Puas muaj leej twg hauv koj tsev neeg tau muaj mob qaug dab peg hnyav zoo li no? Cia peb kawm txog Tonic-Clonic (kuj tseem hu ua Grand Mal) qaug dab peg!

Koj puas tau pom ib tug neeg txav thiab tsis nco qab li? Lawv tej zaum yuav ntws dej ntws. Peb txhua tus ntshai thaum peb pom tej xwm txheej zoo li no, puas yog? Muaj ntau hom qaug dab peg uas tshwm sim li no. Hnub no peb yuav tham txog Tonic-Clonic (Grand Mal) qaug dab peg, uas yog ib hom qaug dab peg hnyav dua me ntsis tab sis paub zoo ntawm ntau tus neeg. Cia peb saib seb nws yog dab tsi, vim li cas nws thiaj tshwm sim, cov tsos mob yog dab tsi, thiab peb yuav tsum ua li cas rau qhov xwm txheej zoo li no.

Qaug dab peg tonic-clonic los yog grand mal yog dab tsi?

Hais yooj yim xwb, qhov mob qaug dab peg tonic-clonic yog qhov mob qaug dab peg hnyav uas cov leeg ntawm ob sab ntawm peb lub cev cia li ua haujlwm thiab co. Qhov no yog hom uas feem ntau cov neeg xav txog thaum lawv hnov ​​​​lo lus "seizure" thiab yooj yim paub. Yav tas los nws hu ua "Grand Mal." Nws yog ib lo lus Fab Kis uas txhais tau tias "mob loj."

Lub npe "Tonic-Clonic" qhia tias qhov qaug dab peg no muaj ob theem tseem ceeb.

1. Theem Tonic: Qhov no yog thaum cov leeg ntawm tag nrho lub cev, tshwj xeeb tshaj yog caj npab thiab ceg, maj mam nruj.

2. Theem Clonic: Qhov no ua raws li lub cev co, lossis qaug dab peg.

Qhov qaug dab peg no txawv li cas ntawm lwm hom qaug dab peg thiab qaug dab peg?

Muaj ntau hom qaug dab peg. Qee hom muaj lub npe zoo sib xws, uas ua rau neeg tsis meej pem. Cia peb saib qhov txawv tseem ceeb:

• Qaug dab peg Atonic: Kuj hu ua "drop attacks," cov no yog cov leeg nqaij uas raug mob sai sai, tsis xav kom tus neeg ntog rau hauv av. Qhov no ua rau muaj kev pheej hmoo ntawm kev raug mob los ntawm kev ntog.
• Qaug dab peg Tonic: Cov no zoo ib yam li qaug dab peg tonic-clonic, tab sis theem clonic, lossis jerking, tsis tshwm sim. Tus neeg yuav tsis nco qab thiab tawv, tab sis tsis muaj jerking.
• Qaug dab peg Clonic: Qhov no yog qaug dab peg uas tshwm sim yam tsis muaj theem tonic, thiab mam li mus rau theem clonic. Qhov no txhais tau tias lub cev tsis tawv, tab sis hloov chaw pib co thiab tej zaum yuav tsis nco qab.
• Mob qaug dab peg Myoclonic: Qhov no yog kev co ntawm ib pawg leeg nqaij. Nws zoo li raug hluav taws xob ntaus. Yog tias nws cuam tshuam rau ob txhais ceg, koj yuav ntog. (Tab sis ntawm no yog qee yam me me: Thaum peb lub cev co tam sim ntawd thaum peb yuav pw tsaug zog, nws hu ua 'myoclonic jerk.' Nws yog ib txwm muaj, tsis yog qaug dab peg lossis qaug dab peg. )
• Kab mob qaug dab peg: Kab mob qaug dab peg yog ib qho mob hauv lub hlwb uas ua rau muaj mob qaug dab peg ntau zaus, tsis paub meej. Cov kws kho mob kuaj mob qaug dab peg los ntawm:Feem ntau nws yog ua yog tias koj tau muaj tsawg kawg yog ob qho kev qaug dab peg uas tsis tau ua rau muaj hauv lub sijhawm ntau dua 24 teev, lossis yog tias koj tau muaj ib qho kev qaug dab peg thiab muaj kev pheej hmoo siab ntawm kev muaj lwm qhov hauv 10 xyoo tom ntej.

Leej twg raug tus mob no ntau tshaj? Nws tshwm sim ntau npaum li cas?

Txhua tus neeg yeej muaj peev xwm mob qaug dab peg, tab sis qee tus neeg yuav muaj feem mob qaug dab peg ntau dua. Mob qaug dab peg feem ntau tshwm sim rau cov menyuam yaus thiab cov neeg hnub nyoog tshaj 65 xyoos.

Zuag qhia tag nrho, kwv yees li 25% ntawm cov neeg uas muaj qaug dab peg muaj qaug dab peg tonic-clonic. Raws li cov ntaub ntawv hauv Tebchaws Meskas, kwv yees li 11% ntawm cov neeg yuav muaj qaug dab peg hauv lawv lub neej, thiab kwv yees li 3% ntawm lawv yuav raug kuaj pom tias muaj qaug dab peg. Kwv yees li 1% ntawm cov neeg mob uas tuaj rau chav kho mob ceev yog cov uas tuaj vim muaj qaug dab peg.

Qhov kev qaug dab peg no cuam tshuam li cas rau lub cev?

Qaug dab peg yog ib qho kev hloov pauv lossis kev ua haujlwm tsis zoo ntawm txoj kev uas peb cov hlwb hlwb, hu ua neurons, xa cov teeb liab hluav taws xob. Thaum lub sijhawm qaug dab peg, cov neurons no txuas ntxiv tua hluav taws xob yam tsis tau tswj hwm, uas kis mus rau lwm cov neurons.

