M\u1ed9t s\u1ed1 kh\u00e1i qu\u00e1t v\u1ec1 b\u1ec7nh \u0111\u1ed9ng kinh:<\/strong><\/p>\n\n\n\nTheo T\u1ed5 ch\u1ee9c Y t\u1ebf th\u1ebf gi\u1edbi \u0111\u1ed9ng kinh l\u00e0 m\u1ed9t b\u1ec7nh m\u1ea1n t\u00ednh c\u00f3 nhi\u1ec1u nguy\u00ean nh\u00e2n kh\u00e1c nhau, \u0111\u1eb7c tr\u01b0ng l\u00e0 s\u1ef1 l\u1eb7p \u0111i l\u1eb7p l\u1ea1i c\u00e1c c\u01a1n co gi\u1eadt do s\u1ef1 ph\u00f3ng \u0111i\u1ec7n qu\u00e1 m\u1ee9c c\u1ee7a t\u1ebf b\u00e0o th\u1ea7n kinh n\u00e3o b\u1ed9, d\u00f9 cho c\u00e1c tri\u1ec7u ch\u1ee9ng l\u00e2m s\u00e0ng v\u00e0 c\u1eadn l\u00e2m s\u00e0ng k\u1ebft h\u1ee3p c\u00f3 th\u1ec3 kh\u00e1c nhau.<\/p>\n\n\n\n
Y v\u0103n c\u1ed5 \u1ea4n \u0111\u1ed9 (4500 \u2013 1500 tr\u01b0\u1edbc C\u00f4ng nguy\u00ean) m\u00f4 t\u1ea3 \u0111\u1ed9ng kinh l\u00e0 tr\u1ea1ng th\u00e1i \u201capasmara\u201d: apas ngh\u0129a l\u00e0 kh\u00f4ng c\u00f3 ho\u1eb7c ho\u1eb7c m\u1ea5t (\u0111i\u1ec1u g\u00ec \u0111\u00f3); smara ngh\u0129a l\u00e0 \u00fd th\u1ee9c ho\u1eb7c tr\u00ed nh\u1edb. Tuy nhi\u00ean \u0111\u1ebfn c\u00e1c th\u1eddi k\u1ef3 c\u1ed5 \u0111\u1ea1i ti\u1ebfp theo ng\u01b0\u1eddi ta l\u1ea1i cho r\u1eb1ng c\u01a1n co gi\u1eadt \u0111\u1ed9ng kinh l\u00e0 c\u01a1n gi\u1eadn d\u1eef hay kh\u00f4ng h\u00e0i l\u00f2ng c\u1ee7a ch\u00faa tr\u1eddi hay qu\u1ef7 d\u1eef g\u00e2y ra, ng\u01b0\u1eddi ta s\u1ee3 h\u00e3i v\u00e0 m\u00ea t\u00edn\u2026 D\u1ea7n d\u1ea7n ng\u01b0\u1eddi ta t\u00ecm ra \u0111\u01b0\u1ee3c nhi\u1ec1u nguy\u00ean nh\u00e2n g\u00e2y ra c\u01a1n co gi\u1eadt v\u00e0 c\u00e1c thu\u1eadt ng\u1eef ch\u1ec9 c\u00e1c th\u1ec3 lo\u1ea1i \u0111\u1ed9ng kinh ra \u0111\u1eddi. \u0110\u1ebfn th\u1ebf k\u1ef7 XIX c\u00e1c b\u00e1c s\u0129 chuy\u00ean khoa t\u00e2m th\u1ea7n v\u00e0 th\u1ea7n kinh \u0111\u00e3 tranh c\u00e3i nhi\u1ec1u v\u1ec1 b\u1ec7nh \u0111\u1ed9ng kinh v\u00ec c\u00e1c d\u1ea5u hi\u1ec7u v\u00e0 tri\u1ec7u ch\u1ee9ng c\u1ee7a c\u1ea3 hai chuy\u00ean khoa n\u00e0y.<\/p>\n\n\n\n
D\u1ec5 th\u1ea5y nh\u1ea5t l\u00e0 c\u00e1c c\u01a1n co c\u1ee9ng gi\u1eadt tay ch\u00e2n, s\u00f9i b\u1ecdt m\u00e9p, b\u1ea5t t\u1ec9nh do c\u00e1c c\u01a1n ph\u00f3ng \u0111i\u1ec7n qu\u00e1 m\u1ee9c l\u1eb7p \u0111i l\u1eb7p l\u1ea1i c\u1ee7a t\u1ebf b\u00e0o th\u1ea7n kinh n\u00e3o b\u1ed9. \u1ede tr\u1ebb em c\u00f3 th\u00eam c\u00e1c bi\u1ec3u hi\u1ec7n c\u01a1n co gi\u1eadt ri\u00eang bi\u1ec7t. Trong c\u01a1n c\u00f3 th\u1ec3 c\u00f3 nhi\u1ec1u th\u1ec3 lo\u1ea1i c\u01a1n.<\/p>\n\n\n\n
