{"id":29157,"date":"2023-05-03T21:49:20","date_gmt":"2023-05-03T14:49:20","guid":{"rendered":"http:\/\/noithathoaphat.in\/ctv\/?p=29157"},"modified":"2023-05-17T00:33:21","modified_gmt":"2023-05-16T17:33:21","slug":"roi-loan-giac-ngu-chan-doan-va-dieu-tri","status":"publish","type":"post","link":"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/05\/03\/roi-loan-giac-ngu-chan-doan-va-dieu-tri\/","title":{"rendered":"R\u1ed1i lo\u1ea1n gi\u1ea5c ng\u1ee7: ch\u1ea9n \u0111o\u00e1n v\u00e0 \u0111i\u1ec1u tr\u1ecb"},"content":{"rendered":"<p><b>R\u1ed1i lo\u1ea1n gi\u1ea5c ng\u1ee7 l\u00e0 nh\u1eefng bi\u1ec3u hi\u1ec7n r\u1ea5t th\u01b0\u1eddng g\u1eb7p trong y khoa n\u00f3i chung v\u00e0 trong t\u00e2m th\u1ea7n h\u1ecdc n\u00f3i ri\u00eang. R\u1ed1i lo\u1ea1n gi\u1ea5c ng\u1ee7 c\u00f3 th\u1ec3 g\u00e2y tr\u1edf ng\u1ea1i nghi\u00eam tr\u1ecdng cho c\u00e1c ho\u1ea1t \u0111\u1ed9ng b\u00ecnh th\u01b0\u1eddng v\u1ec1 th\u1ec3 ch\u1ea5t, tinh th\u1ea7n, x\u00e3 h\u1ed9i v\u00e0 \u1ea3nh h\u01b0\u1edfng l\u1edbn \u0111\u1ebfn c\u1ea3m x\u00fac.<\/b><\/p>\n<figure id=\"attachment_29163\" aria-describedby=\"caption-attachment-29163\" style=\"width: 180px\" class=\"wp-caption aligncenter\"><img decoding=\"async\" loading=\"lazy\" class=\"size-full wp-image-29163\" src=\"http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/04\/th-4.jpg\" alt=\"mat-ngu\" width=\"180\" height=\"180\" srcset=\"http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/04\/th-4.jpg 180w, http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/04\/th-4-150x150.jpg 150w\" sizes=\"(max-width: 180px) 100vw, 180px\" \/><figcaption id=\"caption-attachment-29163\" class=\"wp-caption-text\">\u1ea2nh m\u00f4 t\u1ea3 ng\u01b0\u1eddi \u0111ang trong tr\u1ea1ng th\u00e1i m\u1ea5t ng\u1ee7<\/figcaption><\/figure>\n<p>&nbsp;<\/p>\n<h2><strong>1. \u0110\u1ea1i c\u01b0\u01a1ng<\/strong><\/h2>\n<ul>\n<li><span style=\"font-weight: 400;\">\u00a0\u0110\u1ecbnh ngh\u0129a : <\/span>Ng\u1ee7 l\u00e0 ch\u1ee9c n\u0103ng t\u1ef1 nhi\u00ean c\u1ee7a c\u01a1 th\u1ec3 , l\u00fac \u0111\u00f3 ch\u00fang ta v\u00f4 \u00fd th\u1ee9c , c\u00e1c c\u01a1 b\u00ecnh th\u01b0\u1eddng \u0111\u01b0\u1ee3c ki\u1ec3m so\u00e1t , gi\u00e3n ra. T\u1ea1i sao c\u01a1 th\u1ec3 ph\u1ea3i ng\u1ee7 kh\u00f4ng ai r\u00f5 nh\u01b0ng k\u1ebft qu\u1ea3 c\u1ee7a gi\u1ea5c ng\u1ee7 l\u00e0 l\u00e0m h\u1ed3i ph\u1ee5c l\u1ea1i h\u1ec7 th\u1ea7n kinh c\u1ee7a n\u00e3o b\u1ed9 v\u00e0 c\u00e1c c\u01a1 .C\u00e0ng l\u1edbn tu\u1ed5i c\u01a1 th\u1ec3 \u0111\u00f2i h\u1ecfi ng\u1ee7 \u00edt h\u01a1n. Tr\u1ebb con ng\u1ee7 t\u1eeb 12 \u0111\u1ebfn 14 gi\u1edd m\u1ed7i ng\u00e0y, c\u00f2n ng\u01b0\u1eddi l\u1edbn ch\u1ec9 c\u1ea7n 6 \u0111\u1ebfn 8 gi\u1edd . Gi\u1edbi t\u00ednh c\u0169ng \u1ea3nh h\u01b0\u1edfng gi\u1ea5c ng\u1ee7: n\u1eef ng\u1ee7 nhi\u1ec1u h\u01a1n nam 1 gi\u1edd.