{"id":35256,"date":"2023-06-18T14:10:57","date_gmt":"2023-06-18T07:10:57","guid":{"rendered":"http:\/\/noithathoaphat.in\/ctv\/?p=35256"},"modified":"2023-06-18T14:10:57","modified_gmt":"2023-06-18T07:10:57","slug":"roi-loan-luong-cuc-trieu-chung-chan-doan-va-phuong-phap-dieu-tri","status":"publish","type":"post","link":"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/06\/18\/roi-loan-luong-cuc-trieu-chung-chan-doan-va-phuong-phap-dieu-tri\/","title":{"rendered":"R\u1ed1i lo\u1ea1n l\u01b0\u1ee1ng c\u1ef1c: tri\u1ec7u ch\u1ee9ng, ch\u1ea9n \u0111o\u00e1n v\u00e0 ph\u01b0\u01a1ng ph\u00e1p \u0111i\u1ec1u tr\u1ecb"},"content":{"rendered":"<p><strong>R\u1ed1i lo\u1ea1n l\u01b0\u1ee1ng c\u1ef1c l\u00e0 m\u1ed9t r\u1ed1i lo\u1ea1n kh\u00ed s\u1eafc m\u1ea1n t\u00ednh, \u0110\u1eb7c tr\u01b0ng b\u1edfi c\u00e1c giai \u0111o\u1ea1n h\u01b0ng c\u1ea3m ho\u1eb7c h\u01b0ng c\u1ea3m nh\u1eb9 xen k\u1ebd hay \u0111i k\u00e8m v\u1edbi c\u00e1c giai \u0111o\u1ea1n tr\u1ea7m c\u1ea3m. R\u1ed1i lo\u1ea1n l\u01b0\u1ee1ng c\u1ef1c c\u00f2n \u0111\u01b0\u1ee3c g\u1ecdi l\u00e0 r\u1ed1i lo\u1ea1n h\u01b0ng tr\u1ea7m c\u1ea3m. \u00a0C\u00e1c b\u1eb1ng ch\u1ee9ng v\u1ec1 d\u1ecbch t\u1ec5 h\u1ecdc v\u00e0 di truy\u1ec1n cho th\u1ea5y r\u1eb1ng r\u1ed1i lo\u1ea1n l\u01b0\u1ee1ng c\u1ef1c c\u00f3 s\u1ef1 tham gia t\u00edch c\u1ef1c c\u1ee7a c\u00e1c y\u1ebfu t\u1ed1 di truy\u1ec3n v\u00e0 t\u1ef7 l\u1ec7 b\u1ec7nh t\u01b0\u01a1ng \u0111\u1ed1i kh\u00f4ng thay \u0111\u1ed5i theo s\u1ef1 kh\u00e1c nhau c\u1ee7a t\u1eebng c\u00e1 nh\u00e2n v\u00e0 ngh\u1ecbch c\u1ea3nh x\u00e3 h\u1ed9i.<\/strong><\/p>\n<p><img decoding=\"async\" loading=\"lazy\" class=\"alignnone wp-image-35257 size-medium\" src=\"http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/06\/31d913fb-b664-42b5-a565-b4f4626095f1-1-300x300.jpg\" alt=\"roi-loan-luong-cuc\" width=\"300\" height=\"300\" srcset=\"http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/06\/31d913fb-b664-42b5-a565-b4f4626095f1-1-300x300.jpg 300w, http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/06\/31d913fb-b664-42b5-a565-b4f4626095f1-1-150x150.jpg 150w, http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/06\/31d913fb-b664-42b5-a565-b4f4626095f1-1-768x768.jpg 768w, http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/06\/31d913fb-b664-42b5-a565-b4f4626095f1-1.jpg 1024w\" sizes=\"(max-width: 300px) 100vw, 300px\" \/><\/p>\n<ol>\n<li><strong>Kh\u00e1i ni\u1ec7m t\u00e2m l\u00fd h\u1ecdc v\u1ec1 c\u1ea3m x\u00fac.