Koj puas xav paub txog hom mob qaug dab peg hnyav thiab ua rau koj qaug dab peg no thiab? Cia peb tham!

Tej zaum koj yuav tau pom ib tug neeg cia li tsis nco qab, qaug dab peg, thiab ntog nrog cov hnoos qeev tawm ntawm lawv lub qhov ncauj. Los yog tej zaum koj tau ntsib nws koj tus kheej. Qhov no yog qhov peb hu ua qaug dab peg. Nws tuaj yeem yog ib yam txaus ntshai. Tab sis thaum koj paub tias nws yog dab tsi, tsis muaj dab tsi yuav tsum ntshai. Cia peb saib seb qaug dab peg yog dab tsi, vim li cas nws thiaj tshwm sim, thiab yuav ua li cas.

Qhov 'qaug dab peg' no yog dab tsi?

Hais yooj yim xwb, qaug dab peg yog qhov kev nce ntxiv ntawm cov hluav taws xob ntawm cov hlwb ntawm koj lub hlwb (neurons) hauv koj lub hlwb. Xav txog koj lub hlwb zoo li ib lub tshuab hluav taws xob me me. Qee zaum qhov no tuaj yeem ua rau muaj 'kev sib txuas luv luv'. Qhov no yog thaum cov tsos mob no tshwm sim. Tsis yog txhua tus neeg muaj qaug dab peg zoo ib yam. Ib txhia neeg yuav tsis nco qab thiab qaug dab peg. Lwm tus yuav tsis, tab sis hloov chaw nres qhov lawv ua thiab ntsia tsis muaj dab tsi ib pliag. Lawv yuav xav tias lawv txhais tes lossis ceg co. Ib txhia neeg tsuas muaj ib qho qaug dab peg hauv lawv lub neej. Lwm tus yuav muaj lawv ntau zaus hauv ib hnub. Yog li koj qhov kev paub yuav txawv ntawm lwm tus neeg.

Cov hom mob qaug dab peg tseem ceeb yog dab tsi?

Tam sim no cia peb saib seb hom qaug dab peg tseem ceeb yog dab tsi. Muaj ob hom tseem ceeb:

1. Qaug dab peg dav dav (lossis qaug dab peg dav dav): Qhov no yog thaum cov hluav taws xob pib ua haujlwm hauv ob sab ntawm lub hlwb tib lub sijhawm. Tej zaum koj yuav muaj kev co ntawm ob sab ntawm koj lub cev, lossis tsuas yog ib sab xwb. Qee zaum koj yuav sawv ntawd yam tsis muaj kev co. Hom no feem ntau tshwm sim ntau dua rau cov menyuam yaus thiab cov hluas, tab sis nws tuaj yeem tshwm sim rau txhua tus neeg txhua lub hnub nyoog.

2. Qaug dab peg hauv qhov muag (lossis qaug dab peg hauv qhov muag): Hauv hom qaug dab peg no, qhov kev ua haujlwm hluav taws xob pib ntawm ib sab ntawm lub hlwb, lossis hauv ib qho chaw tshwj xeeb ("kev tsom"). Cov tsos mob feem ntau cuam tshuam rau ib sab ntawm lub cev. Tej zaum koj yuav lossis tsis nco qab thaum lub sijhawm no. Qhov no txhais tau tias koj yuav lossis tsis nco qab qhov qaug dab peg. Qaug dab peg hauv qhov muag qee zaum tuaj yeem nres, lossis lawv tuaj yeem kis mus rau ob sab ntawm lub hlwb.

Cov hom qaug dab peg twg uas cuam tshuam rau tag nrho lub hlwb ('Generalized seizures')?

Tam sim no cia peb los saib qee yam ntawm ntau hom kev qaug dab peg uas cuam tshuam rau tag nrho lub hlwb ('Generalized seizures').

