Tsis meej pem yog lub xeev ntawm kev nco qab uas muaj peev xwm xav tau ntawm qhov ceev ib txwm ploj, qhov pom tseeb thiab qhov sib txawv ntawm kev xav tau cuam tshuam. Raws li lub npe no, tag nrho pab pawg ntawm kev raug mob hauv kev ua haujlwm ntawm lub hlwb tau sau tseg. Cia peb xav paub ntau ntxiv txog lub tswvyim ntawm "tsis meej pem."
Symptoms of disease
thawj qhov cim qhia ntawm kev tsis meej pem yog teeb meem nrog kev mloog thiab kev taw qhia. Tom qab ntawd cov teeb meem ntawm kev nco thiab kev xav txog kev xav yuav pib tshwm sim. Qhov kev ua txhaum cai tsis tas yuav cuam tshuam rau tag nrho cov haujlwm siab dua ntawm kev puas siab puas ntsws ib zaug, tsuas yog ib qho ntawm lawv, piv txwv li, kev paub hais lus, tuaj yeem raug puas tsuaj. Teeb meem nrog kev nco lossis kev taw qhia spatial yuav raug sau tseg. Hauv cov xwm txheej zoo li no, cov kab mob hu ua aphasia, dementia thiab agnosia.
nrawm nrawm thiab qeeb ntawm tus mob
Cov tsos mob ntawm qhov tsis meej pem tuaj yeem ua tau sai thiab qeeb, nyob ntawm qhov ua rau nws ua rau nws. Feem ntau nws yog ib ntus, tab sis nws tuaj yeem ua tau mus tas li, feem ntautxuam nrog dementia thiab delirium.
Cov neeg tsis meej pem feem ntau yog nyob ntsiag to, txav me ntsis thiab pom kev nyuaj siab. Nws tshwm sim hais tias tus kab mob yog nrog los ntawm illusions thiab hallucinations. Yog tias yav dhau los tshwm sim vim kev txhais lus tsis raug ntawm stimuli, tom qab ntawd tshwm sim yam tsis muaj lawv txhua.
Nws yuav tsum nkag siab tias txhua tus neeg tsis meej pem kev nco qab tshwm sim nws tus kheej ib leeg, nyob ntawm seb qhov kev qaug cawv lossis qhov hnyav ntawm lwm qhov ua rau. Slowness thiab inconsistency ntawm kev xav yog pom meej meej nyob rau hauv kev sib tham, thiab cov no yog thawj cov tsos mob nrog rau kev kuaj mob ntawm "tsis meej pem". Yog li koj tsis tas yuav yog tus kws tshaj lij saib seb puas muaj teeb meem.
Disorientation, nws variations
Disorientation tuaj yeem yog ob qho tib si allopsychic, uas tus neeg tsis tuaj yeem sau npe hnub thiab qhov chaw nws nyob tam sim no, thiab autopsychic, uas nws tus kheej txheeb xyuas kuj nyuaj. Nrhiav kom paub qhov muaj qhov tsis txaus ntseeg kuj yog ib qho yooj yim los ntawm kev nug ob peb nqe lus nug. Raws li cov lus teb, qhov tshwm sim yog pom tseeb - kev nco qab yog qhov tseeb; tsis meej pem - nws txhais tau tias nws yog lub sij hawm kom tau txais kev pab. Koj yuav tsum sab laj nrog kws kho mob hlwb lossis tus kws kho mob narcologist.
Thaum muab kev pab, txaus siab yuav tsum tau them rau lub ntsiab lus ntawm lo lus "tsis meej pem". Ib tug neeg nyob rau hauv qhov xwm txheej no yeej muaj kev nyuaj siab nrog kev ua raws li kev txiav txim siab, suav nrog cov kev pom zoo rau kev mus pw hauv tsev kho mob, yog li ntawd, nyob rau hauv cov xwm txheej zoo li no, feem ntau yuav tsum tau ua raws li cov lus qhia ntawm lub xeev.