<\/strong><\/li>\n<\/ol>\n<p>C\u1ea3m x\u00fac l\u00e0 m\u1ed9t qu\u00e1 tr\u00ecnh ho\u1ea1t \u0111\u1ed9ng c\u1ee7a t\u00e2m th\u1ea7n bi\u1ec3u hi\u1ec7n th\u00e1i \u0111\u1ed9 c\u1ee7a con ng\u01b0\u1eddi \u0111\u1ed1i v\u1edbi nh\u1eefng k\u00edch th\u00edch b\u00ean ngo\u00e0i c\u0169ng nh\u01b0 b\u00ean trong c\u01a1 th\u1ec3, \u0111\u1ed1i v\u1edbi nh\u1eefng bi\u1ec3u t\u01b0\u1ee3ng v\u00e0 \u00fd ni\u1ec7m thu\u1ed9c ph\u1ea1m vi x\u00e3 h\u1ed9i c\u0169ng nh\u01b0 ph\u1ea1m vi th\u1ebf gi\u1edbi v\u1eadt l\u00fd<\/p>\n<p>C\u1ea3m x\u00fac kh\u00f4ng th\u1ec3 t\u00e1ch kh\u1ecfi c\u00e1c ho\u1ea1t \u0111\u1ed9ng t\u00e2m th\u1ea7n kh\u00e1c: tri gi\u00e1c, t\u01b0 duy, vv\u2026. Kh\u00f4ng c\u00f3 c\u1ea3m x\u00fac, kh\u00f4ng th\u1ec3 ho\u00e0n ch\u1ec9nh qu\u00e1 tr\u00ecnh nh\u1eadn th\u1ee9c th\u1ef1c t\u1ea1i \u0111\u01b0\u1ee3c. Tr\u1ef1c ti\u1ebfp hay gi\u00e1n ti\u1ebfp m\u1ecdi c\u1ea3m x\u00fac \u0111\u1ec1u b\u1eaft ngu\u1ed3n t\u1eeb th\u1ef1c t\u1ea1i, t\u1eeb c\u1ea3m gi\u00e1c m\u00e0 ra: tr\u1eddi m\u00e1t th\u1ea5y d\u1ec5 ch\u1ecbu, vui v\u1ebb, tr\u1eddi n\u00f3ng d\u1ec5 b\u1ef1c b\u1ed9i.<\/p>\n<p>C\u01a1 s\u1edf gi\u1ea3i ph\u1eabu c\u1ee7a c\u1ea3m x\u00fac ph\u1ea7n l\u1edbn \u1edf v\u00f9ng d\u01b0\u1edbi v\u1ecf, ch\u1ee7 y\u1ebfu v\u00f9ng gian n\u00e3o (c\u1ea3m x\u00fac s\u01a1 \u0111\u1eb3ng b\u1ea3n n\u0103ng). Ph\u1ea7n nh\u1ecf h\u01a1n n\u1eefa \u1edf v\u1ecf n\u00e3o, v\u00f5 n\u00e3o chi ph\u1ed1i ch\u1ee7 y\u1ebfu c\u00e1c t\u00ecnh c\u1ea3m cao c\u1ea5p. C\u01a1 ch\u1ebf sinh l\u00fd ch\u1ee7 y\u1ebfu c\u1ee7a c\u1ea3m x\u00fac l\u00e0 c\u01a1 ch\u1ebf th\u1ea7n kinh, c\u00f2n c\u00e1c bi\u1ebfn \u0111\u1ed5i th\u1ec3 d\u1ecbch n\u1ed9i ti\u1ebft c\u1ea3m x\u00fac l\u00e0 c\u00e1c kh\u00e2u trung gian. M\u1ecdi c\u1ea3m x\u00fac \u0111\u1ec1u k\u00e8m theo nh\u1eefng ph\u1ea3n \u1ee9ng v\u1eadn \u0111\u1ed9ng t\u01b0\u01a1ng \u1ee9ng, nh\u1eefng bi\u1ebfn \u0111\u1ed5i ph\u1ee9c t\u1ea1p trong ho\u1ea1t \u0111\u1ed9ng tuy\u1ebfn n\u1ed9i ti\u1ebft (tuy\u1ebfn y\u00ean, tuy\u1ebfn th\u01b0\u1ee3ng th\u00e2n, vv\u2026), nh\u1eefng bi\u1ec3u hi\u1ec7n th\u1ef1c v\u1eadt \u0111a d\u1ea1ng.