Idiopathic thaum yau mob qaug dab peg, uas yog tus cwj pwm los ntawm kev qaug dab peg tsis zoo uas tsis nco qab thiab saib kev sib txawv, hu ua Panayotopoulos syndrome. Qhov kev sib txawv no muaj qhov txiaj ntsig zoo, kho tau, tab sis ua rau muaj kev tsis xis nyob rau tus neeg mob thiab cov neeg nyob ib puag ncig nws. Txhua qhov kev tawm tsam tuaj yeem tshwm sim nrog qhov sib txawv ntawm qhov hnyav, koj tsis tuaj yeem kwv yees. Txhawm rau kom tau txais txiaj ntsig zoo los ntawm kev kho mob, nws raug nquahu kom kuaj xyuas raws li EEG.
Kev kho mob suav nrog kev kho mob ntawm tus neeg mob qaug dab peg. Nco ntsoov ua tib zoo saib xyuas kev tiv thaiv. Nws tsis pom zoo kom pib kho yam tsis tau ntsib tus kws kho mob ua ntej, vim qhov no tuaj yeem ua rau muaj qhov tsis zoo.
Qhov no yog dab tsi?
Nyob rau hauv menyuam yaus, Panagiotopoulos syndrome tuaj yeem kuaj tau thaum muaj hnub nyoog ib thiab kaum tsibxyoo. Cov niam txiv yuav tsum ua tib zoo saib xyuas tus menyuam tus cwj pwm, kom tsis txhob nco tus kab mob thiab tsis ua rau muaj teeb meem. Tus kab mob occipital epilepsy no belongs rau benign idiopathic hom thiab tau piav qhia thawj zaug hauv xyoo 1950 los ntawm tus kws tshawb fawb Panayotopoulos, tom qab uas tus kab mob no muaj npe. Nws tau ua ntau yam kev tshawb fawb thiab kev soj ntsuam tau ntev, uas thaum kawg tau pab ua qhov kev tshawb pom tseem ceeb.
Lub occipital localization yog qhia los ntawm qhov tseeb tias thaum lub sij hawm paroxysm tus neeg mob saib yog qhia rau ob sab. Txawm li cas los xij, qhov no symptomatology tsis tau pom nyob rau hauv txhua tus neeg mob. Tsis tas li ntawd, thaum kuaj EEG, tus kws kho mob tshwj xeeb tsis tuaj yeem nco ntsoov kev ua haujlwm ntawm tus mob vwm hauv thaj tsam occipital, uas tuaj yeem cuam tshuam qhov kev kuaj mob.
Panayotopoulos 'tus mob yog nrog los ntawm ntau yam tsos mob, thiab tseem muaj cov cim qhia tau hais tias, thiab vim li no, nws yuav luag tsis tuaj yeem ua qhov kev kuaj mob sib txawv. Tus kab mob nws tus kheej tsis siv rau cov pathologies hauv pawg hnub nyoog no. Tab sis feem ntau nws tshwm sim rau cov menyuam yaus hnub nyoog ntawm peb thiab rau rau.
Views
Hauv cov tshuaj niaj hnub no, muaj peb hom mob vwm nyob ntawm qhov ua rau muaj qhov tshwm sim:
- genetic;
- qauv;
Txhawm rau txiav txim siab qhov tsis sib haum xeeb ua rau muaj kev tawm tsam, tus neeg mob raug qhia kom kuaj xyuas kom meej. Koj yuav tsum tsis txhob koom nrog kev kuaj mob tus kheej thiab, tshwj xeeb tshaj yog, kev kho mob, vim qhov no tuaj yeem ua rau mob hnyav thiab hloov tsis tau.kev tshwm sim.
Feem ntau, nws tsis tuaj yeem txiav txim siab txog daim ntawv ua txhaum cai. Nws tshwm sim tias qhov kev tawm tsam tsis cuam tshuam nrog kev mob vwm. Rau qhov kev kuaj mob kom raug, uas yog, hom kab mob, kev sab laj ntawm cov kws kho mob tshwj xeeb xws li kws kho mob epilepologist, kws kho mob hlwb thiab kws kho hluav taws xob yuav tsum tau ua. Kev qaug dab peg tshwm sim vim mob hlwb puas, ua tsis taus pa ntawm cov hlab ntsha hauv lub cev no, hemorrhage, benign thiab malignant neoplasms, impaired metabolic dab, thiab kuj vim ntev thiab tsis tswj tau ntawm ntau yam tshuaj. Yog li ntawd, ua ntej siv cov tshuaj, koj yuav tsum sab laj tus kws kho mob thiab paub koj tus kheej nrog contraindications. Kev qaug dab peg yog tshwm sim hauv cov neeg mob ntshav qab zib.
