{"id":4878,"date":"2018-07-25T11:33:56","date_gmt":"2018-07-25T04:33:56","guid":{"rendered":"https:\/\/yhoccongdong.org\/du-an-khac\/2018\/07\/25\/loan-truong-luc-co-va-loan-truong-luc-co-co\/"},"modified":"2024-03-17T03:42:20","modified_gmt":"2024-03-16T20:42:20","slug":"loan-truong-luc-co-va-loan-truong-luc-co-co","status":"publish","type":"post","link":"https:\/\/yhoccongdong.com\/du-an-khac\/loan-truong-luc-co-va-loan-truong-luc-co-co\/","title":{"rendered":"Lo\u1ea1n tr\u01b0\u01a1ng l\u1ef1c c\u01a1 v\u00e0 lo\u1ea1n tr\u01b0\u01a1ng l\u1ef1c c\u01a1 c\u1ed5"},"content":{"rendered":"<h2 id=\"loan-truong-luc-co-la-gi\">Lo\u1ea1n tr\u01b0\u01a1ng l\u1ef1c c\u01a1 l\u00e0 g\u00ec?<\/h2>\n<p>Lo\u1ea1n tr\u01b0\u01a1ng l\u1ef1c c\u01a1 (dystonia) l\u00e0 <strong>r\u1ed1i lo\u1ea1n v\u1eadn \u0111\u1ed9ng<\/strong> (movement disorders) \u0111\u1eb7c tr\u01b0ng b\u1edfi nh\u1eefng <strong>c\u1eed \u0111\u1ed9ng kh\u00f4ng t\u1ef1 \u00fd<\/strong>, c\u00f3 s\u1ef1 duy tr\u00ec co th\u1eaft c\u01a1 d\u1eabn \u0111\u1ebfn xo\u1eafn v\u1eb7n v\u00e0 c\u00e1c c\u1eed \u0111\u1ed9ng l\u1eb7p \u0111i l\u1eb7p l\u1ea1i, ho\u1eb7c t\u1ea1o n\u00ean nh\u1eefng t\u01b0 th\u1ebf b\u1ea5t th\u01b0\u1eddng.<\/p>\n<p>Lo\u1ea1n tr\u01b0\u01a1ng l\u1ef1c c\u01a1 \u0111\u01b0\u1ee3c ph\u00e2n lo\u1ea1i theo ba c\u00e1ch: theo tu\u1ed5i kh\u1edfi ph\u00e1t, theo v\u00f9ng c\u01a1 th\u1ec3 b\u1ecb \u1ea3nh h\u01b0\u1edfng, v\u00e0 theo nguy\u00ean nh\u00e2n:<\/p>\n<p><strong> Ph\u00e2n lo\u1ea1i theo tu\u1ed5i kh\u1edfi ph\u00e1t b\u1ec7nh <\/strong><\/p>\n<ul>\n<li>Kh\u1edfi ph\u00e1t s\u1edbm (th\u1eddi th\u01a1 \u1ea5u v\u00e0 tu\u1ed5i tr\u1ebb, th\u01b0\u1eddng &lt; 26 tu\u1ed5i).<\/li>\n<li>Kh\u1edfi ph\u00e1t mu\u1ed9n (th\u01b0\u1eddng \u2265 26 tu\u1ed5i).<\/li>\n<\/ul>\n<p><strong> Ph\u00e2n lo\u1ea1i theo ph\u00e2n ph\u1ed1i gi\u1ea3i ph\u1eabu <\/strong><\/p>\n<ul>\n<li>C\u1ee5c b\u1ed9 (ch\u1ec9 li\u00ean quan \u0111\u1ebfn m\u1ed9t v\u00f9ng c\u01a1 th\u1ec3 duy nh\u1ea5t).<\/li>\n<li>M\u1ed9t \u0111o\u1ea1n (li\u00ean quan \u0111\u1ebfn hai ho\u1eb7c nhi\u1ec1u khu v\u1ef1c ti\u1ebfp gi\u00e1p c\u1ee7a c\u01a1 th\u1ec3).<\/li>\n<li>To\u00e0n th\u1ec3 (li\u00ean quan \u0111\u1ebfn \u00edt nh\u1ea5t m\u1ed9t ch\u00e2n, th\u00e2n tr\u1ee5c, v\u00e0 m\u1ed9t v\u00f9ng c\u01a1 th\u1ec3 kh\u00e1c).<\/li>\n<li>\u0110a \u1ed5 (li\u00ean quan \u0111\u1ebfn hai ho\u1eb7c nhi\u1ec1u v\u00f9ng c\u01a1 th\u1ec3 kh\u00f4ng li\u00ean t\u1ee5c).<\/li>\n<li>N\u1eeda ng\u01b0\u1eddi (li\u00ean quan \u0111\u1ebfn m\u1ed9t b\u00ean c\u1ee7a c\u01a1 th\u1ec3).