<\/p>\n<ol start=\"2\">\n<li><strong>C\u00e1c h\u1ed9i ch\u1ee9ng c\u1ea3m x\u00fac<\/strong>\n<ul>\n<li><a href=\"https:\/\/www.vinmec.com\/vi\/tin-tuc\/thong-tin-suc-khoe\/bieu-hien-benh-tram-cam-muc-do-nhe\/\">H\u1ed9i ch\u1ee9ng tr\u1ea7m c\u1ea3m<\/a><\/li>\n<\/ul>\n<\/li>\n<\/ol>\n<p>M\u1ed9t h\u1ed9i ch\u1ee9ng tr\u1ea7m c\u1ea3m \u0111i\u1ec3n h\u00ecnh g\u1ed3m c\u00f3 b\u1ed1n ph\u1ea7n ch\u1ee7 y\u1ebfu sau \u0111\u00e2y, bi\u1ec3u hi\u1ec7n qu\u00e1 tr\u00ecnh \u1ee9c ch\u1ebf to\u00e0n b\u1ed9 t\u00e2m th\u1ea7n v\u00e0 c\u01a1 th\u1ec3:<\/p>\n<ol>\n<li>C\u1ea3m x\u00fac b\u1ecb \u1ee9c ch\u1ebf: kh\u00ed s\u1eafc h\u1ea1 th\u1ea5p, bu\u1ed3n r\u1ea7u \u1ee7 r\u1ee7, m\u1ea5t th\u00edch th\u00fa c\u0169, nh\u00ecn xung quanh th\u1ea5y \u1ea3m \u0111\u1ea1m, bi quan v\u1ec1 ti\u1ec1n \u0111\u1ed3.<\/li>\n<li>T\u01b0 duy b\u1ecb \u1ee9c ch\u1ebf: suy ngh\u0129 ch\u1eadm ch\u1ea1p, li\u00ean t\u01b0\u1edfng kh\u00f3 kh\u0103n. T\u1ef1 cho m\u00ecnh l\u00e0 h\u00e8n k\u00e9m nh\u1ea5t, m\u1ea5t tin t\u01b0\u1edfng v\u00e0o b\u1ea3n th\u00e2n, c\u00f3 \u00fd t\u01b0\u1edfng t\u1ef1 s\u00e1t<\/li>\n<li>V\u1eadn \u0111\u1ed9ng b\u1ecb \u1ee9c ch\u1ebf: b\u1ec7nh nh\u00e2n \u00edt ho\u1ea1t \u0111\u1ed9ng, \u00edt n\u00f3i, \u0103n u\u1ed1ng k\u00e9m, th\u01b0\u1eddng n\u1eb1m l\u00e2u m\u1ed9t ch\u1ed7 hay ng\u1ed3i l\u00e2u m\u1ed9t t\u01b0 th\u1ebf, n\u00e9t m\u1eb7t \u0111au kh\u1ed5, tr\u1ea7m ng\u00e2m suy ngh\u0129. Tr\u01b0\u1eddng h\u1ee3p n\u1eb7ng nh\u1ea5t c\u00f3 th\u1ec3 c\u00f3 hi\u1ec7n t\u01b0\u1ee3ng b\u1ea5t \u0111\u1ed9ng. C\u00f3 tr\u01b0\u1eddng h\u1ee3p c\u00f3 h\u00e0nh vi t\u1ef1 s\u00e1t.<\/li>\n<li>C\u00e1c bi\u1ec3u hi\u1ec7n c\u01a1 th\u1ec3: \u0110au nh\u1ee9c trong c\u01a1 th\u1ec3, th\u1ec3 tr\u1ea1ng suy ki\u1ec7t, c\u00e1c tri\u1ec7u ch\u1ee9ng c\u01a1 th\u1ec3 kh\u00f4ng t\u00ecm th\u1ea5y t\u1ed5n th\u01b0\u01a1ng th\u1ef1c th\u1ec3.<\/li>\n<\/ol>\n<p>C\u00f3 nh\u1eefng tr\u01b0\u1eddng h\u1ee3p tr\u1ea7m c\u1ea3m kh\u00f4ng \u0111i\u1ec3n h\u00ecnh trong \u0111\u00f3 \u0111\u00e1ng l\u1ebb b\u1ea5t \u0111\u1ed9ng, b\u1ec7nh nh\u00e2n l\u1ea1i k\u00edch \u0111\u1ed9ng: l\u0103n l\u1ed9n, kh\u00f3c l\u00f3c, k\u1ec3 l\u1ec3, than phi\u1ec1n v\u1edbi m\u1ecdi ng\u01b0\u1eddi.