Koj tus me nyuam puas tau muaj qaug dab peg nrog rau kub taub hau? (Febrile Seizure) - Tsis txhob txhawj, cia peb tham txog qhov no!

Yuav txaus ntshai npaum li cas yog tias koj tus me nyuam yaus ua si zoo thiab cia li kub taub hau, tom qab ntawd pib tshee hnyo, thiab tej zaum txawm tias tsis nco qab. Nws yog ib qho ib txwm muaj kev ntxhov siab thaum lub sijhawm ntawd. Hom qaug dab peg no uas los nrog kub taub hau yog qhov peb hu ua 'febrile seizure' . Nws yog qhov nkag siab rau cov niam txiv tshiab txhawj xeeb thaum lawv pom qhov no. Tab sis yog tias peb tau paub zoo txog qhov no, peb tuaj yeem ntsib qhov xwm txheej zoo li no yam tsis muaj kev ntxhov siab. Yog li, cia peb tham txog qhov no kom ntxaws ntxiv hnub no, puas yog?

Mob qaug dab peg thaum muaj febrile yog dab tsi?

Hais yooj yim xwb, qaug dab peg thaum kub taub hau yog ib qho mob uas tshwm sim los ntawm kev ua haujlwm hluav taws xob tsis zoo hauv lub hlwb thaum koj tus menyuam kub taub hau . Cov tsos mob feem ntau yog kev txav mus los ntawm lub cev uas tsis tuaj yeem tswj tau, hu ua 'convulsions' , thiab lub sijhawm luv luv ntawm kev tsis nco qab.

Hom qaug dab peg no feem ntau tshwm sim rau cov menyuam yaus hnub nyoog ntawm 6 lub hlis thiab 5 xyoos . Nws yog qhov tshwj xeeb tshaj yog nyob rau hauv thawj peb xyoos ntawm lub neej.

Qhov zoo tshaj plaws yog, feem ntau cov mob qaug dab peg thaum kub taub hau tsis loj heev . Txawm li cas los xij, ua niam txiv, lawv tuaj yeem ua rau koj ntshai heev. Yog li, yog tias koj tus menyuam ntsib qee yam zoo li no, nws yog ib lub tswv yim zoo kom coj lawv mus ntsib kws kho mob.

Puas muaj hom mob qaug dab peg thaum kub taub hau?

Yog, mob qaug dab peg tuaj yeem faib ua ob hom tseem ceeb:

1. Mob qaug dab peg yooj yim thaum kub taub hau:

• Hom qaug dab peg no kav tsawg dua 15 feeb .
• Feem ntau tsis nco qab thiab qaug dab peg.
• Tus me nyuam tsuas muaj ib zaug qaug dab peg zoo li no hauv 24 teev xwb.

2. Mob qaug dab peg thaum muaj kub taub hau ntau yam:

• Qhov no yuav siv sijhawm ntau tshaj 15 feeb .
• Qee zaum qhov mob plab yuav nres thiab pib dua, lossis lawv yuav txuas ntxiv mus.
• Tej tus menyuam tsuas pom cov tsos mob ntawm ib sab ntawm lub cev xwb.
• Tej zaum yuav muaj ntau tshaj ib zaug qaug dab peg hauv 24 teev.

Nws yog ib qho tseem ceeb kom paub txog ob hom no, vim nws yuav pab tau thaum piav qhia cov ntsiab lus rau tus kws kho mob.

Cov tsos mob ntawm tus mob qaug dab peg yog dab tsi?

Thaum muaj mob qaug dab peg, koj yuav pom cov tsos mob xws li:

• Cov leeg nqaij uas tsis tuaj yeem tswj tau (mob qaug dab peg): Tej zaum cov no yuav zoo li tus menyuam yaus qaug dab peg. Qee zaum cov leeg nqaij yuav nruj, rub, lossis co.
• Tsaus muag: Tus me nyuam yuav tsaus muag. Lub qhov muag kuj tseem yuav dov rau saum ntuj thaum lub sijhawm no.
• Kev poob ntawm kev tswj lub cev: Qhov no tuaj yeem suav nrog tej yam xws li kev qaub ncaug, ntuav, thiab tso zis lossis quav tsis pub dhau.

