{"id":2406,"date":"2018-05-02T12:09:10","date_gmt":"2018-05-02T05:09:10","guid":{"rendered":"http:\/\/benhvienhuyencuchi.com\/?p=2406"},"modified":"2023-11-08T15:05:07","modified_gmt":"2023-11-08T08:05:07","slug":"mat-ngu-o-nguoi-cao-tuoi","status":"publish","type":"post","link":"https:\/\/benhvienhuyencuchi.com\/?p=2406","title":{"rendered":"M\u1ea4T NG\u1ee6 \u1ede NG\u01af\u1edcI CAO TU\u1ed4I"},"content":{"rendered":"

NGUY\u00caN NH\u00c2N & C\u00c1CH KH\u1eaeC PH\u1ee4C\u00a0<\/span><\/p>\n

M\u1ea5t ng\u1ee7 l\u00e0 m\u1ed9t r\u1ed1i lo\u1ea1n th\u01b0\u1eddng g\u1eb7p \u1edf ng\u01b0\u1eddi cao tu\u1ed5i, do r\u1ea5t nhi\u1ec1u nguy\u00ean nh\u00e2n g\u00e2y ra. \u0110\u1ec3 t\u00ecm l\u1ea1i gi\u1ea5c ng\u1ee7 ngon, ng\u01b0\u1eddi b\u1ec7nh v\u00e0 th\u1ea7y thu\u1ed1c c\u1ea7n t\u00ecm hi\u1ec3u v\u00e0 \u0111i\u1ec1u tr\u1ecb c\u00e1c nguy\u00ean nh\u00e2n tr\u1ef1c ti\u1ebfp g\u00e2y m\u1ea5t ng\u1ee7. \u0110i\u1ec1u quan tr\u1ecdng nh\u1ea5t l\u00e0 ph\u1ea3i t\u1ea1o \u0111\u01b0\u1ee3c m\u00f4i tr\u01b0\u1eddng d\u1ec5 ch\u1ecbu v\u00e0 ph\u00f9 h\u1ee3p cho gi\u1ea5c ng\u1ee7.<\/span><\/p>\n

NGUY\u00caN NH\u00c2N G\u00c2Y M\u1ea4T NG\u1ee6 \u1ede NG\u01af\u1edcI CAO TU\u1ed4I<\/span><\/p>\n

C\u00e1c y\u1ebfu t\u1ed1 g\u00e2y m\u1ea5t ng\u1ee7 \u1edf ng\u01b0\u1eddi cao tu\u1ed5i bao g\u1ed3m: Gi\u1ea3m ho\u1ea1t \u0111\u1ed9ng th\u1ec3 l\u1ef1c, \u00edt ti\u1ebfp x\u00fac v\u1edbi \u00e1nh s\u00e1ng, gi\u1ea3m ng\u01b0\u1ee1ng b\u1ecb \u0111\u00e1nh th\u1ee9c (d\u1ec5 b\u1ecb th\u1ee9c gi\u1ea5c h\u01a1n), thay \u0111\u1ed5i nh\u1ecbp sinh h\u1ecdc, gi\u1ea3m kh\u1ea3 n\u0103ng h\u1ed3i ph\u1ee5c c\u00e1c ch\u1ee9c n\u0103ng khi c\u01a1 th\u1ec3 b\u1ecb l\u00e3o h\u00f3a, c\u00e1c b\u1ec7nh l\u00fd (sa s\u00fat tr\u00ed tu\u1ec7, tim m\u1ea1ch, vi\u00eam nhi\u1ec5m \u0111\u01b0\u1eddng h\u00f4 h\u1ea5p, \u0111au x\u01b0\u01a1ng kh\u1edbp, tr\u1ea7m c\u1ea3m,\u2026). Nh\u00ecn chung, c\u00e1c nguy\u00ean nh\u00e2n ch\u00ednh g\u00e2y m\u1ea5t ng\u1ee7 \u1edf ng\u01b0\u1eddi cao tu\u1ed5i \u0111\u01b0\u1ee3c chia th\u00e0nh 4 nh\u00f3m:<\/span><\/p>\n