<\/p>\n<p>H\u1ed9i ch\u1ee9ng tr\u1ea7m c\u1ea3m, \u0111\u1eb7c bi\u1ec7t tr\u1ea7m c\u1ea3m n\u1eb7ng c\u00f3 lo\u1ea1n th\u1ea7n l\u00e0 m\u1ed9t h\u1ed9i ch\u1ee9ng c\u1ea5p c\u1ee9u, v\u00ec do hoang t\u01b0\u1edfng b\u1ecb t\u1ed9i l\u1ed7i chi ph\u1ed1i, trong m\u1ed9t c\u01a1n xung \u0111\u1ed9ng, b\u1ec7nh nh\u00e2n c\u00f3 th\u1ec3 t\u1ef1 s\u00e1t ho\u1eb7c gi\u1ebft ng\u01b0\u1eddi th\u00e2n r\u1ed3i t\u1ef1 s\u00e1t.<\/p>\n<p>H\u1ed9i ch\u1ee9ng tr\u1ea7m c\u1ea3m c\u00f3 th\u1ec3 g\u1eb7p trong nhi\u1ec1u b\u1ec7nh t\u00e2m th\u1ea7n kh\u00e1c nhau: R\u1ed1i lo\u1ea1n c\u1ea3m x\u00fac l\u01b0\u1ee1ng c\u1ef1c, t\u00e2m th\u1ea7n ph\u00e2n li\u1ec7t, lo\u1ea1n th\u1ea7n ph\u1ea3n \u1ee9ng, lo\u1ea1n th\u1ea7n tri\u1ec7u ch\u1ee9ng, vv\u2026<\/p>\n<ul>\n<li>H\u1ed9i ch\u1ee9ng h\u01b0ng c\u1ea3m<\/li>\n<\/ul>\n<p>L\u00e0 m\u1ed9t h\u1ed9i ch\u1ee9ng ho\u00e0n to\u00e0n \u0111\u1ed1i l\u1eadp v\u1edbi h\u1ed9i ch\u1ee9ng tr\u1ea7m c\u1ea3m. M\u1ed9t h\u1ed9i ch\u1ee9ng h\u01b0ng c\u1ea3m \u0111i\u1ec3n h\u00ecnh g\u1ed3m c\u00f3 b\u1ed1n th\u00e0nh ph\u1ea7n ch\u1ee7 y\u1ebfu sau n\u00e0y, bi\u1ec3u hi\u1ec7n q\u00e1u tr\u00ecnh h\u01b0ng ph\u1ea5n to\u00e0n b\u1ed9 t\u00e2m th\u1ea7n:<\/p>\n<ol>\n<li>C\u1ea3m x\u00fac h\u01b0ng ph\u1ea5n: kh\u00ed s\u1eafc vui v\u1ebb, b\u1ec7nh nh\u00e2n c\u1ea3m th\u1ea5y khoan kho\u00e1i d\u1ec3 ch\u1ecbu, \u0111\u1ea7y sinh l\u1ef1c. Nh\u00ecn xung quanh th\u1ea5y vui t\u01b0\u01a1i sang s\u1ee7a, th\u00fa v\u1ecb, l\u1ea1c quan v\u1ec1 ti\u1ec1n \u0111\u1ed3.<\/li>\n<li>T\u01b0 duy h\u01b0ng ph\u1ea5n: qu\u00e1 tr\u00ecnh li\u00ean t\u01b0\u1edfng r\u1ea5t nhanh ch\u00f3ng, t\u01b0 duy phi t\u00e1n, ch\u1ee7 \u00fd thay \u0111\u1ed5i lu\u00f4n, nhi\u1ec1u ch\u01b0\u01a1ng tr\u00ecnh, nhi\u1ec1u s\u00e1ng ki\u1ebfn, t\u1ef1 \u0111\u00e1nh gi\u00e1 qu\u00e1 cao, c\u00f3 khi hoang t\u01b0\u1edfng t\u1ef1 cao r\u00f5 r\u1ec7t.