{"id":6573,"date":"2023-11-06T12:41:08","date_gmt":"2023-11-06T05:41:08","guid":{"rendered":"https:\/\/mhgvietnam.com\/?p=6573"},"modified":"2023-11-06T12:41:10","modified_gmt":"2023-11-06T05:41:10","slug":"roi-loan-luong-cuc-gap-phien-toai-tam-ly-kho-hieu","status":"publish","type":"post","link":"https:\/\/mhgvietnam.com\/en\/roi-loan-luong-cuc-gap-phien-toai-tam-ly-kho-hieu\/","title":{"rendered":"R\u1ed1i Lo\u1ea1n L\u01b0\u1ee1ng C\u1ef1c: G\u1eb7p Phi\u1ec1n To\u00e1i T\u00e2m L\u00fd Kh\u00f3 Hi\u1ec3u"},"content":{"rendered":"<p>R\u1ed1i lo\u1ea1n l\u01b0\u1ee1ng c\u1ef1c, hay c\u00f2n \u0111\u01b0\u1ee3c g\u1ecdi l\u00e0 r\u1ed1i lo\u1ea1n h\u01b0ng \u2013 tr\u1ea7m c\u1ea3m, l\u00e0 m\u1ed9t c\u0103n b\u1ec7nh t\u00e2m th\u1ea7n ph\u1ee9c t\u1ea1p v\u1edbi nh\u1eefng bi\u1ec3u hi\u1ec7n kh\u00e1c nhau. Ng\u01b0\u1eddi m\u1eafc b\u1ec7nh n\u00e0y th\u01b0\u1eddng tr\u1ea3i qua nh\u1eefng thay \u0111\u1ed5i t\u00ecnh tr\u1ea1ng t\u00e2m l\u00fd, \u1ea3nh h\u01b0\u1edfng ti\u00eau c\u1ef1c \u0111\u1ebfn s\u1ee9c kh\u1ecfe v\u00e0 cu\u1ed9c s\u1ed1ng h\u00e0ng ng\u00e0y. V\u1eady r\u1ed1i lo\u1ea1n l\u01b0\u1ee1ng c\u1ef1c l\u00e0 g\u00ec? Nguy\u00ean nh\u00e2n g\u00e2y ra n\u00f3 l\u00e0 g\u00ec? H\u00e3y c\u00f9ng t\u00ecm hi\u1ec3u qua b\u00e0i vi\u1ebft n\u00e0y.<\/p>\n<h2>1. R\u1ed1i lo\u1ea1n l\u01b0\u1ee1ng c\u1ef1c l\u00e0 g\u00ec? Nguy\u00ean nh\u00e2n g\u00e2y ra?<\/h2>\n<p>R\u1ed1i lo\u1ea1n l\u01b0\u1ee1ng c\u1ef1c, c\u00f2n \u0111\u01b0\u1ee3c g\u1ecdi l\u00e0 Bipolar Disorder, l\u00e0 m\u1ed9t b\u1ec7nh t\u00e2m th\u1ea7n \u0111\u01b0\u1ee3c \u0111\u1eb7c tr\u01b0ng b\u1edfi s\u1ef1 thay \u0111\u1ed5i kh\u00f4ng \u0111\u1ec1u trong t\u00e2m tr\u1ea1ng. Ng\u01b0\u1eddi m\u1eafc b\u1ec7nh c\u00f3 th\u1ec3 tr\u1ea3i qua giai \u0111o\u1ea1n h\u01b0ng c\u1ea3m, k\u00edch \u0111\u1ed9ng, sau \u0111\u00f3 l\u1ea1i chuy\u1ec3n sang tr\u1ea1ng th\u00e1i tr\u1ea7m c\u1ea3m.