<\/li>\n<\/ul>\n<p><strong> Ph\u00e2n lo\u1ea1i theo nguy\u00ean nh\u00e2n <\/strong><\/p>\n<ul>\n<li>Lo\u1ea1n tr\u01b0\u01a1ng l\u1ef1c c\u01a1 <strong>nguy\u00ean ph\u00e1t<\/strong>: lo\u1ea1n tr\u01b0\u01a1ng l\u1ef1c kh\u00f4ng \u0111i k\u00e8m c\u00e1c b\u1ea5t th\u01b0\u1eddng th\u1ea7n kinh, x\u00e9t nghi\u1ec7m, ho\u1eb7c c\u00e1c b\u1ea5t th\u01b0\u1eddng v\u1ec1 h\u00ecnh \u1ea3nh. Kh\u1edfi ph\u00e1t v\u00e0 ti\u1ebfn tri\u1ec3n c\u1ee7a c\u00e1c tri\u1ec7u ch\u1ee9ng t\u1eeb t\u1eeb v\u00e0 th\u01b0\u1eddng kh\u00f4ng c\u00f3 t\u01b0 th\u1ebf c\u1ed1 \u0111\u1ecbnh. Tuy nhi\u00ean, \u0111\u00f4i khi c\u00f3 th\u1ec3 c\u00f3 hi\u1ec7n t\u01b0\u1ee3ng co r\u00fat \u1edf v\u00f9ng b\u1ecb lo\u1ea1n tr\u01b0\u01a1ng l\u1ef1c c\u01a1 l\u00e2u ng\u00e0y, \u0111\u1eb7c bi\u1ec7t l\u00e0 trong tr\u01b0\u1eddng h\u1ee3p lo\u1ea1n tr\u01b0\u01a1ng l\u1ef1c c\u01a1 hi\u1ec7n di\u1ec7n c\u1ea3 khi ngh\u1ec9 ng\u01a1i l\u1eabn khi v\u1eadn\u00a0 \u0111\u1ed9ng.<\/li>\n<li>Lo\u1ea1n tr\u01b0\u01a1ng l\u1ef1c c\u01a1<strong> th\u1ee9 ph\u00e1t<\/strong>: li\u00ean quan \u0111\u1ebfn m\u1ed9t nguy\u00ean nh\u00e2n m\u1eafc ph\u1ea3i \u0111\u00e3 \u0111\u01b0\u1ee3c bi\u1ebft \u0111\u1ebfn ho\u1eb7c c\u00f3 k\u00e8m c\u00e1c d\u1ea5u hi\u1ec7u th\u1ea7n kinh kh\u00e1c nh\u01b0 y\u1ebfu c\u01a1, co c\u1ee9ng, m\u1ea5t th\u0103ng b\u1eb1ng, c\u1eed \u0111\u1ed9ng b\u1ea5t th\u01b0\u1eddng \u1edf m\u1eaft, b\u1ea5t th\u01b0\u1eddng v\u00f5ng m\u1ea1c, suy gi\u1ea3m nh\u1eadn th\u1ee9c ho\u1eb7c co gi\u1eadt. Lo\u1ea1n tr\u01b0\u01a1ng l\u1ef1c c\u01a1 th\u1ee9 ph\u00e1t th\u01b0\u1eddng ph\u00e1t sinh t\u1eeb m\u1ed9t t\u00ecnh tr\u1ea1ng c\u1ee5 th\u1ec3, ch\u1eb3ng h\u1ea1n nh\u01b0 ng\u1ea1t chu sinh, \u0111\u1ed9t qu\u1ecb n\u00e3o, ch\u1ea5n th\u01b0\u01a1ng, do thu\u1ed1c,\u2026<\/li>\n<\/ul>\n<h2 id=\"loan-truong-luc-co-bieu-hien-nhu-the-nao\">Lo\u1ea1n tr\u01b0\u01a1ng l\u1ef1c c\u01a1 bi\u1ec3u hi\u1ec7n nh\u01b0 th\u1ebf n\u00e0o?<\/h2>\n<p>Nh\u1eefng c\u1eed \u0111\u1ed9ng b\u1ec1n b\u1ec9 c\u1ee7a lo\u1ea1n tr\u01b0\u01a1ng l\u1ef1c c\u01a1 c\u00f3 th\u1ec3 \u0111i k\u00e8m v\u1edbi s\u1ef1 co th\u1eaft qu\u00e1 m\u1ee9c t\u01b0\u01a1ng t\u1ef1 nh\u01b0 run, nh\u01b0ng c\u00f3 th\u1ec3 ph\u00e2n bi\u1ec7t v\u1edbi run v\u00f4 c\u0103n nh\u1edd v\u00e0o h\u01b0\u1edbng c\u1ee7a c\u1eed \u0111\u1ed9ng. Tuy nhi\u00ean, c\u1ea3 hai lo\u1ea1i run n\u00e0y \u0111\u1ec1u c\u00f3 th\u1ec3 c\u00f9ng t\u1ed3n t\u1ea1i.