Yog tias leej niam lossis leej txiv pom lawv tus menyuam yaus co, tsis nco qab, thiab ntog rau hauv av tom qab ua si? Feem ntau, peb hu qhov no ua 'muaj kev sib tsoo', 'muaj kev qaug dab peg', lossis 'muaj kev qaug dab peg'. Qhov no yog qhov txaus ntshai heev. Tab sis hauv kev kho mob, peb hu qhov mob no ua qaug dab peg. Qhov tseem ceeb tshaj plaws yog kom paub txog nws yog dab tsi, vim li cas nws tshwm sim, thiab yuav ua li cas saib xyuas tus menyuam, es tsis txhob ntshai nws. Yog li ntawd, tsis txhob ntshai. Qhov no yog ib qho mob uas tuaj yeem tswj tau zoo. Cia peb tham txog txhua yam hauv txoj hauv kev yooj yim uas koj tuaj yeem nkag siab.
Kab mob qaug dab peg hauv menyuam yaus yog dab tsi tiag?
Hais yooj yim xwb, tus mob qaug dab peg yog ib yam mob uas tshwm sim hauv lub hlwb ntawm ib tug menyuam. Qhov uas tshwm sim yog tias muaj qhov tsis sib xws ntawm kev sib pauv hluav taws xob ntawm cov hlwb hlwb, zoo li 'kev luv luv'. Qhov tshwm sim ntawm qhov kev ua haujlwm hluav taws xob tsis sib xws no yog qhov peb hu ua 'qaug dab peg'.
Peb coob leej ntau tus xav tias qhov mob tsuas yog qhov mob uas lub cev qaug dab peg, lub qhov ncauj nqos, thiab tus me nyuam tsis nco qab lawm. Tiam sis tsis yog txhua qhov mob zoo li ntawd. Ib txhia me nyuam yuav ntsia ib qho chaw ib pliag, zoo li tsis nco qab lawm, lossis tej zaum yuav tsis xis nyob heev.
Muaj ib yam tseem ceeb heev uas yuav tsum nco ntsoov ntawm no. Tsuas yog vim ib tug me nyuam muaj ib qho qaug dab peg xwb tsis tau txhais hais tias lawv muaj qaug dab peg. Kev qaug dab peg kuj tuaj yeem tshwm sim rau lwm yam, xws li qaug dab peg kub taub hau uas tshwm sim thaum kub taub hau nce siab. Tus kws kho mob tsuas yog yuav kuaj mob qaug dab peg yog tias ib tug me nyuam muaj ntau tshaj ib qho qaug dab peg yam tsis muaj lwm yam ua rau pom tseeb.
Cov mob qaug dab peg twg feem ntau tshwm sim rau menyuam yaus?
Muaj ntau hom mob qaug dab peg. Tsis yog txhua hom zoo ib yam. Cia peb saib qee hom mob qaug dab peg uas pom ntau tshaj plaws rau cov menyuam yaus.