Hauv kev qaug dab peg yooj yim uas muaj kub taub hau, cov tsos mob no feem ntau kav ntev li ob peb vib nas this mus txog ob peb feeb. Txawm li cas los xij, hauv kev qaug dab peg uas muaj kub taub hau ntau, lub sijhawm ntev dua 15 feeb thiab tuaj yeem tshwm sim ntau zaus hauv ib hnub.

Dab tsi ua rau muaj mob qaug dab peg?

Kab mob qaug dab peg muaj ntau yam ua rau. Lo lus "febrile" txhais tau tias "muaj feem cuam tshuam nrog kub taub hau." Qhov no feem ntau tshwm sim thaum ob peb hnub thawj zaug ntawm kev mob thaum tus menyuam kub taub hau siab. Feem ntau kuaj pom thaum kub taub hau tshaj 101 degrees Fahrenheit (38.3 degrees Celsius), tab sis qhov no tuaj yeem txawv ntawm ib tus menyuam mus rau ib tus menyuam. Kab mob qaug dab peg tuaj yeem tshwm sim los ntawm cov kab mob uas ua rau kub taub hau, xws li:

• Kab mob qaib
• Kab mob Coronavirus '(COVID-19')
• Kab mob pob ntseg
• Kab mob khaub thuas (influenza)
• Kab mob RSV (RSV - respiratory syncytial virus)
• Kab mob ua pa sab saud

Xav txog seb, tej zaum ib tug me nyuam yuav muaj qaug dab peg ua ntej lawv kub taub hau. Qhov ntawd kuj ua tau thiab.

Ib qho tseem ceeb ntxiv uas yuav tsum nco ntsoov yog tias qee cov tshuaj txhaj tiv thaiv kab mob rau menyuam yaus tuaj yeem ua rau kub taub hau ua ib qho kev phiv. Txawm hais tias tsis tshua muaj, yog tias ib tug menyuam muaj qaug dab peg tom qab txhaj tshuaj tiv thaiv kab mob, nws yog vim kub taub hau, tsis yog kev txhaj tshuaj tiv thaiv nws tus kheej. Qhov no yog ib qho tseem ceeb uas yuav tsum nco ntsoov.

Cov kab mob ntawm lub hlwb thiab cov hlab ntsha caj qaum, xws li "encephalitis" (mob hlwb) thiab "meningitis" (meningitis), tsis ua rau qaug dab peg thaum kub taub hau. Txawm li cas los xij, cov kab mob no tuaj yeem ua rau muaj lwm hom qaug dab peg (tsis yog ua los ntawm kub taub hau).

Cov mob qaug dab peg puas yog los ntawm noob caj noob ces?

Yog, muaj qee cov noob caj noob ces uas cuam tshuam nrog kev qaug dab peg thaum kub taub hau. Qhov ntawd yog, tus menyuam txoj kev pheej hmoo ntawm kev mob yuav nce ntxiv los ntawm cov noob caj noob ces ntawd. Nws tau pom tias ntawm 10% thiab 33% ntawm cov menyuam yaus uas muaj kev qaug dab peg thaum kub taub hau muaj ib tug tswv cuab ze uas muaj keeb kwm qaug dab peg . Qhov no txhais tau tias yog tias ib tug neeg hauv koj tsev neeg tau muaj kev qaug dab peg ua ntej, muaj qhov tshwm sim me me uas koj tus menyuam me kuj yuav muaj kev qaug dab peg thaum kub taub hau.

Cov yam ua rau muaj kev pheej hmoo ntawm kev qaug dab peg thaum muaj febrile yog dab tsi?

