{"id":6127,"date":"2016-06-22T12:00:24","date_gmt":"2016-06-22T05:00:24","guid":{"rendered":"https:\/\/yhoccongdong.org\/du-an-khac\/2016\/06\/22\/thuoc-dieu-tri-sa-sut-tri-tue\/"},"modified":"2024-03-17T04:21:50","modified_gmt":"2024-03-16T21:21:50","slug":"thuoc-dieu-tri-sa-sut-tri-tue","status":"publish","type":"post","link":"https:\/\/yhoccongdong.com\/du-an-khac\/thuoc-dieu-tri-sa-sut-tri-tue\/","title":{"rendered":"Thu\u1ed1c \u0111i\u1ec1u tr\u1ecb sa s\u00fat tr\u00ed tu\u1ec7"},"content":{"rendered":"<p>Thu\u1ed1c \u0111i\u1ec1u tr\u1ecb sa s\u00fat tr\u00ed tu\u1ec7 \u0111\u01b0\u1ee3c d\u00f9ng \u0111\u1ec3 \u0111i\u1ec1u tr\u1ecb c\u00e1c tri\u1ec7u ch\u1ee9ng \u1ea3nh h\u01b0\u1edfng \u0111\u1ebfn kh\u1ea3 n\u0103ng suy ngh\u0129 v\u00e0 tr\u00ed nh\u1edb. Ch\u00fang c\u0169ng \u0111\u01b0\u1ee3c d\u00f9ng \u0111\u1ec3 \u0111i\u1ec1u tr\u1ecb c\u00e1c tri\u1ec7u ch\u1ee9ng \u1ea3nh h\u01b0\u1edfng t\u1edbi t\u00e2m tr\u1ea1ng v\u00e0 h\u00e0nh vi. C\u00e1c lo\u1ea1i thu\u1ed1c n\u00e0y kh\u00f4ng ch\u1eefa kh\u1ecfi b\u1ec7nh sa s\u00fat tr\u00ed tu\u1ec7 v\u00e0 c\u00f3 th\u1ec3 ch\u1ec9 c\u00f3 t\u00e1c d\u1ee5ng tr\u00ean m\u1ed9t s\u1ed1 ng\u01b0\u1eddi. Ch\u00fang c\u0169ng c\u00f3 th\u1ec3 ch\u1ec9 c\u00f3 t\u00e1c d\u1ee5ng trong m\u1ed9t th\u1eddi gian ng\u1eafn (6-12 th\u00e1ng). Thu\u1ed1c \u0111i\u1ec1u tr\u1ecb sa s\u00fat tr\u00ed tu\u1ec7 lu\u00f4n lu\u00f4n \u0111\u01b0\u1ee3c kh\u1edfi tr\u1ecb b\u1edfi m\u1ed9t b\u00e1c s\u0129 chuy\u00ean khoa v\u1ec1 \u0111i\u1ec1u tr\u1ecb sa s\u00fat tr\u00ed tu\u1ec7. Gi\u1ed1ng nh\u01b0 c\u00e1c lo\u1ea1i thu\u1ed1c kh\u00e1c, ch\u00fang c\u00f3 th\u1ec3 g\u00e2y ra m\u1ed9t s\u1ed1 t\u00e1c d\u1ee5ng ph\u1ee5 &#8211; nh\u01b0 ti\u00eau ch\u1ea3y, bu\u1ed3n n\u00f4n v\u00e0 n\u00f4n. Nh\u01b0ng \u0111\u1ed1i v\u1edbi \u0111a s\u1ed1 b\u1ec7nh nh\u00e2n, c\u00e1c t\u00e1c d\u1ee5ng ph\u1ee5 th\u01b0\u1eddng bi\u1ebfn m\u1ea5t sau v\u00e0i tu\u1ea7n.<\/p>\n<h2><strong>Sa s\u00fat tr\u00ed tu\u1ec7 l\u00e0 g\u00ec?<\/strong><\/h2>\n<p><img fetchpriority=\"high\" decoding=\"async\" class=\"alignnone size-full wp-image-10857 aligncenter\" src=\"\/\/yhoccongdong.com\/wp-content\/uploads\/2016\/06\/sa-sut-tri-tue.jpg\" alt=\"Sa s\u00fat tr\u00ed tu\u1ec7\" width=\"500\" height=\"420\" \/><\/p>\n<p><a href=\"https:\/\/yhoccongdong.com\/thongtin\/sa-sut-tri-tue-dementia\/\" target=\"_blank\" rel=\"noopener\">Sa s\u00fat tr\u00ed tu\u1ec7 (dementia) <\/a>l\u00e0 m\u1ed9t t\u00ecnh tr\u1ea1ng c\u1ee7a n\u00e3o b\u1ed9, l\u00e0m m\u1ea5t d\u1ea7n kh\u1ea3 n\u0103ng th\u1ea7n kinh, bao g\u1ed3m c\u00e1c v\u1ea5n \u0111\u1ec1 v\u1ec1 ghi nh\u1edb, hi\u1ec3u, ph\u00e1n \u0111o\u00e1n, suy ngh\u0129 v\u00e0 ng\u00f4n ng\u1eef. Th\u00eam v\u00e0o \u0111\u00f3, c\u00e1c v\u1ea5n \u0111\u1ec1 kh\u00e1c th\u01b0\u1eddng ph\u00e1t tri\u1ec3n, nh\u01b0 thay \u0111\u1ed5i t\u00ednh c\u00e1ch v\u00e0 thay \u0111\u1ed5i h\u00e0nh vi giao ti\u1ebfp x\u00e3 h\u1ed9i. Khi sa s\u00fat tr\u00ed tu\u1ec7 ti\u1ebfn tri\u1ec3n, kh\u1ea3 n\u0103ng m\u1ed9t ng\u01b0\u1eddi t\u1ef1 ch\u0103m s\u00f3c b\u1ea3n th\u00e2n h\u00e0ng ng\u00e0y c\u00f3 th\u1ec3 b\u1ecb \u1ea3nh h\u01b0\u1edfng.