01b0 thu\u1ed1c tr\u1eeb s\u00e2u v\u00e0 herbicide.”<\/p>\n

Theo Vi\u1ec7n Tim m\u1ea1ch Hoa K\u1ef3 (American Heart Association), “Nguy\u00ean nh\u00e2n ch\u00ednh x\u00e1c c\u1ee7a b\u1ec7nh Parkinson v\u1eabn ch\u01b0a \u0111\u01b0\u1ee3c bi\u1ebft \u0111\u1ebfn, nh\u01b0ng nghi\u00ean c\u1ee9u cho th\u1ea5y r\u1eb1ng b\u1ec7nh c\u00f3 th\u1ec3 do s\u1ef1 k\u1ebft h\u1ee3p c\u1ee7a y\u1ebfu t\u1ed1 di truy\u1ec1n v\u00e0 m\u00f4i tr\u01b0\u1eddng. C\u00e1c y\u1ebfu t\u1ed1 m\u00f4i tr\u01b0\u1eddng c\u00f3 th\u1ec3 bao g\u1ed3m ti\u1ebfp x\u00fac v\u1edbi c\u00e1c ch\u1ea5t \u0111\u1ed9c h\u1ea1i v\u00e0 vi khu\u1ea9n.”<\/p>\n

Tr\u00ean th\u1ef1c t\u1ebf, t\u1ea5t c\u1ea3 c\u00e1c ngu\u1ed3n tham kh\u1ea3o uy t\u00edn \u0111\u1ec1u cho th\u1ea5y r\u1eb1ng nguy\u00ean nh\u00e2n ch\u00ednh x\u00e1c c\u1ee7a b\u1ec7nh Parkinson v\u1eabn ch\u01b0a \u0111\u01b0\u1ee3c bi\u1ebft \u0111\u1ebfn, v\u00e0 b\u1ec7nh n\u00e0y c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c g\u00e2y ra b\u1edfi m\u1ed9t s\u1ef1 k\u1ebft h\u1ee3p c\u1ee7a c\u00e1c y\u1ebfu t\u1ed1 di truy\u1ec1n, m\u00f4i tr\u01b0\u1eddng v\u00e0 tu\u1ed5i t\u00e1c.<\/p>\n

4. Tri\u1ec7u ch\u1ee9ng l\u00e2m s\u00e0ng<\/strong><\/h2>\n

B\u1ec7nh Parkinson l\u00e0 m\u1ed9t b\u1ec7nh l\u00fd th\u1ea7n kinh c\u01a1 h\u1ecdc, v\u00e0 c\u00e1c tri\u1ec7u ch\u1ee9ng l\u00e2m s\u00e0ng c\u1ee7a b\u1ec7nh Parkinson th\u01b0\u1eddng li\u00ean quan \u0111\u1ebfn c\u00e1c v\u1ea5n \u0111\u1ec1 v\u1ec1 chuy\u1ec3n \u0111\u1ed9ng. D\u01b0\u1edbi \u0111\u00e2y l\u00e0 m\u1ed9t s\u1ed1 tri\u1ec7u ch\u1ee9ng l\u00e2m s\u00e0ng th\u01b0\u1eddng g\u1eb7p c\u1ee7a b\u1ec7nh Parkinson:<\/p>\n

_Run: \u0110\u00e2y l\u00e0 tri\u1ec7u ch\u1ee9ng ch\u00ednh c\u1ee7a b\u1ec7nh Parkinson, khi c\u01a1 th\u1ec3 c\u1ee7a ng\u01b0\u1eddi b\u1ec7nh run nh\u1eb9 ho\u1eb7c n\u1eb7ng khi \u0111\u1ee9ng y\u00ean ho\u1eb7c \u0111ang v\u1eadn \u0111\u1ed9ng.<\/p>\n

_C\u1ee9ng kh\u1edbp: C\u00e1c c\u01a1 b\u1eafp c\u1ee7a ng\u01b0\u1eddi b\u1ec7nh Parkinson c\u00f3 th\u1ec3 c\u1ee9ng v\u00e0 kh\u00f3 di chuy\u1ec3n, g\u00e2y ra s\u1ef1 kh\u00f3 kh\u0103n trong vi\u1ec7c th\u1ef1c hi\u1ec7n c\u00e1c ho\u1ea1t \u0111\u1ed9ng h\u00e0ng ng\u00e0y.<\/p>\n

