{"id":4671,"date":"2014-01-14T16:56:41","date_gmt":"2014-01-14T09:56:41","guid":{"rendered":"http:\/\/www.yogavocuc.com\/?p=4671"},"modified":"2014-01-14T16:56:41","modified_gmt":"2014-01-14T09:56:41","slug":"thien-dinh-giup-con-nguoi-tri-dau","status":"publish","type":"post","link":"http:\/\/www.yogavocuc.com\/?p=4671","title":{"rendered":"THI\u1ec0N \u0110\u1ecaNH… GI\u00daP CON NG\u01af\u1edcI TR\u1eca \u0110AU!"},"content":{"rendered":"

\"\"<\/a>C\u00f3 th\u1ec3 n\u00f3i, c\u00f4ng tr\u00ecnh nghi\u00ean c\u1ee9u thi\u1ec1n \u0111\u1ecbnh gi\u00fap tr\u1ecb \u0111au m\u1edf ra tri\u1ec3n v\u1ecdng t\u00ecm \u0111\u01b0\u1ee3c ph\u01b0\u01a1ng th\u1ee9c gi\u1ea3m \u0111au kh\u00f4ng g\u00e2y tai bi\u1ebfn nh\u01b0 d\u00f9ng thu\u1ed1c m\u00e0 lo\u00e0i ng\u01b0\u1eddi m\u01a1 \u01b0\u1edbc t\u1eeb l\u00e2u. Kh\u00f4ng nh\u1eefng th\u1ebf, c\u00f4ng tr\u00ecnh b\u01b0\u1edbc \u0111\u1ea7u cho th\u1ea5y con ng\u01b0\u1eddi c\u00f3 th\u1ec3 gi\u1ea3i m\u00e3 ph\u1ea7n n\u00e0o c\u00e1i g\u1ecdi l\u00e0 \u201cth\u1ea7n di\u1ec7u b\u1ea5t kh\u1ea3 tri\u201d c\u1ee7a Thi\u1ec1n \u0111\u1ecbnh.<\/span><\/p>\n

Ph\u1ea3i lu\u00f4n ghi nh\u1edb l\u00e0 thi\u1ec1n \u0111\u1ecbnh g\u1ed3m c\u00f3 ba ph\u00e9p luy\u1ec7n t\u1eadp (b\u00e0i 1)<\/p>\n

Trong ng\u00f4n ng\u1eef Vi\u1ec7t Nam, t\u1eeb \u201c\u0111au kh\u1ed5\u201d \u0111\u01b0\u1ee3c d\u00f9ng \u0111\u1ec3 ch\u1ec9 tr\u1ea1ng th\u00e1i b\u1ea5t nh\u01b0 \u00fd, kh\u00f3 ch\u1ecbu v\u00e0 bu\u1ed3n phi\u1ec1n c\u00f9ng c\u1ef1c. T\u1eeb \u201c\u0111au kh\u1ed5\u201d c\u0169ng cho th\u1ea5y \u0111au \u0111\u1edbn \u0111\u01b0a \u0111\u1ebfn kh\u1ed5, m\u1ed9t c\u00e1i kh\u1ed5 gh\u00ea g\u1edbm l\u00e0 b\u1ecb \u0111au v\u00e0 \u0111au th\u1ec3 x\u00e1c s\u1ebd g\u1eafn v\u1edbi \u0111au v\u1ec1 m\u1eb7t tinh th\u1ea7n. Hi\u1ec7p h\u1ed9i Qu\u1ed1c t\u1ebf Nghi\u00ean c\u1ee9u v\u1ec1 \u0110au (International Association for the Study of Pain) v\u00e0o n\u0103m 1979 \u0111\u00e3 cho \u0111\u1ecbnh ngh\u0129a v\u1ec1 \u0111au g\u1eafn li\u1ec1n v\u1edbi kh\u1ed5 nh\u01b0 sau: \u201c\u0110au l\u00e0 m\u1ed9t kinh nghi\u1ec7m kh\u00f3 ch\u1ecbu v\u1ec1 m\u1eb7t c\u1ea3m gi\u00e1c (sensory) v\u00e0 c\u1ea3m x\u00fac (emotional) li\u00ean quan \u0111\u1ebfn t\u1ed5n th\u01b0\u01a1ng c\u00f3 th\u1eadt trong c\u01a1 th\u1ec3 ho\u1eb7c t\u1ed5n th\u01b0\u01a1ng ti\u1ec1m t\u00e0ng ho\u1eb7c \u0111\u01b0\u1ee3c m\u00f4 t\u1ea3 nh\u01b0 c\u00f3 t\u1ed5n th\u01b0\u01a1ng!\u201d. \u0110\u1ecbnh ngh\u0129a cho th\u1ea5y \u0111au kh\u00f4ng ch\u1ec9 l\u00e0 c\u1ea3m gi\u00e1c m\u00e0 l\u00e0 ph\u1ee9c h\u1ee3p g\u1ed3m c\u1ea3m gi\u00e1c, nh\u1eadn th\u1ee9c, t\u00ecnh c\u1ea3m, t\u00e2m l\u00fd.<\/p>\n