<\/p>\n<p>C\u00f3 nhi\u1ec1u nguy\u00ean nh\u00e2n g\u00e2y ra sa s\u00fat tr\u00ed tu\u1ec7. N\u00f3 c\u00f3 th\u1ec3 do c\u00e1c b\u1ec7nh ho\u1eb7c r\u1ed1i lo\u1ea1n \u1ea3nh h\u01b0\u1edfng t\u1edbi v\u00f9ng n\u00e3o li\u00ean quan \u0111\u1ebfn qu\u00e1 tr\u00ecnh suy ngh\u0129. H\u1ea7u h\u1ebft c\u00e1c tr\u01b0\u1eddng h\u1ee3p l\u00e0 do b\u1ec7nh Alzheimer. M\u1ed9t s\u1ed1 d\u1ea1ng sa s\u00fat tr\u00ed tu\u1ec7 kh\u00e1c nh\u01b0:<\/p>\n<ul>\n<li>Sa s\u00fat tr\u00ed tu\u1ec7 m\u1ea1ch m\u00e1u. Do c\u00e1c v\u1ea5n \u0111\u1ec1 v\u1ec1 m\u1ea1ch m\u00e1u trong n\u00e3o. T\u1ed5n th\u01b0\u01a1ng n\u00e3o \u0111\u01b0\u1ee3c g\u1ecdi l\u00e0 \u0111\u1ed9t qu\u1ef5 ho\u1eb7c m\u1ed9t chu\u1ed7i c\u00e1c \u0111\u1ed9t qu\u1ef5 nh\u1ecf.<\/li>\n<li>Sa s\u00fat tr\u00ed tu\u1ec7 th\u1ec3 Lewy. M\u1ed9t d\u1ea1ng sa s\u00fat tr\u00ed tu\u1ec7 c\u00f3 s\u1ef1 hi\u1ec7n di\u1ec3n c\u1ee7a c\u00e1c protein b\u1ea5t th\u01b0\u1eddng \u0111\u01b0\u1ee3c g\u1ecdi l\u00e0 th\u1ec3 Lewy trong n\u00e3o.<\/li>\n<li>Sa s\u00fat tr\u00ed tu\u1ec7 \u0111i k\u00e8m b\u1ec7nh Pakinson.<\/li>\n<li>Sa s\u00fat tr\u00ed tu\u1ec7 tr\u00e1n-th\u00e1i d\u01b0\u01a1ng. M\u1ed9t d\u1ea1ng sa s\u00fat tr\u00ed tu\u1ec7 ch\u1ec9 x\u1ea3y ra \u1edf c\u00e1c v\u1ecb tr\u00ed nh\u1ea5t \u0111\u1ecbnh c\u1ee7a n\u00e3o.<\/li>\n<li>Sa s\u00fat tr\u00ed tu\u1ec7 h\u1ed7n h\u1ee3p.<\/li>\n<\/ul>\n<p>Tuy nhi\u00ean, \u0111\u00f4i khi kh\u00f4ng th\u1ec3 x\u00e1c \u0111\u1ecbnh nguy\u00ean nh\u00e2n g\u00e2y n\u00ean sa s\u00fat tr\u00ed tu\u1ec7.<\/p>\n<h2><strong>Thu\u1ed1c \u0111i\u1ec1u tr\u1ecb sa s\u00fat tr\u00ed tu\u1ec7 l\u00e0 g\u00ec?<\/strong><\/h2>\n<p>Thu\u1ed1c \u0111i\u1ec1u tr\u1ecb sa s\u00fat tr\u00ed tu\u1ec7 \u0111\u01b0\u1ee3c d\u00f9ng tr\u01b0\u1edbc nh\u1ea5t \u0111\u1ec3 \u0111i\u1ec1u tr\u1ecb tri\u1ec7u ch\u1ee9ng \u1ea3nh h\u01b0\u1edfng \u0111\u1ebfn kh\u1ea3 n\u0103ng suy ngh\u0129 v\u00e0 tr\u00ed nh\u1edb (tri\u1ec7u ch\u1ee9ng v\u1ec1 nh\u1eadn th\u1ee9c). Ti\u1ebfp theo \u0111\u00f3, ch\u00fang \u0111\u01b0\u1ee3c d\u00f9ng \u0111\u1ec3 \u0111i\u1ec1u tr\u1ecb c\u00e1c tri\u1ec7u ch\u1ee9ng \u1ea3nh h\u01b0\u1edfng t\u1edbi t\u00e2m tr\u1ea1ng v\u00e0 h\u00e0nh vi (tri\u1ec7u ch\u1ee9ng kh\u00f4ng ph\u1ea3i v\u1ec1 nh\u1eadn th\u1ee9c). Ch\u00fang kh\u00f4ng ch\u1eefa kh\u1ecfi b\u1ec7nh sa s\u00fat tr\u00ed tu\u1ec7.