{"id":6984,"date":"2021-08-10T19:05:12","date_gmt":"2021-08-10T23:05:12","guid":{"rendered":"https:\/\/healthcliner.com\/tam-than-phan-liet-roi-loan-nhan-thuc-chinh\/"},"modified":"2021-08-10T19:05:13","modified_gmt":"2021-08-10T23:05:13","slug":"tam-than-phan-liet-roi-loan-nhan-thuc-chinh","status":"publish","type":"post","link":"https:\/\/healthcliner.com\/vi\/tam-than-phan-liet-roi-loan-nhan-thuc-chinh\/","title":{"rendered":"T\u00e2m th\u1ea7n ph\u00e2n li\u1ec7t: R\u1ed1i lo\u1ea1n nh\u1eadn th\u1ee9c ch\u00ednh"},"content":{"rendered":"

T\u00e2m th\u1ea7n ph\u00e2n li\u1ec7t l\u00e0 m\u1ed9t b\u1ec7nh t\u00e2m th\u1ea7n ph\u1ee9c t\u1ea1p, m\u00e3n t\u00ednh \u0111\u01b0\u1ee3c ph\u00e2n bi\u1ec7t b\u1edfi nhi\u1ec1u tri\u1ec7u ch\u1ee9ng, bao g\u1ed3m \u1ea3o t\u01b0\u1edfng, \u1ea3o gi\u00e1c, l\u1eddi n\u00f3i ho\u1eb7c h\u00e0nh vi kh\u00f4ng c\u00f3 t\u1ed5 ch\u1ee9c v\u00e0 kh\u1ea3 n\u0103ng nh\u1eadn th\u1ee9c gi\u1ea3m. Th\u00f4ng th\u01b0\u1eddng b\u1ec7nh ph\u00e1t tri\u1ec3n \u1edf c\u00e1c c\u00e1 nh\u00e2n \u1edf tu\u1ed5i thi\u1ebfu ni\u00ean mu\u1ed9n ho\u1eb7c \u0111\u1ea7u tu\u1ed5i tr\u01b0\u1edfng th\u00e0nh. Bi\u1ec3u hi\u1ec7n c\u1ee7a b\u1ec7nh trong giai \u0111o\u1ea1n \u0111\u1ea7u v\u00e0 qu\u00e1 tr\u00ecnh li\u00ean t\u1ee5c c\u1ee7a n\u00f3 l\u00e0m suy gi\u1ea3m s\u1ef1 y\u1ebfu \u0111u\u1ed1i \u0111\u1ed1i v\u1edbi h\u1ea7u h\u1ebft c\u00e1c n\u1ea1n nh\u00e2n b\u1ecb \u1ea3nh h\u01b0\u1edfng v\u00e0 gia \u0111\u00ecnh c\u1ee7a h\u1ecd. M\u1ed9t s\u1ed1 khuy\u1ebft t\u1eadt bi\u1ec3u hi\u1ec7n t\u00e2m th\u1ea7n ph\u00e2n li\u1ec7t th\u01b0\u1eddng x\u1ea3y ra t\u1eeb c\u00e1c tri\u1ec7u ch\u1ee9ng ti\u00eau c\u1ef1c v\u00e0 m\u1ea5t k\u1ebft n\u1ed1i tinh th\u1ea7n, ch\u1eb3ng h\u1ea1n nh\u01b0 suy gi\u1ea3m s\u1ef1 ch\u00fa \u00fd v\u00e0 tr\u00ed nh\u1edb l\u00e0m vi\u1ec7c. Ngo\u00e0i ra, t\u00e1i ph\u00e1t xu\u1ea5t hi\u1ec7n do c\u00e1c tri\u1ec7u ch\u1ee9ng t\u00edch c\u1ef1c nh\u01b0 nghi ng\u1edd, \u1ea3o t\u01b0\u1edfng v\u00e0 \u1ea3o gi\u00e1c. Nh\u1eefng c\u00e1 nh\u00e2n b\u1ecb t\u00e2m th\u1ea7n ph\u00e2n li\u1ec7t \u0111\u00f4i khi c\u00f3 th\u1ec3 nghe th\u1ea5y \u00e2m thanh ho\u1eb7c gi\u1ecdng n\u00f3i, \u0111i\u1ec1u n\u00e0y khi\u1ebfn h\u1ecd r\u1ea5t hoang t\u01b0\u1edfng, tin r\u1eb1ng h\u1ecd s\u1edf h\u1eefu m\u1ed9t s\u1ed1 s\u1ee9c m\u1ea1nh b\u1ea5t th\u01b0\u1eddng ho\u1eb7c c\u00f3 th\u1ec3 m\u1ed9t ng\u01b0\u1eddi \u0111ang ki\u1ec3m so\u00e1t suy ngh\u0129 c\u1ee7a h\u1ecd ho\u1eb7c ngh\u0129 r\u1eb1ng m\u1ed9t s\u1ed1 s\u1ef1 ki\u1ec7n th\u1ebf gi\u1edbi li\u00ean k\u1ebft v\u1edbi h\u1ecd. Ch\u1ea9n \u0111o\u00e1n t\u00e2m th\u1ea7n ph\u00e2n li\u1ec7t c\u00f3 th\u1ec3 l\u00e0 m\u1ed9t th\u00e1ch th\u1ee9c, v\u00e0 gia \u0111\u00ecnh c\u1ee7a c\u00e1c n\u1ea1n nh\u00e2n lu\u00f4n ph\u1ee7 nh\u1eadn; tuy nhi\u00ean, \u0111\u00f3 l\u00e0 m\u1ed9t ch\u1ea9n \u0111o\u00e1n t\u00e0n kh\u1ed1c v\u00e0 \u0111au l\u00f2ng \u0111\u1ec3 hi\u1ec3u. B\u00e0i b\u00e1o n\u00e0y d\u1ef1 \u0111\u1ecbnh th\u1ea3o lu\u1eadn r\u1ed9ng r\u00e3i v\u1ec1 b\u1ec7nh t\u00e2m th\u1ea7n ph\u00e2n li\u1ec7t, c\u00e1c lo\u1ea1i, \u0111\u00e1nh gi\u00e1 v\u00e0 ch\u1ea9n \u0111o\u00e1n v\u00e0 c\u00e1c lo\u1ea1i thu\u1ed1c \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng trong \u0111i\u1ec1u tr\u1ecb.<\/p>\n

