Qhaj tsis qaug dab peg

Qhaj ntawv tsis tuaj yog lub sij hawm rau ib hom qaug dab peg uas muaj cov mob hnoos ib ce. Hom qaug dab peg no yog kev qhia luv luv (feem ntau tsawg dua 15 vib nas this) cuam tshuam ntawm lub hlwb kev ua haujlwm vim kev ua haujlwm tsis tshua muaj hluav taws xob hauv lub hlwb.

Qaug dab peg yog tshwm sim los ntawm cov kev ua haujlwm hauv lub hlwb. Feem ntau qhaj tsis qaug dab tsi tshwm sim feem ntau rau cov neeg hnub nyoog qis dua 20 xyoo, feem ntau nyob hauv cov menyuam hnub nyoog 4 txog 12 xyoos.

Muaj qee kis, qaug dab peg yog tshwm sim los ntawm lub teeb ntsais muag lossis thaum tus neeg nqus pa sai dua thiab tob dua li ib txwm ua (hyperventilates).

Tej zaum lawv yuav tshwm sim nrog rau lwm yam kev qaug dab peg, xws li tonic-clonic qaug dab peg (pog mal qaug dab peg), ntswj lossis mob hlwb (myoclonus), lossis cia li tsis muaj zog ntawm cov leeg nqaij (atonic qaug dab peg).

Feem ntau qhov qaug dab peg mus ntev dhau ob peb feeb. Lawv feem ntau koom nrog lub ntsej muag ntu ib ntu. Lub sijhawm uas nws yuav:

• Muaj ntau zaus nyob rau ib hnub
• Muaj li ntawm lub lis piam mus rau lub hlis ua ntej pom
• Kev cuam tshuam nrog tsev kawm thiab kev kawm
• Ua yuam kev vim tias tsis muaj kev saib xyuas, npau suav nruab hnub lossis lwm yam kev coj tsis zoo

Thawj qhov tsis tuaj kawm ntawv hauv tsev kawm ntawv thiab cov kev kawm nyuaj yuav yog thawj yam tsis pom tseeb rau chua leeg.

Thaum qaug dab peg, tus neeg yuav:

• Tsis txhob taug kev thiab pib dua ob peb feeb tom qab
• Tsis txhob hais lus nyob hauv nruab nrab ntawm kab lus thiab pib dua ob peb feeb tom qab

Tus neeg feem ntau tsis poob rau lub sij hawm qaug dab peg.

Txoj cai tom qab qaug dab peg, tus neeg feem ntau yog:

• Dav tsaug zog
• Xav zoo kom meej
• Tsis paub txog kev qaug dab peg

Cov tsos mob tshwj xeeb ntawm qhaj tsis tshua muaj chua leeg xws li:

• Cov kev hloov pauv ntawm cov leeg kev ua si, xws li tsis muaj txav, cev tes, txhaws muag muag, di ncauj smacking, zom
• Hloov pauv ntawm kev ceev faj (nco qab), xws li yog lub sijhawm uas tsis paub, tsis paub txog ib puag ncig, nres ib ce ceev ceev, hais lus, thiab lwm yam kev tsaug zog

Qee qhov qhaj ntawv pib qeeb thiab ntev dua. Cov no yog hu ua atypical tsis muaj chua leeg. Cov tsos mob zoo ib yam li kev qoj ib ce tsis tu ncua, tab sis kev hloov pauv ntawm cov leeg nqaij tuaj yeem ua kom pom tseeb.

Tus kws kho mob yuav kuaj lub cev. Qhov no yuav suav nrog cov ncauj lus kom ntxaws saib 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 mob rau qhov tsis tuaj yeem 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.

Qaug dab peg - petit mal; Ntuas - tsis muaj; Petit mal qaug dab peg; Epilepsy - qaug dab peg

• Kev mob vwm rau cov neeg laus - dab tsi yuav nug koj tus kws kho mob
• Kev mob vwm rau menyuam yaus - yuav hais dab tsi ntawm koj tus kws kho mob

• Lub Hlwb

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.

Kanner AM, Ashman E, Gloss D, li al. Cov txheej txheem kev qhia hloov kho tshiab: Kev ua tau zoo thiab tiv taus ntawm cov tshuaj tshiab antiepileptic I: Kev kho mob tshiab-pib mob vwm: Daim Ntawv Tshaj Qhia ntawm Kev Taw Qhia Kev Txhim Kho, Kev Qhia Tawm, thiab Kev Siv Tus Tswv Qhia ntawm American Academy of Neurology thiab American Epilepsy Society. NeurologyCov. Xyoo 2018; 91 (2): 74-81. PMID: 29898971 pubmed.ncbi.nlm.nih.gov/29898971/.

Marcdante KJ, Kliegman RM. Qaug dab peg. Hauv: Marcdante KJ, Kliegman RM, eds. Nelson Cov Ntawv Tseem Ceeb ntawm PediatricsCov. 8 tus ed. Philadelphia, PA: Elsevier; 2019: chap 181.

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