Qaug dab peg tonic-clonic yog ib qho "qaug dab peg dav dav." Qhov no txhais tau tias nws cuam tshuam rau ob sab ntawm lub hlwb. Qhov no ua rau tsis nco qab, cov leeg nqaij tsis muaj zog thoob plaws lub cev, thiab kev txav mus los uas tsis tuaj yeem tswj tau xws li co thiab co.

Status Epilepticus - Qhov no txaus ntshai heev!

Tseem Ceeb: Yog tias ib tug neeg muaj qaug dab peg uas kav ntev dua tsib feeb, lossis yog tias ib qho qaug dab peg tas thiab muaj dua ib qho ua ntej lawv rov qab nco qab, qhov no hu ua status epilepticus . Qhov no yog ib qho xwm txheej ceev uas txaus ntshai rau lub neej! Nws tuaj yeem ua rau lub hlwb puas tsuaj mus tas li thiab txawm tias tuag taus.

Kwv yees li 98% ntawm cov qaug dab peg feem ntau xaus rau hauv tsawg dua tsib feeb. Status epilepticus tuaj yeem tshwm sim rau txhua qhov laj thawj uas tuaj yeem ua rau qaug dab peg.

Yog tias ib tug neeg muaj qaug dab peg uas kav ntev tshaj 5 feeb thaum koj nyob ntawd, lossis yog tias muaj lwm qhov tshwm sim ua ntej qhov thib ib xaus, thov hu rau 1990 (kev pabcuam tsheb thauj neeg mob thaum muaj xwm txheej ceev hauv Sri Lanka) tam sim ntawd, lossis coj lawv mus rau tsev kho mob ze tshaj plaws. Yog tias tus mob qaug dab peg kav ntev dua, nws nyuaj rau cov kws kho mob kom nres nws, thiab muaj feem ntau dua rau kev puas tsuaj rau lub hlwb.

Cov tsos mob ntawm cov mob qaug dab peg tonic-clonic yog dab tsi?

Thaum cov neeg feem coob xav txog "qaug dab peg," lawv xav txog tonic-clonic qaug dab peg. Cov tsos mob feem ntau tsis hnyav heev thiab yooj yim pom. Muaj peb theem tseem ceeb:

1. Theem Tonic (kwv yees li 10-30 vib nas this):

• Hauv qhov no, koj mam li nco dheev.
• Cov leeg nqaij ntawm tag nrho lub cev, tshwj xeeb yog caj npab thiab ceg, yuav nruj. Tej zaum yuav zoo li lub cev khoov rov qab thiab lub plab tawm los.
• Thaum cov leeg ua pa nruj zuj zus, cua tuaj yeem tawm ntawm lub ntsws, ua suab nrov nrov.
• Yog koj ntog lub sijhawm no, lossis yog koj zawm koj cov hniav thiab tom koj tus nplaig , koj yuav raug mob.

2. Theem Clonic (30-60 vib nas this, qee zaum ntev dua):

• Qhov no yog thaum tag nrho lub cev pib tshee hnyo thiab (convulsions).
• Koj tuaj yeem ntuav cov hnoos qeev tawm ntawm koj lub qhov ncauj.
• Cov suab nrov maj mam txo qis, thiab maj mam lawv nres.
• Thaum kawg ntawm theem no, cov zis thiab cov quav yuav tawm los, uas txhais tau tias lawv tuaj yeem nkag mus rau ntawm cov khaub ncaws.

3. Theem rov zoo tom qab qaug dab peg (kwv yees li 30 feeb):

• Feem ntau cov neeg maj mam rov qab nco qab tom qab qaug dab peg tas lawm.
• Tiamsis tej zaum koj yuav xav tsis meej pem, mob taub hau, lossis mob lub cev . Cov no yog ib txwm muaj.
• Muaj tej zaum mob hnyav heev, tshwj xeeb yog tias muaj mob xws li 'Status epilepticus' tshwm sim, tej zaum yuav siv sijhawm ntev dua kom rov qab nco qab.

Cov tsos mob ntawm qaug dab peg thiab aura yog dab tsi?

Muaj coob tus neeg muaj ib qho kev xav, ib qho kev xav ua ntej, ua ntej muaj qaug dab peg. Qhov no hu ua 'prodrome'. Qee zaum qhov kev xav ua ntej no tuaj yeem nrog 'aura'. Ib qho aura yog qhov kev xav tias qee qhov ntawm lub hlwb raug cuam tshuam thaum pib qaug dab peg.

Qaug dab peg dav dav, zoo li qaug dab peg tonic-clonic, tsis muaj aura. Txawm li cas los xij, qaug dab peg focal - qaug dab peg uas cuam tshuam rau ib sab ntawm lub hlwb xwb - qee zaum tuaj yeem kis mus rau tag nrho lub hlwb thiab dhau los ua qaug dab peg tonic-clonic. Lub aura uas ua ntej qaug dab peg focal tuaj yeem yog lub cim ceeb toom tias qaug dab peg tonic-clonic yuav los txog.

