{"id":6064,"date":"2018-07-25T06:30:54","date_gmt":"2018-07-24T23:30:54","guid":{"rendered":"https:\/\/yhoccongdong.org\/du-an-khac\/2018\/07\/25\/roi-loan-van-dong\/"},"modified":"2024-03-17T04:20:50","modified_gmt":"2024-03-16T21:20:50","slug":"roi-loan-van-dong","status":"publish","type":"post","link":"https:\/\/yhoccongdong.com\/du-an-khac\/roi-loan-van-dong\/","title":{"rendered":"R\u1ed1i lo\u1ea1n v\u1eadn \u0111\u1ed9ng"},"content":{"rendered":"

M\u1ea5t \u0111i\u1ec1u h\u00f2a v\u1eadn \u0111\u1ed9ng<\/strong><\/h2>\n

Th\u1ea5t \u0110i\u1ec1u<\/strong> (ataxia-m\u1ea5t \u0111i\u1ec1u ho\u00e0 v\u1eadn \u0111\u1ed9ng): L\u00e0 tri\u1ec7u ch\u1ee9ng do t\u1ed5n th\u01b0\u01a1ng n\u00e3o, th\u00e2n n\u00e3o ho\u1eb7c tu\u1ef7 s\u1ed1ng. Tri\u1ec7u ch\u1ee9ng bao g\u1ed3m: \u0111\u1ed9ng t\u00e1c v\u1ee5ng v\u1ec1, kh\u00f4ng ch\u00ednh x\u00e1c, m\u1ea5t th\u0103ng b\u1eb1ng, d\u00e1ng \u0111i kh\u00f4ng v\u1eefng, run ho\u1eb7c k\u00e9m ph\u1ed1i h\u1ee3p \u0111i\u1ec1u ho\u00e0 \u0111\u1ed9ng t\u00e1c trong khi th\u1ef1c hi\u1ec7n c\u00e1c v\u1eadn \u0111\u1ed9ng ch\u1ee7 \u00fd. C\u00e1c v\u1eadn \u0111\u1ed9ng kh\u00f4ng c\u00f2n tr\u01a1n tru v\u00e0 c\u00f3 v\u1ebb r\u1eddi r\u1ea1c ho\u1eb7c gi\u1eadt gi\u1eadt. B\u1ec7nh nh\u00e2n th\u01b0\u1eddng b\u1ecb t\u00e9 do \u0111i kh\u00f4ng v\u1eefng. Th\u1ea5t \u0111i\u1ec1u c\u0169ng c\u00f3 th\u1ec3 \u1ea3nh h\u01b0\u1edfng \u0111\u1ebfn l\u1eddi n\u00f3i ho\u1eb7c v\u1eadn \u0111\u1ed9ng m\u1eaft.<\/p>\n

N\u1ebfu c\u00f3 th\u1ec3 t\u00ecm ra m\u1ed9t r\u1ed1i lo\u1ea1n chuy\u1ec3n ho\u00e1 n\u00e0o \u0111\u00f3 g\u00e2y ra b\u1ec7nh, m\u1ed9t s\u1ed1 r\u1ed1i lo\u1ea1n chuy\u1ec3n ho\u00e1 n\u00e0y c\u00f3 ph\u01b0\u01a1ng ph\u00e1p \u0111i\u1ec1u tr\u1ecb \u0111\u1eb7c hi\u1ec7u. N\u1ec1n t\u1ea3ng c\u1ee7a \u0111i\u1ec1u tr\u1ecb th\u1ea5t \u0111i\u1ec1u do b\u1ec7nh Parkinson (ho\u1eb7c h\u1ed9i ch\u1ee9ng Parkinson do b\u1ea5t k\u1ef3 nguy\u00ean nh\u00e2n g\u00ec) l\u00e0 s\u1eed d\u1ee5ng L-Dopa u\u1ed1ng. Nh\u1eefng thu\u1ed1c kh\u00e1c \u0111\u01b0\u1ee3c d\u00f9ng \u0111\u1ec3 \u0111i\u1ec1u tr\u1ecb th\u1ea5t \u0111i\u1ec1u do b\u1ec7nh Parkinson (ho\u1eb7c h\u1ed9i ch\u1ee9ng Parkinson do b\u1ea5t k\u1ef3 nguy\u00ean nh\u00e2n g\u00ec) bao g\u1ed3m anticholinergics, dopamine agonists, amantadine<\/a>, selegiline<\/a> v\u00e0 entacapone<\/a>. \u0110\u1ed1i v\u1edbi tr\u1ebb em b\u1ecb th\u1ea5t \u0111i\u1ec1u, nh\u00ecn chung ch\u1ec9 \u0111\u01b0\u1ee3c k\u00ea toa anticholinergic.<\/p>\n

Lo\u1ea1n tr\u01b0\u01a1ng l\u1ef1c c\u01a1<\/strong><\/h2>\n

Lo\u1ea1n tr\u01b0\u01a1ng l\u1ef1c c\u01a1<\/a><\/u><\/strong> (dystonia): l\u00e0 m\u1ed9t r\u1ed1i lo\u1ea1n ho\u1ea1t \u0111\u1ed9ng c\u1ee7a c\u01a1 do nguy\u00ean nh\u00e2n th\u1ea7n kinh, bi\u1ec3u hi\u1ec7n b\u1eb1ng nh\u1eefng co th\u1eaft c\u01a1 kh\u00f4ng ch\u1ee7 \u00fd. Lo\u1ea1n tr\u01b0\u01a1ng l\u1ef1c c\u01a1 l\u00e0 h\u1eadu qu\u1ea3 c\u1ee7a b\u1ea5t th\u01b0\u1eddng ch\u1ee9c n\u0103ng h\u1ea1ch n\u1ec1n, l\u00e0 ph\u1ea7n n\u1eb1m s\u00e2u trong n\u00e3o gi\u00fap ki\u1ec3m so\u00e1t s\u1ef1 ph\u1ed1i h\u1ee3p v\u1eadn \u0111\u1ed9ng. Nh\u1eefng v\u00f9ng n\u00e3o n\u00e0y gi\u00fap ki\u1ec3m so\u00e1t \u0111\u1ed9 nhanh v\u00e0 \u0111\u1ed9 linh ho\u1ea1t c\u1ee7a v\u1eadn \u0111\u1ed9ng v\u00e0 ng\u0103n ch\u1eb7n nh\u1eefng v\u1eadn \u0111\u1ed9ng kh\u00f4ng mong mu\u1ed1n. B\u1ec7nh nh\u00e2n b\u1ecb lo\u1ea1n tr\u01b0\u01a1ng l\u1ef1c c\u01a1 c\u00f3 th\u1ec3 b\u1ecb xo\u1eafn v\u1eb7n kh\u00f4ng ki\u1ec3m so\u00e1t \u0111\u01b0\u1ee3c, nh\u1eefng v\u1eadn \u0111\u1ed9ng t\u00e1i di\u1ec5n ho\u1eb7c c\u00f3 nh\u1eefng t\u01b0 th\u1ebf v\u00e0 v\u1ecb tr\u00ed b\u1ea5t th\u01b0\u1eddng. Nh\u1eefng tri\u1ec7u ch\u1ee9ng n\u00e0y c\u00f3 th\u1ec3 x\u1ea3y ra \u1edf b\u1ea5t c\u1ee9 ph\u1ea7n n\u00e0o c\u1ee7a c\u01a1 th\u1ec3, bao g\u1ed3m tay, ch\u00e2n, th\u00e2n m\u00ecnh, mi m\u1eaft v\u00e0 d\u00e2y thanh \u00e2m. Lo\u1ea1n tr\u01b0\u01a1ng l\u1ef1c c\u01a1 to\u00e0n th\u1ec3 \u1ea3nh h\u01b0\u1edfng to\u00e0n b\u1ed9 c\u01a1 th\u1ec3. Lo\u1ea1n tr\u01b0\u01a1ng l\u1ef1c c\u01a1 khu tr\u00fa ch\u1ec9 \u1ea3nh h\u01b0\u1edfng m\u1ed9t v\u1ecb tr\u00ed c\u01a1 th\u1ec3, v\u1ecb tr\u00ed ph\u1ed5 bi\u1ebfn nh\u1ea5t l\u00e0 c\u1ed5 (ch\u1ee9ng v\u1eb9o c\u1ed5 co th\u1eaft), mi m\u1eaft (ch\u1ee9ng co th\u1eaft mi m\u1eaft), ph\u1ea7n d\u01b0\u1edbi c\u1ee7a m\u1eb7t (h\u1ed9i ch\u1ee9ng Meige), ho\u1eb7c b\u00e0n tay (ch\u1ee9ng v\u1ecdp b\u1ebb do vi\u1ebft ch\u1eef nhi\u1ec1u, ho\u1eb7c lo\u1ea1n tr\u01b0\u01a1ng l\u1ef1c c\u01a1 \u1edf chi). Tu\u1ef3 theo ph\u1ea7n n\u00e0o c\u1ee7a c\u01a1 th\u1ec3 b\u1ecb \u1ea3nh h\u01b0\u1edfng m\u00e0 b\u1ec7nh g\u00e2y ph\u1ebf t\u1eadt nhi\u1ec1u hay \u00edt.<\/p>\n