\u0110au l\u00e0 tri\u1ec7u ch\u1ee9ng th\u01b0\u1eddng hay g\u1eb7p \u1edf ng\u01b0\u1eddi b\u1ec7nh. Khi b\u1ecb \u0111au, ph\u1ea3n \u1ee9ng t\u1ef1 nhi\u00ean c\u1ee7a con ng\u01b0\u1eddi l\u00e0 t\u00ecm c\u00e1ch gi\u1ea3m v\u00e0 h\u1ebft \u0111au. V\u00ec v\u1eady, thu\u1ed1c gi\u1ea3m \u0111au l\u00e0 lo\u1ea1i thu\u1ed1c \u0111\u01b0\u1ee3c d\u00f9ng th\u01b0\u1eddng xuy\u00ean v\u00e0 ph\u1ed5 bi\u1ebfn nh\u1ea5t. T\u1eeb l\u00e2u cho \u0111\u1ebfn nay v\u00e0 m\u00e3i v\u1ec1 sau trong t\u01b0\u01a1ng lai r\u1ea5t xa, con ng\u01b0\u1eddi v\u1eabn ph\u1ea3i ch\u1eefa \u0111au b\u1eb1ng thu\u1ed1c. Hi\u1ec7n nay, ng\u01b0\u1eddi ta v\u1eabn ch\u01b0a t\u00ecm ra lo\u1ea1i thu\u1ed1c gi\u1ea3m \u0111au n\u00e0o ho\u00e0n to\u00e0n kh\u00f4ng c\u00f3 t\u00e1c d\u1ee5ng ph\u1ee5 c\u00f3 h\u1ea1i. N\u1ebfu m\u1ed9t lo\u1ea1i thu\u1ed1c gi\u1ea3m \u0111au n\u00e0o kh\u00f4ng g\u00e2y nghi\u1ec7n nh\u01b0 nghi\u1ec7n ma t\u00fay (morphin l\u00e0 thu\u1ed1c gi\u1ea3m \u0111au r\u1ea5t t\u1ed1t nh\u01b0ng ch\u00ednh n\u00f3 n\u1ebfu d\u00f9ng ngo\u00e0i m\u1ee5c \u0111\u00edch \u0111i\u1ec1u tr\u1ecb y khoa th\u00ec \u0111\u00f3 l\u00e0 ma t\u00fay) th\u00ec ho\u1eb7c thu\u1ed1c \u0111\u00f3 g\u00e2y h\u1ea1i d\u1ea1 d\u00e0y (nh\u01b0 aspirin) ho\u1eb7c h\u1ea1i gan (nh\u01b0 paracetamol) ho\u1eb7c l\u00e0m kh\u1edfi ph\u00e1t hen suy\u1ec5n, l\u00e0m t\u0103ng huy\u1ebft \u00e1p\u2026 Kh\u1ed5 n\u1ed5i, khi b\u1ecb \u0111au l\u00e0 ng\u01b0\u1eddi ta t\u00ecm c\u00e1ch tho\u00e1t kh\u1ecfi c\u01a1n \u0111au ngay b\u1eb1ng c\u00e1ch d\u00f9ng thu\u1ed1c v\u00e0 l\u1ea1m d\u1ee5ng thu\u1ed1c gi\u1ea3m \u0111au \u0111\u01b0a \u0111\u1ebfn b\u1ecb tai bi\u1ebfn do thu\u1ed1c gi\u1ea3m \u0111au ng\u00e0y c\u00e0ng ph\u1ed5 bi\u1ebfn v\u00e0 tr\u1edf th\u00e0nh v\u1ea5n \u0111\u1ec1 nghi\u00eam tr\u1ecdng cho s\u1ee9c kh\u1ecfe.<\/p>\n