<\/p>\n<p>C\u00f3 b\u1ed1n lo\u1ea1i thu\u1ed1c tr\u00ean th\u1ecb tr\u01b0\u1eddng t\u1ea1i Anh c\u00f3 th\u1ec3 k\u00ea toa cho b\u1ec7nh sa s\u00fat tr\u00ed tu\u1ec7: <a href=\"http:\/\/patient.info\/medicine\/donepezil-aricept\" target=\"_blank\" rel=\"noopener\">donepezil<\/a>, <a href=\"http:\/\/patient.info\/medicine\/rivastigmine-exelon-kerstipon-nimvastid\" target=\"_blank\" rel=\"noopener\">rivastigmine<\/a>, <a href=\"http:\/\/patient.info\/medicine\/galantamine\" target=\"_blank\" rel=\"noopener\">galantamine<\/a> v\u00e0 <a href=\"http:\/\/patient.info\/medicine\/memantine-for-dementia-ebixa-maruxa-nemtadine\" target=\"_blank\" rel=\"noopener\">memantine<\/a>. C\u00e1c lo\u1ea1i thu\u1ed1c n\u00e0y c\u00f3 \u1edf d\u1ea1ng vi\u00ean, dung d\u1ecbch, vi\u00ean h\u00f2a tan trong n\u01b0\u1edbc, ho\u1eb7c mi\u1ebfng d\u00e1n. Ch\u00fang c\u00f3 nhi\u1ec1u t\u00ean bi\u1ec7t d\u01b0\u1ee3c kh\u00e1c nhau.<\/p>\n<p>B\u00ean c\u1ea1nh \u0111\u00f3, c\u00f3 nhi\u1ec1u lo\u1ea1i thu\u1ed1c kh\u00e1c c\u00f3 th\u1ec3 k\u00ea toa cho ng\u01b0\u1eddi m\u1eafc b\u1ec7nh sa s\u00fat tr\u00ed tu\u1ec7, nh\u01b0:<\/p>\n<ul>\n<li>Thu\u1ed1c ch\u1ed1ng tr\u1ea7m c\u1ea3m n\u1ebfu nghi ng\u1edd b\u1ec7nh nh\u00e2n c\u00f3 tr\u1ea7m c\u1ea3m. B\u1ec7nh tr\u1ea7m c\u1ea3m th\u01b0\u1eddng ph\u1ed5 bi\u1ebfn \u1edf ng\u01b0\u1eddi sa s\u00fat tr\u00ed tu\u1ec7 v\u00e0 c\u00f3 th\u1ec3 b\u1ecb b\u1ecf s\u00f3t.<\/li>\n<li>Aspirin v\u00e0 c\u00e1c thu\u1ed1c kh\u00e1c \u0111i\u1ec1u tr\u1ecb c\u00e1c y\u1ebfu t\u1ed1 nguy c\u01a1 cho \u0111\u1ed9t qu\u1ef5 v\u00e0 b\u1ec7nh tim m\u1ea1ch c\u00f3 th\u1ec3 th\u00edch h\u1ee3p v\u1edbi m\u1ed9t s\u1ed1 ng\u01b0\u1eddi, \u0111\u1eb7c bi\u1ec7t l\u00e0 ng\u01b0\u1eddi m\u1eafc b\u1ec7nh sa s\u00fat tr\u00ed tu\u1ec7 m\u1ea1ch m\u00e1u.<\/li>\n<li>Thu\u1ed1c ng\u1ee7 \u0111\u00f4i khi c\u0169ng c\u1ea7n thi\u1ebft n\u1ebfu ch\u1ee9ng kh\u00f3 ng\u1ee7 xu\u1ea5t hi\u1ec7n th\u01b0\u1eddng xuy\u00ean.<\/li>\n<li>Thu\u1ed1c an th\u1ea7n ho\u1eb7c thu\u1ed1c ch\u1ed1ng \u0111\u1ed9ng kinh \u0111\u00f4i l\u00fac \u0111\u01b0\u1ee3c d\u00f9ng nh\u01b0 l\u00e0 m\u1ed9t ph\u01b0\u01a1ng \u00e1n cu\u1ed1i c\u00f9ng cho ng\u01b0\u1eddi m\u1eafc sa s\u00fat tr\u00ed tu\u1ec7 d\u1ec5 b\u1ecb k\u00edch \u0111\u1ed9ng.<\/li>\n<\/ul>\n<p>Ph\u1ea7n ti\u1ebfp theo c\u1ee7a b\u00e0i n\u00e0y ch\u1ec9 n\u00f3i v\u1ec1 c\u00e1ch s\u1eed d\u1ee5ng donepezil, rivastigmine, galantamine v\u00e0 memantine. Tham kh\u1ea3o th\u00eam \u1edf trang <u>M\u1ea5t tr\u00ed nh\u1edb v\u00e0 Sa s\u00fat tr\u00ed tu\u1ec7<\/u>.<\/p>\n<h2><strong>Thu\u1ed1c \u0111i\u1ec1u tr\u1ecb sa s\u00fat tr\u00ed tu\u1ec7 ho\u1ea1t \u0111\u1ed9ng nh\u01b0 th\u1ebf n\u00e0o?<\/strong><\/h2>\n<p>Thu\u1ed1c \u0111i\u1ec1u tr\u1ecb sa s\u00fat tr\u00ed tu\u1ec7 l\u00e0m t\u0103ng n\u1ed3ng \u0111\u1ed9 c\u1ee7a m\u1ed9t s\u1ed1 ch\u1ea5t h\u00f3a h\u1ecdc nh\u1ea5t \u0111\u1ecbnh trong n\u00e3o.