THC PHM CHC NNG VNG NO KHANGT k l nhng ri lon trong s pht trin
ca h thn kinh lm gim kh nng giao tip x hi v hc hi hnh vi. Bnh thng
bt u biu hin trc 3 tui. Mc d vn pht trin bnh thng v ngoi hnh, tr em
mc bnh t k li c suy ngh, cm xc, cch s dng ngn ng cng nh thi quen
khc hn so vi tr bnh thng.Cc ri lon trong bnh t k bt ngun t nhng bt
thng v cu trc v chc nng no b. Cc ri lon nh hng n s pht trin mt cn
bng ca hai vng no tri v no phi, nh hng ti vng tng tc x hi v vng k
nng giao tip ca no b. Triu chng ca t k xut hin tng i sm, trong vng
t 24 - 36 thng u i v kh in hnh. Tr mc bnh chm pht trin kh nng tng
tc x hi, s dng ngn ng; ri lon v hnh vi v cm gic. Cc biu hin thng gp
l tr chm bit ni, khng hiu ngha ca cc t thng thng, thch mt mnh nn km
ha nhp, rt kh thay i thi quen, c nhng hnh vi lp li, khng th chi cc
tr chi cn n tr tng tng, khng thc vi cc cm gic nng lnh... Nghim trng
hn, tr t k thng gp nhng vn v tm l. Mt s tr r, s khc rt hung d, phn
ln lo lng, s st do khng nhn thc c th gii xung quanh. Ngoi nhng biu
hin v chc nng trn h thn kinh, tr mc t k cn gp vn v ri lon chuyn ha
v hp thu cht dinh dng. Bng cc phng php kim tra nng trong mu ngi ta
ch ra nhng cht dinh dng b thiu ht trong cc c th mang bnh t k. c bit
trong s phi k n cc vitamin tan trong du, Taurine, Acid folic,
Insulin... Khng nhng vy, hu ht cc tr b t k cn c s bt thng trong hot
ng ca ty th - bo quan lm nhim v cung cp nng lng cho t bo. Chnh, s
bt thng ny vi mt mt lm trm trng thm cc biu hin ti h thn kinh trung
ng, mt mt nh hng n cc qu trnh chuyn ha thng thng ti cc c quan khc.T
k l chng bnh ca thi i mi v gia tng t ngt trong nhng nm gn y. Theo
thng k t nhng nm 1990 t l tr mc bnh t k l 6/1000. Cho ti nm 2007
con s ny tng ln thnh 1/150. Trong , s lng b trai mc bnh thng cao gp
3 - 4 ln b gi. Cho ti nay cc nh khoa hc vn cha khng nh c nguyn nhn
gy t k. Mt vi gi thuyt th cho rng t k c nguyn nhn do di truyn hoc
bt thng trong cu trc gen. iu ny ph hp vi thc t l t l tr mc t k
trong nhng gia nh c tin s thng cao hn. Bn canh , mt s yu t nh bt
thng trong qu tnh mang thai v chu sinh, mi trng sng nhim, ha cht c
hi, trng in t. Hay mt s bnh nhim vi khun, vi rt nht nh c th lm tng
nguy c gy bnh.Tuy cha r nguyn nhn gy bnh nhng t k l bnh c th iu
tri. Mc tiu iu tr l gip cho bnh nhn c cuc sng bnh thng nht c th. Rt
nhiu bnh nhn t k sau khi c iu tr c kt qu tt, c cuc sng ring, thm ch
c th ly bng i hc hay lp gia nh. Hin nay vn cha c mt phng php c nh
no iu tr t k. Ph thuc vo c im tng bnh nhn bc s s p ng cc bin php iu
tr khc nhau. Cc bin php iu tr bao gm k nng iu chnh hnh vi, pht trin
k nng giao tip v ngn ng, xy dng ch dinh dng hp l v s dng sn phm h
tr. Trong , dng cc sn phm h tr l bin php c s dng iu tr cc trng thi
tm l bt thng km theo bnh ng thi tng cng kh nng hc hi. Mt s sn phm c
tc dng ci thin tnh trng kch ng hay r, trong khi mt s khc lm tng cng
