{"id":32546,"date":"2023-05-14T20:36:27","date_gmt":"2023-05-14T13:36:27","guid":{"rendered":"http:\/\/noithathoaphat.in\/ctv\/?p=32546"},"modified":"2023-05-18T10:59:05","modified_gmt":"2023-05-18T03:59:05","slug":"lam-dung-ruou-va-nghien-ruou-dieu-tri-va-phong-ngua","status":"publish","type":"post","link":"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/05\/14\/lam-dung-ruou-va-nghien-ruou-dieu-tri-va-phong-ngua\/","title":{"rendered":"L\u1ea1m d\u1ee5ng r\u01b0\u1ee3u v\u00e0 nghi\u1ec7n r\u01b0\u1ee3u: \u0111i\u1ec1u tr\u1ecb v\u00e0 ph\u00f2ng ng\u1eeba"},"content":{"rendered":"

L\u1ea1m d\u1ee5ng r\u01b0\u1ee3u v\u00e0 nghi\u1ec7n r\u01b0\u1ee3u l\u00e0 nh\u1eefng v\u1ea5n \u0111\u1ec1 s\u1ee9c kh\u1ecfe nghi\u00eam tr\u1ecdng, c\u00f3 th\u1ec3 g\u00e2y ra nh\u1eefng h\u1eadu qu\u1ea3 \u0111\u00e1ng s\u1ee3 \u0111\u1ebfn s\u1ee9c kh\u1ecfe v\u00e0 \u0111\u1eddi s\u1ed1ng x\u00e3 h\u1ed9i c\u1ee7a m\u1ed9t ng\u01b0\u1eddi. Trong b\u00e0i vi\u1ebft n\u00e0y, ch\u00fang ta s\u1ebd t\u00ecm hi\u1ec3u v\u1ec1 c\u00e1c\u00a0 c\u00e1c ph\u01b0\u01a1ng ph\u00e1p\u00a0 \u0111\u1ec3 \u0111i\u1ec1u tr\u1ecb v\u00e0 ph\u00f2ng ng\u1eeba l\u1ea1m d\u1ee5ng r\u01b0\u1ee3u v\u00e0 nghi\u1ec7n r\u01b0\u1ee3u.<\/strong><\/p>\n

\"nghien-ruou\"
\u1ea2nh m\u00f4 t\u1ea3 ng\u01b0\u1eddi nghi\u1ec7n r\u01b0\u1ee3u, ngu\u1ed3n internet<\/figcaption><\/figure>\n

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

1.1. L\u1ea1m d\u1ee5ng r\u01b0\u1ee3u<\/strong><\/h3>\n

\u00a0Theo ICD-10 thi g\u1ecdi l\u00e0 s\u1eed d\u1ee5ng r\u01b0\u1ee3u c\u00f3 h\u1ea1i, theo C\u1ea9m nang ch\u1ea9n \u0111o\u00e1n v\u00e0 th\u1ed1ng k\u00ea c\u00e1c\u00a0r\u1ed1i lo\u1ea1n t\u00e2m th\u1ea7n<\/a> (<\/b>DSM IV ) th\u00ec g\u1ecdi l\u00e0 l\u1ea1m d\u1ee5ng r\u01b0\u1ee3u. L\u1ea1m d\u1ee5ng r\u01b0\u1ee3u \u0111\u01b0\u1ee3c quy \u0111\u1ecbnh theo ti\u00eau chu\u1ea9n chung v\u1ec1 l\u1ea1m d\u1ee5ng c\u00e1c \u0111\u1ed9c ch\u1ea5t. L\u1ea1m d\u1ee5ng \u0111\u1ed9c ch\u1ea5t<\/a> l\u00e0 vi\u1ec7c s\u1eed d\u1ee5ng th\u00e1i qu\u00e1 m\u1ed9t ch\u1ea5t t\u00e1c \u0111\u1ed9ng \u0111\u1ebfn t\u00e2m th\u1ea7n n\u00e0o \u0111\u00f3 c\u00f3 h\u1ea1i cho s\u1ee9c kh\u1ecfe v\u1ec1 m\u1eb7t c\u01a1 th\u1ec3 c\u0169ng nh\u01b0 t\u00e2m th\u1ea7n. <\/span><\/p>\n

L\u1ea1m d\u1ee5ng \u0111\u1ed9c ch\u1ea5t g\u00e2y ra nhi\u1ec1u h\u1eadu qu\u1ea3 x\u1ea5u v\u1ec1 m\u1eb7t x\u00e3 h\u1ed9i, kh\u00f4ng \u0111\u01b0\u1ee3c ng\u01b0\u1eddi chung quanh ch\u1ea5p nh\u1eadn v\u00e0 kh\u00f4ng ph\u00f9 h\u1ee3p v\u1edbi m\u00f4i tr\u01b0\u1eddng v\u0103n ho\u00e1, c\u00e1c h\u1eadu qu\u1ea3 x\u1ea5u v\u1ec1 m\u1eb7t x\u00e3 h\u1ed9i nh\u01b0 b\u1ecb b\u1eaft gi\u1eef, m\u1ea5t vi\u1ec7c l\u00e0m, m\u00e2u thu\u1eabn v\u1ee3 ch\u1ed3ng … kh\u00f4ng n\u1eb7ng \u0111\u1ebfn n\u1ed7i \u0111\u1ec3 \u0111\u01b0\u1ee3c ch\u1ea9n \u0111o\u00e1n l\u00e0 r\u1ed1i lo\u1ea1n t\u00e2m th\u1ea7n.<\/span><\/p>\n