Ib qho aura tuaj yeem muaj cov yam ntxwv hauv qab no:

• Cov tsos mob ntawm kev xav: Yog tias cov feem ntawm lub hlwb uas tswj koj cov kev xav raug cuam tshuam, koj yuav muaj kev xav cuav uas koj pom lossis hnov ​​​​​​qhov tseeb. Piv txwv li, koj yuav pom cov teeb ci xim, pom cov khoom txav mus los, hnov ​​​​​​suab, hnov ​​​​​​cov saj thiab ntxhiab txawv txawv, lossis hnov ​​​​​​ib yam dab tsi txav mus los ntawm koj daim tawv nqaij.
• Kev Hloov Pauv ntawm Kev Xav: Ib txhia neeg yuav muaj kev xav tsis zoo xws li kev ntshai thiab kev ntxhov siab. Lwm tus yuav muaj kev xav zoo xws li kev zoo siab thiab kev zoo siab. Ib txhia yuav muaj kev xav zoo li 'déjá vu' (kev xav paub txog qhov kev paub tshiab) lossis 'jamais vu' (kev xav paub txog qhov kev paub tshiab).
• Cov tsos mob ntawm lub cev tsis ua haujlwm: Cov no tuaj yeem cuam tshuam rau tej yam uas peb lub cev tswj tau. Piv txwv li, tawm hws, qaub ncaug ntau dhau, tawv nqaij dawb lossis liab, thiab mob plab.

Dab tsi ua rau muaj kev qaug dab peg tonic-clonic?

Muaj ntau yam ua rau muaj qhov qaug dab peg no. Cia peb saib cov laj thawj tseem ceeb:

• Cov hlab ntsha hauv lub hlwb tsis muaj zog ('Aneurysms').
• Kev tsis sib xws ntawm lub plawv dhia ('Arrhythmias'), tshwj xeeb tshaj yog thaum cov ntshav ntws mus rau lub hlwb tsis zoo.
• Cov qog hauv hlwb (mob qog thiab tsis mob qog).
• Tsis muaj oxygen txaus rau lub hlwb ('Cerebral hypoxia').
• Kev raug mob los ntawm kev ntaus hnyav rau lub taub hau (concussion thiab traumatic brain injury).
• Cov kab mob uas maj mam ua rau lub hlwb tsis muaj zog, piv txwv li, tus kab mob Alzheimer, tus kab mob frontotemporal dementia.
• Tshuaj yeeb thiab cawv (qhov no tsis yog tsuas yog suav nrog cov tshuaj, cov tshuaj lom neeg xwb, tab sis txawm tias cov caffeine hauv kas fes).
• Cov mob uas tshwm sim tom qab tso tseg tshuaj yeeb los yog cawv.
• Eclampsia (ib yam mob uas cov poj niam cev xeeb tub muaj qaug dab peg vim ntshav siab).
• Kev tsis sib npaug ntawm cov ntsev hauv lub cev (tshwj xeeb tshaj yog cov sodium tsawg - 'hyponatremia', calcium tsawg, magnesium).
• Kub taub hau, tshwj xeeb tshaj yog kub taub hau siab (peb muaj ib tsab xov xwm cais txog kev qaug dab peg hauv menyuam yaus).
• Lub teeb ci ntsa iab, ci ntsa iab (zoo li pom hauv TV, yeeb yaj kiab, thiab kev ua si video).
• Cov kab mob caj ces uas muaj txij thaum yug los ('Genetic disorders').
• Kev hloov pauv ntawm cov tshuaj hormones (piv txwv li, catamenial epilepsy, uas yog ib qho mob uas qee tus poj niam muaj kev qaug dab peg ntau dua thaum lawv lub voj voog ncig).
• Cov kab mob (tshwj xeeb tshaj yog mob hlwb lossis mob meningitis; cov no tuaj yeem tshwm sim los ntawm cov kab mob, cov kab mob meningitis, cov kab mob parasitic, lossis cov pwm).
• Cov kab mob autoimmune uas tshwm sim los ntawm kev tsis zoo ntawm lub cev tiv thaiv kab mob.
• Tsis tsaug zog thiab lwm yam teeb meem pw tsaug zog.
• Teeb meem metabolic (tshwj xeeb tshaj yog cov ntshav qab zib siab - 'hyperglycemia' lossis cov ntshav qab zib qis - 'hypoglycemia').
• Teeb meem kev noj qab haus huv ntawm lub hlwb (cov no hu ua 'psychogenic seizures', piv txwv li 'conversion disorder').
• Teeb meem nrog cov qauv ntawm lub hlwb (tshwj xeeb yog vim muaj teeb meem uas tshwm sim thaum lub hlwb tab tom loj hlob hauv plab).
• Sepsis (ib yam mob uas ua rau tuag taus uas tus kab mob kis mus thoob plaws lub cev thiab lub cev tiv thaiv kab mob ua haujlwm ntau dhau).
• Mob stroke los yog mob hlwb tsis ua haujlwm ib ntus (TIAs).
• Cov tshuaj lom (piv txwv li, lom carbon monoxide, lom hlau hnyav).

Kev qaug dab peg uas ua rau muaj thiab tsis ua rau muaj

Thaum cov kws kho mob kuaj pom tias muaj mob qaug dab peg, lawv kuj saib seb nws puas yog "ua rau mob" lossis "tsis ua rau mob".

• Qaug dab peg uas ua rau neeg mob: Cov no tshwm sim ua ib qho tsos mob ntawm lwm yam mob lossis teb rau ib qho xwm txheej tshwj xeeb (piv txwv li, kub taub hau heev, ntshav qab zib qis, tsis noj tshuaj, tshuaj yeeb, lossis cawv).
• Qaug dab peg uas tsis yog ua rau muaj kev ua txhaum: Cov no yog cov qaug dab peg uas tsis tshwm sim ua ib qho tsos mob ntawm kev mob luv luv lossis ib qho xwm txheej tshwj xeeb. Qaug dab peg uas tshwm sim tom qab xya hnub, xws li tom qab raug mob taub hau lossis mob hlwb, kuj poob rau hauv pawg no.

Cov qaug dab peg tonic-clonic puas sib kis tau?