<\/p>\n<p><strong>Donepezil, rivastigmine v\u00e0 galantamine <\/strong>n\u1eb1m trong nh\u00f3m thu\u1ed1c \u0111\u01b0\u1ee3c g\u1ecdi l\u00e0 ch\u1ea5t \u1ee9c ch\u1ebf acetylcholinesterase. Ch\u00fang l\u00e0m t\u0103ng n\u1ed3ng \u0111\u1ed9 acetylcholine, m\u1ed9t ch\u1ea5t h\u00f3a h\u1ecdc trong n\u00e3o b\u1ecb suy gi\u1ea3m \u1edf b\u1ec7nh nh\u00e2n m\u1eafc b\u1ec7nh Alzheimer.<\/p>\n<p><strong>Memantine<\/strong> ho\u1ea1t \u0111\u1ed9ng theo m\u1ed9t c\u01a1 ch\u1ebf kh\u00e1c v\u1edbi ch\u1ea5t \u1ee9c ch\u1ebf acetylcholinesterase. N\u00f3 l\u00e0m gi\u1ea3m n\u1ed3ng \u0111\u1ed9 m\u1ed9t ch\u1ea5t h\u00f3a h\u1ecdc t\u00ean l\u00e0 glutamate. N\u00f3 \u0111\u01b0\u1ee3c cho r\u1eb1ng c\u00f3 th\u1ec3 gi\u00fap l\u00e0m ch\u1eadm t\u1ed5n th\u01b0\u01a1ng c\u1ee7a c\u00e1c t\u1ebf b\u00e0o n\u00e3o do b\u1ec7nh Alzheimer.<\/p>\n<h2><strong>Khi n\u00e0o k\u00ea toa thu\u1ed1c \u0111i\u1ec1u tr\u1ecb sa s\u00fat tr\u00ed tu\u1ec7?<\/strong><\/h2>\n<p>B\u00e1c s\u0129 c\u1ee7a b\u1ea1n th\u01b0\u1eddng s\u1ebd chuy\u1ec3n b\u1ea1n \u0111\u1ebfn m\u1ed9t b\u00e1c s\u0129 chuy\u00ean khoa \u0111i\u1ec1u tr\u1ecb sa s\u00fat tr\u00ed tu\u1ec7, \u0111\u1ec3 x\u00e1c \u0111\u1ecbnh r\u1eb1ng b\u1ea1n m\u1eafc b\u1ec7nh n\u00e0y. B\u00e1c s\u0129 chuy\u00ean khoa khi \u0111\u00f3 s\u1ebd quy\u1ebft \u0111\u1ecbnh b\u1ea1n n\u00ean b\u1eaft \u0111\u1ea7u \u0111i\u1ec1u tr\u1ecb hay kh\u00f4ng. Quy\u1ebft \u0111\u1ecbnh b\u1eaft \u0111\u1ea7u \u0111i\u1ec1u tr\u1ecb v\u00e0 \u0111i\u1ec1u tr\u1ecb kh\u1edfi \u0111\u1ea7u b\u1eb1ng c\u00e1ch n\u00e0o ph\u1ee5 thu\u1ed9c v\u00e0o nhi\u1ec1u y\u1ebfu t\u1ed1, bao g\u1ed3m: nguy\u00ean nh\u00e2n g\u00e2y b\u1ec7nh, tri\u1ec7u ch\u1ee9ng v\u00e0 m\u1ee9c \u0111\u1ed9 nghi\u00eam tr\u1ecdng. Sa s\u00fat tr\u00ed tu\u1ec7 th\u01b0\u1eddng \u0111\u01b0\u1ee3c chia th\u00e0nh nh\u1eb9, trung b\u00ecnh v\u00e0 n\u1eb7ng.<\/p>\n<h2>Thu\u1ed1c \u0111i\u1ec1u tr\u1ecb sa s\u00fat tr\u00ed tu\u1ec7 n\u00e0o th\u01b0\u1eddng \u0111\u01b0\u1ee3c k\u00ea toa?<\/h2>\n<p>B\u00e1c s\u0129 chuy\u00ean khoa s\u1ebd quy\u1ebft \u0111\u1ecbnh c\u00e1ch \u0111i\u1ec1u tr\u1ecb n\u00e0o l\u00e0 th\u00edch h\u1ee3p cho b\u1ea1n d\u1ef1a tr\u00ean nh\u1eefng khuy\u1ebfn c\u00e1o qu\u1ed1c gia.<\/p>\n<p>\u0110\u1ed1i v\u1edbi b\u1ec7nh nh\u00e2n Alzheimer m\u1ee9c \u0111\u1ed9 nh\u1eb9 ho\u1eb7c trung b\u00ecnh, m\u1ed9t trong c\u00e1c lo\u1ea1i thu\u1ed1c sau \u0111\u00e2y th\u01b0\u1eddng \u0111\u01b0\u1ee3c khuy\u1ebfn c\u00e1o: donepezil, galantamine and rivastigmine, v\u1edbi \u0111i\u1ec1u ki\u1ec7n:<\/p>\n<ul>\n<li>\u0110\u01b0\u1ee3c kh\u1edfi tr\u1ecb b\u1edfi m\u1ed9t b\u00e1c s\u0129 chuy\u00ean khoa \u0111i\u1ec1u tr\u1ecb sa s\u00fat tr\u00ed tu\u1ec7.