Koj puas muaj mob qaug dab peg ntau zaus thiab? Cia peb kawm txog qhov mob txaus ntshai no? (Status Epilepticus)

Tej zaum nej yuav tau pom peb cov phooj ywg thiab cov neeg hauv tsev neeg muaj qaug dab peg sib law liag. Los yog lawv yuav muaj ib qho qaug dab peg thiab tom qab ntawd muaj dua ua ntej lawv rov qab nco qab. Qhov no yog ib qho mob hnyav heev. Hnub no, peb yuav tham txog qhov mob txaus ntshai thiab xwm txheej ceev no hu ua "Status Epilepticus" ("Status Epilepticus").

Status Epilepticus yog dab tsi?

Hais yooj yim xwb, Status Epilepticus (SE) yog ib yam mob uas ib tug neeg qaug dab peg tas li, lossis qaug dab peg ntau zaus, tsis muaj sijhawm txaus los rov qab nco qab lossis rov zoo. Yam mob no feem ntau tshwm sim rau cov neeg uas muaj qaug dab peg, tab sis cov neeg uas tsis muaj qaug dab peg kuj tuaj yeem muaj cov hom qaug dab peg no tas li vim muaj ntau yam mob.

Qhov no yog ib qho xwm txheej ceev uas ua rau tuag taus thiab xav tau kev kho mob tam sim ntawd.

Yog koj lossis ib tug neeg uas koj nrog nyob muaj mob qaug dab peg ntev tshaj tsib feeb, lossis yog koj tau mob qaug dab peg ntau zaus thiab tsis tau rov qab nco qab zoo, hu rau 1990 (tsheb thauj neeg mob) lossis koj tus xov tooj xwm txheej ceev hauv zos tam sim ntawd. Qhov no tseem ceeb heev, vim tias koj tau txais kev kho mob sai npaum li cas, qhov tshwm sim zoo dua.

Leej twg raug kev cuam tshuam ntau tshaj plaws los ntawm qhov xwm txheej no?

Txhua tus neeg yeej muaj peev xwm muaj mob qaug dab peg, thiab tus mob qaug dab peg (status epilepticus - SE) kuj tsis yog ib qho tshwj xeeb. Txawm li cas los xij, qee tus neeg feem ntau yuav muaj mob qaug dab peg. Cov no suav nrog:

• Hnub Nyoog: Cov menyuam yaus hnub nyoog qis dua ib xyoos thiab cov neeg laus hnub nyoog tshaj 60 xyoo feem ntau yuav muaj tus mob no. Txawm li cas los xij, nws tuaj yeem tshwm sim rau txhua lub hnub nyoog. Ob pawg hnub nyoog no muaj feem yuav muaj tus mob no ntau dua vim muaj lwm yam mob uas tuaj yeem ua rau muaj tus mob qaug dab peg (status epilepticus - SE) (saib Cov Ua Rau Thiab Cov tsos mob).
• Txiv neej/Poj niam: Cov txiv neej muaj feem yuav mob no ntau dua me ntsis.
• Muaj mob qaug dab peg: Feem ntau cov neeg uas muaj mob qaug dab peg (status epilepticus - SE) muaj mob qaug dab peg. Tau pom tias ntawm 16% thiab 38% ntawm cov menyuam yaus thiab ntawm 42% thiab 50% ntawm cov neeg laus muaj mob qaug dab peg.

Tus mob no feem ntau tshwm sim li cas?

Kab mob qaug dab peg (status epilepticus - SE) tsis yog ib yam mob uas tshwm sim ntau, tab sis nws yog ib qho ntawm cov xwm txheej ceev tshaj plaws uas cuam tshuam rau lub hlwb. Cov kws tshaj lij kwv yees tias muaj li ntawm 7 txog 40 tus neeg ntawm txhua 100,000 tus neeg muaj tus mob no txhua xyoo. Qhov ntawd txhais tau tias, piv txwv li, hauv Tebchaws Meskas, muaj li ntawm 23,000 txog 131,800 tus neeg mob tau tshaj tawm txhua xyoo. Kwv yees li 2% ntawm tag nrho cov qaug dab peg tau hloov mus ua tus mob qaug dab peg (status epilepticus - SE), thiab kwv yees li 23% ntawm cov qaug dab peg tshiab hloov mus ua tus mob no.

Tus mob qaug dab peg cuam tshuam rau lub cev li cas?

Txawm hais tias tus kab mob qaug dab peg (status epilepticus - SE) pib hauv koj lub hlwb los xij, nws tuaj yeem muaj kev phom sij rau ntau lub cev thoob plaws koj lub cev. Qhov noYuav kom nkag siab tias qhov no tshwm sim li cas, nws yuav pab kom nkag siab me ntsis txog qhov qaug dab peg yog dab tsi.

Cov nyhuv rau lub hlwb

Cov hlwb hauv koj lub hlwb, hu ua neurons, tsis tuaj yeem ua haujlwm tsis tau tswj hwm rau lub sijhawm ntev. Ib yam li lub cuab yeej hluav taws xob tuaj yeem hlawv tawm yog tias nws raug hluav taws xob ntau dhau, qhov kev ua haujlwm tsis tswj hwm ntawm tus mob qaug dab peg (SE) tuaj yeem ua rau koj cov neurons puas tsuaj. Qhov kev puas tsuaj no feem ntau yog mus tas li. Qhov no txhais tau tias koj yuav poob lub peev xwm los tswj cov feem ntawm koj lub hlwb uas tau puas tsuaj.