| Hom Kab Mob Qaug Dab Peg | Hais yooj yim xwb, muaj dab tsi tshwm sim ntawm no? |
|---|---|
| Tsis muaj mob qaug dab peg | Qhov no yog thaum tus me nyuam cia li tsum tsis ua dab tsi thiab ntsia tsis muaj dab tsi li ob peb feeb. Zoo li poob rau hauv lub ntiaj teb npau suav. Yog tias koj hais lus rau lawv thaum ntawd, tus me nyuam yuav tsis hnov lossis teb. Tom qab ntawd lawv yuav ua li qub zoo li tsis muaj dab tsi tshwm sim. |
| Rolandic qaug dab peg | Hom no feem ntau pom thaum tus me nyuam yuav mus pw lossis sawv thaum sawv ntxov. Thaum qhov kev sib txhuam no tshwm sim, tej zaum yuav muaj qhov loog ntawm lub ntsej muag, qhov ncauj, thiab tus nplaig, tshee hnyo, thiab nyuaj hais lus. Qee zaum ib sab ntawm lub cev yuav co. |
| Mob qaug dab peg ntawm cov menyuam yaus uas muaj mob myoclonic epilepsy | Qhov no feem ntau pib thaum tus menyuam loj hlob mus txog hnub nyoog laus. Tshwj xeeb tshaj yog thaum sawv ntxov, muaj qhov xav tias caj npab lossis xub pwg txav tam sim ntawd. Nws zoo li hluav taws xob poob. Qee zaum, ib yam dab tsi zoo li khob hauv tes yuav raug pov tseg. |
| Mob qaug dab peg rau menyuam yaus (West syndrome) | Qhov no yog ib qho mob hnyav uas cuam tshuam rau cov menyuam mos uas tseem me heev. Tus menyuam mam li khoov, ncab, thiab co thaum mus pw lossis sawv. Cov kev co no kav ntev li ob peb feeb xwb, tab sis tuaj yeem tshwm sim ntau zaus sib law liag nrog rau kev so luv luv. Qhov no tuaj yeem cuam tshuam rau kev loj hlob ntawm lub hlwb ntawm tus menyuam thiab xav tau kev kho mob tam sim ntawd. |
| Lennox-Gastaut syndrome (LGS) | Qhov no kuj yog ib hom mob qaug dab peg hnyav heev. Hauv qhov no, tus menyuam muaj ntau hom mob ntswj. Qee zaum cov leeg nqaij yuav tawv thiab poob, thiab lwm lub sijhawm lawv zoo li tsis nco qab lawm. Qhov mob no tuaj yeem cuam tshuam rau tus menyuam txoj kev kawm thiab kev loj hlob. |
Cov tsos mob uas pom tau ua ntej thiab thaum lub sijhawm sib tsoo yog dab tsi?
Qee zaum kev mob tuaj yeem tshwm sim yam tsis muaj lus ceeb toom , tab sis qee tus menyuam yaus qhia cov cim ua ntej qhov mob tshwm sim.
Cov cim qhia thaum ntxov uas yuav tshwm sim ua ntej muaj kev sib tsoo:
- Hnov me ntsis kiv taub hau.
- Tsis paub txog ib puag ncig, ua rau tsis meej pem.
- Ntsia ntsoov rau ib qho chaw.
- Kev hloov pauv ntawm kev hnov lus, kev pom kev, kev ntxhiab tsw, thiab kev saj.
- Mob plab, xeev siab, lossis zoo li koj lub cev kub hloov pauv.
Cov tsos mob uas yuav pom tau thaum lub sijhawm sib tsoo:
Feem ntau qhov mob tsuas kav ob peb feeb xwb. Thaum lub sijhawm ntawd, tej yam zoo li no yuav tshwm sim:
- Tsis nco qab kiag li thiab ntog rau hauv av.
- Cov leeg nqaij co, tshee hnyo, lossis txav mus los ib feem ntawm lub cev tsis tu ncua.
- Tsis muaj peev xwm hais lus, ntaus daim di ncauj, lossis ua cov kev txav tom nrog lub qhov ncauj.
- Lub plawv dhia tsis xwm yeem.
- Ua pa sai.
Qhov tseem ceeb yog tias tsis yog txhua tus menyuam muaj qhov mob. Qee qhov mob tsis tas yuav txav li. Tsis tas li ntawd, nws tuaj yeem nyuaj rau paub qhov mob hauv tus menyuam yaus dua li tus menyuam loj dua. Yog li ntawd, yog tias koj pom muaj tus cwj pwm txawv txawv lossis coj txawv txawv hauv koj tus menyuam, sau cia seb nws tau tshwm sim ntev npaum li cas thiab tham nrog koj tus kws kho mob.
Tom qab raug mob, tus me nyuam yuav nkees thiab tsis meej pem heev. Nws yuav tsis nco qab tias muaj dab tsi tshwm sim rau lub sijhawm ntawd. Nws kuj yog ib qho uas feem ntau yuav mob taub hau tom qab raug mob.
Vim li cas cov menyuam yaus thiaj muaj mob qaug dab peg?
Zoo li peb tau tham ua ntej lawm, tus mob qaug dab peg yog tshwm sim los ntawm qhov tsis xwm yeem ntawm kev ua haujlwm hluav taws xob ntawm lub hlwb. Tab sis vim li cas nws thiaj tshwm sim? Qee zaum nws nyuaj rau nrhiav qhov ua rau meej. Tab sis muaj qee qhov ua rau feem ntau ua rau tus mob qaug dab peg rau cov menyuam yaus.