_Ch\u1eadm ch\u1ea1p: Ng\u01b0\u1eddi b\u1ec7nh Parkinson c\u00f3 th\u1ec3 ch\u1eadm trong vi\u1ec7c b\u1eaft \u0111\u1ea7u v\u00e0 ho\u00e0n th\u00e0nh c\u00e1c ho\u1ea1t \u0111\u1ed9ng, g\u00e2y ra s\u1ef1 m\u1ea5t c\u00e2n b\u1eb1ng v\u00e0 ng\u00e3.<\/p>\n

_Kh\u00f3 kh\u0103n trong vi\u1ec7c \u0111i l\u1ea1i: Ng\u01b0\u1eddi b\u1ec7nh Parkinson c\u00f3 th\u1ec3 g\u1eb7p kh\u00f3 kh\u0103n trong vi\u1ec7c \u0111i b\u1ed9, v\u00e0 c\u00f3 th\u1ec3 c\u00f3 nh\u1eefng b\u01b0\u1edbc \u0111i ng\u1eafn h\u01a1n ho\u1eb7c \u0111\u1ee9ng y\u00ean trong m\u1ed9t th\u1eddi gian d\u00e0i.<\/p>\n

_V\u1ea5n \u0111\u1ec1 v\u1ec1 c\u1eed \u0111\u1ed9ng: Ng\u01b0\u1eddi b\u1ec7nh Parkinson c\u00f3 th\u1ec3 g\u1eb7p kh\u00f3 kh\u0103n trong vi\u1ec7c th\u1ef1c hi\u1ec7n c\u00e1c c\u1eed \u0111\u1ed9ng nh\u01b0 xoay c\u1ed5, l\u1eadt m\u1eaft, hay nh\u1ea3y.<\/p>\n

_V\u1ea5n \u0111\u1ec1 v\u1ec1 gi\u1ecdng n\u00f3i: Ng\u01b0\u1eddi b\u1ec7nh Parkinson c\u00f3 th\u1ec3 c\u00f3 gi\u1ecdng n\u00f3i nh\u1ecf h\u01a1n, kh\u00f3 nghe ho\u1eb7c n\u00f3i ch\u1eadm h\u01a1n so v\u1edbi b\u00ecnh th\u01b0\u1eddng.<\/p>\n

_R\u1ed1i lo\u1ea1n gi\u1ea5c ng\u1ee7: Ng\u01b0\u1eddi b\u1ec7nh Parkinson c\u00f3 th\u1ec3 g\u1eb7p v\u1ea5n \u0111\u1ec1 v\u1ec1 gi\u1ea5c ng\u1ee7, bao g\u1ed3m kh\u00f3 ng\u1ee7 ho\u1eb7c gi\u1ea5c ng\u1ee7 kh\u00f4ng y\u00ean.<\/p>\n

_R\u1ed1i lo\u1ea1n t\u00e2m th\u1ea7n: M\u1ed9t s\u1ed1 ng\u01b0\u1eddi b\u1ec7nh Parkinson c\u00f3 th\u1ec3 g\u1eb7p c\u00e1c r\u1ed1i lo\u1ea1n t\u00e2m th\u1ea7n, bao g\u1ed3m lo \u00e2u, tr\u1ea7m c\u1ea3m ho\u1eb7c suy ngh\u0129 ch\u1eadm.<\/p>\n

 <\/p>\n

\"trieu-chung-parkinson\"
Tri\u1ec7u ch\u1ee9ng b\u1ec7nh Parkinson<\/figcaption><\/figure>\n

5. Tri\u1ec7u ch\u1ee9ng c\u1eadn l\u00e2m s\u00e0ng<\/strong><\/h2>\n

Hi\u1ec7n nay, kh\u00f4ng c\u00f3 x\u00e9t nghi\u1ec7m duy nh\u1ea5t n\u00e0o c\u00f3 th\u1ec3 ch\u1ea9n \u0111o\u00e1n ch\u00ednh x\u00e1c b\u1ec7nh Parkinson. Tuy nhi\u00ean, c\u00e1c x\u00e9t nghi\u1ec7m c\u1eadn l\u00e2m s\u00e0ng c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng \u0111\u1ec3 \u0111\u00e1nh gi\u00e1 c\u00e1c tri\u1ec7u ch\u1ee9ng v\u00e0 lo\u1ea1i tr\u1eeb c\u00e1c b\u1ec7nh l\u00fd kh\u00e1c c\u00f3 tri\u1ec7u ch\u1ee9ng t\u01b0\u01a1ng t\u1ef1. D\u01b0\u1edbi \u0111\u00e2y l\u00e0 m\u1ed9t s\u1ed1 x\u00e9t nghi\u1ec7m c\u1eadn l\u00e2m s\u00e0ng c\u1ee7a b\u1ec7nh Parkinson:<\/p>\n