C\u00e1c b\u1ec7nh g\u00e2y r\u1ed1i lo\u1ea1n gi\u1ea5c ng\u1ee7 ti\u00ean ph\u00e1t: Ph\u1ed5 bi\u1ebfn nh\u1ea5t l\u00e0 ch\u1ee9ng ng\u1eebng th\u1edf l\u00fac ng\u1ee7 (hay g\u1eb7p \u1edf nh\u1eefng ng\u01b0\u1eddi b\u00e9o ph\u00ec) ho\u1eb7c c\u00e1c hi\u1ec7n t\u01b0\u1ee3ng ch\u00e2n tay t\u1ef1 c\u1eed \u0111\u1ed9ng v\u1ec1 \u0111\u00eam, g\u00e2y th\u1ee9c gi\u1ea5c.<\/span><\/p>\n

C\u00e1c b\u1ec7nh l\u00fd g\u00e2y r\u1ed1i lo\u1ea1n gi\u1ea5c ng\u1ee7 th\u1ee9 ph\u00e1t: N\u1ed5i b\u1eadt nh\u1ea5t l\u00e0 ch\u1ee9ng \u0111au do c\u00e1c b\u1ec7nh c\u01a1 x\u01b0\u01a1ng kh\u1edbp (tho\u00e1i h\u00f3a kh\u1edbp, lo\u00e3ng x\u01b0\u01a1ng\u2026). \u0110au t\u0103ng l\u00ean l\u00fac n\u1eeda \u0111\u00eam v\u1ec1 s\u00e1ng, khi\u1ebfn b\u1ec7nh nh\u00e2n b\u1ecb t\u1ec9nh gi\u1ea5c v\u00e0 sau \u0111\u00f3 r\u1ea5t kh\u00f3 ng\u1ee7 ti\u1ebfp. M\u1ed9t s\u1ed1 b\u1ec7nh l\u00fd kh\u00e1c c\u0169ng g\u00e2y m\u1ea5t ng\u1ee7 nh\u01b0 thi\u1ebfu m\u00e1u c\u01a1 tim g\u00e2y \u0111au ng\u1ef1c, ti\u1ec3u \u0111\u00eam (do u x\u01a1 ti\u1ec1n li\u1ec7t tuy\u1ebfn, ti\u1ec3u \u0111\u01b0\u1eddng), kh\u00f3 th\u1edf (do suy tim, vi\u00eam ph\u1ebf qu\u1ea3n, hen).<\/span><\/p>\n

