Академический Документы
Профессиональный Документы
Культура Документы
(DHD)
Yu t gii phu TK
Yu t mi trng
Cht dn truyn TK
ADHD
2. BI HIN KO DI
40%
Cc tri chng s gim chc nng k di n t i tr ng thnh
Cc kh khn v mt x hi v cm xc
Tht bi trong hc tp
Ri lon Hnh vi
Cc kh khn v ngh nghip
Gp vn trong hc tp
Cc vn v lng t trng
Kh khn vi cc tng tc x hi
Lm dng cht
Cc vn v lng t trng
Tn thng/ Cc tai nn
Cc phn nhm c DHD
DHD, th hn hp
DHD, th mt ch chim th
Khng ch n cc ti
tit/ lm cc li d bt
cn Kh khn trng vic t ch
Kh khn trng vic d c
tr s ch Trnh n cc cng vic cn
C v nh khng lng n d tr s ch
ghe Lm mt c
Khng hn thnh cc D dng bi x lng
cng vic H qn
Ti ch n the DSM-IV : Xng ng / Tn g ng
C s h hn cc tri chng s bi hin thng xn:
Tng ng
Khng n
Khng th ngi n Xng ng
Ch/ le tr khng th Bt r c tr li trc khi
ch ng (khng n) c hi c n ht
Kh khn trng vic th Ch i n lt mt cch
m gi cc ht ng gii kh khn
tr n lng Ngt ngng hc ln v n
ng bn... gi khc
Ni q mc
Ti ch n ch n n
Cc ti chn tri chng phi xt hi n trng 6 th
ng q
Tri chng phi xt hin trc 7 ti
Cc s gim d cc tri chng bnh phi x t hi n t
rng 2 h hn linh vc
Cc tri chng dn n s gim r rt
Cc tri chng khng li tr d cc ri ln t m th
n khc
Lm s t m st DHD ?
Tm st din rng:
Bn c hi cc im v kh khn (SDQ)
Tm st din hep:
SNP-IV
Vnderbilt
N H GI- CH N ON DHD
XC INH TRI CHNG CHINH
NH GI CC S GIM.
XC INH NGN NHN N CO.
XM XT CC BNH L KM THO.
DHD l m t ch n n l m sng.
Kh ng c n cc th nghi m c n l
m sng xc in h ch n n c
DHD.
Bn c n c n l m sng ch khi bn
nghi ng cc b nh l kh khc.
CH N ON PH N BI T C DHD
Tng ng trng l ti ph hp .
Vn ni d tr
Cc bnh l kh
Cc bnh l tm thn:
RL Trm cm
RL L
Ri ln trng ph t k
CHN ON PHN BIT C DHD
TNG NG TRONG L TI P
H HOP
CHN ON PHN BIT C DHD
VN NI D TR
Khp v k lt
Q bng lng
CHN ON PHN BIT C DHD
CC BNH L KHO
Ng c ch
Cng gip
Hi chng n thc th
D thc men: Ds, thc ging gi cm, v.v..
CHN ON PHN BIT C DHD
TRM CM
Kh sc trm cm
Th
Mt cm gic thm n
Mt ng
Khc
tng t st
CC RI LON LO
CHN ON PHN BIT C DHD
RI LON TRONG PH T K
Cc gi tip x hi s gim
Pht trin ngn ng s gim
Cc hnh vi lp li
I TRI
TM L GIO DC
I CHNH HNH VI
HO DOC LI PHP
MT (NIMH Cllbrtive Mltisite Mltimdl
Tretment Std f Children with DHD)
iu chnh hnh vi
iu chnh hnh vi
+ methylphenidate
p ng mt phn Khng p ng p ng tt
hay cc tc dng ph
khng dung np c
iu chnh liu Tip tc thuc
+ Hng dn ph huynh/ nh trng
Cc thuc kch thch khc
Cc la chn thuc:
Atomoxetine
Bupropion
Venlafaxine
Imipramine
Clonidine
Guanfacine
TM L GIO DC
( i bn nn gi i thch ch gi nh)
Chn n
Cc tri chng
Ngn nhn
Cc l chn i tri
Cc phng php i chnh hnh vi c bn
Cch dng thc
I CHNH HNH VI DHD
Gim ng tr
Sp xp ch ngi
Ch cc phn hi thng xn
inh hng, cc ht ng c t chc
T nhi c hi hn thm gi cc ht ng t
d, th th, nh m, ht, v.v..
S dng cc hnh vi cng c tch cc hn l trng p
ht
Ni dng lng t trng c tr
HO DOC TRI LI
Cc thc c th s dng i chnh tnh trng n:
Methlphenidte (MPH)
tmxetine
Bprpin
Venlfxine
Imiprmine
Clnidine
Gnfcine
Cc hn ch c IR-MPH
Thi gin tc dng ngn
Ritlin: Li 2-3 ln/ng
D ng gi nng nh/ thp x r trng ng
Cn li trng v li s khi tn trng
Cc vn tn th i tri
Cc vn n tn - cc ch t c ki m st thng c n
c gi vn phng trng v c t trng ch s dng