Tsis tas li, cov kws tshaj lij paub qhov txawv ntawm pseudoepileptic lossis psychogenic non-epileptic kab mob, uas tsuas yog txiav txim siab hauv qhov chaw kho mob. Muaj cov xwm txheej thaum tus menyuam muaj ob hom qaug dab peg ib zaug.
Aura thiab qaug dab peg
Pangiotopoulos syndrome, zoo li lwm yam mob vwm, yog ib qho kev kho mob ntawm cov hluav taws xob tawm hauv cov neeg coob, uas tuaj yeem nyiam ntau qhov chaw ntawm lub hlwb. Feem ntau, ua ntej qhov pib ntawm kev tawm tsam, tus neeg mob muaj aura. Yog tias txhua yam los ntawm lub hlwb rov qab, tus neeg mob pib pom cov duab xim thiab lub voj voog ua ntej ob lub qhov muag. Yog hais tias qhov tsom xam yog nyob rau hauv qhov tob ntawm lub cev lobe, ces qhov kev xav tsis kaj siab, tsis xis nyob tshwm sim hauv plab, uasmaj mam nce caj pas.
qaug dab peg hauv cov neeg mob uas muaj Panagiotopoulos syndrome tuaj yeem ua rau mob taub hau lossis tsis mob. Nyob rau hauv cov ntaub ntawv no, tus neeg mob tuaj yeem cias khov rau hauv qhov chaw ib ntus thiab tsis txav mus, thiab tom qab ntawd txuas ntxiv ua lawv txoj haujlwm. Thiab muaj cov xwm txheej thaum ib tug neeg cia li nres thiab pib rub nws txhais tes. Tag nrho cov no yog los ntawm lub cev nqaij daim tawv ntawm lub hlwb.
Cov neeg mob feem ntau qhia qee yam kev txaus siab tom qab kev tawm tsam. Yog li ntawd, ntau tus tsis kam kho vim qhov no. Cov kws tshaj lij kuj tseem nco txog hom qaug dab peg xws li reflex photosensitivity, tshwm sim los ntawm kev flickering ntawm lub teeb. Yog li ntawd, cov menyuam yaus feem ntau tsis raug tso cai saib ntau yam yeeb yaj kiab lossis duab tas luav uas muaj cov ntsiab lus siab ntawm cov teebmeem tshwj xeeb.
Kev tsis tuaj yeem kuj tau sau tseg hauv tus menyuam uas muaj Panagiotopoulos syndrome. Qhov tshwm sim no yog tus cwj pwm los ntawm kev ploj mus, nrog rau lub sijhawm luv luv ntawm kev nco qab, thaum tsis muaj convulsions. Feem ntau, lawv raug kuaj pom hauv cov menyuam yaus hnub nyoog plaub xyoos, tab sis tuaj yeem pib ntxov yog tias tus neeg mob muaj lwm yam kab mob caj ces. Lawv qhov xwm txheej tuaj yeem txiav txim siab nrog cov kev ntsuam xyuas xws li kev kuaj caj ces, lumbar puncture. Raws li cov txiaj ntsig tau txais, kev kho mob tau sau tseg, uas yuav ua raws li kev noj haus ketogenic.
Pangiotopoulos syndrome: ua rau tshwm sim
Tus kws tshawb fawb pioneer ntseeg hais tias cov menyuam yaus yuav tsum muaj qhov ua rau muaj kev ntxhov siab nyob rau hauv daim ntawv ntawm tus kab mob benign epileptiform EEG, uas tuaj yeem tsuas yog hauv ib tus menyuam ntawm 100. Tus kab mob no raug suav hais tias yog los ntawm keeb kwm, thiab tus neeg mob nws tus kheej tau pom zoo rau qhov kev sib txawv no.