<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n<ul>\n<li><span style=\"font-weight: 400;\">\u0110\u1ec3 \u0111\u00e1nh gi\u00e1 gi\u1ea5c ng\u1ee7 t\u1ed1t hay kh\u00f4ng, ta kh\u00f4ng ch\u1ec9 c\u0103n c\u1ee9 v\u00e0o th\u1eddi gian ng\u1ee7 m\u00e0 c\u00f2n ch\u00fa \u00fd \u0111\u1ebfn c\u1ea3m gi\u00e1c kh\u1ecfe kho\u1eafn do gi\u1ea5c ng\u1ee7 mang l\u1ea1i t\u1ee9c l\u00e0 ch\u1ea5t l\u01b0\u1ee3ng c\u1ee7a gi\u1ea5c ng\u1ee7 . D\u1ea5u hi\u1ec7u cho bi\u1ebft s\u1ef1 ng\u1ee7 \u0111\u1ee7 l\u00e0 c\u00f3 s\u1ef1 s\u1ea3ng kho\u00e1i, t\u01b0\u01a1i t\u1ec9nh, tho\u1ea3i m\u00e1i khi th\u1ee9c d\u1eady. M\u1ed9t gi\u1ea5c ng\u1ee7 t\u1ed1t ph\u1ea3i \u00edt th\u1ee9c gi\u1ea5c ban \u0111\u00eam v\u00e0 \u00edt bu\u1ed3n ng\u1ee7 ban ng\u00e0y. Hi\u1ec7n nay ph\u01b0\u01a1ng ti\u1ec7n \u0111a k\u00fd gi\u1ea5c ng\u1ee7 ( polysomnography ) \u0111\u00e3 s\u1eed d\u1ee5ng \u0111\u1ec3 nghi\u00ean c\u1ee9u v\u1ec1 gi\u1ea5c ng\u1ee7 \u0111ang \u0111\u01b0\u1ee3c \u1ee9ng d\u1ee5ng ph\u1ed5 bi\u1ebfn .\u00a0<\/span><\/li>\n<\/ul>\n<p><span style=\"font-weight: 400;\">R\u1ed1i lo\u1ea1n gi\u1ea5c ng\u1ee7 l\u00e0 t\u00ecnh tr\u1ea1ng b\u1ea5t th\u01b0\u1eddng v\u1ec1 chu k\u1ef3 gi\u1ea5c ng\u1ee7 , v\u1ec1 th\u1eddi gian ng\u1ee7 , ch\u1ea5t l\u01b0\u1ee3ng gi\u1ea5c ng\u1ee7, nh\u1eefng h\u00e0nh vi trong l\u00fac ng\u1ee7.<\/span><\/p>\n<h2><strong>2. Nguy\u00ean nh\u00e2n<\/strong><\/h2>\n<h3><span style=\"font-weight: 400;\">C\u00f3 r\u1ea5t nhi\u1ec1u nguy\u00ean nh\u00e2n l\u00e0m r\u1ed1i lo\u1ea1n gi\u1ea5c ng\u1ee7 : t\u1eeb nh\u1eefng r\u1ed1i lo\u1ea1n v\u1ec1 nh\u1ecbp ng\u00e0y \u0111\u00eam c\u1ee7a n\u00e3o b\u1ed9, \u0111\u1ebfn r\u1ed1i lo\u1ea1n chu k\u1ef3 gi\u1ea5c ng\u1ee7 v\u00e0 nhi\u1ec1u nguy\u00ean nh\u00e2n kh\u00e1c c\u00f3 khi ch\u01b0a \u0111\u01b0\u1ee3c x\u00e1c \u0111\u1ecbnh.<\/span><\/h3>\n<h3><span style=\"font-weight: 400;\"> <strong>2.1. M\u1ea5t ng\u1ee7<\/strong><\/span><\/h3>\n<ul>\n<li><span style=\"font-weight: 400;\"> M\u1ea5t ng\u1ee7 nguy\u00ean ph\u00e1t: L\u00e0 t\u00ecnh tr\u1ea1ng kh\u00f3 \u0111i v\u00e0o gi\u1ea5c ng\u1ee7 hay kh\u00f3 duy tr\u00ec gi\u1ea5c ng\u1ee7 ho\u1eb7c ph\u1ed1i h\u1ee3p c\u1ea3 hai.<\/span><\/li>\n<li><span style=\"font-weight: 400;\"> M\u1ea5t ng\u1ee7 th\u1ee9 ph\u00e1t: L\u00e0 t\u00ecnh tr\u1ea1ng kh\u00f4ng c\u00f3 \u0111\u01b0\u1ee3c gi\u1ea5c ng\u1ee7 b\u00ecnh th\u01b0\u1eddng do nh\u1eefng nguy\u00ean nh\u00e2n kh\u00e1c nhau\u00a0<\/span><\/li>\n<\/ul>\n<p><span style=\"font-weight: 400;\">M\u1ea5t ng\u1ee7 do b\u1ec7nh c\u01a1 th\u1ec3:<\/span><\/p>\n<p><span style=\"font-weight: 400;\">\u00a0&#8211; \u0110au nh\u1ee9c x\u01b0\u01a1ng kh\u1edbp<\/span><\/p>\n<p><span style=\"font-weight: 400;\">\u00a0&#8211; Tho\u00e1i h\u00f3a c\u1ed9t s\u1ed1ng\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">&#8211; C\u00e1c b\u1ec7nh v\u1ec1 tim m\u1ea1ch<\/span><\/p>\n<p><span style=\"font-weight: 400;\">\u00a0&#8211; C\u00e1c b\u1ec7nh v\u1ec1 tu\u1ea7n ho\u00e0n n\u00e3o.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">&#8211; Cao huy\u1ebft \u00e1p\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">&#8211; C\u00e1c b\u1ec7nh v\u1ec1 h\u00f4 h\u1ea5p\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">&#8211; C\u00e1c b\u1ec7nh v\u1ec1 ti\u00eau h\u00f3a\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">&#8211; C\u00e1c b\u1ec7nh v\u1ec1 ti\u1ebft ni\u1ec7u.