<\/p>\n<p>Ngo\u00e0i nh\u1eefng kh\u00e1i ni\u1ec7m tr\u00ean, r\u1ed1i lo\u1ea1n l\u01b0\u1ee1ng c\u1ef1c c\u00f2n \u0111\u01b0\u1ee3c bi\u1ebft \u0111\u1ebfn d\u01b0\u1edbi t\u00ean r\u1ed1i lo\u1ea1n h\u01b0ng \u2013 tr\u1ea7m c\u1ea3m. T\u00e2m l\u00fd c\u1ee7a ng\u01b0\u1eddi b\u1ec7nh th\u01b0\u1eddng kh\u00f4ng \u1ed5n \u0111\u1ecbnh, c\u00f3 th\u1ec3 th\u1ea5y t\u00ecnh tr\u1ea1ng n\u00e0y x\u1ea3y ra \u0111\u1ec1u \u0111\u1eb7n h\u00e0ng n\u0103m ho\u1eb7c h\u00e0ng tu\u1ea7n. Khi g\u1eb7p t\u00ecnh tr\u1ea1ng n\u00e0y, ng\u01b0\u1eddi b\u1ec7nh g\u1eb7p kh\u00f3 kh\u0103n trong c\u00f4ng vi\u1ec7c v\u00e0 m\u1ed1i quan h\u1ec7.<\/p>\n<p>C\u00f3 nhi\u1ec1u nguy\u00ean nh\u00e2n g\u00e2y ra r\u1ed1i lo\u1ea1n l\u01b0\u1ee1ng c\u1ef1c, nh\u01b0:<\/p>\n<ul>\n<li>\n<p>Di truy\u1ec1n v\u00e0 sinh l\u00fd: Nguy c\u01a1 m\u1eafc b\u1ec7nh cao khi c\u00f3 ng\u01b0\u1eddi th\u00e2n trong gia \u0111\u00ecnh m\u1eafc r\u1ed1i lo\u1ea1n l\u01b0\u1ee1ng c\u1ef1c lo\u1ea1i II. Y\u1ebfu t\u1ed1 di truy\u1ec1n c\u0169ng \u1ea3nh h\u01b0\u1edfng \u0111\u1ebfn \u0111\u1ed9 tu\u1ed5i b\u1eaft \u0111\u1ea7u c\u1ee7a b\u1ec7nh. M\u1ed9t s\u1ed1 nghi\u00ean c\u1ee9u cho th\u1ea5y s\u1ef1 m\u1ea5t c\u00e2n b\u1eb1ng trong ch\u1ea5t d\u1eabn truy\u1ec1n th\u1ea7n kinh ho\u1eb7c hormone \u1ea3nh h\u01b0\u1edfng \u0111\u1ebfn n\u00e3o l\u00e0 m\u1ed9t trong nh\u1eefng nguy\u00ean nh\u00e2n g\u00e2y ra b\u1ec7nh.<\/p>\n<\/li>\n<li>\n<p>M\u00f4i tr\u01b0\u1eddng: C\u00e1c y\u1ebfu t\u1ed1 trong cu\u1ed9c s\u1ed1ng v\u00e0 m\u00f4i tr\u01b0\u1eddng c\u0169ng g\u00f3p ph\u1ea7n g\u00e2y ra r\u1ed1i lo\u1ea1n l\u01b0\u1ee1ng c\u1ef1c. Stress \u0111\u01b0\u1ee3c cho l\u00e0 m\u1ed9t trong nh\u1eefng nguy\u00ean nh\u00e2n ch\u00ednh g\u00e2y bi\u1ebfn \u0111\u1ed5i l\u00e2u d\u00e0i cho n\u00e3o b\u1ed9, \u1ea3nh h\u01b0\u1edfng \u0111\u1ebfn ch\u1ea5t d\u1eabn truy\u1ec1n th\u1ea7n kinh v\u00e0 gi\u1ea3m t\u1ebf b\u00e0o th\u1ea7n kinh.