• 'Qaug dab peg tsis tuaj': Hauv qhov no, koj cia li nres qhov koj ua, ntsia tsis muaj dab tsi, thiab zoo li tsis hnov ​​dab tsi li ib pliag. Zoo li koj 'tau ploj mus ntawm lub ntiaj teb' ib pliag. Qhov no yuav ploj mus nws tus kheej hauv ob peb feeb xwb.
• 'Atonic seizures' (tseem hu ua 'drop seizures'): Hauv qhov no, lub cev cia li poob kev tswj cov leeg nqaij thiab ntog rau hauv av.
• 'Clonic qaug dab peg': Hauv qhov no, ob sab ntawm lub cev tshee, thiab tej zaum yuav tsis nco qab. Qee zaum tsuas yog ib sab ntawm lub cev tshee xwb, thiab tom qab ntawd tej zaum yuav tsis nco qab.
• 'Myoclonic qaug dab peg': Hauv qhov no, ib leeg lossis ntau leeg txuas ua ke cia li tshee. Nws zoo li kev co me me, zoo li hluav taws xob poob siab.
• 'Kev qaug dab peg dav dav thib ob': Hauv qhov no, kev ua haujlwm hluav taws xob pib ua ntej hauv ib feem ntawm lub hlwb ('focal seizure'), thiab tom qab ntawd nws nthuav mus rau tag nrho lub hlwb ('generalized seizure').
• `Tonic-clonic qaug dab peg`: Qhov no yog hom uas feem ntau cov neeg xav txog thaum lawv hnov ​​​​lo lus `qaug dab peg`. Ua ntej, cov leeg ntawm lub cev tawv (`tonic phase`), tom qab ntawd tsis nco qab thiab tag nrho lub cev pib tshee hnyo (`clonic phase` - `convulsions`).
• Qaug dab peg Tonic: Hauv qhov no, muaj kev poob ntawm kev nco qab thiab cov leeg ntawm lub cev ua rau tawv, tab sis qhov kev co (convulsions) tsis tshwm sim.

Cov mob qaug dab peg uas tsuas cuam tshuam rau ib feem ntawm lub hlwb xwb ('Focal seizures') yog dab tsi?

Tam sim no cia peb saib cov hom qaug dab peg uas tsuas cuam tshuam rau ib feem ntawm lub hlwb xwb ('Focal seizures').

• Qaug dab peg focal (yav tas los hu ua simple partial seizures): Hauv hom qaug dab peg no, koj paub txog qhov xwm txheej, txhais tau tias koj hnov ​​​​​​nws, thiab nco qab nws tom qab.
• Mob qaug dab peg focal (yav tas los hu ua mob qaug dab peg complex partial seizures): Thaum koj muaj mob qaug dab peg, koj yuav tsis nco qab, tsis paub txog ib puag ncig koj, thiab tsis nco qab txog yam uas tau tshwm sim tom qab ntawd.

Cov mob qaug dab peg feem ntau tshwm sim li cas?

Tej zaum koj yuav xav tsis thoob tias cov mob qaug dab peg no muaj ntau npaum li cas. Thoob ntiaj teb, kwv yees li ib tug ntawm txhua 10 tus neeg yuav muaj tsawg kawg ib zaug mob qaug dab peg hauv lawv lub neej. Yog li qhov no tsis yog qhov txawv txawv.

Cov tsos mob ntawm qaug dab peg yog dab tsi?

Cov tsos mob ntawm qaug dab peg sib txawv nyob ntawm hom thiab qhov hnyav ntawm qaug dab peg, tab sis cov tsos mob feem ntau muaj xws li:

• Poob siab.
• Kev txav ntawm lub cev uas tsis tuaj yeem tswj tau (qaug dab peg, cov leeg nqaij ntswj, co).
• Ntsia ntsoov, tsis saib dab tsi li .

Ntxiv rau qhov no, tej zaum yuav muaj lwm yam ntxwv:

• Kev hloov pauv sai sai hauv kev xav (kev tsis meej pem, kev ntshai, kev zoo siab, kev ntxhov siab).
• Tus pas txhuam hniav.
• Qaug dej ntws.
• Ob lub qhov muag txav mus los tsis zoo li qub.
• Tsis muaj peev xwm tswj tau qhov zis lossis txoj hnyuv.
• Ua suab txawv txawv (xws li quaj qw, ua pa nrov nrov).

Tiam sis nco ntsoov, cov tsos mob no tsuas yog ib ntus xwb . Feem ntau lawv kav ntev li ob peb feeb mus txog ob peb feeb xwb.

Cov theem ntawm kev qaug dab peg yog dab tsi?

Qee qhov qaug dab peg muaj ntau theem sib txawv, tab sis tsis yog txhua tus neeg yuav muaj tag nrho cov theem no.

1. Theem pib mob:Tej zaum koj yuav pom kev hloov pauv hauv koj lub siab thiab tus cwj pwm ob peb hnub ua ntej koj muaj qaug dab peg. Tej zaum koj yuav kiv taub hau, nyuaj rau tsom ntsoov, lossis pw tsaug zog tsis taus.

2. Theem Aura: Tej zaum koj yuav muaj tej yam cim qhia ua ntej cov tsos mob thawj zaug ntawm qaug dab peg pib. Tej zaum yuav muaj xws li kev hloov pauv ntawm qhov muag pom (pom teeb ci ntsa iab, pom tej yam tsis meej), mob taub hau, kiv taub hau, xeev siab, ntshai, ntxhov siab, thiab kev hloov pauv ntawm koj txoj kev xav (kev hloov pauv ntawm saj, ntxhiab, suab, thiab kov).

