Suy nhuoc than kinh benh de nham

Tags: suy nhuoc than kinh, benh vien tam than, anh huong khong tot, loan than kinh, benh nhan, bac si, tram cam, roi loan, lo au, trieu chung, de, kham, thuoc, nang, so


Neu co nhung bieu hien suy nhuoc than kinh, benh nhan nen di kham va tu van tai cac benh vien tam than. Khi dieu tri, can tuan thu huong dan cua bac si de hoi phuc trang thai binh thuong, tranh de anh huong khong tot den suc khoe va khien benh nhan mat kha nang lao dong.

“Dong bon” cua suy nhuoc than kinh

Suy nhuoc than kinh benh de nham

Suy nhuoc than kinh la ten goi chung cua cac benh thuoc nhom loan than kinh, bao gom mot so benh sau:
Stress: khi bi stress nhe, ke ca nang ma chung ta vuot qua duoc, thi chung ta da duoc “trui ren” tro nen cung cap, can dam trong cuoc song. Truong hop nay, stress co loi. Khi stress nang hoac xay ra nhieu lan ma chung ta khong vuot qua duoc thi rat de dan den cac phan ung tram cam trong thoi gian ngan, phan ung tram cam keo dai hay vua lo au vua tram cam…

Roi loan lo au: la dang benh gap nhieu nhat trong nhom benh suy nhuoc than kinh. Benh nhan tu nhien co cam giac lo so ma khong co nguyen nhan ro rang. Thuc te la so nguoi di bac si kham vi lo au ngay mot gia tang. Tuy nhien khong phai ai cung di dung chuyen khoa tam than. Vi mot so benh nhan cho minh bi benh than kinh nen thuong kham bac si chuyen khoa than kinh truoc. Nen nho than kinh va tam than la hai chuyen khoa hoan toan khac nhau. Ngoai ra, vi trieu chung de thay va thay som nhat la hoi hop danh trong nguc (lo vo co) nen so luong benh nhan di kham bac si… tim mach cung nhieu va doi khi duoc chan doan la roi loan than kinh tim hoac roi loan chuc nang than kinh tim. Chi den khi cac trieu chung tren keo dai va chua duoc dung dung thuoc chuyen khoa nen benh khong giam, thi luc nay moi di kham bac si chuyen khoa tam than. Cac roi loan lo au gom nhieu loai khac nhau nhu: lo au lan toa, con hoang loan, lo au va tram cam hon hop… Neu cac trieu chung lo au hien dien cung luc voi cac trieu chung tram cam thi cac bac si chuyen khoa tam than co khuynh huong chan doan la tram cam. Nhu vay, co the hieu suy nhuoc than kinh co ca tram cam.

Tram cam: bieu hien bang cac trieu chung: buon chan, mat ngu, but rut hoac re ra, thieu hut nang luong de lam viec, cam thay vo dung, hay nghi toi cai chet… Trieu chung co the bieu hien tung luc khac nhau, hoac sau mot giai doan roi loan tam than khac. Co nguoi chi xuat hien mot con tram cam, muc do co ca nang va trung binh. Con tram cam nang co tieu chuan chan doan rat ro rang va co ca nguy co tu tu.

Benh roi loan thuc the hoa: khi bi lo au keo dai, chua khong het, xuat hien cac trieu chung dau “khong cu the” o cac co quan trong co the, nhieu nhat la dau tim vung truoc nguc, dau da day vung thuong vi, tham chi “dau gia nhu co benh thiet”. Bac si cho lam cac xet nghiem nhu: chup X-quang, CT-Scanner, MRI, noi soi (ke ca noi soi hien dai) cung khong phat hien ton thuong dac hieu. Day la benh “roi loan thuc the hoa”, cung la mot benh thuoc linh vuc suy nhuoc than kinh.