C\u00f3 3 c\u00e1ch \u0111i\u1ec1u tr\u1ecb tri\u1ec7u ch\u1ee9ng lo\u1ea1n tr\u01b0\u01a1ng l\u1ef1c c\u01a1: ti\u00eam botulinum toxin<\/strong> (botox), u\u1ed1ng thu\u1ed1c<\/strong> v\u00e0 ph\u1eabu thu\u1eadt<\/strong>. Nh\u1eefng c\u00e1ch n\u00e0y c\u00f3 th\u1ec3 d\u00f9ng \u0111\u01a1n \u0111\u1ed9c ho\u1eb7c ph\u1ed1i h\u1ee3p. Ti\u00eam botox l\u00e0m \u1ee9c ch\u1ebf d\u1eabn truy\u1ec1n th\u1ea7n kinh-c\u01a1 v\u00e0 do \u0111\u00f3 l\u00e0m gi\u1ea3m \u0111i c\u00e1c v\u1eadn \u0111\u1ed9ng ho\u1eb7c t\u01b0 th\u1ebf b\u1ea5t th\u01b0\u1eddng. Xem x\u00e9t ph\u1eabu thu\u1eadt n\u1ebfu c\u00e1c \u0111i\u1ec1u tr\u1ecb kh\u00e1c kh\u00f4ng hi\u1ec7u qu\u1ea3. M\u1ee5c ti\u00eau c\u1ee7a ph\u1eabu thu\u1eadt l\u00e0 c\u1eaft \u0111\u1ee9t con \u0111\u01b0\u1eddng t\u1ea1o ra nh\u1eefng v\u1eadn \u0111\u1ed9ng b\u1ea5t th\u01b0\u1eddng c\u1ee7a h\u1ec7 th\u1ea7n kinh. M\u1ed9t v\u00e0i ph\u1eabu thu\u1eadt t\u00e1c \u0111\u1ed9ng v\u00e0o nh\u1eefng v\u00f9ng nh\u1ecf c\u1ee7a \u0111\u1ed3i th\u1ecb (ph\u1eabu thu\u1eadt \u0111\u1ed3i th\u1ecb), c\u1ea7u nh\u1ea1t (ph\u1eabu thu\u1eadt c\u1ea7u nh\u1ea1t), ho\u1eb7c nh\u1eefng trung t\u00e2m kh\u00e1c \u1edf s\u00e2u trong n\u00e3o. G\u1ea7n \u0111\u00e2y, k\u1ef9 thu\u1eadt k\u00edch th\u00edch n\u00e3o s\u00e2u<\/a> (DBS) \u0111\u00e3 c\u00f3 m\u1ed9t s\u1ed1 th\u00e0nh t\u1ef1u. Nh\u1eefng ph\u1eabu thu\u1eadt kh\u00e1c bao g\u1ed3m c\u1eaft nh\u1eefng d\u00e2y th\u1ea7n kinh \u0111i \u0111\u1ebfn c\u00e1c r\u1ec5 th\u1ea7n kinh \u1edf v\u00f9ng c\u1ed5 g\u1ea7n v\u1edbi tu\u1ef7 s\u1ed1ng, ho\u1eb7c lo\u1ea1i b\u1ecf c\u00e1c d\u00e2y th\u1ea7n kinh t\u1ea1i v\u1ecb tr\u00ed ch\u00fang \u0111i v\u00e0o c\u00e1c c\u01a1 \u0111ang co th\u1eaft.<\/p>\n

Run v\u00f4 c\u0103n<\/strong><\/h2>\n

Run v\u00f4 c\u0103n:<\/strong> l\u00e0 c\u1eed \u0111\u1ed9ng run ho\u1eb7c l\u1eafc t\u1ef1 ph\u00e1t, th\u01b0\u1eddng x\u1ea3y ra \u1edf m\u1ed9t ho\u1eb7c hai b\u00e0n tay hay c\u00e1nh tay, run th\u01b0\u1eddng n\u1eb7ng th\u00eam khi c\u1ed1 g\u1eafng th\u1ef1c hi\u1ec7n c\u00e1c \u0111\u1ed9ng t\u00e1c c\u01a1 b\u1ea3n. \u1ede M\u1ef9 c\u00f3 kho\u1ea3ng 5 tri\u1ec7u ng\u01b0\u1eddi b\u1ecb run v\u00f4 c\u0103n (theo th\u01b0 vi\u1ec7n y khoa qu\u1ed1c gia M\u1ef9), run v\u00f4 c\u0103n th\u01b0\u1eddng g\u1eb7p \u1edf ng\u01b0\u1eddi tr\u00ean 65 tu\u1ed5i. B\u1ec7nh x\u1ea3y ra do b\u1ea5t th\u01b0\u1eddng trong nh\u1eefng v\u00f9ng n\u00e3o ki\u1ec3m so\u00e1t v\u1eadn \u0111\u1ed9ng v\u00e0 kh\u00f4ng c\u00f3 nguy\u00ean nh\u00e2n kh\u00e1c g\u00e2y run (v\u00ed d\u1ee5: b\u1ec7nh Parkinson). Kho\u1ea3ng 50% b\u1ec7nh nh\u00e2n c\u00f3 ti\u1ec1n s\u1eed gia \u0111\u00ecnh b\u1ecb b\u1ec7nh. B\u1ec7nh th\u01b0\u1eddng kh\u00f4ng g\u00e2y ra nh\u1eefng bi\u1ebfn ch\u1ee9ng nghi\u00eam tr\u1ecdng nh\u01b0ng c\u00f3 th\u1ec3 l\u00e0m kh\u00f3 ch\u1ecbu v\u00e0 lo l\u1eafng.<\/p>\n

Trong m\u1ed9t s\u1ed1 tr\u01b0\u1eddng h\u1ee3p, v\u1eadt l\u00fd tr\u1ecb li\u1ec7u v\u00e0 thay \u0111\u1ed5i l\u1ed1i s\u1ed1ng c\u00f3 th\u1ec3 l\u00e0m gi\u1ea3m tri\u1ec7u ch\u1ee9ng. N\u1ebfu b\u1ec7nh \u1ea3nh h\u01b0\u1edfng \u0111\u1ebfn c\u00f4ng vi\u1ec7c v\u00e0 ho\u1ea1t \u0111\u1ed9ng h\u00e0ng ng\u00e0y ho\u1eb7c t\u00e1c \u0111\u1ed9ng ti\u00eau c\u1ef1c \u0111\u1ebfn ch\u1ea5t l\u01b0\u1ee3ng cu\u1ed9c s\u1ed1ng c\u1ee7a b\u1ec7nh nh\u00e2n, khi \u0111\u00f3 c\u1ea7n xem x\u00e9t \u0111i\u1ec1u tr\u1ecb b\u1eb1ng thu\u1ed1c ho\u1eb7c ph\u1eabu thu\u1eadt. Kho\u1ea3ng 50-75% b\u1ec7nh nh\u00e2n d\u00f9ng thu\u1ed1c gi\u1ea3m \u0111\u01b0\u1ee3c tri\u1ec7u ch\u1ee9ng run c\u1ee7a h\u1ecd. Thu\u1ed1c th\u01b0\u1eddng d\u00f9ng l\u00e0 thu\u1ed1c \u1ee9c ch\u1ebf beta, thu\u1ed1c ch\u1ed1ng \u0111\u1ed9ng kinh, thu\u1ed1c an th\u1ea7n (benzodiazepine) v\u00e0 \u1ee9c ch\u1ebf carbonic anhydrase. Thu\u1ed1c \u1ee9c ch\u1ebf beta th\u01b0\u1eddng d\u00f9ng cho b\u1ec7nh nh\u00e2n tr\u1ebb v\u00ec ch\u00fang c\u00f3 th\u1ec3 g\u00e2y gi\u1ea3m tr\u00ed nh\u1edb v\u00e0 l\u00fa l\u1eabn \u1edf b\u1ec7nh nh\u00e2n l\u1edbn tu\u1ed5i. Ti\u00eam botox l\u00e0m \u1ee9c ch\u1ebf d\u1eabn truy\u1ec1n th\u1ea7n kinh-c\u01a1 do \u0111\u00f3 c\u00f3 th\u1ec3 l\u00e0m gi\u1ea3m run.<\/p>\n

N\u1ebfu run qu\u00e1 n\u1eb7ng \u1ea3nh h\u01b0\u1edfng \u0111\u1ebfn sinh ho\u1ea1t h\u1eb1ng ng\u00e0y, khi \u0111\u00f3 n\u00ean xem x\u00e9t ph\u1eabu thu\u1eadt. Ph\u1eabu thu\u1eadt \u0111\u1ed3i th\u1ecb ph\u00e1 hu\u1ef7 m\u1ed9t ph\u1ea7n c\u1ee7a \u0111\u1ed3i th\u1ecb, \u0111\u00e2y l\u00e0 m\u1ed9t v\u00f9ng n\u1eb1m s\u00e2u trong n\u00e3o, c\u00f3 ch\u1ee9c n\u0103ng nh\u1eadn th\u00f4ng tin c\u1ea3m gi\u00e1c. Hi\u1ebfm khi ng\u01b0\u1eddi ta ph\u1eabu thu\u1eadt \u0111\u1ed3i th\u1ecb c\u1ea3 hai b\u00ean v\u00ec nguy c\u01a1 cao g\u00e2y m\u1ea5t kh\u1ea3 n\u0103ng n\u00f3i. K\u00edch th\u00edch n\u00e3o s\u00e2u<\/a> (DBS) l\u00e0 ch\u1ecdn l\u1ef1a kh\u00e1c trong nh\u1eefng tr\u01b0\u1eddng h\u1ee3p run v\u00f4 c\u0103n n\u1eb7ng kh\u00f4ng \u0111\u00e1p \u1ee9ng v\u1edbi thu\u1ed1c. M\u1ed9t s\u1ee3i d\u00e2y m\u1ea3nh nh\u01b0 s\u1ee3i t\u00f3c \u0111\u01b0\u1ee3c c\u1ea5y v\u00e0o \u0111\u1ed3i th\u1ecb v\u00e0 k\u1ebft n\u1ed1i v\u1edbi m\u00e1y k\u00edch th\u00edch th\u1ea7n kinh \u0111\u01b0\u1ee3c c\u1ea5y d\u01b0\u1edbi x\u01b0\u01a1ng \u0111\u00f2n. M\u00e1y k\u00edch th\u00edch th\u1ea7n kinh truy\u1ec1n c\u00e1c xung \u0111i\u1ec7n d\u1ecdc theo d\u00e2y d\u1eabn v\u00e0o trong \u0111\u1ed3i th\u1ecb l\u00e0m \u1ee9c ch\u1ebf c\u00e1c t\u00edn hi\u1ec7u g\u00e2y ra run.<\/p>\n