3. Theem Ictal: Qhov no yog thaum qhov qaug dab peg tshwm sim tiag tiag. Qhov no yog thaum koj yuav muaj cov tsos mob uas tau hais ua ntej.

4. Theem Postictal: Thaum koj qaug dab peg tas lawm, koj yuav muaj kev tsis meej pem, qaug zog heev, mob lub cev, thiab muaj kev xav ntau heev (tu siab, npau taws, zoo siab).

Qhov tseem ceeb yog tias tsis yog txhua qhov qaug dab peg muaj lub sijhawm ua ntej lub cim hu ua "Aura." Feem ntau, qaug dab peg tshwm sim sai sai, yam tsis muaj lus ceeb toom.

Cov cim qhia ua ntej muaj qaug dab peg yog dab tsi?

Tej zaum yuav muaj tej yam cim qhia ua ntej muaj qaug dab peg, tiam sis qhov no tsis yog ib txwm muaj rau txhua tus neeg.

• Cov tsos mob ntawm kev hnov ​​​​​​lus: pom lub teeb ci ntsa iab, pom tej yam txawv, hnov ​​​​​​lub suab txawv txawv, hnov ​​​​​​cov saj txawv txawv (xws li hlau, iab) lossis ntxhiab tsw, cov kev xav txawv txawv ntawm daim tawv nqaij (xws li loog lossis tingling).
• Kev hloov pauv ntawm lub siab: Muaj kev xav ntau sai sai (ntshai, zoo siab), xav tias muaj qee yam tau tshwm sim ua ntej txawm tias nws yog ib yam tshiab (`déjá vu`), lossis xav tias muaj qee yam tshiab txawm tias nws paub zoo heev (`jamais vu`).
• Cov tsos mob ntawm lub cev uas tswj tau nws tus kheej: Cov no yog cov tsos mob uas cuam tshuam rau lub cev uas koj lub hlwb tswj tau. Piv txwv li, tawm hws, ntuav, mob plab, thiab tawv nqaij dawb.

Dab tsi yog cov ua rau muaj qaug dab peg?

Vim li cas thiaj muaj qaug dab peg? Raws li kuv tau hais ua ntej lawm, qhov ua rau qhov no yog qhov kev nce ntxiv ntawm cov hluav taws xob ntawm cov hlwb ntawm koj lub hlwb ('Neurons') hauv koj lub hlwb uas tsis tuaj yeem tswj tau. Cov hlwb ntawm cov hlwb no sib txuas lus nrog ib leeg los ntawm cov teeb liab hluav taws xob. Thaum muaj qaug dab peg, cov hlwb uas raug cuam tshuam xa cov teeb liab no mus rau lwm cov hlwb hauv thaj chaw ib puag ncig yam tsis muaj kev tswj hwm. Qhov kev nthuav dav ntawm cov hluav taws xob no yog qhov ua rau muaj cov tsos mob ntawm qaug dab peg.

Cov ua rau qaug dab peg muaj ob pawg tseem ceeb:

1. Qaug dab peg uas ua rau mob (lossis qaug dab peg uas tsis yog qaug dab peg): Cov no yog ua los ntawm ib qho mob ib ntus lossis ib qho xwm txheej tshwj xeeb (hu ua qhov ua rau mob). Qhov no txhais tau tias qaug dab peg yog ua los ntawm ib yam dab tsi.

2. Qaug dab peg uas tsis tau ua rau muaj kev cuam tshuam (`Unprovoked seizures` lossis `epileptic seizures`):Cov no tshwm sim yam tsis muaj laj thawj pom tseeb. Lawv kuj tuaj yeem tshwm sim ntau zaus. Cov qaug dab peg no yog cov tsos mob tseem ceeb ntawm tus mob hu ua qaug dab peg.

Qee zaum, tsis muaj laj thawj tseeb uas ua rau muaj qaug dab peg. Peb hu cov no ua 'idiopathic seizures'.

Cov yam ua rau muaj qaug dab peg yog dab tsi?

Tsis muaj cov yam ua rau tib yam rau txhua tus, tab sis ntawm no yog qee cov yam ua rau muaj feem ntau:

• Cov ntshav qab zib tsis zoo li qub (qis dhau los yog siab dhau).
• Qee cov tshuaj (xws li 'Wellbutrin®' lossis 'bupropion').
• Cov teeb ci ntsa iab, flashing los yog flickering.
• Kab mob kub.
• Kub taub hau heev.
• Kev tsis tsaug zog.
• Kev ntxhov siab.
• Siv tshuaj yeeb los yog haus dej cawv (tshwj xeeb tshaj yog cov tsos mob thaum tso tseg haus dej cawv).