Nhung benh tren neu khong chua tri se dan den suc khoe kem, tham chi kiet suc, bat an, lo lang cho cuoc song ban than va gia dinh. Noi cach khac la dan den tram cam lo au. Trang thai tram cam khong chua tri, cac trieu chung se nang them, cam giac vo dung, toi loi va y nghi chet choc tang len, rat de dan den tu tu. Cac roi loan am anh khac de dan den nghien ruou va nghien cac thuoc an than do tu dieu tri… Cuoi cung benh nhan co nguy co mat kha nang lao dong va tinh trang nay lai lam nang them cac dien tien tren.

Lam gi khi bi suy nhuoc than kinh?

Neu khong chua tri se dan den suc khoe kem, tham chi kiet suc, bat an, lo lang cho cuoc song ban than va gia dinh. Noi cach khac la dan den tram cam lo au. Trang thai tram cam khong chua tri, cac trieu chung se nang them, cam giac vo dung, toi loi va y nghi chet choc tang len, rat de dan den tu tu.

Khi nghi ngo co bieu hien cua suy nhuoc than kinh, benh nhan nen den kham o cac benh vien tam than, khoa tam than trong cac benh vien, cac phong kham tam than quan huyen. Truoc kia benh vien Tam than TP.HCM va cac benh vien tam than khac la nhung noi chuyen chua tri cho nhung benh nhan tam than phan liet ma chung ta hay goi la benh “dien”. Nhung hien nay, cac benh vien nay deu chua tri cho tat ca cac dang benh tam than khac. Mot dieu duoc ghi nhan la so luong benh nhan bi cac roi loan thuoc suy nhuoc than kinh nhieu hon loan than. Ben canh do, kinh nghiem phat hien benh cua cac bac si chuyen khoa tam than ngay cang nhieu va cac loai thuoc chuyen tri cung du dap ung. Ngoai ra, benh nhan con co the den tu van tai cac benh vien tam than.

Khi dung thuoc, benh nhan can theo dung toa bac si. Khong tu uong thuoc, khong nghe theo benh nhan khac, vi mot so thuoc chua suy nhuoc than kinh co kha nang gay nghien. Benh nhan nen chu y loi dan cua bac si va bao ngay bac si neu co bieu hien bat thuong do tac dung phu cua thuoc hay do khong “hap thuoc”.

Phong ngua bang loi song lanh manh, lac quan

Chung ta co the phong ngua suy nhuoc than kinh bang loi song lanh manh nhu: dinh duong hop ly, ngu du giac, tap the duc, tranh lam dung ruou bia, tranh su dung thuoc kich thich… Biet luong suc minh, khong nen dat tham vong thu thach qua cao ma ban than khong the thuc hien duoc. Hoc hoi ban be, quan he coi mo. Tranh ich ky, thu han. Nen noi ra tinh trang buon phien, lo lang hay tinh trang suy nhuoc (co the va than kinh) voi nguoi than can hoac ai do ma chung ta tin tuong.

BS Pham Van Tru

Phan biet voi suy nhuoc co the

Suy nhuoc co the va suy nhuoc than kinh la hai ten goi ma chung ta thuong duoc nghe noi toi. Tuy nhien khong phai ai cung hieu ro duoc hai ten goi nay. Hieu va goi ten cho dung la rat can thiet de benh duoc phat hien va dua di kham chuyen khoa som.

Suy nhuoc co the la cach goi tuong doi pho bien trong dan chung khi noi ve tinh trang suc khoe bi suy giam trong mot thoi gian dai, co the yeu hon truoc, an khong ngon, ngu it, khong lam duoc nhieu viec, mau met, than sac kem, het hang hai…

Suy nhuoc than kinh la ten goi chung duoc chan doan sau khi khong du nhung trieu chung chu yeu de xac dinh cac benh roi loan than kinh khac nhu: lo au, am anh so, xung dong am anh (con am anh so qua muc), cac phan ung voi tinh trang stress … Nhu vay suy nhuoc than kinh la mot ten goi chung cho cac benh loan than kinh khi cac benh nay chua du tieu chuan de chan doan va co trong bang phan loai benh tam than cua to chuc Suc khoe the gioi. 

 

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