Ntau zaus, cov kws tshaj lij koom nrog qhov ua rau Panagiotopoulos syndrome nrog lub sijhawm tsis paub txog ntawm lub paj hlwb cortex, nws diffuse nce excitability thiab ntau dhau ntawm kev mob vwm ntawm cov txheej txheem autonomic. Tab sis txog tam sim no, cov tshuaj tsis tau tsim muaj tseeb provoking pathogenetic mechanisms thiab triggers. Qee zaum qaug dab peg, uas tsis meej pem nrog kev qaug dab peg, tuaj yeem kuaj tau tom qab raug mob ntawm lub hlwb, tsis hais hnub nyoog li cas, yog li yuav tsum muaj tus kws kho mob hlwb kev sab laj thiab kuaj EEG.
Cov tsos mob ntawm Panagiotopoulos syndrome hauv tus menyuam
Tus neeg mob me tsis tuaj yeem yws lossis piav qhia meej nws tus mob, yog li cov niam txiv yuav tsum ua tib zoo saib xyuas lawv tus menyuam nrog qhov kev sib txawv no, txawm tias nws muaj 10 lossis 15 xyoo lawm. Qhov kev cuam tshuam no, raws li tau hais dhau los, yog nrog los ntawm kev qaug dab peg, uas tuaj yeem tshwm sim txhua lub sijhawm thiab qhov chaw. Ua ntej pib, cov tsos mob xws li:
- tsis zoo;
- nausea;
- saib deb, uas yog, qhov muag sib txawv (tej zaum yuav luv luv, ruaj khov lossis kav ntev li ob peb teev), qee zaum ua ke nrog tig ntawm lub taub hau;
- xav ntshai;
- cephalgia;
- hyperhidrosis.
Hauv Panagiotopoulos syndrome, ntuav tau pom hauv 25% ntawm cov neeg mob, uas tuaj yeem yog ib qho lossisrov ua dua, ua rau muaj kev noj qab nyob zoo, nrog rau kev qaug zog thiab ua rau lub cev qhuav dej. Hauv menyuam yaus, daim tawv nqaij thaum muaj kev tawm tsam yog daj ntseg, qee zaum redden lossis cyanosis. Kev tsis nco qab tuaj yeem nrog miosis. Muaj cim mydriasis. Muaj cov xwm txheej thaum tus neeg mob cov menyuam kawm ntawv tsis hnov mob rau qhov kaj.
Cov tsos mob ntawm Panayotopoulos syndrome hauv tus menyuam kuj muaj xws li tachycardia, ua tsis taus pa, enuresis, encopresis, mob plab hnyuv, ua npaws ua ntej thiab tom qab tawm tsam. Tsawg feem ntau, tus neeg mob tau kuaj pom tias muaj salivation ntau heev, raws plab. Nyob rau hauv feem ntau cov me nyuam, autonomic paroxysm yog nrog los ntawm cov teeb meem txuam nrog kev nco qab. Tus menyuam ploj hauv qhov chaw thiab sijhawm, tom qab ntawd fainting. Qhov xwm txheej no maj mam zuj zus, nrog rau qhov kev mob hnyav ntawm cov tsos mob autonomic.
Idiopathic occipital qaug dab peg kuj tuaj yeem muaj daim ntawv atypical, uas tau nthuav tawm hauv kev pw tsaug zog tam sim lossis poob mus rau hauv qhov tsis muaj kev ntxhov siab, kev coj cwj pwm raug cuam tshuam, kev tsis sib haum xeeb tau sau tseg, tab sis tsis ntuav thiab cephalgia.
Kev qaug dab peg hauv 25% ntawm cov menyuam yaus xaus nrog kev nqhis dej hauv ib nrab ntawm lub cev. Muaj tsawg zaus, tus menyuam muaj kev hnov lus, qhov muag tsis pom kev, thiab qhov muag tsis pom kev tuaj yeem raug kuaj pom. Tom qab ntawd tus neeg mob xav pw tsaug zog, thiab tom qab sawv los hnov zoo tag nrho.
Y Epistatus hauv Panagiotopoulos Syndrome - ib qho kev qaug dab peg,lub sij hawm uas yog los ntawm ib nrab ib teev mus rau xya teev. Tib tus menyuam tuaj yeem kuaj pom muaj ntau yam kabmob txhua lub sijhawm ntawm hnub.
Tus me nyuam feem ntau qaug dab peg nrog Panagiotopoulos syndrome? Qhov zaus tsis tseem ceeb, rau tag nrho lub sijhawm ntawm tsib mus rau kaum. Nyob nruab nrab ntawm kev tawm tsam, qhov xwm txheej ntawm tus neeg mob neurological yog yam tsis muaj kev tshaj tawm. Hauv kev loj hlob, tus me nyuam tsis poob qab nws cov phooj ywg.
