Benh suy nhuoc than kinh

Thứ sáu, 04 Tháng năm 2012, 09:58 GMT+7

Suy nhuoc than kinh la benh tam can, xay ra do nguyen nhan tam ly hoac co lien quan den nhung chan thuong tam ly (stress). Cac ton thuong do chan thuong so nao, vua xo dong mach nao, thieu nang tuan hoan nao, nhiem khuan, cang thang than kinh keo dai, lao dong tri oc cuong do cao… deu co the dan den suy nhuoc than kinh.

Suy nhuoc than kinh la mot hoi chung roi loan than kinh chuc nang, do roi loan chuc nang vo nao va mot so vung duoi vo nao gay nen. Roi loan than kinh chuc nang gom nhieu hoi chung benh ly nhu: roi loan lo au va am anh, roi loan dang co the, roi loan phan ly. Hoi chung suy nhuoc than kinh co the xay ra sau cac benh chan thuong so nao, vua xo dong mach nao, thieu nang tuan hoan nao, nhiem khuan, cang thang tam ly nhu mat nguoi than, mat cua dot ngot, mau thuan keo dai trong gia dinh, co quan, tham vong khong thanh, lao dong tri oc cang thang keo dai…

Lam sao phat hien duoc benh?

Dau hieu giup phat hien benh chu yeu la cac trieu chung chu quan cua nguoi benh xuat hien sau khi ho mac mot so benh noi tren va chan thuong tam ly.  Cac bieu hien chinh gom: cam giac dau moi co, benh nhan cam thay dau moi co bap, dau khap minh may do giam nguong chiu dung voi cac kich thich. Chong mat, choang vang xay ra khi thay doi tu the nhu tu nam, ngoi chuyen sang dung, di lai, leo cau thang …

Dau cang dau lan toa, am i cam giac nhu dang doi mu chat qua, dau khong thanh con, dau tang khi suy nghi, lo lang, co khi chi tieng dong nho cung kho chiu va lam dau dau tang len, co the kem theo chong mat. Roi loan giac ngu: ngu nong, hay gap ac mong, co the mat ngu hoan toan, nhieu truong hop do ngu khong sau nen benh nhan co cam giac mat ngu trang dem. Khong co kha nang thu gian.

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Tinh tinh cau kinh, de kich thich. Benh nhan thuong phan nan met moi dai dang va dau kho vi met moi tang len sau mot co gang tri oc, suy yeu co the, kiet suc sau mot gang suc ve the luc. Benh nhan rat kem long kien nhan, to ra rat kho chiu khi phai cho doi, de kich thich nong nay, cau gat, phan ung qua muc. Muon lam viec gi thi benh nhan rat non nong lam ngay, nhung neu gap kho khan lai mau chan, thoi chi, bo cuoc.

Benh nhan cung de xuc dong, de khoc, lo lang, mat tu chu, giam khi sac. Kha nang lao dong tri oc va the luc cua benh nhan giam sut do mau met, nhat la sau mot gang suc ve tri oc hoac sau cang thang tam ly benh nhan cam thay suy sup, khong the lam tiep duoc hay co lam cung khong co hieu qua. Giai doan nhuoc benh nhan khong co ham thich ve viec lam, chan nan truoc cuoc song, khong lam viec tri oc tiep duoc, con lao dong chan tay thi rat nhanh met moi, giam tri nho. Co the thay cac roi loan than kinh thuc vat nhu dau vung truoc tim, hoi hop, danh trong nguc, loan nhip tim, tuc nguc kho tho, toat mo hoi, co con nong bung hoac lanh toat, run chan tay, an kho tieu, suy giam hoat dong tinh duc o nam, roi loan kinh nguyet o nu... Cac trieu chung cua benh noi tren khong hoi phuc hoac hoi phuc rat it khi benh nhan duoc nghi ngoi va cac roi loan nay keo dai tren 3 thang. Chan doan benh suy nhuoc than kinh can tim yeu to tam ly, nhung cung can chu y tim cac ton thuong thuc the cua nao.     

Chan doan the benh: tuy co nhieu y kien khac nhau, nhung nguoi ta thong nhat chia lam cac the benh: suy nhuoc than kinh the cuong va the nhuoc. Suy nhuoc than kinh the cuong: qua trinh uc che tich cuc, uc che co dieu kien nhung de bi suy yeu. Benh nhan de co trieu chung kich thich va mat kha nang tu chu. Suy nhuoc than kinh the nhuoc: thuong xuat hien uc che bao ve qua gioi han, qua trinh hung phan suy yeu ro, benh nhan co bieu hien cac trieu chung suy nhuoc than kinh.

Benh can chan doan phan biet voi mot so benh tram cam hoac roi loan lo au. Trong suy nhuoc than kinh, trieu chung quan trong la benh nhan de met moi, yeu duoi va lo lang do chuc nang hoat dong tri oc va the luc bi suy giam ma khong phai do mot benh thuc the nao gay nen.

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Hinh minh hoa

Dieu tri benh ra sao?

Benh nhan suy nhuoc than kinh co nguon goc tam ly cho nen dieu tri chu yeu la tam ly lieu phap. Cac bien phap dieu tri nham giai quyet va loai tru can nguyen tam ly. Trong dieu tri tam ly lieu phap can giai thich hop ly ve benh tat cho benh nhan hieu. Su dung am thi dieu tri cho benh nhan. Huong dan benh nhan tap khi cong duong sinh.

Thuoc can dung gom: tang cuong tuan hoan va dinh duong nao nhu tanakan, arcalion, asthenal; thuoc giam dau: efferalgan codein, aspirin, diclofenac…; thuoc an than tran tinh: seduxen, valium, mimoza…; vitamin nhom B; thuoc y hoc co truyen: tam sen, la vong, lac tien, cu binh voi, cham cuu, xoa bop… Nang cao the trang, tang cuong dinh duong cho benh nhan.

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