Cov teebmeem rau lwm yam kab ke hauv lub cev

Hauv tus mob qaug dab peg (status epilepticus - SE), tag nrho koj cov leeg nqaij tuaj yeem txav mus los tsis tau tswj thiab dav heev. Qhov no ua rau koj lub cev kub nce siab thiab koj cov leeg nqaij qaug zog. Koj lub cev sim them rov qab los ntawm kev tso cov tshuaj lom neeg rau hauv koj cov ntshav. Tab sis qhov no tsuas yog pab tau rau lub sijhawm luv luv xwb.

Yog tias tus kab mob qaug dab peg (status epilepticus - SE) kav ntev, nws tuaj yeem cuam tshuam rau cov kab ke hauv qab no hauv koj lub cev:

• Lub Plawv: Yog tias cov kev hloov pauv tshuaj lom neeg hauv cov ntshav kav ntev dhau, lawv tuaj yeem ua rau muaj kev phom sij es tsis yog pab tau. Qhov no tuaj yeem ua rau lub plawv dhia tsis xwm yeem lossis ua rau lub plawv puas tsuaj. Qee qhov qaug dab peg tuaj yeem ua rau lub plawv qeeb (bradycardia) lossis txawm tias nres tag nrho (asystole).
• Cov leeg nqaij: Cov leeg nqaij tuaj yeem raug puas tsuaj los ntawm kev ua ub ua no tas li, xws li thaum koj siv zog ntau dhau thaum lub sijhawm ua si. Qhov no tuaj yeem ua rau koj cov leeg nqaij thiab lwm cov nqaij mos raug mob. Hauv cov xwm txheej hnyav, qhov kev puas tsuaj no tuaj yeem ua rau koj cov leeg nqaij tawg.
• Raum: Cov khoom uas ua rau cov leeg nqaij tawg yog cov tshuaj lom. Koj lub raum tuaj yeem lim tawm qee yam ntawm cov no, tab sis yog tias ntau ntxiv, lub raum tuaj yeem ua rau lub raum tsis ua haujlwm.
• Ua pa: Tus kab mob qaug dab peg (Status epilepticus - SE) kuj tseem tuaj yeem cuam tshuam koj txoj kev ua pa. Qhov no tuaj yeem ua rau lub hlwb thiab lub cev tsis muaj oxygen txaus, uas thaum kawg tuaj yeem ua rau tuag tau. Cov neeg uas muaj tus kab mob qaug dab peg (Status epilepticus - SE) kuj tseem tuaj yeem nqus cov kua dej los ntawm lawv lub plab mus rau hauv lawv lub ntsws, uas tuaj yeem ua rau mob ntsws thiab mob kis kab mob.
• Kub lub cev siab: Ib yam li kub taub hau, tus kab mob qaug dab peg (STATUS epilepticus - SE) tuaj yeem ua rau koj lub cev kub nce mus txog qib txaus ntshai. Qhov no tuaj yeem ua rau tag nrho koj lub cev puas tsuaj, tshwj xeeb tshaj yog lub hlwb.

Cov tsos mob yog dab tsi?

Cov tsos mob ntawm tus mob qaug dab peg (SE) nyob ntawm thaj chaw ntawm lub hlwb uas raug cuam tshuam. Vim tias qaug dab peg tshwm sim hauv ntau qhov ntawm lub hlwb, muaj ntau hom qaug dab peg. Yog li ntawd, muaj ntau hom subtypes ntawm tus mob qaug dab peg (SE). Lawv yog:

• Kab mob qaug dab peg `(Convulsive SE)`:Qhov no yog tus cwj pwm los ntawm kev co thiab tshee ntawm ob sab ntawm lub cev uas tsis tuaj yeem tswj tau. Kev qaug dab peg dav dav yog hom qaug dab peg tseem ceeb uas tuaj yeem ua rau muaj tus mob no.
• Kab mob qaug dab peg tsis muaj zog (Nonconvulsive status epilepticus) `(Nonconvulsive SE): Hauv qhov no, tsis muaj kev co, kev tshee hnyo, lossis kev txav ntawm cov leeg nqaij uas tsis tswj tau. Txawm li cas los xij, qee qhov kev txav me me ntawm cov leeg nqaij yuav tshwm sim. Piv txwv li, kev co me me ntawm ib txhais caj npab lossis ib feem ntawm lub ntsej muag, xws li kev txav qeeb qeeb rov ua dua. Qhov `(Nonconvulsive SE)` no tuaj yeem tshwm sim los ntawm cov hom kev qaug dab peg xws li `(Absence seizures)` thiab `(Focal seizures)` uas tsuas yog cuam tshuam rau ib feem ntawm lub hlwb xwb.

Vim li cas ho ua li no?

Tsuas muaj ib qho ua rau muaj tus mob qaug dab peg (status epilepticus - SE). Muaj ob txoj hauv kev tseem ceeb uas ua rau muaj tus mob qaug dab peg:

• Qaug dab peg uas ua rau neeg ntshai: Cov no yog los ntawm lwm yam mob lossis ua rau neeg ntshai. Piv txwv li, kub taub hau heev, tsis haus dej cawv lossis siv yeeb tshuaj, ntshav qab zib qis, mob hlwb, mob qog hauv hlwb, thiab mob hlwb. Hom qaug dab peg no suav txog 25% txog 30% ntawm tag nrho cov qaug dab peg. Yog tias qaug dab peg yog los ntawm kev puas tsuaj rau lub hlwb, nws hu ua qaug dab peg mob hnyav, thiab muaj kev pheej hmoo siab dua uas nws yuav loj hlob mus ua tus mob qaug dab peg.
• Qaug dab peg uas tsis muaj kev ua rau: Cov qaug dab peg no tsis yog ib qho tsos mob ntawm ib qho mob lossis ua rau muaj. Lawv tshwm sim thaum ib tus neeg lub hlwb yooj yim ua rau qaug dab peg ntawm nws tus kheej. Qaug dab peg uas tshwm sim hauv xya hnub ntawm kev raug mob taub hau lossis mob hlwb kuj poob rau hauv pawg no.