Qhov mob no yeej tshwm sim ntau heev - nws yog hom qaug dab peg uas tshwm sim ntau tshaj plaws thaum yau. Koj tus menyuam yuav muaj feem yuav qaug dab peg vim yog cov laj thawj hauv qab no:

• Yog ib tug menyuam mos hnub nyoog qis dua ib xyoos lossis hnub nyoog qis dua 5 xyoos.
• Nyob hauv tsev kho mob hauv chav saib xyuas menyuam mos (NICU) ntau tshaj 28 hnub.
• Muaj kev ncua sij hawm loj hlob.
• Muaj kev kis kab mob.
• Muaj keeb kwm tsev neeg ntawm qaug dab peg.

Qee zaum qaug dab peg tsuas yog tshwm sim ib zaug xwb. Txawm li cas los xij, koj tus menyuam yuav muaj feem ntau dua ntawm kev qaug dab peg ntau dua ib zaug yog tias:

• Yog tias qhov qaug dab peg thawj zaug tshwm sim ua ntej hnub nyoog 12 lub hlis.
• Yog tias muaj ib tug neeg hauv tsev neeg muaj keeb kwm ntawm qaug dab peg.
• Yog tias qaug dab peg tshwm sim ua thawj lub cim qhia txog kev mob, ua ntej lwm cov tsos mob tshwm sim.

Cov teebmeem mus sij hawm ntev ntawm kev qaug dab peg los ntawm febrile yog dab tsi?

Feem ntau, qaug dab peg thaum kub taub hau tsis muaj teeb meem dab tsi, thiab feem ntau lawv tsis ua rau muaj teeb meem mus sij hawm ntev. Yog li ntawd, tsis txhob ntshai heev.

Koj tus menyuam yuav muaj ntau tshaj ib zaug qaug dab peg ua ntej hnub nyoog 5 xyoos. Qhov no tsis yog ib qho txawv txawv. Txawm li cas los xij, yog tias koj tus menyuam muaj ntau zaus qaug dab peg, qee qhov kev tshawb fawb tau pom tias lawv yuav muaj teeb meem mus txog cov theem tseem ceeb ntawm kev loj hlob lus uas xav tau thaum muaj hnub nyoog ntawd.

Tsis tas li ntawd xwb, kev tshawb fawb tau pom tias cov mob qaug dab peg uas muaj mob kub taub hau ntau dhau yuav ua rau muaj kev pheej hmoo ntawm kev mob qaug dab peg yav tom ntej me ntsis.

Yuav ua li cas thiaj paub tias muaj mob qaug dab peg?

Yuav kom paub qhov mob no, tus kws kho mob yuav coj koj tus menyuam keeb kwm kev kho mob thiab kuaj lub cev. Qhov no yuav ua tau hauv chav kho mob ceev lossis ntawm koj tus menyuam lub chaw ua haujlwm. Tus kws kho mob yuav kuaj koj tus menyuam qhov kub taub hau thiab nug txog cov tsos mob. Lawv kuj tseem yuav kuaj ntshav lossis zis kom paub seb dab tsi ua rau kub taub hau.

Koj kho cov mob qaug dab peg li cas?

Yog tias nws yog koj tus menyuam thawj zaug qaug dab peg vim kub taub hau, lawv yuav zoo sai sai. Txawm li cas los xij, koj yuav tsum mus ntsib koj tus menyuam tus kws kho mob lossis mus rau chav kho mob ceev kom paub tseeb tias nws yog qaug dab peg vim kub taub hau lossis lwm yam mob hnyav dua.

Tus kws kho mob yuav pom zoo kom kho qhov ua rau kub taub hau, xws li cov tshuaj txo qhov kub taub hau uas haum rau hnub nyoog xws li acetaminophen (piv txwv li, Tylenol®), ibuprofen (piv txwv li, Motrin®), lossis lwm yam tshuaj.

