Koj puas tau pom ib tug neeg "mob" tam sim ntawd? Txhua tus neeg ntshai thaum lawv pom tej yam xws li lub cev co thiab tsis nco qab, puas yog? Peb feem ntau hu qhov mob no ua qaug dab peg. Yog li, qaug dab peg yog dab tsi tiag? Vim li cas qhov no thiaj tshwm sim? Puas yog nws txaus ntshai? Hnub no peb yuav tham txog txhua yam no yooj yim heev, hauv txoj kev uas koj tuaj yeem nkag siab.
Muaj dab tsi tshwm sim tiag tiag hauv lub hlwb?
Yuav kom nkag siab qhov no, cia peb muab ib qho piv txwv me me. Xav txog tias peb lub hlwb zoo li lub tshuab hluav taws xob hauv tsev. Cov hlwb (neurons) hauv lub hlwb xa cov lus mus rau ib leeg los ntawm cov teeb liab hluav taws xob me me. Txhua yam tshwm sim hauv txoj kev zoo thiab sib dhos.
Txawm li cas los xij, hauv lub hlwb ntawm ib tus neeg uas muaj tus kab mob qaug dab peg, lub tshuab hluav taws xob no tam sim ntawd 'luv luv'. Cov hlwb hauv ib lossis ntau qhov chaw ntawm lub hlwb tam sim ntawd pib tua hluav taws tsis tuaj yeem tswj tau, ua rau muaj cov teeb liab hluav taws xob ntau dhau. Zoo li cua daj cua dub. Thaum ntawd peb muaj ib qho mob hu ua qaug dab peg . Qhov kev cuam tshuam hluav taws xob no ua rau ib tus neeg tsis nco qab, co, thiab hloov tus cwj pwm.
Hais yooj yim xwb, qaug dab peg tsis yog ib yam kab mob xwb. Nws yog ib yam mob uas tshwm sim los ntawm kev ua haujlwm ntawm lub hlwb. Ib qho qaug dab peg tsis tau txhais hais tias ib tug neeg muaj qaug dab peg. Yog tias muaj qaug dab peg ntau zaus, nws yuav yog qaug dab peg.
Muaj hom qaug dab peg dab tsi?
Thaum peb feem coob xav txog qhov 'mob qaug dab peg', peb xav txog qhov mob hnyav uas peb ntog rau hauv av, qaug dab peg, thiab ntws dej ntws. Tab sis koj puas paub tias muaj ntau hom qaug dab peg? Cov no tuaj yeem muab faib ua ob pawg tseem ceeb: ib qho yog raws li qhov twg hauv lub hlwb qaug dab peg pib.
| Qeb qaug dab peg | Kev piav qhia thiab cov tsos mob |
|---|---|
| 1. Mob Qaug Dab Peg Thaum Pib | Cov no pib nyob rau hauv ib qho chaw tshwj xeeb ntawm ib sab ntawm lub hlwb. Kuj tseem muaj ob hom ntawm qhov no. Kev Paub Txog Kev Qaug Dab Peg: • Lub sijhawm no, tus neeg mob tseem nco qab thiab hnov tau tej yam tshwm sim nyob ib puag ncig nws. • Mob loog, zoo li nyob rau hauv ib sab caj npab lossis ib ceg. • Tam sim ntawd hnov ntxhiab tsw lossis saj txawv txawv. • Zoo li koj pom teeb ci ntsa iab ua ntej koj ob lub qhov muag, kiv taub hau. Kev Qaug Dab Peg Vim Tsis Paub Tseeb: • Lub sijhawm no, koj yuav tsis nco qab me ntsis, lossis tsis paub txog koj ib puag ncig. • Ntsia tsis muaj dab tsi li. • Ua tib yam li qub tas li, xws li zawm daim di ncauj, txhuam tes, lossis ntsais muag. |