<\/p>\n<\/li>\n<\/ul>\n<h2>2. D\u1ea5u hi\u1ec7u nh\u1eadn bi\u1ebft b\u1ec7nh r\u1ed1i lo\u1ea1n l\u01b0\u1ee1ng c\u1ef1c<\/h2>\n<p>C\u00f3 m\u1ed9t s\u1ed1 d\u1ea5u hi\u1ec7u gi\u00fap nh\u1eadn bi\u1ebft ch\u1ee9ng r\u1ed1i lo\u1ea1n l\u01b0\u1ee1ng c\u1ef1c, bao g\u1ed3m:<\/p>\n<h3>2.1 D\u1ea5u hi\u1ec7u v\u1ec1 c\u1ea3m x\u00fac<\/h3>\n<ul>\n<li>Ng\u01b0\u1eddi b\u1ec7nh \u1edf tr\u1ea1ng th\u00e1i h\u01b0ng c\u1ea3m: C\u1ea3m th\u1ea5y ph\u1ea5n kh\u00edch, l\u1ea1c quan, vui v\u1ebb m\u1ed9t c\u00e1ch qu\u00e1 \u0111\u00e0. Lu\u00f4n tr\u00e0n \u0111\u1ea7y n\u0103ng l\u01b0\u1ee3ng, h\u1ea1nh ph\u00fac, suy ngh\u0129 l\u1ea1c quan.<\/li>\n<li>Ng\u01b0\u1eddi b\u1ec7nh \u1edf tr\u1ea1ng th\u00e1i tr\u1ea7m c\u1ea3m: C\u1ea3m th\u1ea5y bu\u1ed3n ch\u00e1n, kh\u00f3c kh\u00f4ng c\u00f3 l\u00fd do, m\u1ec7t m\u1ecfi, tinh th\u1ea7n suy s\u1ee5p.<\/li>\n<\/ul>\n<h3>2.2 D\u1ea5u hi\u1ec7u v\u1ec1 h\u00e0nh vi<\/h3>\n<p>\u0110\u1ed1i v\u1edbi tr\u1ea1ng th\u00e1i r\u1ed1i lo\u1ea1n l\u01b0\u1ee1ng c\u1ef1c h\u01b0ng c\u1ea3m:<\/p>\n<ul>\n<li>\u0102n u\u1ed1ng qu\u00e1 \u0111\u00e0, ho\u1ea1t \u0111\u1ed9ng qu\u00e1 s\u1ee9c \u0111\u1ec3 ti\u00eau hao n\u0103ng l\u01b0\u1ee3ng.<\/li>\n<li>Kh\u1ea3 n\u0103ng quy\u1ebft \u0111\u1ecbnh suy gi\u1ea3m, th\u01b0\u1eddng nghe th\u1ea5y gi\u1ecdng n\u00f3i v\u00e0 th\u1ea5y \u1ea3o gi\u00e1c.<\/li>\n<li>C\u1ea3m x\u00fac ph\u1ea5n kh\u00edch kh\u00f4ng \u0111\u00fang l\u00fac.<\/li>\n<li>T\u0103ng ham mu\u1ed1n t\u00ecnh d\u1ee5c.<\/li>\n<\/ul>\n<p>\u0110\u1ed1i v\u1edbi tr\u1ea1ng th\u00e1i tr\u1ea7m c\u1ea3m:<\/p>\n<ul>\n<li>\u0102n \u00edt, l\u01b0\u1eddi v\u1eadn \u0111\u1ed9ng.<\/li>\n<li>Kh\u00f4ng th\u00edch giao ti\u1ebfp v\u1edbi c\u1ed9ng \u0111\u1ed3ng.<\/li>\n<li>C\u00f3 suy ngh\u0129 ti\u00eau c\u1ef1c, \u00fd mu\u1ed1n t\u1ef1 t\u1eed.<\/li>\n<\/ul>\n<p>Nh\u01b0 v\u1eady, r\u1ed1i lo\u1ea1n l\u01b0\u1ee1ng c\u1ef1c c\u00f3 t\u00ednh chu k\u1ef3, t\u00e2m tr\u1ea1ng c\u1ee7a ng\u01b0\u1eddi b\u1ec7nh thay \u0111\u1ed5i theo t\u1eebng ng\u00e0y, tu\u1ea7n, th\u00e1ng ho\u1eb7c m\u00f9a. Khi c\u00f3 d\u1ea5u hi\u1ec7u b\u1ec7nh, h\u00e3y \u0111\u01b0a ng\u01b0\u1eddi b\u1ec7nh \u0111\u1ebfn c\u01a1 s\u1edf y t\u1ebf \u0111\u1ec3 \u0111\u01b0\u1ee3c t\u01b0 v\u1ea5n v\u00e0 \u0111i\u1ec1u tr\u1ecb k\u1ecbp th\u1eddi.