_Ki\u1ec3m tra ch\u1ee9c n\u0103ng chuy\u1ec3n \u0111\u1ed9ng: B\u00e1c s\u0129 c\u00f3 th\u1ec3 y\u00eau c\u1ea7u b\u1ec7nh nh\u00e2n th\u1ef1c hi\u1ec7n m\u1ed9t s\u1ed1 b\u00e0i ki\u1ec3m tra chuy\u1ec3n \u0111\u1ed9ng, bao g\u1ed3m \u0111i b\u1ed9, xoay c\u1ed5, v\u1eadn \u0111\u1ed9ng tay v\u00e0 ch\u00e2n \u0111\u1ec3 \u0111\u00e1nh gi\u00e1 ch\u1ee9c n\u0103ng chuy\u1ec3n \u0111\u1ed9ng c\u1ee7a b\u1ec7nh nh\u00e2n.<\/p>\n

_\u0110o l\u01b0\u1eddng \u0111\u1ed9 run: M\u1ed9t s\u1ed1 ph\u01b0\u01a1ng ph\u00e1p \u0111o l\u01b0\u1eddng \u0111\u1ed9 rung c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng \u0111\u1ec3 \u0111\u00e1nh gi\u00e1 m\u1ee9c \u0111\u1ed9 run c\u1ee7a b\u1ec7nh nh\u00e2n, bao g\u1ed3m m\u00e1y \u0111o run v\u00e0 \u0111\u00e1nh gi\u00e1 run b\u1eb1ng tay.<\/p>\n

_\u0110o l\u01b0\u1eddng kh\u1ea3 n\u0103ng m\u00f9i: M\u1ed9t s\u1ed1 b\u1ec7nh nh\u00e2n Parkinson c\u00f3 th\u1ec3 m\u1ea5t kh\u1ea3 n\u0103ng nh\u1eadn bi\u1ebft m\u00f9i h\u01b0\u01a1ng, v\u00ec v\u1eady ki\u1ec3m tra kh\u1ea3 n\u0103ng m\u00f9i c\u00f3 th\u1ec3 gi\u00fap \u0111\u00e1nh gi\u00e1 c\u00e1c tri\u1ec7u ch\u1ee9ng c\u1eadn l\u00e2m s\u00e0ng.<\/p>\n

_Ki\u1ec3m tra huy\u1ebft \u00e1p: B\u1ec7nh nh\u00e2n Parkinson c\u00f3 th\u1ec3 c\u00f3 nguy c\u01a1 cao huy\u1ebft \u00e1p<\/a>, v\u00ec v\u1eady ki\u1ec3m tra huy\u1ebft \u00e1p c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng \u0111\u1ec3 \u0111\u00e1nh gi\u00e1 c\u00e1c tri\u1ec7u ch\u1ee9ng c\u1eadn l\u00e2m s\u00e0ng.<\/p>\n

_Ch\u1ee5p c\u1ed9ng h\u01b0\u1edfng t\u1eeb (MRI): MRI c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng \u0111\u1ec3 lo\u1ea1i tr\u1eeb c\u00e1c b\u1ec7nh l\u00fd kh\u00e1c c\u00f3 tri\u1ec7u ch\u1ee9ng t\u01b0\u01a1ng t\u1ef1 nh\u01b0 b\u1ec7nh Parkinson.<\/p>\n