1.2. Nghi\u1ec7n r\u01b0\u1ee3u<\/strong><\/h3>\n

\u00a0Hay c\u00f2n g\u1ecdi l\u00e0 l\u1ec7 thu\u1ed9c r\u01b0\u1ee3u<\/strong> l\u00e0 to\u00e0n b\u1ed9 nh\u1eefng h\u00e0nh vi, nh\u1eadn th\u1ee9c, v\u00e0 \u0111\u00e1p \u1ee9ng sinh l\u00fd c\u1ee7a ng\u01b0\u1eddi s\u1eed d\u1ee5ng m\u1ed9t ho\u1eb7c nhi\u1ec1u ch\u1ea5t t\u00e1c \u0111\u1ed9ng \u0111\u1ebfn t\u00e2m th\u1ea7n n\u00e0o \u0111\u00f3 l\u00e0m cho b\u1ea3n th\u00e2n ng\u01b0\u1eddi nghi\u1ec7n d\u1ea7n d\u1ea7n kh\u00f4ng l\u00e0m \u0111\u01b0\u1ee3c nh\u1eefng c\u00f4ng vi\u1ec7c kh\u00e1c n\u1eefa. \u0110\u1eb7c \u0111i\u1ec3m c\u01a1 b\u1ea3n c\u1ee7a nghi\u1ec7n l\u00e0 s\u1ef1 th\u00e8m mu\u1ed1n m\u00e3nh li\u1ec7t c\u00f3 khi mang t\u00ednh ch\u1ea5t c\u01b0\u1ee1ng b\u1ee9c ph\u1ea3i u\u1ed1ng r\u01b0\u1ee3u cho \u0111\u01b0\u1ee3c. Sau khi cai nghi\u1ec7n n\u1ebfu t\u00e1i nghi\u1ec7n th\u00ec h\u1ed9i ch\u1ee9ng nghi\u1ec7n l\u1ea1i xu\u1ea5t hi\u1ec7n r\u1ea5t nhanh h\u01a1n c\u1ea3 l\u1ea7n nghi\u1ec7n \u0111\u1ea7u ti\u00ean.<\/span><\/p>\n

2. Nguy\u00ean nh\u00e2n<\/strong><\/h2>\n

R\u01b0\u1ee3u l\u00e0 m\u1ed9t th\u1ee9c u\u1ed1ng c\u00f3 t\u1eeb l\u00e2u \u0111\u1eddi v\u00e0 \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng trong nhi\u1ec1u n\u1ec1n v\u0103n ho\u00e1, trong c\u00e1c l\u1ec5 h\u1ed9i, d\u00f9ng trong y khoa, u\u1ed1ng r\u01b0\u1ee3u \u0111\u1ec3 \u201cl\u1ea5y s\u1ee9c\u201d…nh\u01b0ng u\u1ed1ng l\u1ea1m d\u1ee5ng r\u01b0\u1ee3u v\u00e0 nghi\u1ec7n r\u01b0\u1ee3u l\u00e0 nh\u1eefng tr\u1ea1ng th\u00e1i b\u1ec7nh l\u00fd c\u00f3 nhi\u1ec1u nguy\u00ean nh\u00e2n kh\u00e1c nhau.\u00a0<\/span><\/p>\n

Do nguy\u00ean nh\u00e2n nghi\u1ec7n r\u01b0\u1ee3u v\u1eabn ch\u01b0a x\u00e1c \u0111\u1ecbnh r\u00f5, nh\u01b0ng ng\u01b0\u1eddi ta nh\u1eadn th\u1ea5y c\u00f3 nhi\u1ec1u y\u1ebfu t\u1ed1 g\u00e2y nghi\u1ec7n r\u01b0\u1ee3u nh\u01b0 do di truy\u1ec1n (nam gi\u1edbi nhi\u1ec1u h\u01a1n n\u1eef gi\u1edbi, tr\u00ean \u0111i\u1ec7n n\u00e3o c\u1ee7a con nh\u1eefng ng\u01b0\u1eddi nghi\u1ec7n c\u00f3 s\u00f3ng alpha bi\u00ean \u0111\u1ed9 th\u1ea5p), do t\u1eadp t\u00ednh (do b\u1eaft ch\u01b0\u1edbc ho\u1eb7c b\u1ea1n b\u00e8 l\u00f4i k\u00e9o), do y\u1ebfu t\u1ed1 sinh h\u1ecdc, t\u00e2m l\u00fd…ng\u01b0\u1eddi ta nh\u1eadn th\u1ea5y b\u1ed1 m\u1eb9 nghi\u1ec7n r\u01b0\u1ee3u th\u00ec con c\u00e1i c\u00f3 t\u1ef7 l\u1ec7 u\u1ed1ng r\u01b0\u1ee3u cao ( kho\u1ea3ng 25%).<\/span><\/p>\n