<\/p>\n<h2>3. C\u00e1c lo\u1ea1i r\u1ed1i lo\u1ea1n l\u01b0\u1ee1ng c\u1ef1c<\/h2>\n<p>C\u00f3 3 lo\u1ea1i r\u1ed1i lo\u1ea1n l\u01b0\u1ee1ng c\u1ef1c c\u01a1 b\u1ea3n c\u1ea7n bi\u1ebft:<\/p>\n<ol>\n<li>R\u1ed1i lo\u1ea1n l\u01b0\u1ee1ng c\u1ef1c I: X\u00e1c \u0111\u1ecbnh khi ng\u01b0\u1eddi b\u1ec7nh tr\u1ea3i qua c\u1ea3 giai \u0111o\u1ea1n h\u01b0ng c\u1ea3m v\u00e0 tr\u1ea7m c\u1ea3m xen k\u1ebd.<\/li>\n<li>R\u1ed1i lo\u1ea1n l\u01b0\u1ee1ng c\u1ef1c II: Ng\u01b0\u1eddi b\u1ec7nh c\u00f3 c\u1ea3 giai \u0111o\u1ea1n tr\u1ea7m c\u1ea3m v\u00e0 h\u01b0ng c\u1ea3m nh\u1eb9.<\/li>\n<li>R\u1ed1i lo\u1ea1n l\u01b0\u1ee1ng c\u1ef1c III: Ng\u01b0\u1eddi b\u1ec7nh chuy\u1ec3n t\u1eeb giai \u0111o\u1ea1n tr\u1ea7m c\u1ea3m sang h\u01b0ng c\u1ea3m khi s\u1eed d\u1ee5ng thu\u1ed1c. C\u00f3 ti\u1ec1n s\u1eed gia \u0111\u00ecnh c\u00f3 ng\u01b0\u1eddi m\u1eafc r\u1ed1i lo\u1ea1n l\u01b0\u1ee1ng c\u1ef1c.<\/li>\n<\/ol>\n<h2>4. R\u1ed1i lo\u1ea1n l\u01b0\u1ee1ng c\u1ef1c v\u00e0 tr\u1ea7m c\u1ea3m kh\u00e1c nhau nh\u01b0 th\u1ebf n\u00e0o?<\/h2>\n<p>\u0110\u1ec3 \u0111\u1ea1t \u0111\u01b0\u1ee3c k\u1ebft qu\u1ea3 t\u1ed1t trong qu\u00e1 tr\u00ecnh \u0111i\u1ec1u tr\u1ecb r\u1ed1i lo\u1ea1n l\u01b0\u1ee1ng c\u1ef1c, c\u1ea7n th\u0103m kh\u00e1m t\u1eeb \u0111\u1ea7u v\u00e0 ph\u00e2n bi\u1ec7t r\u00f5 s\u1ef1 kh\u00e1c nhau gi\u1eefa r\u1ed1i lo\u1ea1n l\u01b0\u1ee1ng c\u1ef1c v\u00e0 tr\u1ea7m c\u1ea3m. D\u01b0\u1edbi \u0111\u00e2y l\u00e0 m\u1ed9t s\u1ed1 \u0111i\u1ec3m kh\u00e1c bi\u1ec7t:<\/p>\n<ul>\n<li>R\u1ed1i lo\u1ea1n l\u01b0\u1ee1ng c\u1ef1c kh\u00f3 ch\u1ea9n \u0111o\u00e1n n\u1ebfu ng\u01b0\u1eddi b\u1ec7nh c\u00f3 d\u1ea5u hi\u1ec7u tr\u1ea7m c\u1ea3m m\u00e0 kh\u00f4ng c\u00f3 c\u00e1c bi\u1ec3u hi\u1ec7n kh\u00e1c nh\u01b0 ph\u1ea5n kh\u00edch, h\u01b0ng c\u1ea3m.<\/li>\n<li>Tr\u1ea7m c\u1ea3m \u0111\u01a1n c\u1ef1c c\u00f3 \u0111\u1eb7c \u0111i\u1ec3m l\u00e0 tr\u1ea7m c\u1ea3m n\u1eb7ng.<\/li>\n<li>B\u1ec7nh r\u1ed1i lo\u1ea1n l\u01b0\u1ee1ng c\u1ef1c c\u00f3 3 giai \u0111o\u1ea1n kh\u00e1c nhau: giai \u0111o\u1ea1n tr\u1ea7m c\u1ea3m n\u1eb7ng, giai \u0111o\u1ea1n h\u01b0ng c\u1ea3m, giai \u0111o\u1ea1n tr\u1ea7m c\u1ea3m.