- Raug Mob Taub Hau : Vim yog raug mob taub hau los ntawm qhov xwm txheej loj heev.
- Teeb meem thaum yug me nyuam: Cov ua rau xws li tsis muaj oxygen mus rau lub hlwb thaum yug los.
- Cov kab mob: Cov kab mob uas cuam tshuam rau lub hlwb, piv txwv li mob meningitis lossis mob encephalitis.
- Kev Loj Hlob Tsis Zoo ntawm Lub Hlwb: Ib qho teeb meem hauv kev loj hlob ntawm lub hlwb uas tshwm sim thaum tus menyuam tseem tab tom loj hlob hauv plab.
- Cov ua rau muaj tus mob qaug dab peg: Yog tias ib tug neeg hauv tsev neeg muaj tus mob qaug dab peg, muaj qee qhov kev pheej hmoo uas tus menyuam kuj yuav muaj tus mob qaug dab peg thiab.
Qee zaum mob qaug dab peg tuaj yeem tshwm sim yam tsis muaj laj thawj pom tseeb. Kev tshawb fawb tseem tab tom ua txog qhov no.
Puas muaj peev xwm ua rau muaj lwm yam teeb meem rau tus menyuam yaus uas muaj mob qaug dab peg?
Yog, tus kab mob qaug dab peg tuaj yeem cuam tshuam rau tus menyuam txoj kev noj qab haus huv lub cev thiab lub hlwb.
- Kev Raug Mob Lub Cev: Koj tuaj yeem raug mob los ntawm kev poob tsis nco qab thaum lub sijhawm sib tw.
- Kev Ntshai tsam muaj lwm yam teeb meem: Qhov kev ntshai no tuaj yeem tshwm sim rau tus menyuam thiab niam txiv.
- Teeb meem pw tsaug zog: Kev cuam tshuam kev pw tsaug zog.
- Tsis tshua muaj kev ntseeg tus kheej: Vim lawv xav tias txawv ntawm lwm tus menyuam.
- Nyuaj rau kev tsom ntsoov: Cuam tshuam rau kev kawm.
- Kev Nyuaj Siab thiab Kev Ntxhov Siab: Muaj kev ntxhov siab ntawm lub hlwb.
Nws yog ib qho tseem ceeb heev uas yuav tsum tiv thaiv koj tus menyuam thaum muaj qaug dab peg. Yog tias koj xav tias koj tus menyuam qaug dab peg, tam sim ntawd muab lawv tso rau hauv pem teb. Yog tias lawv nyob rau ntawm qhov chaw tawv, muab ib yam dab tsi mos mos, xws li daim ntaub, tso rau hauv qab lawv lub taub hau. Tsis txhob sim ua kom qaug dab peg tsis txhob tshwm sim. Qhov no tuaj yeem ua rau koj tus menyuam raug mob. Tsis txhob muab dab tsi rau hauv lawv lub qhov ncauj. Qaug dab peg yuav tsum tsis txhob tshwm sim hauv ob peb feeb. Yog tias qaug dab peg kav ntev dua 5 feeb, nug koj tus kws kho mob seb yuav ua li cas.
Qee hom mob qaug dab peg hnyav heev tuaj yeem ua rau tuag taus. Piv txwv li, ib qho mob hu ua status epilepticus . Qhov no yog thaum koj muaj ib qho qaug dab peg sib law liag lossis ib qho qaug dab peg ua ntej koj rov zoo los ntawm lwm qhov. Qhov no yog xwm txheej ceev hauv kev kho mob.
Tus kws kho mob yuav txiav txim li cas yog tias qhov no yog tus mob qaug dab peg?
Tus kws kho mob ua ntau yam kev kuaj mob los kuaj mob no.
- Kev sau cov ntaub ntawv thiab kev kuaj lub cev: Koj yuav raug nug txog txhua yam ntsiab lus, xws li tus menyuam pib mob li cas, nws kav ntev npaum li cas, thiab seb puas muaj leej twg hauv tsev neeg muaj tus mob no.