\u00a0\u00a0Y\u1ebfu t\u1ed1 v\u0103n ho\u00e1 x\u00e3 h\u1ed9i c\u0169ng r\u1ea5t quan tr\u1ecdng, trong nh\u1eefng x\u00e3 h\u1ed9i H\u1ed3i gi\u00e1o thi vi\u1ec7c u\u1ed1ng r\u01b0\u1ee3u ho\u00e0n to\u00e0n b\u1ecb c\u1ea5m do l\u00fd do t\u00edn ng\u01b0\u1ee1ng ch\u1ee9 kh\u00f4ng ph\u1ea3i do l\u00fd do s\u1ee9c kho\u1ebb. C\u00e1c t\u00e1c \u0111\u1ed9ng t\u00e2m l\u00fd m\u1ea1nh l\u00ean nh\u1eefng ng\u01b0\u1eddi c\u00f3 y\u1ebfu t\u1ed1 di truy\u1ec1n l\u00e0m ph\u00e1t sinh nghi\u1ec7n r\u01b0\u1ee3u, y\u1ebfu t\u1ed1 n\u00e0y th\u01b0\u1eddng t\u00e1c \u0111\u1ed9ng l\u00ean nam gi\u1edbi nhi\u1ec1u h\u01a1n \u201cnam v\u00f4 t\u1eedu nh\u01b0 k\u1ef3 v\u00f4 phong\u201d, \u201c v\u00f4 t\u1eedu b\u1ea5t th\u00e0nh 96 l\u1ec5\u201d. Theo s\u1ed1 li\u1ec7u \u0111i\u1ec1u tra t\u1ea1i Ph\u01b0\u1eddng \u0110\u00fac TP Hu\u1ebf t\u1ef7 l\u1ec7 nghi\u1ec7n r\u01b0\u1ee3u v\u00e0 l\u1ea1m d\u1ee5ng r\u01b0\u1ee3u trong c\u1ed9ng \u0111\u1ed3ng l\u00e0 3,21%, \u1edf H\u00e0 T\u00e2y l\u00e0 3,60%, \u1edf \u0110\u00e0 N\u1eb5ng l\u00e0 5,59%.<\/span><\/p>\n

3. Bi\u1ec3u hi\u1ec7n l\u00e2m s\u00e0ng<\/strong><\/h2>\n

Th\u1eadt ra kh\u00f4ng c\u00f3 m\u1ed9t h\u00ecnh \u1ea3nh \u0111i\u1ec3n h\u00ecnh c\u1ee7a m\u1ed9t b\u1ec7nh nh\u00e2n nghi\u1ec7n r\u01b0\u1ee3u v\u1ec1 m\u1eb7t l\u00e2m s\u00e0ng, c\u00e1c h\u00ecnh th\u1ee9c u\u1ed1ng r\u01b0\u1ee3u c\u0169ng nh\u01b0 c\u00e1c tri\u1ec7u ch\u1ee9ng \u0111\u1ec1u kh\u00e1c nhau t\u00f9y t\u1eebng tr\u01b0\u1eddng h\u1ee3p m\u1ed9t. <\/span><\/p>\n

Trong giai \u0111o\u1ea1n \u0111\u1ea7u ch\u00fang ta kh\u00f3 ph\u00e1t hi\u1ec7n \u0111\u01b0\u1ee3c b\u1ec7nh nh\u00e2n u\u1ed1ng r\u01b0\u1ee3u v\u00ec ng\u01b0\u1eddi n\u00e0o c\u0169ng ph\u1ee7 nh\u1eadn vi\u1ec7c u\u1ed1ng nhi\u1ec1u r\u01b0\u1ee3u c\u1ee7a m\u00ecnh h\u01a1n n\u1eefa c\u00e1c tri\u1ec7u ch\u1ee9ng c\u00f2n ngh\u00e8o n\u00e0n, ta ch\u1ec9 ph\u00e1t hi\u1ec7n \u0111\u01b0\u1ee3c nh\u1edd v\u00e0o nh\u1eefng th\u00f4ng tin c\u1ee7a gia \u0111\u00ecnh ho\u1eb7c b\u1ea1n b\u00e8, c\u01a1 quan.\u00a0<\/span><\/p>\n

\"xo-gan\"
\u1ea2nh m\u00f4 t\u1ea3 x\u01a1 gan, ngu\u1ed3n sciecephotolibrary<\/figcaption><\/figure>\n

\u0110\u1ea7u ti\u00ean l\u00e0 s\u1ef1 thay \u0111\u1ed5i v\u1ec1 th\u00f3i quen sinh ho\u1ea1t h\u1eb1ng ng\u00e0y, n\u0103ng su\u1ea5t lao \u0111\u1ed9ng gi\u1ea3m s\u00fat, l\u01b0\u1eddi bi\u1ebfng, ch\u1eadm ch\u1ea1p hay v\u1eafng m\u1eb7t t\u1ea1i c\u01a1 quan kh\u00f4ng c\u00f3 l\u00fd do, nh\u00e2n c\u00e1ch thay \u0111\u1ed5i nh\u1eb9, nhi\u1ec1u c\u1ea3m x\u00fac…. Khi nghi\u1ec7n r\u01b0\u1ee3u ti\u1ebfn tri\u1ec3n, m\u1ed9t v\u00e0i thay \u0111\u1ed5i v\u1ec1 m\u1eb7t c\u01a1 th\u1ec3 b\u1eaft \u0111\u1ea7u xu\u1ea5t hi\u1ec7n nh\u01b0 n\u1ed5i tr\u1ee9ng c\u00e1 \u0111\u1ecf \u1edf m\u1eb7t, m\u0169i to v\u00e0 \u0111\u1ecf \u1edf m\u1ed9t v\u00e0i b\u1ec7nh nh\u00e2n, h\u1ed3ng ban \u1edf l\u00f2ng b\u00e0n tay, gan l\u1edbn v\u00e0 th\u00e2m nhi\u1ec5m m\u1ee1 \u0111\u00e2y l\u00e0 bi\u1ec3u hi\u1ec7n t\u1ed5n th\u01b0\u01a1ng \u1edf gan \u0111\u1ea7u ti\u00ean c\u1ee7a ng\u01b0\u1eddi nghi\u1ec7n r\u01b0\u1ee3u, hay b\u1ecb nhi\u1ec5m tr\u00f9ng \u0111\u01b0\u1eddng h\u00f4 h\u1ea5p<\/a>, ng\u1ea5t x\u1ec9u, hay b\u1ecb tai n\u1ea1n do \u0111i\u1ec1u khi\u1ec3n xe c\u1ed9 kh\u00f4ng ch\u00ednh x\u00e1c. Trong giai \u0111o\u1ea1n sau thi xu\u1ea5t hi\u1ec7n x\u01a1 gan<\/a>, v\u00e0ng da<\/a>, b\u1ee5ng b\u00e1ng<\/a>, teo tinh ho\u00e0n<\/a>, v\u00fa to,<\/a> m\u1ea5t vi\u1ec7c, gia \u0111\u00ecnh tan v\u1ee1.<\/span><\/p>\n