C\u00e1c lo\u1ea1i t\u00e2m th\u1ea7n ph\u00e2n li\u1ec7t<\/strong><\/p>\n

C\u00f3 n\u0103m lo\u1ea1i t\u00e2m th\u1ea7n ph\u00e2n li\u1ec7t \u0111\u01b0\u1ee3c ph\u00e2n lo\u1ea1i d\u1ef1a tr\u00ean c\u00e1c tri\u1ec7u ch\u1ee9ng v\u00e0 bi\u1ec3u hi\u1ec7n ri\u00eang bi\u1ec7t \u0111\u01b0\u1ee3c th\u1ec3 hi\u1ec7n b\u1edfi c\u00e1c c\u00e1 nh\u00e2n \u0111\u01b0\u1ee3c \u0111\u00e1nh gi\u00e1. C\u00e1c lo\u1ea1i n\u00e0y bao g\u1ed3m:<\/p>\n

T\u00e2m th\u1ea7n ph\u00e2n li\u1ec7t hoang t\u01b0\u1edfng<\/strong><\/p>\n

T\u00e2m th\u1ea7n ph\u00e2n li\u1ec7t ki\u1ec3u hoang t\u01b0\u1edfng \u0111\u01b0\u1ee3c \u0111\u1eb7c tr\u01b0ng b\u1edfi c\u00e1c h\u00e0nh vi hoang t\u01b0\u1edfng nh\u01b0 \u1ea3o t\u01b0\u1edfng v\u00e0 r\u1ed1i lo\u1ea1n ch\u1ee9c n\u0103ng th\u00ednh gi\u00e1c v\u00e0 \u1ea3o gi\u00e1c. C\u00e1c h\u00e0nh vi hoang t\u01b0\u1edfng bi\u1ec3u hi\u1ec7n b\u1eb1ng c\u1ea3m x\u00fac b\u1ee9c h\u1ea1i, b\u1ecb theo d\u00f5i ho\u1eb7c xem x\u00e9t k\u1ef9 l\u01b0\u1ee1ng; h\u1ea7u h\u1ebft c\u00e1c l\u1ea7n, nh\u1eefng h\u00e0nh vi n\u00e0y li\u00ean k\u1ebft v\u1edbi m\u1ed9t nh\u00e2n v\u1eadt n\u1ed5i ti\u1ebfng ho\u1eb7c n\u1ed5i ti\u1ebfng nh\u01b0 m\u1ed9t ch\u00ednh tr\u1ecb gia ho\u1eb7c m\u1ed9t nh\u1ea1c s\u0129 ho\u1eb7c t\u1eadp \u0111o\u00e0n. Ngo\u00e0i ra, nh\u1eefng c\u00e1 nh\u00e2n b\u1ecb t\u00e2m th\u1ea7n ph\u00e2n li\u1ec7t ki\u1ec3u hoang t\u01b0\u1edfng c\u00f3 th\u1ec3 th\u1ec3 hi\u1ec7n s\u1ef1 t\u1ee9c gi\u1eadn, lo l\u1eafng ho\u1eb7c tr\u1edf n\u00ean th\u00f9 \u0111\u1ecbch. Tuy nhi\u00ean, nh\u1eefng ng\u01b0\u1eddi n\u00e0y th\u01b0\u1eddng c\u00f3 quy\u1ec1n s\u1edf h\u1eefu tr\u00ed tu\u1ec7, ch\u1ee9c n\u0103ng v\u00e0 bi\u1ec3u hi\u1ec7n \u0111\u1ea7y \u0111\u1ee7 th\u00f4ng th\u01b0\u1eddng.<\/p>\n

T\u00e2m th\u1ea7n ph\u00e2n li\u1ec7t v\u00f4 t\u1ed5 ch\u1ee9c<\/strong><\/p>\n

Nh\u1eefng ng\u01b0\u1eddi b\u1ecb t\u00e2m th\u1ea7n ph\u00e2n li\u1ec7t lo\u1ea1i v\u00f4 t\u1ed5 ch\u1ee9c th\u1ec3 hi\u1ec7n c\u00e1c h\u00e0nh vi r\u00f5 r\u00e0ng kh\u00f4ng theo th\u1ee9 t\u1ef1 ho\u1eb7c c\u00e1c b\u00e0i ph\u00e1t bi\u1ec3u b\u1ecb ng\u1eaft k\u1ebft n\u1ed1i v\u00e0 kh\u00f3 hi\u1ec3u. Ngo\u00e0i ra, ch\u00fang c\u00f3 th\u1ec3 th\u1ec3 hi\u1ec7n nh\u1eefng c\u1ea3m x\u00fac ho\u1eb7c c\u1ea3m x\u00fac kh\u00f4ng ph\u00f9 h\u1ee3p kh\u00f4ng li\u00ean quan \u0111\u1ebfn c\u00e1c t\u00ecnh hu\u1ed1ng v\u00e0o th\u1eddi \u0111i\u1ec3m \u0111\u00f3. Nh\u1eefng \u0111i\u1ec1u n\u00e0y c\u0169ng c\u00f3 th\u1ec3 \u1ea3nh h\u01b0\u1edfng \u0111\u1ebfn c\u00e1c ho\u1ea1t \u0111\u1ed9ng h\u00e0ng ng\u00e0y c\u1ee7a h\u1ecd, bao g\u1ed3m v\u1ec7 sinh, c\u00e1ch h\u1ecd d\u00f9ng b\u1eefa v\u00e0 k\u1ebf ho\u1ea1ch l\u00e0m vi\u1ec7c b\u1ecb gi\u00e1n \u0111o\u1ea1n, v\u00e0 \u0111\u00f4i khi s\u01a1 su\u1ea5t do m\u00f4 h\u00ecnh suy ngh\u0129 b\u1ecb ng\u1eaft k\u1ebft n\u1ed1i v\u00e0 v\u00f4 t\u1ed5 ch\u1ee9c c\u1ee7a h\u1ecd.<\/p>\n

