Cov qog nqaij hlav ntau ntawm cov leeg hauv lub cev, feem ntau yog pob txha, tiv thaiv keeb kwm ntawm lub cev kub cev (ntawm 37.8 degrees) los yog neuroinfections yog febrile convulsions. Qhov tshwm sim no feem ntau pom nyob rau cov menyuam yaus hnub nyoog qis dua 5 xyoos, cov laus raug kev txom nyem los ntawm pathology tsis tshua muaj neeg, feem ntau yog ua ke nrog cov kab mob loj heev.
Qhov ua rau thiab kev rau txim ntawm kev qaug dab peg
Qhov tseem ceeb tshaj plaws uas ua rau lub cev nqaij daim tawv qaug zog tsis zoo yuav raug tsim. Muaj ib qhov kev xav hais tias qhov kev qaug dab peg ntawm qhov ua rau muaj kev cuam tshuam kev cuam tshuam rau hauv lub cev.
Qhia qhov txawv thiab qhov atypical ntawm no pathology.
Thawj hom qaug dab peg yog los ntawm kev koom tes ntawm txhua tus nquag hauv tus txheej txheem (kev sib koom tes), tsis nco qab . Qhov qaug dab peg tsawg tshaj 15 feeb thiab tsis rov qog rau li 24 teev.
Atypical febrile qaug dab peg yog tshwm sim los ntawm xws li cov paib ntev li (ntev li 15 feeb mus rau 12-20 teev), focal - qhov qis tshaj plaws nyob rau hauv txhua qhov ntawm lub cev. Cov qaug dab peg tuaj yeem rov ua dua ob peb zaug ib hnub.
Nyob rau hauv cov laus, nws yog ib daim ntawv atypical ntawm febrile qaug dab peg, tab sis qhov no tsis tshua muaj heev, txawm tias ib tus phenomenon exceptional. Raws li txoj cai, lawv tshwm sim tawm tsam cov keeb kwm ntawm kev qaug dab peg thiab mob loj heev. Tsis muaj lwm yam dab tsi rau qhov teeb meem ntawm cov lus nug ntawm cov neeg laus.
Qhov tsuas yog lub txiaj ntsim ntawm qhov tau piav qhia txog pathology yog qhov kev mob ntawm kev qaug dab peg thiab qhov teeb meem ntawm lub hlwb.
Kev pabcuam thawj zaug rau kev sib ceg sib ceg
Cov kev ntsuas yuav tsum tau npaum li cas thaum lub sijhawm qaug dab peg:
- Muab tus neeg mob tso rau ntawm lub plhaub, tawv tawv, nrawm ntawm ntse, hnyav, txhua yam khoom puas.
- Tig lub cev rau sab, txo lub taub hau. Qhov no yuav zam tsis tau qhov qaub ncaug ntawm cov qaub ncaug, ntuav, khoom noj mus rau hauv lub cev.
- Xyuas kom tsis muaj kev tso cua txias rau hauv chav tsev kom tsis txhob kub kub.
Lwm yam kev ua tsis tas yuav tsum tau ua ntej tuaj txog ntawm cov kws tshwj xeeb.
Dab tsi yuav ua tsis tau nrog kev sib ceg kev sib ceg:
- Sim ua kom koj tus nplaig tawm. Contrary rau nrov myth, nws yog tsis yooj yim sua kom nws nqos.
- Muab tej khoom tso rau hauv koj lub qhov ncauj. Xws li cov kev ua haujlwm yuav ua rau raug mob rau lub puab tsaig thiab cov hniav, qhov tawg tsam uas tuaj yeem nkag rau hauv txoj hlab ntsws.
- Quab yuam kom tuav tus neeg raug tsim txom. Qhov ntev thiab kev siv ntawm qhov spasm yuav tsis cuam tshuam txog qhov no.
- Los coj tus neeg mob mus rau lub neej nrog kev pabcuam ntawm kev ua pa.
- Muab ua ntej qhov kawg ntawm ib qho haum ntawm cov tshuaj los yog dej.
Kev kho kom yoog raws txoj cai yuav ua los ntawm ib pab kws kho mob.
Kev kho mob ntawm kev sib daj sib deev
Lub tswvyim zoo ibyam nrog 2 hom kev kho:
1. Kev kho mob ncaj qha ntawm qaug dab peg (qhov hnyuv yuav tsum tau txhaj rau 1 kg ntawm ib hnub):
- Seduxen los yog Diazepam 0.2-0.5 mg;
- Laurafen los yog Lorazepam 0.005-0.02 mg;
- Phenobarbitalo 3-5 mg;
- Ibuprofen 5-10 mg, txog li 4 zaug ib hnub;
- Paracetamol 10-15 mg, tsis pub tshaj 5 zaug hauv 24 teev;
- Naproxen 5 mg ib hnub ob zaug.
2. Kev tiv thaiv kev tiv thaiv (ntawm qaug dab peg):
- Clobazam ntawm 0.5 mg;
- Diazepam 0.4 mg txhua txhua 8 teev hauv thawj 48 teev tom qab raug mob.
Nws yog tsim nyog sau cia tias kev siv tshuaj tiv thaiv tsis tau muab pov thawj. Qee cov kws kho mob pom zoo kom mus sij hawm ntev, rau 2-5 xyoos, noj cov tshuaj tiv thaiv cov tshuaj tua kab mob:
- Carbamazepine;
- Phenobarbital;
- Valproate;
- Phenytoin;
- Diakarb ;
- Acetazolamide.
Lwm cov kws txawj qhia tawm kom tsis txhob muaj cov tshuaj tawm sab nrauv. Tab sis nyob rau hauv txhua rooj plaub, yuav tsum muaj kev soj ntsuam rau cov kws kho paj hlwb, kev kuaj mob, kev tshawb fawb thiab kev tshawb nrhiav.