Nói thêm về rối loạn stress sau sang chấn

rioi th^m ve roi loan

stress sau sang chan •» BS. QUYNH VIEN

Hdi chuHg rdi loan stress

sau sang chd'n khdng

phai chi xay ra d nan

nhdn cua tham hoa, md xay ra d

cd ngfldi gdy ra thdm hoa vd ngUdi

cd lien quan, nhfl trUdng hdp mdt

so' cUu chiln binh da gdy ra hay

chihig kiln tham canh xay ra ddi

vdi ngudi ddn.

Theo Td chflc Y t l Thi gidi cd

6 loai nan nhan chiu tac ddng cua

tham hoa: ngUdi trUc tilp bi nan;

ngfldi thdn cua nan nhdn; ngUdi

dd'n cijfu hd, cflu nan; cac thanh vien

trong cdng ddng; ngUdi bi rdi loan

khi nghi de'n tham hga va ngUdi

tinh cd lidn quan de'n tham hga.

Theo SS tay hudng ddn chdn

dodn binh tdm thdn, 6 tieu chuan

chan dodn rdi loan stress sau sang

chan la:

•»• Tifng bi dnh hfldng bdi mdt

SLf kidn sang chdn (cd thi true tilp

la nan nhan hoac chi chifng kien);

•>• Su kien gay sang chan tai diin

dai dang theo mgt hay nhilu cdch

(vi du nhu de mdng, hoi tudng);

>-Ne trdnh trudc cdc kich thich

ggi lai sang chdn va sU te li$t

dap iJng;

>- Cac tridu chifng dai dang cd

tinh chdt bi kich (khdng xay ra

trflde sang chan) nhfl khd di vdo

gidc ngu, di gidn dfl;

>-Th&i gian keo dai cua rdi loan

nay (cac trieu chflng d tieu chudn

B, C vd D) trdn 1 thdng;

>• Lam suy ye'u chflc nang xa

hdi, anh hudng xd'u ddn cdng vi^c

va cdc mdi quan hd khac.

Ne'u hg,u qua cua sang chan

khdng dugc gidi quylt kip thdi,

nan nhdn se xua't hien cam gidc

"choi vdi, hoang mang". Hg cam

thay khdng the chu dpng quylt

dinh dugc cugc ddi cua chinh ban

thdn, tdm tri hg vdn thudng xuyen

trong trang thai canh gidc vl khd

Tdn thuang thuc thd trkn nko bd ngddi

benh rdi loan stress sau sang chin

nang trd lai cua sang cha'n. M6t

sd am thanh, mui hUdng, mdu sdc

va mOt vai tinh hudng ddc bi§t c6

the kich thich sif tdi hidn mOt k^

flc ve sang cha'n, kem theo nhiJfng

cam gidc khdng the chiu dung

ndi. Dl gidi quyet ndi sd nay, nan

nhdn trdnh ne td't cd nhiing tinh

hud'ng, tham chi ca nhifng cdm xiSc

cd lien quan den sang chan. Dilu

nay dl dan din trang thai tfl co

Igip ban thdn ra khdi cac md'i quan

hd xa hpi.

Tac ha i ciia rd'i loan stress sau

sang cha'n

Tac dgng cua sfl kign gdy sang

cha'n dnh hudng de'n mdi ngUifi

khdc nhau, vdi ngfldi nay tW d^

lai hdu qua nghidm trgng, ngM

khdc thi it hon. Mflc dg tdc hai ph\i

thudc vdo nhilu yeu td:

- Ngudi true tie'p la nan nhftn

cd nguy cd mdc rdi loan stress sau

sang chdn cao hdn ngfldi chi gidn

tiep lien quan, chdng han nhfl cW

nhin thd'y sif kidn.

- Ngudi trinh dg hgc vd'n thtfp

Ngddi benh rdi logn stress sau sang chdn thddng xuyen gkp kc m^ng vd mgt min h trai qua thd m hga c6

THUOC & SLfC KH6 E sd 504 (15.7.2014)