T\u00e2m th\u1ea7n ph\u00e2n li\u1ec7t Catatonic<\/strong><\/p>\n

S\u1ef1 gi\u00e1n \u0111o\u1ea1n c\u1ee7a chuy\u1ec3n \u0111\u1ed9ng \u0111\u1eb7c tr\u01b0ng cho t\u00e2m th\u1ea7n ph\u00e2n li\u1ec7t ki\u1ec3u Catatonic. C\u00e1c c\u00e1 nh\u00e2n m\u1eafc lo\u1ea1i t\u00e2m th\u1ea7n ph\u00e2n li\u1ec7t n\u00e0y r\u1ea5t \u0111a d\u1ea1ng d\u1ef1a tr\u00ean th\u00e1i c\u1ef1c, m\u1ed9t s\u1ed1 c\u00f3 th\u1ec3 tr\u1edf n\u00ean b\u1ea5t \u0111\u1ed9ng, v\u00e0 nh\u1eefng ng\u01b0\u1eddi kh\u00e1c c\u00f3 th\u1ec3 \u1edf kh\u1eafp m\u1ecdi n\u01a1i. M\u1ed9t \u0111\u1eb7c \u0111i\u1ec3m kh\u00e1c c\u1ee7a lo\u1ea1i n\u00e0y l\u00e0 b\u1ec7nh nh\u00e2n c\u00f3 th\u1ec3 tr\u1edf n\u00ean im l\u1eb7ng trong nhi\u1ec1u gi\u1edd ho\u1eb7c l\u1eb7p l\u1ea1i m\u1ecdi th\u1ee9 ng\u01b0\u1eddi kh\u00e1c n\u00f3i ho\u1eb7c l\u00e0m. Nh\u1eefng thu\u1ed9c t\u00ednh h\u00e0nh vi g\u00e2y ra b\u1edfi lo\u1ea1i t\u00e2m th\u1ea7n ph\u00e2n li\u1ec7t n\u00e0y c\u00f3 th\u1ec3 khi\u1ebfn nh\u1eefng b\u1ec7nh nh\u00e2n n\u00e0y g\u1eb7p ph\u1ea3i t\u00ecnh hu\u1ed1ng th\u1ecfa hi\u1ec7p v\u00ec h\u1ecd th\u01b0\u1eddng kh\u00f4ng th\u1ec3 t\u1ef1 ch\u0103m s\u00f3c b\u1ea3n th\u00e2n ho\u1eb7c k\u1ebft th\u00fac c\u00e1c ho\u1ea1t \u0111\u1ed9ng h\u00e0ng ng\u00e0y.<\/p>\n

T\u00e2m th\u1ea7n ph\u00e2n li\u1ec7t kh\u00f4ng ph\u00e2n bi\u1ec7t<\/strong><\/p>\n

Lo\u1ea1i t\u00e2m th\u1ea7n ph\u00e2n li\u1ec7t n\u00e0y \u0111\u01b0\u1ee3c h\u1ec7 th\u1ed1ng h\u00f3a \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng khi m\u1ed9t c\u00e1 nh\u00e2n hi\u1ec3n th\u1ecb c\u00e1c h\u00e0nh vi, ph\u00f9 h\u1ee3p v\u1edbi m\u00f4 t\u1ea3 tri\u1ec7u ch\u1ee9ng c\u1ee7a hai ho\u1eb7c nhi\u1ec1u lo\u1ea1i t\u00e2m th\u1ea7n ph\u00e2n li\u1ec7t kh\u00e1c. V\u00ed d\u1ee5, m\u1ed9t s\u1ed1 tri\u1ec7u ch\u1ee9ng th\u1ec3 hi\u1ec7n trong t\u00e2m th\u1ea7n ph\u00e2n li\u1ec7t kh\u00f4ng ph\u00e2n bi\u1ec7t bao g\u1ed3m \u1ea3o t\u01b0\u1edfng, \u1ea3o gi\u00e1c, l\u1eddi n\u00f3i b\u1ecb suy y\u1ebfu, h\u00e0nh vi v\u00f4 t\u1ed5 ch\u1ee9c v\u00e0 catatonic.<\/p>\n

T\u00e2m th\u1ea7n ph\u00e2n li\u1ec7t c\u00f2n s\u00f3t l\u1ea1i<\/strong><\/p>\n