\u0110\u1ec3 gi\u00fap vi\u1ec7c s\u1eed d\u1ee5ng thu\u1ed1c gi\u1ea3m \u0111au h\u1ee3p l\u00fd v\u00e0 gi\u1ea3m thi\u1ec3u c\u00e1c tai bi\u1ebfn do thu\u1ed1c, T\u1ed5 ch\u1ee9c Y t\u1ebf th\u1ebf gi\u1edbi (WHO) \u0111\u00e3 \u0111\u1ec1 ra 3 b\u1eadc thang d\u00f9ng thu\u1ed1c gi\u1ea3m \u0111au nh\u01b0 sau.<\/p>\n

B\u1eadc 1 l\u00e0 khi \u0111au nh\u1eb9 v\u00e0 v\u1eeba, ta n\u00ean d\u00f9ng thu\u1ed1c gi\u1ea3m \u0111au th\u00f4ng th\u01b0\u1eddng mua kh\u00f4ng c\u1ea7n c\u00f3 \u0111\u01a1n thu\u1ed1c c\u1ee7a b\u00e1c s\u0129 (g\u1ecdi l\u00e0 thu\u1ed1c OTC, vi\u1ebft t\u1eaft c\u1ee7a Over The Counter t\u1ee9c thu\u1ed1c mua t\u1ea1i qu\u1ea7y) l\u00e0 paracetamol ho\u1eb7c thu\u1ed1c n\u1eb1m trong nh\u00f3m c\u00f3 t\u00ean g\u1ecdi chung l\u00e0 thu\u1ed1c ch\u1ed1ng vi\u00eam kh\u00f4ng steroid (vi\u1ebft t\u1eaft l\u00e0 NSAID, g\u1ed3m c\u00f3: aspirin, ibuprofen, diclofenac\u2026). N\u1ebfu d\u00f9ng thu\u1ed1c gi\u1ea3m \u0111au b\u1eadc 1 l\u00e0 paracetamol hay aspirin kh\u00f4ng c\u1ea3i thi\u1ec7n \u0111au c\u00f3 ngh\u0129a ng\u01b0\u1eddi b\u1ec7nh b\u1ecb \u0111au \u1edf b\u1eadc cao h\u01a1n t\u1ee9c n\u1eb7ng \u1edf b\u1eadc 2 ho\u1eb7c \u0111au d\u1eef d\u1ed9i nh\u01b0 \u0111au ung th\u01b0 l\u00e0 \u0111au b\u1eadc 3. L\u00fac n\u00e0y ph\u1ea3i d\u00f9ng \u0111\u1ebfn thu\u1ed1c gi\u1ea3m \u0111au thu\u1ed9c lo\u1ea1i g\u00e2y nghi\u1ec7n c\u00f3 ngu\u1ed3n g\u1ed1c thu\u1ed1c phi\u1ec7n v\u1edbi lo\u1ea1i g\u00e2y nghi\u1ec7n trung b\u00ecnh nh\u01b0 codein ho\u1eb7c lo\u1ea1i g\u00e2y nghi\u1ec7n m\u1ea1nh nh\u01b0 morphin. Thu\u1ed1c gi\u1ea3m \u0111au b\u1eadc 2 v\u00e0 3 c\u00f3 t\u00ednh ch\u1ea5t g\u00e2y nghi\u1ec7n b\u1eaft bu\u1ed9c ph\u1ea3i \u0111\u1ec3 cho b\u00e1c s\u0129 \u0111i\u1ec1u tr\u1ecb ch\u1ec9 \u0111\u1ecbnh, t\u1ee9c l\u00e0 ch\u1ec9 d\u00f9ng khi c\u00f3 \u0111\u01a1n thu\u1ed1c \u0111\u01b0\u1ee3c ghi b\u1edfi b\u00e1c s\u0129.<\/p>\n