<\/p>\n<p style=\"text-align: center;\"><img decoding=\"async\" style=\"width: 400px; height: 425px;\" src=\"\/\/yhoccongdong.org\/Documents\/935_loan-truong-luc-co.jpg\" alt=\"Lo\u1ea1n tr\u01b0\u01a1ng l\u1ef1c c\u01a1 (DYSTONIA)\" \/><\/p>\n<p><em> <span style=\"line-height: 1.6em;\"> H\u00ecnh A: lo\u1ea1n tr\u01b0\u01a1ng l\u1ef1c c\u01a1 tay c\u1ee7a nh\u00e0 v\u0103n (writer&#8217;s cramp). <\/span> <\/em><\/p>\n<p><em> <span style=\"line-height: 1.6em;\"> H\u00ecnh B: lo\u1ea1n tr\u01b0\u01a1ng l\u1ef1c c\u01a1 c\u1ed5 (cervical dystonia). <\/span> <\/em><\/p>\n<p><em> <span style=\"line-height: 1.6em;\"> H\u00ecnh C: lo\u1ea1n tr\u01b0\u01a1ng l\u1ef1c c\u01a1 to\u00e0n th\u1ec3 (generalized dystonia). <\/span> <\/em><\/p>\n<p><em> <span style=\"line-height: 1.6em;\"> H\u00ecnh D: lo\u1ea1n tr\u01b0\u01a1ng l\u1ef1c c\u01a1 kh\u1edfi ph\u00e1t nhanh k\u00e8m theo h\u1ed9i ch\u1ee9ng Parkinson (Rapid-onset dystonia-parkinsonism). <\/span> <\/em><\/p>\n<p>M\u1ee9c \u0111\u1ed9 nghi\u00eam tr\u1ecdng c\u1ee7a lo\u1ea1n tr\u01b0\u01a1ng l\u1ef1c c\u01a1 thay \u0111\u1ed5i t\u00f9y thu\u1ed9c v\u00e0o ho\u1ea1t \u0111\u1ed9ng v\u00e0 t\u01b0 th\u1ebf c\u1ee7a ng\u01b0\u1eddi b\u1ec7nh. V\u00ed d\u1ee5 nh\u01b0 lo\u1ea1n tr\u01b0\u01a1ng l\u1ef1c c\u01a1 tay c\u1ee7a nh\u00e0 v\u0103n (writer&#8217;s cramp) l\u00e0 m\u1ed9t lo\u1ea1n tr\u01b0\u01a1ng l\u1ef1c c\u01a1 \u1edf b\u00e0n tay v\u00e0 c\u00e1nh tay, ch\u1ec9 hi\u1ec7n di\u1ec7n khi vi\u1ebft ch\u1ee9 kh\u00f4ng ph\u1ea3i trong b\u1ea5t k\u1ef3 ho\u1ea1t \u0111\u1ed9ng kh\u00e1c.<br \/>\n\u0110\u1eb7c \u0111i\u1ec3m hay g\u1eb7p c\u1ee7a lo\u1ea1n tr\u01b0\u01a1ng l\u1ef1c c\u01a1 l\u00e0 \u201cm\u1eb9o c\u1ea3m gi\u00e1c\u201d (sensory trick) ho\u1eb7c &#8220;t\u01b0 th\u1ebf \u0111\u1ed1i v\u1eadn\u201d (antagoniste geste). M\u1eb9o c\u1ea3m gi\u00e1c l\u00e0 m\u1ed9t \u0111\u1ed9ng t\u00e1c (v\u00ed d\u1ee5, kh\u1ebd ch\u1ea1m v\u00e0o ph\u1ea7n c\u01a1 th\u1ec3 b\u1ecb \u1ea3nh h\u01b0\u1edfng) l\u00e0m gi\u1ea3m ho\u1eb7c m\u1ea5t h\u1eb3n c\u00e1c tri\u1ec7u ch\u1ee9ng c\u1ee7a lo\u1ea1n tr\u01b0\u01a1ng l\u1ef1c c\u01a1. N\u00f3 \u0111\u01b0\u1ee3c g\u1eb7p trong kho\u1ea3ng 60% b\u1ec7nh nh\u00e2n. \u1ede m\u1ed9t s\u1ed1 b\u1ec7nh nh\u00e2n, nh\u1eefng m\u1eb9o n\u00e0y c\u00f3 th\u1ec3 c\u00f3 hi\u1ec7u qu\u1ea3 c\u1ea3 khi ch\u1ec9 t\u01b0\u1edfng t\u01b0\u1ee3ng m\u00e0 kh\u00f4ng l\u00e0m.<\/p>\n<h2 id=\"dieu-tri-loan-truong-luc-co-nhu-the-nao\">\u0110i\u1ec1u tr\u1ecb lo\u1ea1n tr\u01b0\u01a1ng l\u1ef1c c\u01a1 nh\u01b0 th\u1ebf n\u00e0o?