C\u00e1c b\u1ec7nh l\u00fd t\u00e2m th\u1ea7n kinh: B\u1ec7nh tr\u1ea7m c\u1ea3m l\u00e0 y\u1ebfu t\u1ed1 l\u1edbn nh\u1ea5t li\u00ean quan \u0111\u1ebfn r\u1ed1i lo\u1ea1n gi\u1ea5c ng\u1ee7 \u1edf ng\u01b0\u1eddi cao tu\u1ed5i. B\u1ec7nh nh\u00e2n th\u01b0\u1eddng kh\u00f3 b\u1eaft \u0111\u1ea7u gi\u1ea5c ng\u1ee7 ho\u1eb7c hay b\u1ecb th\u1ee9c gi\u1ea5c s\u1edbm, c\u00f3 hi\u1ec7n t\u01b0\u1ee3ng ng\u1ee7 ng\u00e0y. M\u1ed9t s\u1ed1 ng\u01b0\u1eddi c\u00f3 nh\u1eefng th\u1eddi \u0111i\u1ec3m b\u1ecb k\u00edch \u0111\u1ed9ng n\u00ean r\u1ea5t kh\u00f3 ng\u1ee7. Theo \u01b0\u1edbc t\u00ednh, kho\u1ea3ng 30% ng\u01b0\u1eddi cao tu\u1ed5i trong c\u1ed9ng \u0111\u1ed3ng v\u00e0 50% ng\u01b0\u1eddi cao tu\u1ed5i trong c\u00e1c vi\u1ec7n d\u01b0\u1ee1ng l\u00e3o c\u00f3 tri\u1ec7u ch\u1ee9ng tr\u1ea7m c\u1ea3m. C\u00e1c r\u1ed1i lo\u1ea1n t\u00e2m th\u1ea7n kh\u00e1c c\u00f3 kh\u1ea3 n\u0103ng g\u00e2y m\u1ea5t ng\u1ee7 l\u00e0 lo \u00e2u qu\u00e1 m\u1ee9c (s\u1ee3 m\u1ea5t uy t\u00edn, m\u1ea5t s\u1ef1 t\u00edn nhi\u1ec7m khi ngh\u1ec9 h\u01b0u, lo l\u1eafng v\u1ec1 tai n\u1ea1n c\u1ee7a anh em, b\u1ea1n b\u00e8 ho\u1eb7c v\u1ec1 t\u00e0i ch\u00ednh\u2026), sa s\u00fat tr\u00ed tu\u1ec7.<\/span><\/p>\n

D\u01b0\u1ee3c ph\u1ea9m: \u0110\u00f3 l\u00e0 thu\u1ed1c lo\u1ea1i corticoid, n\u1ed9i ti\u1ebft t\u1ed1 tuy\u1ebfn gi\u00e1p, thu\u1ed1c \u0111i\u1ec1u tr\u1ecb b\u1ec7nh th\u1ea7n kinh ho\u1eb7c tr\u1ea7m c\u1ea3m, c\u00e1c thu\u1ed1c ch\u1eb9n beta giao c\u1ea3m, thu\u1ed1c h\u1ea1 huy\u1ebft \u00e1p Methyldopa\u2026 M\u1ed9t s\u1ed1 d\u01b0\u1ee3c ph\u1ea9m \u0111\u01b0\u1ee3c coi l\u00e0 thu\u1ed1c ng\u1ee7 nh\u01b0 benzodiazepine (Seduxen) l\u1ea1i c\u00f3 t\u00e1c d\u1ee5ng ph\u1ee5 l\u00e0 g\u00e2y bu\u1ed3n ng\u1ee7, khi\u1ebfn ng\u01b0\u1eddi gi\u00e0 ng\u1ee7 nhi\u1ec1u h\u01a1n v\u00e0o ban ng\u00e0y v\u00e0 t\u1ec9nh t\u00e1o v\u00e0o ban \u0111\u00eam.<\/span><\/p>\n

KH\u1eaeC PH\u1ee4C B\u1eb0NG C\u00c1CH N\u00c0O?<\/span><\/p>\n

C\u00e1ch \u0111i\u1ec1u tr\u1ecb m\u1ea5t ng\u1ee7 t\u1ed1t nh\u1ea5t l\u00e0 \u00e1p d\u1ee5ng c\u00e1c bi\u1ec7n ph\u00e1p kh\u00f4ng d\u00f9ng thu\u1ed1c (nh\u1ea5t l\u00e0 v\u1edbi tr\u01b0\u1eddng h\u1ee3p m\u1ea5t ng\u1ee7 do r\u1ed1i lo\u1ea1n t\u00e2m l\u00fd k\u00e9o d\u00e0i) nh\u1eb1m x\u00f3a b\u1ecf ho\u1eb7c l\u00e0m gi\u1ea3m c\u00e1c y\u1ebfu t\u1ed1 g\u00e2y m\u1ea5t ng\u1ee7. C\u1ee5 th\u1ec3 l\u00e0:<\/span><\/p>\n