Tshuaj rau kev qaug dab peg kub hnyiab

Kev qaug dab peg uas muaj kub taub hau ntau heev (kev qaug dab peg uas kav ntev tshaj tsib feeb, lossis ntau tshaj ib zaug qaug dab peg hauv 24 teev) yuav tsum tau kho. Yog tias muaj li no, koj tus kws kho mob yuav sau ntawv kom koj noj tshuaj xws li:

• Muab Midazolam rau hauv lub qhov ntswg (intranasal midazolam).
• Cov tshuaj benzodiazepines txhaj rau hauv cov hlab ntsha.
• Tshuaj diazepam hauv qhov quav.

Cov tshuaj no yog muab rau kom tsis txhob qaug dab peg. Tab sis cov no tsuas yog muab rau koj thaum koj tau txais kev qhia los ntawm kws kho mob xwb.

Koj ua li cas thaum koj muaj mob qaug dab peg?

Yog koj tus menyuam tau muaj mob qaug dab peg ua ntej lawm, koj tus kws kho mob yuav muab cov lus qhia rau koj txog kev pab thawj zaug thiab kev kho mob hauv tsev. Feem ntau, koj yuav tsum ua cov hauv qab no:

• Nyob twj ywm: Muaj tseeb tiag, nws tuaj yeem ua rau koj ntshai heev thaum pom koj tus menyuam qaug dab peg. Txawm li cas los xij, nws yog ib qho tseem ceeb kom nyob twj ywm li sai tau. Yog tias koj ntshai heev, koj yuav tsis tuaj yeem pab tau zoo.
• Tshawb xyuas lub sijhawm: Sau lub sijhawm uas tus menyuam qaug dab peg tau ntev npaum li cas lawm.Yog tias qaug dab peg ntev tshaj 5 feeb, koj yuav tsum hu rau 119 (lossis koj tus xov tooj xwm txheej ceev hauv zos) tam sim ntawd.
• Maj mam tso koj tus menyuam pw thiab ua tib zoo: Tsis txhob muab koj tus menyuam tso rau ntawm lub rooj lossis txaj. Tsis tas li ntawd, tsis txhob sim tuav koj tus menyuam nrog koj txhais tes lossis tuav nws nruj nreem. Ua li ntawd yuav ua rau muaj kev pheej hmoo ntawm kev raug mob.
• Tig tus me nyuam rau ib sab: Tig tus me nyuam rau ib sab kom tiv thaiv cov kua (qaub ncaug lossis ntuav) kom tsis txhob nkag mus rau hauv lub ntsws thiab daig.
• Tsis txhob muab dab tsi rau hauv qhov ncauj: Tshem cov khoom xws li cov khoom ua si tawm ntawm tus menyuam lub qhov ncauj. Tsis txhob muab dab tsi rau hauv qhov ncauj uas yuav lo rau hauv.

Nws yog ib qho tseem ceeb heev uas yuav tsum paub cov lus qhia txog kev pab thawj zaug no kom zoo, vim tias yog koj ua cov no yam tsis ntshai thaum ntawd, nws yuav pab tau tus menyuam zoo heev.

Koj tuaj yeem cia siab dab tsi tom qab muaj mob qaug dab peg?

Tsis yog txhua tus menyuam yaus yuav teb tib yam tom qab qaug dab peg. Nws yog ib qho ib txwm muaj rau ib tug menyuam yaus uas yuav xav tsis meej pem thiab nkees tom qab rov qab nco qab. Nws yuav siv sijhawm ob peb feeb rau tus menyuam kom rov pib ua tus cwj pwm zoo li qub. Nws yog ib qho tseem ceeb uas yuav tsum saib xyuas tus menyuam kom zoo thaum lub sijhawm no. Cia tus menyuam so. Sib txuas lus nrog tus kws kho mob ntawm tus menyuam thiab ua raws li nws cov lus qhia.

Mob qaug dab peg ntev npaum li cas?

Feem ntau cov qaug dab peg uas muaj kub taub hau tsuas kav ob peb feeb xwb. Cov qaug dab peg yooj yim tuaj yeem kav ntev li ob peb vib nas this mus txog 15 feeb. Cov qaug dab peg nyuaj tuaj yeem kav ntev dua 15 feeb.