Tsis yog, qaug dab peg tonic-clonic tsis sib kis tau.Txawm li cas los xij, qee yam, xws li cov kab mob uas ua rau qaug dab peg, tuaj yeem sib kis tau (txawm hais tias tsis yog txhua yam kab mob ua rau qaug dab peg). Tsis tas li ntawd, qee yam mob uas ua rau qaug dab peg yog los ntawm noob caj noob ces (tuaj yeem kis tau los ntawm niam txiv mus rau menyuam).

Yuav kuaj mob qaug dab peg tonic-clonic li cas?

Koj tus kws kho mob, feem ntau yog tus kws kho mob hlwb, feem ntau tuaj yeem kuaj mob qaug dab peg tonic-clonic raws li cov tsos mob. Vim tias koj tsis nco qab thaum qaug dab peg no, koj tsuas yog nco qab koj xav li cas ua ntej thiab tom qab qaug dab peg. Hauv qhov xwm txheej zoo li no, tus kws kho mob yuav hais kom ib tus neeg uas nrog koj nyob piav qhia txog qhov xwm txheej.

Yog koj pom ib tug neeg qaug dab peg, tshwj xeeb yog tias lawv tawv nqaij, ntswj, lossis tshee hnyo, tus kws kho mob yuav hais kom koj piav qhia txog cov tsos mob. Kev qhia rau lawv paub txog yam koj pom yuav pab tau heev rau kev txiav txim siab qhov ua rau.

Yuav ua li cas thiaj kuaj tau?

Muaj ntau yam kev kuaj mob los txiav txim seb koj puas muaj mob qaug dab peg tonic-clonic. Cov kev kuaj mob feem ntau yog:

• Electroencephalogram (EEG): Qhov no ntsuas qhov ua haujlwm hluav taws xob ntawm lub hlwb.
• Kev kuaj ntshav: Cov no nrhiav cov yam xws li kev puas tsuaj ntawm cov metabolism, kev tsis sib npaug ntawm cov tshuaj hauv cov ntshav, teeb meem ntawm lub cev tiv thaiv kab mob, thiab cov tshuaj lom.
• Kev thaij duab computerized tomography (CT scan): Thaij cov duab hla ntawm lub hlwb.
• Kev thaij duab magnetic resonance imaging (MRI): Qhov no kuj tseem yuav thaij cov duab ntxaws ntxaws ntawm lub hlwb.
• Kev tho qhov txha nraub qaum (lub lumbar puncture): Txhawm rau kuaj xyuas seb puas muaj kab mob hauv lub hlwb thiab tus txha nraub qaum.

Thaum kuaj mob qaug dab peg, cov kws kho mob yuav sim nrhiav ib qho chaw tshwj xeeb hauv lub hlwb (ib qho 'qhov chaw tseem ceeb') uas qhov qaug dab peg pib. Yog tias lawv nrhiav tau qhov chaw no, nws muaj feem cuam tshuam loj heev rau txoj kev kho mob.

Cov mob qaug dab peg uas muaj zog heev ua rau koj tsis nco qab, koj lub puab tsaig yuav nruj, thiab koj yuav raug mob los ntawm kev co lossis ntaus tej yam khoom. Yog tias cov kws kho mob xav tias muaj lwm yam kev raug mob lossis teeb meem los ntawm qhov qaug dab peg, lawv yuav kom koj kuaj ntxiv rau cov uas teev saum toj no. Koj tus kws kho mob yuav qhia tau rau koj tias cov kev kuaj twg tsim nyog rau koj tus mob thiab yog vim li cas lawv thiaj ua li ntawd.

Yuav kho tus mob qaug dab peg tonic-clonic li cas? Qhov no puas kho tau?

Feem ntau cov mob qaug dab peg uas tshwm sim los ntawm kev siv tshuaj Tonic-clonic yuav tsum nres nws tus kheej. Yog li ntawd, tsis muaj kev kho mob ncaj qha rau qhov mob qaug dab peg thaum nws tab tom tshwm sim. Txawm li cas los xij, nws txawv yog tias koj muaj tus mob qaug dab peg (mob qaug dab peg uas kav ntev tshaj 5 feeb thiab tom qab ntawd muaj dua ib zaug ua ntej qhov mob dhau los tas).

Kev kho mob rau qaug dab peg nyob ntawm seb dab tsi ua rau lawv tshwm sim thaum xub thawj. Yog tias koj muaj 'kev qaug dab peg uas ua rau koj qaug dab peg', qhov qaug dab peg yuav tsum tsis txhob tshwm sim thaum tus mob uas ua rau lawv tau kho lossis kho kom zoo. Yog tias qhov ua rau mob tsis tuaj yeem kho tau, cov kws kho mob yuav sim txo qhov zaus thiab qhov hnyav ntawm qhov qaug dab peg.

Feem ntau cov kws kho mob tsis pom zoo kom kho thawj zaug qaug dab peg uas tsis tau muaj kev cuam tshuam vim tias tsis muaj txoj hauv kev los paub tseeb tias puas yuav muaj lwm qhov qaug dab peg tshwm sim, thiab yog tias muaj, tsis muaj lub ntsiab lus rau kev kho nws.

Cov kws kho mob tuaj yeem txiav txim siab seb koj puas muaj feem yuav muaj lwm qhov qaug dab peg los ntawm kev saib koj keeb kwm kev kho mob, EEG, CT scan, lossis MRI scan.

Cov tshuaj lossis kev kho mob twg siv?

Ib yam li txhua hom mob qaug dab peg, muaj ntau yam kev kho mob rau cov mob qaug dab peg tonic-clonic uas tshwm sim los ntawm kev qaug dab peg. Ib txhia neeg tuaj yeem tswj lawv cov mob qaug dab peg nrog ib yam tshuaj xwb. Lwm tus neeg yuav xav tau kev sib xyaw ua ke ntawm cov tshuaj thiab lwm yam kev kho mob.