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">M\u1ea5t ng\u1ee7 do \u1ea3nh h\u01b0\u1edfng x\u1ea5u c\u1ee7a m\u00f4i tr\u01b0\u1eddng: <\/span><span style=\"font-weight: 400;\">nh\u00e0 ch\u1eadt, <\/span><span style=\"font-weight: 400;\">\u0111\u00f4ng ng\u01b0\u1eddi, <\/span><span style=\"font-weight: 400;\">\u00a0ti\u1ebfng \u1ed3n, m<\/span><span style=\"font-weight: 400;\">\u1ea5t v\u1ec7 sinh<\/span><\/p>\n<p><span style=\"font-weight: 400;\">M\u1ea5t ng\u1ee7 do \u0103n u\u1ed1ng kh\u00f4ng \u0111i\u1ec1u \u0111\u1ed9: <\/span><span style=\"font-weight: 400;\">\u0103n qu\u00e1 no, <\/span><span style=\"font-weight: 400;\">\u0103n nhi\u1ec1u ch\u1ea5t k\u00edch th\u00edch , <\/span><span style=\"font-weight: 400;\">u\u1ed1ng qu\u00e1 nhi\u1ec1u n\u01b0\u1edbc tr\u01b0\u1edbc khi ng\u1ee7&#8230;<\/span><\/p>\n<p><span style=\"font-weight: 400;\">M\u1ea5t ng\u1ee7 do r\u1ed1i lo\u1ea1n t\u00e2m l\u00fd : <\/span><span style=\"font-weight: 400;\">ghen t\u1ecb, <\/span><span style=\"font-weight: 400;\">bu\u1ed3n r\u1ea7u, <\/span><span style=\"font-weight: 400;\">\u00a0t\u1ee9c gi\u1eadn,<\/span><span style=\"font-weight: 400;\"> lo \u00e2u, <\/span><span style=\"font-weight: 400;\">\u00a0stress k\u00e9o d\u00e0i\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">M\u1ea5t ng\u1ee7 do b\u1ec7nh t\u00e2m th\u1ea7n: t<\/span><span style=\"font-weight: 400;\">r\u1ea7m c\u1ea3m ,<\/span><span style=\"font-weight: 400;\">\u00a0t\u00e2m th\u1ea7n ph\u00e2n li\u1ec7t\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">M\u1ea5t ng\u1ee7 do suy gi\u1ea3m c\u00e1c ch\u1ee9c n\u0103ng c\u1ee7a c\u01a1 th\u1ec3:<\/span><span style=\"font-weight: 400;\"> suy gi\u1ea3m h\u00e0m l\u01b0\u1ee3ng hormone, <\/span><span style=\"font-weight: 400;\">\u00a0suy gi\u1ea3m c\u00e1c ch\u1ea5t d\u1eabn truy\u1ec1n th\u1ea7n kinh:\u00a0<\/span><\/p>\n<h3><strong>2.2. R\u1ed1i lo\u1ea1n nh\u1ecbp ng\u1ee7 ng\u00e0y \u0111\u00eam:<\/strong><\/h3>\n<p><strong>Do ngo\u1ea1i sinh: <\/strong>D<span style=\"font-weight: 400;\">o di chuy\u1ec3n t\u1eeb m\u00fai gi\u1edd n\u00e0y sang m\u00fai gi\u1edd kh\u00e1c c\u00e1ch xa nhau, hay do l\u00e0m vi\u1ec7c theo ca k\u00edp n\u00ean ph\u1ea3i th\u1ee9c ban \u0111\u00eam v\u00e0 ng\u1ee7 ban ng\u00e0y l\u00e0m \u0111\u1ea3o l\u1ed9n nh\u1ecbp th\u1ee9c ng\u1ee7 \u0111\u00e3 quen tr\u01b0\u1edbc \u0111\u00e2y<\/span><\/p>\n<p><strong>Do n\u1ed9i sinh:<\/strong><span style=\"font-weight: 400;\"> Do b\u1ec7nh l\u00fd n\u00e3o v\u00f9ng giao thoa th\u1ecb gi\u00e1c v\u00e0 tuy\u1ebfn t\u00f9ng l\u00e0m r\u1ed1i lo\u1ea1n nh\u1ecbp ti\u1ebft n\u1ed3ng \u0111\u1ed9 hormone melatonin c\u00f3 ch\u1ee9c n\u0103ng duy tr\u00ec nh\u1ecbp th\u1ee9c ng\u1ee7 sinh l\u00fd b\u00ecnh th\u01b0\u1eddng v\u1edbi n\u1ed3ng \u0111\u1ed9 cao nh\u1ea5t v\u00e0o gi\u1eefa \u0111\u00eam v\u00e0 th\u1ea5p nh\u1ea5t v\u00e0o ban ng\u00e0y. C\u00f3 th\u1ec3 s\u1eed d\u1ee5ng <a href=\"https:\/\/www.vinmec.com\/vi\/tin-tuc\/thong-tin-suc-khoe\/melatonin-cong-dung-lieu-dung-tac-dung-phu\/\">melatonin<\/a> \u0111\u1ec3 \u0111i\u1ec1u tr\u1ecb ch\u1ee9ng r\u1ed1i lo\u1ea1n gi\u1ea5c ng\u1ee7 do r\u1ed1i lo\u1ea1n nh\u1ecbp ng\u00e0y \u0111\u00eam n\u00e0y.