C\u00e1c tri\u1ec7u ch\u1ee9ng bi\u1ec3u hi\u1ec7n c\u01a1n co gi\u1eadt \u0111\u1ed9ng kinh kh\u00e1c nhau t\u00f9y v\u00e0o v\u1ecb tr\u00ed xu\u1ea5t ph\u00e1t c\u00e1c c\u01a1n ph\u00f3ng \u0111i\u1ec7n.<\/p>\n\n\n\n
C\u00f3 nhi\u1ec1u l\u00fd do kh\u00e1c nhau d\u1eabn \u0111\u1ebfn c\u01a1n co gi\u1eadt:
+ Ch\u1ea5n th\u01b0\u01a1ng \u0111\u1ea7u \u1ea3nh h\u01b0\u1edfng n\u00e3o b\u1ed9 trong l\u00fac sinh \u0111\u1ebb,
+ D\u1ecb d\u1ea1ng m\u1ea1ch m\u00e1u trong n\u00e3o,
+ Di ch\u1ee9ng t\u1ed5n th\u01b0\u01a1ng vi\u00eam, nhi\u1ec5m k\u00fd sinh tr\u00f9ng n\u00e3o b\u1ed9,
+ U n\u00e3o,
+ Ch\u1ea5n th\u01b0\u01a1ng s\u1ecd n\u00e3o,
+ Di ch\u1ee9ng sau tai bi\u1ebfn m\u1ea1ch m\u00e1u n\u00e3o
+ V\u00e0 c\u00e1c c\u1ea5u tr\u00fac b\u1ea5t th\u01b0\u1eddng kh\u00e1c \u1edf n\u00e3o b\u1ed9.<\/p>\n\n\n\n
T\u1ef7 l\u1ec7 0,4 \u2013 0,5 % d\u00e2n s\u1ed1. M\u1ed9t s\u1ed1 b\u1ec7nh nh\u00e2n \u0111\u1ed9ng kinh c\u00f3 c\u00e1c bi\u1ec3u l\u1ed9 c\u1ea3m x\u00fac, t\u00ednh c\u00e1ch, h\u00e0nh vi c\u01b0 x\u1eed kh\u00f4ng \u1ed5n \u0111\u1ecbnh v\u00e0 c\u00e1c tri\u1ec7u ch\u1ee9ng t\u00e2m th\u1ea7n.<\/p>\n\n\n\n
M\u00e3 s\u1ed1 ch\u1ea9n \u0111o\u00e1n theo B\u1ea3ng Ph\u00e2n lo\u1ea1i b\u1ec7nh Qu\u1ed1c t\u1ebf: G40 v\u00e0 G41. Theo B\u1ea3ng ph\u00e2n lo\u1ea1i b\u1ec7nh Hoa K\u1ef3 l\u00e0 345.<\/p>\n\n\n\n
Ch\u1ea9n \u0111o\u00e1n<\/strong><\/p>\n\n\n\nD\u1ef1a tr\u00ean c\u00e1c tri\u1ec7u ch\u1ee9ng kh\u00e1 \u0111\u1eb7c tr\u01b0ng c\u1ee7a t\u1eebng lo\u1ea1i c\u01a1n co gi\u1eadt. Ng\u01b0\u1eddi th\u00e2n c\u1ea7n quan s\u00e1t v\u00e0 m\u00f4 t\u1ea3 \u0111\u00fang ngay t\u1eeb khi b\u1eaft \u0111\u1ea7u xu\u1ea5t hi\u1ec7n. D\u01b0\u1edbi d\u00e2y l\u00e0 m\u1ed9t s\u1ed1 th\u1ec3 lo\u1ea1i c\u01a1n hay g\u1eb7p:
+ \u0110\u1ed9ng kinh c\u01a1n l\u1edbn: \u0111\u1ed9t ng\u1ed9t b\u1ea5t t\u1ec9nh, t\u00e9 ng\u00e3, th\u1edf r\u00edt l\u00ean, tay ch\u00e2n du\u1ed7i g\u1ed3ng c\u1ee9ng \u0111\u1edd, t\u00edm m\u00f4i v\u00ec ng\u01b0ng th\u1edf, hai h\u00e0m r\u0103ng c\u1eafn ch\u1eb7t d\u1ec5 ch\u1ea3y m\u00e1u l\u01b0\u1ee1i. Ti\u1ebfp theo l\u00e0 co gi\u1eadt c\u00e1c c\u01a1, \u00e9p ng\u1ef1c kh\u00f3 th\u1edf, s\u00f9i b\u1ecdt m\u00e9p m\u1eaft nh\u1ea5p nh\u00e1y, tr\u00f2ng m\u1eaft tr\u1ee3n ng\u01b0\u1ee3c, b\u1edbt co gi\u1eadt r\u1ed3i ng\u01b0ng h\u1eb3n. Sau \u0111\u00f3 b\u1ec7nh nh\u00e2n m\u00ea \u0111i, g\u1ecdi h\u1ecfi kh\u00f4ng bi\u1ebft nh\u01b0ng d\u1ea7n d\u1ea7n t\u1ec9nh l\u1ea1i v\u00e0 kh\u00f4ng nh\u1edb c\u01a1n co gi\u1eadt \u0111\u00e3 x\u1ea3y ra ( c\u00f3 b\u1ec7nh nh\u00e2n ng\u1ee7 say l\u00fac t\u1ec9nh l\u1ea1i than \u0111au \u0111\u1ea7u nh\u1ee9c m\u1ecfi ).
+ C\u01a1n v\u1eafng \u00fd th\u1ee9c: x\u1ea3y ra nhanh, hay g\u1eb7p \u1edf tr\u1ebb em g\u00e1i, th\u01b0\u1eddng do ng\u01b0\u1eddi th\u00e2n ph\u00e1t hi\u1ec7n: t\u1ef1 nhi\u00ean nh\u00ecn \u0111\u1edd \u0111\u1eabn, s\u1eafc m\u1eb7t t\u00e1i, ch\u00e9p l\u01b0\u1ee1i nhai nu\u1ed1t v\u00e0i l\u1ea7n, r\u1edbt \u0111\u1ed3 \u0111ang c\u1ea7m, n\u1ebfu \u0111ang vi\u1ebft th\u00ec ch\u1eef x\u1ea5u \u0111i kh\u00f3 \u0111\u1ecdc. Kh\u00f4ng t\u00e9 ng\u00e3 nh\u01b0ng c\u00f3 th\u1ec3 gi\u1eadt tr\u00f2ng m\u1eaft. C\u00f3 th\u1ec3 t\u1ef1 h\u1ebft hay di\u1ec5n ti\u1ebfn th\u00e0nh \u0111\u1ed9ng kinh c\u01a1n l\u1edbn ho\u1eb7c k\u1ebft h\u1ee3p c\u1ea3 hai. S\u00f3ng \u0111i\u1ec7n n\u00e3o \u0111\u1eb7c tr\u01b0ng v\u1edbi ph\u1ee9c h\u1ee3p m\u0169i nh\u1ecdn & s\u00f3ng nh\u1ecbp nh\u00e0ng \u0111\u1ed3ng b\u1ed9 hai b\u00e1n c\u1ea7u.
C\u01a1n v\u1eafng \u00fd th\u1ee9c kh\u00f4ng \u0111i\u1ec3n h\u00ecnh ( k\u1ebft h\u1ee3p v\u1edbi lo\u1ea1i c\u01a1n \u0111\u1ed9ng kinh kh\u00e1c, h\u1ed9i ch\u1ee9ng Lennox \u2013 Gastaut ) hay g\u1eb7p \u1edf tr\u1ebb em trai, di ch\u1ee9ng tr\u00ed tu\u1ec7 k\u00e9m v\u00e0 d\u1ec5 thay \u0111\u1ed5i t\u00ednh n\u1ebft.
+ H\u1ed9i ch\u1ee9ng West: hay g\u1eb7p \u1edf tr\u1ebb nh\u1ecf d\u01b0\u1edbi m\u1ed9t tu\u1ed5i, nam nhi\u1ec1u h\u01a1n n\u1eef: l\u00fac th\u1ee9c gi\u1ea5c \u0111\u1ed9t nhi\u00ean g\u1ee5c \u0111\u1ea7u g\u1eadp than m\u00ecnh, hai tay du\u1ed7i ra tr\u01b0\u1edbc r\u1ed3i nhanh ch\u00f3ng t\u1ec9nh l\u1ea1i. C\u01a1n x\u1ea3y ra nhi\u1ec1u l\u1ea7n trong ng\u00e0y, ch\u1eadm kh\u00f4n l\u1edbn r\u00f5, \u0111i\u1ec7n n\u00e3o \u0111\u1ed3 hypsarrythmie \u0111\u1eb7c tr\u01b0ng.