Qee qhov kev kho mob rau cov mob qaug dab peg tonic-clonic uas tshwm sim los ntawm qaug dab peg suav nrog:

• Cov Tshuaj: Muaj cov tshuaj IV uas muab tau los tiv thaiv kev qaug dab peg; txawm li cas los xij, cov no feem ntau tsuas yog muab rau cov neeg mob qaug dab peg xwb. Kuj tseem muaj cov tshuaj uas noj txhua hnub los tiv thaiv kev qaug dab peg lossis txo lawv qhov zaus. Cov no yog thawj cov tshuaj uas muab rau kev qaug dab peg los ntawm kev qaug dab peg.
• Kev phais mob qaug dab peg: Yog tias tshuaj tsis ua haujlwm, qee zaum kev phais mob tuaj yeem ua tau los tiv thaiv kev qaug dab peg los ntawm kev tshem tawm ib feem ntawm lub hlwb (qhov chaw tseem ceeb) uas qhov qaug dab peg pib, lossis los ntawm kev cais nws tawm ntawm lwm qhov ntawm lub hlwb. Yog tias kev qaug dab peg tseem txuas ntxiv txawm tias noj ob hom tshuaj tiv thaiv kev qaug dab peg ntawm cov koob tshuaj pom zoo, cov kws kho mob yuav pom zoo kom phais mob qaug dab peg.
• Kev Hloov Kho Khoom Noj: Cov zaub mov uas tsis muaj carbohydrate ntau los yog tsis muaj carbohydrate ntau ('ketogenic diets') tej zaum yuav tiv thaiv tau qhov qaug dab peg tag nrho los yog txo qhov zaus ntawm qhov qaug dab peg. Txawm hais tias cov zaub mov no nyuaj rau ua raws li, lawv tuaj yeem pab tau rau cov neeg uas tsis tau teb rau cov tshuaj lossis cov neeg uas muaj cov kev mob tshwm sim hnyav los ntawm cov tshuaj. Lawv kuj yog ib qho kev xaiv rau cov neeg uas tsis xav phais.
• Kev txhawb zog rau lub hlwb: Qhov no suav nrog kev ntxig ib lub cuab yeej me me rau hauv lub hlwb thiab xa hluav taws xob mus rau lub hlwb. Qhov hluav taws xob no cuam tshuam kev ua haujlwm hluav taws xob ntawm kev qaug dab peg thiab sim nres nws. Tam sim no muaj ob txoj hauv kev, kev txhawb zog rau lub hlwb tob thiab kev txhawb zog rau lub paj hlwb.
• Kev txhawb nqa ntawm cov hlab ntsha vagal: Peb lub hlab ntsha cranial thib kaum, lub hlab ntsha vagal, txuas ncaj qha rau lub hlwb. Kev txhawb nqa hluav taws xob ntawm sab laug ntawm cov hlab ntsha no tuaj yeem txo qhov zaus ntawm kev qaug dab peg.

Puas muaj tej yam tshwm sim los yog teeb meem ntawm kev kho mob?

Cov kev mob tshwm sim thiab cov teeb meem ntawm cov kev kho mob no nyob ntawm seb koj kho mob li cas, koj keeb kwm kev noj qab haus huv thiab tej yam mob, thiab hom mob qaug dab peg uas koj muaj. Koj tus kws kho mob tuaj yeem qhia koj ntxiv txog qhov no. Nws kuj tseem tuaj yeem qhia koj tias yuav tsum ceev faj dab tsi thiab yuav ua li cas kom txo tau lawv cov teebmeem.

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

Tsis txhob kho qhov qaug dab peg ntawm koj tus kheej, xav tias nws tsuas yog qaug dab peg xwb. Feem ntau qhov qaug dab peg tuaj yeem yog ib qho tsos mob ntawm tus mob hnyav uas cuam tshuam rau lub hlwb. Vim tias tonic-clonic qaug dab peg ua rau tsis nco qab, koj yuav tsis paub tias muaj dab tsi tshwm sim thaum lub sijhawm qaug dab peg.

Yog koj lossis ib tug neeg nyob ze koj muaj mob qaug dab peg thawj zaug, nws yog ib qho tseem ceeb heev uas yuav tsum mus ntsib kws kho mob. Ib tug kws kho mob uas tsim nyog tuaj yeem tshuaj xyuas cov tsos mob ntawm mob qaug dab peg thiab tej yam ua rau mob qaug dab peg.

Yog tias muaj ib tug neeg qaug dab peg thaum kuv nyob ntawd ne?

Yog tias muaj ib tug neeg qaug dab peg thaum koj nyob ntawd, muaj qee yam kev pab thawj zaug uas koj tuaj yeem ua tau. Nov yog qee yam uas yuav tsum ua thiab qee yam uas yuav tsum tsis txhob ua:

Tej yam yuav tsum ua (Dos):