| 2. Qaug dab peg uas kis thoob plaws lub hlwb ib zaug (Generalized Onset Seizures) | Cov no cuam tshuam rau ob sab ntawm lub hlwb ib zaug. Cov hom uas peb pom feem ntau yog cov hauv pawg no. Kev Qaug Dab Peg Thaum Tsis Tuaj: • Qhov no feem ntau tshwm sim rau cov menyuam yaus. Lawv cia li nres qhov lawv ua ob peb feeb thiab ntsia tsis muaj dab tsi li. Zoo li lawv tau mus rau hauv lub ntiaj teb npau suav. Muaj ntau tus neeg xav tias qhov no yog kev npau suav thaum nruab hnub. Tonic-Clonic Qaug Dab Peg: • Qhov no yog qhov 'haum' uas peb txhua tus paub (lub npe qub Grand Mal). • Ua ntej, koj tsis nco qab thiab ntog rau hauv av. Ua ntej, koj lub cev yuav tawv (Tonic phase), tom qab ntawd koj lub cev yuav pib co (Clonic phase). • Tej zaum yuav muaj tus nplaig ntuav, qaub ncaug, thiab zis/quav rau ntawm khaub ncaws. Feem ntau qhov no yuav kav ntev li ntawm 1-5 feeb. Cov tsos mob ntawm Atonic qaug dab peg: • Qhov no kuj hu ua 'Drop Seizure'. Cov leeg nqaij ntawm lub cev cia li poob zog thiab koj poob rau hauv av, zoo li tus menyuam roj hmab uas nws cov hlua tawg lawm. Cov tsos mob ntawm Myoclonic qaug dab peg: • Ib qho kev co tes, ceg, lossis tag nrho lub cev tam sim ntawd, zoo li raug xob laim ntaus. Qhov no kav ntev li ib lossis ob vib nas this. |
Cov yam ua rau muaj qaug dab peg yog dab tsi?
Ib tug neeg uas muaj qaug dab peg tsis yog txhua lub sijhawm muaj qaug dab peg. Tab sis muaj tej yam uas ua rau muaj kev pheej hmoo ntawm kev qaug dab peg. Peb hu cov no ua rau muaj qaug dab peg . Cov no yuav txawv ntawm ib tus neeg mus rau ib tus neeg.
- Tsis noj tshuaj: Qhov no yog qhov laj thawj tseem ceeb. Yog tias koj tsis noj tshuaj uas tus kws kho mob sau tseg raws sijhawm, muaj feem ntau yuav qaug dab peg.
- Tsis tsaug zog: Tej yam xws li tsis tsaug zog thiab ua haujlwm ntau dhau tuaj yeem cuam tshuam rau lub hlwb.
- Kev Nyuaj Siab: Qaug dab peg kuj tseem tuaj yeem tshwm sim los ntawm tej yam xws li kev ntxhov siab thiab kev ntxhov siab ntau dhau.
- Mob thiab kub taub hau: Thaum muaj kab mob nkag mus rau hauv lub cev thiab kub taub hau tshwm sim, kev ua haujlwm ntawm lub hlwb tuaj yeem hloov pauv.
- Lub teeb ci ntsa iab: Cov teeb ci ntsa iab, qee qhov kev ua si video, thiab cov yeeb yaj kiab hauv TV tuaj yeem cuam tshuam rau qee tus neeg.
- Cawv thiab tshuaj yeeb:Kev haus dej cawv, tshwj xeeb tshaj yog thaum lub sijhawm tsis haus dej cawv, tuaj yeem ua rau qaug dab peg.
- Kev hloov pauv ntawm cov tshuaj hormones hauv cov poj niam: Qee tus poj niam muaj kev qaug dab peg nrog kev hloov pauv ntawm cov tshuaj hormones uas cuam tshuam nrog lawv lub voj voog ntawm kev coj khaub ncaws.
- Qee cov tshuaj: Qee cov tshuaj rau mob khaub thuas thiab ua xua (piv txwv li, cov uas muaj diphenhydramine) yuav tsis zoo rau cov neeg uas muaj mob migraines.