- Kev kuaj mob hlwb: Kev kuaj xyuas lub hlwb thiab lub paj hlwb ntawm tus menyuam.
- Kev kuaj ntshav: Tshawb xyuas seb puas muaj tej yam mob uas ua rau muaj qhov teeb meem no.
- Kev kuaj duab: Kev kuaj uas thaij duab ntawm lub hlwb. Qhov no yuav suav nrog kev luam theej duab MRI .
- Kev kuaj EEG (Electroencephalogram): Qhov no yog qhov kev kuaj tseem ceeb tshaj plaws. Qhov no suav nrog kev txuas cov sensors me me rau ntawm tus menyuam lub taub hau thiab sau cov qauv hluav taws xob ntawm lub hlwb. Nws zoo li ua ECG ntawm lub plawv. Qhov no tuaj yeem ntes tau txhua yam kev ua haujlwm hluav taws xob tsis zoo hauv lub hlwb.
Cov kev kho mob rau tus mob qaug dab peg yog dab tsi?
Zoo hmoo, muaj cov kev kho mob zoo los tswj kev qaug dab peg.
- Tshuaj Tiv Thaiv Qaug Dab Peg: Qhov no yog kev kho mob uas siv ntau tshaj plaws. Cov tshuaj no ua haujlwm los ntawm kev tswj cov hluav taws xob tsis tu ncua hauv lub hlwb thiab tiv thaiv kev qaug dab peg. Qhov tseem ceeb tshaj plaws yog muab tshuaj rau tus menyuam raws li tus kws kho mob tau hais, raws sijhawm, thiab raws li qhov ntau npaum li cas, yam tsis tu ncua ib hnub.
- Kev Phais Mob: Qee zaum kev phais mob raug pom zoo rau kev mob qaug dab peg uas tsis tuaj yeem tswj tau nrog tshuaj thiab pib hauv ib cheeb tsam tshwj xeeb ntawm lub hlwb.
- Cov khoom siv kho mob uas cog rau hauv lub cev: Cov tshuaj ua kom lub paj hlwb Vagus lossis cov tshuaj ua kom lub hlwb tob qee zaum siv rau cov menyuam yaus uas tsis teb rau tshuaj.Cov khoom siv zoo li no tau muab cog rau hauv lub cev. Cov no xa cov teeb liab hluav taws xob mus rau lub hlwb kom tswj tau qhov haum.
- Kev noj zaub mov Ketogenic: Qhov no yog kev noj zaub mov tshwj xeeb uas muaj roj ntau thiab cov carbohydrates tsawg. Kev noj zaub mov no yuav pab tau rau qee tus menyuam uas muaj tus kab mob qaug dab peg uas nyuaj tswj. Txawm li cas los xij, qhov no tsuas yog yuav tsum ua nyob rau hauv kev saib xyuas ze ntawm tus kws kho mob thiab tus kws noj zaub mov.
Kuv yuav tiv thaiv kuv tus menyuam uas muaj tus mob qaug dab peg li cas?
Ua ib tug niam txiv, nws yog ib qho ib txwm muaj kev txhawj xeeb txog kev nyab xeeb ntawm koj tus menyuam. Kev sib tsoo tuaj yeem tshwm sim txhua lub sijhawm, yog li ntawd ceev faj txog cov no kom koj tus menyuam muaj kev nyab xeeb.
Cov kev ntsuas kev nyab xeeb feem ntau
- Nco ntsoov hnav cov khoom siv tiv thaiv, xws li lub kaus mom hlau , thaum ua si kis las lossis caij tsheb kauj vab.
- Thaum koj tus menyuam ua si thiab ua si, cia cov neeg laus saib xyuas koj. Qhia meej rau cov neeg saib xyuas thiab cov xib fwb txog koj tus menyuam tus mob thiab yuav ua li cas yog tias lawv mob.
- Yog koj tus menyuam tseem hluas, nrog koj tus kws kho mob tham thiab nrhiav kev qhia ua ntej yuav daim ntawv tsav tsheb .
- Tsis txhob cia koj tus menyuam pw rau ntawm lub txaj pw sab saud .