Yog tias koj muaj qaug dab peg ntau zaus, nws yog ib qho tseem ceeb heev uas yuav tsum sau tseg txog yam koj tau ua thiab koj ib puag ncig zoo li cas ua ntej qaug dab peg. Cov ntaub ntawv no yuav pab koj tus kws kho mob xam seb yam dab tsi ua rau koj qaug dab peg.

Lwm yam mob dab tsi uas ua rau qaug dab peg?

Qaug dab peg tuaj yeem tshwm sim los ntawm ntau yam mob nkeeg. Nov yog ob peb yam piv txwv:

• Kev txawv txav ntawm cov hlab ntsha hauv lub hlwb ('Aneurysms').
• Cov qog nqaij hlav hauv hlwb.
• Tsis muaj oxygen txaus rau lub hlwb ('Cerebral hypoxia').
• Kab mob ntawm lub hlwb.
• Mob ntshav qab zib.
• Raug mob taub hau hnyav ('Severe concussion' thiab 'traumatic brain injury'), tshwj xeeb tshaj yog thaum tsis nco qab.
• Cov kab mob uas maj mam ua rau lub hlwb tsis muaj zog, piv txwv li, tus kab mob Alzheimer lossis tus kab mob frontotemporal dementia.
• Ntshav siab thiab qaug dab peg ('Eclampsia') thaum cev xeeb tub.
• Teeb meem electrolyte, tshwj xeeb tshaj yog cov sodium qis (hyponatremia), calcium, lossis magnesium.
• Qaug dab peg - Qhov no yog tus cwj pwm los ntawm kev qaug dab peg ntau zaus yam tsis muaj laj thawj pom tseeb.
• Cov mob caj ces.

Tej zaum yuav muaj lwm yam laj thawj:

• Kev hloov pauv ntawm cov tshuaj hormones ('Kev hloov pauv ntsig txog cov tshuaj hormones').
• Cov kab mob (tshwj xeeb tshaj yog mob encephalitis, meningitis, lossis sepsis).
• Kev o ntawm cov kab mob autoimmune.
• Cov teeb meem kev noj qab haus huv ntawm lub hlwb (hu ua 'psychogenic seizures'), piv txwv li 'conversion disorder'.
• Teeb meem nrog kev loj hlob ntawm lub hlwb uas tshwm sim thaum yug los ('Congenital brain abnormalities').
• Mob stroke.
• Kev noj cov tshuaj lom (carbon monoxide lom, hnyav hlau lom).
• Tom nab lossis lwm yam tsiaj muaj tshuaj lom.

Leej twg muaj feem yuav mob qaug dab peg ntau dua?

Txhua tus neeg, txawm muaj hnub nyoog li cas los xij, yeej muaj peev xwm muaj mob qaug dab peg. Txawm li cas los xij, qee tus neeg muaj feem yuav mob ntau dua me ntsis:

• Rau cov neeg uas muaj lwm yam mob.
• Yog tias muaj ib tug neeg hauv tsev neeg tau muaj mob qaug dab peg (kev cuam tshuam los ntawm noob caj noob ces).
• Rau cov menyuam yaus (hnub nyoog qis dua 18 xyoo).
• Rau cov neeg hnub nyoog tshaj 50 xyoo.

Tej yam teeb meem uas yuav tshwm sim los ntawm kev qaug dab peg yog dab tsi?

Thaum muaj qaug dab peg, muaj kev pheej hmoo siab ntawm kev raug mob , vim tias tib neeg feem ntau tsis nco qab thiab ntog. Kev raug mob tuaj yeem tshwm sim thaum ntog, lossis thaum ua lwm yam (xws li tsav tsheb, siv tshuab, lossis nce qhov siab). Thaum lub cev tshee, ceg tawv tuaj yeem tsoo cov khoom tawv, ua rau muaj qhov txiav, mob nqaij, thiab txawm tias pob txha tawg.

Kab mob qaug dab peg yog ib yam mob txaus ntshai heev. Nws tshwm sim thaum qaug dab peg ntev tshaj tsib feeb, lossis thaum qaug dab peg dua ua ntej tus neeg mob rov zoo los ntawm ib qho qaug dab peg. Qhov no yog ib qho xwm txheej ceev uas txaus ntshai rau lub neej. Nws tuaj yeem ua rau lub hlwb puas tsuaj thiab txawm tias tuag taus.

