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Được viết: Thứ tư, 12-06-2013

        Thiếu máu não là căn bệnh có tỷ lệ người mắc rất cao ảnh hưởng nghiêm trọng đến sức khỏe, tính mạng của người bệnh. Người bị thiếu máu não thường gặp các triệu chứng điển hình như đau đầu, hoa mắt, chóng mặt, ù tai, mất ngủ, mất trí nhớ, rối loạn thăng bằng… nặng hơn có thể bị choáng váng, đột quỵ não...

        Để giải đáp thắc mắc của Quý vị về những phương pháp phòng ngừa và điều trị căn bệnh này, ngày 30/5/2013 vừa qua, chương trình giao lưu trực tuyến với chủ đề PHƯƠNG PHÁP PHÒNG NGỪA VÀ ĐIỀU TRỊ THIẾU MÁU NÃO do nhãn hàng Hồng Mạch Khang phối hợp cùng  website tuvansuckhoe24h.com.vn với sự tham gia của GS.TS Lê Đức Hinh – Chủ tịch hội Thần kinh học Việt Nam, nguyên Trưởng khoa Thần kinh bệnh viện Bạch Mai đã giải đáp rất nhiều thắc mắc của quý độc giả. Dưới đây là một số câu hỏi được nhiều người quan tâm:

GS.TS Lê Đức Hinh trả lời các câu hỏi trong buổi giao lưu trực tuyến

Câu hỏi: Thưa giáo sư! tôi năm nay 70 tuổi thường có cảm giác căng nặng trong đầu, mệt mỏi. Mỗi lần như vậy tôi thường hay lấy tay xoa trán, đấm nhẹ vào trán để bớt đi cảm giác đó. Xin giáo sư cho biết đó có phải là triệu chứng của bệnh thiếu máu não không? Và tôi nên điều trị thế nào? (Lê Văn Thìn)

GS Lê Đức Hinh: Bác ở lứa tuổi người cao tuổi, hay cảm thấy nặng đầu nhưng không nói rõ biểu hiện trên thường xuất hiện vào lúc nào trong ngày (khi thức, khi ngủ hay khi mới tỉnh dậy…), kéo dài bao lâu, nặng trong đầu về bên nào hay không, trong lúc nặng đầu có biểu hiện gì thêm không. Nhưng bác có cho 1 thông tin là khi nặng trong đầu bác hay lấy tay xoa trán, đấm nhẹ vào đầu... thì thấy giảm tức là sự lưu thông của mạch máu không được thông thoáng, đặc biệt là mạch máu ngoại vi (da), và do đó khi bác xoa nhẹ hay đấm nhẹ ở đầu sẽ làm co giãn các mạch máu ở vùng đó khiến máu lưu thông dễ dàng hơn và bác cảm thấy dễ chịu hơn. Chúng tôi cho rằng ở tuổi của bác, hiện tượng đó có thể liên quan đến thời tiết, vì ở người cao tuổi thời tiết nóng quá hay lạnh quá thì đều liên quan đến sự co bóp của mạch máu; thứ 2 còn phụ thuộc vào tình trạng huyết áp của bác, không biết huyết áp bác bình thường hay tăng hoặc giảm? Cái đó cũng cần đi khám để thầy thuốc biết được. Thứ 3 là nói chung ở người cao tuổi và người ngoài 30 tuổi mạch máu không còn khả năng đàn hồi, co bóp như trước nữa. Theo nghiên cứu của GS Nguyễn Văn Tạo ở BV108 trước đây thì sau lứa tuổi 30 lòng mạch bắt đầu có dấu hiệu của vữa xơ do sự lắng đọng các chất thải trong máu và càng cao tuổi thì sự lắng đọng càng nhiều làm lòng mạch kém thông thoáng và không phải chỉ lòng mạch trong não không thông thoáng mà các lòng mạch khác cũng thế nhưng riêng mạch máu không thông thoáng sẽ làm tuần hoàn máu kém dẫn đến cảm giác nặng đầu, khó chịu. Chúng tôi đề nghị bác nên đi kiểm tra lại ở các  viện, thầy thuôc thuộc chuyên khoa lão khoa hoặc các thầy thuốc nội khoa sẽ cho bác biết bệnh của bác có phải là vữa xơ động mạch hay không. 