Trong \u0111i\u1ec1u tr\u1ecb nhi\u1ec1u b\u1ec7nh, ngo\u00e0i vi\u1ec7c d\u00f9ng thu\u1ed1c c\u00f2n c\u00f3 ph\u01b0\u01a1ng th\u1ee9c tr\u1ecb li\u1ec7u g\u1ecdi l\u00e0 kh\u00f4ng d\u00f9ng thu\u1ed1c. Bi\u1ec7n ph\u00e1p kh\u00f4ng d\u00f9ng thu\u1ed1c th\u01b0\u1eddng kh\u00f4ng c\u00f3 t\u00e1c d\u1ee5ng tr\u1ecb li\u1ec7u nhanh v\u00e0 m\u1ea1nh nh\u01b0 bi\u1ec7n ph\u00e1p d\u00f9ng thu\u1ed1c nh\u01b0ng b\u00f9 l\u1ea1i, \u0111\u00e2y l\u00e0 bi\u1ec7n ph\u00e1p kh\u00f4ng ho\u1eb7c r\u1ea5t \u00edt g\u00e2y h\u1ea1i. Bi\u1ec7n ph\u00e1p kh\u00f4ng d\u00f9ng thu\u1ed1c th\u01b0\u1eddng \u0111\u01b0\u1ee3c d\u00f9ng tr\u01b0\u1edbc ti\u00ean, khi t\u1ecf ra kh\u00f4ng hi\u1ec7u qu\u1ea3, ng\u01b0\u1eddi ta m\u1edbi d\u00f9ng \u0111\u1ebfn thu\u1ed1c. Trong \u0111i\u1ec1u tr\u1ecb \u0111au hi\u1ec7n nay, ng\u01b0\u1eddi ta c\u00f3 d\u00f9ng th\u00eam bi\u1ec7n ph\u00e1p kh\u00f4ng d\u00f9ng thu\u1ed1c nh\u01b0 ch\u00e2m c\u1ee9u, v\u1eadt l\u00fd tr\u1ecb li\u1ec7u, ti\u1ebfp c\u1eadn t\u00e2m l\u00fd\u2026 V\u00e0 lu\u00f4n c\u00f3 s\u1ef1 mong mu\u1ed1n t\u00ecm \u0111\u01b0\u1ee3c m\u1ed9t bi\u1ec7n ph\u00e1p kh\u00f4ng d\u00f9ng thu\u1ed1c n\u00e0o \u0111\u00f3 n\u1ebfu kh\u00f4ng thay th\u1ebf h\u1eb3n th\u00ec c\u0169ng gi\u00fap gi\u1ea3m li\u1ec1u \u0111\u00e1ng k\u1ec3 thu\u1ed1c gi\u1ea3m \u0111au nh\u1eb1m kh\u00f4ng b\u1ecb t\u00e1c d\u1ee5ng c\u00f3 h\u1ea1i c\u1ee7a lo\u1ea1i thu\u1ed1c n\u00e0y. Hi\u1ec7n nay ng\u01b0\u1eddi ta \u0111ang k\u1ef3 v\u1ecdng v\u00e0o m\u1ed9t bi\u1ec7n ph\u00e1p kh\u00f4ng d\u00f9ng thu\u1ed1c l\u00e0 th\u1ef1c h\u00e0nh thi\u1ec1n \u0111\u1ecbnh v\u00e0 b\u1eaft \u0111\u1ea7u c\u00f3 ch\u1ee9ng c\u1ee9 x\u00e1c \u0111\u1ecbnh t\u00e1c d\u1ee5ng k\u1ef3 di\u1ec7u c\u1ee7a bi\u1ec7n ph\u00e1p n\u00e0y.<\/p>\n