\u00a0<\/span><\/p>\n<h3><strong>\u00a02.3. Nh\u1eefng b\u1ea5t th\u01b0\u1eddng li\u00ean quan gi\u1ea5c ng\u1ee7:<\/strong><\/h3>\n<ul>\n<li><span style=\"font-weight: 400;\"> R\u1ed1i lo\u1ea1n h\u00e0nh vi trong gi\u1ea5c ng\u1ee7 chuy\u1ec3n \u0111\u1ed9ng m\u1eaft nhanh: trong gi\u1ea5c ng\u1ee7 n\u00e0y b\u00ecnh th\u01b0\u1eddng c\u00e1c c\u01a1 m\u1ea5t tr\u01b0\u01a1ng l\u1ef1c nh\u01b0ng b\u1ea5t th\u01b0\u1eddng \u1edf \u0111\u00e2y l\u00e0 c\u00e1c c\u01a1 kh\u00f4ng b\u1ecb m\u1ea5t tr\u01b0\u01a1ng l\u1ef1c do \u0111\u00f3 khi c\u00f3 nh\u1eefng gi\u1ea5c m\u01a1 n\u00f3 s\u1ebd g\u00e2y n\u00ean nh\u1eefng \u0111\u1ed9ng t\u00e1c c\u00f3 khi \u0111\u1ea7y b\u1ea1o l\u1ef1c nh\u01b0 la h\u00e9t \u0111\u1ea5m \u0111\u00e1 nh\u1ea3y ra kh\u1ecfi gi\u01b0\u1eddng \u2026 th\u01b0\u1eddng hay x\u1ea3y ra n\u1eeda \u0111\u00eam g\u1ea7n s\u00e1ng. Nguy\u00ean nh\u00e2n do b\u1ec7nh l\u00fd tho\u00e1i h\u00f3a n\u00e3o nh\u01b0 teo \u0111a h\u1ec7 th\u1ed1ng, parkinson, sa s\u00fat tr\u00ed tu\u1ec7 v\u00e0 hay x\u1ea3y ra \u1edf nam gi\u1edbi. Nh\u01b0 v\u1eady c\u1ea7n \u0111i\u1ec1u tr\u1ecb c\u00e1c b\u1ec7nh l\u00fd n\u00e0y ph\u1ed1i h\u1ee3p \u0111i\u1ec1u tr\u1ecb v\u1ec1 r\u1ed1i lo\u1ea1n gi\u1ea5c ng\u1ee7.<\/span><\/li>\n<li><span style=\"font-weight: 400;\"><a href=\"https:\/\/www.vinmec.com\/vi\/benh\/bong-de-3324\/\"> Li\u1ec7t do ng\u1ee7 ( b\u00f3ng \u0111\u00e8 ):<\/a> Trong giai \u0111o\u1ea1n ng\u1ee7 n\u00f4ng b\u00ecnh th\u01b0\u1eddng c\u01a1 th\u1ec3 kh\u00f4ng b\u1ecb m\u1ea5t tr\u01b0\u01a1ng l\u1ef1c n\u00ean khi c\u00f3 \u00fd th\u1ee9c l\u00e0 c\u00f3 th\u1ec3 c\u00f3 \u0111\u1ed9ng t\u00e1c ph\u00f9 h\u1ee3p. B\u1ea5t th\u01b0\u1eddng \u1edf \u0111\u00e2y l\u00e0 trong gi\u1ea5c ng\u1ee7 n\u00f4ng khi c\u01a1 th\u1ec3 c\u00f3 \u00fd th\u1ee9c nh\u01b0ng l\u1ea1i kh\u00f4ng th\u1ef1c hi\u1ec7n \u0111\u01b0\u1ee3c \u0111\u1ed9ng t\u00e1c do m\u1ea5t tr\u01b0\u01a1ng l\u1ef1c n\u00ean r\u1ea5t lo l\u1eafng v\u00e0 ho\u1ea3ng lo\u1ea1n. Th\u01b0\u1eddng do c\u0103n nguy\u00ean t\u00e2m l\u00fd . C\u00f3 th\u1ec3 s\u1eed d\u1ee5ng c\u00e1c thu\u1ed1c clonazepam, ritalin, hay ch\u1ed1ng tr\u1ea7n c\u1ea3m \u0111\u1ec3 \u0111i\u1ec1u tr\u1ecb ph\u1ed1i h\u1ee3p v\u1edbi t\u00e2m l\u00fd li\u1ec7u ph\u00e1p.\u00a0<\/span><\/li>\n<li><span style=\"font-weight: 400;\"><a href=\"https:\/\/www.vinmec.com\/vi\/tin-tuc\/thong-tin-suc-khoe\/nhi\/mong-du-o-tre-em-nhung-dieu-can-biet\/\">M\u1ed9ng du:<\/a> trong khi ng\u1ee7 ho\u00e0n to\u00e0n kh\u00f4ng c\u00f3 \u00fd th\u1ee9c v\u1ec1 s\u1ef1 v\u1eadt xung quanh nh\u01b0ng l\u1ea1i th\u1ef1c hi\u1ec7n \u0111\u01b0\u1ee3c nh\u1eefng \u0111\u1ed9ng t\u00e1c h\u00e0nh vi gi\u1ed1ng nh\u01b0 ho\u00e0n to\u00e0n t\u1ec9nh t\u00e1o nh\u01b0 \u0103n u\u1ed1ng , \u0111i l\u1ea1i .. C\u00f3 th\u1ec3 s\u1eed d\u1ee5ng clonazepam, benzodiazepin, c\u00e1c thu\u1ed1c ch\u1ed1ng tr\u1ea7m c\u1ea3m , trazodone \u0111\u1ec3 \u0111i\u1ec1u tr\u1ecb .\u00a0<\/span><\/li>\n<\/ul>\n<ul>\n<li><span style=\"font-weight: 400;\"><a href=\"https:\/\/www.vinmec.com\/vi\/tin-tuc\/thong-tin-suc-khoe\/nhi\/noi-kinh-hoang-ban-dem-cua-tre-nhung-dieu-can-biet\/\"> Ch\u1ee9ng kinh ho\u00e0ng trong \u0111\u00eam<\/a>: hay x\u1ea3y ra \u1edf tr\u1ebb em v\u00e0o giai \u0111o\u1ea1n 3 gi\u1ea5c ng\u1ee7\u00a0 REM. \u0110ang ng\u1ee7 \u0111\u1ed9t ng\u1ed9t th\u1ee9c d\u1eady v\u00e0 h\u00e0nh vi bi\u1ec3u l\u1ed9 s\u1ef1 khi\u1ebfp s\u1ee3. C\u00f3 th\u1ec3 s\u1eed d\u1ee5ng benzodiazepin, imipramine \u0111i\u1ec1u tr\u1ecb ph\u1ed1i h\u1ee3p t\u00e2m l\u00fd tr\u1ecb li\u1ec7u.