Kuj tseem muaj kev sib txuas lus zoo ntawm qaug dab peg thiab kev noj qab haus huv ntawm lub hlwb. Cov neeg uas muaj qaug dab peg yuav muaj teeb meem kev noj qab haus huv ntawm lub hlwb xws li kev ntxhov siab thiab kev nyuaj siab . Qhov no yog vim tias qaug dab peg tuaj yeem cuam tshuam rau cov dej num niaj hnub thiab cov khoom uas lawv nyiam. Koj yuav xav tias ntxhov siab thiab txhawj xeeb txog kev muaj qaug dab peg dua. Koj yuav tsis tsaug zog thaum hmo ntuj xav tias thaum twg yuav muaj qaug dab peg tom ntej. Yog tias koj muaj qaug dab peg nyob rau pem hauv ntej ntawm lwm tus, koj yuav txaj muag thiab tej zaum yuav tsis xav tawm mus lossis siv sijhawm nrog cov phooj ywg. Vim tias qaug dab peg yog ib yam dab tsi uas tshwm sim sab nraud ntawm koj txoj kev tswj hwm, nws yog ib qho ib txwm muaj cov kev xav no. Tus kws pab tswv yim kev noj qab haus huv ntawm lub hlwb tuaj yeem pab koj tswj cov kev xav no.

Koj paub qhov qaug dab peg li cas?

Tus kws kho mob, feem ntau yog tus kws kho mob hlwb, kuaj mob qaug dab peg. Qhov no suav nrog kev kuaj lub cev, kev kuaj mob hlwb, thiab lwm yam kev kuaj mob. Thaum lub sijhawm kuaj mob no, tus kws kho mob yuav nug txog koj cov tsos mob, koj keeb kwm kev kho mob, thiab seb puas muaj leej twg hauv koj tsev neeg tau muaj cov mob zoo sib xws.

Nws yog ib qho pab tau heev rau koj coj ib tus neeg uas pom koj qhov qaug dab peg nrog koj mus ntsib kws kho mob. Vim tias koj yuav tsis nco qab tias muaj dab tsi tshwm sim thaum lub sijhawm ntawd, tus neeg ntawd tuaj yeem qhia cov ntsiab lus rau kws kho mob.

Yuav kuaj li cas los kuaj mob qaug dab peg?

Cov kev kuaj no pab kom paub tseeb tias koj puas muaj mob qaug dab peg tiag, thiab yog tias muaj, yog vim li cas ho ua rau koj mob qaug dab peg. Ib qho tseem ceeb tshaj plaws hauv kev kuaj mob qaug dab peg yog nrhiav seb puas muaj ib qho chaw tshwj xeeb hauv lub hlwb ('qhov chaw tseem ceeb') uas mob qaug dab peg pib. Thaum pom qhov 'qhov chaw tseem ceeb' no lawm, nws yuav yooj yim dua rau tus kws kho mob los npaj kev kho mob.

Nov yog qee qhov kev kuaj mob uas siv los kuaj mob qaug dab peg:

• Kev kuaj ntshav.
• Kev thaij duab CT ('Computed tomography (CT) scan').
• Kev kuaj EEG ('Electroencephalogram (EEG)'). Qhov no ntsuas qhov kev ua haujlwm hluav taws xob ntawm lub hlwb.
• Kev kuaj noob caj noob ces.
• Kev thaij duab MRI (Magnetic resonance imaging (MRI)).
• Kev luam theej duab PET (Positron emission tomography (PET) scan).
• Lub qhov (los yog lub lumbar puncture).

Yog tus kws kho mob xav tias muaj kev raug mob lossis teeb meem los ntawm qhov qaug dab peg, nws kuj tseem yuav kom kuaj mob. Tus kws kho mob yuav qhia rau koj (lossis ib tus neeg uas txiav txim siab kho mob rau koj) seb lawv tab tom kuaj mob dab tsi thiab yog vim li cas.

Cov kev kho mob rau qaug dab peg yog dab tsi?

Kev kho mob rau qaug dab peg sib txawv nyob ntawm hom, qhov hnyav, thiab ua rau muaj qaug dab peg. Koj tus kws kho mob yuav qhia cov kev kho mob xws li:

• Kev Kho Mob Qhov Ua Rau Qaug Dab Peg Los Yog Mob: Tus kws kho mob yuav sim kho qhov mob uas ua rau qaug dab peg ua ntej (xws li mob stroke los yog ntshav qab zib qis). Qhov no yuav pab tiv thaiv kev qaug dab peg yav tom ntej.
• Noj cov tshuaj tiv thaiv kev qaug dab peg: Cov tshuaj no tuaj yeem tiv thaiv kev qaug dab peg lossis txo qhov zaus ntawm kev qaug dab peg.
• Kev Phais Mob: Tshem tawm lossis hloov kho qhov chaw tseem ceeb hauv lub hlwb uas pib muaj qaug dab peg tuaj yeem txo qhov zaus thiab qhov hnyav ntawm qaug dab peg.
• Kev txhawb zog rau lub hlwb: Ib tug kws phais muab ib lub cuab yeej me me ntxig rau hauv koj lub hlwb. Qhov no xa hluav taws xob mus rau lub hlwb. Qhov hluav taws xob no cuam tshuam cov haujlwm hluav taws xob tsis zoo thiab sim nres nws. Muaj ntau hom kev txhawb zog rau lub hlwb, ib qho piv txwv yog kev txhawb zog rau cov hlab ntsha vagus.