<\/li>\n<li>B\u1ec7nh nh\u00e2n \u0111\u01b0\u1ee3c ki\u1ec3m tra v\u00e0 \u0111\u00e1nh gi\u00e1 t\u00ecnh tr\u1ea1ng s\u1ee9c kh\u1ecfe th\u01b0\u1eddng xuy\u00ean. (Qu\u00e1 tr\u00ecnh ki\u1ec3m tra th\u01b0\u1eddng \u0111\u01b0\u1ee3c ti\u1ebfn h\u00e0nh b\u1edfi m\u1ed9t nh\u00f3m b\u00e1c s\u0129 chuy\u00ean khoa. Th\u00f4ng tin t\u1eeb ng\u01b0\u1eddi ch\u0103m s\u00f3c v\u1ec1 t\u00ecnh tr\u1ea1ng b\u1ec7nh nh\u00e2n c\u0169ng n\u00ean \u0111\u01b0\u1ee3c tham kh\u1ea3o tr\u01b0\u1edbc khi kh\u1edfi tr\u1ecb v\u00e0 trong l\u00fac ki\u1ec3m tra s\u1ee9c kh\u1ecfe.)<\/li>\n<\/ul>\n<p>Memantine c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c xem x\u00e9t k\u00ea toa \u0111\u1ed1i v\u1edbi:<\/p>\n<ul>\n<li>B\u1ec7nh nh\u00e2n Alzheimer m\u1ee9c \u0111\u1ed9 trung b\u00ecnh v\u00e0 kh\u00f4ng th\u1ec3 d\u00f9ng, ho\u1eb7c dung n\u1ea1p, c\u00e1c thu\u1ed1c \u1ee9c ch\u1ebf acetylcholinesterase.<\/li>\n<li>B\u1ec7nh nh\u00e2n Alzheimer m\u1ee9c \u0111\u1ed9 n\u1eb7ng.<\/li>\n<\/ul>\n<p>C\u00e1c thu\u1ed1c n\u00e0y th\u01b0\u1eddng kh\u00f4ng \u0111\u01b0\u1ee3c d\u00f9ng cho c\u00e1c d\u1ea1ng sa s\u00fat tr\u00ed tu\u1ec7 kh\u00e1c. Tuy nhi\u00ean, rivastigmine c\u00f3 th\u1ec3 d\u00f9ng cho b\u1ec7nh nh\u00e2n sa s\u00fat tr\u00ed tu\u1ec7 nh\u1eb9-\u0111\u1ebfn-t\u01b0\u01a1ng-\u0111\u1ed1i n\u1eb7ng \u0111\u1ed3ng m\u1eafc b\u1ec7nh Parkinson. Thu\u1ed1c \u1ee9c ch\u1ebf acetylcholinesterase \u0111\u00f4i l\u00fac c\u00f3 th\u1ec3 d\u00f9ng cho b\u1ec7nh nh\u00e2n sa s\u00fat tr\u00ed tu\u1ec7 th\u1ec3 Lewy c\u00f3 k\u00e8m c\u00e1c v\u1ea5n \u0111\u1ec1 v\u1ec1 h\u00e0nh vi nh\u01b0 k\u00edch \u0111\u1ed9ng ho\u1eb7c \u0111\u1eadp ph\u00e1.<\/p>\n<h2>Kh\u1ea3 n\u0103ng \u0111i\u1ec1u tr\u1ecb c\u1ee7a thu\u1ed1c \u0111i\u1ec1u tr\u1ecb sa s\u00fat tr\u00ed tu\u1ec7 nh\u01b0 th\u1ebf n\u00e0o?<\/h2>\n<p>Ng\u01b0\u1eddi ta cho r\u1eb1ng kho\u1ea3ng m\u1ed9t n\u1eeda s\u1ed1 b\u1ec7nh nh\u00e2n \u0111i\u1ec1u tr\u1ecb v\u1edbi thu\u1ed1c \u1ee9c ch\u1ebf cholinesterase s\u1ebd c\u1ea3i thi\u1ec7n c\u00e1c tri\u1ec7u ch\u1ee9ng \u1ea3nh h\u01b0\u1edfng \u0111\u1ebfn suy ngh\u0129 v\u00e0 tr\u00ed nh\u1edb. Tuy nhi\u00ean kh\u1ea3 n\u0103ng \u0111i\u1ec1u tr\u1ecb c\u00e1c tri\u1ec7u ch\u1ee9ng kh\u00e1c nh\u01b0 k\u00edch \u0111\u1ed9ng ho\u1eb7c lo \u00e2u v\u1eabn ch\u01b0a \u0111\u01b0\u1ee3c x\u00e1c \u0111\u1ecbnh. C\u1ea3i thi\u1ec7n c\u00e1c tri\u1ec7u ch\u1ee9ng th\u01b0\u1eddng ch\u1ec9 c\u00f3 th\u1ec3 th\u1ea5y sau 6-12 th\u00e1ng.<\/p>\n<p>\u0110\u1ed1i v\u1edbi memantine, m\u1ed9t s\u1ed1 nghi\u00ean c\u1ee9u cho th\u1ea5y n\u00f3 c\u00f3 th\u1ec3 l\u00e0m ch\u1eadm ti\u1ebfn tri\u1ec3n c\u1ee7a c\u00e1c tri\u1ec7u ch\u1ee9ng \u1edf m\u1ed9t s\u1ed1 tr\u01b0\u1eddng h\u1ee3p.<\/p>\n<h2>T\u00f4i n\u00ean s\u1eed d\u1ee5ng thu\u1ed1c nh\u01b0 th\u1ebf n\u00e0o?