4. Ch\u1ea9n \u0111o\u00e1n theo ICD-10<\/strong><\/h2>\n

4.1. L\u1ea1m d\u1ee5ng r\u01b0\u1ee3u<\/strong><\/h3>\n

L\u00e0 ng\u01b0\u1eddi s\u1eed d\u1ee5ng nhi\u1ec1u r\u01b0\u1ee3u \u0111\u1ee7 \u0111\u1ec3 g\u00e2y h\u1ea1i cho c\u01a1 th\u1ec3, b\u1ecb ng\u01b0\u1eddi kh\u00e1c ph\u00ea ph\u00e1n. Kh\u00f4ng c\u00f3 bi\u1ec3u hi\u1ec7n nghi\u1ec7n.<\/span><\/p>\n

4.2. Nghi\u1ec7n r\u01b0\u1ee3u<\/strong><\/h3>\n

L\u00e0 to\u00e0n b\u1ed9 nh\u1eefng hi\u1ec7n t\u01b0\u1ee3ng v\u1ec1 t\u1eadp t\u00ednh, sinh l\u00fd, nh\u1eadn th\u1ee9c c\u1ee7a ng\u01b0\u1eddi s\u1eed d\u1ee5ng \u0111\u1ed9c ch\u1ea5t h\u01b0\u1edbng t\u00e2m th\u1ea7n l\u00e0m cho b\u1ec7nh nh\u00e2n d\u1ea7n d\u1ea7n kh\u00f4ng th\u1ec3 th\u1ef1c hi\u1ec7n \u0111\u01b0\u1ee3c nh\u1eefng c\u00f4ng vi\u1ec7c th\u01b0\u1eddng ng\u00e0y c\u1ee7a m\u00ecnh. N\u00e9t \u0111\u1eb7c tr\u01b0ng c\u1ee7a nghi\u1ec7n l\u00e0 s\u1ef1 th\u00e8m mu\u1ed1n m\u00e3nh li\u1ec7t l\u00e0m b\u1ec7nh nh\u00e2n kh\u00f4ng c\u01b0\u1ee1ng l\u1ea1i \u0111\u01b0\u1ee3c. B\u1ec7nh nh\u00e2n th\u01b0\u1eddng t\u00e1i nghi\u1ec7n<\/strong> sau khi \u0111\u00e3 cai l\u00e0m cho h\u1ed9i ch\u1ee9ng l\u1ec7 thu\u1ed9c<\/strong> l\u1ea1i xu\u1ea5t hi\u1ec7n nhanh h\u01a1n so v\u1edbi l\u1ea7n nghi\u1ec7n \u0111\u1ea7u ti\u00ean. <\/span><\/p>\n

Nguy\u00ean t\u1eafc ch\u1ea9n \u0111o\u00e1n:<\/strong><\/p>\n

– Th\u00e8m mu\u1ed1n m\u00e3nh li\u1ec7t. C\u1ea3m th\u1ea5y b\u1eaft bu\u1ed9c ph\u1ea3i u\u1ed1ng r\u01b0\u1ee3u.<\/span><\/p>\n

\u00a0– Kh\u00f4ng t\u1ef1 l\u00e0m ch\u1ee7 \u0111\u01b0\u1ee3c m\u00ecnh.<\/span><\/p>\n

\u00a0– Khi ng\u01b0ng s\u1eed d\u1ee5ng c\u00f3 h\u1ed9i ch\u1ee9ng cai xu\u1ea5t hi\u1ec7n.\u00a0<\/span><\/p>\n

– Ph\u1ea3i t\u0103ng li\u1ec1u d\u1ea7n m\u1edbi \u0111\u1ea1t \u0111\u01b0\u1ee3c kho\u00e1i c\u1ea3m.\u00a0<\/span><\/p>\n

– B\u1ecf b\u00ea c\u00f4ng vi\u1ec7c h\u00e0ng ng\u00e0y v\u00e0 d\u00f9ng nhi\u1ec1u th\u1eddi gian \u0111\u1ec3 t\u00ecm ki\u1ebfm v\u00e0 s\u1eed d\u1ee5ng\u00a0 ch\u1ea5t g\u00e2y nghi\u1ec7n.<\/span><\/p>\n