Yog tias qee yam kev kho mob tsis ua haujlwm, koj tus kws kho mob yuav hais kom hloov koj cov zaub mov noj. Qee qhov kev tshawb fawb tau qhia tias kev noj zaub mov uas tsis muaj carbohydrate ntau lossis ketogenic tuaj yeem txo qhov zaus ntawm kev qaug dab peg. Txawm li cas los xij, qhov no tseem tab tom raug tshawb fawb.

Cov tshuaj twg siv rau kev qaug dab peg?

Cov tshuaj yuav pab tswj kev qaug dab peg los ntawm:

• Nws nres sai li sai tau thaum muaj qaug dab peg.
• Tiv thaiv kev qaug dab peg yav tom ntej.
• Txo qhov hnyav ntawm qaug dab peg.
• Txo qhov zaus ntawm kev qaug dab peg.

Nov yog qee cov tshuaj kho mob qaug dab peg (cov no tsuas yog piv txwv xwb; koj tus kws kho mob yuav txiav txim siab seb cov tshuaj twg zoo rau koj):

• Benzodiazepine
• Carbamazepine
• Tshuaj Diazepam
• `Gabapentin`
• Lamotrigine
• `Oxcarbazepine`
• `Phenytoin`
• `Pregabalin`
• Valproic acid

Tom qab koj pib noj tshuaj tshiab, koj tus kws kho mob yuav kuaj koj tsis tu ncua kom pom tias nws ua haujlwm zoo npaum li cas. Tej zaum yuav siv sijhawm ntau lub hlis rau koj thiab koj tus kws kho mob kom nrhiav tau cov tshuaj thiab qhov ntau npaum li cas. Txawm tias koj xav tias zoo dua los xij, nws tseem ceeb heev uas yuav tsum noj koj cov tshuaj raws li koj tus kws kho mob qhia rau koj.

Cov kev tshawb fawb qhia tau tias kwv yees li 33% ntawm cov neeg uas noj tshuaj tiv thaiv kev qaug dab peg tau zoo tag nrho los ntawm lawv cov tsos mob qaug dab peg. Lwm 33% qhia tias lawv cov tsos mob txo qis tom qab noj tshuaj.

Puas tiv thaiv tau qhov qaug dab peg?

Vim tias qaug dab peg yog ib qho xwm txheej uas tshwm sim sai sai, lawv tsis tuaj yeem tiv thaiv tau tag nrho. Qhov zoo tshaj plaws uas koj ua tau yog zam tej yam uas ua rau qaug dab peg, lossis 'ua rau' qaug dab peg. Piv txwv li, tswj koj cov ntshav qab zib, thiab tiv thaiv koj tus kheej ntawm kev mob thiab kev raug mob.

Yog tias kuv qaug dab peg, yuav ua li cas? Kuv yuav tsum xav li cas?

Tsawg dua ib nrab ntawm cov neeg uas tau muaj ib qho kev qaug dab peg yam tsis muaj laj thawj yuav muaj lwm qhov. Txawm li cas los xij, yog tias muaj kev qaug dab peg zaum ob, cov kws kho mob feem ntau pib siv tshuaj tiv thaiv kev qaug dab peg. Hauv kev qaug dab peg uas raug ua rau muaj, qhov kev pheej hmoo ntawm kev muaj kev qaug dab peg ntxiv nyob ntawm seb dab tsi ua rau muaj kev qaug dab peg thawj zaug. Yog tias qhov ua rau ntawd kho tau, koj yuav tsis tshua muaj kev qaug dab peg ntxiv (tshwj tsis yog tib qho xwm txheej uas ua rau muaj kev qaug dab peg thawj zaug rov tshwm sim).

Cov tshuaj tuaj yeem tiv thaiv kev qaug dab peg lossis txo lawv qhov zaus. Txawm li cas los xij, qee zaum koj yuav tsum sim ntau yam tshuaj (lossis ua ke ntawm ntau yam tshuaj) kom nrhiav tau qhov uas ua haujlwm rau koj.

Muaj tej lub sij hawm, tej zaum yuav nyuaj rau tswj qhov qaug dab peg nrog kev siv tshuaj xwb. Hauv cov xwm txheej zoo li no, tus kws kho mob yuav pom zoo kom phais, noj zaub mov tshwj xeeb, lossis lwm yam kev kho mob.