Txoj Kev Ua Txhaum Cai
Pib ua rau feem ntau ua rau cov tsos mob tshwm sim. Nrog VSD, muaj qhov pom tseeb thiab mob me me, nrog rau lub plawv nres, qhov mob tshwm sim heev thiab qee zaum tuaj yeem ua rau lub xeev poob siab. Qhov ua rau metabolic feem ntau yog nrog los ntawm ntau yam kev tshwm sim, xws li tsw.
Nyob hauv cov neeg laus
Kev ntxhov siab hauv cov neeg laus muaj mob ntev, yog li lawv tuaj yeem hloov kho qee yam rau nws. Yog tias lub xeev zoo li no ntev ntev, feem ntau nws yuav ua rau muaj qhov tshwm sim tsis zoo. Kev hais lus hauv cov xwm txheej no feem ntau qeeb, qhov tsis sib xws tuaj yeem pom hauv nws, cov tswv yim delusional qee zaum peep los ntawm, illusory dluab yuav tshwm sim uas tig mus rau hallucinogenic sawv daws yuav. Lub siab ntawm cov neeg no kuj feem ntau hloov pauv thiab nyuaj rau kwv yees, yog li koj yuav tsum ua tib zoo saib xyuas lawv. Kev hloov pauv ntawm kev pw tsaug zog kuj tau pom, thiab lawv tuaj yeem tawm tsam diametrically: los ntawm kev pw tsaug zog ua kom tsaug zog ntau dhau.
Diagnosis
Txhawm rau kuaj mob, ob qho tib si kev tshawb fawb classic thiab tshwj xeeb cov paj hlwb thiab kev puas siab puas ntsws, xws li Glasgow Coma Scale, tau siv. Thiab nyob rau hauv cov ntaub ntawv ntawm cov kab mob organic, nws yog ib qho tsim nyog yuav tau kuaj ntshav, kuaj zis, ua ECG thiab MRI. Qhov no yuav pab txheeb xyuas qhov laj thawj thiab pib kho kom raug.
tsis meej pem: ua rau tshwm sim
Qhov kev ua txhaum cai no tuaj yeem tshwm sim nws tus kheej vim muaj ntau yamntau yam laj thawj. Tias yog vim li cas nws tsis tuaj yeem yog lub teeb liab ntawm qee yam pathology, tab sis nws yog ib qho tsim nyog yuav tsum paub txog nws txoj kev txaus ntshai thiab sim nrhiav qhov ua rau. Ib yam yog qhov tseeb: tus kab mob no qhia tias muaj teeb meem hauv lub paj hlwb hauv tus neeg mob.
Cia peb xav txog qhov ua rau tsis meej pem:
1. Kev puas tsuaj. Tus kab mob tuaj yeem yog qhov tshwm sim ntawm kev raug mob lub hlwb, tshwj xeeb tshaj yog tias lawv muaj qhov nkag mus. Txawm hais tias qee zaum kev raug mob ntawm lub paj hlwb tuaj yeem ua rau muaj teeb meem zoo li no vim yog qhov siab ntawm lub hlwb. Feem ntau qhov ua rau yog aneurysms, tus cwj pwm los ntawm ntau qhov txaus ntshai tshwm sim.
2. Tshuaj lom. Qhov ua rau ntawm tus kab mob tuaj yeem ua rau lom nrog mercury, dej cawv lossis tshuaj yeeb. Hauv kev ua tsov ua rog, ntau yam roj ntsha neurotropic thiab organophosphorus tau siv los ua riam phom uas ua raws li txoj kev no. Neurotoxins tuaj yeem pom hauv cov khoom noj xws li carambola, puffer ntses. Qhov tshwm sim ntawm qhov tshwm sim zoo sib xws ntawm kev lom nceb kuj tshwm sim.
3. Qhov tshwm sim ntawm cov kab mob. Cov kab mob nrog rau lub cev qaug cawv hnyav thiab hyperthermia (flu, tonsillitis, mob ua pa nyuaj thiab lwm yam) qee zaum ua rau tsis meej pem. Qhov no tshwj xeeb tshaj yog rau cov menyuam yaus thiab cov tub ntxhais hluas. Qhov kev pheej hmoo ntawm cov xwm txheej zoo li no tshwm sim thaum raug mob, pob txha thiab cov ntshav poob loj. Tuberculosis thiab syphilis yog lwm yam ua tau. Qhov ua rau tuaj yeem ua rau mob encephalitis, mob ntshav qab zib mellitus, mob siab mob siab ntau yam, theem kawg. AIDS.