Cov laj thawj tshwj xeeb ntawm kev qaug dab peg

Muaj ntau yam ua rau mob qaug dab peg. Qee cov hnub nyoog muaj feem yuav mob qaug dab peg ntau dua vim yog tej yam tshwj xeeb. Cov no yog:

• Kub taub hau, tshwj xeeb yog kub taub hau heev: Cov no hu ua "Febrile seizures" thiab yog cov ua rau mob qaug dab peg rau cov menyuam yaus hnub nyoog qis dua ib xyoos.
• Mob stroke, aneurysms, thiab ntshav hauv hlwb: Txhua yam teeb meem nrog lub cev ntshav uas ua rau lub hlwb puas tsuaj lossis cuam tshuam rau kev ua haujlwm ntawm lub hlwb tuaj yeem ua rau qaug dab peg. Mob stroke thiab cov teeb meem cuam tshuam, xws li aneurysms thiab ntshav hauv hlwb, yog cov ua rau qaug dab peg rau cov neeg hnub nyoog tshaj 60 xyoo.

Lwm yam laj thawj:

• Cov qog nqaij hlav hauv hlwb (xws li mob qog nqaij hlav).
• Tsis muaj oxygen txaus rau lub hlwb (Cerebral hypoxia).
• Raug mob taub hau hnyav '(Kev raug mob taub hau hnyav thiab kev raug mob hlwb)'.
• Cov kab mob uas maj mam ua rau lub hlwb puas tsuaj, piv txwv li tus kab mob Alzheimer lossis tus kab mob frontotemporal dementia.
• Tshuaj yeeb thiab cawv (qhov no suav nrog cov tshuaj, cov tshuaj ua si lom zem, thiab txawm tias caffeine).
• Kev rho tawm ntawm kev siv tshuaj yeeb los yog cawv.
• Eclampsia yog ib qho qaug dab peg uas tshwm sim los ntawm ntshav siab thaum cev xeeb tub.
• Teeb meem electrolyte, tshwj xeeb tshaj yog hyponatremia, calcium lossis magnesium deficiency.
• Kev rhiab heev rau lub teeb ci ntsa iab lossis ntsais muag.
• Cov kab mob caj ces (cov kab mob uas tau txais los ntawm niam txiv thaum yug los).
• Kev hloov pauv ntawm cov tshuaj hormones (piv txwv li, catamenial epilepsy, uas cuam tshuam rau cov neeg uas muaj lub voj voog ncig, tuaj yeem ua rau muaj kev qaug dab peg ntau dua thaum lub sijhawm ntawm lub voj voog).
• Cov kab mob (tshwj xeeb tshaj yog cov kab mob uas tshwm sim los ntawm cov kab mob virus, bacteria, parasite, lossis fungi, xws li encephalitis lossis meningitis).
• Kev o los ntawm cov kab mob ntawm lub cev tiv thaiv kab mob (thaum koj lub cev tiv thaiv kab mob tawm tsam koj lub hlwb).
• Teeb meem metabolic, tshwj xeeb tshaj yog cov ntshav qab zib siab (Hyperglycemia) lossis cov ntshav qab zib qis (Hypoglycemia).
• Teeb meem nrog cov qauv hlwb (tshwj xeeb tshaj yog cov uas muaj thaum yug los).
• Sepsis (kev lom ntshav).
• Cov tshuaj lom thiab cov tshuaj lom (xws li kev lom carbon monoxide lossis kev lom hlau hnyav).

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

Tus kws kho mob tuaj yeem kuaj mob ua ntej seb puas muaj tus mob qaug dab peg (status epilepticus - SE) raws li tus neeg mob cov tsos mob qaug dab peg, qaug dab peg ntev npaum li cas, thiab seb puas muaj sijhawm txaus los rov zoo tom qab ntau tshaj ib zaug qaug dab peg. Txawm li cas los xij, nws tseem ceeb heev kom paub tias vim li cas tus neeg mob thiaj muaj qaug dab peg uas ua rau muaj tus mob qaug dab peg (status epilepticus - SE). Qhov no feem ntau yuav siv ntau txoj kev.

Yuav ua li cas thiaj kuaj tau tus mob no?

Kev kuaj electroencephalogram (EEG) yog txoj hauv kev zoo tshaj plaws los kuaj mob qaug dab peg, suav nrog tus mob qaug dab peg (SE). Hauv qhov kev kuaj no, cov sensors uas muaj cov gel nplaum uas ua hluav taws xob tau muab tso rau ntawm koj lub taub hau. Cov gel no pab cov sensors ntes tau cov haujlwm hluav taws xob hauv koj lub hlwb.

Cov kws kho mob tuaj yeem kuaj mob qaug dab peg los ntawm kev saib cov qauv ntawm koj lub hlwb ua haujlwm. Yog tias ib tug neeg muaj qaug dab peg uas txuas ntxiv mus, lossis yog tias lawv muaj ntau qhov qaug dab peg sib law liag, tus kws kho mob yuav kuaj mob qaug dab peg (status epilepticus - SE). EEG tseem ceeb heev rau ib tug neeg uas muaj mob qaug dab peg tsis qaug dab peg (Nonconvulsive SE).