\u00a0<\/span><\/li>\n<li><span style=\"font-weight: 400;\"><a href=\"https:\/\/www.vinmec.com\/vi\/tin-tuc\/thong-tin-suc-khoe\/suc-khoe-tong-quat\/nghien-rang-khi-ngu-nguyen-nhan-tac-hai-va-cach-dieu-tri\/\"> Ch\u1ee9ng nghi\u1ebfn r\u0103ng khi ng\u1ee7<\/a> : c\u00f3 th\u1ec3 s\u1eed d\u1ee5ng botulinum toxin, hay d\u1ee5ng c\u1ee5 \u0111\u1ec3 b\u1ea3o v\u1ec7 r\u0103ng.<\/span><\/li>\n<li><span style=\"font-weight: 400;\"> R\u1ed1i lo\u1ea1n c\u1eed \u0111\u1ed9ng tay ch\u00e2n khi \u0111ang ng\u1ee7: nh\u01b0 \u0111\u1ed9t ng\u1ed9t \u0111\u00e1 ch\u00e2n, \u0111\u1ea5m tay khi v\u1eabn \u0111ang ng\u1ee7.<\/span><\/li>\n<li><span style=\"font-weight: 400;\"><a href=\"https:\/\/www.vinmec.com\/vi\/tin-tuc\/thong-tin-suc-khoe\/nhi\/tieu-dam-chan-doan-va-dieu-tri\/\"> Ch\u1ee9ng ti\u1ec3u d\u1ea7m trong khi ng\u1ee7<\/a> : th\u01b0\u1eddng hay c\u00f3 \u1edf tr\u1ebb em nam h\u01a1n n\u1eef c\u00f3 li\u00ean quan \u0111\u1ebfn c\u0103n nguy\u00ean t\u00e2m l\u00fd , c\u00f2n \u1edf ng\u01b0\u1eddi l\u1edbn ti\u1ec3u d\u1ea7m c\u00f3 li\u00ean quan \u0111\u1ebfn r\u1ed1i lo\u1ea1n ti\u1ebft hormon ch\u1ed1ng l\u1ee3i ni\u1ec7u. C\u00f3 th\u1ec3 s\u1eed d\u1ee5ng oxybutynin, imipramine , desmopressin acetate \u0111\u1ec3 \u0111i\u1ec1u tr\u1ecb.<\/span><\/li>\n<li><a href=\"https:\/\/www.vinmec.com\/vi\/tin-tuc\/thong-tin-suc-khoe\/chung-mat-ngu-va-buon-ngu-ban-ngay-qua-muc-eds\/\"><span style=\"font-weight: 400;\"> Ch\u1ee9ng ng\u1ee7 qu\u00e1 m\u1ee9c v\u00e0o ban ng\u00e0y: <\/span><\/a>Ch\u1ee9ng ng\u1ee7 qu\u00e1 m\u1ee9c kh\u00f4ng k\u00e8m m\u1ea5t tr\u01b0\u01a1ng l\u1ef1c( narcolepsy): \u0111\u1ed9t ng\u1ed9t ng\u1ee7 kh\u00f4ng k\u00ecm \u0111\u01b0\u1ee3c v\u00e0o th\u1eddi \u0111i\u1ec3m kh\u00f4ng th\u00edch h\u1ee3p trong ng\u00e0y nh\u01b0 l\u00fac \u0111ang l\u00e1i xe , l\u00e0m vi\u1ec7c g\u00e2y ra h\u1eadu qu3a r\u1ea5t nguy hi\u1ec3m. Nguy\u00ean nh\u00e2n kh\u00f4ng r\u00f5<\/li>\n<li><span style=\"font-weight: 400;\"> Ch\u1ee9ng ng\u1ee7 qu\u00e1 m\u1ee9c k\u00e8m m\u1ea5t tr\u01b0\u01a1ng l\u1ef1c:( narcolepsy k\u00e8m cataplexy): Nguy\u00ean nh\u00e2n c\u00f3 th\u1ec3 c\u00f3 ch\u1ebf t\u1ef1 mi\u1ec5n , t\u1ed5n th\u01b0\u01a1ng n\u00e3o l\u00e0m gi\u1ea3m ch\u1ee9c n\u0103ng v\u00f9ng d\u01b0\u1edbi \u0111\u1ed3i. C\u00f3 th\u1ec3 s\u1eed d\u1ee5ng modafinil, methylphenidate( Ritalin), fluoxetin, imipramine, hay sodium oxybate ( xyrem) \u0111\u1ec3 \u0111i\u1ec1u tr\u1ecb.<\/span><\/li>\n<\/ul>\n<figure id=\"attachment_29164\" aria-describedby=\"caption-attachment-29164\" style=\"width: 474px\" class=\"wp-caption aligncenter\"><img decoding=\"async\" loading=\"lazy\" class=\"size-full wp-image-29164\" src=\"http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/04\/14973ca9db62856f9b7b4802a12be5f3-disorders-sleep.jpg\" alt=\"cac-loai-roi-loan-giac-ngu-thuong-gap\" width=\"474\" height=\"459\" srcset=\"http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/04\/14973ca9db62856f9b7b4802a12be5f3-disorders-sleep.jpg 474w, http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/04\/14973ca9db62856f9b7b4802a12be5f3-disorders-sleep-300x291.jpg 300w\" sizes=\"(max-width: 474px) 100vw, 474px\" \/><figcaption id=\"caption-attachment-29164\" class=\"wp-caption-text\">\u1ea2nh m\u00f4 t\u1ea3 c\u00e1c lo\u1ea1i r\u1ed1i lo\u1ea1n gi\u1ea5c ng\u1ee7 th\u01b0\u1eddng g\u1eb7p<\/figcaption><\/figure>\n<ul>\n<li><span style=\"font-weight: 400;\"><a