\u00a0– Ti\u1ebfp t\u1ee5c s\u1eed d\u1ee5ng \u0111\u1ed9c ch\u1ea5t m\u1eb7c d\u00f9 \u0111\u00e3 c\u00f3 nh\u1eefng h\u1eadu qu\u1ea3 v\u1ec1 m\u1eb7t c\u01a1 th\u1ec3.<\/span><\/p>\n

5. \u0110i\u1ec1u tr\u1ecb c\u1eaft c\u01a1n v\u00e0 t\u00e1i ph\u1ee5c h\u1ed3i ch\u1ee9c n\u0103ng t\u1ea1i c\u1ed9ng \u0111\u1ed3ng<\/strong><\/h2>\n

\u0110i\u1ec1u tr\u1ecb ph\u1ea3i t\u00f9y theo nh\u1eefng t\u1ed5n th\u01b0\u01a1ng do r\u01b0\u1ee3u g\u00e2y ra cho b\u1ec7nh nh\u00e2n v\u1ec1 c\u1ea3 c\u00e1c m\u1eb7t c\u01a1 th\u1ec3, t\u00e2m th\u1ea7n c\u0169ng nh\u01b0 t\u00e1i ph\u1ee5c h\u1ed3i ch\u1ee9c n\u0103ng. \u0110\u1ed9ng th\u00e1i \u0111\u1ea7u ti\u00ean trong vi\u1ec7c \u0111i\u1ec1u tr\u1ecb l\u00e0 cai r\u01b0\u1ee3u cho b\u1ec7nh nh\u00e2n, \u0111i\u1ec1u tr\u1ecb h\u1ed9i ch\u1ee9ng cai. N\u1ebfu c\u00e1c tri\u1ec7u ch\u1ee9ng ng\u1ed9 \u0111\u1ed9c r\u01b0\u1ee3u n\u1eb7ng\u00a0 n\u1ec1, b\u1ec7nh nh\u00e2n b\u1ecb suy h\u00f4 h\u1ea5p, h\u00f4n m\u00ea th\u00ec ph\u1ea3i \u0111\u01b0\u1ee3c \u0111\u01b0\u1ee3c \u0111i\u1ec1u tr\u1ecb \u1edf m\u00f4i tr\u01b0\u1eddng h\u1ed3i s\u1ee9c t\u00edch c\u1ef1c.<\/span><\/p>\n

5.1. H\u1ed9i ch\u1ee9ng cai<\/strong><\/h3>\n

Khi ng\u01b0ng u\u1ed1ng, b\u1ec7nh nh\u00e2n c\u00f3 c\u01a1n th\u00e8m r\u01b0\u1ee3u, run r\u1ea9y, to\u00e1t m\u1ed3 h\u00f4i, n\u00f4n, m\u1eeda, lo \u00e2u, tr\u1ea7m c\u1ea3m, d\u1ec5 b\u1ecb k\u00edch th\u00edch, \u0111au \u0111\u1ea7u m\u1ea5t ng\u1ee7, r\u1ed1i lo\u1ea1n th\u1ea7n kinh th\u1ef1c v\u1eadt, m\u1ea1ch, huy\u1ebft \u00e1p \u0111\u1ec1u t\u0103ng \u0111\u00f3 l\u00e0 nh\u1eefng bi\u1ec3u hi\u1ec7n l\u00e0nh t\u00ednh nh\u1ea5t, th\u01b0\u1eddng xu\u1ea5t hi\u1ec7n sau khi ng\u01b0ng u\u1ed1ng t\u1eeb 12-18 gi\u1edd v\u00e0 \u0111\u1ea1t \u0111\u1ebfn \u0111\u1ec9nh \u0111i\u1ec3m t\u1eeb 24-48 gi\u1edd, n\u00eau kh\u00f4ng \u0111i\u1ec1u tr\u1ecb c\u00e1c bi\u1ec3u hi\u1ec7n c\u0169ng t\u1ef1 h\u1ebft sau 5-7 ng\u00e0y. Tr\u01b0\u1eddng h\u1ee3p nghi\u1ec7n r\u01b0\u1ee3u n\u1eb7ng l\u00e2u ng\u00e0y m\u00e0 ng\u1eebng u\u1ed1ng \u0111\u1ed9t ng\u1ed9t c\u00f3 th\u1ec3 l\u00ean c\u01a1n co gi\u1eadt do r\u01b0\u1ee3u x\u1ea3y ra sau 7-38 gi\u1edd k\u1ec3 t\u1eeb khi ng\u01b0ng u\u1ed1ng, co gi\u1eadt ki\u1ec3u c\u01a1n l\u1edbn, c\u00f3 th\u1ec3 th\u01b0a ho\u1eb7c d\u00e0y nh\u01b0ng hi\u1ebfm khi xu\u1ea5t hi\u1ec7n tr\u1ea1ng th\u00e1i \u0111\u1ed9ng kinh, 30% tr\u01b0\u1eddng h\u1ee3p d\u1eabn \u0111\u1ebfn s\u1ea3ng r\u01b0\u1ee3u. <\/span><\/p>\n