<\/li>\n<\/ul>\n<p>R\u1ed1i lo\u1ea1n l\u01b0\u1ee1ng c\u1ef1c n\u1eb7ng h\u01a1n v\u00e0 c\u00f3 t\u1ef7 l\u1ec7 m\u1eafc b\u1ec7nh c\u0169ng nh\u01b0 t\u1ef7 l\u1ec7 t\u1eed vong cao h\u01a1n nhi\u1ec1u so v\u1edbi tr\u1ea7m c\u1ea3m.<\/p>\n<h2>5. \u0110i\u1ec1u tr\u1ecb r\u1ed1i lo\u1ea1n l\u01b0\u1ee1ng c\u1ef1c<\/h2>\n<p>\u0110\u1ec3 \u0111i\u1ec1u tr\u1ecb r\u1ed1i lo\u1ea1n l\u01b0\u1ee1ng c\u1ef1c, c\u00f3 3 ph\u01b0\u01a1ng ph\u00e1p ch\u00ednh:<\/p>\n<p>5.1 \u0110i\u1ec1u tr\u1ecb b\u1eb1ng thu\u1ed1c: S\u1eed d\u1ee5ng c\u00e1c lo\u1ea1i thu\u1ed1c \u0111i\u1ec1u ch\u1ec9nh kh\u00ed s\u1eafc nh\u01b0 lithium, thu\u1ed1c ch\u1ed1ng \u0111\u1ed9ng kinh, valproat, carbamazepin v\u00e0 lamotrigin. Thu\u1ed1c ch\u1ed1ng lo\u1ea1n th\u1ea7n th\u1ebf h\u1ec7 th\u1ee9 2 nh\u01b0 aripiprazole, ziprasidone, cariprazine, olanzapine, lurasidone, quetiapine, risperidone c\u0169ng \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng.<\/p>\n<p>5.2 C\u00e1c ph\u01b0\u01a1ng ph\u00e1p \u0111i\u1ec1u tr\u1ecb kh\u00e1c: Bao g\u1ed3m li\u1ec7u ph\u00e1p ECT (\u0111i\u1ec7n gi\u00e1c m\u1ea1c), tr\u1ecb li\u1ec7u \u00e1nh s\u00e1ng v\u00e0 tr\u1ecb li\u1ec7u t\u00e2m l\u00fd.<\/p>\n<p>5.3 Gi\u00e1o d\u1ee5c v\u00e0 tr\u1ecb li\u1ec7u t\u00e2m l\u00fd: H\u1ed7 tr\u1ee3 t\u1eeb gia \u0111\u00ecnh v\u00e0 nh\u00f3m \u0111i\u1ec1u tr\u1ecb \u0111\u1ec3 gi\u00fap b\u1ec7nh nh\u00e2n \u0111\u1ed1i ph\u00f3 v\u1edbi c\u00e1c v\u1ea5n \u0111\u1ec1 trong cu\u1ed9c s\u1ed1ng h\u00e0ng ng\u00e0y.<\/p>\n<p>\u0110\u00f3 l\u00e0 nh\u1eefng th\u00f4ng tin c\u01a1 b\u1ea3n v\u1ec1 r\u1ed1i lo\u1ea1n l\u01b0\u1ee1ng c\u1ef1c m\u00e0 ch\u00fang t\u00f4i mu\u1ed1n chia s\u1ebb. Hy v\u1ecdng r\u1eb1ng b\u1ea1n \u0111\u00e3 hi\u1ec3u r\u00f5 h\u01a1n v\u1ec1 c\u0103n b\u1ec7nh n\u00e0y v\u00e0 c\u00f3 th\u1ec3 gi\u1ea3i \u0111\u00e1p nh\u1eefng th\u1eafc m\u1eafc c\u1ee7a m\u00ecnh. N\u1ebfu b\u1ea1n c\u1ea7n th\u00eam th\u00f4ng tin, h\u00e3y gh\u00e9 th\u0103m trang web c\u1ee7a <a href=\"https:\/\/mhgvietnam.com\/en\/\">MH Group<\/a> \u0111\u1ec3 bi\u1ebft th\u00eam chi ti\u1ebft.