B\u1ec7nh Huntington<\/strong><\/h2>\n

B\u1ec7nh Huntington:<\/strong><\/a> L\u00e0 m\u1ed9t b\u1ec7nh l\u00fd tho\u00e1i ho\u00e1 ti\u1ebfn tri\u1ec3n v\u00e0 g\u00e2y t\u1eed vong, b\u1ec7nh g\u00e2y ra do ch\u1ebft c\u00e1c t\u1ebf b\u00e0o th\u1ea7n kinh trong n\u00e3o. B\u1ec7nh hay x\u1ea3y ra nh\u1ea5t \u1edf l\u1ee9a tu\u1ed5i 35-50 tu\u1ed5i v\u1edbi di\u1ec5n ti\u1ebfn n\u1eb7ng d\u1ea7n kh\u00f4ng h\u1ed3i ph\u1ee5c trong kho\u1ea3ng 10-25 n\u0103m. T\u1ec9 l\u1ec7 b\u1ec7nh \u1edf M\u1ef9 kho\u1ea3ng 1\/10000. Th\u1ec3 b\u1ec7nh thanh thi\u1ebfu ni\u00ean, x\u1ea3y ra \u1edf nh\u1eefng b\u1ec7nh nh\u00e2n kho\u1ea3ng 20 tu\u1ed5i ho\u1eb7c nh\u1ecf h\u01a1n, chi\u1ebfm kho\u1ea3ng 16% t\u1ed5ng s\u1ed1 tr\u01b0\u1eddng h\u1ee3p. Tri\u1ec7u ch\u1ee9ng bao g\u1ed3m gi\u1eadt c\u01a1, nh\u1eefng c\u1eed \u0111\u1ed9ng kh\u00f4ng ki\u1ec3m so\u00e1t \u0111\u01b0\u1ee3c \u1edf ch\u00e2n tay, th\u00e2n m\u00ecnh v\u00e0 m\u1eb7t; sa s\u00fat tr\u00ed tu\u1ec7 ti\u1ebfn tri\u1ec3n; ph\u00e1t sinh nh\u1eefng v\u1ea5n \u0111\u1ec1 t\u00e2m th\u1ea7n. B\u1ec7nh do di truy\u1ec1n, \u0111\u1ee9a tr\u1ebb c\u00f3 m\u1ed9t cha ho\u1eb7c m\u1eb9 b\u1ecb b\u1ec7nh s\u1ebd c\u00f3 x\u00e1c su\u1ea5t 50% b\u1ecb b\u1ec7nh Huntington.<\/p>\n

Hi\u1ec7n kh\u00f4ng c\u00f3 ph\u01b0\u01a1ng ph\u00e1p \u0111i\u1ec1u tr\u1ecb b\u1ec7nh Huntington, v\u00ec th\u1ebf \u0111i\u1ec1u tr\u1ecb nh\u1eb1m v\u00e0o gi\u1ea3m tri\u1ec7u ch\u1ee9ng, ph\u00f2ng ng\u1eeba bi\u1ebfn ch\u1ee9ng v\u00e0 gi\u00fap b\u1ec7nh nh\u00e2n c\u0169ng nh\u01b0 c\u00e1c th\u00e0nh vi\u00ean trong gia \u0111\u00ecnh gi\u1ea3i quy\u1ebft c\u00e1c kh\u00f3 kh\u0103n h\u00e0ng ng\u00e0y. B\u00e1c s\u0129 c\u00f3 th\u1ec3 d\u00f9ng thu\u1ed1c ch\u1ed1ng lo\u1ea1n th\u1ea7n, ch\u1ed1ng tr\u1ea7m c\u1ea3m, ch\u1ed1ng lo \u00e2u, thu\u1ed1c \u1ed5n \u0111\u1ecbnh kh\u00ed s\u1eafc ho\u1eb7c ti\u00eam botox. Nh\u1eefng thu\u1ed1c n\u00e0y \u0111\u01b0\u1ee3c d\u00f9ng \u1edf li\u1ec1u th\u1ea5p nh\u1ea5t c\u00f3 hi\u1ec7u qu\u1ea3 v\u00ec t\u1ea5t c\u1ea3 c\u00e1c thu\u1ed1c n\u00e0y c\u00f3 th\u1ec3 c\u00f3 t\u00e1c d\u1ee5ng ph\u1ee5. B\u1ec7nh Huntington th\u01b0\u1eddng di\u1ec5n ti\u1ebfn \u0111\u1ebfn giai \u0111o\u1ea1n cu\u1ed1i trong 10-30 n\u0103m. C\u00e1c nh\u00e0 nghi\u00ean c\u1ee9u c\u0169ng ghi nh\u1eadn n\u1ebfu tri\u1ec7u ch\u1ee9ng x\u1ea3y ra s\u1edbm h\u01a1n th\u00ec b\u1ec7nh th\u01b0\u1eddng ti\u1ebfn tri\u1ec3n nhanh h\u01a1n.<\/p>\n

Teo nhi\u1ec1u h\u1ec7 th\u1ed1ng<\/strong><\/h2>\n

Teo<\/a><\/u> N<\/a>hi\u1ec1u<\/a> H\u1ec7<\/a><\/u> Th<\/a>\u1ed1ng<\/a><\/u><\/strong> (multiple system atrophy-MSA): L\u00e0 m\u1ed9t b\u1ec7nh tho\u00e1i ho\u00e1 th\u1ea7n kinh ti\u1ebfn tri\u1ec3n, \u1ea3nh h\u01b0\u1edfng \u0111\u1ebfn v\u1eadn \u0111\u1ed9ng, huy\u1ebft \u00e1p v\u00e0 nh\u1eefng ch\u1ee9c n\u0103ng c\u01a1 th\u1ec3 kh\u00e1c. V\u00ec tri\u1ec7u ch\u1ee9ng, kh\u1edfi ph\u00e1t v\u00e0 \u0111\u1ed9 n\u1eb7ng c\u1ee7a MSA \u1edf m\u1ed7i ng\u01b0\u1eddi m\u1ed7i kh\u00e1c, c\u00e1c tri\u1ec7u ch\u1ee9ng \u0111\u01b0\u1ee3c chia th\u00e0nh 3 th\u1ec3 b\u1ec7nh kh\u00e1c nhau: H\u1ed9i ch\u1ee9ng Shy-Drager, tho\u00e1i ho\u00e1 th\u1ec3 v\u00e2n-ch\u1ea5t \u0111en v\u00e0 teo tr\u00e1m-c\u1ea7u-ti\u1ec3u n\u00e3o. Tri\u1ec7u ch\u1ee9ng bao g\u1ed3m \u0111\u01a1 c\u1ee9ng, ch\u1eadm v\u1eadn \u0111\u1ed9ng, hi\u1ec7n t\u01b0\u1ee3ng \u0111\u00f4ng c\u1ee9ng, m\u1ea5t \u1ed5n \u0111\u1ecbnh th\u0103ng b\u1eb1ng v\u00e0 t\u01b0 th\u1ebf d\u00e1ng b\u1ed9, t\u1ee5t huy\u1ebft \u00e1p t\u01b0 th\u1ebf khi \u0111\u1ee9ng l\u00e0m b\u1ec7nh nh\u00e2n cho\u00e1ng v\u00e1ng, x\u00e2y x\u1ea9m, nh\u00ecn m\u1edd, li\u1ec7t d\u01b0\u01a1ng, ti\u1ec3u kh\u00f3, t\u00e1o b\u00f3n, kh\u00f3 n\u00f3i ho\u1eb7c kh\u00f3 nu\u1ed1t.<\/p>\n

Thu\u1ed1c d\u00f9ng \u0111\u1ec3 ki\u1ec3m so\u00e1t m\u1ed9t s\u1ed1 tri\u1ec7u ch\u1ee9ng c\u1ee7a b\u1ec7nh. Levodopa v\u00e0 \u0111\u1ed3ng v\u1eadn dopamine d\u00f9ng trong \u0111i\u1ec1u tr\u1ecb b\u1ec7nh Parkinson c\u00f3 th\u1ec3 hi\u1ec7u qu\u1ea3 trong \u0111i\u1ec1u tr\u1ecb \u0111\u01a1 c\u1ee9ng v\u00e0 ch\u1eadm v\u1eadn \u0111\u1ed9ng \u1edf m\u1ed9t s\u1ed1 b\u1ec7nh nh\u00e2n. D\u00f9ng m\u1ed9t s\u1ed1 thu\u1ed1c l\u00e0m t\u0103ng huy\u1ebft \u00e1p c\u00f3 th\u1ec3 c\u1ea3i thi\u1ec7n tri\u1ec7u ch\u1ee9ng t\u1ee5t huy\u1ebft \u00e1p t\u01b0 th\u1ebf \u0111\u1ee9ng. Khi MSA ti\u1ebfn tri\u1ec3n, hi\u1ec7u qu\u1ea3 c\u1ee7a thu\u1ed1c s\u1ebd gi\u1ea3m \u0111i. V\u1edbi nh\u1eefng tr\u01b0\u1eddng h\u1ee3p b\u1ec7nh ti\u1ebfn tri\u1ec3n n\u1eb7ng, b\u1ec7nh nh\u00e2n kh\u00f4ng th\u1ec3 nu\u1ed1t \u0111\u01b0\u1ee3c v\u00e0 c\u1ea7n \u0111\u1eb7t \u1ed1ng nu\u00f4i \u0103n.<\/p>\n