\u1ea2o gi\u00e1c<\/a> do r\u01b0\u1ee3u bao g\u1ed3m nh\u1eefng \u1ea3o gi\u00e1c sinh \u0111\u1ed9ng, \u1ea3o gi\u00e1c th\u00ednh gi\u00e1c kh\u00f3 ch\u1ecbu xu\u1ea5t hi\u1ec7n 48 gi\u1edd sau khi ng\u01b0ng u\u1ed1ng r\u01b0\u1ee3u, k\u00e9o d\u00e0i h\u01a1n 1 tu\u1ea7n, hi\u1ebfm khi k\u00e9o d\u00e0i th\u00e0nh m\u00e3n t\u00ednh. Trong h\u1ed9i ch\u1ee9ng cai bi\u1ec3u hi\u1ec7n quan tr\u1ecdng nh\u1ea5t l\u00e0 s\u1ea3ng do cai r\u01b0\u1ee3u hay c\u00f2n g\u1ecdi l\u00e0 s\u1ea3ng r\u01b0\u1ee3u l\u00e0 m\u1ed9t tr\u1ea1ng th\u00e1i c\u1ea5p c\u1ee9u nh\u01b0ng c\u0169ng \u00edt g\u1eb7p, t\u1ef7 l\u1ec7 5% b\u1ec7nh nh\u00e2n nghi\u1ec7n r\u01b0\u1ee3u n\u1eb1m vi\u1ec7n, 1\/3 s\u1ed1 n\u00e0y c\u00f3 l\u00ean c\u01a1n co gi\u1eadt, b\u1ec7nh c\u1ea3nh v\u1edbi nh\u1eefng tri\u1ec7u ch\u1ee9ng l\u00fa l\u1eabn, m\u1ea5t \u0111\u1ecbnh h\u01b0\u1edbng, r\u1ed1i lo\u1ea1n tri gi\u00e1c, k\u00edch \u0111\u1ed9ng, r\u1ed1i lo\u1ea1n nh\u1ecbp th\u1ee9c ng\u1ee7, s\u1ed1t nh\u1eb9, r\u1ed1i lo\u1ea1n th\u1ea7n kinh th\u1ef1c v\u1eadt, s\u1ea3ng r\u01b0\u1ee3u xu\u1ea5t hi\u1ec7n v\u00e0o ng\u00e0y th\u1ee9 2-3 sau khi ng\u1eebng u\u1ed1ng v\u00e0 \u0111\u1ea1t \u0111\u1ebfn \u0111\u1ec9nh \u0111i\u1ec3m v\u00e0o ng\u00e0y th\u1ee9 4-5.\u00a0<\/span><\/p>\n

\"ao-giac\"
\u1ea2nh m\u00f4 t\u1ea3 ng\u01b0\u1eddi b\u1ecb \u1ea3o gi\u00e1c, ngu\u1ed3n sciencephotobribrary<\/figcaption><\/figure>\n

Trung b\u00ecnh c\u00e1c tri\u1ec7u ch\u1ee9ng k\u00e9o d\u00e0i kho\u1ea3ng 3 ng\u00e0y nh\u01b0ng c\u0169ng c\u00f3 khi h\u1eb1ng tu\u1ea7n, tr\u01b0\u1edbc \u0111\u00e2y t\u1ef7 l\u1ec7 t\u1eed vong c\u1ee7a s\u1ea3ng r\u01b0\u1ee3u l\u00e0 15% nh\u01b0ng ng\u00e0y nay nh\u1edd \u0111i\u1ec1u tr\u1ecb t\u00edch c\u1ef1c t\u1eed vong \u00edt khi x\u1ea3y ra, \u0111\u1ec3 \u0111i\u1ec1u tr\u1ecb s\u1ea3ng r\u01b0\u1ee3u ta ch\u1ee7 y\u1ebfu \u0111i\u1ec1u tr\u1ecb tri\u1ec7u ch\u1ee9ng, b\u1ea3o \u0111\u1ea3m dinh d\u01b0\u1ee1ng cho b\u1ec7nh nh\u00e2n, d\u00f9ng c\u00e1c thu\u1ed1c b\u00ecnh th\u1ea7n nh\u00f3m Benzodiazepines, thu\u1ed1c tr\u1ea5n kinh, vitamin B1 theo ph\u00e1c \u0111\u1ed3 d\u01b0\u1edbi \u0111\u00e2y.\u00a0<\/span><\/p>\n

5.2. Ph\u00e1c \u0111\u1ed3 \u0111i\u1ec1u tr\u1ecb s\u1ea3ng r\u01b0\u1ee3u<\/strong><\/h3>\n

– Librium (chlordiazepoxide)\u00a0<\/span><\/p>\n

+ 50mg\/4 gi\u1edd trong ng\u00e0y 1<\/span><\/p>\n

\u00a0+ 50mg\/6 gi\u1edd trong ng\u00e0y 2<\/span><\/p>\n

\u00a0+ 25mg\/4 gi\u1edd trong ng\u00e0y 3\u00a0<\/span><\/p>\n

+ 25mg\/6 gi\u1edd trong ng\u00e0y 4\u00a0<\/span><\/p>\n

Sau \u0111\u00f3 ta c\u00f3 th\u1ec3 ng\u01b0ng thu\u1ed1c (n\u1ebfu b\u1ec7nh nh\u00e2n c\u00f3 t\u1ed5n th\u01b0\u01a1ng gan ta c\u00f3 th\u1ec3 d\u00f9ng c\u00e1c thu\u1ed1c nh\u00f3m benzodiazepines c\u00f3 th\u1eddi gian b\u00e1n h\u1ee7y ng\u1eafn nh\u01b0 lorazepam ho\u1eb7c oxazepam).<\/span><\/p>\n