<\/li>\n<li>V\u1eadn \u0111\u1ed9ng h\u01b0ng ph\u1ea5n: l\u00fac n\u00e0o c\u0169ng ho\u1ea1t \u0111\u1ed9ng, can thi\u1ec7p v\u00e0o m\u1ecdi vi\u1ec7c kh\u00f4ng bi\u1ebft m\u1ec7t m\u1ecfi. Th\u01b0\u1eddng l\u00e0 kh\u00f4ng k\u00edch \u0111\u1ed9ng, ch\u1ec9 k\u00edch \u0111\u1ed9ng khi n\u00e0o ki\u1ec7t s\u1ee9c hay c\u00f3 b\u1ec7nh nhi\u1ec5m khu\u1ea9n v\u00e0 b\u1ec7nh c\u01a1 th\u1ec3 k\u00e8m theo. \u0110\u1eb7c bi\u1ec7t khi ng\u01b0\u1eddi kh\u00e1c ng\u0103n c\u1ea3n b\u1ec7nh nh\u00e2n th\u1ef1c hi\u1ec7n ho\u1ea1t \u0111\u1ed9ng c\u1ee7a m\u00ecnh, b\u1ec7nh nh\u00e2n tr\u1edf n\u00ean k\u00edch \u0111\u1ed9ng.<\/li>\n<li>Tri\u1ec7u ch\u1ee9ng c\u01a1 th\u1ec3: Kh\u00f4ng \u0103n , kh\u00f4ng ng\u1ee7 v\u00ec cho r\u1eb1ng m\u00ecnh c\u00f3 nhi\u1ec1u n\u0103ng l\u01b0\u1ee3ng v\u00e0 d\u00e0nh th\u1eddi gian \u0111\u1ec3 th\u1ef1c hi\u1ec7n c\u00e1c \u00fd t\u01b0\u1edfng c\u1ee7a b\u1ea3n th\u00e2n.<\/li>\n<\/ol>\n<p>C\u00f3 nhi\u1ec1u tr\u01b0\u1eddng h\u1ee3p h\u01b0ng c\u1ea3m kh\u00f4ng \u0111i\u1ec3n h\u00ecnh nh\u01b0 h\u01b0ng c\u1ea3m vui v\u1ebb \u0111\u01a1n thu\u1ea7n (kh\u00f4ng li\u00ean t\u01b0\u1edfng nhanh, kh\u00f4ng ho\u1ea1t \u0111\u1ed9ng nhi\u1ec1u), h\u01b0ng c\u1ea3m k\u00e8m hoang t\u01b0\u1edfng, h\u01b0ng c\u1ea3m gi\u1eadn d\u1eef, vv\u2026<\/p>\n<p>H\u1ed9i ch\u1ee9ng h\u01b0ng c\u1ea3m g\u1eb7p trong nhi\u1ec1u b\u1ec7nh nh\u00e2n t\u00e2m th\u1ea7n kh\u00e1c nhau.<\/p>\n<p>H\u1ed9i ch\u00fang \u0111i\u1ec3n h\u00ecnh g\u1eb7p trong b\u1ec7nh r\u1ed1i lo\u1ea1n c\u1ea3m x\u00fac l\u01b0\u1ee1ng c\u1ef1c. H\u1ed9i ch\u1ee9ng kh\u00f4ng \u0111i\u1ec3n h\u00ecnh g\u1eb7p trong b\u1ec7nh t\u00e2m th\u1ea7n ph\u00e2n li\u1ec7t. C\u00f2n g\u1eb7p trong lo\u1ea1n th\u1ea7n tri\u1ec7u ch\u1ee9ng, li\u1ec7t to\u00e0n th\u1ec3 ti\u1ebfn tri\u1ec3n, vv\u2026<\/p>\n<ul>\n<li>H\u1ed9i ch\u1ee9ng lo\u1ea1n c\u1ea3m (syndrome dysphorique):<\/li>\n<\/ul>\n<p>H\u1ed9i ch\u1ee9ng g\u1ed3m c\u00f3:<\/p>\n<ol>\n<li>Kh\u00ed s\u1eafc u \u00e1m, h\u1eb1n h\u1ecdc, b\u1ea5t m\u00e3n v\u1edbi xung quanh.<\/li>\n<li>T\u0103ng c\u1ea3m gi\u00e1c, d\u1ec5 b\u1ecb k\u00edch th\u00edch:<\/li>\n<li>Khuynh h\u01b0\u1edbng b\u1ea1o \u0111\u1ed9ng, d\u1ec3 n\u1ed5 ra nh\u1eefng c\u01a1n gi\u1eadn gi\u1eef, t\u1ea5n c\u00f4ng ng\u01b0\u1eddi kh\u00e1c.