<\/h2>\n<h3><strong> Thu\u1ed1c u\u1ed1ng <\/strong><\/h3>\n<p><span style=\"line-height: 1.6em;\"> Nhi\u1ec1u lo\u1ea1i thu\u1ed1c u\u1ed1ng \u0111\u00e3 \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng \u0111\u1ec3 \u0111i\u1ec1u tr\u1ecb lo\u1ea1n tr\u01b0\u01a1ng l\u1ef1c c\u01a1, nh\u01b0ng ch\u01b0a \u0111\u01b0\u1ee3c nghi\u00ean c\u1ee9u r\u1ed9ng r\u00e3i trong c\u00e1c th\u1eed nghi\u1ec7m ki\u1ec3m so\u00e1t nghi\u00eam ng\u1eb7t. C\u00e1c b\u1eb1ng ch\u1ee9ng cho th\u1ea5y r\u1eb1ng m\u1ed9t s\u1ed1 lo\u1ea1i thu\u1ed1c c\u00f3 l\u1ee3i \u1edf m\u1ed9t t\u1ec9 l\u1ec7 b\u1ec7nh nh\u00e2n lo\u1ea1n tr\u01b0\u01a1ng l\u1ef1c c\u01a1. Tuy nhi\u00ean, c\u1eeda s\u1ed5 \u0111i\u1ec1u tr\u1ecb cho h\u1ea7u h\u1ebft c\u00e1c lo\u1ea1i thu\u1ed1c l\u00e0 h\u1eb9p, v\u00e0 t\u00e1c d\u1ee5ng ph\u1ee5 th\u01b0\u1eddng l\u00e0m h\u1ea1n ch\u1ebf c\u00e1c l\u1ee3i \u00edch l\u00e2m s\u00e0ng. <\/span><\/p>\n<ul>\n<li><strong> Levodopa<\/strong>: C\u00f3 l\u1ee3i \u1edf nh\u1eefng b\u1ec7nh nh\u00e2n lo\u1ea1n tr\u01b0\u01a1ng l\u1ef1c c\u01a1 \u0111\u00e1p \u1ee9ng dopa (dopa-responsive dystonia- DRD)<\/li>\n<li><strong> Thu\u1ed1c kh\u00e1ng cholinergic<\/strong>: M\u1ed9t s\u1ed1 nghi\u00ean c\u1ee9u cho r\u1eb1ng thu\u1ed1c kh\u00e1ng cholinergic c\u00f3 l\u1ee3i \u1edf nh\u1eefng b\u1ec7nh nh\u00e2n lo\u1ea1n tr\u01b0\u01a1ng l\u1ef1c c\u01a1 c\u1ee5c b\u1ed9 v\u00e0 to\u00e0n th\u1ec3.<\/li>\n<li><strong> Tetrabenazine<\/strong>: B\u1eb1ng ch\u1ee9ng t\u1eeb c\u00e1c th\u1eed nghi\u1ec7m nh\u1ecf v\u00e0 b\u00e1o c\u00e1o h\u00e0ng lo\u1ea1t tr\u01b0\u1eddng h\u1ee3p cho th\u1ea5y tetrabenazine l\u00e0 c\u00f3 l\u1ee3i \u1edf nh\u1eefng b\u1ec7nh nh\u00e2n c\u00f3 nhi\u1ec1u r\u1ed1i lo\u1ea1n v\u1eadn \u0111\u1ed9ng t\u0103ng \u0111\u1ed9ng, bao g\u1ed3m lo\u1ea1n tr\u01b0\u01a1ng l\u1ef1c c\u01a1.<\/li>\n<li><strong> Thu\u1ed1c kh\u00e1c<\/strong>: <em> Clonazepam, baclofen, zolpidem, v\u00e0 thu\u1ed1c ch\u1eb9n th\u1ee5 th\u1ec3 dopamine <\/em> \u0111\u00e3 \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng \u0111\u1ec3 \u0111i\u1ec1u tr\u1ecb lo\u1ea1n tr\u01b0\u01a1ng l\u1ef1c c\u01a1, nh\u01b0ng b\u1eb1ng ch\u1ee9ng v\u1ec1 hi\u1ec7u qu\u1ea3 l\u00e0 r\u1ea5t \u00edt.<\/li>\n<\/ul>\n<h3><strong> \u0110\u1ed9c t\u1ed1 Botulinum <\/strong><\/h3>\n<p style=\"text-align: center;\"><img decoding=\"async\" style=\"width: 188px; height: 260px;\" src=\"\/\/yhoccongdong.org\/Documents\/936_ong-tiem-co-chua-botulinum-toxin.jpg\" alt=\"\u1ed0ng ti\u00eam c\u00f3 ch\u1ee9a Botulinum toxin \" \/> <img decoding=\"async\" style=\"width: 287px; height: 260px;\" src=\"\/\/yhoccongdong.org\/Documents\/937_lieu-phap-tiem-botulinum-toxin.jpg\" alt=\"Li\u1ec7u ph\u00e1p ti\u00eam