Lub sijhawm tseem ceeb heev. Ib qho teeb meem tsis tshua muaj yog ib qho mob hu ua febrile status epilepticus . Hauv qhov no, qhov qaug dab peg kav ntev tshaj 30 feeb. Qhov no yog xwm txheej ceev hauv kev kho mob.

Puas tiv thaiv tau qhov qaug dab peg los ntawm kev kub taub hau?

Kab mob qaug dab peg nyuaj rau kwv yees thiab feem ntau tsis tuaj yeem tiv thaiv tau. Txawm tias koj kho koj tus menyuam qhov kub taub hau los xij, tseem muaj kev pheej hmoo tias yuav muaj kab mob qaug dab peg.

Thaum twg koj yuav tsum mus ntsib kws kho mob?

Yog tias koj tus menyuam muaj mob qaug dab peg thawj zaug, koj yuav tsum nrhiav kev pab kho mob. Yog tias koj tus menyuam muaj mob qaug dab peg thawj zaug, hu rau kws kho mob lossis cov kev pabcuam thaum muaj xwm txheej ceev.

Yog koj tus menyuam muaj keeb kwm qaug dab peg, koj tus menyuam tus kws kho mob menyuam yuav muab tau cov lus qhia zoo tshaj plaws rau koj txog yam yuav tsum ua hauv qhov xwm txheej zoo li no. Nws kuj tseem yuav qhia rau koj paub txog cov tsos mob uas koj yuav tsum paub.

Thaum twg koj yuav tsum mus rau Chav Kho Mob Thaum Muaj Xwm Ceev (ETU) ?

Koj yuav tsum nrhiav kev kho mob thaum muaj mob qaug dab peg hauv ib qho ntawm cov xwm txheej hauv qab no:

• Qhov no yog thawj zaug uas tus menyuam qaug dab peg.
• Yog tias qaug dab peg kav ntev tshaj 5 feeb.
• Yog tias tus me nyuam ua pa nyuaj .
• Cov cim qhia txog kev kis kab mob hauv lub hlwb lossis tus txha caj qaum hauv ib tug menyuam yaus(piv txwv li, mob caj dab lossis mob, tsaug zog ntau dhau, ntuav tas li).
• Yog tias tus me nyuam qeeb rov zoo (yog tias nws siv sijhawm ib teev lossis ntau dua kom rov qab mus rau qhov qub).
• Yog tias tus me nyuam raug mob thaum lub sij hawm qaug dab peg.

Thaum kawg, tej yam uas yuav tsum nco ntsoov

Mob qaug dab peg thaum muaj mob kub taub hau ua rau ntshai heev, tshwj xeeb yog tias koj tus menyuam tsis tau muaj mob qaug dab peg dua li. Txawm li cas los xij, feem ntau, cov mob qaug dab peg no tsuas yog luv luv xwb, thiab cov menyuam yaus rov zoo sai sai yam tsis muaj teeb meem mus sij hawm ntev.

Yog tias koj muaj lus nug lossis kev txhawj xeeb txog qhov no, nrog koj tus menyuam tus kws kho mob menyuam tham. Nws tuaj yeem muab cov lus qhia thiab cov ntaub ntawv uas koj xav tau los pab txo koj qhov kev ntshai. Tsis tas li ntawd, nug nws txog yuav ua li cas thiaj li pab tau thawj zaug thaum muaj kev qaug dab peg. Ua li ntawd, yog tias koj tus menyuam muaj kev qaug dab peg kub taub hau yav tom ntej, koj yuav npaj tau. Tsis txhob ntshai, qhov tseem ceeb tshaj plaws yog kom paub!

` Mob qaug dab peg thaum muaj mob febrile, mob qaug dab peg rau menyuam yaus, kub taub hau, mob qaug dab peg thaum muaj mob febrile, kev kho mob menyuam yaus, kev pab thawj zaug, kev noj qab haus huv ntawm menyuam yaus