kh nng hot ng thn kinh ca ngi bnh.-inh lng(Tieghemopanax
fruticosusVig.)h Nhn sm Araliaceae, b phn dng l r c. inh lng c v
ngt, tnh bnh. Theo nghin cu ca Vin Y hc Qun s Vit Nam, inh lng c tc
dng tng bin sng no, tng tip nhn kch thch nh sng, tng hot ng phn x c
iu kin bao gm phn x dng tnh v phn x phn bit. Ngi ta tin hnh th tc
dng chng trm ut theo nghim php "trng thi tht vng" v thy inh lng c
tc dng gim "trng thi tht vng", chng trm ut. Di tc dng ca cao inh
lng, v no c hot ha nh v c tnh ng b, cc chc nng ca h thn kinh v tip
nhn v tch hp u tt hn, lm gim cc triu chng trm cm do c ch MAO. inh
lng cng lm cho tr d ng hn. Ngoi ra inh lng cng c tc dng tng cng min
dch(Trch ngun: Huy Bch,Cy thuc v ng vt lm thuc Vit Nam, tp I, NXB
Khoa hc v k thut, frang 793).-Thng ma(Cimicifuga foetidaL.)h Mao
Lng Ranunculaceae, b phn dng l thn v r. Thng ma c v ngt cay, hi ng,
tnh bnh. Thng ma c tc dng tng cng tun hon mu no, gim stress, gim
au. Thng ma cng c tc dng tng cng hot ng ca h min dch.(Trch ngun:
Huy Bch,Cy thuc v ng vt lm thuc Vit Nam, tp II, NXB Khoa hc v k
thut, trang 844)-Ginkgo biloba(Ginkgo bilobaL.)h Bch qu
Ginkgoaceae, b phn dng l l. Bch qu l mt dc liu c s dng ph bin trn
ton th gii. Bch qu c tc dng lm tng tun hon mu no, qua tng hot ng tr
tu, tng cng tr nh. Ngoi ra, Bch qu cn bo v b no bng cch gim nhu cu
oxi ca no, tng lng glucose vn chuyn n no v ngn chn cc gc t do ph hy
t bo thn kinh. Bch qu c dng ph bin iu tr suy gim tr nh, ri lon hay
suy nhc thn kinh. Bch qu cng c hiu qu trong vic ci thin kh nng giao
tip ca ngi bnh t k. (Trch ngun:Niederhofer H.,First preliminary
results of an observation of Ginkgo Biloba treating patients with
autistic disorder, Phytother Res, 2009 Mar 9th; Huy Bch,Cy thuc v
ng vt lm thuc Vit Nam, tp I, NXB Khoa hc v k thut, trang
154).-Taurine:Taurine l mt acid amin cn thit cho s pht trin ca tr
nh trong nhng nm u i. Taurine, c tc dng lm tng sinh cc cht dn truyn
thn kinh trung ng, gp phn iu ha hot ng no b, tng lu lng tun hon mu
no, tng tc dn truyn thn kinh vn ng v cm gic; tham gia vo qu trnh
pht trin ca h thn kinh trung ng (CNS) v vng mc, iu ch canxi, n nh
mng, sinh sn, v min dch. ng thi, Taurine tham gia vo thnh phn ca
mui mt v cc enzyme chuyn ha quan trng trong c th.Nu thiu Taurine,
tr khng chuyn ha c cc cht dinh dng trong c th cng nh khng hp thu c
cht bo. Theo nghin cu thng k c ti 62% tr t k b thiu ht Taurine. tr
t k xy ra hin tng h natri mu khin cc t bo hnh sao sng ln, sau gii
phng cc axit amin l Taurine v Glutamin v nc ca chng b li. Taurine
cht dn truyn thn kinh c ch gi hormone gin niu - l axit amin b lng
ph v gim nhiu nht trong nc tiu ca tr t k. Do , Taurine l s b sung
cn thit cho tr mc bnh t k(Trch ngun: Parris M.Kidd,Autism, an
extreme challenge to integrative medicine Part li, Alternative
Medicine review, Dec 2007. p.