Botulinum toxin\" \/><\/p>\n<p style=\"text-align: center;\"><em> H\u00ecnh b\u00ean tr\u00e1i l\u00e0 \u1ed1ng ti\u00eam c\u00f3 ch\u1ee9a Botulinum toxin v\u00e0 h\u00ecnh b\u00ean ph\u1ea3i l\u00e0 li\u1ec7u ph\u00e1p ti\u00eam Botulinum toxin tr\u00ean m\u1ed9t b\u1ec7n nh\u00e2n b\u1ecb lo\u1ea1n tr\u01b0\u01a1ng l\u1ef1c c\u01a1 c\u1ed5. <\/em><\/p>\n<ul>\n<li>\u0110\u1ed9c t\u1ed1 Botulinum (Botulinum toxin) l\u00e0 m\u1ed9t ch\u1ea5t \u0111\u1ed9c th\u1ea7n kinh m\u1ea1nh s\u1ea3n xu\u1ea5t b\u1edfi vi khu\u1ea9n Botulinum Clostridium, g\u00e2y y\u1ebfu c\u01a1 khu tr\u00fa.<\/li>\n<li>Ti\u00eam \u0111\u1ed9c t\u1ed1 Botulinum c\u00f3 l\u1ee3i cho kho\u1ea3ng 50-85% b\u1ec7nh nh\u00e2n b\u1ecb lo\u1ea1n tr\u01b0\u01a1ng l\u1ef1c c\u01a1 c\u1ed5 v\u00e0 <a href=\"https:\/\/yhoccongdong.com\/thongtin\/co-giat-nua-mat\/\" target=\"_blank\" rel=\"noopener\">co gi\u1eadt n\u1eeda m\u1eb7t<\/a>. N\u00f3 c\u0169ng \u0111\u01b0\u1ee3c xem nh\u01b0 l\u00e0 l\u1ef1a ch\u1ecdn \u0111i\u1ec1u tr\u1ecb cho r\u1ed1i lo\u1ea1n ph\u00e1t \u00e2m d\u1ea1ng co th\u1eaft (v\u00ed d\u1ee5, lo\u1ea1n tr\u01b0\u01a1ng l\u1ef1c c\u01a1 thanh qu\u1ea3n), lo\u1ea1n tr\u01b0\u01a1ng l\u1ef1c c\u01a1 ch\u00e2n tay, v\u00e0 lo\u1ea1n tr\u01b0\u01a1ng l\u1ef1c c\u01a1 l\u01b0\u1ee1i- mi\u1ec7ng- h\u00e0m (oromandibular dystonia).<\/li>\n<\/ul>\n<h2 id=\"loan-truong-luc-co-co\">Lo\u1ea1n tr\u01b0\u01a1ng l\u1ef1c c\u01a1 c\u1ed5<\/h2>\n<h3 id=\"loan-truong-luc-co-co-la-gi\">Lo\u1ea1n tr\u01b0\u01a1ng l\u1ef1c c\u01a1 c\u1ed5 l\u00e0 g\u00ec?<\/h3>\n<p style=\"text-align: center;\"><img decoding=\"async\" style=\"width: 600px; height: 187px;\" src=\"\/\/yhoccongdong.org\/Documents\/938_loan-truong-luc-co-co.jpg\" alt=\"Lo\u1ea1n tr\u01b0\u01a1ng l\u1ef1c c\u01a1 c\u1ed5\" \/><\/p>\n<p style=\"text-align: center;\"><em> H\u00ecnh minh h\u1ecda lo\u1ea1n tr\u01b0\u01a1ng l\u1ef1c c\u01a1 c\u1ed5 g\u00e2y ra c\u00e1c t\u01b0 th\u1ebf kh\u00f3 ch\u1ecbu: c\u00fai \u0111\u1ea7u ra tr\u01b0\u1edbc, nghi\u00eang \u0111\u1ea7u sang m\u1ed9t b\u00ean, ng\u1eefa \u0111\u1ea7u ra sau ho\u1eb7c xoay \u0111\u1ea7u sang m\u1ed9t b\u00ean. <\/em><\/p>\n<p>Lo\u1ea1n tr\u01b0\u01a1ng l\u1ef1c c\u01a1 c\u1ed5 (cervical dystonia) l\u00e0 s\u1ef1 co c\u01a1 \u1edf c\u1ed5 kh\u00f4ng ki\u1ec3m so\u00e1t \u0111\u01b0\u1ee3c v\u00e0 th\u01b0\u1eddng g\u00e2y \u0111au \u0111\u1edbn, k\u00e8m theo \u0111\u00f3 g\u00e2y ra t\u01b0 th\u1ebf kh\u00f3 ch\u1ecbu, \u0111\u1ea7u th\u01b0\u1eddng b\u1ecb k\u00e9o sang m\u1ed9t b\u00ean, ra tr\u01b0\u1edbc ho\u1eb7c ra sau. \u0110\u00e2y l\u00e0 m\u1ed9t r\u1ed1i lo\u1ea1n v\u1eadn \u0111\u1ed9ng c\u1ea7n \u0111\u01b0\u1ee3c ch\u1ea9n \u0111o\u00e1n v\u00e0 \u0111i\u1ec1u tr\u1ecb b\u1edfi m\u1ed9t b\u00e1c s\u0129 th\u1ea7n kinh chuy\u00ean ng\u00e0nh r\u1ed1i lo\u1ea1n v\u1eadn \u0111\u1ed9ng.