- Ua tib zoo mloog thaum ua tej yam nyob rau qhov chaw siab, xws li nce ntoo thiab roob.
Nco ntsoov cov no kom tsis txhob muaj teeb meem dej
Muaj kev pheej hmoo siab ntawm kev raug mob ntsig txog dej.
- Cia cov qhov rooj chav dej tsis txhob xauv .
- Tsis txhob cia koj tus menyuam nyob ib leeg hauv chav dej, lub dab da dej, lossis ze ntawm pas dej ua luam dej. Ib txwm saib xyuas.
- Tsis txhob cia tus me nyuam ua luam dej ib leeg xwb.
- Khaws cov dej hauv lub dab da dej kom qis.
- Khaws cov khoom siv hluav taws xob kom deb ntawm lub dab da dej thiab lub dab ntxuav tes.
Thaum twg kuv yuav tsum mus ntsib kws kho mob? Thaum twg kuv yuav tsum mus rau ETU?
Nws yog ib qho tseem ceeb heev uas yuav tsum paub meej tias qhov txawv no yog dab tsi.
| Mus ntsib kws kho mob thaum lub sijhawm zoo li no. | Yog muaj xwm txheej zoo li no, mus rau ETU (Emergency Treatment Unit) tam sim ntawd. |
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Kuv tus menyuam puas tuaj yeem ua neej nyob li qub thaum muaj tus mob qaug dab peg?
Muaj tseeb tiag. Kwv yees li ntawm 70% ntawm cov menyuam yaus uas muaj tus kab mob qaug dab peg, lossis xya ntawm kaum tus, tuaj yeem ua neej zoo li qub, zoo siab ib yam li lwm cov menyuam yaus hnub nyoog li lawv. Lawv txoj kev loj hlob thiab kev ua ub ua no txhua hnub tsis raug cuam tshuam loj heev. Tej zaum qhov txawv tsuas yog tias lawv yuav tsum tau noj lawv cov tshuaj tib lub sijhawm txhua hnub.
Tsis tas li ntawd xwb, ntau tshaj 60% ntawm cov menyuam yaus uas muaj tus kab mob qaug dab peg, lossis rau ntawm kaum tus, yuav loj hlob dhau qhov mob no tag nrho thaum lawv loj hlob tuaj . Qhov no txhais tau tias nws yuav zoo dua tag nrho thaum lawv loj hlob tuaj.
Tiamsis qee tus menyuam yuav ntsib teeb meem kev puas siab puas ntsws vim yog qhov xwm txheej no. Lawv yuav txaj muag, chim siab, thiab tu siab vim lawv xav tias txawv ntawm lwm tus. Thaum lub sijhawm zoo li no, koj txoj kev hlub thiab kev txhawb nqa tseem ceeb heev rau tus menyuam. Yog tias tsim nyog, kev nrhiav kev pab los ntawm tus kws pab tswv yim kev noj qab haus huv ntawm lub hlwb kuj yuav yog lub zog loj rau tus menyuam.
Cov Lus Qhia Txog Kev Coj Mus Tsev
- Kab mob qaug dab peg yog ib yam mob uas lub hlwb tswj tau. Nws tsis yog ib yam dab tsi uas yuav txaj muag lossis zais.
- Tsis yog txhua tus menyuam uas mob zoo ib yam. Yuav tsum paub txog tus cwj pwm tshwj xeeb ntawm koj tus menyuam.
- Muab cov tshuaj uas tus kws kho mob tau sau rau koj tus menyuam, raws nraim li tau sau tseg, yam tsis tu ncua ib hnub.
- Kawm paub yuav ua li cas tiv thaiv koj tus menyuam thaum muaj kev sib tsoo. Tsis txhob ntshai thiab nyob twj ywm.
- Yog tias tus me nyuam mob ntev tshaj 5 feeb lossis nws rov qab nco qab qeeb, ces qhov no yog xwm txheej ceev. Coj tus me nyuam mus rau ETU tam sim ntawd.
- Koj tsis yog tib tug neeg nyob hauv txoj kev no. Sib txuas lus nrog koj tus kws kho mob, nug cov lus nug, thiab tau txais kev txhawb nqa uas koj xav tau.
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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