• Saib seb nws puas ua pa tau. Tshem cov khaub ncaws uas nyob ib ncig ntawm nws lub caj dab.
• Tshem tawm tej yam khoom txaus ntshai nyob ib puag ncig nws. Tshem tawm tej yam khoom tawg lossis tej yam uas yuav poob rau ntawm nws. Yog tias nws hnav tsom iav, ua tib zoo tshem lawv thiab muab tso rau ib sab.
• Tig nws mus rau nws ib sab (txoj hauj lwm cawm neeg). Txoj hauj lwm no ua rau nws yooj yim dua rau kev ua pa thiab tiv thaiv cov qaub ncaug lossis ntuav kom tsis txhob nkag mus rau hauv txoj hlab pa .
• Sim sau lub sijhawm ntawm qhov qaug dab peg kom ntau li ntau tau. Cov ntaub ntawv no tseem ceeb heev rau tus kws kho mob. Nws kuj tseem tuaj yeem pab txiav txim siab seb puas xav tau kev pab kho mob thaum muaj xwm txheej ceev.
• Nyob nrog tus neeg tom qab qhov qaug dab peg tas lawm thiab kom txog thaum lawv rov qab nco qab. Tus neeg uas tau qaug dab peg yuav xav tsis meej pem thiab ntshai thaum lawv rov qab nco qab. Nplij siab thiab txhawb lawv.
• Tom qab nws rov qab nco qab, mus saib seb nws puas zoo. Mus saib seb nws puas muaj mob los ntawm qhov qaug dab peg thiab seb nws puas xav tau kev kho mob. Yog tias nws raug ntaus taub hau, lossis yog tias koj xav tias nws yuav raug mob rau nws lub caj dab lossis nraub qaum, nws yog qhov zoo tshaj plaws los nrhiav kev kho mob. Tom qab ntawd peb tuaj yeem kuaj xyuas seb puas muaj kev raug mob hnyav uas peb tsis pom.
• Yog koj muaj tus mob qaug dab peg, hu rau kev pab. Yog tias qhov qaug dab peg kav ntev tshaj tsib feeb, lossis yog tias muaj lwm qhov tshwm sim ua ntej qhov qaug dab peg xaus, hu rau 1990 (kev pabcuam tsheb thauj neeg mob thaum muaj xwm txheej ceev hauv Sri Lanka) tam sim ntawd. Qhov no muaj kev phom sij rau lub neej!

Tsis txhob ua:

• Tsis txhob sim tuav nws lossis cia nws txav mus los. Koj lossis lwm tus neeg yuav raug mob.
• Tsis txhob muab dab tsi rau hauv koj lub qhov ncauj. Muaj ntau zaj dab neeg txog kev qaug dab peg. Ib qho yog tias koj yuav tsum muab ib yam dab tsi zoo li ib rab diav lossis ib txoj siv sia rau hauv koj lub qhov ncauj kom tiv thaiv koj kom tsis txhob tom koj tus nplaig. Thov tsis txhob ua li ntawd.Nws tsis yog lub tswv yim zoo los muab ib yam dab tsi rau hauv qhov ncauj ntawm ib tus neeg uas muaj qaug dab peg. Koj tuaj yeem ua rau koj tus kheej lossis lwm tus neeg raug mob.
• Tsis txhob txhawj. Nyob twj ywm. Yog tias cov neeg nyob ib puag ncig koj txhawj xeeb, sim nplij lawv thiab.

Kuv yuav zoo dua sai npaum li cas tom qab kho tas?

Lub sijhawm rov zoo nyob ntawm seb tau kho dab tsi thiab yog dab tsi ua rau qaug dab peg. Koj tus kws kho mob tuaj yeem qhia koj ntxiv txog qhov no, nws yuav siv sijhawm ntev npaum li cas, thiab thaum twg koj yuav zoo dua.

Kuv yuav ua li cas thiaj txo tau qhov kev pheej hmoo ntawm qhov no? Puas tiv thaiv tau qhov qaug dab peg?

Vim tias leej twg los yeej muaj mob qaug dab peg nyob rau hauv qhov xwm txheej zoo, nws tsis yooj yim sua kom tiv thaiv tau tag nrho cov mob qaug dab peg. Txawm li cas los xij, qee tus neeg yuav muaj mob qaug dab peg ntau dua. Yog li ntawd, muaj tej yam uas koj ua tau los txo koj qhov kev pheej hmoo.

Tej yam zoo tshaj plaws uas koj ua tau los txo koj txoj kev pheej hmoo ntawm kev mob qaug dab peg yog:

• Noj zaub mov kom sib npaug thiab tswj kom muaj qhov hnyav zoo. Qhov no tuaj yeem pab tiv thaiv cov kab mob ntawm lub cev (piv txwv li, mob stroke) thiab cov electrolyte tsis sib npaug.
• Tsis txhob tso tseg kev kis kab mob. Kev kho mob rau kev kis kab mob tuaj yeem txo qhov kev pheej hmoo ntawm kev qaug dab peg, txawm tias yog los ntawm kev kis kab mob lossis kub taub hau heev uas cuam tshuam nrog nws.
• Hnav cov khoom siv kev nyab xeeb. Cov kaus mom hlau thiab cov siv sia tuaj yeem pab tiv thaiv kev qaug dab peg los ntawm kev raug mob taub hau.
• Tsis txhob haus dej cawv, siv tshuaj, lossis siv yeeb tshuaj ntau dhau. Kev siv lossis tsum tsis txhob siv cov no yuav ua rau koj qaug dab peg. Yog tias koj quav dej cawv lossis siv yeeb tshuaj, koj tus kws kho mob hauv tsev neeg tuaj yeem pab koj nrhiav cov chaw thiab cov kev pabcuam tshwj xeeb uas tuaj yeem pab koj tshem tawm lawv.
• Tswj koj tej mob nkeeg. Qaug dab peg tuaj yeem tshwm sim los ntawm cov kab mob ntev lossis los ntawm lwm yam mob uas cuam tshuam nrog qaug dab peg. Piv txwv li, yog tias koj muaj ntshav qab zib (ntshav qab zib hom 1 lossis ntshav qab zib hom 2), tswj koj cov ntshav qab zib.
• Tsis txhob ua tej yam uas ua rau qaug dab peg. Cov neeg uas tau qaug dab peg yav dhau los vim yog tej yam xws li teeb ci ntsa iab yuav tsum tsis txhob ua tej yam zoo li no ntau li ntau tau.