Yog tias koj muaj qaug dab peg ntau zaus, koj tus kws kho mob yuav qhia koj txog kev ceev faj uas tuaj yeem pab koj kom muaj kev nyab xeeb. Koj tuaj yeem hnav lossis nqa daim npav ID kho mob. Qhov no yuav qhia rau lwm tus paub tias yuav ua li cas yog tias koj muaj qaug dab peg.

Koj muaj qaug dab peg ntev npaum li cas lawm?

Cov tsos mob ntawm qaug dab peg feem ntau kav ntev li ob peb vib nas this mus txog ob peb feeb, nrog rau lub sijhawm ntev tshaj plaws ntawm 15 feeb. Txawm li cas los xij, yog tias muaj qaug dab peg ntau zaus ua ke (qhov no yog xwm txheej ceev hauv kev kho mob), cov tsos mob yuav kav ntev dua.

Kuv txoj kev xav yav tom ntej rau kev qaug dab peg yuav zoo li cas?

Vim tias txhua tus neeg muaj kev qaug dab peg sib txawv, qhov kev xav yuav txawv heev. Nws nyob ntawm ntau yam:

• Koj puas nrhiav tau ib qho laj thawj?
• Puas kho tau thiab tswj tau qhov teeb meem ntawd?
• Koj muaj hom qaug dab peg li cas?
• Qhov qaug dab peg hnyav npaum li cas thiab nws kav ntev npaum li cas?
• Qhov no puas yog koj thawj zaug qaug dab peg?
• Koj puas muaj mob nkeeg uas ua rau qaug dab peg yog cov tsos mob uas feem ntau tshwm sim?
• Muaj kev kho mob dab tsi los tswj hom kev qaug dab peg no?

Koj tus kws kho mob yog tus neeg zoo tshaj plaws los muab cov ntaub ntawv tshiab tshaj plaws rau koj txog yam koj yuav tsum tau xav txog. Nco ntsoov nug nws yog tias koj muaj lus nug dab tsi.

Kuv yuav tsum mus ntsib kws kho mob thaum twg?

Yog tias koj muaj qaug dab peg thawj zaug hauv koj lub neej , lossis yog tias koj tsis nco qab thiab tsis paub qhov ua rau, koj yuav tsum mus rau chav kho mob ceev.Yog koj xav tias koj qaug dab peg thawj zaug thaum koj nyob ib leeg, koj yuav tsum mus ntsib lossis nrog kws kho mob tham sai li sai tau.

Yog tias koj tau muaj qaug dab peg ua ntej lawm, nws yog ib qho tseem ceeb uas yuav tsum saib xyuas seb puas muaj lwm yam cim qhia tias koj muaj qaug dab peg dua. Yog tias koj muaj qaug dab peg zaum ob, nws yog ib qho tseem ceeb heev uas yuav tsum mus ntsib kws kho mob sai li sai tau. Qhov no yog vim tias qaug dab peg tuaj yeem ua rau muaj kev hloov pauv hauv koj lub hlwb, ua rau nws muaj feem yuav muaj qaug dab peg dua. Yog li ntawd, nws yog qhov zoo tshaj plaws kom tau txais kev kuaj mob thiab pib kho mob sai li sai tau.

Yog tias ib tug neeg muaj qaug dab peg ntau zaus, tej zaum yuav tsis tas yuav hu rau lub tsheb thauj neeg mob tom qab txhua zaus qaug dab peg. Txawm li cas los xij, txawm tias koj paub vim li cas koj thiaj qaug dab peg, cov kev raug mob los ntawm nws tseem yuav xav tau kev kho mob.

Kuv yuav tsum nug kuv tus kws kho mob li cas?

Yog koj muaj qaug dab peg, koj tuaj yeem nug koj tus kws kho mob cov lus nug zoo li no:

• Vim li cas kuv thiaj muaj qhov qaug dab peg no?
• Kuv yuav ua li cas kom tsis txhob muaj 'triggers'?
• Koj xav kom kuv kho hom kev kho mob twg?
• Puas muaj tej yam tshwm sim ntawm kev kho mob?
• Kuv puas yuav muaj lwm yam mob qaug dab peg?
• Kuv yuav ua li cas thiaj nyob tau nyab xeeb?

Cov mob qaug dab peg hom twg cuam tshuam rau menyuam yaus?