K\u1ebft qu\u1ea3 c\u1ee7a c\u00e1c x\u00e9t nghi\u1ec7m n\u00e0y c\u00f3 th\u1ec3 gi\u00fap b\u00e1c s\u0129 \u0111\u01b0a ra quy\u1ebft \u0111\u1ecbnh h\u1ee3p l\u00fd v\u1ec1 ch\u1ea9n \u0111o\u00e1n v\u00e0 \u0111i\u1ec1u tr\u1ecb b\u1ec7nh Parkinson, nh\u01b0ng kh\u00f4ng \u0111\u1ea3m b\u1ea3o ch\u1ea9n \u0111o\u00e1n ch\u00ednh x\u00e1c b\u1ec7nh Parkinson. Vi\u1ec7c ch\u1ea9n \u0111o\u00e1n b\u1ec7nh Parkinson th\u01b0\u1eddng d\u1ef1a tr\u00ean c\u00e1c tri\u1ec7u ch\u1ee9ng l\u00e2m s\u00e0ng, b\u1ea3n th\u00e2n b\u1ec7nh nh\u00e2n v\u00e0 l\u1ecbch s\u1eed b\u1ec7nh c\u1ee7a b\u1ec7nh nh\u00e2n.<\/p>\n

6. \u0110i\u1ec1u tr\u1ecb<\/strong><\/h2>\n

Theo H\u01b0\u1edbng d\u1eabn ch\u1ea9n \u0111o\u00e1n v\u00e0 \u0111i\u1ec1u tr\u1ecb B\u1ec7nh Parkinson (2019) c\u1ee7a T\u1ed5 ch\u1ee9c Y t\u1ebf Th\u1ebf gi\u1edbi (WHO), \u0111i\u1ec1u tr\u1ecb b\u1ec7nh Parkinson bao g\u1ed3m:<\/p>\n