C\u00e1c c\u00e1 nh\u00e2n chi ti\u1ebft \u0111\u1ec3 c\u00f3 c\u00e1c \u0111\u1ee3t t\u00e2m th\u1ea7n ph\u00e2n li\u1ec7t trong qu\u00e1 kh\u1ee9; tuy nhi\u00ean, trong ng\u00e0y nay kh\u00f4ng bi\u1ec3u hi\u1ec7n c\u00e1c tri\u1ec7u ch\u1ee9ng \u0111\u1eb7c tr\u01b0ng cho b\u1ec7nh nh\u01b0 \u1ea3o t\u01b0\u1edfng, \u1ea3o gi\u00e1c, r\u1ed1i lo\u1ea1n trong l\u1eddi n\u00f3i v\u00e0 h\u00e0nh vi, \u0111\u01b0\u1ee3c cho l\u00e0 b\u1ecb t\u00e2m th\u1ea7n ph\u00e2n li\u1ec7t lo\u1ea1i c\u00f2n l\u1ea1i. Nh\u1eefng ng\u01b0\u1eddi nh\u01b0 v\u1eady c\u00f3 th\u1ec3 thuy\u00ean gi\u1ea3m ho\u00e0n to\u00e0n ho\u1eb7c sau \u0111\u00f3 c\u00f3 th\u1ec3 ti\u1ebfp t\u1ee5c c\u00e1c tri\u1ec7u ch\u1ee9ng \u0111\u1eb7c tr\u01b0ng c\u1ee7a b\u1ec7nh.<\/p>\n

Ch\u1ea9n \u0111o\u00e1n<\/strong><\/p>\n

Nh\u01b0 minh h\u1ecda tr\u01b0\u1edbc \u0111\u00f3 trong v\u0103n b\u1ea3n, t\u00e2m th\u1ea7n ph\u00e2n li\u1ec7t l\u00e0 m\u1ed9t r\u1ed1i lo\u1ea1n ph\u1ee9c t\u1ea1p v\u00e0 dai d\u1eb3ng v\u1edbi m\u1ed9t s\u1ed1 tri\u1ec7u ch\u1ee9ng, kh\u00f4ng g\u00e2y b\u1ec7nh. Ch\u1ea9n \u0111o\u00e1n t\u00e2m th\u1ea7n ph\u00e2n li\u1ec7t l\u00e0 b\u1eb1ng c\u00e1ch ki\u1ec3m tra b\u1ec7nh nh\u00e2n c\u00f3 d\u1ea5u hi\u1ec7u v\u00e0 tri\u1ec7u ch\u1ee9ng b\u1eb1ng s\u00e1ng ch\u1ebf, nh\u01b0 \u0111\u01b0\u1ee3c ch\u1ee9ng minh trong H\u01b0\u1edbng d\u1eabn ch\u1ea9n \u0111o\u00e1n v\u00e0 th\u1ed1ng k\u00ea r\u1ed1i lo\u1ea1n t\u00e2m th\u1ea7n. Th\u1ee9 nh\u1ea5t, ch\u1ea9n \u0111o\u00e1n t\u00e2m th\u1ea7n ph\u00e2n li\u1ec7t \u0111\u01b0\u1ee3c th\u1ef1c hi\u1ec7n b\u1eb1ng c\u00e1ch lo\u1ea1i b\u1ecf b\u1ea5t k\u1ef3 v\u1ea5n \u0111\u1ec1 ho\u1eb7c r\u1ed1i lo\u1ea1n y t\u1ebf ti\u1ec1m \u1ea9n n\u00e0o kh\u00e1c c\u00f3 th\u1ec3 ch\u1ee9ng minh g\u00e2y ra nh\u1eefng thay \u0111\u1ed5i trong h\u00e0nh vi. Ngo\u00e0i ra, n\u00f3 \u0111\u01b0\u1ee3c th\u1ef1c hi\u1ec7n b\u1eb1ng c\u00e1ch ki\u1ec3m tra s\u1ef1 xu\u1ea5t hi\u1ec7n c\u1ee7a c\u00e1c tri\u1ec7u ch\u1ee9ng \u0111\u1eb7c tr\u01b0ng c\u1ee7a t\u00ecnh tr\u1ea1ng n\u00e0y. B\u00e1c s\u0129 y khoa tham d\u1ef1 b\u1ec7nh nh\u00e2n s\u1ebd th\u1ef1c hi\u1ec7n c\u00e1c x\u00e9t nghi\u1ec7m \u0111\u1ec3 kh\u1eb3ng \u0111\u1ecbnh s\u1ef1 hi\u1ec7n di\u1ec7n c\u1ee7a \u1ea3o t\u01b0\u1edfng, \u1ea3o gi\u00e1c, suy gi\u1ea3m kh\u1ea3 n\u0103ng n\u00f3i v\u00e0 h\u00e0nh vi. M\u1ed9t y\u1ebfu t\u1ed1 kh\u00e1c m\u00e0 b\u00e1c s\u0129 \u0111\u00e1nh gi\u00e1 l\u00e0 s\u1ef1 r\u00fat lui x\u00e3 h\u1ed9i v\u00e0 gi\u00e1n \u0111o\u1ea1n t\u1ea1i n\u01a1i l\u00e0m vi\u1ec7c trong c\u00e1c ho\u1ea1t \u0111\u1ed9ng h\u00e0ng ng\u00e0y c\u1ee7a b\u1ec7nh nh\u00e2n trong \u00edt nh\u1ea5t s\u00e1u th\u00e1ng. B\u00e1c s\u0129 c\u00f3 th\u1ec3 s\u1eed d\u1ee5ng \u0111\u00e1nh gi\u00e1 th\u1ec3 ch\u1ea5t, ki\u1ec3m tra t\u00e2m l\u00fd, x\u00e9t nghi\u1ec7m trong ph\u00f2ng th\u00ed nghi\u1ec7m v\u00e0 ch\u1ee5p CT \u0111\u1ec3 l\u1eafp r\u00e1p v\u00e0 t\u1ea1o ra m\u1ed9t b\u1ee9c tranh chung v\u1ec1 t\u00ecnh tr\u1ea1ng c\u1ee7a b\u1ec7nh nh\u00e2n. Do \u0111\u00f3, s\u00e0ng l\u1ecdc v\u00e0 \u0111\u00e1nh gi\u00e1 s\u1ee9c kh\u1ecfe t\u00e2m th\u1ea7n l\u00e0 m\u1ed9t kh\u00eda c\u1ea1nh quan tr\u1ecdng c\u1ee7a quy tr\u00ecnh ch\u1ea9n \u0111o\u00e1n t\u00e2m th\u1ea7n ph\u00e2n li\u1ec7t.<\/p>\n