H\u1eb1ng ng\u00e0y n\u00ean t\u1eadp th\u1ec3 d\u1ee5c \u0111\u1ec1u \u0111\u1eb7n (nh\u01b0ng kh\u00f4ng n\u00ean t\u1eadp nhi\u1ec1u sau 6 gi\u1edd t\u1ed1i, h\u1ecdc c\u00e1ch th\u01b0 gi\u00e3n \u0111\u1ec3 c\u00f3 c\u1ea3m gi\u00e1c th\u01b0 th\u00e1i c\u1ea3 v\u1ec1 th\u1ec3 ch\u1ea5t l\u1eabn tinh th\u1ea7n. Kh\u00f4ng n\u00ean s\u1eed d\u1ee5ng \u0111\u1ed3 \u0103n th\u1ee9c u\u1ed1ng ho\u1eb7c c\u00e1c thu\u1ed1c c\u00f3 ch\u1ea5t k\u00edch th\u00edch. Kh\u00f4ng n\u00ean ng\u1ee7 ng\u00e0y nhi\u1ec1u. N\u1ebfu bu\u1ed3n ng\u1ee7 nhi\u1ec1u v\u00e0o ban ng\u00e0y, h\u00e3y t\u1ea1o m\u00f4i tr\u01b0\u1eddng l\u00e0m vi\u1ec7c, sinh ho\u1ea1t c\u00f3 \u0111\u1ee7 \u00e1nh s\u00e1ng v\u00e0 s\u1ef1 k\u00edch th\u00edch \u0111\u1ec3 tr\u00e1nh c\u1ea3m gi\u00e1c \u0111\u00f3.<\/span><\/p>\n

T\u1ea1o m\u1ed9t m\u00f4i tr\u01b0\u1eddng th\u01b0 gi\u00e3n v\u00e0 y\u00ean t\u0129nh khi \u0111i ng\u1ee7, bao g\u1ed3m c\u00e1c \u0111i\u1ec1u ki\u1ec7n t\u1ed1i \u01b0u v\u1ec1 \u00e1nh s\u00e1ng, ti\u1ebfng \u1ed3n, nhi\u1ec7t \u0111\u1ed9\u2026 Ph\u00f2ng ng\u1ee7 kh\u00f4ng n\u00ean d\u00f9ng cho c\u00e1c c\u00f4ng vi\u1ec7c kh\u00e1c; khi \u0111\u00e3 v\u00e0o ph\u00f2ng n\u00e0y th\u00ec kh\u00f4ng n\u00ean \u0111\u1ecdc s\u00e1ch ho\u1eb7c xem tivi. Tr\u00e1nh t\u1ed1i \u0111a hi\u1ec7n t\u01b0\u1ee3ng m\u00f4i tr\u01b0\u1eddng ph\u00f2ng ng\u1ee7 kh\u00f4ng tho\u1ea3i m\u00e1i (v\u1ee3 ch\u1ed3ng c\u00e3i nhau, g\u1ecdi \u0111i\u1ec7n tho\u1ea1i trao \u0111\u1ed5i c\u00f4ng vi\u1ec7c, thuy\u1ebft ph\u1ee5c kh\u00e1ch h\u00e0ng\u2026).<\/span><\/p>\n

Tr\u00e1nh u\u1ed1ng c\u00e0 ph\u00ea, r\u01b0\u1ee3u ho\u1eb7c h\u00fat thu\u1ed1c l\u00e1 v\u00e0o bu\u1ed5i chi\u1ec1u t\u1ed1i. Kh\u00f4ng n\u00ean \u0103n ho\u1eb7c u\u1ed1ng qu\u00e1 nhi\u1ec1u trong v\u00f2ng 3 gi\u1edd tr\u01b0\u1edbc khi \u0111i ng\u1ee7. Ban \u0111\u00eam, kh\u00f4ng n\u00ean nh\u00ecn v\u00e0o \u0111\u1ed3ng h\u1ed3.<\/span><\/p>\n