Trong t\u1ea1p ch\u00ed Khoa h\u1ecdc N\u00e3o b\u1ed9 s\u1ed1 ra ng\u00e0y 6 th\u00e1ng 4 n\u0103m 2011 \u0111\u00e3 \u0111\u0103ng b\u00e0i \u0111\u1ec1 c\u1eadp th\u1eed nghi\u1ec7m l\u00e2m s\u00e0ng ch\u1ee9ng minh thi\u1ec1n \u0111\u1ecbnh gi\u00fap gi\u1ea3m \u0111au v\u1edbi c\u00e1c h\u00ecnh \u1ea3nh ch\u1ee5p n\u00e3o b\u1ed9 r\u1ea5t r\u00f5 r\u00e0ng. B\u00e0i b\u00e1o khoa h\u1ecdc n\u00e0y c\u00f3 t\u00ean : \u201cC\u01a1 ch\u1ebf c\u1ee7a n\u00e3o b\u1ed9 cho th\u1ea5y thi\u1ec1n \u0111\u1ecbnh l\u00e0m thay \u0111\u1ed5i s\u1ef1 \u0111au\u201d (Brain Mechanisms Supporting the Modulation of Pain by Mindfullness Meditation, The Journal of Neuroscience, April 6, 2011. 31(14):5540-5548).<\/p>\n

C\u00f4ng tr\u00ecnh nghi\u00ean c\u1ee9u k\u1ec3 tr\u00ean \u0111\u01b0\u1ee3c th\u1ef1c hi\u1ec7n b\u1edfi c\u00e1c nh\u00e0 khoa h\u1ecdc c\u1ee7a Khoa Sinh h\u1ecdc N\u00e3o b\u1ed9 v\u00e0 Gi\u1ea3i ph\u1eabu, Khoa Thao t\u00e1c Y sinh h\u1ecdc (tr\u01b0\u1eddng \u0111\u1ea1i h\u1ecdc y khoa Wake Forest, Winston Salem, North Carolia) v\u00e0 Khoa T\u00e2m l\u00fd (tr\u01b0\u1eddng \u0111\u1ea1i h\u1ecdc Marquette, Milwaukee, Wiscosin). \u0110\u00e2y l\u00e0 th\u1eed nghi\u1ec7m l\u00e2m s\u00e0ng th\u1eed tr\u00ean 15 ng\u01b0\u1eddi t\u00ecnh nguy\u1ec7n kh\u1ecfe m\u1ea1nh, g\u1ed3m 6 nam, 9 n\u1eef \u0111\u1ed9 tu\u1ed5i t\u1eeb 23 \u0111\u1ebfn 35, c\u00f3 14 ng\u01b0\u1eddi da tr\u1eafng v\u00e0 1 da v\u00e0ng ch\u00e2u \u00c1.<\/p>\n

C\u00e1c nh\u00e0 nghi\u00ean c\u1ee9u trong c\u00f4ng tr\u00ecnh n\u00e0y \u0111\u00e3 d\u00f9ng k\u1ef9 thu\u1eadt ch\u1ea9n \u0111o\u00e1n h\u00ecnh \u1ea3nh ti\u00ean ti\u1ebfn l\u00e0 fMRI (functional magnetic resonance imaging) v\u00e0 PASL MRI (pulsed arterial spin labeled MRI) \u0111\u1ec3 ch\u1ee9ng minh s\u1ef1 gi\u1ea3m \u0111au do th\u1ef1c hi\u1ec7n thi\u1ec1n \u0111\u1ecbnh li\u00ean k\u1ebft v\u1edbi h\u00ecnh \u1ea3nh r\u00f5 r\u00e0ng c\u1ee7a c\u00e1c bi\u1ebfn \u0111\u1ed5i \u1edf nh\u1eefng v\u00f9ng kh\u00e1c nhau c\u1ee7a n\u00e3o b\u1ed9.<\/p>\n