<\/p>\n<p>C\u00e1c tri\u1ec7u ch\u1ee9ng c\u1ee7a lo\u1ea1n tr\u01b0\u01a1ng l\u1ef1c c\u01a1 c\u1ed5 th\u01b0\u1eddng xu\u1ea5t hi\u1ec7n \u1edf \u0111\u1ed9 tu\u1ed5i t\u1eeb 30 v\u00e0 50, nh\u01b0ng \u0111\u00f4i khi \u1ea3nh h\u01b0\u1edfng \u0111\u1ebfn nh\u1eefng ng\u01b0\u1eddi tr\u1ebb tu\u1ed5i ho\u1eb7c l\u1edbn tu\u1ed5i h\u01a1n.<\/p>\n<p>N\u00f3i chung, n\u1ebfu lo\u1ea1n tr\u01b0\u01a1ng l\u1ef1c c\u01a1 c\u1ed5 b\u1eaft \u0111\u1ea7u \u1edf tu\u1ed5i tr\u01b0\u1edfng th\u00e0nh, n\u00f3 th\u01b0\u1eddng ch\u1ec9 \u1ea3nh h\u01b0\u1edfng \u0111\u1ebfn v\u00f9ng c\u1ed5 v\u00e0 n\u1ebfu c\u00f3 lan \u0111i th\u00ec c\u0169ng ch\u1ec9 lan t\u1edbi th\u00eam m\u1ed9t v\u00f9ng kh\u00e1c. Ti\u1ebfn tri\u1ec3n c\u1ee7a lo\u1ea1n tr\u01b0\u01a1ng l\u1ef1c c\u01a1 c\u1ed5 l\u00e0 kh\u00f4ng th\u1ec3 \u0111o\u00e1n tr\u01b0\u1edbc v\u1edbi c\u00e1c tri\u1ec7u ch\u1ee9ng kh\u00e1c nhau \u1edf t\u1eebng c\u00e1 nh\u00e2n v\u00e0 thay \u0111\u1ed5i theo t\u1eebng ng\u00e0y. Trong m\u1ed9t s\u1ed1 tr\u01b0\u1eddng h\u1ee3p, n\u00f3 s\u1ebd ti\u1ebfn tri\u1ec3n d\u1ea7n trong kho\u1ea3ng 5 n\u0103m v\u00e0 sau \u0111\u00f3 kh\u00f4ng ti\u1ebfp t\u1ee5c t\u1ec7 h\u01a1n; trong m\u1ed9t s\u1ed1 tr\u01b0\u1eddng h\u1ee3p kh\u00e1c, n\u00f3 kh\u00f4ng ti\u1ebfn tri\u1ec3n g\u00ec h\u1ebft.<\/p>\n<h3 id=\"dieu-tri-loan-truong-luc-co-co-nhu-the-nao\">\u0110i\u1ec1u tr\u1ecb lo\u1ea1n tr\u01b0\u01a1ng l\u1ef1c c\u01a1 c\u1ed5 nh\u01b0 th\u1ebf n\u00e0o?<\/h3>\n<p>Lo\u1ea1n tr\u01b0\u01a1ng l\u1ef1c c\u01a1 c\u1ed5 th\u01b0\u1eddng hay t\u00e1i ph\u00e1t. Tuy nhi\u00ean, \u1edf m\u1ed9t s\u1ed1 ng\u01b0\u1eddi, c\u00e1c d\u1ea5u hi\u1ec7u v\u00e0 tri\u1ec7u ch\u1ee9ng c\u00f3 th\u1ec3 bi\u1ebfn m\u1ea5t m\u00e0 kh\u00f4ng c\u1ea7n \u0111i\u1ec1u tr\u1ecb.<\/p>\n<p>\u0110i\u1ec1u tr\u1ecb t\u1eadp trung v\u00e0o vi\u1ec7c gi\u1ea3m c\u00e1c d\u1ea5u hi\u1ec7u v\u00e0 tri\u1ec7u ch\u1ee9ng:<\/p>\n<p><strong> Thu\u1ed1c u\u1ed1ng<\/strong>: xem ph\u1ea7n \u0111i\u1ec1u tr\u1ecb lo\u1ea1n tr\u01b0\u01a1ng l\u1ef1c c\u01a1 \u0111\u00e3 tr\u00ecnh b\u00e0y \u1edf tr\u00ean.<br \/>\n<strong> C\u00e1c d\u1ea5u hi\u1ec7u v\u00e0 tri\u1ec7u ch\u1ee9ng c\u1ee7a lo\u1ea1n tr\u01b0\u01a1ng l\u1ef1c c\u01a1 c\u1ed5 \u0111\u00f4i khi \u0111\u01b0\u1ee3c xoa d\u1ecbu b\u1eb1ng<\/strong>:<\/p>\n<ul>\n<li>C\u00e1c b\u00e0i t\u1eadp \u0111\u1ec3 c\u1ea3i thi\u1ec7n s\u1ee9c m\u1ea1nh v\u00e0 t\u00ednh linh ho\u1ea1t c\u1ee7a c\u1ed5.