href=\"https:\/\/www.vinmec.com\/vi\/tin-tuc\/thong-tin-suc-khoe\/suc-khoe-tong-quat\/hoi-chung-ngung-tho-luc-ngu-va-cach-dieu-tri\/\"> Ch\u1ee9ng ng\u01b0ng th\u1edf khi ng\u1ee7:<\/a> do t\u1eafc ngh\u1ebdn \u0111\u01b0\u1eddng th\u1edf khi ng\u1ee7 do th\u00e0nh ph\u1ea7n m\u00f4 ph\u00eda sau h\u1ecdng g\u00e2y n\u00ean. L\u00e0m cho gi\u1ea5c ng\u1ee7 m\u1ea5t nh\u1ecbp b\u00ecnh th\u01b0\u1eddng, c\u00f3 th\u1ec3 \u0111\u00e1nh th\u1ee9c b\u1ec7nh nh\u00e2n d\u1eady hay g\u00e2y nh\u1eefng r\u1ed1i lo\u1ea1n v\u1ec1 tim m\u1ea1ch nguy hi\u1ec3m. \u0110a k\u00fd gi\u1ea5c ng\u1ee7 ( polysomnography) l\u00e0 ph\u01b0\u01a1ng ti\u1ec7n x\u00e1c \u0111\u1ecbnh r\u1ed1i lo\u1ea1n gi\u1ea5c ng\u1ee7 do nguy\u00ean nh\u00e2n ngo\u1ea1i bi\u00ean ( t\u1eafc ngh\u1ebdn \u0111\u01b0\u1eddng th\u1edf ) khi ng\u1ee7 r\u1ea5t h\u1eefu hi\u1ec7u. Ph\u1eabu thu\u1eadt c\u0169ng \u0111em l\u1ea1i nh\u1eefng k\u1ebft qu\u1ea3 t\u1ed1t \u0111\u1eb9p khi gi\u1ea3i quy\u1ebft \u0111\u01b0\u1ee3c v\u1ea5n \u0111\u1ec1 t\u1eafc ngh\u1ebdn c\u01a1 h\u1ecdc v\u00f9ng h\u1ea7u h\u1ecdng trong khi ng\u1ee7 n\u00e0y. \u0110\u00e2y c\u0169ng l\u00e0 nh\u1eefng nguy\u00ean nh\u00e2n g\u00e2y \u0111\u1ed9t t\u1eed khi ng\u1ee7.<\/span><\/li>\n<li><span style=\"font-weight: 400;\"><a href=\"https:\/\/www.vinmec.com\/vi\/benh\/ngu-ngay-3212\/\"> Ch\u1ee9ng ng\u00e1y khi ng\u1ee7<\/a> : th\u01b0\u1eddng do l\u01b0\u1ee1i to hay gi\u1ea3m tr\u01b0\u01a1ng l\u1ef1c c\u01a1 l\u01b0\u1ee1i khi ng\u1ee7 g\u00e2y n\u00ean , c\u00f3 th\u1ec3 l\u00e0m r\u1ed1i lo\u1ea1n chu k\u1ef3 ng\u1ee7 v\u00e0 l\u00e0m gi\u1ea3m ch\u1ea5t l\u01b0\u1ee3ng gi\u1ea5c ng\u1ee7 . \u0110a k\u00fd gi\u1ea5c ng\u1ee7 c\u00f3 th\u1ec3 cho ch\u00fang ta th\u1ea5y ch\u1ea5t l\u01b0\u1ee3ng gi\u1ea5c ng\u1ee7 c\u1ee7a nh\u1eefng b\u1ec7nh nh\u00e2n n\u00e0y r\u1ea5t k\u00e9m, nhi\u1ec1u vi th\u1ee9c gi\u1ea5c v\u00e0 ch\u1ec9 r\u00f5 c\u00f3 t\u00ecnh tr\u1ea1ng t\u1eafc ngh\u1ebdn \u0111\u01b0\u1eddng th\u1edf c\u01a1 h\u1ecdc \u0111\u00e1ng k\u1ec3. s\u1eed d\u1ee5ng d\u1ee5ng c\u1ee5 ch\u1ed1ng t\u1eafc ngh\u1ebdn \u0111\u01b0\u1eddng th\u1edf khi ng\u1ee7 hay ph\u1eabu thu\u1eadt ch\u1ec9nh h\u00ecnh v\u00f9ng h\u1ea7u h\u1ecdng c\u00f3 th\u1ec3 gi\u1ea3i quy\u1ebft t\u00ecnh tr\u1ea1ng ng\u00e1y v\u00e0 \u0111em l\u1ea1i gi\u1ea5c ng\u1ee7 c\u00f3 ch\u1ea5t l\u01b0\u1ee3ng t\u1ed1t h\u01a1n cho b\u1ec7nh nh\u00e2n. \u0110i\u1ec1u n\u00e0y c\u00f3 th\u1ec3 d\u1ec5 d\u00e0ng x\u00e1c \u0111\u1ecbnh.<\/span><\/li>\n<li><span style=\"font-weight: 400;\"> B\u1ec7nh ng\u1ee7 : do k\u00fd sinh tr\u00f9ng roi \u0111\u01a1n b\u00e0o trypanosoma kh\u1edfi ph\u00e1t v\u1edbi s\u1ed1t, vi\u00eam h\u1ea1ch, n\u1ed5i ban sau \u0111\u00f3 h\u00f4n m\u00ea v\u00e0 t\u1eed vong do vi\u00eam n\u00e3o m\u00e0ng n\u00e3o. \u0110i\u1ec1u tr\u1ecb b\u1eb1ng Suramin, eflornithine, pentamidine. T\u1ea1i Vi\u1ec7t nam ch\u01b0a th\u1ea5y xu\u1ea5t hi\u1ec7n b\u1ec7nh n\u00e0y.<\/span><\/li>\n<\/ul>\n<h2><strong>3. Ch\u1ea9n \u0111o\u00e1n<\/strong><\/h2>\n<p><strong>B\u1ec7nh s\u1eed:<\/strong> Th\u1ec3 hi\u1ec7n t\u00ecnh tr\u1ea1ng c\u00f3 b\u1ea5t th\u01b0\u1eddng v\u1ec1 gi\u1ea5c ng\u1ee7 c\u00f3 th\u1ec3 \u0111\u00f3 l\u00e0 nh\u1ecbp th\u1ee9c<br \/>\nng\u1ee7, th\u1eddi gian ng\u1ee7, ch\u1ea5t l\u01b0\u1ee3ng gi\u1ea5c ng\u1ee7, hay nh\u1eefng h\u00e0nh vi b\u1ea5t th\u01b0\u1eddng trong<br \/>\ngi\u1ea5c ng\u1ee7.