Yog vim li cas muaj convulsions nyob rau hauv cov me nyuam?

Convulsions hu ua cia li lub hlwb tsis meej hais tias nws tus kheej nyob rau hauv impaired lub cev muaj zog, rhiab, vegetative thiab psycho-lub siab lub ntsws qhov chaw. Tej zaum qaug dab peg yuav tshwm sim nyob rau hauv ib tug meej pem lub xeev, thiab nyob rau hauv tej rooj plaub tsis muaj kev ras paub txog los yog nco qab nrog ib tug cov dim. Qaug dab peg nyob rau hauv cov me nyuam tshwm sim nyob rau cov muaj hnub nyoog, tab sis cov kws txawj qhia hais tias ntau tshaj ib nrab ntawm lawv yog cov nyob rau hauv lub hnub nyoog txog li peb lub xyoos. Feem ntau qaug dab peg qhia ces, qaug dabpeg, tab sis qhov no yog tsis ib txwm yeej muaj tseeb. Lub earliest ces mob chua leeg hlwb nyob rau hauv cov me nyuam muaj feem ntau tsuas dhau unnoticed. Tus kab mob ntawm qaug dabpeg yog muab tso rau xwb 0% mus rau 1% ntawm cov me nyuam pejxeem, thaum qaug dab peg tshwm sim nyob rau hauv 7-10% ntawm cov me nyuam.

Yog vim li cas muaj convulsions nyob rau hauv cov me nyuam?

Qaug dab peg nyob rau hauv cov me nyuam muaj peev xwm tshwm sim rau ib tug ntau yam yog vim li cas:

• Perinatal teeb tshwm sim vim cerebral hypoxia tsiv, me nyuam yug poob plig, intrauterine kab mob (rubella, cytomegaly, toxoplasmosis), intracranial hemorrhages.
• Taub hau raug mob - doog thiab ib tug mob taub hau.
• Kab mob - encephalitis, meningitis, lub hlwb rwj.
• Nce lub cev kub.
• Metabolic mob - tsis muaj theem ntawm sodium, magnesium, poov hlau, ntshav qab zib, siab sodium theem nyob rau hauv cov ntshav los sis mob raum tsis ua hauj lwm.
• Neurological mob - congenital tsis xws luag ntawm lub hauv paus poob siab system, qaug dab peg, raws roj ntsha metabolic mob, tuberous sclerosis, lub hlwb hlav.
• Ntsoos ntsoos syndrome narcotic tshuaj - qaug dab peg nyob rau hauv cov me nyuam los ntawm leej niam uas siv cov tshuaj.

Convulsions nyob rau hauv cov me nyuam thiab lawv cov kev soj ntsuam ntau yam

Tu-sauv yog:

• tonic (lub voltage ntawm lub nqua, lub cev, synchronous los yog asynchronous);
• clonic (zoo nqaij thoob plaws hauv lub cev synchronous los yog asynchronous);
• tonic-clonic (a ua ke ntawm tag nrho ob yam mob chua leeg hlwb, nrog ib tug predominance ntawm ib tug ntawm lawv);
• myoclonic (yam contraction ntawm nqaij pawg los yog nqaij);
• atonic (yam ntxwv txo leeg laus);
• tsis tuaj kawm ntawv qaug dab peg (luv luv txiav lub suab thiab lub cev muaj zog ua si ntawm lub cia li laus zuj zus mus pom);
• infantile chua (yam flexor los yog extensor chua rau cov nqaij ntshiv ntawm lub pob tw, extremities, caj dab).

Convulsions nyob rau hauv cov me nyuam nyob rau hauv ib xyoos

Heev feem ntau tu-sauv nyob rau hauv lub toes los yog nyob rau hauv lwm yam nqaij nyob rau hauv tus me nyuam mos cov me nyuam yog raug rho tawm, thiab yog li ntawd tsis yuav tsum tau ntxiv kev kho mob. Repetitive qaug dab peg yuav tsum tau tshwj xeeb kev soj ntsuam, cov kev xaiv ntawm anticonvulsants thiab kev xyuas los ntawm ib tug neurologist ntawm qhov chaw ntawm qhov chaw nyob los yog nyob rau cov me nyuam epileptologa. Qaug dab peg nyob rau hauv cov me nyuam yaus, yog koj tsis mus ntawm tag nrho cov, ua ntau pronounced, xws qhia pub tus kws kho cov menyuam yaus xav tias cov tsos mob ntawm qaug dabpeg thiab taw ib tug ntxiv kev soj ntsuam tus me nyuam: lub hlwb MRI, EEG, ntsuam, thiab lwm yam kev tshawb fawb.

Cov raug mob chua leeg hlwb nyob rau hauv cov me nyuam

Huab cua nyob rau hauv convulsions ntawm kiag yog sib txawv, yog hais tias tus me nyuam muaj nyob tu-sauv nyob rau hauv lub txij plab hlaub los yog cov nqaij ntshiv ntawm lub caj npab, lub raug yuav tsum tau hu ua paaj. Idiopathic qaug dab peg tus cwj pwm tseem tsis muaj tej yam tshwm sim ntawm teeb meem. Worsens raug rau tej yam tshwm sim ntawm cov organic rau lub hlwb puas, ib tug qhia tau los yog muab zais. Txawm li cas los, kom muab kev kho mob thiab ib tug attentive niam tus cwj pwm rau tus cwj pwm ntawm tus me nyuam muaj peev xwm kho mob thiab tiv thaiv kom txhob deterioration ntawm tus me nyuam tus mob. Koj tsis tag kev cia siab yog hais tias tus kws kho mob tau hais tias mob koj tus me nyuam "convulsions", niaj hnub cov tshuaj muaj ib tug arsenal ntawm cov cuab yeej, cropped zoo li lub xeev thiab tsis tso cai rau cov kev vam meej ntawm tus kab mob.