<\/h2>\n<p>B\u1ea1n n\u00ean kh\u1edfi \u0111\u1ea7u v\u1edbi li\u1ec1u th\u1ea5p, sau \u0111\u00f3 t\u0103ng d\u1ea7n sau m\u1ed9t v\u00e0i tu\u1ea7n cho \u0111\u1ebfn li\u1ec1u \u0111i\u1ec1u tr\u1ecb \u0111\u00edch.\u00a0 Li\u1ec1u d\u00f9ng \u0111\u01b0\u1ee3c t\u0103ng t\u1eeb t\u1eeb v\u00ec khi b\u1eaft \u0111\u1ea7u d\u00f9ng thu\u1ed1c, b\u1ea1n c\u00f3 th\u1ec3 g\u1eb7p c\u00e1c t\u00e1c d\u1ee5ng ph\u1ee5 kh\u00f4ng mong mu\u1ed1n &#8211; nh\u01b0 ti\u00eau ch\u1ea3y, bu\u1ed3n n\u00f4n, n\u00f4n. \u0110a s\u1ed1 b\u1ec7nh nh\u00e2n th\u1ea5y r\u1eb1ng c\u00e1c t\u00e1c d\u1ee5ng ph\u1ee5 s\u1ebd m\u1ea5t sau khi d\u00f9ng m\u1ed9t kho\u1ea3ng th\u1eddi gian. N\u1ebfu b\u1ea1n dung n\u1ea1p t\u1ed1t thu\u1ed1c li\u1ec1u th\u1ea5p, b\u00e1c s\u0129 s\u1ebd t\u0103ng li\u1ec1u s\u1eed d\u1ee5ng, n\u1ebfu c\u1ea7n thi\u1ebft. T\u1ea7n su\u1ea5t t\u0103ng li\u1ec1u ph\u1ee5 thu\u1ed9c v\u00e0o lo\u1ea1i thu\u1ed1c m\u00e0 b\u1ea1n \u0111ang s\u1eed d\u1ee5ng. V\u00ed d\u1ee5, n\u1ebfu b\u1ea1n d\u00f9ng galantamine, li\u1ec1u s\u1ebd \u0111\u01b0\u1ee3c t\u0103ng m\u1ed7i 4 tu\u1ea7n. N\u1ebfu b\u1ea1n d\u00f9ng vi\u00ean rivastigmine, li\u1ec1u s\u1ebd \u0111\u01b0\u1ee3c t\u0103ng m\u1ed7i 2 tu\u1ea7n. H\u00e3y \u0111\u1ecdc th\u00f4ng tin tr\u00ean h\u1ed9p thu\u1ed1c \u0111\u1ec3 bi\u1ebft th\u00eam chi ti\u1ebft.<\/p>\n<h2>Th\u1eddi gian \u0111i\u1ec1u tr\u1ecb th\u01b0\u1eddng l\u00e0 bao l\u00e2u?<\/h2>\n<p>Thu\u1ed1c \u0111i\u1ec1u tr\u1ecb sa s\u00fat tr\u00ed tu\u1ec7 th\u01b0\u1eddng ch\u1ec9 \u0111\u01b0\u1ee3c ti\u1ebfp t\u1ee5c khi m\u00e0 thu\u1ed1c c\u00f2n hi\u1ec7u qu\u1ea3 \u0111\u00e1ng k\u1ec3 tr\u00ean c\u00e1c tri\u1ec7u ch\u1ee9ng.<\/p>\n<h2>T\u00e1c d\u1ee5ng ph\u1ee5 th\u00ec nh\u01b0 th\u1ebf n\u00e0o?<\/h2>\n<p>Thu\u1ed1c \u0111i\u1ec1u tr\u1ecb sa s\u00fat tr\u00ed tu\u1ec7 g\u00e2y ra c\u00e1c t\u00e1c d\u1ee5ng ph\u1ee5 \u1edf m\u1ed9t s\u1ed1 b\u1ec7nh nh\u00e2n. Tuy nhi\u00ean, n\u1ebfu t\u00e1c d\u1ee5ng ph\u1ee5 c\u00f3 x\u1ea3y ra, ch\u00fang th\u01b0\u1eddng nh\u1eb9 v\u00e0 m\u1ea5t \u0111i sau v\u00e0i th\u00e1ng.<\/p>\n<p>C\u00e1c t\u00e1c d\u1ee5ng ph\u1ee5 th\u01b0\u1eddng g\u1eb7p nh\u1ea5t c\u1ee7a thu\u1ed1c \u1ee9c ch\u1ebf <strong>anticholinesterase<\/strong> g\u1ed3m:<\/p>\n<ul>\n<li>Ti\u00eau ch\u1ea3y<\/li>\n<li>Chu\u1ed9t r\u00fat<\/li>\n<li>M\u1ec7t m\u1ecfi<\/li>\n<li>Bu\u1ed3n n\u00f4n<\/li>\n<li>N\u00f4n<\/li>\n<li>M\u1ea5t ng\u1ee7<\/li>\n<li>\u0110au \u0111\u1ea7u<\/li>\n<li>S\u00f3n ti\u1ec3u<\/li>\n<\/ul>\n<p>C\u00e1c t\u00e1c d\u1ee5ng ph\u1ee5 kh\u00e1c \u00edt g\u1eb7p h\u01a1n g\u1ed3m:<\/p>\n<ul>\n<li>C\u00e1c tri\u1ec7u ch\u1ee9ng gi\u1ed1ng nh\u01b0 c\u1ea3m c\u00fam<\/li>\n<li>Ch\u00e1n \u0103n<\/li>\n<li>R\u1ed1i lo\u1ea1n th\u1ea7n kinh<\/li>\n<li>Ng\u1ea5t x\u1ec9u v\u00e0 co gi\u1eadt<\/li>\n<li>Ch\u00f3ng