Tuy nhi\u00ean, ch\u1ea9n \u0111o\u00e1n t\u00e2m th\u1ea7n ph\u00e2n li\u1ec7t th\u01b0\u1eddng l\u00e0 m\u1ed9t th\u00e1ch th\u1ee9c v\u00ec c\u00e1c r\u1ed1i lo\u1ea1n t\u00e2m th\u1ea7n kh\u00e1c nh\u01b0 l\u01b0\u1ee1ng c\u1ef1c, r\u1ed1i lo\u1ea1n t\u00e2m th\u1ea7n ph\u00e2n li\u1ec7t, tr\u1ea7m c\u1ea3m v\u00e0 l\u1ea1m d\u1ee5ng ch\u1ea5t th\u01b0\u1eddng b\u1eaft ch\u01b0\u1edbc c\u00e1c bi\u1ec3u hi\u1ec7n tri\u1ec7u ch\u1ee9ng c\u1ee7a t\u00e2m th\u1ea7n ph\u00e2n li\u1ec7t. Do \u0111\u00f3, b\u00e1c s\u0129 th\u1ef1c hi\u1ec7n ch\u1ea9n \u0111o\u00e1n tr\u01b0\u1edbc ti\u00ean ph\u1ea3i lo\u1ea1i tr\u1eeb b\u1ea5t k\u1ef3 tri\u1ec7u ch\u1ee9ng n\u00e0o \u0111\u01b0\u1ee3c hi\u1ec3n th\u1ecb b\u1edfi c\u00e1c \u0111i\u1ec1u ki\u1ec7n y t\u1ebf kh\u00e1c. Ki\u1ec3m tra th\u00e0nh th\u1ea1o th\u1eddi gian c\u1ee7a b\u1ec7nh, th\u1eddi gian \u1ea3o t\u01b0\u1edfng v\u00e0 \u1ea3o gi\u00e1c, v\u00e0 c\u01b0\u1eddng \u0111\u1ed9 c\u1ee7a c\u00e1c bi\u1ec3u hi\u1ec7n tr\u1ea7m c\u1ea3m ho\u1eb7c manic c\u00f3 th\u1ec3 ph\u00e2n bi\u1ec7t hi\u1ec7u qu\u1ea3 \u0111i\u1ec1u n\u00e0y.<\/p>\n

T\u00f9y ch\u1ecdn \u0111i\u1ec1u tr\u1ecb<\/strong><\/p>\n

Li\u1ec7u ph\u00e1p phi d\u01b0\u1ee3c ph\u1ea9m<\/strong><\/p>\n

M\u1ee5c ti\u00eau v\u00e0 m\u1ee5c ti\u00eau \u0111i\u1ec1u tr\u1ecb t\u00e2m th\u1ea7n ph\u00e2n li\u1ec7t \u0111\u00f2i h\u1ecfi ph\u1ea3i nh\u1eafm m\u1ee5c ti\u00eau v\u00e0o c\u00e1c tri\u1ec7u ch\u1ee9ng b\u1ec7nh, gi\u1ea3m thi\u1ec3u c\u01a1 h\u1ed9i t\u00e1i ph\u00e1t v\u00e0 n\u00e2ng cao ch\u1ee9c n\u0103ng th\u00edch nghi \u0111\u1ec3 c\u00e1c c\u00e1 nh\u00e2n b\u1ecb \u1ea3nh h\u01b0\u1edfng c\u00f3 th\u1ec3 h\u00f2a nh\u1eadp tr\u1edf l\u1ea1i x\u00e3 h\u1ed9i. Trong nh\u1eefng tr\u01b0\u1eddng h\u1ee3p hi\u1ebfm hoi, b\u1ec7nh nh\u00e2n tr\u1edf l\u1ea1i m\u1ee9c \u0111\u1ed9 ho\u1ea1t \u0111\u1ed9ng th\u00edch nghi c\u01a1 b\u1ea3n; c\u1ea3 phi d\u01b0\u1ee3c ph\u1ea9m v\u00e0 d\u01b0\u1ee3c l\u00fd ph\u1ea3i s\u1eed d\u1ee5ng t\u1ed1i \u01b0u c\u00e1c m\u00f4 h\u00ecnh \u0111i\u1ec1u tr\u1ecb cho k\u1ebft qu\u1ea3 \u0111\u1ecbnh k\u1ef3. Do \u0111\u00f3, c\u00e1c m\u00f4 h\u00ecnh \u0111i\u1ec1u tr\u1ecb phi d\u01b0\u1ee3c ph\u1ea9m nh\u01b0 t\u00e2m l\u00fd tr\u1ecb li\u1ec7u l\u00e0 r\u1ea5t c\u1ea7n thi\u1ebft. T\u00e2m l\u00fd tr\u1ecb li\u1ec7u l\u00e0 m\u1ed9t l\u0129nh v\u1ef1c tr\u1ecb li\u1ec7u \u0111ang d\u1ea7n ph\u00e1t tri\u1ec3n. C\u00e1c li\u1ec7u ph\u00e1p t\u00e2m l\u00fd ph\u00e1t ra k\u1ebft h\u1ee3p \u0111\u00e0o t\u1ea1o si\u00eau nh\u1eadn th\u1ee9c, li\u1ec7u ph\u00e1p t\u01b0\u1eddng thu\u1eadt v\u00e0 li\u1ec7u ph\u00e1p ch\u00e1nh ni\u1ec7m. C\u00e1c ph\u01b0\u01a1ng ph\u00e1p \u0111i\u1ec1u tr\u1ecb phi d\u01b0\u1ee3c ph\u1ea9m \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng nh\u01b0 c\u00e1c h\u00ecnh th\u1ee9c \u0111i\u1ec1u tr\u1ecb b\u1ed5 sung \u0111\u1ec3 \u0111i\u1ec1u tr\u1ecb t\u00e2m th\u1ea7n ph\u00e2n li\u1ec7t nh\u01b0ng kh\u00f4ng bao gi\u1edd thay th\u1ebf ch\u00fang v\u00ec c\u00e1c m\u00f4 h\u00ecnh h\u1ed7 tr\u1ee3 \u0111i\u1ec1u tr\u1ecb n\u00e0y trong vi\u1ec7c \u0111\u1ea3m b\u1ea3o b\u1ec7nh nh\u00e2n tu\u00e2n th\u1ee7 thu\u1ed1c c\u1ee7a h\u1ecd.<\/p>\n

