Tso me nyuam tonic-clonic qaug dab peg

Generalized tonic-clonic qaug dab peg yog ib hom qaug dab peg uas muaj feem rau tag nrho lub cev. Nws kuj tseem hu ua grand mal qaug dab peg. Cov ntsiab lus chua leeg, convulsion, lossis epilepsy feem ntau cuam tshuam nrog kev hais txog tonic-clonic qaug dab peg.

Qaug dab peg yog tshwm sim los ntawm cov kev ua haujlwm hauv lub hlwb. Ua rau tonic-clonic qaug dab peg yuav tshwm sim rau cov neeg ntawm lub hnub nyoog. Lawv tuaj yeem tshwm sim ib zaug (ib zaug xwb). Lossis, lawv tuaj yeem tshwm sim ua ib feem ntawm kev rov ua dua, muaj mob mus ntev (mob vwm). Qee qhov chua leeg yog vim cov teeb meem kev xav (psychogenic).

Coob tus neeg uas muaj lub ntsej muag tonic-chonic chua leeg muaj lub zeem muag, saj, ntxhiab tsw, lossis hloov pauv hloov chaw, pom kev, lossis kiv taub hau ua ntej qaug dab peg. Qhov no yog hu ua aura.

Qhov qaug dab peg feem ntau ua rau cov leeg khov kho. Qhov no yog ua raws li kev ua txhaum mob nqaij thiab ua rau tsis nco qab (nco ntsoov). Lwm cov tsos mob uas tshwm sim thaum lub caij chua leeg no muaj xws li:

• Tom ob sab plhu los sis tus nplaig
• Zaug cov hniav lossis lub puab tsaig
• Poob tso zis thiab tso quav tswj (tsis tswj)
• Ua tsis taus pa lossis ua pa nyuaj
• Cov tawv nqaij xiav xim

Tom qab qaug dab peg, tus neeg yuav muaj:

• Tsis meej pem
• Kev nkees nkees lossis tsaug zog uas kav ntev li 1 teev lossis ntev dua (hu ua xeev-tom qab lub xeev)
• Poob nco (amnesia) hais txog qhov qaug dab peg ntu
• Mob taub hau
• Kev tsis muaj zog ntawm 1 sab ntawm lub cev rau ob peb feeb txog rau ob peb teev tom qab qaug dab peg (hu ua Todd tuag tes tuag taw)

Tus kws kho mob yuav kuaj lub cev. Qhov no yuav suav nrog cov ncauj lus kom ntxaws ntawm lub hlwb thiab lub paj hlwb.

EEG (electroencephalogram) yuav ua tiav los kuaj cov hluav taws xob hauv lub hlwb. Cov neeg muaj qaug dab peg feem ntau muaj cov hluav taws xob txawv txav uas pom ntawm qhov kev ntsuas no. Hauv qee kis, kev xeem ntawv qhia thaj chaw hauv lub hlwb uas pib chua leeg. Lub hlwb yuav tshwm sim zoo tom qab qaug dab peg lossis nruab nrab ntawm qaug dab peg.

Kev kuaj ntshav kuj yuav raug yuam kom kuaj xyuas lwm yam teeb meem kev noj qab haus huv uas tuaj yeem ua rau qaug dab peg.

Lub taub hau CT lossis MRI scan tuaj yeem ua kom pom qhov laj thawj thiab thaj chaw teeb meem hauv lub hlwb.

Kev kho rau tonic-clonic qaug dab peg suav nrog cov tshuaj, kev hloov pauv ntawm kev ua neej rau cov neeg laus thiab menyuam, xws li kev ua si thiab kev noj zaub mov, thiab qee zaum phais. Koj tus kws kho mob tuaj yeem qhia koj ntau ntxiv txog cov kev xaiv no.

Caug - tonic-clonic; Nruas - pog mal; Yawg qaug dab peg; Caug dab tsi - hais qhia dav dav; Epilepsy - qaug dab peg feem ntau

• Lub Hlwb
• Qhov pom tseeb - pab ua ntej - series

Abou-Khalil BW, Gallagher MJ, Macdonald RL. Tshuaj Mob Pleev. Hauv: Daroff RB, Jankovic J, Mazziotta JC, Pomeroy SL, eds. Bradley's Neurology nyob rau hauv Kev Soj NtsuamCov. 7 tus ed. Philadelphia, PA: Elsevier; 2016: chap 101.

Xauj JP, Davenport RJ. Neurology. Hauv: Ralston SH, Penman ID, Strachan MWJ, Hobson RP, eds. Davidson Cov Ntsiab Lus thiab Kev Ua TshuajCov. 23rd ed. Philadelphia, PA: Elsevier; 2018: chap 25.

Thijs RD, surges R, O'Brien TJ, Sander JW. Epilepsy rau cov laus. Kev Looj MemCov. 2019; 393 (10172): 689-701. PMID: 30686584 pubmed.ncbi.nlm.nih.gov/30686584/.

Wiebe S. Lub raum. Hauv: Goldman L, Schafer AI, eds. Goldman-Cecil TshuajCov. 26th ed. Philadelphia, PA: Elsevier; 2020: chap 375.