<\/li>\n<\/ol>\n<p>Th\u01b0\u1eddng g\u1eb7p nh\u1ea5t trong b\u1ec7nh \u0111\u1ed9ng kinh. C\u00f2n g\u1eb7p trong c\u00e1c b\u1ec7nh th\u1ef1c th\u1ec3 \u1edf n\u00e3o v\u00e0 trong b\u1ec7nh nh\u00e2n c\u00e1ch b\u1ec7nh (th\u1ec3 xung \u0111\u1ed9ng)<\/p>\n<ul>\n<li>H\u1ed9i ch\u1ee9ng lo \u00e2u:<\/li>\n<\/ul>\n<p>&#8211;\u00a0 C\u1ea3m x\u00fac: c\u0103ng th\u1eb3ng, lo l\u1eafng<\/p>\n<p>&#8211; T\u01b0 duy: \u0111\u1ec1 c\u1eb7p \u0111\u1ebfn n\u1ed5i lo \u00e2u<\/p>\n<p>&#8211; H\u00e0nh vi: b\u1ed3n ch\u1ed3n, \u0111\u1ee9ng ng\u1ed3i kh\u00f4ng y\u00ean , kh\u00f3 ng\u0169<\/p>\n<p>&#8211; Tri\u1ec7u ch\u1ee9ng c\u01a1 th\u1ec3: tim \u0111\u1eadp nhanh, \u0111\u00e1nh tr\u1ed1ng ng\u1ef1c, th\u1edf nhanh, c\u00f3 l\u00fac kh\u00f3 th\u1edf, n\u00f3ng ru\u1ed9t..<\/p>\n<ol start=\"3\">\n<li>\u0110i\u1ec1u tr\u1ecb r\u1ed1i lo\u1ea1n l\u01b0\u1ee1ng c\u1ef1c<\/li>\n<\/ol>\n<p>L\u1ef1a ch\u1ecdn thu\u1ed1c v\u00e0 li\u1ec1u \u0111i\u1ec1u tr\u1ecb t\u00f9y thu\u1ed9c t\u1eebng c\u00e1 th\u1ec3.<\/p>\n<p><strong>&#8211; C\u00e1c giai \u0111o\u1ea1n h\u01b0ng c\u1ea3m, h\u01b0ng c\u1ea3m nh\u1eb9 v\u00e0 h\u1ed7n h\u1ee3p c\u1ea5p t\u00ednh<\/strong><\/p>\n<p><strong><em>C\u00e1c thu\u1ed1c ch\u1ec9nh kh\u00ed s\u1eafc:<\/em><\/strong> c\u00f3 th\u1ec3 l\u1ef1a ch\u1ecdn<\/p>\n<ul>\n<li>Lithium: ph\u1ea3i theo d\u00f5i n\u1ed3ng \u0111\u1ed9 thu\u1ed1c trong huy\u1ebft t\u01b0\u01a1ng: 0,8 \u2013 1,2mEq\/l\u00edt. Li\u1ec1u kho\u1ea3ng 600 \u2013 900 mg\/ng\u00e0y<\/li>\n<li>Divalproex: 750mg\/ng\u00e0y \u2013 60mg\/kg\/ng\u00e0y<\/li>\n<li>Valproat: 500 &#8211; 2000mg\/ng\u00e0y<\/li>\n<li>Carbamazepin: 200 &#8211; 1600mg\/ng\u00e0y<\/li>\n<\/ul>\n<p><strong><em>C\u00e1c thu\u1ed1c ch\u1ed1ng lo\u1ea1n th\u1ea7n:<\/em><\/strong> c\u00f3 th\u1ec3 l\u1ef1a ch\u1ecdn<\/p>\n<ul>\n<li><em>Thu\u1ed1c ch\u1ed1ng lo\u1ea1n th\u1ea7n \u0111i\u1ec3n h\u00ecnh<\/em><\/li>\n<li>Haloperidol : 5 &#8211; 30 mg\/ng\u00e0y<\/li>\n<li>Chlorpromazin: 25 &#8211; 500mg\/ng\u00e0y<\/li>\n<li><em>Thu\u1ed1c ch\u1ed1ng lo\u1ea1n th\u1ea7n kh\u00f4ng \u0111i\u1ec3n h\u00ecnh<\/em><\/li>\n<li>Risperidon: 1 &#8211; 10 mg\/ng\u00e0y<\/li>\n<li>Olanzapin: 5 &#8211; 30mg\/ng\u00e0y<\/li>\n<\/ul>\n<p><strong>C\u00e1c giai \u0111o\u1ea1n tr\u1ea7m c\u1ea3m c\u1ea5p t\u00ednh<\/strong><\/p>\n<p><strong><em>C\u00e1c thu\u1ed1c ch\u1ec9nh kh\u00ed s\u1eafc<\/em><\/strong>: c\u00f3 th\u1ec3 l\u1ef1a ch\u1ecdn<\/p>\n<ul>\n<li>Lamotrigin: 100 &#8211; 