    \n
  1. Thu\u1ed1c:<\/li>\n<\/ol>\n
      \n
    • Levodopa: L\u00e0 lo\u1ea1i thu\u1ed1c \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng ph\u1ed5 bi\u1ebfn nh\u1ea5t \u0111\u1ec3 \u0111i\u1ec1u tr\u1ecb b\u1ec7nh Parkinson. Levodopa \u0111\u01b0\u1ee3c chuy\u1ec3n h\u00f3a th\u00e0nh dopamine trong c\u01a1 th\u1ec3 v\u00e0 gi\u00fap c\u1ea3i thi\u1ec7n c\u00e1c tri\u1ec7u ch\u1ee9ng chuy\u1ec3n \u0111\u1ed9ng. Li\u1ec1u c\u1ee7a Levodopa trong \u0111i\u1ec1u tr\u1ecb b\u1ec7nh Parkinson s\u1ebd ph\u1ee5 thu\u1ed9c v\u00e0o t\u1eebng tr\u01b0\u1eddng h\u1ee3p c\u1ee5 th\u1ec3 v\u00e0 ph\u1ea3i \u0111\u01b0\u1ee3c \u0111\u00e1nh gi\u00e1 b\u1edfi b\u00e1c s\u0129 chuy\u00ean khoa. Tuy nhi\u00ean, th\u00f4ng th\u01b0\u1eddng, li\u1ec1u kh\u1edfi \u0111\u1ea7u c\u1ee7a Levodopa l\u00e0 100-200mg m\u1ed7i ng\u00e0y, chia th\u00e0nh 3 ho\u1eb7c 4 l\u1ea7n u\u1ed1ng trong ng\u00e0y. D\u1ea7n d\u1ea7n, li\u1ec1u s\u1ebd \u0111\u01b0\u1ee3c t\u0103ng l\u00ean d\u1ef1a tr\u00ean \u0111\u00e1p \u1ee9ng c\u1ee7a b\u1ec7nh nh\u00e2n v\u00e0 s\u1ef1 xu\u1ea5t hi\u1ec7n c\u1ee7a c\u00e1c t\u00e1c d\u1ee5ng ph\u1ee5, nh\u01b0ng kh\u00f4ng n\u00ean v\u01b0\u1ee3t qu\u00e1 li\u1ec1u t\u1ed1i \u0111a l\u00e0 1.500mg m\u1ed7i ng\u00e0y.<\/li>\n
    • Ch\u1ea5t \u1ee9c ch\u1ebf enzym chuy\u1ec3n h\u00f3a dopamine (COMT): Gi\u00fap k\u00e9o d\u00e0i th\u1eddi gian t\u00e1c d\u1ee5ng c\u1ee7a levodopa. Li\u1ec1u c\u1ee7a ch\u1ea5t \u1ee9c ch\u1ebf enzym chuy\u1ec3n h\u00f3a dopamine (COMT) trong \u0111i\u1ec1u tr\u1ecb b\u1ec7nh Parkinson l\u00e0:\n
        \n
      • Entacapone: Li\u1ec1u kh\u1edfi \u0111\u1ea7u l\u00e0 200mg, u\u1ed1ng c\u00f9ng v\u1edbi m\u1ed7i li\u1ec1u Levodopa. N\u1ebfu c\u1ea7n, li\u1ec1u c\u00f3 th\u1ec3 t\u0103ng l\u00ean 400mg ho\u1eb7c 800mg m\u1ed7i ng\u00e0y, chia th\u00e0nh 3 ho\u1eb7c 4 l\u1ea7n u\u1ed1ng trong ng\u00e0y.<\/li>\n
      • Tolcapone: Li\u1ec1u kh\u1edfi \u0111\u1ea7u l\u00e0 100mg, u\u1ed1ng 3 l\u1ea7n m\u1ed7i ng\u00e0y, trong khi \u0111\u00f3 li\u1ec1u t\u1ed1i \u0111a l\u00e0 400mg m\u1ed7i ng\u00e0y.<\/li>\n<\/ul>\n<\/li>\n
      • Agonist dopamine: Gi\u00fap gi\u1ea3m tri\u1ec7u ch\u1ee9ng chuy\u1ec3n \u0111\u1ed9ng v\u00e0 c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng thay th\u1ebf cho levodopa. Th\u00f4ng th\u01b0\u1eddng, li\u1ec1u kh\u1edfi \u0111\u1ea7u c\u1ee7a agonist dopamin l\u00e0 t\u1eeb 0,125 \u0111\u1ebfn 0,25mg m\u1ed7i ng\u00e0y, chia th\u00e0nh 2 ho\u1eb7c 3 l\u1ea7n u\u1ed1ng trong ng\u00e0y. D\u1ea7n d\u1ea7n, li\u1ec1u s\u1ebd \u0111\u01b0\u1ee3c t\u0103ng l\u00ean d\u1ef1a tr\u00ean \u0111\u00e1p \u1ee9ng c\u1ee7a b\u1ec7nh nh\u00e2n v\u00e0 s\u1ef1 xu\u1ea5t hi\u1ec7n c\u1ee7a c\u00e1c t\u00e1c d\u1ee5ng ph\u1ee5, nh\u01b0ng kh\u00f4ng n\u00ean v\u01b0\u1ee3t qu\u00e1 li\u1ec1u t\u1ed1i \u0111a l\u00e0 6mg m\u1ed7i ng\u00e0y.C\u00e1c lo\u1ea1i agonist dopamin th\u00f4ng th\u01b0\u1eddng \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng trong \u0111i\u1ec1u tr\u1ecb b\u1ec7nh Parkinson bao g\u1ed3m pramipexole, ropinirole, rotigotine, v\u00e0 apomorphine. Vi\u1ec7c s\u1eed d\u1ee5ng agonist dopamin c\u0169ng ph\u1ea3i \u0111\u01b0\u1ee3c \u0111\u00e1nh gi\u00e1 c\u1ea9n th\u1eadn b\u1edfi b\u00e1c s\u0129 chuy\u00ean khoa, b\u1edfi v\u00ec n\u00f3 c\u00f3 th\u1ec3 g\u00e2y ra c\u00e1c t\u00e1c d\u1ee5ng ph\u1ee5 nh\u01b0 bu\u1ed3n ng\u1ee7, ch\u00f3ng m\u1eb7t, ho\u1eb7c h\u1ed9i ch\u1ee9ng ch\u00e2n kh\u00f4ng y\u1ebfu. B\u1ec7nh nh\u00e2n n\u00ean lu\u00f4n tu\u00e2n th\u1ee7 h\u01b0\u1edbng d\u1eabn c\u1ee7a b\u00e1c s\u0129 v\u00e0 kh\u00f4ng t\u1ef1 \u00fd thay \u0111\u1ed5i li\u1ec1u thu\u1ed1c.<\/li>\n
      • Inhibitor enzym monoamin oxidase B (MAO-B): Gi\u00fap ng\u0103n ch\u1eb7n s\u1ef1 ph\u00e2n h\u1ee7y dopamine trong n\u00e3o v\u00e0 c\u1ea3i thi\u1ec7n c\u00e1c tri\u1ec7u ch\u1ee9ng chuy\u1ec3n \u0111\u1ed9ng.\n
          \n
        • Selegiline: Li\u1ec1u kh\u1edfi \u0111\u1ea7u l\u00e0 5mg m\u1ed7i ng\u00e0y, chia th\u00e0nh 1 ho\u1eb7c 2 l\u1ea7n u\u1ed1ng trong ng\u00e0y. N\u1ebfu c\u1ea7n, li\u1ec1u c\u00f3 th\u1ec3 t\u0103ng l\u00ean \u0111\u1ebfn 10mg m\u1ed7i ng\u00e0y<\/li>\n
        • Rasagiline: Li\u1ec1u kh\u1edfi \u0111\u1ea7u l\u00e0 0,5mg m\u1ed7i ng\u00e0y, u\u1ed1ng v\u00e0o bu\u1ed5i s\u00e1ng ho\u1eb7c v\u00e0o bu\u1ed5i t\u1ed1i. N\u1ebfu c\u1ea7n, li\u1ec1u c\u00f3 th\u1ec3 t\u0103ng l\u00ean \u0111\u1ebfn 1mg m\u1ed7i ng\u00e0y.<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n
            \n
          1. Ph\u1eabu thu\u1eadt:<\/li>\n<\/ol>\n
              \n
            • Th\u1ee7 thu\u1eadt s\u00e2u n\u00e3o (deep brain stimulation – DBS): L\u00e0 ph\u01b0\u01a1ng ph\u00e1p \u0111i\u1ec1u tr\u1ecb b\u1ec7nh Parkinson b\u1eb1ng c\u00e1ch c\u1ea5y gh\u00e9p m\u1ed9t thi\u1ebft b\u1ecb \u0111i\u1ec7n v\u00e0o v\u00f9ng s\u00e2u c\u1ee7a n\u00e3o \u0111\u1ec3 gi\u1ea3m c\u00e1c tri\u1ec7u ch\u1ee9ng chuy\u1ec3n \u0111\u1ed9ng.<\/li>\n<\/ul>\n
                \n
              1. Tr\u1ecb li\u1ec7u t\u00e2m l\u00fd:<\/li>\n<\/ol>\n
                  \n
                • T\u00e2m l\u00fd h\u1ecdc: T\u01b0 v\u1ea5n v\u00e0 tr\u1ecb li\u1ec7u t\u00e2m l\u00fd c\u00f3 th\u1ec3 gi\u00fap b\u1ec7nh nh\u00e2n v\u00e0 gia \u0111\u00ecnh \u1ee9ng ph\u00f3 v\u1edbi c\u00e1c tri\u1ec7u ch\u1ee9ng c\u1ee7a b\u1ec7nh v\u00e0 c\u1ea3i thi\u1ec7n ch\u1ea5t l\u01b0\u1ee3ng cu\u1ed9c s\u1ed1ng.<\/li>\n<\/ul>\n
                    \n
                  1. T\u1eadp th\u1ec3 d\u1ee5c:<\/li>\n<\/ol>\n
                      \n
                    • T\u1eadp th\u1ec3 d\u1ee5c th\u01b0\u1eddng xuy\u00ean v\u00e0 c\u00e1c ho\u1ea1t \u0111\u1ed9ng v\u1eadn \u0111\u1ed9ng nh\u01b0 \u0111i b\u1ed9, \u0111\u1ea1p xe, b\u01a1i l\u1ed9i c\u00f3 th\u1ec3 gi\u00fap c\u1ea3i thi\u1ec7n ch\u1ee9c n\u0103ng chuy\u1ec3n \u0111\u1ed9ng v\u00e0 gi\u1ea3m tri\u1ec7u ch\u1ee9ng c\u1ee7a b\u1ec7nh.<\/li>\n<\/ul>\n