10;http://plaza.ufl.edu/johnaris/PDFsGraduate/TaurineNeurochemRes04.pdf,
http://www.ncbi.nlm.nih.gov/pubmed/21925797)-Coenzyme Q10: l mt cht
ni sinh tng t Vitamin c vai tr ngn chn tchi ca cc gc t do sinh ra
trong cc phn ng chuyn ha bnh thng ca c th. Nng Coenzyme Q10 trong c
th tr t k thp hn bnh thng do t bo ca nhiu c quan c bit l no d b ph
hy bi gc t do. Mt hu qu na ca bnh t k l s ri lon hot ng ca ty th,
bo quan cung cp ton b nng lng cho t bo. B sung Coenzyme Q10 l phng
php hu hiu nhm thit lp li hot ng bnh thng ca ty th, duy tr nng lng
hot ng cho t bo v ngn chn tc hi ca gc t do. Cc tc ng tch cc thu c
khi iu tr vi Coenzyme Q10 trong cc m hnh cho thy b sung Coenzyme
Q10 cng c th mang li li ch cho con ngi. Bnh nhn Parkinson tham gia
mt th nghim, trong nhm gi dc c so snh vi cc nhm b sung Coenzyme Q10
trong 6 thng vi liu hng ngy ln ti 1200mg. Ngi ta thy rng Coenzyme
Q10 lm chm li s h hi cc chc nng, kt qu tt nht thu c vi liu cao(Trch
ngun: Paul M. Coates,Encyclopedia of Dietary Supplement, trang
121-Vitamin B6:l thnh phn cn thit tng hp cc cht dn truyn thn kinh v
cc enzym thit yu cho no. Mt s biu hin ri lon tm l l hu qu ca vic
thiu Vitamin B6. Kt hp vi Mg, Vitamin B6 lm tng kh nng hc hi hnh
vi, k nng giao tip bng mt v gim s kch ng qu mc ca h thn kinh. Cc
nghin cu cng cho thy rng mt na s bnh nhn t k c tin trin tt khi c iu
tr bng Vitamin B6 v cc vitamin nhm B khc.
(http://www.autism-society.org/site/PageServer?pagename=life_treat_yitaminamins).-Acid
Folic:l mt cht dinh dng v cng cn thit cho no. y l nguyn liu tng hp
glutathion c tc dng chng xi ha ti no. Acid folic cn c tc dng tng
lng dopamin, mt cht n truyn thn kinh thng b thiu ht trong bnh t k.
B sung acid folic l phng php c hiu qu trong iu tr t k. Nh nghin cu
Php Jerome Lejeune cho cc tr b bnh t k ung acid folic vi liu
250mcg/pound cn nng/ngy v thu c kt qu kh quan. Mt nghin cu khc c
thc hin bi vin nghin cu t k Hoa K trn 131 tr b bnh c 48% tr c cha m
phn hi l c tin trin sau khi dng acid folic. (Trch ngun:Parris
M.Kidd,Autism, an extreme challenge to integerative medicine Part
II, Alternative Medicine review, Dec 2007, trang 10.
-Natri succinate: cng nh acid succinic ng vai tr quan trng trong
chu trnh Krebs v thc y qu trnh oxi ha trong ty lp. Ngoi ra, acid
succinic cn c tc dng kch thch h thn kinh, gip phc hi, lm l chn cho
h min dch, gip tng cng s tnh to, tp trung v phn x i vi mi trng xung
quanh. Acid succinic ci thin qu trnh oxi ha c cht ca ty lp th v thc
y s kch hot s hnh thnh ATP ph thuc vo succinate. Silimarin v acid
succinic s dng cng nhau to ra mt tc dng bo v hip ng trn ty lp th no
vt tri tc dng bo v ca cc ch phm ring bit v kch hot LPO bo v. (Trch
ngun:http://www.ncbi.nlm.nih.gov/pubmed/18856206)THC PHM CHC NNG
VNG NO KHANGI. CNG DNG:- Hot huyt, tng cng vi cht v nng lng cho
no.,- Gip tng cng kh nng hc tp, lm vic, tnh tp trung v phn x- H tr
tng cng tr tu tr emII. THNH PHN CU TO:Mi gi cha :1. Cao inh Lng 200
mg kt hp vi cc thnh phn2. Cao Thng Ma: 150 mg3. Cao Ginkgo biloba:
20 mg4. Natri succinate: 100 mg5. Taurine: 40 mg6. Coenzyme Q10:
2,5mg7. Vitamin B6: 0,3 mg8. Acid folic: 50 mcgSn phm Thc phm chc
nngVng No Khangvi thnh phn chnh Cao inh Lng kt hp vi Cao Thng Ma,
Cao Ginkgobiloba, Taurine, Coenzym Q10, Vitamin B6, Acid folic,
Natri succinatre (chi tit cng dng tng thnh phn c trong t Hng dn s
dng sn phm) gip hot huyt, tng cng vi cht v nng lng cho no. Vng No
Khang gip tng cng tr no, tng cng kh nng hot ng ca h thn kinh, tng
cng kh nng hc tp, lm vic, tng kh nng tp trung v phn x. Vng No Khang
h tr tng cng tr tu cho tr em.III. I TNG S DNG :- Tr chm pht trin v
tr tu v kh nng nhn thc- Tr chm ni v chm pht trin ngn ng- Tr em chm
giao tip, tng tc x hi (chi vi bn b)- Tr em t kChi tit v cc ni dung
lin quan n sn phm
:http://vuongnaokhang.vn/http://trechamphattrien.vn/IV. HNG DN S
DNG BO QUN1. Hng dn s dng Tr di 3 tui : Ngy ung 2 ln, mi ln gi . Tr
t 3 n 6 tui: Ngy ung 2 ln, mi ln 1 gi. Tr trn 6 tui : Ngy ung 2 ln,
mi ln 2 gi.Ha tan lng cm trong gi vi na ly nc .Nn ung trc ba n 30
pht hoc sau n 1 gi.Nn dng mt t lin tc t 3 6 thng c kt qu tt nht.2.