V\u00e0o m\u1ed7i bu\u1ed5i t\u1ed1i, n\u00ean d\u00e0nh m\u1ed9t kho\u1ea3ng th\u1eddi gian \u0111\u1ec3 suy ngh\u0129, t\u00ecm c\u00e1ch gi\u1ea3i quy\u1ebft nh\u1eefng v\u1ea5n \u0111\u1ec1 m\u00ecnh c\u00f2n quan t\u00e2m, lo l\u1eafng. Tr\u00e1nh c\u0103ng th\u1eb3ng ho\u1eb7c x\u00fac c\u1ea3m tr\u01b0\u1edbc khi \u0111i ng\u1ee7. Ch\u1ec9 \u0111i ng\u1ee7 khi \u0111\u00e3 c\u1ea3m th\u1ea5y bu\u1ed3n ng\u1ee7 v\u00e0 s\u1eb5n s\u00e0ng cho vi\u1ec7c n\u00e0y. Tr\u01b0\u1edbc \u0111\u00f3, n\u00ean t\u1eafm n\u01b0\u1edbc \u1ea5m \u0111\u1ec3 l\u00e0m t\u0103ng nhi\u1ec7t \u0111\u1ed9 c\u01a1 th\u1ec3, gi\u00fap gi\u1ea5c ng\u1ee7 b\u1eaft \u0111\u1ea7u d\u1ec5 d\u00e0ng h\u01a1n.<\/span><\/p>\n

C\u1ed1 g\u1eafng t\u1ea1o th\u00f3i quen v\u1ec1 tr\u00ecnh t\u1ef1 gi\u1edd gi\u1ea5c, c\u00e1c b\u01b0\u1edbc \u0111i v\u00e0o gi\u1ea5c ng\u1ee7. Kh\u00f4ng n\u00ean qu\u00e1 lo l\u1eafng n\u1ebfu b\u1ecb m\u1ea5t ng\u1ee7.<\/span><\/p>\n

Khi t\u1ec9nh d\u1eady bu\u1ed5i s\u00e1ng, kh\u00f4ng n\u00ean n\u1eb1m n\u00e1n l\u1ea1i tr\u00ean gi\u01b0\u1eddng qu\u00e1 l\u00e2u.<\/span>
\nC\u00d3 C\u1ea6N D\u00d9NG THU\u1ed0C?<\/span><\/p>\n

Ng\u01b0\u1eddi b\u1ecb m\u1ea5t ng\u1ee7 c\u00f3 th\u1ec3 ph\u1ea3i d\u00f9ng thu\u1ed1c trong c\u00e1c tr\u01b0\u1eddng h\u1ee3p sau:<\/span><\/p>\n

\u0110i\u1ec1u tr\u1ecb c\u00e1c b\u1ec7nh l\u00e0 nguy\u00ean nh\u00e2n g\u00e2y m\u1ea5t ng\u1ee7: V\u00ed d\u1ee5, nh\u1eefng ng\u01b0\u1eddi b\u1ecb m\u1ea5t ng\u1ee7 do \u0111au x\u01b0\u01a1ng kh\u1edbp \u0111\u01b0\u1ee3c cho d\u00f9ng thu\u1ed1c ch\u1eefa tho\u00e1i h\u00f3a kh\u1edbp ho\u1eb7c thu\u1ed1c gi\u1ea3m \u0111au. Vi\u1ec7c \u0111i\u1ec1u tr\u1ecb t\u1ed1t s\u1ebd gi\u00fap b\u1ec7nh nh\u00e2n c\u00f3 l\u1ea1i \u0111\u01b0\u1ee3c gi\u1ea5c ng\u1ee7 b\u00ecnh th\u01b0\u1eddng.<\/span><\/p>\n

