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ThaiHealth 2006
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ThaiHealth 2006
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äԵͺԺ



 

               ¤Դ 㹨ӹǹ ɳѳѺҵʹ Ե ¹ºҧ ըӹǹҡ˹ еͺӶ 繨 зҪ¹ ᾷի ѡѡѹɪǹ 43


               ء ѹѺʴɳ˹ҷ ѹСͺ ˹ѧ; Ե 絵͡ 㺻ԭǹҧ ѺǡǺ ¹Ӣͧ仵ѺͧҵҼ Ѵºº Ҽҹ ѹѹ ǻ ʴҹӹǹҡ зѹͧ٧仨ôྴҹ Ǣ¾鹷 ͧ˹ҵҧҴҵҧâͧ » 2546 ͡ùԴŧҷѺһФس㹢зҡѧ׹ ҵͧ׹ͧѹ ͹ҹԹ§ ͧ ҢͧͧҵͧҪŧѴͧ
ѧҡա˹觪 ô͹ҹйѡԧ觷˹ҷҸó ֧Ҫ¡ѹشҹҨҡͧдѺѡ


               ˹ѧ;ŧ͡öѧࡵ ѧ⪤ա ŧ ͧͧʹѡ ͧҡ 40 觢ͧªǨ蹤ʹͧ 觢ͧ ˹ѧ; 鹤ʵ ¡ Ժѧ ö¹ʹ繪 ѹ 21 չҤ .. 2490 ռ龺ªԵͧҡ Ѻзҹ ա 18 ѹ ҹͧȺŹ֧ȾͧŧҾ١áźѺԴԴ


                ҹҹǷѡԷʵ ѵԷش蹹§ҡ¢ͧäԵԴӤԴӷ (obsessive-compulsive disorder) ҡ֡辺 ѹҨäաԴ˹觷ѡɳо͹ä Դǧâͧ
ͧ Ѩغѹͧҧ Ѱԡ 駤зӧҹ੾СԨҷԨͧҧ觴ǹ
ѭҢͧѺѹվĵԡẺ 繡êҢͧͧͺô
ҵԵâͧͺѵԺѺ͡ѺҡẺ


               ѨغѹѡԷʵ駷ɮ äͺѵԹѭҵҳҵԫöѺ¹ ԴԻԵԴ¹ ѹԧҳҨѡѵ ѭҵҳ觢ͧ觷ջª ѲҡҧѴਹ ҧͧʹѡ§ 졵ԡ ǵ ѡԷԷѰ ͧ Ҷ֧ĵԡͧԴ ͧҡѹͧѡСѹҨ§ѺĴ˹ ѹ״Դǹҹ ѹ֧ͧԹ仺Թ繨ӹǹ֧ʹ ͤҺ١ ŧҧ 纵ع ͡ҡ纵عҨ繡طͧѵʹ֧ٴȵçҼѹ ѧ յմӵǼ dzҷ駢ͧջû Ϳԡ ѹͧçҹҡ÷㹡â͹Թ˹ѡ ҡͧ͹֧Ĵ ѹ ǷԹͧ˭ش͡ѹҡҵ ǵ ͸Ժ ĵԡ蹹¡ ö㹡ҷѾҡ Զշҧɳ鹡 ѹ繼㹡׺¾ѹҧԧ


               ĵԡѺѵҧ ͧ˵ռ ѵԺҢͧ
Ѻ繡ʴ ֧͡纻 㹡óշ֧ç ѡҨ觢ͧѴ㹺ҹѧз觨й͹§͹ зաªբͧҧ зͧͧշԹ ԭ͹Ǻҹ Թҧ ҡҡ ҹºԹ¨ö зӧҹӡ͹ ŧФ͹ ҨШҺҧ ѧ蹪ª 61 դ˹ ѺúӺѴٹӺѴѵ졪ͻ ͧ
쵿 Ѱ͹๵Ԥѵ 繤ͺ˹ѧ д 㺻ɳҵҧ ͧҡ ŨҢͧͧͷз óҡ㹡ͧԹҹ 礤ҢºҹŤŢ֧ˡѡͧ 辺 س֡͡Ҽ֡Ѻ˹ ͧԭ¤ҾǢ͡աѺ


               äẺҡ˹ ˵㴨֧Դҧºѹ㹤ҧ? ͺҡԧ ˹ ѡѡ级ӹ¹繤Ѻ ҧá ѡԨ¤鹾ٻẺʹ»С ĵԡêͺѡ繷駤ͺ ѧ ù .
ʵ ѡԵԷҷԷԵ ջѭẺѡխҵӴѺá 繡͹ ѧ鹨֧Ҩ繡ö·ʹҧѹء Ҩ繼Ũҡԭµ
Ẻҧ