Yog tias kuv tau muaj ib lossis ntau dua qhov mob qaug dab peg tonic-clonic, kuv yuav tsum xav li cas?

Kwv yees li ib nrab ntawm cov neeg uas tau muaj mob qaug dab peg uas tsis tau ua rau lawv mob yuav muaj dua ib zaug ntxiv. Kwv yees li 75% ntawm cov neeg uas tau muaj mob qaug dab peg zaum ob yuav muaj ntau dua. Yog vim li ntawd cov kws kho mob thiaj li kuaj pom tias mob qaug dab peg zaum ob uas tsis tau ua rau lawv mob ua qaug dab peg thiab pib kho nws.

Rau cov neeg uas pib noj tshuaj, tej zaum yuav tsum tau sim ntau yam tshuaj, lossis ua ke ntau yam tshuaj, es tsis txhob tsuas yog ib yam xwb. Txawm tias tshuaj tsis pab los xij, muaj lwm yam kev kho mob uas tuaj yeem pab txo qhov zaus ntawm qaug dab peg thiab lawv qhov hnyav.

Qhov xwm txheej no yuav kav ntev npaum li cas?

Seb qhov mob qaug dab peg uas ua rau mob qaug dab peg puas yuav tsis muaj ntxiv lawm nyob ntawm seb puas kho tau tus kab mob lossis teeb meem uas ua rau mob qaug dab peg. Rau cov neeg feem coob, thaum qhov teeb meem ntawd ploj mus lawm, qhov mob qaug dab peg yuav tsis rov tshwm sim dua, tsuas yog tias nws rov qab los xwb.

Kab mob qaug dab peg yog ib yam mob uas yuav kho tau mus ib txhis vim tias nws kho tsis tau. Txawm li cas los xij, qee zaum, qhov ua rau qaug dab peg tuaj yeem kho tau. Thaum ua li ntawd, thiab koj tseem tsis qaug dab peg, koj tus mob yuav raug hu ua "nyob rau hauv kev zam txim."

Yuav ua li cas thiaj li pom tau tias muaj mob qaug dab peg tonic-clonic?

Rau cov mob qaug dab peg uas ua rau mob tonic-clonic, qhov kev kwv yees yuav nyob ntawm seb qhov mob twg yog qhov pib. Yog tias qhov mob kho tau, thiab koj tau txais kev kho mob thaum ntxov, feem ntau qhov kev kwv yees yuav zoo. Koj tus kws kho mob tuaj yeem qhia koj qhov kev kwv yees rau koj qhov mob thiab koj tuaj yeem ua dab tsi.

Txawm hais tias qee zaum cov qaug dab peg uas tshwm sim nrog cov mob hnyav lossis mob mus tas li (piv txwv li, mob qog noj ntshav, puas hlwb mus tas li) tuaj yeem kho tau, tab sis qhov kev kwv yees feem ntau tsis zoo vim yog qhov ua rau muaj. Cov qaug dab peg uas tshwm sim los ntawm caj ces thiab cov mob uas yug los kuj muaj qhov kev kwv yees tsis zoo.

Qhov kev cia siab rau qhov mob qaug dab peg uas tsis yog los ntawm kev ua rau mob qaug dab peg nyob ntawm ntau yam, suav nrog qhov mob hauv qab, qhov hnyav ntawm qhov mob qaug dab peg, lawv tshwm sim ntau npaum li cas, thiab seb kev kho mob puas pab tau.

Kev tuag sai sai uas tsis tau xav txog hauv kev qaug dab peg (SUDEP)

SUDEP yog ib yam mob tsis tshua muaj uas tuaj yeem cuam tshuam rau txhua tus neeg uas muaj tus kab mob qaug dab peg, tab sis nws yuav tsis tshua muaj tshwm sim thaum kho. Ib tug ntawm 150 tus neeg uas tsis tau kho tus kab mob qaug dab peg muaj feem yuav muaj SUDEP, piv rau ib tug ntawm 1,000 tus neeg uas tau kho tus kab mob qaug dab peg.

Cov kws tshaj lij tseem tsis tau paub meej tias yog vim li cas SUDEP thiaj tshwm sim. Qhov piav qhia zoo tshaj plaws tam sim no yog tias nws yog los ntawm teeb meem plawv lossis ua pa uas tuaj yeem tshwm sim nrog rau qaug dab peg.

Kuv yuav saib xyuas kuv tus kheej li cas?

Yog tias koj tau muaj mob qaug dab peg tonic-clonic ib zaug lawm, nws yog ib lub tswv yim zoo kom paub tias yuav ua li cas yog tias koj muaj lwm qhov mob qaug dab peg. Yog tias koj muaj lwm qhov mob qaug dab peg lossis yog tias koj muaj mob uas ua rau qaug dab peg, mus ntsib koj tus kws kho mob sai li sai tau.