                      VII. D\u1ef1 ph\u00f2ng<\/strong><\/h2>\n

                      Hi\u1ec7n t\u1ea1i, ch\u01b0a c\u00f3 ph\u01b0\u01a1ng ph\u00e1p n\u00e0o \u0111\u1ec3 ng\u0103n ng\u1eeba ho\u00e0n to\u00e0n b\u1ec7nh Parkinson. Tuy nhi\u00ean, m\u1ed9t s\u1ed1 nghi\u00ean c\u1ee9u cho th\u1ea5y, c\u00f3 th\u1ec3 gi\u1ea3m nguy c\u01a1 m\u1eafc b\u1ec7nh Parkinson b\u1eb1ng c\u00e1ch:<\/p>\n

                        \n
                      1. T\u0103ng c\u01b0\u1eddng ho\u1ea1t \u0111\u1ed9ng th\u1ec3 ch\u1ea5t: C\u00f3 nhi\u1ec1u b\u1eb1ng ch\u1ee9ng cho th\u1ea5y t\u1eadp th\u1ec3 d\u1ee5c \u0111\u1ec1u \u0111\u1eb7n v\u00e0 t\u0103ng c\u01b0\u1eddng ho\u1ea1t \u0111\u1ed9ng th\u1ec3 ch\u1ea5t c\u00f3 th\u1ec3 gi\u1ea3m nguy c\u01a1 m\u1eafc b\u1ec7nh Parkinson. V\u00ec v\u1eady, b\u1ea1n n\u00ean t\u1eadp luy\u1ec7n th\u1ec3 thao th\u01b0\u1eddng xuy\u00ean, \u00edt nh\u1ea5t l\u00e0 30 ph\u00fat m\u1ed7i ng\u00e0y.<\/li>\n
                      2. \u0102n u\u1ed1ng l\u00e0nh m\u1ea1nh: \u0102n u\u1ed1ng l\u00e0nh m\u1ea1nh, \u0111a d\u1ea1ng, gi\u00e0u ch\u1ea5t x\u01a1 v\u00e0 ch\u1ea5t ch\u1ed1ng oxy h\u00f3a c\u00f3 th\u1ec3 gi\u00fap gi\u1ea3m nguy c\u01a1 m\u1eafc b\u1ec7nh Parkinson. N\u00ean \u0103n nhi\u1ec1u rau c\u1ee7, tr\u00e1i c\u00e2y, ng\u0169 c\u1ed1c nguy\u00ean h\u1ea1t v\u00e0 th\u1ef1c ph\u1ea9m gi\u00e0u ch\u1ea5t \u0111\u1ea1m t\u1eeb c\u00e1c ngu\u1ed3n th\u1ef1c v\u1eadt.<\/li>\n
                      3. Tr\u00e1nh c\u00e1c ch\u1ea5t \u0111\u1ed9c h\u1ea1i: Tr\u00e1nh ti\u1ebfp x\u00fac v\u1edbi c\u00e1c ch\u1ea5t \u0111\u1ed9c h\u1ea1i nh\u01b0 thu\u1ed1c tr\u1eeb s\u00e2u, ch\u1ea5t l\u00e0m s\u1ea1ch, h\u00f3a ch\u1ea5t c\u00f4ng nghi\u1ec7p v\u00e0 kh\u00f3i thu\u1ed1c l\u00e1.<\/li>\n
                      4. Ki\u1ec3m so\u00e1t c\u0103ng th\u1eb3ng: C\u0103ng th\u1eb3ng v\u00e0 c\u0103ng th\u1eb3ng t\u00e2m l\u00fd c\u00f3 th\u1ec3 l\u00e0m t\u0103ng nguy c\u01a1 m\u1eafc b\u1ec7nh Parkinson. V\u00ec v\u1eady, b\u1ea1n n\u00ean h\u1ecdc c\u00e1ch ki\u1ec3m so\u00e1t c\u0103ng th\u1eb3ng v\u00e0 gi\u1ea3m stress, v\u00ed d\u1ee5 nh\u01b0 h\u1ecdc yoga, thi\u1ec1n \u0111\u1ecbnh ho\u1eb7c t\u1eadp th\u1edf.<\/li>\n
                      5. Ki\u1ec3m tra s\u1ee9c kh\u1ecfe th\u01b0\u1eddng xuy\u00ean: Ki\u1ec3m tra s\u1ee9c kh\u1ecfe th\u01b0\u1eddng xuy\u00ean v\u00e0 \u0111i\u1ec1u tr\u1ecb c\u00e1c b\u1ec7nh li\u00ean quan \u0111\u1ebfn h\u1ec7 th\u1ea7n kinh, nh\u01b0 b\u1ec7nh m\u1ea1ch m\u00e1u n\u00e3o, c\u00f3 th\u1ec3 gi\u00fap gi\u1ea3m nguy c\u01a1 m\u1eafc b\u1ec7nh Parkinson.<\/li>\n<\/ol>\n","protected":false},"excerpt":{"rendered":"