<\/li>\n<li>S\u1eed d\u1ee5ng n\u1eb9p c\u1ed5.<\/li>\n<li>T\u1eadp luy\u1ec7n k\u1ef9 n\u0103ng gi\u1ea3i quy\u1ebft c\u00e1c \u00e1p l\u1ef1c, c\u0103ng th\u1eb3ng.<\/li>\n<\/ul>\n<p><strong> \u0110\u1ed9c t\u1ed1 Botulinum (Botulinum toxin)<\/strong>: c\u00e1c th\u1eed nghi\u1ec7m l\u00e2m s\u00e0ng cho th\u1ea5y li\u1ec7u ph\u00e1p ti\u00eam \u0111\u1ed9c t\u1ed1 Botulinum hi\u1ec7u qu\u1ea3 h\u01a1n so v\u1edbi \u0111i\u1ec1u tr\u1ecb b\u1eb1ng kh\u00e1ng cholinergic v\u00e0 trihexyphenidyl cho lo\u1ea1n tr\u01b0\u01a1ng l\u1ef1c c\u01a1 c\u1ed5.<\/p>\n<p><strong> Ph\u1eabu thu\u1eadt<\/strong>: N\u1ebfu ph\u01b0\u01a1ng ph\u00e1p \u0111i\u1ec1u tr\u1ecb \u00edt x\u00e2m l\u1ea5n kh\u00f4ng hi\u1ec7u qu\u1ea3, b\u00e1c s\u0129 c\u00f3 th\u1ec3 \u0111\u1ec1 ngh\u1ecb ph\u1eabu thu\u1eadt.<\/p>\n<ul>\n<li>C\u1eaft c\u01a1 ho\u1eb7c d\u00e2y th\u1ea7n kinh: kh\u00f4ng ph\u1ed5 bi\u1ebfn.<\/li>\n<li><a href=\"https:\/\/yhoccongdong.com\/thongtin\/kich-thich-nao-sau\/\" target=\"_blank\" rel=\"noopener\">K\u00edch th\u00edch n\u00e3o s\u00e2u<\/a> (deep brain stimulation &#8211; DBS): ch\u1ec9 \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng trong c\u00e1c tr\u01b0\u1eddng h\u1ee3p lo\u1ea1n tr\u01b0\u01a1ng l\u1ef1c c\u01a1 c\u1ed5 qu\u00e1 kh\u00f3 \u0111i\u1ec1u tr\u1ecb.<\/li>\n<\/ul>\n<p style=\"text-align: center;\"><img decoding=\"async\" style=\"width: 400px; height: 405px;\" src=\"\/\/yhoccongdong.org\/Documents\/939_thiet-bi-kich-thich-nao-sau-(deep-brain-stimulation-\u2013-dbs).jpg\" alt=\"Thi\u1ebft b\u1ecb k\u00edch th\u00edch n\u00e3o s\u00e2u DBS\" \/><\/p>\n<p style=\"text-align: center;\"><em> H\u00ecnh minh h\u1ecda thi\u1ebft b\u1ecb k\u00edch th\u00edch n\u00e3o s\u00e2u (deep brain stimulation \u2013 DBS). <\/em><\/p>\n<p>\u0110i\u1ec7n c\u1ef1c \u0111\u01b0\u1ee3c \u0111\u1eb7t s\u00e2u trong n\u00e3o qua c\u00e1c l\u1ed7 nh\u1ecf \u1edf h\u1ed9p s\u1ecd. \u0110i\u1ec7n c\u1ef1c \u0111\u01b0\u1ee3c n\u1ed1i v\u1edbi d\u00e2y d\u1eabn ngo\u00e0i \u0111\u1ebfn m\u1ed9t m\u00e1y t\u1ea1o xung \u0111i\u1ec7n k\u00edch th\u00edch \u0111\u01b0\u1ee3c \u0111\u1eb7t d\u01b0\u1edbi da ng\u1ef1c. B\u1edfi v\u00ec ph\u00eda b\u00ean tr\u00e1i c\u1ee7a n\u00e3o b\u1ed9 \u0111i\u1ec1u khi\u1ec3n b\u00ean ph\u1ea3i c\u1ee7a c\u01a1 th\u1ec3 v\u00e0 ng\u01b0\u1ee3c l\u1ea1i, DBS th\u01b0\u1eddng \u0111\u01b0\u1ee3c th\u1ef1c hi\u1ec7n c\u1ea3 hai b\u00ean.