Dab tsi yog cov ua rau mob migraines?
Feem ntau, kwv yees li 70% ntawm cov neeg mob, tsis muaj qhov ua rau mob taub hau migraines. Txawm li cas los xij, muaj ntau yam ua rau mob taub hau migraines.
- Kev Txheeb Ze: Yog tias ib tug neeg hauv tsev neeg muaj mob taub hau migraines, muaj kev pheej hmoo me ntsis uas lwm tus yuav muaj mob taub hau migraines thiab. Tab sis nws tsis tau txhais hais tias lawv yuav muaj mob taub hau migraines.
- Kev Raug Mob Taub Hau: Kev raug mob taub hau hnyav, xws li los ntawm kev sib tsoo tsheb lossis kev poob, tuaj yeem ua rau lub hlwb puas tsuaj thiab ua rau muaj kev cuam tshuam loj heev.
- Kab mob hauv lub hlwb: Tus mob no tuaj yeem tshwm sim los ntawm cov kab mob xws li mob hlwb thiab mob meningitis, uas ua rau lub hlwb puas tsuaj.
- Mob stroke thiab Mob qog hauv hlwb: Thaum cov ntshav ntws mus rau lub hlwb raug cuam tshuam vim yog mob stroke lossis thaum mob qog hauv hlwb tshwm sim, cov hlwb hlwb tuaj yeem raug puas tsuaj thiab qaug dab peg tuaj yeem pib.
- Teeb meem thaum yug los: Kab mob qhua pias kuj tseem tuaj yeem tshwm sim los ntawm qhov tsis muaj oxygen mus rau lub hlwb thaum yug los, lossis los ntawm qee yam teeb meem nrog kev loj hlob ntawm lub hlwb.
Yuav kuaj mob li cas?
Yog koj muaj qaug dab peg, thawj qhov koj yuav tsum ua yog mus ntsib kws kho mob. Nws yuav nug koj thiab leej twg uas pom qhov qaug dab peg kom piav qhia txog yam uas tau tshwm sim.
Tsis tas li ntawd xwb, ob qho kev ntsuam xyuas tseem ceeb tuaj yeem ua tau.
1. EEG (Electroencephalography): Qhov no suav nrog kev txuas cov sensors me me rau koj lub taub hau thiab kaw cov qauv hluav taws xob hauv koj lub hlwb. Yog tias koj muaj mob qaug dab peg, nws tuaj yeem ntes tau qee cov qauv tsis zoo.
2. Kev Ntsuas Lub Hlwb: Ib qho kev kuaj xws li kev ntsuas MRI (Magnetic Resonance Imaging) tuaj yeem kuaj xyuas seb puas muaj cov cim qhia txog kev puas tsuaj hauv lub hlwb, xws li qog nqaij hlav, qhov caws pliav, lossis mob stroke.
Cov kev kho mob yog dab tsi?
Kab mob qhua pias tsis yog ib yam dab tsi uas yuav tsum ntshai, vim nws yog ib yam mob uas tuaj yeem tswj tau ntau yam.
Cov tshuaj tiv thaiv kev qaug dab peg
Kev kho mob tseem ceeb yog tshuaj tiv thaiv kev qaug dab peg. Kwv yees li 70% ntawm cov neeg mob tuaj yeem tswj lawv qhov qaug dab peg tag nrho nrog tshuaj. Koj tus kws kho mob yuav xaiv cov tshuaj zoo rau koj raws li koj hom qaug dab peg, hnub nyoog, thiab lwm yam mob. Qhov tseem ceeb tshaj plaws yog tsis txhob tsum noj koj cov tshuaj lossis hloov qhov ntau npaum li cas yam tsis tau koj tus kws kho mob qhia.
Kev Kho Mob Noj Haus
Rau qee tus menyuam yaus, tshwj xeeb tshaj yog cov uas tsis teb zoo rau tshuaj, tus kws kho mob yuav pom zoo kom noj zaub mov tshwj xeeb, xws li kev noj zaub mov ketogenic . Qhov no yog kev noj zaub mov uas muaj roj ntau, thiab muaj carbohydrate tsawg.