Gi\u1eadt c\u01a1<\/strong><\/h2>\n

Gi\u1eadt c\u01a1:<\/strong> L\u00e0 t\u00ecnh tr\u1ea1ng co th\u1eaft<\/strong> ho\u1eb7c xo\u1eafn v\u1eb7n ng\u1eaft qu\u00e3ng c\u1ee7a m\u1ed9t c\u01a1 ho\u1eb7c m\u1ed9t nh\u00f3m c\u01a1<\/strong>. Gi\u1eadt c\u01a1 \u0111\u01b0\u1ee3c ph\u00e2n th\u00e0nh v\u00e0i lo\u1ea1i ch\u00ednh v\u00e0 nhi\u1ec1u lo\u1ea1i ph\u1ee5. Lo\u1ea1i ph\u1ed5 bi\u1ebfn nh\u1ea5t l\u00e0 gi\u1eadt c\u01a1 v\u1ecf n\u00e3o<\/strong>, xu\u1ea5t ngu\u1ed3n t\u1eeb v\u00f9ng v\u1ecf n\u00e3o v\u1eadn \u0111\u1ed9ng c\u1ea3m gi\u00e1c. C\u1eed \u0111\u1ed9ng gi\u1eadt th\u01b0\u1eddng c\u00f3 nh\u1ecbp \u0111\u1ec1u \u0111\u1eb7n, gi\u1edbi h\u1ea1n \u1edf m\u1ed9t c\u01a1 ho\u1eb7c nh\u00f3m c\u01a1 (m\u1ed9t \u1ed5) ho\u1eb7c v\u00e0i nh\u00f3m c\u01a1 kh\u00e1c nhau (nhi\u1ec1u \u1ed5). Gi\u1eadt c\u01a1 c\u00f3 th\u1ec3 x\u1ea3y ra m\u00e0 kh\u00f4ng c\u00f3 nguy\u00ean nh\u00e2n r\u00f5 r\u00e0ng ho\u1eb7c l\u00e0 h\u1eadu qu\u1ea3 c\u1ee7a nhi\u1ec1u b\u1ec7nh. M\u1ed9t s\u1ed1 b\u1ec7nh g\u00e2y ra gi\u1eadt c\u01a1 l\u00e0 b\u1ec7nh Celiac, h\u1ed9i ch\u1ee9ng Angelman, b\u1ec7nh Huntington, h\u1ed9i ch\u1ee9ng Rett, b\u1ec7nh Creutzfeldt Jakob v\u00e0 b\u1ec7nh Alzheimer. Gi\u1eadt c\u01a1 d\u01b0\u1edbi v\u1ecf th\u01b0\u1eddng \u1ea3nh h\u01b0\u1edfng nhi\u1ec1u nh\u00f3m c\u01a1 (to\u00e0n th\u1ec3) v\u00e0 c\u00f3 th\u1ec3 l\u00e0 h\u1eadu qu\u1ea3 c\u1ee7a gi\u1ea3m n\u1ed3ng \u0111\u1ed9 oxy trong n\u00e3o m\u1ed9t c\u00e1ch b\u1ea5t th\u01b0\u1eddng (hypoxia) ho\u1eb7c m\u1ed9t b\u1ec7nh l\u00fd chuy\u1ec3n ho\u00e1 nh\u01b0 suy gan, suy th\u1eadn. Gi\u1eadt c\u01a1 tu\u1ef7 th\u01b0\u1eddng \u0111\u01b0\u1ee3c g\u00e2y ra b\u1edfi m\u1ed9t t\u1ed5n th\u01b0\u01a1ng tu\u1ef7 khu tr\u00fa nh\u01b0 x\u01a1 c\u1ee9ng r\u1ea3i r\u00e1c, r\u1ed7ng \u1ed1ng tu\u1ef7, ch\u1ea5n th\u01b0\u01a1ng tu\u1ef7, nh\u1ed3i m\u00e1u tu\u1ef7 ho\u1eb7c m\u1ed9t b\u1ec7nh nhi\u1ec5m, ch\u1eb3ng h\u1ea1n herpes zoster, b\u1ec7nh Lyme, E.coli ho\u1eb7c HIV. Gi\u1eadt c\u01a1 tu\u1ef7 th\u01b0\u1eddng k\u00e9o d\u00e0i h\u01a1n, hay bi\u1ebfn \u0111\u1ed5i h\u01a1n gi\u1eadt c\u01a1 v\u1ecf n\u00e3o v\u00e0 d\u01b0\u1edbi v\u1ecf, th\u01b0\u1eddng ti\u1ebfp t\u1ee5c x\u1ea3y ra trong su\u1ed1t gi\u1ea5c ng\u1ee7. Lo\u1ea1i ph\u1ed5 bi\u1ebfn nh\u1ea5t c\u1ee7a gi\u1eadt c\u01a1 ngo\u1ea1i bi\u00ean l\u00e0 co th\u1eaft n\u1eeda m\u1eb7t, b\u1ec7nh c\u00f3 th\u1ec3 x\u1ea3y ra m\u00e0 kh\u00f4ng c\u00f3 nguy\u00ean nh\u00e2n g\u00ec c\u1ea3 ho\u1eb7c do ch\u00e8n \u00e9p th\u1ea7n kinh m\u1eb7t. Nh\u1eefng c\u1eed \u0111\u1ed9ng n\u00e0y c\u00f3 th\u1ec3 dai d\u1eb3ng trong su\u1ed1t gi\u1ea5c ng\u1ee7 v\u00e0 c\u00f3 th\u1ec3 k\u00e9o d\u00e0i ch\u1ec9 v\u00e0i ng\u00e0y ho\u1eb7c v\u00e0i th\u00e1ng. Nh\u1eefng lo\u1ea1i gi\u1eadt c\u01a1 c\u1ee5 th\u1ec3 \u0111\u01b0\u1ee3c m\u00f4 t\u1ea3 k\u1ef9 h\u01a1n d\u1ef1a v\u00e0o ph\u1ea7n n\u00e0o c\u1ee7a c\u01a1 th\u1ec3 b\u1ecb \u1ea3nh h\u01b0\u1edfng v\u00e0 nguy\u00ean nh\u00e2n c\u1ee7a n\u00f3.<\/p>\n

\u0110i\u1ec1u tr\u1ecb gi\u1eadt c\u01a1 b\u1eb1ng thu\u1ed1c nh\u1eb1m l\u00e0m gi\u1ea3m tri\u1ec7u ch\u1ee9ng. Trong m\u1ed9t s\u1ed1 tr\u01b0\u1eddng h\u1ee3p, c\u1ea7n k\u1ebft h\u1ee3p nhi\u1ec1u lo\u1ea1i thu\u1ed1c \u0111\u1ec3 \u0111\u1ea1t \u0111\u01b0\u1ee3c hi\u1ec7u qu\u1ea3. M\u1ed9t s\u1ed1 thu\u1ed1c \u0111\u01b0\u1ee3c d\u00f9ng l\u00e0 barbiturate, phenytoin, primidone, sodium valproate v\u00e0 thu\u1ed1c ch\u1ed1ng lo \u00e2u (clonazepam). T\u1ea5t c\u1ea3 c\u00e1c thu\u1ed1c n\u00e0y \u0111\u1ec1u c\u00f3 th\u1ec3 c\u00f3 t\u00e1c d\u1ee5ng ph\u1ee5. V\u00ec th\u1ebf, vi\u1ec7c b\u1ec7nh nh\u00e2n ph\u1ed1i h\u1ee3p s\u00e1t sao v\u1edbi b\u00e1c s\u0129 \u0111\u1ec3 qu\u1ea3n l\u00fd thu\u1ed1c c\u1ee7a h\u1ecd l\u00e0 \u0111i\u1ec1u r\u1ea5t quan tr\u1ecdng.<\/p>\n

B\u1ec7nh Parkinson<\/strong><\/h2>\n

B\u1ec7nh Parkinson<\/a>:<\/strong> L\u00e0 m\u1ed9t b\u1ec7nh ti\u1ebfn tri\u1ec3n do tho\u00e1i ho\u00e1 t\u1ebf b\u00e0o th\u1ea7n kinh trong ph\u1ea7n n\u00e3o g\u1ecdi l\u00e0 ch\u1ea5t \u0111en, gi\u00fap ki\u1ec3m so\u00e1t v\u1eadn \u0111\u1ed9ng. Nh\u1eefng t\u1ebf b\u00e0o n\u00e0y b\u1ecb ch\u1ebft ho\u1eb7c suy y\u1ebfu, l\u00e0m gi\u1ea3m kh\u1ea3 n\u0103ng s\u1ea3n xu\u1ea5t ra m\u1ed9t ho\u00e1 ch\u1ea5t quan tr\u1ecdng g\u1ecdi l\u00e0 dopamine. B\u1ec7nh Parkinson c\u00f3 nhi\u1ec1u tri\u1ec7u ch\u1ee9ng ph\u1ed5 bi\u1ebfn bao g\u1ed3m run, \u0111\u01a1 c\u1ee9ng chi ho\u1eb7c c\u01a1; m\u1ea5t d\u1ea7n c\u00e1c c\u1eed \u0111\u1ed9ng t\u1ef1 ph\u00e1t n\u00ean th\u01b0\u1eddng d\u1eabn \u0111\u1ebfn gi\u1ea3m c\u00e1c k\u1ef9 n\u0103ng tr\u00ed tu\u1ec7 ho\u1eb7c th\u1eddi gian ph\u1ea3n \u1ee9ng, thay \u0111\u1ed5i gi\u1ecdng n\u00f3i ho\u1eb7c gi\u1ea3m bi\u1ec3u c\u1ea3m n\u00e9t m\u1eb7t; m\u1ea5t d\u1ea7n nh\u1eefng c\u1eed \u0111\u1ed9ng t\u1ef1 \u0111\u1ed9ng th\u01b0\u1eddng d\u1eabn \u0111\u1ebfn gi\u1ea3m ch\u1edbp m\u1eaft, gi\u1ea3m s\u1ed1 l\u1ea7n nu\u1ed1t v\u00e0 ch\u1ea3y d\u00e3i; t\u01b0 th\u1ebf \u0111i cong c\u00fai v\u1ec1 tr\u01b0\u1edbc, khu\u1ef7u tay, h\u00f4ng, v\u00e0 g\u1ed1i \u0111\u1ec1u cong; b\u01b0\u1edbc \u0111i kh\u00f4ng v\u1eefng, kh\u00f4ng th\u0103ng b\u1eb1ng; sa s\u00fat tr\u00ed tu\u1ec7 ho\u1eb7c tr\u1ea7m c\u1ea3m. Hi\u1ec7p h\u1ed9i b\u1ec7nh Parkinson \u01b0\u1edbc t\u00ednh m\u1ed7i n\u0103m c\u00f3 kho\u1ea3ng 60000 tr\u01b0\u1eddng h\u1ee3p b\u1ec7nh Parkinson \u0111\u01b0\u1ee3c ch\u1ea9n \u0111o\u00e1n th\u00eam m\u1edbi. Trong khi nguy c\u01a1 b\u1ecb Parkinson t\u0103ng theo tu\u1ed5i, c\u00f3 4% s\u1ed1 b\u1ec7nh nh\u00e2n \u0111\u01b0\u1ee3c ch\u1ea9n \u0111o\u00e1n tr\u01b0\u1edbc 50 tu\u1ed5i.<\/p>\n

