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i ngn
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T M QUAN TR NG
2005: - 16 tri u b nh nhn TBMN l n u - 5,7 tri u b nh nhn t vong 2030: - 23 tri u ng i m c l n u - 7,8 tri u ng i t vong Ch ng t c: - Ng i M g c n / Alaska: 5,3% dn s - M g c Phi: 3,2%, Da tr ng 2,5% - G c chu : 2,4% M i 45 giy c 01 tr ng h p TBMMN M . 87% NMN
THCH TH C???
Feigin VL, 2007; Centers for disease Control and Prevention and Heart disease and Stroke Statistics- 2010 Update.
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H U QU SAU TBMMN c tnh kho ng 40% TBMMN l i di ch ng v a v n ng 75% s s ng st ti pht trong vng 5 n m. Chi ph: - Anh 7 t b ng Anh/n m. - chu u 19,6 t Euro /n m. - Hoa K 51 t USD/n m. Quan tm ng m c n I U TR SAU T Q Y?
National Institute for Health and Clinical Excellence 2008, London WC1V6NA
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TR
NG
IH CYD
C HU
XU H NG HI N NAY TRONG I U TR NH I MU NO ?
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Copyright 2001 American Heart Association
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Copyright 2001 American Heart Association
Time trends of acute stroke trials by decade subdivided by agent mechanism of action
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Copyright 2001 American Heart Association
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TH I GIAN L NO -
NH L
NG
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TI N TRI N?
Khng ti t
i mu
Ti t
i mu
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XU H
NG?
1. B o v t bo no, Nano 2. Tiu huy t kh i..., Nano 3. L y huy t kh i b ng c h c, 4. Tnh m m d o & sinh th n kinh, 5. T bo g c,
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1. B o v t bo no
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1.2.
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1.3.
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2.Thombolytic: IV, IA
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3.
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4.NEUROPLASTICITY &
NEUROGENESIS
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T ph c h i sau
t qu ? C? Do g?
Cc n ron lnh m c cc ui n ron v hnh thnh cc synp m i : + S a ch a l i (repairing) m ng d n truy n gi a cc n ron, + T o i u ki n n ron h c l i (relearning) ph c ch c n ng sinh l d n truy n th n kinh ti h i
neuroplasticity
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B ng ch ng ph c h i trn ng
i v th c nghi m
1. Ch p hnh nh ch c n ng b nh nhn nh i mu no 2 bn th y s h i ph c t n th ng vng v n ng, ph h p v i ti n b lm sng 2. Trn chu t th y trong khu v c t n th ng no n ron lnh m c l i cc ui gai v cc synap m i t d i s ki m sot c a YTDDTK n i sinh ho t ng nh cc phn t tn hi u. 3. Cc cng trnh nghin c u m i trn sc v t dng YTDDTK NGO I SINH c ng th y cc k t qu nh trn m c d u cho thu c r t mu n
( ZING ME REN & SETH P. FINKLESTEIN 1997 v 2002 )
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5.T bo g c
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