Li\u1ec7u ph\u00e1p d\u01b0\u1ee3c l\u00fd<\/strong><\/p>\n

\u1ede h\u1ea7u h\u1ebft c\u00e1c b\u1ec7nh nh\u00e2n t\u00e2m th\u1ea7n ph\u00e2n li\u1ec7t, r\u1ea5t kh\u00f3 \u0111\u1ec3 th\u1ef1c hi\u1ec7n c\u00e1c ch\u01b0\u01a1ng tr\u00ecnh ph\u1ee5c h\u1ed3i ch\u1ee9c n\u0103ng th\u1ef1c t\u1ebf v\u00e0 l\u00e0m vi\u1ec7c m\u00e0 kh\u00f4ng c\u00f3 thu\u1ed1c ch\u1ed1ng lo\u1ea1n th\u1ea7n. Do \u0111\u00f3, vi\u1ec7c t\u1ed5 ch\u1ee9c \u0111i\u1ec1u tr\u1ecb b\u1eb1ng thu\u1ed1c k\u1ecbp th\u1eddi l\u00e0 r\u1ea5t quan tr\u1ecdng, \u0111\u00e1ng ch\u00fa \u00fd nh\u1ea5t, trong v\u00f2ng n\u0103m n\u0103m \u0111\u1ea7u ti\u00ean sau khi m\u1ed9t \u0111\u1ee3t c\u1ea5p t\u00ednh xu\u1ea5t hi\u1ec7n v\u00ec nhi\u1ec1u bi\u1ebfn th\u1ec3 li\u00ean quan \u0111\u1ebfn b\u1ec7nh t\u1eadt trong n\u00e3o x\u1ea3y ra. Do \u0111\u00f3, trong m\u1ed9t \u0111\u1ee3t t\u00e2m th\u1ea7n c\u1ea5p t\u00ednh, n\u00ean d\u00f9ng li\u1ec7u ph\u00e1p thu\u1ed1c c\u00e0ng s\u1edbm c\u00e0ng t\u1ed1t. Trong v\u00e0i ng\u00e0y \u0111\u1ea7u \u0111i\u1ec1u tr\u1ecb, m\u1ee5c ti\u00eau ch\u00ednh l\u00e0 gi\u1ea3m b\u1edbt s\u1ef1 th\u00f9 \u0111\u1ecbch v\u00e0 \u0111\u01b0a b\u1ec7nh nh\u00e2n tr\u1edf l\u1ea1i ho\u1ea1t \u0111\u1ed9ng b\u00ecnh th\u01b0\u1eddng, ch\u1eb3ng h\u1ea1n nh\u01b0 ng\u1ee7 \u0111\u1ee7 gi\u1ea5c v\u00e0 d\u00f9ng b\u1eefa v\u00e0o gi\u1edd quy \u0111\u1ecbnh. Do \u0111\u00f3, \u0111i\u1ec1u c\u1ea7n thi\u1ebft \u0111\u00e1ng k\u1ec3 l\u00e0 chu\u1ea9n \u0111\u1ed9 li\u1ec1u l\u01b0\u1ee3ng khi b\u1eaft \u0111\u1ea7u giai \u0111o\u1ea1n \u0111i\u1ec1u tr\u1ecb \u0111\u1ea7u ti\u00ean d\u1ef1a tr\u00ean ph\u1ea3n \u1ee9ng c\u1ee7a b\u1ec7nh nh\u00e2n. Vi\u1ec7c \u0111i\u1ec1u tr\u1ecb tr\u01b0\u1edbc khi \u0111i\u1ec1u tr\u1ecb duy tr\u00ec, nh\u1eb1m m\u1ee5c \u0111\u00edch c\u1ea3i thi\u1ec7n x\u00e3 h\u1ed9i h\u00f3a, ch\u0103m s\u00f3c b\u1ea3n th\u00e2n v\u00e0 x\u00e2y d\u1ef1ng m\u1ed9t t\u00e2m tr\u1ea1ng tuy\u1ec7t v\u1eddi h\u01a1n.<\/p>\n

Ch\u0103m s\u00f3c \u0111\u1eb7c bi\u1ec7t ph\u1ed1i h\u1ee3p<\/strong><\/p>\n

\u0110\u00f2i h\u1ecfi n\u1ed7 l\u1ef1c c\u1ee7a nh\u00f3m \u0111\u1ed1i v\u1edbi vi\u1ec7c cung c\u1ea5p \u0111i\u1ec1u tr\u1ecb khi \u0111\u1ee3t c\u1ea5p t\u00ednh \u0111\u1ea7u ti\u00ean xu\u1ea5t hi\u1ec7n. N\u00f3 li\u00ean quan \u0111\u1ebfn s\u1ef1 k\u1ebft h\u1ee3p gi\u1eefa y h\u1ecdc v\u00e0 tr\u1ecb li\u1ec7u v\u1edbi c\u00e1c d\u1ecbch v\u1ee5 x\u00e3 h\u1ed9i c\u0169ng nh\u01b0 c\u00e1c can thi\u1ec7p gi\u00e1o d\u1ee5c.<\/p>\n