\u00a0– Vitamin B1: 50-100mg u\u1ed1ng ho\u1eb7c TB\/ng\u00e0y\u00a0<\/span><\/p>\n

– Axit folic 1mg \/ng\u00e0y (u\u1ed1ng).<\/span><\/p>\n

\u00a0– N\u1ebfu c\u00f3 co gi\u1eadt ta d\u00f9ng thu\u1ed1c tr\u1ea5n kinh Phenytoin 100mg x 3 l\u1ea7n\/ng\u00e0y trong 5 ng\u00e0y.\u00a0<\/span><\/p>\n

– N\u1ebfu c\u00f3 \u1ea3o gi\u00e1c: Haloperidol 2-5mg ng\u00e0y 2 l\u1ea7n.<\/span><\/p>\n

5.3. Ph\u00f2ng ng\u1eeba t\u00e1i nghi\u1ec7n<\/strong><\/h3>\n

\u0110\u1ec3 ng\u1eeba t\u00e1i nghi\u1ec7n ngo\u00e0i vi\u1ec7c ti\u1ebfp t\u1ee5c c\u00e1c bi\u1ec7n ph\u00e1p \u0111\u00e3 s\u1eed d\u1ee5ng \u1edf ph\u1ea7n t\u00e1i ph\u1ee5c h\u1ed3i v\u1ec1 m\u1eb7t h\u00f3a d\u01b0\u1ee3c ta c\u00f3 th\u1ec3 s\u1eed d\u1ee5ng disulfiram<\/a> (Antabuse) \u0111\u1ec3 ng\u1eeba u\u1ed1ng r\u01b0\u1ee3u tr\u1edf l\u1ea1i, disulfiram l\u00e0 m\u1ed9t ch\u1ea5t \u1ee9c ch\u1ebf aldehyde dehydrogenase l\u00e0 m\u1ed9t men c\u1ea7n \u0111\u1ec3 chuy\u1ec3n h\u00f3a r\u01b0\u1ee3u, khi men n\u00e0y b\u1ecb \u1ee9c ch\u1ebf th\u00ec khi u\u1ed1ng v\u00e0o aldehyde s\u1ebd t\u00edch l\u0169y l\u1ea1i \u0111\u00e2y l\u00e0 m\u1ed9t ch\u1ea5t \u0111\u1ed9c g\u00e2y ra nhi\u1ec1u tri\u1ec7u ch\u1ee9ng kh\u00f3 ch\u1ecbu nh\u01b0 n\u00f4n m\u1eeda, h\u1ed3i h\u1ed9p, h\u1ea1 huy\u1ebft \u00e1p \u0111i\u1ec1u nguy hi\u1ec3m l\u00e0 c\u00f3 khi g\u00e2y t\u1eed vong, li\u1ec1u disulfiram l\u00e0 250mg\/ng\u00e0y, u\u1ed1ng 1 l\u1ea7n.<\/span><\/p>\n

\u00a0Ngo\u00e0i ra ng\u01b0\u1eddi ta c\u00f2n d\u00f9ng lithium carbonate \u0111\u1ec3 l\u00e0m t\u0103ng t\u00e1c d\u1ee5ng kh\u00f3 ch\u1ecbu c\u1ee7a r\u01b0\u1ee3u, li\u1ec7u ph\u00e1p t\u1eadp t\u00ednh \u0111\u1ec3 t\u1ea1o ra nh\u1eefng ph\u1ea3n x\u1ea1 \u0111i\u1ec1u ki\u1ec7n kh\u00f3 ch\u1ecbu khi cho b\u1ec7nh nh\u00e2n u\u1ed1ng r\u01b0\u1ee3u c\u0169ng g\u00f3p ph\u1ea7n \u0111i\u1ec1u tr\u1ecb. Th\u00f4ng th\u01b0\u1eddng nh\u1eefng b\u1ec7nh nh\u00e2n c\u00f3 cu\u1ed9c s\u1ed1ng gia \u0111\u00ecnh \u1ed5n \u0111\u1ecbnh, c\u00f3 c\u00f4ng \u0103n vi\u1ec7c l\u00e0m v\u1eefng ch\u1eafc, c\u00f3 nh\u00e2n c\u00e1ch v\u1eefng m\u1ea1nh, \u00edt b\u1ecb nh\u1eefng sang ch\u1ea5n t\u00e2m l\u00fd, ti\u1ec1n s\u1eed gia \u0111\u00ecnh kh\u00f4ng c\u00f3 ng\u01b0\u1eddi nghi\u1ec7n r\u01b0\u1ee3u th\u00ec c\u00f3 ti\u00ean l\u01b0\u1ee3ng t\u1ed1t. M\u1eb7c d\u00f9 nhi\u1ec1u ph\u01b0\u01a1ng ph\u00e1p \u0111i\u1ec1u tr\u1ecb \u0111\u01b0\u1ee3c \u00e1p d\u1ee5ng nh\u01b0ng c\u00f3 \u0111\u1ebfn g\u1ea7n 1\/2 b\u1ec7nh nh\u00e2n t\u00e1i nghi\u1ec7n trong v\u00f2ng 6 th\u00e1ng sau khi ra vi\u1ec7n m\u1eb7c d\u00f9 c\u00f3 n\u1eb1m vi\u1ec7n d\u00e0i ng\u00e0y \u0111i n\u1eefa.<\/span><\/p>\n