4. Neoplastic manifestations, thiab tsis tas yuav tshwm sim nyob rau hauv lub hlwb cov ntaub so ntswg. Qhov no yog vim lub fact tias cov qog yog ib txwm nrog los ntawm heev intoxication, yog li tsis meej pem nyob rau hauv oncology nyob rau hauv lub tom ntej theem yuav inevitable. Qhov txaus ntshai tsis yog tsuas yog cov qog nqaij hlav classic xwb, tab sis kuj yog leukemia. Nws tshwm sim hauv 15-30% ntawm cov neeg mob, thiab nce mus txog 85% los ntawm lub lis piam kawg ntawm lub neej. Nws ua rau muaj kev ntxhov siab ntxiv rau tus neeg mob thiab nws tsev neeg thiab cuam tshuam rau cov tsos mob thiab cov kev kho mob qog noj ntshav, suav nrog kho qhov cuam tshuam ntawm qhov mob.
5. Circulatory pathologies. Ob qho tib si mob loj, xws li mob stroke, thiab ischemia, uas yog suav tias yog ib ntus, uas yog, ua tiav yam tsis muaj qhov tshwm sim thiab tsuas yog lub teeb liab ntawm qhov teeb meem, feem ntau ua rau tsis meej pem. Qhov hnyav ntawm tus kab mob thiab qhov tshwm sim ntawm cov tsos mob yuav txawv nyob ntawm seb qhov hnyav ntawm cov kab mob pathology uas ua rau muaj kev cuam tshuam. Hauv myocardial infarction, tsis meej pem tshwm sim vim muaj teeb meem nrog cov ntshav ncig thiab qhov mob rhiab heev.
6. Vegetovascular dystonia vim muaj kev cuam tshuam ib nrab ntawm cov hlab ntsha thiab cov hlab ntsha uas tsis muaj zog kuj tseem nrog kev tsis meej pem me ntsis.
7. Qhov tshwm sim ntawm cov kab mob degenerative. Qhov tshwm sim tuaj yeem tshwm sim rau qib siab ntawm qhov siab tshaj ntawm senile dementia, insanity ntawm ntau yam keeb kwm, Alzheimer's kab mob. Hauv qhov no, nws yog tshwm sim los ntawm teeb meem ntawm lub hlwb kev ua haujlwm thiab teeb meem nrog kev taw qhia.
Cov ntsiab lus pib ntawm cov txheej txheem no tuaj yeem ua tau ntau yam xwm txheejqhov sib txawv ntawm qhov hnyav. Rau cov neeg uas muaj kev xav tsis muaj zog, qhov kev xav muaj zog txaus txaus. Txawm tias tsis muaj cov vitamins, hypothermia, ntev tsis tsaug zog thiab oxygen tuaj yeem ua rau muaj qhov tshwm sim zoo sib xws.
Kev kho mob tsis meej pem
Rau kev kho mob ntawm kev tsis meej pem, nws yog thawj zaug tsim nyog los tsim kom muaj qhov tshwm sim ntawm nws thiab twb tshem tawm nws. Txij li qee cov tshuaj feem ntau yog qhov ua rau, nws yog ib qho tsim nyog yuav tsum tsis txhob noj tag nrho cov tshuaj kom txog thaum tag nrho cov kab mob metabolic raug kho. Lub etiology ntawm kev tsis meej pem yog feem ntau yooj yim rau kev txiav txim siab vim muaj cov tsos mob tshwj xeeb, tab sis qee zaum kev kuaj xyuas tag nrho lub cev tuaj yeem pab nrog qhov no.
Cawv yog qhov ua rau
Qee zaum koj tuaj yeem txiav txim siab qhov laj thawj thiab kho qhov ua rau koj tus kheej. Qhov no siv rau kev haus dej cawv, txo cov ntshav qab zib. Thaum cov suab thaj poob qis, cov tshuaj yej qab zib lossis khoom qab zib yuav pab tau. Yog tias koj poob dej ntau, koj yuav tsum mus rau kev kho dej rov qab siv cov khoom muaj nyob hauv lub tsev muag tshuaj. Absorbents thiab kua dej ntau yuav pab tau los ntawm kev qaug cawv.