+ \u0110i\u1ec7n n\u00e3o \u0111\u1ed3 (EEG) h\u1ed7 tr\u1ee3 ch\u1ea9n \u0111o\u00e1n, phim CT. MRI c\u1ea7n thi\u1ebft \u0111\u1ec3 t\u00ecm v\u00e0 ph\u00e1t hi\u1ec7n c\u00e1c t\u1ed5n th\u01b0\u01a1ng n\u00e3o.
+ C\u00f2n nhi\u1ec1u lo\u1ea1i c\u01a1n co gi\u1eadt kh\u00e1c \u0111\u01b0\u1ee3c m\u00f4 t\u1ea3 chi ti\u1ebft trong B\u1ea3ng ph\u00e2n lo\u1ea1i qu\u1ed1c t\u1ebf v\u1ec1 \u0111\u1ed9ng kinh.<\/p>\n\n\n\n
C\u1ea7n bi\u1ebft ph\u00e2n bi\u1ec7t c\u00e1c c\u01a1n co gi\u1eadt kh\u00f4ng \u0111\u1ed9ng kinh (t\u00e9tanie, h\u1ea1 \u0111\u01b0\u1eddng huy\u1ebft, s\u1ed1t cao co gi\u1eadt \u1edf tr\u1ebb em, ng\u1ed9 \u0111\u1ed9c m\u1ed9t s\u1ed1 lo\u1ea1i h\u00f3a ch\u1ea5t, \u2026).<\/p>\n\n\n\n
Nh\u1eefng l\u01b0u \u00fd c\u1ea7n bi\u1ebft<\/strong><\/p>\n\n\n\nB\u1ec7nh nh\u00e2n \u0111\u1ed9ng kinh c\u00f3 gi\u1ea3m s\u00fat tr\u00ed tu\u1ec7 hay kh\u00f4ng do t\u1ed5n th\u01b0\u01a1ng n\u00e3o b\u1ed9 \u1ea3nh h\u01b0\u1eddng c\u00e1c trung khu th\u1ea7n kinh cao c\u1ea5p.<\/p>\n\n\n\n
Ng\u01b0\u1eddi b\u1ec7nh \u0111\u1ed9ng kinh l\u00e2u ng\u00e0y d\u1ec5 n\u1ed5i gi\u1eadn, c\u1ed9c t\u00ednh v\u00e0 \u201cgh\u00e9t l\u00e2u, th\u00f9 dai\u201d, m\u1ed9t s\u1ed1 \u00edt tr\u01b0\u1eddng h\u1ee3p c\u00f3 h\u00e0nh vi v\u00f4 \u00fd sau c\u01a1n co gi\u1eadt.<\/p>\n\n\n\n
Ch\u00fa \u00fd ph\u00e1t hi\u1ec7n c\u00e1c b\u1ec7nh l\u00fd c\u01a1 th\u1ec3 k\u00e8m theo v\u00ec b\u1ec7nh nh\u00e2n \u201ckh\u00f4ng bi\u1ebft c\u00e1ch n\u00f3i ra\u201d v\u00e0 v\u00ec th\u00f3i quen \u201cxa c\u00e1ch\u201d ng\u01b0\u1eddi \u0111\u1ed9ng kinh.<\/p>\n\n\n\n
\u1ede m\u1ed9t s\u1ed1 ph\u1ee5 n\u1eef, c\u01a1n co gi\u1eadt \u0111\u1ed9ng kinh c\u00f3 li\u00ean quan chu k\u1ef3 kinh nguy\u1ec7t.<\/p>\n\n\n\n
Theo d\u00f5i hi\u1ec7u qu\u1ea3 \u0111i\u1ec1u tr\u1ecb: s\u1ed1 c\u01a1n co gi\u1eadt m\u1ed7i ng\u00e0y, hay h\u00e0ng tu\u1ea7n, h\u00e0ng th\u00e1ng v\u00e0 c\u00e1c bi\u1ec3u hi\u1ec7n c\u1ea3i thi\u1ec7n ch\u1ea5t l\u01b0\u1ee3ng cu\u1ed9c s\u1ed1ng \u1edf b\u1ec7nh nh\u00e2n \u0111\u1ed9ng kinh. T\u1ea1o \u0111i\u1ec1u ki\u1ec7n ng\u01b0\u1eddi b\u1ec7nh sinh ho\u1ea1t, gi\u00fap \u0111\u1ee1 c\u00f9ng l\u00e0m vi\u1ec7c ph\u00f9 h\u1ee3p, tr\u00e1nh m\u1eb7c c\u1ea3m ph\u00e2n bi\u1ec7t \u0111\u1ed1i x\u1eed.<\/p>\n\n\n\n