               ѡѵԺѡ繤͹ Ҩ§سҷҧѺ
ѵǹ˭ ҧ 纶¡ῡдɷ ͻԷԹ ͧ ŵ ѡԵԷҼӺѴѡѵԺҷʶҺѹտ ͧ쵿 ͸Ժ ҹжҢͧͧդسẺǡѺسͧྪâͧسդѧѧД ѡѵԺѡ繤Ҵ ա֡Ҵ ·繤ԴëѺ͹ʹ ʵѧࡵ ҹԸդԴҧäҾǡ
ͧͧªҡͧ


               ѡԷʵ ͧ ҧ鹰ҹش äͺ öԧ㹡õѴԹ ʵҶ֧餹˹觷չªͺ ҹ㹹Ե÷ͧ ǡѴԹ١Ҥèз駺 ҡ纤Ǣ͡÷ͧ Ǣͧ͢ȷ 鹡Ƕ֧ ͵ѴԹ·
شѺءǢ


                õѴԹ١件֧Ե㹴ҹ ѡеѴԹҤ÷ ѧѹǡҨФԴҧçõҧ Ժç . ѭ ѡʹ
ǪҭҹԵǪʵԷѰԿ ͧͧ Ǿǡҡⴴҡçùçù ͡ҡ ջѭҵѴԹ١Ҥþٴҡٴè֧ ʵҨա ǡҨоٴҡԹ ͤسѡҧ Ҩеͺ´Ժ ԹҤӵͺ ҵͺѹ


               ѡäͺеͧѡաǷҧ˹ ͹ä ӤԴӷ äͺͺʹͧ͡ѡҵҹҡë ФդآѺ 觢ͧͺ ͧ ŵ͸Ժ äͺФ价ҧäҡþѹä ҫͧ͢ҡ 觷褹դآ 仡ҹ ҡ ᡹ͧͧշ (positron-emission tomography : PET) ѧ觪 äͺѺäӤԴӷѡɳзᵡҧѹ Ѵਹ ҡҹԨ¢ͧ . ѡʹҷվôҹԵǪʵͧ ԡ Ѻ͹Զع¹ §ҹ dz¡ ԧŵ çҧͧͧǹҧ ҡҹ˹件֧ҹѧ ੾ǹǢͧѺõѴԹСõҸ ͧǹͧäͺʴдѺ÷ӧҹӡ Ը 㹤äӤԴӷӫäͺʴѡɳй͡ 㹷ҧçѹͧ
dzǢͧѺʴѧŨʴ÷ӧҹдѺ٧ҡ ҡҵͧǢͧѺѹ ʡá͹ Фºº


               էҹԨ ͧԷʹѺʹع觷 . ѡʹҤ鹾 ֡ҡؤŷءҹҡҡúҴǹҧ ͧͧ ѹ׺ͧҨҡäʹʹͧ ä ǡѺкҷ šԨº觪 ӹǹԺʴҡҡ͹Ъͺ зԴҡúҴ纷ͧǹ˹Ҩ֧ͧǹҧ dz繫ԧŵ ǹ˹ ѧҡ ֧ͧ͢ҡ÷ѡԷʵ͸Ժ 觢ͧªӹǹŔ


               . ѡʹҡǶ֧ʹТͧҹԨ 㹡ѡҴ褹äͺ
ѵ ᾷèоԨó͡͡ͺࢵͧäӤԴӷ ѺͧҧἹзӡ÷ͧҡе鹷軡Ԩ褹 äҴҸ ҡ Ҩ
ͧԷԹ ҫ觪 Ѻ㹤ä ¢ͧҤ
е鹤з餹ҸԴբ ´ټŢͧҹҨЪ餹ҡôբ


               ǡѹʵ ࡷ Էºʵѹ ѧ֡Ըա
ӺѴԴĵԡѺҧԧ ʵ Ҩ鹾ĵԡҧ
仹 ͧѡѴ觢ͧº ͧҤèЫ觢ͧ ҡ˹ ǹӤѭش ͧѡ觢ͧҧ 仺ҧҷҹ йѡԨ¡ѧѲٻẺѡҫһҳˡ͹ ѹҷ褹еͧѺԵ㨢ͧͧ ¡÷ѵ觢ͧҧҧ͡


               ŵ繴 úӺѴ¼ջʺó٧Ъ äͺ
ԴͧͧзԨó͡觢ͧ ͧӤѭ ҡ ѭҹ §ӤҴ §ѵԺǢ͡价 Фա سͧѭ֡ŧ件֧ش褹ԴõѴԹ·ǔ º§ҡ Conspicuous Compulsion, Discover,






͢ͺسŨҡ
: ..Թ
º§ҡ Conspicuous Compulsion, Discover
ҾСͺҡԹ






 












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