Nh\u1eadp vi\u1ec7n<\/strong><\/p>\n

M\u1ed9t s\u1ed1 c\u00e1 nh\u00e2n b\u1ecb t\u00e2m th\u1ea7n ph\u00e2n li\u1ec7t c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c \u0111i\u1ec1u tr\u1ecb nh\u01b0 b\u1ec7nh nh\u00e2n ngo\u1ea1i tr\u00fa. Tuy nhi\u00ean, nh\u1eadp vi\u1ec7n d\u01b0\u1eddng nh\u01b0 l\u00e0 l\u1ef1a ch\u1ecdn t\u1ed1t nh\u1ea5t cho nhi\u1ec1u ng\u01b0\u1eddi t\u00e2m th\u1ea7n ph\u00e2n li\u1ec7t v\u1edbi c\u00e1c tri\u1ec7u ch\u1ee9ng c\u1ef1c \u0111oan, th\u00f9 \u0111\u1ecbch nghi\u00eam tr\u1ecdng v\u00e0 nh\u1eefng ng\u01b0\u1eddi kh\u00f4ng th\u1ec3 t\u1ef1 ch\u0103m s\u00f3c b\u1ea3n th\u00e2n. N\u00f3 c\u0169ng \u0111\u00f2i h\u1ecfi t\u00e2m l\u00fd h\u1ecdc, gi\u00fap b\u1ec7nh nh\u00e2n v\u00e0 nh\u1eefng ng\u01b0\u1eddi xung quanh h\u1ecd hi\u1ec3u \u0111\u01b0\u1ee3c r\u1ed1i lo\u1ea1n, do \u0111\u00f3 cho ph\u00e9p h\u1ecd gi\u00fap b\u1ec7nh nh\u00e2n qu\u1ea3n l\u00fd n\u00f3.<\/p>\n

Li\u1ec7u ph\u00e1p \u0111i\u1ec7n gi\u1eadt (ECT)<\/strong><\/p>\n

Trong qu\u00e1 tr\u00ecnh n\u00e0y, c\u00e1c \u0111i\u1ec7n c\u1ef1c \u0111\u01b0\u1ee3c \u0111\u1eb7t tr\u00ean da \u0111\u1ea7u c\u1ee7a b\u1ec7nh nh\u00e2n sau \u0111\u00f3 c\u00e1c b\u00e1c s\u0129 g\u1eedi nh\u1eefng c\u00fa s\u1ed1c \u0111i\u1ec7n nh\u1ecf \u0111\u1ebfn n\u00e3o. M\u1ed7i l\u1ea7n \u0111i\u1ec1u tr\u1ecb s\u1ed1c d\u1eabn \u0111\u1ebfn h\u00ecnh th\u00e0nh c\u00e1c c\u01a1n \u0111\u1ed9ng kinh c\u00f3 ki\u1ec3m so\u00e1t. Sau m\u1ed9t lo\u1ea1t c\u00e1c m\u00f4-\u0111un \u0111i\u1ec1u tr\u1ecb n\u00e0y trong m\u1ed9t kho\u1ea3ng th\u1eddi gian x\u00e1c \u0111\u1ecbnh g\u00e2y ra nh\u1eefng c\u1ea3i ti\u1ebfn l\u1edbn trong t\u00e2m tr\u1ea1ng v\u00e0 kh\u1ea3 n\u0103ng nh\u1eadn th\u1ee9c c\u1ee7a b\u1ec7nh nh\u00e2n. Tuy nhi\u00ean, m\u00f4 h\u00ecnh \u0111i\u1ec1u tr\u1ecb kh\u00f4ng \u0111\u01b0\u1ee3c ch\u1ea5p thu\u1eadn \u0111\u1ea7y \u0111\u1ee7 trong vi\u1ec7c gi\u00fap t\u00e2m th\u1ea7n ph\u00e2n li\u1ec7t ngo\u00e0i tr\u1ea7m c\u1ea3m v\u00e0 r\u1ed1i lo\u1ea1n l\u01b0\u1ee1ng c\u1ef1c; do \u0111\u00f3, \u0111\u00f4i khi kh\u00f4ng \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng khi c\u00e1c tri\u1ec7u ch\u1ee9ng t\u00e2m tr\u1ea1ng bi\u1ebfn m\u1ea5t.<\/p>\n