H\u1ea7u h\u1ebft b\u1ec7nh nh\u00e2n Parkinson \u0111\u01b0\u1ee3c \u0111i\u1ec1u tr\u1ecb b\u1eb1ng thu\u1ed1c \u0111\u1ec3 gi\u1ea3m tri\u1ec7u ch\u1ee9ng b\u1ec7nh. M\u1ed9t s\u1ed1 thu\u1ed1c ph\u1ed5 bi\u1ebfn th\u01b0\u1eddng d\u00f9ng l\u00e0 ti\u1ec1n ch\u1ea5t dopamine, \u0111\u1ed3ng v\u1eadn dopamine, v\u00e0 kh\u00e1ng cholinergic. Xem x\u00e9t ph\u1eabu thu\u1eadt n\u1ebfu thu\u1ed1c kh\u00f4ng hi\u1ec7u qu\u1ea3. K\u00edch th\u00edch n\u00e3o s\u00e2u (DBS) nh\u00e2n d\u01b0\u1edbi \u0111\u1ed3i, c\u1ea7u nh\u1ea1t c\u00f3 th\u1ec3 hi\u1ec7u qu\u1ea3 v\u1edbi t\u1ea5t c\u1ea3 c\u00e1c tri\u1ec7u ch\u1ee9ng v\u1eadn \u0111\u1ed9ng v\u00e0 \u0111\u00f4i khi cho ph\u00e9p gi\u1ea3m nhi\u1ec1u \u0111\u01b0\u1ee3c li\u1ec1u thu\u1ed1c. Ph\u1eabu thu\u1eadt \u0111\u1ed3i th\u1ecb (thalamotomy) c\u00f3 th\u1ec3 gi\u00fap h\u1ebft run b\u1eb1ng c\u00e1ch g\u00e2y ra m\u1ed9t t\u1ed5n th\u01b0\u01a1ng nh\u1ecf trong m\u1ed9t nh\u00e2n \u0111\u1eb7c hi\u1ec7u c\u1ee7a \u0111\u1ed3i th\u1ecb.<\/p>\n

Li\u1ec7t tr\u00ean nh\u00e2n ti\u1ebfn tri\u1ec3n<\/strong><\/h2>\n

Li\u1ec7t Tr\u00ean Nh\u00e2n Ti\u1ebfn Tri\u1ec3n<\/strong> (progressive supranuclear palsy-PSP): L\u00e0 m\u1ed9t b\u1ec7nh n\u00e3o hi\u1ebfm g\u1eb7p g\u00e2y ra nh\u1eefng v\u1ea5n \u0111\u1ec1 th\u1ea7n kinh v\u0129nh vi\u1ec5n v\u00e0 nghi\u00eam tr\u1ecdng. Nh\u1eefng ng\u01b0\u1eddi b\u1ecb PSP s\u1ebd m\u1ea5t d\u1ea7n nh\u1eefng t\u1ebf b\u00e0o n\u00e3o chuy\u00ean bi\u1ec7t<\/strong>, g\u00e2y ra ch\u1eadm v\u1eadn \u0111\u1ed9ng v\u00e0 gi\u1ea3m ki\u1ec3m so\u00e1t b\u01b0\u1edbc \u0111i, th\u0103ng b\u1eb1ng, nu\u1ed1t, l\u1eddi n\u00f3i v\u00e0 c\u1eed \u0111\u1ed9ng m\u1eaft. Th\u01b0\u1eddng c\u00f3 c\u00e1c thay \u0111\u1ed5i v\u1ec1 nh\u00e2n c\u00e1ch v\u00e0 nh\u1eadn th\u1ee9c, d\u1eabn \u0111\u1ebfn nh\u1eefng \u0111\u1ee3t b\u00f9ng n\u1ed5 c\u1ea3m x\u00fac v\u00e0 gi\u1ea3m tr\u00ed n\u0103ng. B\u1ec7nh th\u01b0\u1eddng x\u1ea3y ra \u1edf tu\u1ed5i 40-60 tu\u1ed5i v\u00e0 \u0111i \u0111\u1ebfn giai \u0111o\u1ea1n cu\u1ed1i trong 6-10 n\u0103m. Th\u1ec9nh tho\u1ea3ng PSP b\u1ecb ch\u1ea9n \u0111o\u00e1n nh\u1ea7m v\u1edbi b\u1ec7nh Parkinson do c\u00f3 tri\u1ec7u ch\u1ee9ng t\u01b0\u01a1ng t\u1ef1. Trong khi nguy\u00ean nh\u00e2n PSP kh\u00f4ng r\u00f5, c\u00e1c nh\u00e0 nghi\u00ean c\u1ee9u bi\u1ebft r\u1eb1ng m\u1ed9t lo\u1ea1i protein g\u1ecdi l\u00e0 Tau<\/strong><\/em> t\u00edch t\u1ee5 th\u00e0nh nh\u1eefng c\u1ee5m b\u1ea5t th\u01b0\u1eddng trong t\u1ebf b\u00e0o n\u00e3o c\u1ee7a ng\u01b0\u1eddi b\u1ecb PSP l\u00e0m ch\u1ebft t\u1ebf b\u00e0o. Nguy\u00ean nh\u00e2n \u0111o\u00e1n ch\u1eebng do gen.<\/p>\n

Th\u1eadt kh\u00f4ng may, hi\u1ec7n kh\u00f4ng c\u00f3 thu\u1ed1c n\u00e0o hi\u1ec7u qu\u1ea3 cho \u0111i\u1ec1u tr\u1ecb PSP, nh\u01b0ng c\u00e1c nghi\u00ean c\u1ee9u thu\u1ed1c \u0111i\u1ec1u tr\u1ecb v\u1eabn \u0111ang ti\u1ebfp di\u1ec5n. Nh\u1eefng thu\u1ed1c c\u00f3 th\u1ec3 c\u00f3 ch\u00fat hi\u1ec7u qu\u1ea3 l\u00e0 levodopa, amantadine v\u00e0 amitriptyline. Ti\u00eam botox c\u00f3 th\u1ec3 d\u00f9ng \u0111\u1ec3 \u0111i\u1ec1u tr\u1ecb co th\u1eaft mi m\u1eaft (nh\u1eafm m\u1eaft kh\u00f4ng ch\u1ee7 \u00fd) \u1edf m\u1ed9t s\u1ed1 b\u1ec7nh nh\u00e2n PSP.<\/p>\n

H\u1ed9i ch\u1ee9ng Rett<\/strong><\/h2>\n

H\u1ed9i ch\u1ee9ng Rett:<\/strong> L\u00e0 m\u1ed9t b\u1ec7nh th\u1ea7n kinh ti\u1ebfn tri\u1ec3n g\u00e2y ra c\u00e1c tri\u1ec7u ch\u1ee9ng suy nh\u01b0\u1ee3c, bao g\u1ed3m gi\u1ea3m tr\u01b0\u01a1ng l\u1ef1c c\u01a1, h\u00e0nh vi gi\u1ed1ng nh\u01b0 t\u1ef1 k\u1ef7, nh\u1eedng c\u1eed \u0111\u1ed9ng b\u00e0n tay l\u1eb7p l\u1ea1i, th\u1edf kh\u00f4ng \u0111\u1ec1u, gi\u1ea3m kh\u1ea3 n\u0103ng bi\u1ec3u l\u1ed9 c\u1ea3m x\u00fac, ch\u1eadm ph\u00e1t tri\u1ec3n t\u00e2m th\u1ea7n, d\u00e1ng \u0111i b\u1ea5t th\u01b0\u1eddng v\u00e0 \u0111\u1ed9ng kinh. M\u1ea5t tr\u01b0\u01a1ng l\u1ef1c c\u01a1 th\u01b0\u1eddng l\u00e0 tri\u1ec7u ch\u1ee9ng \u0111\u1ea7u ti\u00ean. Theo Hi\u1ec7p H\u1ed9i H\u1ed9i Ch\u1ee9ng Rett Qu\u1ed1c T\u1ebf, t\u1ec9 l\u1ec7 l\u00e0 kho\u1ea3ng 1 trong m\u1ed7i 10.000-23.000 tr\u1ebb g\u00e1i b\u1ecb h\u1ed9i ch\u1ee9ng Rett. Nh\u01b0ng m\u1ee9c \u0111\u1ed9 l\u01b0u h\u00e0nh b\u1ec7nh c\u00f3 th\u1ec3 cao h\u01a1n nhi\u1ec1u do c\u00f3 nhi\u1ec1u tr\u01b0\u1eddng h\u1ee3p kh\u00f4ng \u0111\u01b0\u1ee3c ch\u1ea9n \u0111o\u00e1n. H\u1ed9i ch\u1ee9ng Rett c\u00f3 th\u1ec3 g\u1eb7p \u1edf tr\u1ebb nam nh\u01b0ng s\u1ed1 l\u01b0\u1ee3ng r\u1ea5t \u00edt. H\u1ed9i ch\u1ee9ng Rett x\u1ea3y ra do \u0111\u1ed9t bi\u1ebfn gen MECP2 n\u1eb1m tr\u00ean nhi\u1ec5m s\u1eafc th\u1ec3 X. Tr\u1ebb b\u1ecb h\u1ed9i ch\u1ee9ng Rett c\u00f3 v\u1ebb nh\u01b0 ph\u00e1t tri\u1ec3n b\u00ecnh th\u01b0\u1eddng cho \u0111\u1ebfn 6-18 th\u00e1ng tu\u1ed5i, l\u00e0 th\u1eddi \u0111i\u1ec3m tri\u1ec7u ch\u1ee9ng b\u1eaft \u0111\u1ea7u xu\u1ea5t hi\u1ec7n. H\u1ed9i ch\u1ee9ng Rett l\u00e0m b\u1ec7nh nh\u00e2n ph\u1ebf t\u1eadt v\u00e0 c\u1ea7n ph\u1ea3i tr\u1ee3 gi\u00fap t\u1ed1i \u0111a trong t\u1ea5t c\u1ea3 c\u00e1c nhu c\u1ea7u s\u1ed1ng h\u00e0ng ng\u00e0y.<\/p>\n

