Epilepsy yog ib qho ntawm feem ntau cov kev mob ntawm cov kab mob hlwb, uas ua rau nws tus kheej tshwm sim nyob rau hauv daim ntawv ntawm kev cia siab ceev nrig. Feem ntau, qaug dab peg yog qhov chaw hauv lub cev thiab lub cev tsis zoo ntawm lub hlwb tsis pom zoo, tab sis tsuas yog ua txhaum ntawm cov kev tawm tsam ntawm cov hlab ntsha. Tab sis kuj muaj qee qhov kev mob hlwb (theem nrab). Daim ntawv ntawm tus kab mob no tsim kev puas tsuaj rau lub hlwb los yog cov kab mob metabolic hauv nws.
Kev faib tawm ntawm cov kab mob symptomatic
Zoo li txhua hom qaug dab peg, qhov symptomatic yog faib ua feem ntau thiab laus.
- Generalized epilepsy tshwm nws tus kheej vim yog kev hloov hauv kev sib cais thiab yav tom ntej nws qhov tshwm sim cuam tshuam rau tag nrho lub hlwb.
- Lom ze (focal, ib nrab) symptomatic qaug dab peg , raws li lub npe siv, yog tshwm sim los ntawm kev puas tsuaj ntawm ib qho ntawm lub hlwb thiab qhov ua txhaum ntawm qhov kev tawm ntawm cov cim hauv nws lub cortex. Nws yog faib (los ntawm thaj chaw uas raug cuam tshuam) rau hauv:
- symptomatic temporal lobe epilepsy;
- symptomatic frontal epilepsy;
- symptomatic epilepsy ntawm parietal lobe;
- Symptomatic qaug dab peg ntawm qhov hnyuv taum.
Cov tsos mob ntawm kev mob qoob hlwb
Kev qaug dab peg feem ntau yog tshwm sim los ntawm txoj kev tsis nco qab thiab ua kom tsis muaj kev tswj hwm lawv cov kev ua. Feem ntau, qhov kev raug mob yog los ntawm lub caij nplooj ntoos zeeg thiab cov suab nrov.
Feem ntau, qhov tshwm sim ntawm ib feem ntawm qaug dab peg yog nyob ntawm qhov chaw ntawm kev ua kom pom tseeb thiab muaj peev xwm ua tau lub cev muaj zog, hlwb, nqaij, nqaij tawv.
Muaj ob hom mob hnyav ua rau mob qog nqaij hlav - mob me thiab mob hnyav.
- Nrog rau lub teeb tuaj, tus neeg feem ntau tsis poob nco ntsoov, tab sis nws tau dag ntxias, tsis paub dab tsi, kev tswj ntawm qhov chaw ntawm lub cev.
- Nrog txoj kev tawm tsam, nws muaj peev xwm tsis poob kev sib cuag nrog kev muaj tiag (ib tug neeg tsis paub qhov twg nws yog, ua li cas rau nws), convulsive contractions ntawm tej leeg nqaij leeg, tswj tsis tau.
Cov kab mob qoob hlwb hauv qab no yog tshwm sim los ntawm:
- Sudden pib ntawm qaug dab peg;
- luv luv (40-60 seconds);
- muaj siab;
- lub cev muaj zog ("taw ped pedala", ua yeeb yam rov ua dua, thiab lwm yam).
Thaum muaj teeb meem ntawm lub cim cev nqaij daim tawv qaug zog :
- tsis meej pem ntawm kev xav;
- ntsej muag thiab carpal automatisms;
- hnov suab thiab pom kev pom.
Nrog parietal epilepsy, muaj:
- leeg ntshau;
- mob heev;
- ua txhaum kev kub ntxhov;
- bouts ntawm kev sib deev siab.
Thaum muaj tus mob occipital epilepsy los ntawm:
- kev pom duab nrhau;
- ua txhaum ntawm txoj kev tsis pom kev;
- uncontrolled ntsais muag;
- twitching ntawm lub taub hau.
Kev kuaj mob thiab kev kho mob ntawm kev mob plawv
Tus mob ntawm "qaug dab peg" yog tsim los ntawm rov qab ua dua ntawm qaug dab peg. Rau kev kuaj xyuas lub hlwb puas tsuaj siv lub tshuab electroencephalogram (EEG), magnetic resonance imaging
Kev kho mob ntawm cov kab mob symptomatic yog nyob ntawm seb nws hom thiab daim ntawv ntawm qhov tshwm sim thiab tuaj yeem yuav lam tshuaj lossis phais. Cov kev phais yuav raug tseev kom yog tias qaug dab paug tshwm sim los ntawm hemorrhages, ua rau cov ntshav qis mus rau lub hlwb, hlav, aneurysms.
Feem ntau, tus kab mob no yog kho nrog kev pab ntawm ib qho kev xaiv tshwj xeeb ntawm cov yeeb tshuaj, uas yog txiav txim siab nyob ntawm seb hom thiab ua rau mob qaug dab peg.
Nws yuav tsum nco ntsoov tias kev qaug dab peg yog ib qho kev puas siab ntsws loj heev thiab kev siv tshuaj rau tus kheej no yog qhov tsis tsim nyog thiab txaus ntshai rau lub neej.