Ng\u01b0\u1eddi th\u00e2n ph\u1ea3i h\u01b0\u1edbng d\u1eabn v\u00e0 gi\u00fap b\u1ec7nh nh\u00e2n tr\u00e1nh c\u00e1c y\u1ebfu t\u1ed1 nguy c\u01a1 xu\u1ea5t hi\u1ec7n c\u01a1n co gi\u1eadt (s\u1ed1t nhi\u1ec5m tr\u00f9ng, r\u1ed1i lo\u1ea1n c\u1ea3m x\u00fac, xung \u0111\u1ed9t gia \u0111\u00ecnh, l\u00e0m vi\u1ec7c qu\u00e1 s\u1ee9c, lo \u00e2u m\u1ea5t ng\u1ee7, u\u1ed1ng r\u01b0\u1ee3u, h\u00fat thu\u1ed1c v.v\u2026 ).<\/p>\n\n\n\n
Ng\u01b0\u1eddi th\u00e2n c\u1ea7n b\u1ea3o qu\u1ea3n thu\u1ed1c, nh\u1eafc nh\u1edf b\u1ec7nh nh\u00e2n u\u1ed1ng thu\u1ed1c \u0111\u00fang theo toa.<\/p>\n\n\n\n
Kh\u00e1m, \u0111i\u1ec1u tr\u1ecb v\u00e0 m\u1ed9t s\u1ed1 khuy\u1ebfn c\u00e1o:<\/strong><\/p>\n\n\n\nB\u1ec7nh \u0111\u1ed9ng kinh thu\u1ed9c chuy\u00ean khoa n\u1ed9i th\u1ea7n kinh. Tuy nhi\u00ean cho \u0111\u1ebfn nay ng\u00e0nh t\u00e2m th\u1ea7n v\u1eabn qu\u1ea3n l\u00fd v\u00e0 \u0111i\u1ec1u tr\u1ecb ngo\u1ea1i tr\u00fa b\u1ec7nh \u0111\u1ed9ng kinh, c\u00e1c b\u00e1c s\u0129 chuy\u00ean khoa t\u00e2m th\u1ea7n v\u1eabn \u0111\u01b0\u1ee3c trang b\u1ecb ki\u1ebfn th\u1ee9c v\u1ec1 b\u1ec7nh \u0111\u1ed9ng kinh. T\u1ea1i B\u1ec7nh Vi\u1ec7n T\u00e2m Th\u1ea7n TP H\u1ed3 Ch\u00ed Minh s\u1ed1 l\u01b0\u1ee3ng tr\u1ebb em \u0111\u1ed9ng kinh kh\u00e1m v\u00e0 \u0111i\u1ec1u tr\u1ecb ngo\u1ea1i tr\u00fa kho\u1ea3ng 30 \u2013 40 %, ng\u01b0\u1eddi l\u1edbn kho\u1ea3ng 15 \u2013 20 %.<\/p>\n\n\n\n
C\u00e1c bi\u1ec3u hi\u1ec7n t\u00e2m th\u1ea7n \u1edf b\u1ec7nh nh\u00e2n \u0111\u1ed9ng kinh kh\u00e1 ph\u1ee9c t\u1ea1p v\u00e0 ph\u1ee5 thu\u1ed9c v\u00e0o nguy\u00ean nh\u00e2n b\u1ec7nh sinh nh\u01b0 \u1ed5 \u0111\u1ed9ng kinh, s\u1ef1 ch\u1ed3ng ch\u00e9o c\u1ee7a c\u00e1c y\u1ebfu t\u1ed1 t\u00e2m l\u00fd x\u00e3 h\u1ed9i (s\u1ef1 k\u1ef3 th\u1ecb, ph\u00e2n bi\u1ec7t \u0111\u1ed1i x\u1eed, c\u00e1c quan ni\u1ec7m sai tr\u00e1i kh\u00e1c) v\u00e0 c\u1ea3 hi\u1ec7u qu\u1ea3 tr\u1ef1c ti\u1ebfp, gi\u00e1n ti\u1ebfp c\u1ee7a thu\u1ed1c ch\u1ed1ng \u0111\u1ed9ng kinh.<\/p>\n\n\n\n
\u0110i\u1ec1u tr\u1ecb s\u1edbm ngay sau khi c\u00f3 ch\u1ea9n \u0111o\u00e1n. Li\u1ec1u l\u01b0\u1ee3ng thu\u1ed1c t\u00ednh theo c\u00e2n n\u1eb7ng, tr\u1ebb em kh\u00e1c ng\u01b0\u1eddi l\u1edbn.<\/p>\n\n\n\n