N\u1ed9i dung th\u1eed nghi\u1ec7m g\u1ed3m 4 giai \u0111o\u1ea1n:<\/p>\n

– Giai \u0111o\u1ea1n chu\u1ea9n b\u1ecb t\u00e2m l\u00fd: Ng\u01b0\u1eddi t\u00ecnh nguy\u1ec7n l\u00e0m quen v\u1edbi vi\u1ec7c k\u00edch th\u00edch g\u00e2y \u0111au b\u1eb1ng nhi\u1ec7t (t\u1eeb 35 0C t\u0103ng d\u1ea7n 49 0C) v\u00e0 gi\u00fap ghi c\u00e1ch \u0111\u00e1nh gi\u00e1 thang t\u00e2m l\u00fd do c\u01b0\u1eddng \u0111\u1ed9 \u0111au g\u00e2y ra t\u1eeb \u201cc\u1ea3m gi\u00e1c kh\u00f4ng \u0111au\u201d hay \u201ckh\u00f4ng kh\u00f3 ch\u1ecbu ch\u00fat n\u00e0o\u201d \u0111\u1ebfn m\u1ee9c \u0111au nh\u1ea5t l\u00e0 \u201ckh\u00f3 ch\u1ecbu g\u1ea7n nh\u01b0 kh\u00f4ng ch\u1ecbu n\u1ed5i\u201d (most unpleasant imaginable).<\/p>\n

– Giai \u0111o\u1ea1n \u0111o MRI l\u1ea7n 1 (tr\u01b0\u1edbc khi t\u1eadp thi\u1ec1n \u0111\u1ecbnh): Giai \u0111o\u1ea1n n\u00e0y l\u1ea1i chia ra l\u00e0m 2: n\u1eeda giai \u0111o\u1ea1n \u0111\u1ea7u MRI l\u1ea7n 1, ng\u01b0\u1eddi th\u1eed nghi\u1ec7m t\u1eadp \u201cnh\u1eafm m\u1eaft v\u00e0 n\u1eb1m im\u201d \u0111\u1ed3ng th\u1eddi ch\u1ecbu k\u00edch th\u00edch nhi\u1ec7t v\u00e0 \u0111\u01b0\u1ee3c \u0111o MRI; n\u1eeda giai \u0111o\u1ea1n sau MRI l\u1ea7n 1, ng\u01b0\u1eddi th\u1eed nghi\u1ec7m t\u1eadp \u201cch\u00fa \u00fd theo d\u00f5i h\u01a1i th\u1edf\u201d, \u0111\u1ed3ng th\u1eddi ch\u1ecbu k\u00edch th\u00edch nhi\u1ec7t v\u00e0 \u0111\u01b0\u1ee3c \u0111o MRI. Ngo\u00e0i \u0111o MRI, m\u1ee9c \u0111\u1ed9 t\u00e2m l\u00fd ch\u1ecbu \u0111au c\u0169ng \u0111\u01b0\u1ee3c \u0111\u00e1nh gi\u00e1, \u0111\u00e2y \u0111\u01b0\u1ee3c xem l\u00e0 giai \u0111o\u1ea1n \u0111\u1ed1i ch\u1ee9ng (ch\u01b0a bi\u1ebft v\u1ec1 thi\u1ec1n \u0111\u1ecbnh) v\u1edbi giai \u0111o\u1ea1n sau l\u00e0 giai \u0111o\u1ea1n th\u1ef1c h\u00e0nh thi\u1ec1n \u0111\u1ecbnh.<\/p>\n

– Giai \u0111o\u1ea1n t\u1eadp thi\u1ec1n \u0111\u1ecbnh: K\u00e9o d\u00e0i 4 ng\u00e0y, m\u1ed7i ng\u00e0y ng\u01b0\u1eddi th\u1eed nghi\u1ec7m c\u00f3 20 ph\u00fat t\u1eadp thi\u1ec1n \u0111\u1ecbnh Shamatha d\u01b0\u1edbi s\u1ef1 h\u01b0\u1edbng d\u1eabn c\u1ee7a thi\u1ec1n gi\u1ea3 \u0111\u00e3 c\u00f3 \u00edt nh\u1ea5t 10 n\u0103m th\u1ef1c h\u00e0nh thi\u1ec1n \u0111\u1ecbnh. \u0110\u1eb7c bi\u1ec7t v\u00e0o 2 ng\u00e0y cu\u1ed1i, ng\u01b0\u1eddi th\u1eed nghi\u1ec7m t\u1eadp thi\u1ec1n \u0111\u1ecbnh trong \u00e2m thanh c\u1ee7a m\u00e1y \u0111o MRI \u0111\u1ec3 \u0111i\u1ec1u ki\u1ec7n th\u1eed nghi\u1ec7m gi\u1ed1ng nh\u01b0 th\u1eed nghi\u1ec7m giai \u0111o\u1ea1n cu\u1ed1i.<\/p>\n