Txawm li cas los xij, tus kws kho mob kuj yuav tsum txiav txim siab seb tus neeg ntawd qaug dab peg puas yog "Ua rau" lossis "Tsis Ua rau." Qhov no yuav tsum tau muaj ntau yam kev kuaj mob thiab kev soj ntsuam. Piv txwv li:

• Kev kuaj ntshav: Cov no tuaj yeem ntes tau ntau yam, xws li kev tsis sib npaug ntawm cov tshuaj lom neeg hauv lub cev thiab cov ntshav, teeb meem ntawm lub cev tiv thaiv kab mob, cov tshuaj lom, thiab cov tshuaj lom.
• Kev kuaj mob CT scan (Computerized Tomography - CT scan).
• Kev kuaj MRI (Magnetic Resonance Imaging - MRI).
• Lub qhov dej txha nqaj qaum / Lub duav.

Koj tus kws kho mob kuj tseem yuav pom zoo kom kuaj lwm yam. Qhov no nyob ntawm ntau yam, xws li seb koj puas muaj kev raug mob, koj keeb kwm kho mob, hom qaug dab peg uas koj muaj, thiab ntau ntxiv. Koj tus kws kho mob (lossis ib tus neeg uas koj xaiv los txiav txim siab kho mob rau koj) yuav qhia rau koj tias kev kuaj twg zoo tshaj plaws rau koj, thiab yog vim li cas.

Yuav kho li cas? Puas kho tau?

Kev kho mob qaug dab peg (Status epilepticus - SE) siv ntau txoj kev sib xyaw ua ke. Qhov no yog vim tias tus kab mob qaug dab peg (Status epilepticus - SE) tuaj yeem ua rau muaj teeb meem loj lossis ua rau tuag taus uas cuam tshuam rau tag nrho lub cev. Cov kev kho mob no suav nrog:

• Cov tshuaj kho mob.
• Kev ntxig raj.
• Kev kho cov teeb meem tseem ceeb (yog tias muaj).
• Kev kho mob ntxiv.

Thaum tus kab mob qaug dab peg (status epilepticus - SE) tsis teb rau kev kho mob, nws hu ua refractory SE. Txawm li cas los xij, tseem muaj kev xaiv kho mob.

Cov tshuaj kho mob

Tshuaj yog ib qho tseem ceeb rau kev tiv thaiv kev qaug dab peg hauv koj lub hlwb. Tshuaj kuj tseem tuaj yeem kho lwm yam teeb meem, xws li teeb meem plawv dhia, uas tuaj yeem tshwm sim vim yog tus mob qaug dab peg (status epilepticus - SE).

Cov tshuaj siv feem ntau los tiv thaiv kev qaug dab peg yog:

• Benzodiazepines (Benzos): Cov tshuaj no ua haujlwm los ntawm kev thaiv cov hluav taws xob ntawm koj cov neurons thiab tiv thaiv kev qaug dab peg. Lawv feem ntau yog muab los ntawm kev txhaj tshuaj ncaj qha rau hauv koj lub cev, lossis los ntawm txoj kab IV. Lawv tuaj yeem ua cov tshuaj tsuag rau hauv qhov ntswg lossis gel. Lawv tuaj yeem muab los ntawm qhov ncauj lossis qhov quav (gels yooj yim nqus los ntawm cov ntaub so ntswg ntawm qhov ncauj thiab qhov quav). Feem ntau ntawm cov no yog cov tshuaj thawj kab. Tab sis qee qhov tsuas yog siv rau thaum lwm cov tshuaj tsis ua haujlwm.
• Cov tshuaj tiv thaiv qaug dab peg: Benzodiazepines ib leeg xwb thiaj li tiv thaiv tau qaug dab peg tsuas yog li ntawm 50% ntawm lub sijhawm xwb. Hauv lwm 50% ntawm cov neeg mob, qaug dab peg pib dua thaum cov tshuaj thawj zaug ploj mus. Yog li ntawd, cov tshuaj no tuaj yeem pab tiv thaiv kom tsis txhob rov qab qaug dab peg mus ntev. Cov tshuaj tiv thaiv qaug dab peg kuj hloov txoj kev ua haujlwm ntawm koj lub hlwb, txo cov hluav taws xob hauv koj lub hlwb. Cov tshuaj no raug muab ua IV.
• Tshuaj loog dav dav: Hauv cov xwm txheej hnyav tshaj plaws, cov kws kho mob siv tshuaj loog los ua kom ib tug neeg tsis nco qab vim yog kev kho mob. Qhov no tiv thaiv tus neeg lub hlwb thiab lub cev ntawm kev puas tsuaj uas tshwm sim los ntawm tus kab mob qaug dab peg (SE).

Kev ntxig raj

Kev ntxig raj yog kev muab ib lub raj tso rau hauv tus neeg lub raj cua (bronchi ). Lub raj no ua kom tus neeg lub raj cua tseem qhib. Nws kuj tseem cia cov neeg ua haujlwm kho mob ua pa rau koj siv cov hnab cawm siav lossis lub tshuab ua pa.

Kev kho cov teeb meem tseem ceeb

Thaum ib tug neeg muaj mob qaug dab peg, kev kho qhov ua rau mob qee zaum txaus kom tsis txhob mob qaug dab peg. Piv txwv li, mob qaug dab peg los ntawm cov tshuaj, cov tshuaj lom, kev haus dej cawv lossis tshuaj yeeb, lossis teeb meem kev zom zaub mov xws li cov sodium lossis potassium siab lossis qis.

Kev kho mob uas tiv thaiv kev qaug dab peg

Lwm txoj kev yog tiv thaiv kom tsis txhob muaj qaug dab peg, yog li ntawd tiv thaiv kom tsis txhob muaj tus mob qaug dab peg (status epilepticus - SE) dua. Qee txoj kev siv ntau tshaj plaws los tiv thaiv kom tsis txhob muaj qaug dab peg (lossis tsawg kawg txo qhov hnyav lossis zaus) yog:

• Cov tshuaj kho mob.
• Kev phais mob qaug dab peg.
• Kev hloov pauv hauv kev noj zaub mov (tshwj xeeb tshaj yog cov zaub mov uas muaj carbohydrate tsawg lossis tsis muaj "Ketogenic diets").
• Kev txhawb nqa lub paj hlwb (xws li kev txhawb nqa lub hlwb tob lossis kev txhawb nqa cov hlab ntsha vagus).