m\u1eb7t<\/li>\n<li>\u0110\u00e1nh tr\u1ed1ng ng\u1ef1c<\/li>\n<li>Ph\u00e1t ban<\/li>\n<li>Ng\u1ee9a<\/li>\n<\/ul>\n<p><strong>Memantine<\/strong><strong> c\u00f3 th\u1ec3 g\u00e2y ra:<\/strong><\/p>\n<ul>\n<li>Ch\u00f3ng m\u1eb7t<\/li>\n<li>\u0110au \u0111\u1ea7u<\/li>\n<li>Kh\u00f3 th\u1edf<\/li>\n<li>T\u00e1o b\u00f3n<\/li>\n<li><strong>Ng\u1ee7 g\u00e0<\/strong><\/li>\n<li>T\u0103ng huy\u1ebft \u00e1p<\/li>\n<\/ul>\n<p>C\u00e1c t\u00e1c d\u1ee5ng ph\u1ee5 kh\u00e1c \u00edt g\u1eb7p h\u01a1n g\u1ed3m<strong>:<\/strong><\/p>\n<ul>\n<li><strong>N\u00f4n<\/strong><\/li>\n<li>Huy\u1ebft kh\u1ed1i<\/li>\n<li>V\u1ea5n \u0111\u1ec1 v\u1ec1 tim m\u1ea1ch<\/li>\n<li>L\u00fa l\u1eabn<\/li>\n<li>M\u1ec7t m\u1ecfi<\/li>\n<li>\u1ea2o gi\u00e1c ho\u1eb7c \u1ea3o thanh<\/li>\n<li>V\u1ea5n \u0111\u1ec1 v\u1ec1 \u0111i l\u1ea1i (walking)<\/li>\n<\/ul>\n<p>Danh s\u00e1ch tr\u00ean kh\u00f4ng ph\u1ea3i l\u00e0 to\u00e0n b\u1ed9 m\u00e0 ch\u1ec9 nh\u1ea5n m\u1ea1nh c\u00e1c t\u00e1c d\u1ee5ng ph\u1ee5 th\u01b0\u1eddng g\u1eb7p. Xem \u0111\u1ea7y \u0111\u1ee7 c\u00e1c t\u00e1c d\u1ee5ng ph\u1ee5 trong h\u01b0\u1edbng d\u1eabn s\u1eed d\u1ee5ng k\u00e8m theo thu\u1ed1c.<\/p>\n<h2><strong>Ai kh\u00f4ng th\u1ec3 d\u00f9ng thu\u1ed1c \u0111i\u1ec1u tr\u1ecb sa s\u00fat tr\u00ed tu\u1ec7?<\/strong><\/h2>\n<p>N\u00f3i chung, \u0111a s\u1ed1 m\u1ecdi ng\u01b0\u1eddi \u0111\u1ec1u c\u00f3 th\u1ec3 d\u00f9ng c\u00e1c thu\u1ed1c n\u00e0y. Ng\u01b0\u1eddi c\u00f3 c\u00e1c v\u1ea5n \u0111\u1ec1 s\u1ee9c kh\u1ecfe nh\u1ea5t \u0111\u1ecbnh n\u00ean th\u1eadn tr\u1ecdng khi s\u1eed d\u1ee5ng thu\u1ed1c. Ch\u1eb3ng h\u1ea1n, b\u1ec7nh nh\u00e2n c\u00f3 v\u1ea5n \u0111\u1ec1 nghi\u00eam tr\u1ecdng v\u1ec1 gan ho\u1eb7c th\u1eadn c\u00f3 th\u1ec3 kh\u00f4ng d\u00f9ng \u0111\u01b0\u1ee3c c\u00e1c thu\u1ed1c n\u00e0y, ho\u1eb7c c\u00f3 th\u1ec3 d\u00f9ng li\u1ec1u th\u1ea5p h\u01a1n. C\u0169ng c\u1ea7n c\u00f3 h\u1ed7 tr\u1ee3 ch\u0103m s\u00f3c v\u1edbi ng\u01b0\u1eddi \u0111\u00e3 t\u1eebng c\u00f3 c\u01a1n k\u00edch \u0111\u1ed9ng trong qu\u00e1 kh\u1ee9.<\/p>\n<h2><strong>T\u00f4i c\u00f3 th\u1ec3 t\u1ef1 mua thu\u1ed1c \u0111i\u1ec1u tr\u1ecb sa s\u00fat tr\u00ed tu\u1ec7 kh\u00f4ng?<\/strong><\/h2>\n<p>Kh\u00f4ng &#8211; b\u1ea1n kh\u00f4ng th\u1ec3 t\u1ef1 mua thu\u1ed1c \u0111i\u1ec1u tr\u1ecb sa s\u00fat tr\u00ed tu\u1ec7. Ch\u1ec9 khi \u0111\u01b0\u1ee3c b\u00e1c s\u0129 k\u00ea toa.<\/p>\n<h2><strong>C\u00e1ch s\u1eed d\u1ee5ng H\u1ec7 th\u1ed1ng Th\u1ebb V\u00e0ng (Yellow Card Scheme) <\/strong><\/h2>\n<p><strong><em>(Hi\u1ec7n ch\u01b0a ph\u00e1t tri\u1ec3n t\u1ea1i Vi\u1ec7t Nam.)