– Giai \u0111o\u1ea1n \u0111o MRI l\u1ea7n 2 (trong khi th\u1ef1c h\u00e0nh thi\u1ec1n \u0111\u1ecbnh): Trong giai \u0111o\u1ea1n n\u00e0y, ng\u01b0\u1eddi th\u1eed nghi\u1ec7m kh\u00f4ng ch\u1ec9 \u201cnh\u1eafm m\u1eaft, n\u1eb1m im\u201d, \u201ct\u1eadp trung ch\u00fa \u00fd h\u01a1i th\u1edf nh\u01b0 khi ch\u01b0a t\u1eadp thi\u1ec1n \u0111\u1ecbnh\u201d m\u00e0 c\u00f2n th\u1ef1c h\u00e0nh thi\u1ec1n \u0111\u1ecbnh Shamatha nh\u01b0 \u0111\u00e3 t\u1eadp khi ph\u1ea3i ch\u1ecbu \u0111au do k\u00edch th\u00edch nhi\u1ec7t. Vi\u1ec7c \u0111o MRI v\u00e0 \u0111\u00e1nh gi\u00e1 t\u00e2m l\u00fd \u1edf c\u00e1c m\u1ee9c \u0111\u1ed9 \u0111au kh\u00e1c nhau c\u0169ng gi\u1ed1ng nh\u01b0 giai \u0111o\u1ea1n MRI l\u1ea7n 1.<\/p>\n

K\u1ebft qu\u1ea3 c\u1ee7a nghi\u00ean c\u1ee9u cho th\u1ea5y \u201cnh\u1eafm m\u1eaft, n\u1eb1m im\u201d hay \u201ct\u1eadp trung ch\u00fa \u00fd h\u01a1i th\u1edf khi ch\u01b0a t\u1eadp thi\u1ec1n \u0111\u1ecbnh\u201d kh\u00f4ng l\u00e0m gi\u1ea3m \u0111au, ch\u1ec9 c\u00f3 thi\u1ec1n \u0111\u1ecbnh m\u1edbi gi\u00fap gi\u1ea3m \u0111au. Thi\u1ec1n \u0111\u1ecbnh \u0111\u00e3 gi\u00fap l\u00e0m gi\u1ea3m \u0111au \u0111\u1ebfn 57% d\u1ef1a v\u00e0o thang \u0111\u00e1nh gi\u00e1 m\u1ee9c \u0111\u1ed9 \u0111au (t\u1ee9c \u0111au b\u00ecnh th\u01b0\u1eddng l\u00e0 100% th\u00ec \u0111au \u1edf tr\u1ea1ng th\u00e1i thi\u1ec1n \u0111\u1ecbnh ch\u1ec9 c\u00f2n 43%). \u0110\u1eb7c bi\u1ec7t, nh\u1edd k\u1ef9 thu\u1eadt \u0111o MRI c\u00e1c t\u00e1c gi\u1ea3 \u0111\u00e3 x\u00e1c \u0111\u1ecbnh r\u1ea5t r\u00f5 r\u00e0ng c\u00e1c v\u00f9ng n\u00e3o b\u1ed9 ch\u1ecbu tr\u00e1ch nhi\u1ec7m v\u1ec1 c\u1ea3m gi\u00e1c \u0111au v\u00e0 khi gi\u1ea3m \u0111au th\u00ec nh\u1eefng v\u00f9ng n\u00e0y c\u00f3 s\u1ef1 thay \u0111\u1ed5i h\u00ecnh \u1ea3nh r\u1ea5t c\u1ee5 th\u1ec3.<\/p>\n

