Qaug dab peg nyob rau hauv cov me nyuam

Qaug dab peg nyob rau hauv cov me nyuam - ib qho ntawm feem ntau neurological kab mob. Nyob rau hauv cov me nyuam, tus kab mob no tshwm sim nyob rau hauv 3-4% ntawm tag nrho cov pejxeem. Txoj kev ua ntawm, qaug dabpeg, raug, thiab kev kho mob le caag muaj qhov sib txawv. Muaj benign thiab phem ntaub ntawv ntawm tus kab mob. Tus thawj yog lawv tus kheej thiab tsis yuav tsum tau kev kho mob. Phem ntaub ntawv yog hnyav thoob plaws, thiab kev kho mob yog feem ntau tsis zoo. Epileptic qaug dab peg nyob rau hauv thaum ntxov thaum yau atypical soj ntsuam daim duab yog tsiag ntawv los ntawm kev qhaj ntawv ntawm ntshiab cov tsos mob, uas tsis sib haum mus rau cov kev hloov nyob rau hauv lub electroencephalogram.

Qaug dab peg nyob rau hauv cov me nyuam implies ib repetitive yam ntxwv, unprovoked qaug dab peg, lub hauv paus uas yog cov hluav taws xob xwb ntawm neurons nyob rau hauv lub hlwb, uas yog yus muaj los ntawm siab synchronicity.

Paub qhov txawv ib tug loj tus naj npawb ntawm cov ntawv ntawm tus kab mob. Nyob rau hauv ib tug nyias muaj nyias ib hom ntawm rooj muag ntawm tsis tuaj kawm ntawv tau qaug dab peg hauv cov me nyuam, uas yog yus muaj los ntawm yam mob loj heev kev soj ntsuam kev kawm thiab mob.

Tag nrho cov qaug dab peg pib nrog tsis nco qab, uas tshwm sim mam li nco dheev, nruj ntawm cov skeletal nqaij ntshiv ntawm lub cev thiab nqua, ua pa raug ntes, dilated cov menyuam kawm ntawv. Qhov no yog ua raws li los ntawm ib tug raug nres ntawm tonic-clonic qaug dab peg nyob rau hauv peb caug vib nas this. Nws yog yus muaj los ntawm zoo laim ntawm lub caj npab, ceg, caj dab, lub taub hau, txiav txim siab tawm hws, salivation. Vim lub cessation ntawm ua pa tug neeg uas cyanotic (blue). Tej zaum kuj muaj yog ib tug tom tus nplaig, tsis tso zis. Tag nrho cov zoo tu qab tso plaub caug hom mob chua leeg hlwb nyob rau hauv cov me nyuam uas muaj ntau soj ntsuam cov tsos mob, raug, thiab kev kho mob le caag. Txawm li cas los, tus kab mob no yuav tau muab faib mus rau hauv peb lub hom: generalized (nyob rau hauv cov kev tshwm sim ntawm txoj kev muab kev koom tes ob hemispheres), focal (qaug dab peg originates los ntawm tej qhov chaw ntawm lub paj hlwb), undifferentiated (tag nrho cov niaj hnub diagnostic txoj kev tsis pub mus muab cov neeg mob mus rau tus thawj ob hom).

Qaug dab peg nyob rau hauv cov me nyuam yuav tsum tau muaj tseeb mob, vim hais tias nws muaj feem xyuam rau cov hauj lwm zoo ntawm txoj kev kho, raws li tau zoo raws li huab cua rau hauv lub tom ntej chav kawm ntawm tus kab mob no. Yuav kom paub meej tias cov qaug dab peg tau lub hlwb electroencephalography, uas cov ntaub ntawv hluav taws xob nqi ua los ntawm lub cev. Tsis tas li ntawd nqa ntxiv loads - hyperventilation, photostimulation, pw tsaug zog deprivation. Feem ntau nws yog tsim nyog los rov xeem rau tseeb mob (qaug dab peg nyob rau hauv cov me nyuam mos). Ho pab txoj kev kuaj EEG video xyuas uas muaj simultaneous cov ntaubntawv povthawj siv electroencephalogram thiab video keb soj ntsuam ntawm tus neeg mob. Kuj muaj zoo tshwm sim muab lub computer thiab sib nqus - resonance thiab positron emission tomography.

Qaug dab peg nyob rau hauv cov me nyuam yog muab raws li lub hauv paus ntsiab lus ntawm gradual tshuaj zam txim, uas nyob rau hauv lub neej yav tom ntej yuav tsum tau nrog los ntawm ib tug gradual tshem ntawm cov tshuaj. Yog li, yuav txo tau ntawm tus soj ntsuam cov tsos mob yog tiav thiab muab txheej txheem ntawm nyob.

Lub ntsiab theem ntawm tus kab mob txoj kev kho: nrhiav kom tau thiab txhaum ua rau qaug dab peg cupping ntawm provoking yam, npe nrov tshaj plaws tseeb mob, cov kev xaiv ntawm txaus tshuaj rau kev kho mob. Nws tseem yog tsim nyog los daws tau lo lus nug ntawm lub ntxiv kev kawm ntawv thiab kev teeb meem. Qhov tseem ceeb tshaj kauj ruam yog los nrhiav kom paub cov neeg ua hauj rau cov kev kho mob ntawm epileptic qaug dab peg. Rau cov hom phiaj, siv antiepileptic tshuaj, uas muaj xws li levitiratsetam, topiramate, tiagabine, felbamate, gabapentin, lamotrigine, oxacarbazepine, vigabatrin.