Th\u1eadt kh\u00f4ng may, hi\u1ec7n h\u1ed9i ch\u1ee9ng Rett kh\u00f4ng \u0111i\u1ec1u tr\u1ecb \u0111\u01b0\u1ee3c<\/strong>. \u0110i\u1ec1u tr\u1ecb ch\u1ee7 y\u1ebfu nh\u1eb1m x\u1eed l\u00fd tri\u1ec7u ch\u1ee9ng v\u00e0 h\u1ed7 tr\u1ee3. B\u1ec7nh ti\u1ebfn tri\u1ec3n qua 4 giai \u0111o\u1ea1n, m\u1ed7i giai \u0111o\u1ea1n c\u00f3 thu\u1ed1c d\u00f9ng kh\u00e1c nhau. Thu\u1ed1c c\u1ea7n cho vi\u1ec7c x\u1eed l\u00fd tri\u1ec7u ch\u1ee9ng th\u1edf kh\u00f4ng \u0111\u1ec1u v\u00e0 kh\u00f3 v\u1eadn \u0111\u1ed9ng. Thu\u1ed1c ch\u1ed1ng \u0111\u1ed9ng kinh c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c d\u00f9ng \u0111\u1ec3 ki\u1ec3m so\u00e1t c\u01a1n \u0111\u1ed9ng kinh. Gi\u00e1o d\u1ee5c v\u00e0 d\u1ecbch v\u1ee5 ch\u0103m s\u00f3c h\u1ed7 tr\u1ee3 nh\u1eb1m gi\u00fap b\u1ec7nh nh\u00e2n \u0111\u01b0\u01a1ng \u0111\u1ea7u \u0111\u01b0\u1ee3c v\u1edbi c\u00e1c kh\u00f3 kh\u0103n h\u00e0ng ng\u00e0y v\u00e0 gi\u00fap c\u1ea3i thi\u1ec7n ch\u1ea5t l\u01b0\u1ee3ng s\u1ed1ng. M\u1eb7c d\u00f9 suy nh\u01b0\u1ee3c n\u1eb7ng, b\u1ec7nh nh\u00e2n c\u00f3 th\u1ec3 s\u1ed1ng \u0111\u1ebfn tu\u1ed5i trung ni\u00ean, nh\u01b0ng hi\u1ebfm khi v\u01b0\u1ee3t qu\u00e1 40-50 tu\u1ed5i.<\/p>\n

H\u1ed9i ch\u1ee9ng Parkinson th\u1ee9 ph\u00e1t<\/strong><\/h2>\n

H\u1ed9i ch\u1ee9ng Parkinson Th\u1ee9 Ph\u00e1t<\/strong>: L\u00e0 b\u1ec7nh c\u00f3 tri\u1ec7u ch\u1ee9ng t\u01b0\u01a1ng t\u1ef1 b\u1ec7nh Parkinson nh\u01b0ng nguy\u00ean nh\u00e2n do t\u00e1c d\u1ee5ng ph\u1ee5 c\u1ee7a thu\u1ed1c, c\u00e1c b\u1ec7nh tho\u00e1i ho\u00e1 th\u1ea7n kinh kh\u00e1c, c\u00e1c b\u1ec7nh l\u00fd ho\u1eb7c t\u1ed5n th\u01b0\u01a1ng n\u00e3o. Nh\u01b0 trong b\u1ec7nh Parkinson, nhi\u1ec1u tri\u1ec7u ch\u1ee9ng hay g\u1eb7p nh\u01b0 run, \u0111\u01a1 c\u1ee9ng c\u01a1 ho\u1eb7c chi; m\u1ea5t d\u1ea7n c\u1eed \u0111\u1ed9ng t\u1ef1 ph\u00e1t, d\u1eabn \u0111\u1ebfn gi\u1ea3m c\u00e1c k\u1ef9 n\u0103ng tr\u00ed tu\u1ec7 ho\u1eb7c th\u1eddi gian ph\u1ea3n \u1ee9ng, thay \u0111\u1ed5i gi\u1ecdng n\u00f3i ho\u1eb7c gi\u1ea3m bi\u1ec3u c\u1ea3m n\u00e9t m\u1eb7t; m\u1ea5t d\u1ea7n nh\u1eefng c\u1eed \u0111\u1ed9ng t\u1ef1 \u0111\u1ed9ng th\u01b0\u1eddng d\u1eabn \u0111\u1ebfn gi\u1ea3m ch\u1edbp m\u1eaft, gi\u1ea3m s\u1ed1 l\u1ea7n nu\u1ed1t v\u00e0 ch\u1ea3y d\u00e3i; t\u01b0 th\u1ebf \u0111i cong c\u00fai v\u1ec1 tr\u01b0\u1edbc, khu\u1ef7u tay, h\u00f4ng, v\u00e0 g\u1ed1i \u0111\u1ec1u cong; b\u01b0\u1edbc \u0111i kh\u00f4ng v\u1eefng, kh\u00f4ng th\u0103ng b\u1eb1ng; sa s\u00fat tr\u00ed tu\u1ec7 ho\u1eb7c tr\u1ea7m c\u1ea3m. Kh\u00f4ng gi\u1ed1ng b\u1ec7nh Parkinson, nguy c\u01a1 b\u1ecb h\u1ed9i ch\u1ee9ng Parkinson th\u1ee9 ph\u00e1t c\u00f3 th\u1ec3 gi\u1ea3m thi\u1ec3u b\u1eb1ng c\u00e1ch d\u00f9ng thu\u1ed1c c\u1ea9n th\u1eadn, \u0111\u1eb7c bi\u1ec7t l\u00e0 c\u00e1c lo\u1ea1i thu\u1ed1c ch\u1ed1ng lo\u1ea1n th\u1ea7n.<\/p>\n

Nh\u1eefng lo\u1ea1i thu\u1ed1c \u0111i\u1ec1u tr\u1ecb b\u1ec7nh n\u00e0y \u0111\u1ec1u c\u00f3 t\u00e1c d\u1ee5ng ph\u1ee5, v\u00ec th\u1ebf trao \u0111\u1ed5i v\u1edbi b\u00e1c s\u0129 \u0111i\u1ec1u tr\u1ecb v\u1ec1 vi\u1ec7c d\u00f9ng thu\u1ed1c l\u00e0 \u0111i\u1ec1u r\u1ea5t quan tr\u1ecdng. Th\u1eadt kh\u00f4ng may, h\u1ed9i ch\u1ee9ng Parkinson kh\u00f4ng \u0111\u00e1p \u1ee9ng v\u1edbi \u0111i\u1ec1u tr\u1ecb n\u1ed9i khoa t\u1ed1t nh\u01b0 b\u1ec7nh Parkinson.<\/p>\n

Co th\u1eaft c\u01a1<\/strong><\/h2>\n

Co th\u1eaft c\u01a1 (spasticity):<\/strong> L\u00e0 s\u1ef1 t\u0103ng co c\u01a1 l\u00e0m cho c\u01a1 b\u1ecb co c\u1ee9ng ho\u1eb7c si\u1ebft ch\u1eb7t, g\u00e2y tr\u1edf ng\u1ea1i cho v\u1eadn \u0111\u1ed9ng, l\u1eddi n\u00f3i ho\u1eb7c b\u01b0\u1edbc \u0111i. Co th\u1eaft c\u01a1 th\u01b0\u1eddng do t\u1ed5n th\u01b0\u01a1ng b\u1ed9 ph\u1eadn n\u00e3o ho\u1eb7c tu\u1ef7 ki\u1ec3m so\u00e1t c\u1eed \u0111\u1ed9ng ch\u1ee7 \u00fd nh\u01b0: x\u01a1 c\u1ee9ng r\u1ea3i r\u00e1c, t\u1ed5n th\u01b0\u01a1ng tu\u1ef7, li\u1ec7t n\u00e3o, \u0111\u1ed9t qu\u1ef5, t\u1ed5n th\u01b0\u01a1ng n\u00e3o do thi\u1ebfu oxy, ch\u1ea5n th\u01b0\u01a1ng \u0111\u1ea7u n\u1eb7ng, b\u1ec7nh chuy\u1ec3n ho\u00e1 nh\u01b0 b\u1ec7nh Lou Gehrig.<\/p>\n