C\u00f3 th\u1ec3 n\u00f3i, c\u00f4ng tr\u00ecnh nghi\u00ean c\u1ee9u thi\u1ec1n \u0111\u1ecbnh gi\u00fap tr\u1ecb \u0111au m\u1edf ra tri\u1ec3n v\u1ecdng t\u00ecm \u0111\u01b0\u1ee3c ph\u01b0\u01a1ng th\u1ee9c gi\u1ea3m \u0111au kh\u00f4ng g\u00e2y tai bi\u1ebfn nh\u01b0 d\u00f9ng thu\u1ed1c m\u00e0 lo\u00e0i ng\u01b0\u1eddi m\u01a1 \u01b0\u1edbc t\u1eeb l\u00e2u. Kh\u00f4ng nh\u1eefng th\u1ebf, c\u00f4ng tr\u00ecnh b\u01b0\u1edbc \u0111\u1ea7u cho th\u1ea5y con ng\u01b0\u1eddi c\u00f3 th\u1ec3 gi\u1ea3i m\u00e3 ph\u1ea7n n\u00e0o c\u00e1i g\u1ecdi l\u00e0 \u201cth\u1ea7n di\u1ec7u b\u1ea5t kh\u1ea3 tri\u201d c\u1ee7a Thi\u1ec1n \u0111\u1ecbnh. Kinh nghi\u1ec7m Thi\u1ec1n \u0111\u1ecbnh kh\u00f4ng ch\u1ec9 ng\u01b0\u1eddi n\u00e0o th\u1ef1c h\u00e0nh ng\u01b0\u1eddi \u0111\u00f3 bi\u1ebft m\u00e0 c\u00f3 th\u1ec3 ch\u1ee9ng minh cho ng\u01b0\u1eddi kh\u00e1c bi\u1ebft b\u1eb1ng ti\u1ebfn b\u1ed9 c\u1ee7a khoa h\u1ecdc. \u0084<\/p>\n

T\u1ea1p Ch\u00ed V\u0103n H\u00f3a Ph\u1eadt Gi\u00e1o s\u1ed1 140
\nNguy\u1ec5n H\u1eefu \u0110\u1ee9c<\/p>\n

 <\/p>\n","protected":false},"excerpt":{"rendered":"

C\u00f3 th\u1ec3 n\u00f3i, c\u00f4ng tr\u00ecnh nghi\u00ean c\u1ee9u thi\u1ec1n \u0111\u1ecbnh gi\u00fap tr\u1ecb \u0111au m\u1edf ra tri\u1ec3n v\u1ecdng t\u00ecm \u0111\u01b0\u1ee3c ph\u01b0\u01a1ng th\u1ee9c gi\u1ea3m \u0111au kh\u00f4ng g\u00e2y tai bi\u1ebfn nh\u01b0 d\u00f9ng thu\u1ed1c m\u00e0 lo\u00e0i ng\u01b0\u1eddi m\u01a1 \u01b0\u1edbc t\u1eeb l\u00e2u. Kh\u00f4ng nh\u1eefng th\u1ebf, c\u00f4ng tr\u00ecnh b\u01b0\u1edbc \u0111\u1ea7u cho th\u1ea5y con ng\u01b0\u1eddi c\u00f3 th\u1ec3 gi\u1ea3i m\u00e3 ph\u1ea7n n\u00e0o c\u00e1i g\u1ecdi […]<\/p>\n","protected":false},"author":1,"featured_media":4672,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":[],"categories":[5],"tags":[],"_links":{"self":[{"href":"http:\/\/www.yogavocuc.com\/index.php?rest_route=\/wp\/v2\/posts\/4671"}],"collection":[{"href":"http:\/\/www.yogavocuc.com\/index.php?rest_route=\/wp\/v2\/posts"}],"about":[{"href":"http:\/\/www.yogavocuc.com\/index.php?rest_route=\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"http:\/\/www.yogavocuc.com\/index.php?rest_route=\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"http:\/\/www.yogavocuc.com\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=4671"}],"version-history":[{"count":1,"href":"http:\/\/www.yogavocuc.com\/index.php?rest_route=\/wp\/v2\/posts\/4671\/revisions"}],"predecessor-version":[{"id":4673,"href":"http:\/\/www.yogavocuc.com\/index.php?rest_route=\/wp\/v2\/posts\/4671\/revisions\/4673"}],"wp:featuredmedia":[{"embeddable":true,"href":"http:\/\/www.yogavocuc.com\/index.php?rest_route=\/wp\/v2\/media\/4672"}],"wp:attachment":[{"href":"http:\/\/www.yogavocuc.com\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=4671"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"http:\/\/www.yogavocuc.com\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=4671"},{"taxonomy":"post_tag","embeddable":true,"href":"http:\/\/www.yogavocuc.com\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=4671"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}