400mg\/ng\u00e0y<\/li>\n<li>Lithium:<\/li>\n<\/ul>\n<p><strong><em>C\u00e1c thu\u1ed1c ch\u1ed1ng tr\u1ea7m c\u1ea3m<\/em><\/strong>: c\u00f3 th\u1ec3 l\u1ef1a ch\u1ecdn<\/p>\n<ul>\n<li><em>Thu\u1ed1c ch\u1ed1ng tr\u1ea7m c\u1ea3m 3 v\u00f2ng (TCAs)<\/em><\/li>\n<\/ul>\n<p><em>Thu\u1ed1c \u1ee9c ch\u1ebf t\u00e1i h\u1ea5p thu ch\u1ecdn l\u1ecdc serotonin<\/em><\/p>\n<ul>\n<li><strong>\u0110i\u1ec1u tr\u1ecb duy tr\u00ec<\/strong><\/li>\n<li>L\u1ef1a ch\u1ecdn c\u00e1c thu\u1ed1c t\u00e1c d\u1ee5ng trong giai \u0111o\u1ea1n c\u1ea5p<\/li>\n<li>Valproat: 200 &#8211; 500mg\/ng\u00e0y<\/li>\n<li>Carbamazepin: 200 &#8211; 400mg\/ng\u00e0y<\/li>\n<li>Risperidon : 2 mg\/ng\u00e0y<\/li>\n<li>Olanzapin: 10 mg\/ng\u00e0y<\/li>\n<li>Quetiapin: 100 mg\/ng\u00e0y<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>R\u1ed1i lo\u1ea1n l\u01b0\u1ee1ng c\u1ef1c l\u00e0 m\u1ed9t r\u1ed1i lo\u1ea1n kh\u00ed s\u1eafc m\u1ea1n t\u00ednh, \u0110\u1eb7c tr\u01b0ng b\u1edfi c\u00e1c giai \u0111o\u1ea1n h\u01b0ng c\u1ea3m ho\u1eb7c h\u01b0ng c\u1ea3m nh\u1eb9 xen k\u1ebd hay \u0111i k\u00e8m v\u1edbi c\u00e1c giai \u0111o\u1ea1n tr\u1ea7m c\u1ea3m. R\u1ed1i lo\u1ea1n l\u01b0\u1ee1ng c\u1ef1c c\u00f2n \u0111\u01b0\u1ee3c g\u1ecdi l\u00e0 r\u1ed1i lo\u1ea1n h\u01b0ng tr\u1ea7m c\u1ea3m. \u00a0C\u00e1c b\u1eb1ng ch\u1ee9ng v\u1ec1 d\u1ecbch t\u1ec5 h\u1ecdc [&hellip;]<\/p>\n","protected":false},"author":16,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":[],"categories":[21,33],"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 l\u01b0\u1ee1ng c\u1ef1c: tri\u1ec7u ch\u1ee9ng, ch\u1ea9n \u0111o\u00e1n v\u00e0 ph\u01b0\u01a1ng ph\u00e1p \u0111i\u1ec1u tr\u1ecb - Vinmec<\/title>\n<meta name=\"description\" content=\"R\u1ed1i lo\u1ea1n l\u01b0\u1ee1ng c\u1ef1c l\u00e0 r\u1ed1i lo\u1ea1n kh\u00ed s\u1eafc \u0111\u1eb7c tr\u01b0ng b\u1edfi c\u00e1c giai \u0111o\u1ea1n h\u01b0ng c\u1ea3m ho\u1eb7c h\u01b0ng c\u1ea3m nh\u1eb9 xen k\u1ebd hay \u0111i k\u00e8m v\u1edbi c\u00e1c giai \u0111o\u1ea1n tr\u1ea7m c\u1ea3m.\" \/>\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 l\u01b0\u1ee1ng c\u1ef1c: tri\u1ec7u ch\u1ee9ng, ch\u1ea9n \u0111o\u00e1n v\u00e0 ph\u01b0\u01a1ng ph\u00e1p \u0111i\u1ec1u tr\u1ecb - 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