Kev phais mob
Rau cov neeg uas muaj qaug dab peg uas tsis tau tswj los ntawm tshuaj thiab pib ua rau ib qho chaw hauv lub hlwb, kev phais yog ib qho kev xaiv. Qhov no suav nrog kev tshem tawm qhov tsis zoo ntawm lub hlwb qhov chaw uas qaug dab peg pib. Txawm hais tias qhov no tsis ua tau rau txhua tus, nws tuaj yeem ua tiav zoo rau tus neeg tsim nyog.
Lub sijhawm uas peb yuav tsum ceev faj
Feem ntau, qaug dab peg yuav tsum nres nws tus kheej hauv 1-2 feeb, tab sis qee zaum, koj yuav tsum mus rau tsev kho mob tam sim ntawd.
Thaum twg yuav tsum mus rau ETU (Emergency Treatment Unit) tam sim ntawd:
* Yog tias qaug dab peg ntev tshaj 5 feeb.
* Yog tias muaj ib qho qaug dab peg tas lawm thiab muaj dua ib qho ua ntej rov qab nco qab.
* Yog tias koj ua pa nyuaj thaum lub sij hawm qaug dab peg.
* Yog tias qaug dab peg ua rau raug mob hnyav.
* Yog tias ib tug poj niam cev xeeb tub lossis ib tug neeg uas muaj ntshav qab zib muaj qaug dab peg.
Ib lo lus hais txog SUDEP
Qhov no yuav zoo li txaus ntshai, tab sis nws yog ib qho tseem ceeb kom paub. SUDEP (Kev Tuag Sai Sai Uas Tsis Paub Piav Qhia Hauv Kab Mob Qaug Dab Peg) yog thaum ib tus neeg uas muaj kab mob qaug dab peg tuag tam sim ntawd yam tsis muaj laj thawj pom tseeb. Qhov no yog ib qho xwm txheej tsis tshua muaj . Cov neeg uas tswj tsis tau qaug dab peg zoo muaj feem yuav muaj feem ntau dua. Txoj hauv kev zoo tshaj plaws los txo qhov kev pheej hmoo no yog noj koj cov tshuaj raws nraim li koj tus kws kho mob tau sau tseg thiab tswj koj cov qaug dab peg.
Cov Lus Qhia Txog Kev Coj Mus Tsev
- Kab mob qaug dab peg tsis yog ib yam kab mob ntawm lub hlwb lossis ib yam dab tsi uas yuav tsum txaj muag. Nws yog ib qho mob ntawm lub paj hlwb.
- Cov neeg feem coob tuaj yeem tswj lawv cov qaug dab peg tau zoo heev nrog kev siv tshuaj thiab ua neej nyob li qub.
- Nws yog ib qho tseem ceeb heev uas koj yuav tsum noj cov tshuaj uas koj tus kws kho mob tau sau rau koj raws sijhawm thiab raws li qhov ntau npaum li cas. Tsis txhob tsum noj koj cov tshuaj ib leeg xwb.
- Txheeb xyuas koj cov yam ua rau koj qaug dab peg thiab zam lawv ntau li ntau tau (piv txwv li, pw tsaug zog, tswj kev ntxhov siab).
- Yog tias koj muaj mob dementia, nws yog ib qho tseem ceeb uas yuav tsum qhia rau koj tsev neeg thiab cov phooj ywg ze paub txog nws kom lawv thiaj li pab tau koj thaum muaj xwm txheej ceev.
- Yog koj muaj lus nug, kev ntshai, lossis kev tsis ntseeg txog qhov no, tham nrog koj tus kws kho mob.
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Tsis muaj lus teb tau muab tso tawm. Ntxiv koj cov lus tawm ntawm no thawj zaug.
Ntxiv koj cov lus