Kev mob
Yog qhov ua rau raug mob, nws yog ib qho tseem ceeb uas yuav tsum tau txheeb xyuas thiab tshem tawm nws raws sijhawm. Qee lub sij hawm qhov no yuav tsum tau siv kev phais mob neurosurgery. Tom qab mob stroke ischemic, thrombolytics yog siv, nrog rau hemorrhagic stroke, phais pov tseg ntawm hematoma yog xyaum. Raug tshuaj lomtshwj xeeb yog cov hlau hnyav, thiab hluav taws xob raug hluav taws xob kuj tseem xav tau kev kho kom haum. Cov kab mob nrog rau kev qaug rau lub cev thiab kub taub hau yog kho nrog kev siv tshuaj tua kab mob thiab tshuaj tua kab mob. Nrog VVD, kev noj haus txhua hnub thiab kev noj zaub mov raug kho, cov tshuaj soothing thiab tshuaj yej kuj siv: chamomile, mint, txiv qaub balm.
Muaj qee yam tshuaj uas tuaj yeem pab tshem tawm tus kab mob, tab sis qhov zoo tshaj plaws yog tswj kev kho mob. Yog hais tias tus neeg mob nyob rau hauv ib qho kev zoo siab, lub txaj nrog laj kab ntawm ob sab los yog ib lub rooj zaum tshwj xeeb yog siv. Qee lub sij hawm cov kws kho mob raug yuam kom kho tus neeg mob, tab sis qhov no yog qhov tsim nyog kom zam, muab lub sijhawm rau nws txav mus los tsis txwv hauv qhov chaw txwv.
Lub sijhawm tsis txaus ntseeg
Yog tias tus kab mob cuam tshuam nrog lub sijhawm tsis txaus ntseeg, nws yog ib qho tseem ceeb kom ntseeg tau tias chav tsev muaj tej yam uas yuav pab tau koj mus rau: daim ntawv qhia hnub loj thiab moos. Qhov no yuav txo qis kev ntxhov siab thiab pab cov neeg mob muaj kev ntseeg siab dua. Rau insomnia, koj yuav tsum muab xov tooj cua rau tus neeg mob los yog cia nws ib phau ntawv thiab teeb lub teeb, uas yuav pab tau siv sijhawm. Feem ntau, kev sib txuas lus nrog tus neeg mob, kev txhawb nqa hauv nws txoj kev ntseeg hauv kev rov qab los yog qhov tseem ceeb. Cancer tsis meej pem yog relieved nyob rau hauv no txoj kev.
Yog tias cov tshuaj no tsis muaj txiaj ntsig txaus, lawv mus rau kev kho mob, feem ntau suav nrog kev nojneuroleptics. Nyob rau tib lub sijhawm, tsis muaj cov ntaub ntawv qhia tseeb txog qhov zoo ntawm cov tshuaj ntau dua li lwm tus, qhov tseem ceeb tsis yog qhov muaj cov nyhuv sedative. Txawm li cas los xij, tej zaum lawv yuav tsis tas siv tau. Cov tshuaj yog thawj zaug ntawm qhov tsawg kawg nkaus koob tshuaj, thiab tom qab ntawd maj mam nce, thaum soj ntsuam qhov tshwm sim tshwm sim. Nws yog ib qho tseem ceeb uas tsis muaj qhov tshwm sim ntawm qhov tshwm sim ntawm qhov cuam tshuam - qhov nce ntawm kev coj tus cwj pwm tsis zoo.
Nyob rau hauv inducing thiab kho lub voj voog pw tsaug zog. Qee zaum, txhawm rau txhim kho kev pw tsaug zog hmo ntuj, tus neeg mob tsis pub pw tsaug zog thaum nruab hnub. Cov tshuaj tsaug zog tsis tshua muaj qhov xav tau thiab ntau zaus lub voj voog tag nrho rov qab mus rau qhov qub tsuas yog tom qab qhov tsis meej pem dhau lawm.