<\/em><\/strong><\/p>\n<p>N\u1ebfu b\u1ea1n ngh\u0129 b\u1ea1n b\u1ecb t\u00e1c d\u1ee5ng ph\u1ee5 v\u1edbi m\u1ed9t trong c\u00e1c thu\u1ed1c \u0111ang d\u00f9ng, b\u1ea1n c\u00f3 th\u1ec3 b\u00e1o c\u00e1o l\u00ean H\u1ec7 th\u1ed1ng Th\u1ebb V\u00e0ng. B\u1ea1n c\u00f3 th\u1ec3 b\u00e1o c\u00e1o tr\u1ef1c tuy\u1ebfn t\u1ea1i trang web: <a href=\"http:\/\/www.mhra.gov.uk\/yellowcard\" target=\"_blank\" rel=\"noopener\">www.mhra.gov.uk\/yellowcard<\/a>.<\/p>\n<p>H\u1ec7 th\u1ed1ng Th\u1ebb V\u00e0ng gi\u00fap c\u00e1c d\u01b0\u1ee3c s\u0129, b\u00e1c s\u0129 v\u00e0 y t\u00e1 nh\u1eadn bi\u1ebft b\u1ea5t k\u1ef3 t\u00e1c d\u1ee5ng ph\u1ee5 m\u1edbi m\u00e0 thu\u1ed1c ho\u1eb7c c\u00e1c ch\u1ebf ph\u1ea9m y t\u1ebf kh\u00e1c c\u00f3 th\u1ec3 g\u00e2y ra. N\u1ebfu b\u1ea1n mu\u1ed1n th\u00f4ng b\u00e1o v\u1ec1 m\u1ed9t t\u00e1c d\u1ee5ng ph\u1ee5, b\u1ea1n c\u1ea7n cung c\u1ea5p th\u00f4ng tin c\u01a1 b\u1ea3n v\u1ec1:<\/p>\n<ul>\n<li>T\u00e1c d\u1ee5ng ph\u1ee5.<\/li>\n<li>T\u00ean c\u1ee7a lo\u1ea1i thu\u1ed1c b\u1ea1n ngh\u0129 \u0111\u00e3 g\u00e2y ra t\u00e1c d\u1ee5ng ph\u1ee5 \u0111\u00f3.<\/li>\n<li>Ng\u01b0\u1eddi b\u1ecb t\u00e1c d\u1ee5ng ph\u1ee5.<\/li>\n<li>\u0110\u1ecba ch\u1ec9 li\u00ean l\u1ea1c c\u1ee7a ng\u01b0\u1eddi b\u00e1o c\u00e1o v\u1ec1 t\u00e1c d\u1ee5ng ph\u1ee5.<\/li>\n<\/ul>\n<p>Mang theo thu\u1ed1c \u2013 v\u00e0\/ho\u1eb7c t\u1edd h\u01b0\u1edbng d\u1eabn s\u1eed d\u1ee5ng thu\u1ed1c \u2013 s\u1ebd r\u1ea5t h\u1eefu \u00edch khi b\u1ea1n b\u00e1o c\u00e1o th\u00f4ng tin.<\/p>\n<p>C\u00e1c th\u00f4ng tin chi ti\u1ebft v\u1ec1 tri\u1ec7u ch\u1ee9ng v\u00e0 c\u00e1ch ph\u00e1t hi\u1ec7n sa s\u00fat tr\u00ed tu\u1ec7 c\u00f3 th\u1ec3 tham kh\u1ea3o t\u1ea1i \u00a0b\u00e0i: <strong><a href=\"https:\/\/yhoccongdong.com\/thongtin\/sa-sut-tri-tue-dementia\/\" target=\"_blank\" rel=\"noopener\">Sa s\u00fat tr\u00ed tu\u1ec7 (Dementia)<\/a>\u00a0<\/strong><\/p>\n<h2><strong>T\u00e0i li\u1ec7u tham kh\u1ea3o<\/strong><\/h2>\n<ol>\n<li><a href=\"http:\/\/patient.info\/health\/medicines-for-dementia\" target=\"_blank\" rel=\"noopener\">http:\/\/patient.info\/health\/medicines-for-dementia<\/a><\/li>\n<li><a href=\"https:\/\/yhoccongdong.com\/thongtin\/sa-sut-tri-tue-dementia\/\" target=\"_blank\" rel=\"noopener\">https:\/\/yhoccongdong.com\/thongtin\/sa-sut-tri-tue-dementia\/<\/a><\/li>\n<\/ol>\n","protected":false},"excerpt":{"rendered":"<p>Thu\u1ed1c \u0111i\u1ec1u tr\u1ecb sa s\u00fat tr\u00ed tu\u1ec7 \u0111\u01b0\u1ee3c d\u00f9ng \u0111\u1ec3 \u0111i\u1ec1u tr\u1ecb c\u00e1c tri\u1ec7u ch\u1ee9ng \u1ea3nh h\u01b0\u1edfng \u0111\u1ebfn kh\u1ea3 n\u0103ng suy ngh\u0129, tr\u00ed nh\u1edb, t\u00e2m tr\u1ea1ng v\u00e0 h\u00e0nh vi.<\/p>\n","protected":false},"author":165,"featured_media":6128,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[3306,5155,5152,5148,5153,5151],"tags":[3778],"series":[812],"coauthors":[1463],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v22.8 - 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