Câu hỏi: Mong giáo sư giải thích rõ hơn về bệnh thiểu năng tuần hoàn não. Tôi được biết thiểu năng tuần hoàn não là khi thiếu máu đi nuôi não, vậy huyết áp cao hay huyết áp thấp có ảnh hưởng và dẫn đến căn bệnh này không? tôi thấy các triệu chứng của những căn bệnh này rất giống nhau ví dụ như đều có biểu hiện đau đầu, hoa mắt, chóng mặt... làm sao để phân biệt được đâu là triệu chứng của bệnh gì? (Phạm Ngọc Mai)

GS. Lê Đức Hinh:  Thiểu năng tuần hoàn não tức là khả năng tuần hoàn máu lên não bị suy yếu, có thể do lòng mạch không được thông thoáng, do sự co bóp của các mạch máu không được đều đặn và như vậy thì lượng máu lưu thông lên não một cách không đều. Có thể hình dung như máy bơm nước lên tòa nhà, tầng nhà nào càng ở cao thì lượng nước được bơm lên đó càng ít. Ngoài ra, ở lứa tuổi thanh niên thì lòng mạch thông thoáng, trơn nhẵn nên dù lực bơm máu mạnh hay yếu thì máu vẫn lưu thông đều, còn ở người già thì ngược lại. Do đó dòng máu lưu thông lên não không đều thì có thể dẫn tới hiện tượng choáng váng, hoa mắt,… và có thể thấy người mệt mỏi.  Hiện nay, người ta thường gọi thiểu năng tuần hoàn não là bệnh giảm tưới máu não và nếu sự giảm tưới máu não này kéo dài 1 hoặc 2 ngày thì người bệnh sẽ thấy các hiện tượng trên rõ ràng hơn. Bệnh này thường hay gặp ở những người già, người có mạch máu bị vữa xơ, hay người bị tăng huyết áp. Hay nói cách khác bệnh thiểu năng tuần hoàn não là hậu quả của một nhóm bệnh.

 

        Phương pháp điều trị huyết áp thấp
        Giao lưu trực tuyến: Huyết áp thấp - Điều trị đúng cách
        Hồng Mạch Khang - Giúp hỗ trợ điều trị huyết áp thấp

 

Câu hỏi: Tôi có 1 thắc mắc mong bác sĩ và chương trình giải đáp. Tôi 60t được bác sĩ chẩn đoán bị thiểu năng tuần hoàn não còn em tôi (56t) thì xác định bị rối loạn tiền đình. Tuy nhiên tôi thấy những biểu hiện của chúng không có gì khác nhau đều là bị hoa mắt, chóng mặt, thỉnh thoảng buồn nôn. Xin bác sĩ phân biệt 2 bệnh này giúp tôi. Mức độ nguy hiểm của nó như thế nào? Cảm ơn! (Lê Văn Thuyết)

GS. Lê Đức Hinh: Thiểu năng tuần hoàn não và rối loạn tiền đình có những triệu chứng có thể giống nhau nhưng về nguyên nhân thì hoàn toàn khác nhau: - Thiểu năng tuần hoàn não: liên quan đến khả năng vận chuyển máu lên não bị suy yếu, do lòng mạch không thông thoáng có thể do các mảng xơ vữa trong lòng mạch máu. Bệnh thường gặp ở người già do thành mạch máu cứng hơn nên ảnh hưởng đến khả năng tuần hoàn máu dẫn tới thiếu máu não. - Rối loạn tiền đình: Có sự hoạt động không bình thường ở hệ thống tiền đình. Tiền đình là hệ thống các xương nhỏ và chất dịch bên trong giúp ta giữ được thăng bằng và định hướng trong không gian. Khi trong hệ thống xương tiền đình có dịch bên trong có sự bất bình thường sẽ làm người bệnh cảm thấy chao đảo, hoa mắt, chóng mặt, ù tai. Bệnh liên quan đến bệnh lý nội khoa: tiêu hóa, tim mạch, huyết áp, hô hấp,...  Đây là 1 hội chứng, bác nên đi khám xem nguyên nhân là do đâu.

 

Còn rất nhiều câu hỏi liên quan đến bệnh tăng tiết mồ hôi đã được GS.TS Lê Đức Hinh trả lời, quý độc giả có thể tham khảo chi tiết tại đây.

Phạm Hường

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