6. C\u00f4ng t\u00e1c tuy\u00ean truy\u1ec1n gi\u00e1o d\u1ee5c<\/strong><\/h2>\n

\u0110\u1ec3 \u0111\u1ed1i ph\u00f3 v\u1edbi n\u1ea1n nghi\u1ec7n r\u01b0\u1ee3u m\u1ed9t m\u00ecnh ng\u00e0nh y t\u1ebf kh\u00f4ng th\u1ec3 mang l\u1ea1i hi\u1ec7u qu\u1ea3 n\u1ebfu kh\u00f4ng c\u00f3 s\u1ef1 tham gia c\u1ee7a to\u00e0n x\u00e3 h\u1ed9i, nghi\u1ec7n r\u01b0\u1ee3u c\u00f2n ch\u1ecbu \u1ea3nh h\u01b0\u1edfng c\u1ee7a y\u1ebfu t\u1ed1 v\u0103n h\u00f3a x\u00e3 h\u1ed9i, v\u00ec v\u1eady vi\u1ec7c h\u1ee3p t\u00e1c v\u1edbi c\u00e1c ban ng\u00e0nh \u0111o\u00e0n th\u1ec3 c\u00f3 li\u00ean quan nh\u01b0 ng\u00e0nh th\u00f4ng tin v\u0103n h\u00f3a, \u0110o\u00e0n thanh ni\u00ean, ph\u1ee5 n\u1eef, tr\u01b0\u1eddng h\u1ecdc l\u00e0 r\u1ea5t c\u1ea7n thi\u1ebft, kh\u00f4ng \u0111\u01b0\u1ee3c qu\u1ea3ng c\u00e1o nh\u1eefng th\u1ee9c u\u1ed1ng c\u00f3 r\u01b0\u1ee3u, kh\u00f4ng b\u00e1n r\u01b0\u1ee3u cho tr\u1ebb em, n\u01a1i b\u00e1n r\u01b0\u1ee3u bia ph\u1ea3i c\u00f3 gi\u1ea5y ph\u00e9p nh\u01b0 \u1edf nhi\u1ec1u n\u01b0\u1edbc v\u0103n minh tr\u00ean th\u1ebf gi\u1edbi, h\u1ea1n ch\u1ebf gi\u1edd b\u00e1n, nghi\u00eam tr\u1ecb nh\u1eefng ng\u01b0\u1eddi l\u00e1i xe u\u1ed1ng r\u01b0\u1ee3u, tuy\u00ean truy\u1ec1n gi\u00e1o d\u1ee5c ng\u01b0\u1eddi d\u00e2n bi\u1ebft r\u00f5 t\u00e1c h\u1ea1i c\u1ee7a r\u01b0\u1ee3u v\u1ec1 c\u00e1c m\u1eb7t c\u01a1 th\u1ec3 t\u00e2m th\u1ea7n, \u0111\u1ea1o \u0111\u1ee9c, kinh t\u1ebf … <\/span><\/p>\n

Nh\u1eefng kinh nghi\u1ec7m \u1edf nhi\u1ec1u n\u01b0\u1edbc d\u00f9 ng\u00e0nh y t\u1ebf c\u00f3 r\u1ea5t nhi\u1ec1u ti\u1ebfn b\u1ed9 v\u1ec1 m\u1eb7t l\u00e2m s\u00e0ng trong vi\u1ec7c \u0111i\u1ec1u tr\u1ecb nghi\u1ec7n r\u01b0\u1ee3u nh\u01b0ng k\u1ebft qu\u1ea3 c\u0169ng kh\u00f4ng m\u1ea5y kh\u1ea3 quan v\u00ec th\u1ebf ch\u1ec9 c\u00f3 m\u1ed9t bi\u1ec7n ph\u00e1p t\u1ed5ng l\u1ef1c v\u1edbi s\u1ef1 tham gia c\u1ee7a to\u00e0n x\u00e3 h\u1ed9i qua c\u00f4ng t\u00e1c tuy\u00ean truy\u1ec1n gi\u00e1o d\u1ee5c c\u1ed9ng \u0111\u1ed3ng m\u1edbi hy v\u1ecdng ch\u1eb7n \u0111\u1ee9ng \u0111\u01b0\u1ee3c n\u1ea1n nghi\u1ec7n r\u01b0\u1ee3u.<\/span><\/p>\n

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Xem th\u00eam:<\/p>\n

C\u00e1c giai \u0111o\u1ea1n c\u1ee7a nghi\u1ec7n r\u01b0\u1ee3u | Vinmec<\/a><\/p>\n

C\u00e1c d\u1ea5u hi\u1ec7u nghi\u1ec7n r\u01b0\u1ee3u v\u00e0 h\u01b0\u1edbng x\u1eed tr\u00ed | Vinmec<\/a><\/p>\n

Nghi\u1ec7n r\u01b0\u1ee3u l\u00e2u n\u0103m c\u00f3 th\u1ec3 \u0111i\u1ec1u tr\u1ecb \u0111\u01b0\u1ee3c kh\u00f4ng? | Vinmec<\/a><\/p>\n

Video \u0111\u1ec1 xu\u1ea5t:<\/p>\n