<\/p>\n<p><span style=\"font-weight: 400;\"><strong> Kh\u00e1m l\u00e2m s\u00e0ng :<\/strong> T\u00ecm ki\u1ebfm nh\u1eefng b\u1ea5t th\u01b0\u1eddng v\u1ec1 t\u1ed5n th\u01b0\u01a1ng n\u00e3o m\u00e0ng n\u00e3o, v\u1ec1 th\u1ecb tr\u01b0\u1eddng , th\u1ecb l\u1ef1c , th\u1ecb gi\u00e1c, v\u1ec1 tr\u01b0\u01a1ng l\u1ef1c c\u01a1, c\u01a1 l\u1ef1c, v\u1ec1 c\u01a1 v\u00f2ng. C\u0169ng nh\u01b0 nh\u1eefng b\u1ea5t th\u01b0\u1eddng v\u1ec1 v\u00f9ng h\u1ea7u h\u1ecdng<\/span><\/p>\n<p><strong>X\u00e9t nghi\u1ec7m:<\/strong><\/p>\n<ul>\n<li><span style=\"font-weight: 400;\">X\u00e9t nghi\u1ec7m th\u01b0\u1eddng quy : ECG; X quang c\u1ed9t s\u1ed1ng; Glycemia; BUN; T\u1ed5ng ph\u00e2n t\u00edch n\u01b0\u1edbc ti\u1ec3u; C\u00f4ng th\u1ee9c m\u00e1u<\/span><\/li>\n<li><span style=\"font-weight: 400;\">X\u00e9t nghi\u1ec7m \u0111\u1eb7c hi\u1ec7u \u0111\u1ec3 ch\u1ea9n \u0111o\u00e1n : <a href=\"https:\/\/www.vinmec.com\/vi\/tin-tuc\/thong-tin-suc-khoe\/suc-khoe-tong-quat\/do-dien-nao-do-phuong-phap-tam-soat-benh-som-o-nao\/\">EEG<\/a> video khi ng\u1ee7<a href=\"https:\/\/www.vinmec.com\/vi\/tin-tuc\/thong-tin-suc-khoe\/suc-khoe-tong-quat\/do-da-ky-giac-ngu-duoc-chi-dinh-khi-nao\/\"> \u0110a k\u00fd gi\u1ea5c ng\u1ee7 ( polysomnography )<\/a> MRI n\u00e3o, d\u1ecbch n\u00e3o t\u1ee7y\u00a0<\/span><\/li>\n<\/ul>\n<p><span style=\"font-weight: 400;\"><strong>Ch\u1ea9n \u0111o\u00e1n x\u00e1c \u0111\u1ecbnh<\/strong> : D\u1ef1a v\u00e0o \u0111\u1eb7c \u0111i\u1ec3m l\u00e2m s\u00e0ng t\u1eebng th\u1ec3 b\u1ec7nh theo t\u1eebng nguy\u00ean nh\u00e2n kh\u00e1c nhau v\u00e0 nh\u1eefng x\u00e9t nghi\u1ec7m li\u00ean quan theo t\u1eebng th\u1ec3 b\u1ec7nh\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\"><strong>Ch\u1ea9n \u0111o\u00e1n ph\u00e2n bi\u1ec7t<\/strong>: Kh\u00f4ng ph\u1ea3i l\u00e0 r\u1ed1i lo\u1ea1n gi\u1ea5c ng\u1ee7,\u00a0 \u0111<\/span><span style=\"font-weight: 400;\">\u1ed9ng kinh; m<\/span><span style=\"font-weight: 400;\">\u1ea5t tr\u01b0\u01a1ng l\u1ef1c c\u01a1 ( cataplexy ); h<\/span><span style=\"font-weight: 400;\">\u00f4n m\u00ea; c<\/span><span style=\"font-weight: 400;\">\u00e1c d\u1ea1ng r\u1ed1i lo\u1ea1n \u00fd th\u1ee9c <\/span><\/p>\n<h2><strong>4. \u0110i\u1ec1u tr\u1ecb<\/strong><\/h2>\n<p><strong>\u00a0Nguy\u00ean t\u1eafc \u0111i\u1ec1u tr\u1ecb , m\u1ee5c \u0111\u00edch \u0111i\u1ec1u tr\u1ecb :\u00a0<\/strong><\/p>\n<p><span style=\"font-weight: 400;\">&#8211; Nguy\u00ean t\u1eafc: Gi\u1ea3i quy\u1ebft \u0111\u01b0\u1ee3c nguy\u00ean nh\u00e2n g\u00e2y r\u1ed1i lo\u1ea1n gi\u1ea5c ng\u1ee7<\/span><\/p>\n<p><span style=\"font-weight: 400;\">\u00a0&#8211; M\u1ee5c \u0111\u00edch : tr\u1ea3 l\u1ea1i gi\u1ea5c ng\u1ee7 t\u1ef1 nhi\u00ean v\u1edbi nh\u1ecbp th\u1ee9c ng\u1ee7 v\u00e0 ch\u1ea5t l\u01b0\u1ee3ng gi\u1ea5c ng\u1ee7 b\u00ecnh th\u01b0\u1eddng\u00a0\u00a0<\/span><\/p>\n<p><strong>\u0110i\u1ec1u tr\u1ecb \u0111\u1eb7c hi\u1ec7u:<\/strong><\/p>\n<p><span style=\"font-weight: 400;\">\u00a0&#8211; \u0110i\u1ec1u tr\u1ecb c\u0103n nguy\u00ean g\u00e2y r\u1ed1i lo\u1ea1n gi\u1ea5c ng\u1ee7\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">&#8211; \u0110i\u1ec1u tr\u1ecb b\u1ec7nh ph\u1ed1i h\u1ee3p\u00a0<\/span><\/p>\n<p><strong>\u0110i\u1ec1u