M\u1ed9t s\u1ed1 thu\u1ed1c ch\u1ed1ng \u0111\u1ed9ng kinh ph\u1ed5 bi\u1ebfn:
+ Phenobarbital
+ Carbamazepine
+ Hydantoine
+ Valprate de sodium<\/p>\n\n\n\n
C\u00e1c lo\u1ea1i thu\u1ed1c tr\u00ean \u0111\u1ec1u c\u00f3 hi\u1ec7u qu\u1ea3 n\u1ebfu ch\u00fang ta d\u00f9ng ph\u00f9 h\u1ee3p v\u1edbi ch\u1ea9n \u0111o\u00e1n th\u1ec3 lo\u1ea1i c\u01a1n co gi\u1eadt \u0111\u1ed9ng kinh. C\u0169ng c\u00f3 t\u1ef7 l\u1ec7 nh\u1ea5t \u0111\u1ecbnh b\u1ec7nh nh\u00e2n \u0111\u1ed9ng kinh \u00edt \u0111\u00e1p \u1ee9ng v\u1edbi \u0111i\u1ec1u tr\u1ecb (c\u00f2n g\u1ecdi l\u00e0 \u0111\u1ed9ng kinh kh\u00f3 tr\u1ecb). \u1ede t\u1eebng b\u1ec7nh nh\u00e2n \u0111\u1ed9ng kinh kh\u00f3 tr\u1ecb c\u1ea7n \u0111\u01b0\u1ee3c xem x\u00e9t \u0111\u1ea7y \u0111\u1ee7 c\u00e1c y\u1ebfu t\u1ed1 nh\u01b0 ch\u1ea9n \u0111o\u00e1n b\u1ecf s\u00f3t th\u1ec3 lo\u1ea1i c\u01a1n, th\u1eddi gian v\u00e0 li\u1ec1u l\u01b0\u1ee3ng v\u00e0 thu\u1ed1c, b\u1ec7nh l\u00fd kh\u00e1c k\u00e8m theo \u0111\u1eb7c bi\u1ec7t l\u00e0 v\u1ec1 t\u00e2m th\u1ea7n v\u00e0 tr\u1ea1ng th\u00e1i t\u00e2m l\u00fd. Tr\u01b0\u1eddng h\u1ee3p n\u00e0y c\u00e1c b\u00e1c s\u0129 chuy\u00ean khoa s\u1ebd k\u1ebft h\u1ee3p thu\u1ed1c theo khuy\u1ebfn c\u00e1o t\u1eeb k\u1ebft qu\u1ea3 c\u00e1c nghi\u00ean c\u1ee9u qu\u1ed1c t\u1ebf c\u1eadp nh\u1eadt \u0111\u01b0\u1ee3c, t\u1eeb ki\u1ebfn th\u1ee9c d\u01b0\u1ee3c \u0111\u1ed9ng h\u1ecdc, t\u00e2m l\u00fd h\u1ecdc\u2026 Hi\u1ec7n nay c\u00f3 nhi\u1ec1u lo\u1ea1i thu\u1ed1c ch\u1ed1ng \u0111\u1ed9ng kinh kh\u00e1c \u0111\u01b0\u1ee3c xem l\u00e0 hi\u1ec7u qu\u1ea3 v\u00e0 \u00edt t\u00e1c d\u1ee5ng ph\u1ee5 h\u01a1n nh\u01b0ng gi\u00e1 th\u00e0nh cao.<\/p>\n\n\n\n
S\u1eed d\u1ee5ng thu\u1ed1c ch\u1ed1ng \u0111\u1ed9ng kinh ph\u1ea3i t\u00ednh \u0111\u1ebfn c\u00e1c y\u1ebfu t\u1ed1 an to\u00e0n, hi\u1ec7u qu\u1ea3, h\u1ee3p l\u00fd, kh\u1ea3 n\u0103ng kinh t\u1ebf c\u1ee7a ng\u01b0\u1eddi b\u1ec7nh v\u00e0 gia \u0111\u00ecnh v\u00ec th\u1eddi gian thu\u1ed1c u\u1ed1ng k\u00e9o d\u00e0i nhi\u1ec1u n\u0103m. B\u00e1c s\u0129 \u0111i\u1ec1u tr\u1ecb ph\u1ea3i th\u00f4ng b\u00e1o k\u1ef9 l\u01b0\u1ee1ng