<\/p>","protected":false},"excerpt":{"rendered":"<p>R\u1ed1i lo\u1ea1n l\u01b0\u1ee1ng c\u1ef1c, hay c\u00f2n \u0111\u01b0\u1ee3c g\u1ecdi l\u00e0 r\u1ed1i lo\u1ea1n h\u01b0ng \u2013 tr\u1ea7m c\u1ea3m, l\u00e0 m\u1ed9t c\u0103n b\u1ec7nh t\u00e2m th\u1ea7n ph\u1ee9c t\u1ea1p v\u1edbi nh\u1eefng bi\u1ec3u hi\u1ec7n kh\u00e1c nhau. Ng\u01b0\u1eddi m\u1eafc b\u1ec7nh n\u00e0y th\u01b0\u1eddng tr\u1ea3i qua nh\u1eefng thay \u0111\u1ed5i t\u00ecnh tr\u1ea1ng t\u00e2m l\u00fd, \u1ea3nh h\u01b0\u1edfng ti\u00eau c\u1ef1c \u0111\u1ebfn s\u1ee9c kh\u1ecfe v\u00e0 cu\u1ed9c s\u1ed1ng h\u00e0ng ng\u00e0y. [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":6575,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[35],"tags":[],"class_list":["post-6573","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-ky-nang"],"_links":{"self":[{"href":"https:\/\/mhgvietnam.com\/en\/wp-json\/wp\/v2\/posts\/6573","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/mhgvietnam.com\/en\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/mhgvietnam.com\/en\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/mhgvietnam.com\/en\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/mhgvietnam.com\/en\/wp-json\/wp\/v2\/comments?post=6573"}],"version-history":[{"count":2,"href":"https:\/\/mhgvietnam.com\/en\/wp-json\/wp\/v2\/posts\/6573\/revisions"}],"predecessor-version":[{"id":6619,"href":"https:\/\/mhgvietnam.com\/en\/wp-json\/wp\/v2\/posts\/6573\/revisions\/6619"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/mhgvietnam.com\/en\/wp-json\/wp\/v2\/media\/6575"}],"wp:attachment":[{"href":"https:\/\/mhgvietnam.com\/en\/wp-json\/wp\/v2\/media?parent=6573"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/mhgvietnam.com\/en\/wp-json\/wp\/v2\/categories?post=6573"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/mhgvietnam.com\/en\/wp-json\/wp\/v2\/tags?post=6573"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}