Lwm yam kev kho mob

Nyob ntawm koj tus mob thiab qhov xwm txheej tshwj xeeb, tej zaum yuav muaj lwm yam kev kho mob thiab cov txheej txheem uas muaj. Koj tus kws kho mob (lossis ib tus neeg uas tau tso cai txiav txim siab txog kev kho mob rau koj) yuav muaj peev xwm pom zoo qhov kev kho mob twg zoo tshaj plaws rau koj thiab piav qhia vim li cas.

Cov teeb meem lossis cov kev mob tshwm sim ntawm kev kho mob yog dab tsi?

Cov teeb meem lossis cov kev mob tshwm sim uas yuav tshwm sim los ntawm kev kho mob rau tus mob qaug dab peg (SE) nyob ntawm ntau yam. Cov no suav nrog:

• Kev nco tsis zoo.
• Teeb meem kev noj qab haus huv ntawm lub hlwb (xws li kev nyuaj siab thiab/lossis kev ntxhov siab).
• Qhov kev kho mob tshwj xeeb uas koj tau txais.
• Qhov ua rau qaug dab peg (yog tias cov kws kho mob nrhiav tau).
• Koj keeb kwm kev kho mob thiab txhua yam mob uas koj muaj ua ntej.

Koj tus kws kho mob yog tus neeg zoo tshaj plaws los piav qhia txog tej teeb meem thiab tej kev mob tshwm sim uas yuav tshwm sim, thiab kuj tseem tuaj yeem muab cov lus qhia rau koj txog yuav ua li cas tiv thaiv lossis txo kom tsawg dua yog tias ua tau.

Kuv yuav saib xyuas kuv tus kheej lossis tswj cov tsos mob li cas?

Kab mob qaug dab peg (Status epilepticus - SE) yog ib qho xwm txheej ceev uas ua rau tuag taus. Cov neeg uas muaj tus mob no tsis tuaj yeem saib xyuas lawv tus kheej lossis tsis tuaj yeem nres qhov qaug dab peg ncaj qha. Tib txoj kev nyab xeeb los kuaj mob thiab kho nws yog mus rau chav kho mob ceev - lossis lwm qhov chaw kho mob ceev - uas muaj cov khoom siv thiab cov khoom siv tsim nyog. Vim li no, tus mob no yeej ib txwm yog ib qho laj thawj hu rau 1990 (Kev Pabcuam Kho Mob Ceev) lossis koj tus lej xov tooj xwm txheej ceev hauv zos thiab nrhiav kev kho mob tam sim ntawd.

Yuav siv sijhawm ntev npaum li cas thiaj rov zoo tom qab kho tas?

Lub sijhawm rov zoo los ntawm tus mob qaug dab peg (status epilepticus - SE) thiab nws txoj kev kho mob nyob ntawm ntau yam. Cov yam tseem ceeb tshaj plaws uas txiav txim siab lub sijhawm rov zoo yog dab tsi ua rau koj tus mob qaug dab peg thiab nws tau ntev npaum li cas. Koj tus kws kho mob yog tus neeg zoo tshaj plaws los qhia koj txog lub sijhawm rov zoo hauv koj rooj plaub.

Yuav ua li cas thiaj txo tau qhov kev pheej hmoo ntawm tus mob qaug dab peg?

Muaj ntau yam ua rau qaug dab peg, thiab ntau yam uas peb tsis paub ua ntej. Yog li ntawd, tsis muaj ib txoj kev twg los tiv thaiv tau qaug dab peg thiab mob qaug dab peg (status epilepticus - SE) kom tag nrho. Txawm li cas los xij, muaj ntau txoj hauv kev los txo koj txoj kev pheej hmoo ntawm kev qaug dab peg. Ua li ntawd yuav txo qhov muaj feem ntawm kev qaug dab peg mus rau hauv mob qaug dab peg (status epilepticus - SE). Nov yog qee yam uas koj tuaj yeem ua tau los txo koj txoj kev pheej hmoo ntawm kev qaug dab peg:

• Khaws cov tshuaj cawm siav kom zoo: Rau cov neeg uas paub tias lawv muaj teeb meem qaug dab peg, kev muaj cov tshuaj "cawm" nyob ntawm tes tuaj yeem ua qhov sib txawv loj. Piv txwv li, benzodiazepines uas muaj nyob rau hauv cov tshuaj tsuag ntswg. Ib tug neeg tuaj yeem muab cov no rau koj kom tiv thaiv qaug dab peg. Lwm qhov piv txwv yog cov tshuaj ntsiav uas yaj hauv qhov ncauj. Koj tuaj yeem noj qhov no ntawm kev qaug dab peg kom tiv thaiv qaug dab peg ntau zaus. Yog tias lwm tus neeg muaj qaug dab peg, muab cov tshuaj uas tau sau tseg rau lawv tom qab qaug dab peg tsis ua li ntawd lawm.
• Noj zaub mov kom sib npaug thiab tswj qhov hnyav kom noj qab nyob zoo: Muaj ntau yam kab mob uas cuam tshuam nrog koj txoj kev noj qab haus huv ntawm lub plawv thiab lub plawv, tshwj xeeb tshaj yog mob stroke, tuaj yeem ua rau qee qhov ntawm koj lub hlwb puas tsuaj. Qhov no yog ib qho ua rau qaug dab peg rau cov neeg hnub nyoog tshaj 60 xyoo. Kev tswj koj cov zaub mov noj kuj tseem tuaj yeem pab tiv thaiv kev qaug dab peg los ntawm cov teeb meem electrolyte (piv txwv li, sodium ntau dhau lossis tsawg dhau). Ib txhia neeg yuav xav tau kev noj zaub mov qis-carb lossis tsis-carb kom tiv thaiv kev qaug dab peg. Tus kws kho mob tuaj yeem coj thiab pab koj nrog cov zaub mov no.
• Kho cov kab mob: Nws yog ib qho tseem ceeb heev rau kev kho cov kab mob ntawm qhov muag thiab pob ntseg. Cov kab mob tuaj yeem kis mus rau lub hlwb thiab/lossis ua rau kub taub hau heev. Ob qho tib si no tuaj yeem ua rau qaug dab peg.
• Hnav cov khoom siv kev nyab xeeb: Kev raug mob ntawm lub taub hau yog ib qho ua rau muaj kev cuam tshuam loj heev. Kev hnav cov khoom siv kev nyab xeeb, xws li lub kaus mom hlau thiab siv txoj siv sia, thaum twg tsim nyog, tuaj yeem pab tiv thaiv kev raug mob uas yuav ua rau muaj kev cuam tshuam loj heev.
• Tsis txhob haus dej cawv, siv tshuaj, thiab siv tshuaj lom zem: Siv tsis raws cai yuav ua rau qaug dab peg. Tsis tas li ntawd, yog tias koj quav rau cov no, koj tseem tuaj yeem qaug dab peg thaum koj tsis siv lawm.
• Tswj koj cov mob nkeeg: Kev tswj cov mob nkeeg ntev tuaj yeem pab tiv thaiv kev qaug dab peg, tshwj xeeb tshaj yog cov uas tshwm sim los ntawm cov ntshav qab zib ntau, xws li ntshav qab zib hom 1 thiab ntshav qab zib hom 2. Yog tias koj muaj mob qaug dab peg, kev noj tshuaj tiv thaiv kev qaug dab peg kuj yog ib feem ntawm koj txoj kev tswj kab mob.

Yog tias kuv muaj tus mob qaug dab peg, kuv yuav tsum tau tos li cas?

Yog koj muaj tus mob qaug dab peg (status epilepticus "(SE), koj yuav tsis nco qab vim tias qhov qaug dab peg ua rau koj lub hlwb ua haujlwm tsis zoo. Thaum koj qaug dab peg, koj lub hlwb yuav ua haujlwm tsis zoo, ua rau koj tsis nkag siab tias muaj dab tsi tshwm sim lossis ua dab tsi raws li lub hom phiaj. Qhov cuam tshuam rau koj lub cev yog nyob ntawm hom qaug dab peg uas ua rau muaj tus mob qaug dab peg (status epilepticus "(SE). Cov neeg uas muaj tus mob qaug dab peg (status epilepticus "(SE)" kuj tuaj yeem raug mob los ntawm kev ntog lossis tsoo cov khoom nyob ze.

Kab mob qaug dab peg kav ntev npaum li cas?

Kab mob qaug dab peg (status epilepticus - SE) kav ntev li tsib feeb. Yog qaug dab peg ntev npaum li cas, ces yuav tsis muaj feem yuav nres nws tus kheej. Qhov no txhais tau tias kab mob qaug dab peg (status epilepticus - SE) yuav kav ntev mus txog thaum tuag vim yog qhov teeb meem ntawm tus mob no.

Qhov xwm txheej no yuav zoo li cas?

Kab mob qaug dab peg (status epilepticus - SE) yog ib qho xwm txheej ceev hauv kev kho mob vim tias feem ntau nws ua rau tuag taus yog tias tsis kho. Txawm li cas los xij, cov kev kho mob tau zoo dua qub. Niaj hnub no, tsuas yog tus kab mob qaug dab peg (status epilepticus - SE) xwb thiaj ua rau tuag taus tsuas yog 0.5% txog 2% ntawm cov neeg mob.

Feem ntau, cov menyuam yaus thiab cov menyuam mos uas muaj tus kab mob qaug dab peg (status epilepticus - SE) los ntawm kev qaug dab peg kub taub hau muaj lub neej zoo tshaj plaws. Txawm li cas los xij, yog tias nws tshwm sim nrog rau kev mob hnyav xws li mob stroke, qhov kev pheej hmoo ntawm kev tuag (los ntawm tus kab mob qaug dab peg (SE) lossis los ntawm lwm yam kab mob) nce ntxiv. Qhov no yog vim li cas tus nqi ciaj sia rau tus kab mob qaug dab peg (SE) qis ntawm cov neeg laus hnub nyoog tshaj 60 xyoo.

Kuv yuav saib xyuas kuv tus kheej li cas? (Txhawm rau tiv thaiv kev qaug dab peg)

Yog koj muaj keeb kwm mob qaug dab peg (status epilepticus - SE), kev tiv thaiv kev qaug dab peg yog qhov tseem ceeb tshaj plaws uas koj ua tau los saib xyuas koj tus kheej. Cov kauj ruam tseem ceeb tshaj plaws uas koj ua tau los tiv thaiv kev qaug dab peg yog:

• Khaws cov tshuaj cawm siav nrog koj: Yog tias koj muaj cov tshuaj thaum muaj xwm txheej ceev uas koj tus kws kho mob tau sau ntawv kom koj khaws cia nrog koj txhua lub sijhawm. Tsis txhob tawm hauv tsev yam tsis muaj lawv. Khaws daim npav uas muaj koj tus mob thiab tej yam koj xav tau tshuaj lossis kev ua xua, lossis xav txog kev hnav lub kauj tes qhia txog kev kho mob. Qhov no tuaj yeem pab tau cov neeg pab thawj zaug yog tias koj xav tau kev pab kho mob thiab tsis muaj leej twg paub koj tus mob nyob ze.
• Noj koj cov tshuaj raws li tau qhia: Kev noj koj cov tshuaj tiv thaiv kab mob qaug dab peg tuaj yeem pab txo qhov zaus thiab qhov hnyav ntawm koj cov qaug dab peg. Qhov no tseem ceeb heev kom tiv thaiv tau tus mob qaug dab peg (status epilepticus - SE). Txawm tias koj xav tias zoo dua lossis tsis tau qaug dab peg ntev lawm los xij, koj yuav tsum tsis txhob tsum noj koj cov tshuaj. Koj tsuas yog yuav tsum tsum noj lawv nrog koj tus kws kho mob cov lus qhia.
• Tham nrog koj tus kws kho mob txog cov kev xaiv: Yog tias koj xav txo koj cov tshuaj lossis hloov mus rau lwm yam tshuaj, koj tus kws kho mob tuaj yeem qhia koj yog tias nws ua tau thiab koj cov kev xaiv yog dab tsi. Yog tias nws ua tau kom tsum lossis hloov, koj tus kws kho mob tuaj yeem pab koj ua nws kom muaj kev nyab xeeb.
• Mus ntsib koj tus kws kho mob tsis tu ncua: Koj tus kws kho mob yuav teem sijhawm rau koj mus ntsib. Cov sijhawm teem tseg no yog qhov tseem ceeb heev rau kev tswj koj tus mob thiab nrhiav cov tshuaj lossis kev kho mob zoo.
• Tsis txhob tsis quav ntsej cov tsos mob: Koj tus kws kho mob tuaj yeem pab koj paub txog cov cim ceeb toom lossis cov tsos mob uas yuav tshwm sim ua ntej qaug dab peg. Yog tias koj pom muaj kev hloov pauv hauv koj cov tsos mob ntsig txog qaug dab peg lossis qhov ua tau zoo ntawm koj cov tshuaj, koj yuav tsum qhia rau koj tus kws kho mob.
• Tsis txhob ua rau koj qaug dab peg: Yog tias koj muaj tej yam mob uas ua rau koj muaj feem yuav qaug dab peg ntau ntxiv, xws li teeb ci ntsa iab lossis tsis tsaug zog, zam cov no thaum twg ua tau.

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

Kab mob qaug dab peg (Status epilepticus '(SE)' yog ib qho xwm txheej ceev hauv kev kho mob. Yog tias koj muaj kab mob qaug dab peg (Status epilepticus '(SE), koj tsis tuaj yeem hu rau 911 (Emergency Medical Service) koj tus kheej, yog li ntawd, kev cia lwm tus ua qhov no tuaj yeem ua qhov sib txawv loj. Yog tias koj muaj keeb kwm ntawm kab mob qaug dab peg (Status epilepticus '(SE)' thiab muaj feem yuav rov qab muaj dua, nws yuav pab tau yog tias koj tham nrog koj tsev neeg, cov neeg koj hlub, cov neeg ua haujlwm nrog, thiab cov phooj ywg. Kev qhia rau lawv paub thaum twg yuav tsum nrhiav kev pab tuaj yeem cawm koj txoj sia lossis lub neej ntawm lwm tus neeg.

Yog tias ib tug neeg uas koj nrog nyob muaj mob qaug dab peg ntev dua tsib feeb, lossis yog tias lawv tau muaj ntau tshaj ib zaug mob qaug dab peg thiab tsis tau zoo, hu rau 1990 (Kev Pabcuam Kho Mob Thaum Muaj Xwm Ceev) lossis koj tus xov tooj xwm ceev hauv zos tam sim ntawd. Thaum ib tug neeg tau txais kev kho mob rau tus mob qaug dab peg (SE) sai npaum li cas, qhov zoo dua uas yuav muaj qhov tshwm sim zoo.

Yog tias muaj ib tug neeg nrog kuv muaj qaug dab peg, kuv yuav ua li cas?

Yog tias ib tug neeg uas koj nrog nyob muaj qaug dab peg, muaj ob peb yam uas koj ua tau los pab thawj zaug rau qaug dab peg. Yog tias qaug dab peg ntev tshaj tsib feeb, lossis yog tias tus neeg ntawd qaug dab peg dua ua ntej lawv zoo tag nrho, hu rau 1990 (Xwm Txheej Ceev) lossis koj tus xov tooj xwm txheej ceev hauv zos tam sim ntawd.

Nov yog qee yam uas koj yuav tsum ua thiab tsis txhob ua thaum ib tug neeg muaj qaug dab peg:

Tej yam yuav tsum ua:

• Xyuas seb nws puas ua pa tau: Tshem cov khaub ncaws nyob ib ncig ntawm nws lub caj dab thiab xyuas kom meej tias nws ua pa tau.
• Khaws cov khoom txaus ntshai kom deb ntawm nws: Qhov no suav nrog cov khoom uas yuav tawg lossis poob thiab ua rau nws raug mob. Yog tias nws hnav tsom iav, ua tib zoo tshem lawv thiab muab tso ze.
• Tig nws mus rau hauv 'Txuag txoj haujlwm':Tig tus neeg ntawd rau ntawm lawv ib sab. Qhov no yuav pab tiv thaiv lawv txoj kev ua pa thiab tiv thaiv lawv kom tsis txhob nqus cov kua xws li cov qaub ncaug lossis cov ntuav. Sim ua kom lawv lub taub hau sib npaug nrog lawv tus txha nqaj qaum (nrog lawv txhais tes ncab tawm, lub hauv ncoo, lossis lwm yam khoom hauv qab lawv lub taub hau), txwv tsis pub lub kaum ntawm lawv lub caj dab yuav thaiv lawv txoj kev ua pa thiab ua rau nws nyuaj rau ua pa.
• Lub sijhawm qaug dab peg kom ze li sai tau: Qhia rau kws kho mob tias qaug dab peg ntev npaum li cas yog cov ntaub ntawv tseem ceeb heev. Nws kuj tseem tuaj yeem pab txiav txim siab seb puas xav tau kev kho mob thaum muaj xwm txheej ceev.
• Nyob nrog lawv thaum lawv rov zoo los ntawm kev qaug dab peg: Cov neeg uas tau qaug dab peg feem ntau tsis meej pem thiab ntshai thaum lawv rov zoo los ntawm lawv qhov kev qaug dab peg. Pab lawv nplij thiab ua kom lawv ntseeg siab.
• Xyuas seb tus neeg puas zoo tom qab lawv rov qab nco qab: Yog tias lawv muaj kev raug mob tom qab qaug dab peg, saib seb lawv puas xav tau kev kho mob. Yog tias tus neeg ntawd tau ntaus lawv lub taub hau, lossis yog tias muaj kev pheej hmoo ntawm kev raug mob rau lub taub hau, caj dab, lossis nraub qaum, qhov muaj kev nyab xeeb tshaj plaws yog nrhiav kev kho mob thiab xyuas kom meej tias tsis muaj kev raug mob loj uas koj tsis pom.
• Nrhiav kev pab yog tias tus neeg ntawd tsis zoo hauv 10-15 feeb: Yog tias tus neeg ntawd tsis zoo ntau tshaj 10-15 feeb tom qab qaug dab peg lawm, lossis yog tias lawv tsis teb, koj yuav tsum nrhiav kev kho mob thaum muaj xwm txheej ceev. Qhov no yuav yog ib qho cim qhia tias qaug dab peg tseem muaj, txawm tias lub cev tsis txav mus los.

Tej yam uas yuav tsum tsis txhob ua:

• Tsis Txhob Ntshai: Nyob twj ywm. Yog tias lwm tus neeg nyob ib puag ncig koj ntshai, tham nrog lawv kom siab tus li sai tau thiab sim nplij lawv kom zoo tshaj plaws.
• Tsis txhob "txwv" ib tus neeg uas muaj qaug dab peg: koj yuav ua rau tus neeg ntawd lossis koj tus kheej raug mob.
• Tsis txhob muab dab tsi rau hauv qhov ncauj ntawm ib tus neeg uas muaj qaug dab peg: Muaj ntau zaj dab neeg txog qaug dab peg thiab qaug dab peg. Ib zaj dab neeg yog tias muab ib yam dab tsi zoo li siv txoj siv lossis diav rau hauv ib tus neeg lub qhov ncauj yuav tiv thaiv lawv kom tsis txhob nqos lossis tom lawv tus nplaig. Tsis txhob ua li no. Koj yuav tsum tsis txhob muab dab tsi rau hauv qhov ncauj ntawm ib tus neeg uas muaj qaug dab peg. Koj tuaj yeem ua rau lawv lossis koj tus kheej raug mob.

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

Muaj coob tus neeg muaj cov cim qhia thaum lawv yuav muaj qaug dab peg. Yog tias koj xav tias koj muaj qaug dab peg, koj tuaj yeem ua cov no los npaj thiab tiv thaiv koj tus kheej:

• Ua kom koj tus kheej muaj kev nyab xeeb li sai tau: Zaum lossis pw kom koj tsis txhob ntog thiab raug mob. Yog tias koj ua ib yam dab tsi xws li tsav tsheb, siv tshuab hnyav, lossis siv riam phom, koj yuav tsum tsis txhob ua li ntawd.
• Hu rau ib tus neeg uas koj ntseeg siab thiab thov kev pab: qhia rau lawv paub tias koj nyob qhov twg thiab yuav nrhiav koj li cas.
• Yog koj tsis tuaj yeem nrog ib tus neeg koj paub tham, qhia rau ib tus neeg ze koj: Nrhiav ib tus neeg uas muaj lub luag haujlwm lossis muaj hwj chim thiab qhia rau lawv tias koj xav tias koj qaug dab peg. Piv txwv li, koj tuaj yeem qhia rau ib tus tub ceev xwm, ib tus neeg saib xyuas kev ruaj ntseg, ib tus xib fwb, lossis ib tus neeg ua haujlwm hauv khw.

Cov Lus Qhia Luv Luv thiab Cov Lus Qhia Txog Kev Yuav Mus Tsev

Mob qaug dab peg (Status Epilepticus - SE) yog ib qho xwm txheej ceev uas ua rau tuag taus uas tshwm sim thaum qaug dab peg ntev tshaj tsib feeb, lossis thaum tsis muaj sijhawm txaus los kho kom zoo los ntawm qaug dab peg. Kev muaj feem yuav qaug dab peg thiab mob qaug dab peg (status epilepticus - SE), lossis pom ib tus neeg koj hlub qaug dab peg ntev, tuaj yeem ua rau koj ntxhov siab thiab ntshai.

Txawm li cas los xij, yog tias kho sai sai, ntau tus neeg yuav muaj sia nyob thiab rov zoo los ntawm tus mob no. Yog tias muaj kev kho mob, tshuaj, thiab lwm yam kev kho mob txuas ntxiv mus, ntau tus neeg uas muaj keeb kwm ntawm tus kab mob qaug dab peg (SE) tuaj yeem rov zoo thiab rov qab mus ua neej tau.

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Nco ntsoov, yog tias ib tug neeg qaug dab peg ntev tshaj 5 feeb lossis tsis rov qab nco qab ntawm qhov qaug dab peg, hu rau 911 lossis chaw kho mob thaum muaj xwm txheej ceev tam sim ntawd!

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