cho th\u00e2n nh\u00e2n v\u00e0 ng\u01b0\u1eddi b\u1ec7nh, ng\u01b0\u1ee3c l\u1ea1i th\u00e2n nh\u00e2n v\u00e0 ng\u01b0\u1eddi b\u1ec7nh c\u0169ng n\u00ean \u201ct\u01b0 v\u1ea5n\u201d b\u00e1c s\u0129 v\u1ec1 ch\u0103m s\u00f3c b\u1ec7nh nh\u00e2n \u0111\u1ed9ng kinh. N\u00ean ki\u1ec3m tra \u0111\u1ecbnh k\u1ef3 c\u00e1c ch\u1ee9c n\u0103ng gan, th\u1eadn.<\/p>\n\n\n\n
L\u01b0u \u00fd c\u00e1c khuy\u1ebfn c\u00e1o t\u00e1c \u0111\u1ed9ng trong qu\u00e1 tr\u00ecnh h\u00ecnh th\u00e0nh v\u00e0 ph\u00e1t tri\u1ec3n thai nhi.<\/p>\n\n\n\n
Th\u1eddi gian \u0111i\u1ec1u tr\u1ecb k\u00e9o d\u00e0i. Khi kh\u00f4ng c\u00f2n c\u01a1n co gi\u1eadt ph\u1ea3i duy tr\u00ec li\u1ec1u \u0111ang d\u00f9ng trong th\u1eddi gian 2 n\u0103m (hi\u1ec7n nay th\u1eddi gian n\u00e0y \u0111\u01b0\u1ee3c khuy\u1ebfn c\u00e1o k\u00e9o d\u00e0i h\u01a1n), sau th\u1eddi gian n\u00e0y b\u1eaft \u0111\u1ea7u gi\u1ea3m li\u1ec1u l\u01b0\u1ee3ng t\u1eebng \u0111\u1ee3t n\u1ebfu kh\u00f4ng t\u00e1i xu\u1ea5t hi\u1ec7n c\u01a1n co gi\u1eadt.<\/p>\n\n\n\n
Kh\u00f4ng bao gi\u1edd t\u1ef1 \u00fd ng\u01b0ng u\u1ed1ng thu\u1ed1c ch\u1ed1ng \u0111\u1ed9ng kinh v\u00ec \u0111\u00e2y l\u00e0 m\u1ed9t trong nh\u1eefng nguy\u00ean nh\u00e2n ch\u00ednh g\u00e2y tr\u1ea1ng th\u00e1i \u0111\u1ed9ng kinh li\u00ean t\u1ee5c.<\/p>\n\n\n\n
X\u1eed l\u00fd c\u01a1n co gi\u1eadt:<\/strong><\/p>\n\n\n\nNhanh ch\u00f3ng d\u00f9ng v\u1eadt d\u1ee5ng th\u00edch h\u1ee3p \u0111\u1eb7t gi\u1eefa 2 h\u00e0m r\u0103ng tr\u00e1nh ng\u01b0\u1eddi b\u1ec7nh c\u1eafn l\u01b0\u1ee1i, gi\u1eef \u0111\u1ea7u nghi\u00eang sang m\u1ed9t b\u00ean \u0111\u1ed3ng th\u1eddi n\u1edbi l\u1ecfng qu\u1ea7n \u00e1o ng\u01b0\u1eddi b\u1ec7nh., tr\u1ef1c ti\u1ebfp gi\u1eef t\u01b0 th\u1ebf ng\u01b0\u1eddi b\u1ec7nh tho\u1ea3i m\u00e1i, kh\u00f4ng c\u1ed1 \u0111\u1ecbnh qu\u00e1 ch\u1eb7t. Chuy\u1ec3n t\u1edbi Khoa C\u1ea5p c\u1ee9u b\u1ec7nh vi\u1ec7n g\u1ea7n nh\u1ea5t.<\/p>\n\n\n\n
Kh\u00f4ng v\u1eaft n\u01b0\u1edbc chanh nh\u1ecf v\u00e0o mi\u1ec7ng b\u1ec7nh nh\u00e2n v\u00ec kh\u00f4ng c\u00f3 t\u00e1c d\u1ee5ng c\u1eaft c\u01a1n v\u00e0 n\u01b0\u1edbc chanh s\u1ebd ch\u1ea3y v\u00e0o kh\u00ed qu\u1ea3n g\u00e2y kh\u00f3 th\u1edf. H\u00fat, lau \u0111\u00e0m nh\u1edbt.<\/p>\n\n\n\n