Nghi\u00ean c\u1ee9u<\/strong><\/p>\n

Nhi\u1ec1u c\u00f4ng tr\u00ecnh nghi\u00ean c\u1ee9u v\u00e0 nghi\u00ean c\u1ee9u \u0111ang \u0111\u01b0\u1ee3c ti\u1ebfn h\u00e0nh \u0111\u1ec3 t\u00ecm c\u00e1c l\u1ef1a ch\u1ecdn \u0111i\u1ec1u tr\u1ecb gh\u00ea g\u1edbm cho t\u00e2m th\u1ea7n ph\u00e2n li\u1ec7t. V\u00ed d\u1ee5, c\u00e1c nh\u00e0 nghi\u00ean c\u1ee9u hi\u1ec7n \u0111ang xem x\u00e9t l\u1ef1a ch\u1ecdn \u0111i\u1ec1u tr\u1ecb k\u00edch th\u00edch n\u00e3o s\u00e2u (DBS) ch\u1ee7 y\u1ebfu \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng trong \u0111i\u1ec1u tr\u1ecb b\u1ec7nh Parkinson v\u00e0 run thi\u1ebft y\u1ebfu th\u00f4ng qua c\u00e1c x\u00e9t nghi\u1ec7m th\u1eed nghi\u1ec7m \u0111\u1ec3 \u0111i\u1ec1u tr\u1ecb r\u1ed1i lo\u1ea1n t\u00e2m th\u1ea7n. L\u1ef1a ch\u1ecdn \u0111i\u1ec1u tr\u1ecb n\u00e0y li\u00ean quan \u0111\u1ebfn vi\u1ec7c c\u1ea5y \u0111i\u1ec7n c\u1ef1c v\u00e0o n\u00e3o c\u1ee7a b\u1ec7nh nh\u00e2n t\u00e2m th\u1ea7n ph\u00e2n li\u1ec7t b\u1eb1ng ph\u1eabu thu\u1eadt \u0111\u1ec3 gi\u00fap k\u00edch th\u00edch c\u00e1c ph\u00e2n \u0111o\u1ea1n n\u00e3o c\u1ee5 th\u1ec3 ki\u1ec3m so\u00e1t suy ngh\u0129 v\u00e0 nh\u1eadn th\u1ee9c.<\/p>\n

Thu\u1ed1c<\/strong><\/p>\n

C\u00f3 nhi\u1ec1u lo\u1ea1i thu\u1ed1c \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng trong \u0111i\u1ec1u tr\u1ecb t\u00e2m th\u1ea7n ph\u00e2n li\u1ec7t. M\u1ed9t s\u1ed1 lo\u1ea1i thu\u1ed1c ch\u1ed1ng lo\u1ea1n th\u1ea7n \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng bao g\u1ed3m Chlorpromazine (Thorazine), Oxilapine, Perphenazine v\u00e0 Haloperidol. M\u1ed9t s\u1ed1 lo\u1ea1i thu\u1ed1c m\u1edbi \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng \u0111\u1ec3 \u0111i\u1ec1u tr\u1ecb t\u00e2m th\u1ea7n ph\u00e2n li\u1ec7t bao g\u1ed3m Aripiprazole, Asenapine, Cariprazine, Clozapine, v.v. Thu\u1ed1c l\u00e0 \u0111\u1ec3 ki\u1ec3m so\u00e1t ban \u0111\u1ea7u c\u00e1c tri\u1ec7u ch\u1ee9ng, v\u00e0 m\u1ed9t khi c\u00e1c tri\u1ec7u ch\u1ee9ng \u0111\u01b0\u1ee3c ki\u1ec3m so\u00e1t, ng\u01b0\u1eddi ta s\u1ebd c\u1ea7n li\u1ec7u ph\u00e1p duy tr\u00ec \u0111\u1ec3 kh\u00f4ng t\u00e1i ph\u00e1t.<\/p>\n","protected":false},"excerpt":{"rendered":"

T\u00e2m th\u1ea7n ph\u00e2n li\u1ec7t l\u00e0 m\u1ed9t b\u1ec7nh t\u00e2m th\u1ea7n ph\u1ee9c t\u1ea1p, m\u00e3n t\u00ednh \u0111\u01b0\u1ee3c ph\u00e2n bi\u1ec7t b\u1edfi nhi\u1ec1u tri\u1ec7u ch\u1ee9ng, bao g\u1ed3m \u1ea3o t\u01b0\u1edfng, \u1ea3o gi\u00e1c, l\u1eddi n\u00f3i ho\u1eb7c h\u00e0nh vi kh\u00f4ng c\u00f3 t\u1ed5 ch\u1ee9c v\u00e0 kh\u1ea3 n\u0103ng nh\u1eadn th\u1ee9c gi\u1ea3m. Th\u00f4ng th\u01b0\u1eddng b\u1ec7nh ph\u00e1t tri\u1ec3n \u1edf c\u00e1c c\u00e1 nh\u00e2n \u1edf tu\u1ed5i thi\u1ebfu ni\u00ean mu\u1ed9n […]<\/p>\n","protected":false},"author":1,"featured_media":4648,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_crdt_document":"","tdm_status":"","tdm_grid_status":"","footnotes":""},"categories":[80],"tags":[],"class_list":{"0":"post-6984","1":"post","2":"type-post","3":"status-publish","4":"format-standard","5":"has-post-thumbnail","7":"category-family-health"},"yoast_head":"\nT\u00e2m th\u1ea7n ph\u00e2n li\u1ec7t: R\u1ed1i lo\u1ea1n nh\u1eadn th\u1ee9c ch\u00ednh - Healthcliner<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/healthcliner.com\/vi\/tam-than-phan-liet-roi-loan-nhan-thuc-chinh\/\" \/>\n<meta property=\"og:locale\" content=\"vi_VN\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"T\u00e2m th\u1ea7n ph\u00e2n li\u1ec7t: R\u1ed1i lo\u1ea1n nh\u1eadn th\u1ee9c ch\u00ednh - Healthcliner\" \/>\n<meta property=\"og:description\" content=\"T\u00e2m th\u1ea7n ph\u00e2n li\u1ec7t l\u00e0 m\u1ed9t b\u1ec7nh t\u00e2m th\u1ea7n ph\u1ee9c t\u1ea1p, m\u00e3n t\u00ednh \u0111\u01b0\u1ee3c ph\u00e2n bi\u1ec7t b\u1edfi nhi\u1ec1u tri\u1ec7u ch\u1ee9ng, bao g\u1ed3m \u1ea3o t\u01b0\u1edfng, \u1ea3o gi\u00e1c, l\u1eddi n\u00f3i ho\u1eb7c h\u00e0nh vi kh\u00f4ng c\u00f3 t\u1ed5 ch\u1ee9c v\u00e0 kh\u1ea3 n\u0103ng nh\u1eadn th\u1ee9c gi\u1ea3m. 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