\u0110i\u1ec1u tr\u1ecb bao g\u1ed3m c\u00e1c thu\u1ed1c nh\u01b0 baclofen, diazepam, tizanidine, clonazepam. V\u1eadt l\u00fd tr\u1ecb li\u1ec7u v\u1edbi nh\u1eefng b\u00e0i t\u1eadp c\u01a1 chuy\u00ean bi\u1ec7t gi\u00fap gi\u1ea3m \u0111\u1ed9 n\u1eb7ng c\u1ee7a tri\u1ec7u ch\u1ee9ng. Ph\u1eabu thu\u1eadt c\u00f3 th\u1ec3 d\u00f9ng \u0111\u1ec3 gi\u1ea3i ph\u00f3ng g\u00e2n, ho\u1eb7c c\u1eaft con \u0111\u01b0\u1eddng d\u1eabn truy\u1ec1n th\u1ea7n kinh-c\u01a1. Ti\u00ean l\u01b0\u1ee3ng ph\u1ee5 thu\u1ed9c v\u00e0o \u0111\u1ed9 n\u1eb7ng c\u1ee7a co th\u1eaft c\u01a1 v\u00e0 nguy\u00ean nh\u00e2n g\u00e2y ra tri\u1ec7u ch\u1ee9ng.<\/p>\n

Lo\u1ea1n \u0111\u1ed9ng ch\u1eadm<\/strong><\/h2>\n

\"lo\u1ea1n<\/p>\n

Lo\u1ea1n \u0111\u1ed9ng ch\u1eadm (Tardive dyskinesia)<\/em><\/p>\n

Ngu\u1ed3n:\u00a0http:\/\/diseaseslab.com\/tardive-dyskinesia-causes-symptoms-treatment-definition\/<\/a><\/em><\/p>\n

Lo\u1ea1n \u0111\u1ed9ng ch\u1eadm (tardive dyskinesia-TD):<\/strong> L\u00e0 m\u1ed9t b\u1ea5t th\u01b0\u1eddng v\u1ec1 c\u01a1 do d\u00f9ng k\u00e9o d\u00e0i m\u1ed9t s\u1ed1 thu\u1ed1c ch\u1ed1ng lo\u1ea1n th\u1ea7n v\u00e0 an th\u1ea7n<\/strong>. TD bi\u1ec3u hi\u1ec7n b\u1eb1ng nh\u1eefng c\u1eed \u0111\u1ed9ng kh\u00f4ng ch\u1ee7 \u0111\u00edch, kh\u00f4ng ch\u1ee7 \u00fd, c\u00f3 t\u00ednh ch\u1ea5t l\u1eb7p l\u1ea1i nh\u01b0 nh\u00e9p m\u00f4i, nh\u0103n m\u1eb7t, ch\u1edbp m\u1eaft ho\u1eb7c c\u00e1c c\u1eed \u0111\u1ed9ng nhanh c\u1ee7a tay ch\u00e2n. B\u1ec7nh c\u00f3 th\u1ec3 l\u00e0m b\u1ec7nh nh\u00e2n th\u1ea5y x\u1ea5u h\u1ed5 v\u00ec nh\u1eefng c\u1eed \u0111\u1ed9ng kh\u00f4ng ki\u1ec3m so\u00e1t \u0111\u01b0\u1ee3c \u1ea5y. TD c\u00f3 th\u1ec3 h\u1ed3i ph\u1ee5<\/strong>c v\u00e0 kh\u00f4ng n\u1eb7ng trong nhi\u1ec1u tr\u01b0\u1eddng h\u1ee3p. T\u1ec9 l\u1ec7 b\u1ec7nh nh\u00e2n b\u1ecb TD n\u1eb7ng v\u00e0 kh\u00f4ng h\u1ed3i ph\u1ee5c kh\u00e1 th\u1ea5p trong nh\u1eefng ng\u01b0\u1eddi d\u00f9ng thu\u1ed1c ch\u1ed1ng lo\u1ea1n th\u1ea7n k\u00e9o d\u00e0i. Ng\u01b0\u1eddi l\u1edbn tu\u1ed5i d\u1ec5 b\u1ecb TD k\u00e9o d\u00e0i v\u00e0 kh\u00f4ng h\u1ed3i ph\u1ee5c h\u01a1n ng\u01b0\u1eddi tr\u1ebb. Nh\u1eefng lo\u1ea1i thu\u1ed1c ch\u1ed1ng lo\u1ea1n th\u1ea7n th\u1ebf h\u1ec7 m\u1edbi \u00edt c\u00f3 t\u00e1c d\u1ee5ng ph\u1ee5 TD h\u01a1n lo\u1ea1i c\u0169.<\/p>\n

Trong khi kh\u00f4ng c\u00f3 \u0111i\u1ec1u tr\u1ecb n\u00e0o cho TD, c\u00f3 th\u1ec3 gi\u1ea3m nguy c\u01a1 TD b\u1eb1ng c\u00e1ch d\u00f9ng c\u00e1c thu\u1ed1c ch\u1ed1ng lo\u1ea1n th\u1ea7n th\u1ebf h\u1ec7 m\u1edbi \u0111\u1ec3 \u0111i\u1ec1u tr\u1ecb lo\u1ea1n th\u1ea7n, tr\u00e1nh d\u00f9ng k\u00e9o d\u00e0i thu\u1ed1c h\u01b0\u1edbng th\u1ea7n v\u1edbi ch\u1ec9 \u0111\u1ecbnh r\u00f5 r\u00e0ng, v\u00e0 n\u00ean d\u00f9ng c\u00e1c thu\u1ed1c n\u00e0y \u1edf li\u1ec1u th\u1ea5p nh\u1ea5t c\u00f3 hi\u1ec7u qu\u1ea3. \u0110i\u1ec1u quan tr\u1ecdng n\u1eefa l\u00e0 c\u1ea7n theo d\u00f5i th\u01b0\u1eddng xuy\u00ean tri\u1ec7u ch\u1ee9ng TD \u1edf c\u00e1c b\u1ec7nh nh\u00e2n d\u00f9ng nh\u1eefng thu\u1ed1c n\u00e0y.<\/p>\n

H\u1ed9i ch\u1ee9ng Tourette<\/strong><\/h2>\n

H\u1ed9i ch\u1ee9ng Tourette:<\/strong> L\u00e0 m\u1ed9t b\u1ec7nh th\u1ea7n kinh di truy\u1ec1n, \u0111\u1eb7c tr\u01b0ng b\u1edfi nh\u1eefng c\u1eed \u0111\u1ed9ng kh\u00f4ng ch\u1ee7 \u00fd l\u1eb7p \u0111i l\u1eb7p l\u1ea1i v\u00e0 nh\u1eefng ti\u1ebfng ph\u00e1t \u00e2m kh\u00f4ng th\u1ec3 ki\u1ec3m so\u00e1t g\u1ecdi l\u00e0 Tics. B\u1ec7nh th\u01b0\u1eddng x\u1ea3y ra nh\u1ea5t \u1edf tu\u1ed5i 6-15, nh\u01b0ng c\u0169ng c\u00f3 th\u1ec3 x\u1ea3y ra s\u1edbm h\u01a1n v\u00e0o l\u00fac 2 tu\u1ed5i, ho\u1eb7c tr\u1ec5 h\u01a1n v\u00e0o l\u00fac 20 tu\u1ed5i. Tri\u1ec7u ch\u1ee9ng \u0111\u1ea7u ti\u00ean th\u01b0\u1eddng l\u00e0 nh\u1eefng c\u1eed \u0111\u1ed9ng kh\u00f4ng ch\u1ee7 \u00fd (Tics), th\u01b0\u1eddng g\u1eb7p nh\u1ea5t \u1edf m\u1eb7t, sau \u0111\u00f3 l\u00e0 tay ch\u00e2n v\u00e0 th\u00e2n m\u00ecnh. Nh\u1eefng c\u1eed \u0111\u1ed9ng Tics n\u00e0y x\u1ea3y ra nhanh, th\u01b0\u1eddng xuy\u00ean, l\u1eb7p \u0111i l\u1eb7p l\u1ea1i. Tics l\u1eddi n\u00f3i th\u01b0\u1eddng \u0111i k\u00e8m v\u1edbi c\u1eed \u0111\u1ed9ng nh\u01b0ng sau \u0111\u00f3 c\u00f3 th\u1ec3 thay th\u1ebf m\u1ed9t ho\u1eb7c nhi\u1ec1u c\u1eed \u0111\u1ed9ng tics. Tics l\u1eddi n\u00f3i bao g\u1ed3m ti\u1ebfng l\u1ea9m b\u1ea9m, h\u1eafng gi\u1ecdng, la h\u00e9t ho\u1eb7c qu\u00e1t th\u00e1o. Tics l\u1eddi n\u00f3i c\u0169ng c\u00f3 th\u1ec3 bi\u1ec3u hi\u1ec7n b\u1eb1ng n\u00f3i t\u1ee5c ho\u1eb7c c\u00e1c \u0111\u1ed9ng t\u00e1c khi\u00eau d\u00e2m. Kho\u1ea3ng 70% tr\u01b0\u1eddng h\u1ee3p tics bi\u1ebfn m\u1ea5t tr\u01b0\u1edbc 20 tu\u1ed5i. V\u1ea5n \u0111\u1ec1 ch\u00ednh m\u00e0 ng\u01b0\u1eddi b\u1ecb tics ph\u1ea3i \u0111\u1ed1i m\u1eb7t l\u00e0 s\u1ef1 ch\u1ea5p nh\u1eadn c\u1ee7a t\u1eadp th\u1ec3 v\u00e0 b\u1ea1n b\u00e8 c\u00f9ng l\u1ee9a v\u00ec b\u1ec7nh c\u00f3 v\u1ebb kh\u00e1 k\u1ef3 qu\u1eb7c. Th\u01b0\u1eddng th\u00ec tri\u1ec7u ch\u1ee9ng tics kh\u00f4ng qu\u00e1 n\u1eb7ng \u0111\u1ec3 ph\u1ea3i d\u00f9ng thu\u1ed1c. Tuy nhi\u00ean, c\u00f3 nhi\u1ec1u lo\u1ea1i thu\u1ed1c c\u00f3 th\u1ec3 d\u00f9ng cho nh\u1eefng ng\u01b0\u1eddi c\u00f3 tri\u1ec7u ch\u1ee9ng \u1ea3nh h\u01b0\u1edfng \u0111\u1ebfn ch\u1ee9c n\u0103ng. B\u1edfi v\u00ec t\u1ea5t c\u1ea3 c\u00e1c thu\u1ed1c n\u00e0y \u0111\u1ec1u c\u00f3 th\u1ec3 c\u00f3 t\u00e1c d\u1ee5ng ph\u1ee5 nghi\u00eam tr\u1ecdng, h\u1ecd n\u00ean d\u00f9ng thu\u1ed1c \u1edf li\u1ec1u th\u1ea5p nh\u1ea5t c\u00f3 hi\u1ec7u qu\u1ea3.<\/p>\n