Theo d\u00f5i \u201ctr\u00f4ng ch\u1eebng li\u00ean t\u1ee5c\u201d, r\u1ea5t c\u1ea7n ti\u1ebfp x\u00fac th\u00e2n m\u1eadt ngay sau khi ng\u01b0\u1eddi b\u1ec7nh ra kh\u1ecfi c\u01a1n co gi\u1eadt v\u00ec l\u00fac n\u00e0y ng\u01b0\u1eddi b\u1ec7nh ch\u01b0a t\u1ec9nh h\u1eb3n d\u1ec5 c\u00f3 h\u00e0nh vi v\u00f4 \u00fd g\u00e2y nguy hi\u1ec3m v\u00e0 t\u1ea1o ra c\u1ea3m gi\u00e1c an to\u00e0n h\u1ebft \u0111au \u0111\u1edbn s\u1ee3 s\u1ec7t v\u00e0 b\u1ea5t h\u1ea1nh.<\/p>\n\n\n\n
N\u1ebfu c\u01a1n co gi\u1eadt x\u1ea3y ra li\u00ean t\u1ee5c (\u0111\u1ed9ng kinh li\u00ean t\u1ee5c ) ph\u1ea3i \u0111i\u1ec1u tr\u1ecb c\u1ea5p c\u1ee9u t\u1ea1i c\u00e1c b\u1ec7nh vi\u1ec7n c\u00f3 chuy\u00ean khoa v\u00e0 \u0111\u1ea7y \u0111\u1ee7 trang thi\u1ebft b\u1ecb c\u1ea5p c\u1ee9u.<\/p>\n\n\n\n
T\u00e0i li\u1ec7u tham kh\u1ea3o:<\/strong><\/p>\n\n\n\n1. Harry W. Mc Connell,M.D., F.R.C.P.C., and Peter J. Snyder, Ph.D. Psychiatric Comorbidity in Epilepsy. Basic Mechanismes Diagnosis and Treatment. American Psychiatric Press, Inc. 1998.<\/em>
2. Jerome Engel. Jr. MD, PhD. Timothy A.Pedley. MD. EPILEPSY A Comprehensive Textbook. Second Edition. Lippincott Williams & Wilkins. Philadelphia. 2008.<\/em>
3. B\u1ed9 m\u00f4n t\u00e2m th\u1ea7n. Tr\u01b0\u1eddng \u0110\u1ea1i H\u1ecdc Y D\u01b0\u1ee3c TP H\u1ed3 Ch\u00ed Minh. T\u00c2M TH\u1ea6N H\u1eccC. L\u01b0u h\u00e0nh n\u1ed9i b\u1ed9. 1997.<\/em><\/p>\n\n\n\nBs Ph\u1ea1m V\u0103n Tr\u1ee5 BV T\u00e2m Th\u1ea7n TP H\u1ed2 CH\u00cd MINH<\/em><\/p>\n\n\n\n<\/p>\n","protected":false},"excerpt":{"rendered":"
M\u1ed9t s\u1ed1 kh\u00e1i qu\u00e1t v\u1ec1 b\u1ec7nh \u0111\u1ed9ng kinh: Theo T\u1ed5 ch\u1ee9c Y t\u1ebf th\u1ebf gi\u1edbi \u0111\u1ed9ng kinh l\u00e0 m\u1ed9t b\u1ec7nh […]<\/p>\n","protected":false},"author":4,"featured_media":5249,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_lmt_disableupdate":"","_lmt_disable":""},"categories":[109],"tags":[110],"yoast_head":"\n
M\u1ed9t s\u1ed1 \u0111i\u1ec1u c\u1ea7n bi\u1ebft v\u1ec1 b\u1ec7nh \u0111\u1ed9ng kinh - Tr\u01b0\u1eddng \u0110\u1ea1i h\u1ecdc Qu\u1ed1c t\u1ebf H\u1ed3ng B\u00e0ng<\/title>\n\n\n\n\n\n\n\n\n\n\n\n\t\n\t\n\t\n\n