M\u1ea5t ng\u1ee7 k\u00e9o d\u00e0i kh\u00f4ng r\u00f5 nguy\u00ean nh\u00e2n: Nh\u1eefng ng\u01b0\u1eddi n\u00e0y \u0111\u01b0\u1ee3c d\u00f9ng thu\u1ed1c g\u00e2y ng\u1ee7. Nh\u00f3m thu\u1ed1c benzodiazepine (Seduxen, Valium) c\u00f3 t\u00e1c d\u1ee5ng ph\u1ee5 l\u00e0 g\u00e2y bu\u1ed3n ng\u1ee7 ban ng\u00e0y, ng\u01b0\u1eddi cao tu\u1ed5i d\u00f9ng n\u00f3 d\u1ec5 b\u1ecb ng\u00e3. V\u00ec v\u1eady, t\u1ed1t nh\u1ea5t l\u00e0 d\u00f9ng nh\u00f3m kh\u00e1c, ch\u1eb3ng h\u1ea1n nh\u01b0 zolpidem (Stilnox). T\u1ed1t nh\u1ea5t l\u00e0 k\u1ebft h\u1ee3p d\u00f9ng thu\u1ed1c v\u00e0 th\u1ef1c hi\u1ec7n c\u00e1c bi\u1ec7n ph\u00e1p kh\u00f4ng d\u00f9ng thu\u1ed1c \u0111\u00e3 n\u00eau tr\u00ean.<\/span><\/p>\n

Ngu\u1ed3n: Trung t\u00e2m Truy\u1ec1n th\u00f4ng – Gi\u00e1o d\u1ee5c S\u1ee9c kh\u1ecfe Trung \u01b0\u01a1ng (B\u1ed9 Y t\u1ebf)<\/span><\/p>\n","protected":false},"excerpt":{"rendered":"

NGUY\u00caN NH\u00c2N & C\u00c1CH KH\u1eaeC PH\u1ee4C\u00a0 M\u1ea5t ng\u1ee7 l\u00e0 m\u1ed9t r\u1ed1i lo\u1ea1n th\u01b0\u1eddng g\u1eb7p \u1edf ng\u01b0\u1eddi cao tu\u1ed5i, do r\u1ea5t nhi\u1ec1u nguy\u00ean nh\u00e2n g\u00e2y ra. \u0110\u1ec3 t\u00ecm l\u1ea1i gi\u1ea5c ng\u1ee7 ngon, ng\u01b0\u1eddi b\u1ec7nh v\u00e0 th\u1ea7y thu\u1ed1c c\u1ea7n t\u00ecm hi\u1ec3u v\u00e0 \u0111i\u1ec1u tr\u1ecb c\u00e1c nguy\u00ean nh\u00e2n tr\u1ef1c ti\u1ebfp g\u00e2y m\u1ea5t ng\u1ee7. \u0110i\u1ec1u quan tr\u1ecdng nh\u1ea5t l\u00e0 […]<\/p>\n","protected":false},"author":4,"featured_media":2407,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":[],"categories":[2],"tags":[],"_links":{"self":[{"href":"https:\/\/benhvienhuyencuchi.com\/index.php?rest_route=\/wp\/v2\/posts\/2406"}],"collection":[{"href":"https:\/\/benhvienhuyencuchi.com\/index.php?rest_route=\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/benhvienhuyencuchi.com\/index.php?rest_route=\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/benhvienhuyencuchi.com\/index.php?rest_route=\/wp\/v2\/users\/4"}],"replies":[{"embeddable":true,"href":"https:\/\/benhvienhuyencuchi.com\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=2406"}],"version-history":[{"count":0,"href":"https:\/\/benhvienhuyencuchi.com\/index.php?rest_route=\/wp\/v2\/posts\/2406\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/benhvienhuyencuchi.com\/index.php?rest_route=\/wp\/v2\/media\/2407"}],"wp:attachment":[{"href":"https:\/\/benhvienhuyencuchi.com\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=2406"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/benhvienhuyencuchi.com\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=2406"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/benhvienhuyencuchi.com\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=2406"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}