Cov menyuam yaus kuj tuaj yeem muaj qaug dab peg thiab. Cov ua rau qaug dab peg rau cov neeg laus feem ntau cuam tshuam rau cov menyuam yaus. Nov yog qee hom qaug dab peg thiab kev mob qaug dab peg uas feem ntau tshwm sim rau cov menyuam yaus (cov no tsuas yog piv txwv xwb):

• Qaug dab peg thaum tsis muaj menyuam (tseem hu ua qaug dab peg thaum yau).
• Kab mob qaug dab peg rau menyuam yaus.
• Mob qaug dab peg.
• Mob plab ntswj rau menyuam yaus.
• Kab mob qaug dab peg myoclonic rau cov menyuam yaus.
• "Lennox-Gastaut syndrome" yog ib qho mob uas ua rau mob hnyav heev.
• 'Tonic-clonic qaug dab peg'.

Puas muaj kev nyab xeeb rau cev xeeb tub yog tias kuv muaj qaug dab peg?

Yog, koj tuaj yeem muaj kev nyab xeeb cev xeeb tub yog tias koj muaj tus kab mob qaug dab peg. Tab sis koj tus kws kho mob yuav xav kuaj xyuas koj thiab koj tus menyuam txoj kev noj qab haus huv tsis tu ncua. Qee cov tshuaj tiv thaiv kab mob qaug dab peg tsis haum rau kev siv thaum cev xeeb tub. Koj tus kws kho mob mam li muab cov tshuaj lwm yam uas muaj kev nyab xeeb dua rau koj los pab tswj koj cov tsos mob. Yog tias koj muaj lus nug lossis kev txhawj xeeb txog qhov no, tus neeg zoo tshaj plaws los tham nrog yog koj tus kws kho mob.

Txawm hais tias qaug dab peg zoo li ib yam dab tsi uas koj pom hauv TV lossis hauv cov yeeb yaj kiab, lawv yuav yog ib yam dab tsi uas koj lossis ib tus neeg koj hlub tau ntsib txhua hnub, lossis ntau zaus dua. Lawv yeej tsis zoo siab rau kev ntsib, thiab ntshai dua thaum saib. Koj yuav xav tias koj tsis yog koj tus kheej ua ntej, thaum lub sijhawm, thiab tom qab qaug dab peg, thiab nws yuav siv sijhawm los kho.

Txawm tias koj qhov qaug dab peg tsis nyob hauv koj txoj kev tswj hwm los xij, tus kws kho mob tuaj yeem pab koj daws cov tsos mob thaum ntxov. Koj tus kws kho mob yuav qhia koj txog kev tswj koj tus mob, lossis pab koj txheeb xyuas thiab zam cov teeb meem uas ua rau koj qaug dab peg. Cov tshuaj tuaj yeem pab txo qhov qaug dab peg ntau zaus, thiab kev phais mob yuav yog ib qho kev xaiv yog tias lwm yam kev kho mob tsis ua haujlwm.

Dab tsi yog yam tseem ceeb tshaj plaws uas peb xav coj mus tsev los ntawm zaj dab neeg no? (Cov Lus Coj Mus Tsev)

Zoo, ntawm no yog qee yam uas yuav tsum nco ntsoov los ntawm qhov peb tau tham txog:

• Qaug dab peg yog ib qho teeb meem tsis zoo hauv kev ua haujlwm ntawm lub hlwb. Txawm hais tias nws tuaj yeem ua rau ntshai, muaj kev kho mob nyob ntawm seb qhov ua rau thiab hom.
• Tsis yog txhua tus neeg qaug dab peg zoo ib yam. Muaj ib txhia neeg txav mus los qeeb qeeb, ib txhia neeg tsuas ntsia koj xwb. Cov tsos mob yuav txawv ntau heev.
• Yog koj muaj qaug dab peg thawj zaug yam tsis muaj laj thawj, lossis yog koj tsis nco qab, nrhiav kev pab kho mob tam sim ntawd. Txawm tias nws tshwm sim zaum ob los xij, mus ntsib kws kho mob tam sim ntawd.
• Nws yog ib qho tseem ceeb heev uas yuav tsum noj cov tshuaj uas koj tus kws kho mob tau sau tseg kom raug thiab raws sijhawm. Tsis txhob tsum noj nws koj tus kheej.
• Nrhiav seb koj cov 'triggers' yog dab tsi thiab sim zam lawv.
• Koj tsis nyob ib leeg xwb. Muaj cov kws kho mob, tsev neeg, thiab cov phooj ywg uas tuaj yeem pab thiab txhawb nqa cov neeg uas muaj qaug dab peg. Saib xyuas koj lub hlwb thiab.
• Kab mob qaug dab peg (qaug dab peg ntev tshaj 5 feeb lossis qaug dab peg tas li) yog ib qho xwm txheej ceev. Yuav tsum tau mus pw hauv tsev kho mob tam sim ntawd.

Yog koj lossis ib tug neeg koj paub muaj lus nug ntxiv txog kev qaug dab peg, tsis txhob ntshai tham nrog kws kho mob. Lawv yuav pab koj.

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