Focal neurologic tsis muaj

Lub focal neurologic tsis muaj peev xwm ua teeb meem nrog txoj hlab hlwb, txha caj qaum, lossis hlwb ua haujlwm. Nws muaj feem xyuam rau qhov chaw tshwj xeeb, xws li sab laug ntawm lub ntsej muag, sab tes xis, lossis txawm tias thaj chaw me me xws li tus nplaig. Kev hais lus, pom kev, thiab lub rooj sib hais kuj suav hais tias yog kev fwm ntawm lub paj hlwb.

Hom, qhov chaw, thiab qhov loj ntawm cov teeb meem tuaj yeem qhia tau thaj tsam twg ntawm lub hlwb lossis lub paj hlwb cuam tshuam.

Nyob rau hauv sib piv, ib qho teeb meem tsis yog focal tsis TSIS hais rau qee qhov ntawm lub hlwb. Tej zaum yuav suav nrog kev tsis nco qab lossis teeb meem kev xav lub siab.

Ib qho teeb meem ntawm cov leeg hlwb khiav haujlwm tuaj yeem cuam tshuam ib qho ntawm cov haujlwm no:

• Cov kev hloov txav, nrog rau txhav, tsis muaj zog, poob ntawm cov leeg tswj, nce cov leeg nqaij, poob ntawm cov leeg nqaij, lossis txav ib tus neeg tsis tuaj yeem tswj tau (qoj ib ce, xws li tshee)
• Hnov hloov pauv, suav nrog paresthesia (qhov txawv txav txawv txav), loog, lossis poob qis hauv qhov hnov

Lwm cov piv txwv ntawm focal poob ntawm txoj haujlwm muaj xws li:

• Tus mob Horner: muaj me me ntawm ib sab, ib sab muag tawm ntawm lub ntsej muag, tsis tawm hws ntawm ib sab ntawm lub ntsej muag, thiab tog ntawm ib lub qhov muag mus rau hauv nws lub qhov
• Tsis them sai sai rau koj ib puag ncig lossis ib feem ntawm lub cev (tsis saib xyuas)
• Poob qhov ua kom sib haum lossis plam ntawm cov tswj lub cev zoo (muaj peev xwm ua tau ntau yam kev txav)
• Tsis zoo gag tsis kam, nqos nyuaj, thiab txhawm chim
• Kev hais lus lossis hais lus nyuaj, xws li aphasia (teeb meem nkag siab lossis tsim cov lus) lossis dysarthria (teeb meem ua lub suab ntawm cov lus), tsis meej, tsis nkag siab txog kev hais lus, tsis yooj yim sau ntawv, tsis muaj peev xwm nyeem lossis tsis nkag siab sau, tsis muaj peev xwm lub npe khoom (anomia)
• Lub zeem muag hloov, xws li txo qhov muag pom, qhov muag pom tsawg, poob lub zeem muag tsis pom kev, ob lub zeem muag (daim ntawv pov thawj)

Txhua yam uas tsim kev piam sij lossis cuam tshuam rau qee qhov ntawm lub paj hlwb tuaj yeem ua rau lub cev tsis muaj zog. Piv txwv li:

• Mob ntshav hlab ntshav tsis txaus (vauv tsis zoo)
• Mob hlav
• Cerebral palsy
• Muaj cov kab mob hlav (xws li ntau yam sclerosis)
• Kev ua tsis taus ntawm ib qho mob ntshav lossis cov pab pawg ntawm lub paj hlwb (piv txwv, carpal tunnel syndrome)
• Kev kis mob rau lub hlwb (xws li mob rau daim npog hlwb los yog encephalitis)
• Raug Mob
• Mob stroke

Kev tu neeg tom tsev nyob ntawm hom thiab qhov teeb meem ua teeb meem.

Yog tias koj muaj ib qho ploj ntawm kev txav, kev hnov, lossis ua haujlwm, hu rau koj tus kws kho mob.

Koj tus kws kho mob yuav siv koj li keeb kwm kho mob thiab kuaj ib ce.

Kev kuaj lub cev yuav suav nrog kev tshuaj xyuas ntxaws ntawm koj lub paj hlwb kev ua haujlwm.

Qhov kev kuaj twg yog ua nyob ntawm koj cov kev mob tshwm sim thiab qhov ua tau ntawm cov hlab ntsha tsis ua hauj lwm. Kev ntsuam xyuas yog siv los sim nrhiav ib feem ntawm lub paj hlwb uas tau koom nrog. Cov piv txwv ib txwm muaj yog:

• CT scan ntawm sab nraub qaum, caj dab, lossis taub hau
• Electromyogram (EMG), lub paj hlwb sib cais (NCV)
• MRI ntawm qaum, caj dab, lossis taub hau
• Tus txha nqaj qaum

Neurological kho tsis txaus ntseeg - focal

• Lub Hlwb

Deluca GC, Griggs RC. Txoj kev rau tus neeg mob neurologic. Hauv: Goldman L, Schafer AI, eds. Goldman-Cecil TshuajCov. 26th ed. Philadelphia, PA: Elsevier; 2020: cha 368.

Jankovic J, Mazziotta JC, Newman NJ, Pomeroy SL. Kev kuaj mob ntawm tus mob neurological. Hauv: Jankovic J, Mazziotta JC, Pomeroy SL, Newman NJ, eds. Bradley thiab Daroff txoj hlab ntaws hauv Kev Siv TshuajCov. 8 tus ed. Philadelphia, PA: Elsevier; 2022: chap 1.