Bo qun ni kh mt, trnh nh sng.V. C VN SN PHM:Ths. BS Quch Thy
MinhNguyn Trng khoa Tm bnh Bnh vin Nhi Trung ngKha hc dnh cho tr t
k Chn on mt a tr c hi chng t k l iu khng n gin, v tnh trng T K khng
c tr no ging tr no, v cc mc nng nh cng rt khc nhau do nh hng ca
nhiu tc ng t c tnh v mi trng. c th gip cho cc ph huynh xc nh c tnh
trng con mnh, chng ti gii thiu cc du hiu chn on di y, nhng xc nh,
nn c s thm khm trc tip vi cc nh chuyn mn c kinh nghim.Cch nh gi : A
( Thng xuyn) B ( thnh thong) C ( rt t khi)A. Quan h x hi :1. Khng
bit nhn theo hng ch tay ca ngi ln vo mt vt, thng ch nhn vo bn tay
ca ngi ch.2. Khng ch tay ca mnh vo vt mun ly, m nm tay ngi khc ko n
tn ni.3. Khng tr li, khng c phn ng khi c ngi gi tn mnh.4. Thiu nhng
du hiu bng iu b.5. Khng bit bt chc.Phi c t nht 3 du hiu A v 2 du
hiu BB. Kh nng pht m:1. Chm pht m: Khng bit ni bi b, lu lo.2. Khng
c kh nng bt chc cc ting ku, li ni ca ngi ln3. Pht m nhng ting k l,
khng ng vi tnh hung.4. Ngn ng chm tr v hay lp li li ngi ln5. Tr li
khng ng cu hi, ng php ln xn, ct lnC. S thch v hnh vi:1. C nhng s
thch k l, thch cc mn bnh thng: Bao giy, ng xu, si dy.2. Qu nhy cm
vi mi trng xung quanh.3. Hay t nh mnh khi kh chu, cng thng v cng
hay tn cng ngi khc.4. C mt s hnh vi lp i lp li (thch sp xo cc vt
dng theo mt th t nht nh).5. Kh hay khng chp nhn nhng s thay i trong
cuc sng.D. Kh nng vn ng chi a:1. Khng c kh nng chi a vi cc bn cng
la.2. Khng c kh nng tng tng hay thch ng trong cc tr chi sm vai.3.
Thng ch chi mt mnh.4. Hay i nhn nhy, i trn cc u ngn chn.5. Thng
xuyn kch ng, lng xng kh yn mt ch.E. Cc vn v c th:1. Thng thc rt
khuya, kh ng, ng khng yn gic.2. n ung kh, ch thch n mt vi mn, n t
khi chu nhai k.3. Khng bc lc nhng cm xc vui, bun mt cch r rng.4.
Thiu s phn ng cn thit trc nhng nguy c nh chy n, nc si. Khng thc v s
nguy him n bn thn.5. Rt ght s tip xc, ng chm ca ngi khc n ngi ca
mnh hoc ngc li, qu gn b, eo bm.F. Cc vn v Cm xc :1. Hay c nhng cn
gin d, kch ng qu mc khng km ch c.2. Khng thch b l din t nhng nim
vui hay s bng lng ( th ).3. Khi ng trc gng, nhn vo mnh mt cch th
hoc li t ra qu quan tm nh vn vo, m hn.4. Hay t ra bn khon, bi ri,
lo s.5. Thiu thc v thi gian.Tr cn c t nht 2/3 cc du hiu trn v nht l
phi c :NM DU HIU C BN1. Sng khp kn, khng c quan h x hi2. D Bng n (v
s, gin, bun).3. Ngn ng thiu vng, chm.4. Lp i lp li trong hnh vi v
ngn ng.5. Hnh vi l k nh nhn nhy, xoay trn, a tay ve vy trc mt.Cc du
hiu ny phi xut hin thng xuyn v ko di trong 3 thngChng ta c th xc nh
c tnh trng t k, nhng nh gi mc nng hay nh, cn c mt theo di trc tip
trn lm sng. Sau cn c s kt hp cht ch vi cc chuyn gia a ra mt Chng
trnh tr liu C nhn, mang tnh chuyn bit cho tng trng hp.Ngoi cc du
hiu ny, cn c nhng du hiu khc m phi c s chn on trc tip mi c th nhn
nh v th vic thm khm ti trung tm chuyn mn l iu rt cn thit.CHNG TRNH