Yog koj tus kws kho mob txiav txim siab tias koj muaj tus mob qaug dab peg, muaj ntau yam koj ua tau los pab tswj tus mob:

• Noj koj cov tshuaj raws li tau qhia. Nws yog ib qho tseem ceeb uas yuav tsum txuas ntxiv noj koj cov tshuaj, txawm tias koj xav tias zoo dua los xij. Koj tsuas yog yuav tsum tsis txhob noj koj cov tshuaj tom qab tham nrog koj tus kws kho mob thiab yog tias nws hais kom koj ua.
• Tham nrog koj tus kws kho mob txog koj cov kev xaiv. Yog tias koj xav txo koj cov tshuaj lossis hloov mus rau lwm yam tshuaj, tham nrog koj tus kws kho mob. Nws tuaj yeem qhia koj txog yuav ua li cas thiaj li ua tau qhov no kom muaj kev nyab xeeb thiab muaj cov kev xaiv twg.
• Mus ntsib kws kho mob raws li tau teem tseg.Cov kev teem caij no tseem ceeb heev rau kev tswj koj tus mob, saib xyuas nws, thiab saib seb koj cov tshuaj thiab kev kho mob puas ua haujlwm zoo.
• Tsis txhob tso tseg cov tsos mob. Kev paub thiab kho thaum ntxov tuaj yeem ua qhov sib txawv loj hauv kev kho mob qaug dab peg thiab qaug dab peg.

Kuv yuav tsum mus rau chav kho mob ceev thaum twg?

Yog koj muaj ib qho xwm txheej uas ua rau koj tsis nco qab thiab koj tsis paub yog vim li cas, koj yuav tsum mus rau chav kho mob ceev. Muaj ntau tus neeg muaj cov neeg nyob ib puag ncig lawv thaum lawv muaj lawv thawj zaug qaug dab peg, tab sis tsis yog txhua tus muaj. Yog tias koj nyob ib leeg thiab xav tias koj muaj koj thawj zaug qaug dab peg, koj yuav tsum mus ntsib kws kho mob tam sim ntawd.

Yog tias tus neeg uas muaj qaug dab peg paub tias lawv muaj qaug dab peg, feem ntau nws tsis tas yuav hu rau lub tsheb thauj neeg mob. Txawm li cas los xij, yog tias qaug dab peg ua rau raug mob, lawv yuav xav tau kev kho mob.

Thaum twg kuv yuav tsum thov kev pab?

Yog tias muaj ib tug neeg qaug dab peg thaum koj nyob ntawd, nco ntsoov cov no:

• Yog tias qhov no yog nws thawj zaug qaug dab peg, nrhiav kev pab. Txhua tus neeg uas muaj thawj zaug qaug dab peg, txawm tias xav tias muaj lossis lees paub tias muaj, yuav tsum tau mus ntsib kws kho mob soj ntsuam. Feem ntau qaug dab peg yog ib qho tsos mob ntawm teeb meem kev noj qab haus huv loj.
• Yog koj muaj tus mob qaug dab peg, nrhiav kev pab. Yog tias qaug dab peg ntev tshaj tsib feeb, lossis yog tias muaj lwm qhov tshwm sim ua ntej thawj zaug xaus, hu rau 1990 (kev pabcuam tsheb thauj neeg mob thaum muaj xwm txheej ceev hauv Sri Lanka) tam sim ntawd. Qhov no muaj kev phom sij rau lub neej! Yog tias koj tsis rov qab nco qab lossis teb tsis tau zoo rau ntau tshaj 10-15 feeb tom qab qaug dab peg tas, koj yuav tsum nrhiav kev pab thaum muaj xwm txheej ceev. Qhov no yuav yog ib qho cim qhia tias qaug dab peg tseem nyob hauv lub hlwb, txawm tias koj tsis txav mus los.

Yog tias kuv muaj mob qaug dab peg, puas muaj kev nyab xeeb rau cev xeeb tub thaum noj tshuaj?

Cov poj niam uas muaj tus kab mob qaug dab peg feem ntau muaj peev xwm muaj menyuam. Txawm li cas los xij, ntau yam tshuaj siv los kho tus kab mob qaug dab peg tsis zoo rau noj thaum cev xeeb tub, vim tias lawv tuaj yeem cuam tshuam rau kev loj hlob ntawm tus menyuam hauv plab.

Zoo hmoo, muaj lwm yam tshuaj uas siv tau ib ntus thaum cev xeeb tub, lossis thaum twg los tau. Tus neeg zoo tshaj plaws los tham txog qhov no yog koj tus kws kho mob. Nws tuaj yeem muab kev taw qhia ncaj qha rau koj lossis xa koj mus rau tus kws tshwj xeeb.

Thaum kawg, tej yam yuav tsum nco ntsoov (Cov Lus Coj Mus Tsev)

Qaug dab peg Tonic-clonic yog ib hom qaug dab peg uas yooj yim pom thiab feem ntau ua rau ntshai heev. Nws yog ib qho ib txwm muaj uas yuav ntshai thaum koj pom lawv lossis thaum koj muaj lawv. Txawm li cas los xij, feem ntau, lawv yuav tsum nres lawv tus kheej hauv ob peb feeb. Txawm hais tias lawv tuaj yeem tshwm sim rau ntau yam, cov qaug dab peg no feem ntau yuav ploj mus, tshwj xeeb tshaj yog thaum kho qhov mob hauv qab. Thaum cov qaug dab peg no tshwm sim nrog qaug dab peg, muaj ntau txoj hauv kev los kho lawv. Nrog kev kho mob zoo, ntau tus neeg uas muaj cov qaug dab peg no - txawm tias cov neeg uas muaj qaug dab peg - tuaj yeem ua neej zoo siab, ua tiav, thiab txaus siab.

Yog li ntawd, yog tias koj lossis ib tus neeg koj paub muaj teeb meem nrog ib yam dab tsi zoo li no, tsis txhob ntshai mus nrhiav kev pab kho mob. Kev kho mob sai sai tuaj yeem hloov ntau yam kom zoo dua.

` Tonic-clonic qaug dab peg, grand mal qaug dab peg, qaug dab peg, cov tsos mob ntawm qaug dab peg, kev pab thawj zaug rau qaug dab peg, status epilepticus, ua rau qaug dab peg