B\u1ec7nh Wilson<\/strong><\/h2>\n

B\u1ec7nh Wilson<\/a>:<\/u><\/strong> L\u00e0 m\u1ed9t b\u1ec7nh do gen, g\u00e2y t\u00edch t\u1ee5 \u0111\u1ed3ng qu\u00e1 m\u1ee9c \u1edf gan v\u00e0 n\u00e3o<\/strong>. M\u1eb7c d\u00f9 s\u1ef1 t\u00edch t\u1ee5 \u0111\u1ed3ng b\u1eaft \u0111\u1ea7u t\u1eeb l\u00fac m\u1edbi sinh, tri\u1ec7u ch\u1ee9ng th\u01b0\u1eddng xu\u1ea5t hi\u1ec7n \u1edf tu\u1ed5i 6-40, nh\u01b0ng th\u01b0\u1eddng nh\u1ea5t l\u00e0 cu\u1ed1i giai \u0111o\u1ea1n d\u1eady th\u00ec. T\u1ec9 l\u1ec7 b\u1ec7nh Wilson kho\u1ea3ng 1\/30.000 tr\u00ean to\u00e0n th\u1ebf gi\u1edbi. \u0110\u00e2y l\u00e0 b\u1ec7nh di truy\u1ec1n l\u1eb7n<\/strong>, x\u1ea3y ra b\u1eb1ng nhau \u1edf c\u1ea3 nam v\u00e0 n\u1eef. C\u1ea3 cha v\u00e0 m\u1eb9 \u0111\u1ec1u ph\u1ea3i mang gen b\u1ec7nh \u0111\u1ec3 c\u00f9ng truy\u1ec1n cho \u0111\u1ee9a tr\u1ebb b\u1ec7nh. H\u1eadu qu\u1ea3 c\u1ee7a b\u1ec7nh bao g\u1ed3m b\u1ec7nh gan, c\u00e1c v\u1ea5n \u0111\u1ec1 th\u1ea7n kinh v\u00e0 t\u00e2m th\u1ea7n. C\u00e1c d\u1ea5u hi\u1ec7u th\u1ef1c th\u1ec3 bao g\u1ed3m v\u00e0ng da, b\u00e1ng b\u1ee5ng, n\u00f4n ra m\u00e1u, \u0111au b\u1ee5ng, run, \u0111i kh\u00f3, n\u00f3i kh\u00f3, nu\u1ed1t kh\u00f3. D\u1ea5u hi\u1ec7u t\u00e2m th\u1ea7n bao g\u1ed3m gi\u1ebft ng\u01b0\u1eddi, h\u00e0nh vi t\u1ef1 t\u1eed, tr\u1ea7m c\u1ea3m v\u00e0 k\u00edch \u0111\u1ed9ng. N\u1ebfu kh\u00f4ng \u0111\u01b0\u1ee3c ph\u00e1t hi\u1ec7n v\u00e0 kh\u00f4ng \u0111i\u1ec1u tr\u1ecb, b\u1ec7nh nh\u00e2n ch\u1eafc ch\u1eafn t\u1eed vong.<\/strong><\/p>\n

\"h\u00ecnh<\/p>\n

H\u00ecnh m\u1eb7t g\u1ea5u Panda kh\u1ed5ng l\u1ed3 \u201c face of the giant panda\u201d (bi\u1ec3u hi\u1ec7n t\u1ed5n th\u01b0\u01a1ng \u1edf th\u00e2n n\u00e3o c\u1ee7a b\u1ec7nh nh\u00e2n Wilson\/ T2-MRI).Ngu\u1ed3n: http:\/\/saraswatastar.weebly.com\/radiological-signs.html<\/a><\/em><\/p>\n

Ch\u1ea9n \u0111o\u00e1n s\u1edbm l\u00e0 v\u1ea5n \u0111\u1ec1 quy\u1ebft \u0111\u1ecbnh v\u00ec t\u1ed5n th\u01b0\u01a1ng gan c\u00f3 th\u1ec3 x\u1ea3y ra tr\u01b0\u1edbc khi xu\u1ea5t hi\u1ec7n tri\u1ec7u ch\u1ee9ng. C\u00e1c th\u00e0nh vi\u00ean trong gia \u0111\u00ecnh b\u1ec7nh nh\u00e2n b\u1ecb b\u1ec7nh Wilson c\u1ea7n ph\u1ea3i t\u1ea7m so\u00e1t b\u1ec7nh Wilson ngay c\u1ea3 khi h\u1ecd kh\u00f4ng c\u00f3 tri\u1ec7u ch\u1ee9ng. X\u00e9t nghi\u1ec7m s\u00e0ng l\u1ecdc bao g\u1ed3m \u0111o n\u1ed3ng \u0111\u1ed9 ceruloplasmin huy\u1ebft thanh v\u00e0 \u0111o l\u01b0\u1ee3ng \u0111\u1ed3ng trong n\u01b0\u1edbc ti\u1ec3u 24 gi\u1edd. \u0110i\u1ec1u tr\u1ecb b\u1ec7nh bao g\u1ed3m lo\u1ea1i b\u1ecf l\u01b0\u1ee3ng \u0111\u1ed3ng d\u01b0 th\u1eeba trong c\u01a1 th\u1ec3 v\u00e0 ph\u00f2ng ng\u1eeba n\u00f3 t\u00e1i t\u00edch t\u1ee5. H\u1ea7u h\u1ebft c\u00e1c tr\u01b0\u1eddng h\u1ee3p \u0111\u01b0\u1ee3c \u0111i\u1ec1u tr\u1ecb b\u1eb1ng k\u1ebdm acetate, trientine v\u00e0 penicillamine. Penicillamine v\u00e0 trientine l\u00e0m t\u0103ng th\u1ea3i \u0111\u1ed3ng qua n\u01b0\u1edbc ti\u1ec3u, nh\u01b0ng c\u1ea3 hai c\u00f3 th\u1ec3 c\u00f3 t\u00e1c d\u1ee5ng ph\u1ee5 nghi\u00eam tr\u1ecdng. K\u1ebdm acetate \u1ee9c ch\u1ebf h\u1ea5p thu \u0111\u1ed3ng, t\u0103ng th\u1ea3i \u0111\u1ed3ng qua ph\u00e2n v\u00e0 kh\u00f4ng c\u00f3 t\u00e1c d\u1ee5ng ph\u1ee5 nghi\u00eam tr\u1ecdng, v\u00ec th\u1ebf th\u01b0\u1eddng \u0111\u01b0\u1ee3c ch\u1ecdn l\u1ef1a \u0111i\u1ec1u tr\u1ecb. \u0110i\u1ec1u tr\u1ecb su\u1ed1t \u0111\u1eddi v\u00e0 d\u00f9ng ch\u1ebf \u0111\u1ed9 \u0103n tr\u00e1nh c\u00e1c th\u1ef1c ph\u1ea9m gi\u00e0u \u0111\u1ed3ng.<\/p>\n

T\u00e0i li\u1ec7u tham kh\u1ea3o<\/strong><\/h2>\n

http:\/\/www.aans.org\/en\/Patient%20Information\/Conditions%20and%20Treatments\/Movement%20Disorders.aspx<\/a><\/p>\n","protected":false},"excerpt":{"rendered":"

R\u1ed1i lo\u1ea1n v\u1eadn \u0111\u1ed9ng ch\u1ec9 m\u1ed9t nh\u00f3m c\u00e1c \u0111i\u1ec1u ki\u1ec7n th\u1ea7n kinh d\u1eabn \u0111\u1ebfn r\u1ed1i lo\u1ea1n c\u00e1c v\u1eadn \u0111\u1ed9ng b\u00ecnh th\u01b0\u1eddng c\u1ee7a c\u01a1 th\u1ec3, g\u1ed3m nhi\u1ec1u nguy\u00ean nh\u00e2n kh\u00e1c nhau<\/p>\n","protected":false},"author":23,"featured_media":6065,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[3884,5249,5148,5149,5230],"tags":[3885,4533,4125],"series":[1583],"coauthors":[2333],"acf":[],"yoast_head":"\nR\u1ed1i lo\u1ea1n v\u1eadn \u0111\u1ed9ng - Y H\u1ecdc C\u1ed9ng \u0110\u1ed3ng<\/title>\n<meta name=\"description\" content=\"R\u1ed1i lo\u1ea1n v\u1eadn \u0111\u1ed9ng ch\u1ec9 m\u1ed9t nh\u00f3m c\u00e1c \u0111i\u1ec1u ki\u1ec7n th\u1ea7n kinh d\u1eabn \u0111\u1ebfn r\u1ed1i lo\u1ea1n c\u00e1c v\u1eadn \u0111\u1ed9ng b\u00ecnh th\u01b0\u1eddng c\u1ee7a c\u01a1 th\u1ec3, g\u1ed3m nhi\u1ec1u nguy\u00ean nh\u00e2n kh\u00e1c nhau\" \/>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/yhoccongdong.com\/du-an-khac\/roi-loan-van-dong\/\" \/>\n<meta property=\"og:locale\" content=\"vi_VN\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"R\u1ed1i lo\u1ea1n v\u1eadn \u0111\u1ed9ng - 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