CAN THIPSau khi c kt lun ca chuyn gia trong cc bui thm khm Cc tr c
nguy c hay du hiu T k ( v cc ri nhiu tm l khc ) mc nh v trung bnh s
c ngh mt chng trnh can thip.Chng trnh can thip c tin hnh di hai hnh
thc :CAN THIP TI TRUNG TM RNG VIT :Cc em s tham gia mt chng trnh
can thip mi tun 3 bui ( Th Hai, T, Su hay th Ba, Nm , By ) mi bui t
60 90 pht . Chng trnh s c tin hnh t 01 n 03 thng.Trong cc bui can
thip, cc Gio vin s tng bc thm d, lm quen v tc ng vi tr, tp cho tr
bit hp tc v lm theo cc hot ng ca gio vin. Sau , chuyn gia s nh gi v
son mt chng trnh can thip c nhn cho tr. Cc em s dn dn thay i hnh
vi, nhn thc, c nhng biu hin n nh v iu quan trng nht l c c mt k hoch
can thip lu di, sau kha can thip, cc em s c tip tc gio dc, ci thin
tnh trng ca mnh mt cch hiu qu hn ti gia nh trong mt thi gian di. iu
ny s tit kim cho gia nh rt nhiu thi gian v chi ph phi b ra cho mt
chng trnh gio dc chuyn bit.Chng trnh ny da trn cc k thut c chn lc
ly ra t cc phng php Can thip gio dc tr T k ( Phng php ABA, TEACH ME
TO TALK, FLOOR TIME, TM VN NG ) cng vi nhng Bi tp can thip sm theo
quan im ca GS. Nguyn Vn Thnh v cc kinh nghim lm sng ph hp vi thc t
ca Vit Nam.Trn c s cc nguyn tc v bi tp trong chng trnh Can thip sm
Chuyn gia s hng dn ph huynh nhng kin thc, k nng bit cch phi hp vi
Trung tm trong vic tin hnh mt chng trnh can thip lu di cho tr ti
gia nh.Khi cho tr tham d chng trnh can thip ti trung tm, ph huynh s
c khuyn khch tham gia mt kha hun luyn ( 04 bui ) bit r v c nhng
kinh nghim thc t trong vic can thip cho tr ti gia nh .Ngoi ra, ph
huynh s c cung cp cc ti liu, thng tin v cc bi tp vi nhiu cp bit c
nhng kin thc c bn trong vic can thip cho tr.CHNG TRNH CAN THIP TI
GIA NH :Trong trng hp xa ( Tnh ) hay khng c iu kin a tr n can thip
ti Trung tm, sau khi chn on nh gi mc nng/nh ca tr. Nu c yu cu, ph
huynh s c cungcp mt b ti liu : Phng php can thip ti gia nh , qua ph
huynh s c hng dn v mt l thuyt v cc bi tp thc hnh, vn dng mt cch kin
tr v thng xuyn ti gia nh.y l chng trnh Can thip c nhn, ch p dng cho
tng trng hp, nn khng c sn, ch khi no c s yu cu v ng ca gia nh,
chuyn gia mi bin son theo mc , tnh trng c chn on thng qua cc bui
thm khm ti trung tm.Trung tm Rng VitMi thc mc nhu cu cung cp thm
thng tin, xin vui lng lin h :Trung tm tr liu tm l o to kin thc - k
nng RNG VIT1/ VP. Trung Tm Rng Vit TP.HCM s 122 Phan Xch Long, P3,
Bnh Thnh, TP.HCM - T: (08) 3 517 4331 - 0938 061 1332/ Chi nhnh Rng
Vit ti Bnh Tn s 224/8 - Hng l 80 Khu ph 2, Phng Bnh Hng Ho B, Qun
Bnh Tn, TP.HCM - T: 0913 122 1973/ Chi nhnh Rng Vit ti Bnh Dng
K1/52G t 13, Khu Dn C K8, Hip Thnh, Tp. Th Du Mt - T: 0650 6511 525
- 0983 9071854/ Chi nhnh Rng Vit ti Bin Ha1628/3, Nguyn i Quc, khu
ph 6,Tp.Bin Ha, Tnh ng Nai- T:0938 061 1335/ Chi nhnh Rng Vit ti B
Ra 38 Nguyn Vn Linh, TP.B Ra - T: 0643 711 999 - 0938 061 133
Tng i t vn tm l 19008630