                        B\u1ec7nh Parkinson l\u00e0 m\u1ed9t trong nh\u1eefng b\u1ec7nh li\u00ean quan \u0111\u1ebfn h\u1ec7 th\u1ea7n kinh ph\u1ed5 bi\u1ebfn nh\u1ea5t \u1edf ng\u01b0\u1eddi cao tu\u1ed5i. \u0110\u00e2y l\u00e0 m\u1ed9t b\u1ec7nh l\u00fd d\u1eabn \u0111\u1ebfn kh\u1ea3 n\u0103ng \u0111i\u1ec1u khi\u1ec3n chuy\u1ec3n \u0111\u1ed9ng c\u1ee7a c\u01a1 th\u1ec3 b\u1ecb suy gi\u1ea3m, khi\u1ebfn cho b\u1ec7nh nh\u00e2n g\u1eb7p nhi\u1ec1u kh\u00f3 kh\u0103n trong sinh ho\u1ea1t th\u01b0\u1eddng ng\u00e0y. I. \u0110\u1ecbnh ngh\u0129a […]<\/p>\n","protected":false},"author":51,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":[],"categories":[10,33],"tags":[],"yoast_head":"\nParkinson: Tri\u1ec7u ch\u1ee9ng v\u00e0 \u0111i\u1ec1u tr\u1ecb - Vinmec<\/title>\n<meta name=\"description\" content=\"B\u1ec7nh Parkinson l\u00e0 b\u1ec7nh li\u00ean quan \u0111\u1ebfn h\u1ec7 th\u1ea7n kinh ph\u1ed5 bi\u1ebfn nh\u1ea5t \u1edf ng\u01b0\u1eddi cao tu\u1ed5i, d\u1eabn \u0111\u1ebfn r\u1ed1i lo\u1ea1n \u0111i\u1ec1u h\u00f2a chuy\u1ec3n \u0111\u1ed9ng c\u1ee7a c\u01a1 th\u1ec3\" \/>\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=\"Parkinson: Tri\u1ec7u ch\u1ee9ng v\u00e0 \u0111i\u1ec1u tr\u1ecb - Vinmec\" \/>\n<meta property=\"og:description\" content=\"B\u1ec7nh Parkinson l\u00e0 b\u1ec7nh li\u00ean quan \u0111\u1ebfn h\u1ec7 th\u1ea7n kinh ph\u1ed5 bi\u1ebfn nh\u1ea5t \u1edf ng\u01b0\u1eddi cao tu\u1ed5i, d\u1eabn \u0111\u1ebfn r\u1ed1i lo\u1ea1n \u0111i\u1ec1u h\u00f2a chuy\u1ec3n \u0111\u1ed9ng c\u1ee7a c\u01a1 th\u1ec3\" \/>\n<meta property=\"og:url\" content=\"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/05\/01\/benh-parkinson\/\" \/>\n<meta property=\"og:site_name\" content=\"Vinmec\" \/>\n<meta property=\"article:published_time\" content=\"2023-05-01T16:04:25+00:00\" \/>\n<meta property=\"og:image\" content=\"http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/04\/5d21a276-bafc-44a7-95a7-9c156296af21-300x300.jpg\" \/>\n<meta name=\"author\" content=\"S\u00f4 Si N\u00e9ttra\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<meta name=\"twitter:label1\" content=\"Written by\" \/>\n\t<meta name=\"twitter:data1\" content=\"S\u00f4 Si N\u00e9ttra\" \/>\n\t<meta name=\"twitter:label2\" content=\"Est. reading time\" \/>\n\t<meta name=\"twitter:data2\" content=\"10 minutes\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\/\/schema.org\",\"@graph\":[{\"@type\":\"WebPage\",\"@id\":\"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/05\/01\/benh-parkinson\/\",\"url\":\"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/05\/01\/benh-parkinson\/\",\"name\":\"Parkinson: Tri\u1ec7u ch\u1ee9ng v\u00e0 \u0111i\u1ec1u tr\u1ecb - 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