<\/p>\n<h2><strong> T\u00e0i li\u1ec7u tham kh\u1ea3o <\/strong><\/h2>\n<ol>\n<li><a href=\"http:\/\/www.dystonia.org.uk\/index.php\/introduction\" target=\"_blank\" rel=\"noopener\">http:\/\/www.dystonia.org.uk\/index.php\/introduction<\/a><\/li>\n<li><a href=\"http:\/\/www.mayoclinic.org\/diseases-conditions\/spasmodic-torticollis\" target=\"_blank\" rel=\"noopener\">http:\/\/www.mayoclinic.org\/diseases-conditions\/spasmodic-torticollis<\/a><\/li>\n<li><a href=\"http:\/\/www.uptodate.com.ezproxy.lmunet.edu\/contents\" target=\"_blank\" rel=\"noopener\">http:\/\/www.uptodate.com.ezproxy.lmunet.edu\/contents<\/a><\/li>\n<li><a href=\"http:\/\/www.nature.com\/nrn\/journal\/v9\/n3\/fig_tab\/nrn2337_F1.html\" target=\"_blank\" rel=\"noopener\">http:\/\/www.nature.com\/nrn\/journal\/v9\/n3\/fig_tab\/nrn2337_F1.html<\/a><\/li>\n<li><a href=\"http:\/\/www.socalmds.com\/dystonia.php\" target=\"_blank\" rel=\"noopener\">http:\/\/www.socalmds.com\/dystonia.php<\/a><\/li>\n<li><a href=\"http:\/\/en.wikipedia.org\/wiki\/Dystonia\" target=\"_blank\" rel=\"noopener\">http:\/\/en.wikipedia.org\/wiki\/Dystonia<\/a><\/li>\n<li><a href=\"http:\/\/www.northernlife.ca\/news\/localNews\/2009\/dystonia110609.aspx\" target=\"_blank\" rel=\"noopener\">http:\/\/www.northernlife.ca\/news\/localNews\/2009\/dystonia110609.aspx<\/a><\/li>\n<li><a href=\"http:\/\/www.mayfieldclinic.com\/PE-DBS.htm#.UvWliWJ_vNk\" target=\"_blank\" rel=\"noopener\">http:\/\/www.mayfieldclinic.com\/PE-DBS.htm#.UvWliWJ_vNk<\/a><\/li>\n<\/ol>\n","protected":false},"excerpt":{"rendered":"<p>Lo\u1ea1n tr\u01b0\u01a1ng l\u1ef1c c\u01a1 (dystonia) l\u00e0 r\u1ed1i lo\u1ea1n v\u1eadn \u0111\u1ed9ng (movement disorders) \u0111\u1eb7c tr\u01b0ng b\u1edfi nh\u1eefng c\u1eed \u0111\u1ed9ng kh\u00f4ng t\u1ef1 \u00fd. Lo\u1ea1n tr\u01b0\u01a1ng l\u1ef1c c\u01a1 c\u1ed5&#8230;<\/p>\n","protected":false},"author":110,"featured_media":4879,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[5249,3884,5148,5149,5230],"tags":[3885,4006,4007],"series":[1583],"coauthors":[1778],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v22.8 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>Lo\u1ea1n tr\u01b0\u01a1ng l\u1ef1c c\u01a1 v\u00e0 lo\u1ea1n tr\u01b0\u01a1ng l\u1ef1c c\u01a1 c\u1ed5 - Y H\u1ecdc C\u1ed9ng \u0110\u1ed3ng<\/title>\n<meta name=\"description\" content=\"Lo\u1ea1n tr\u01b0\u01a1ng l\u1ef1c c\u01a1 (dystonia) l\u00e0 r\u1ed1i lo\u1ea1n v\u1eadn \u0111\u1ed9ng (movement disorders) \u0111\u1eb7c tr\u01b0ng b\u1edfi nh\u1eefng c\u1eed \u0111\u1ed9ng kh\u00f4ng t\u1ef1 \u00fd. 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