tr\u1ecb h\u1ed7 tr\u1ee3<\/strong><em><span style=\"font-weight: 400;\">:<\/span><\/em><\/p>\n<p><span style=\"font-weight: 400;\">\u00a0&#8211; \u0110i\u1ec1u tr\u1ecb b\u1ec7nh c\u01a1 th\u1ec3 g\u00e2y n\u00ean r\u1ed1i lo\u1ea1n gi\u1ea5c ng\u1ee7\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">&#8211; \u0110i\u1ec1u tr\u1ecb tri\u1ec7u ch\u1ee9ng b\u1ec7nh ph\u1ed1i h\u1ee3p <\/span><\/p>\n<h2><strong>5. Theo d\u00f5i v\u00e0 t\u00e1i kh\u00e1m<\/strong><\/h2>\n<p><span style=\"font-weight: 400;\">Theo d\u00f5i : b\u1eb1ng \u0111\u1eb7c \u0111i\u1ec3m l\u00e2m s\u00e0ng v\u00e0 c\u1eadn l\u00e2m s\u00e0ng\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">T\u00e1i kh\u00e1m : t\u00f9y theo th\u1ec3 m\u00e0 c\u00f3 th\u1ec3 t\u00e1i kh\u00e1m m\u1ed7i 2 tu\u1ea7n hay m\u1ed7i th\u00e1ng m\u1ed9t l\u1ea7n.<\/span><\/p>\n<p>&nbsp;<\/p>\n<p><strong>Xem th\u00eam<\/strong>: <a href=\"https:\/\/www.vinmec.com\/vi\/tin-tuc\/thong-tin-suc-khoe\/cac-loai-roi-loan-giac-ngu-thuong-gap\/\">C\u00e1c lo\u1ea1i r\u1ed1i lo\u1ea1n gi\u1ea5c ng\u1ee7 th\u01b0\u1eddng g\u1eb7p | Vinmec<\/a><\/p>\n<p>Video \u0111\u1ec1 xu\u1ea5t:<\/p>\n<p><iframe loading=\"lazy\" title=\"S\u1ef1 th\u1eadt c\u1ee7a nh\u1eefng ph\u01b0\u01a1ng ph\u00e1p ng\u1ee7 \u00edt m\u00e0 kh\u00f4ng m\u1ec7t| BS V\u0169 Duy D\u0169ng, BV Vinmec Times City\" width=\"500\" height=\"281\" src=\"https:\/\/www.youtube.com\/embed\/mWBLghXdtFg?feature=oembed\" frameborder=\"0\" allow=\"accelerometer; autoplay; clipboard-write; encrypted-media; gyroscope; picture-in-picture; web-share\" allowfullscreen><\/iframe><\/p>\n<p>S\u1ef1 th\u1eadt c\u1ee7a nh\u1eefng ph\u01b0\u01a1ng ph\u00e1p ng\u1ee7 \u00edt m\u00e0 kh\u00f4ng m\u1ec7t.<\/p>\n<p><strong>T\u00e0i li\u1ec7u tham kh\u1ea3o:<\/strong><\/p>\n<p>1. Current diagnosis and treatment 2008, Stephen j . McPhee, MD<br \/>\n2. http\/\/www.nhm.nih.gov\/MedlinePlus\/sleepdisorders<br \/>\n3. http:\/\/www.blng.com\/sleep disorder tests.<br \/>\n4. The Washington Manual of Medical Therapeutics , 2010<\/p>\n","protected":false},"excerpt":{"rendered":"<p>R\u1ed1i lo\u1ea1n gi\u1ea5c ng\u1ee7 l\u00e0 nh\u1eefng bi\u1ec3u hi\u1ec7n r\u1ea5t th\u01b0\u1eddng g\u1eb7p trong y khoa n\u00f3i chung v\u00e0 trong t\u00e2m th\u1ea7n h\u1ecdc n\u00f3i ri\u00eang. R\u1ed1i lo\u1ea1n gi\u1ea5c ng\u1ee7 c\u00f3 th\u1ec3 g\u00e2y tr\u1edf ng\u1ea1i nghi\u00eam tr\u1ecdng cho c\u00e1c ho\u1ea1t \u0111\u1ed9ng b\u00ecnh th\u01b0\u1eddng v\u1ec1 th\u1ec3 ch\u1ea5t, tinh th\u1ea7n, x\u00e3 h\u1ed9i v\u00e0 \u1ea3nh h\u01b0\u1edfng l\u1edbn \u0111\u1ebfn c\u1ea3m x\u00fac. &nbsp; [&hellip;]<\/p>\n","protected":false},"author":17,"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>R\u1ed1i lo\u1ea1n gi\u1ea5c ng\u1ee7: ch\u1ea9n \u0111o\u00e1n v\u00e0 \u0111i\u1ec1u tr\u1ecb - Vinmec<\/title>\n<meta name=\"description\" content=\"R\u1ed1i lo\u1ea1n gi\u1ea5c ng\u1ee7 l\u00e0 nh\u1eefng bi\u1ec3u hi\u1ec7n r\u1ea5t th\u01b0\u1eddng g\u1eb7p trong y khoa n\u00f3i chung v\u00e0 trong t\u00e2m th\u1ea7n h\u1ecdc n\u00f3i ri\u00eang.\" \/>\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=\"R\u1ed1i lo\u1ea1n gi\u1ea5c ng\u1ee7: ch\u1ea9n \u0111o\u00e1n v\u00e0 \u0111i\u1ec1u tr\u1ecb - 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