Dab tsi tsis yog mob vwm? Kuv puas xav tau kev sab laj txog kev puas siab puas ntsws?
Ntau zaus tus kab mob no tsis meej pem nrog lwm yam kab mob. Hauv qhov no, nws yog qhov zoo dua los hu rau tus kws kho mob tshwj xeeb rau kev pab tsim nyog thiab tsis koom nrog kev kho tus kheej kom tsis txhob muaj qhov tshwm sim tsis zoo. Kev qaug dab peg yuav tsum tsis txhob tsis meej pem nrog pathologies xws li:
- Pleev taug kev. Tsis siv rau hom kab mob no, tab sis yog tias muaj lwm cov tsos mob tshwm sim, ces nws tsim nyog mus kuaj ntxiv thiab qhia meej qhov kev kuaj mob dua.
- Cephalgia. Nws tsis siv rau cov tsos mob ntawm occipital qaug dab peg nkaus xwb yog tias mob taub hau tsis raug kuaj pom tom qab muaj kev tawm tsam nrog fainting.
- Tiki. Outwardly txawv thiab tsis muaj kev cuam tshuam rau tus kab mob no.
- Kev tsis pom kev hmo ntuj. Tsis suav tias yog ib qho kev ceeb toom ntawm pathology.
Nrog rau menyuam yaus occipital qaug dab peg, nws tsis yog ib txwm tsim nyog nrhiav kev pab los ntawm kws kho mob hlwb. Yog tias tsim nyog, tus kws kho mob hlwb tuaj yeem xa mus rau tus kws kho mob nqaim no. Kev sab laj kuj yuav tsum tau yog tias tus me nyuam txoj kev puas siab puas ntsws tsis zoo nyob rau hauvLub sij hawm ntawm qaug dab peg thiab, raws li qhov tshwm sim, cov tshuaj kho mob hlwb tau raug sau tseg.
Yog tias tus neeg mob me tau kuaj pom tias muaj mob occipital qaug dab peg, tsis tas yuav kho nws nrog acupuncture lossis lwm txoj hauv kev tsis yog ib txwm muaj, qhov no yuav tsis ua rau muaj txiaj ntsig.
Parents' actions
Yog ib tug me nyuam nquag tshee hmo ntuj, nws cov qaub ncaug ntws, thiab nws taug kev thaum pw tsaug zog, qhov no yog vim li cas yuav tsum ceev faj thiab nrhiav kev pab. Cov xwm txheej no tuaj yeem pom tsis pub dhau ib feeb, tom qab ntawd tus neeg mob me yuav tsis nco qab dab tsi thiab tseem yuav tsaug zog ntxiv. Qee cov niam txiv tsis xav tias qhov no yog qhov kev tawm tsam, tab sis tsis muaj txiaj ntsig, kev tshuaj xyuas kom meej, kev kuaj mob kom raug, thiab kev kho kom zoo yuav tsum tau ua. Kev sib tw me ntsis ntawm cov ces kaum ntawm lub qhov ncauj, uas tuaj yeem kis tau thoob plaws lub cev, kuj suav tias yog ib qho kev ceeb toom.
Cov kws tshaj lij pom zoo kom ua yeeb yaj kiab hmo ntuj qaug dab peg kom tom qab, los ntawm qhov tsos, koj tuaj yeem txiav txim siab seb tus menyuam puas muaj mob vwm lossis tsis yog. Nws tshwm sim tias tus neeg mob sawv thaum hmo ntuj thiab saib ntawm ib qho taw tes rau lub sijhawm ntev, ces ntuav pib xwb. Thaum nruab hnub, tus menyuam tsis txawv ntawm nws cov phooj ywg, nws tseem txav thiab sib txuas lus. Yog tias qhov kev tawm tsam tsuas yog ib qho, ces benign occipital epilepsy tsis kho txhua. Nyob rau hauv cov ntaub ntawv ntawm kev loj hlob qeeb los yog cov tsos mob ntawm focal, impaired txav mus los, poob ntawm kev txawj ntse, neuroimaging, magnetic resonance imaging thiab complex genetic tswv yim yog tsim nyog.
Diagnosis
Kev kuaj mob yuav tsum tau pib ntawm thawj lub cim ntawm kev sib txawv. Saibkev tshawb fawb tau raug xaiv tshwj xeeb los ntawm tus kws kho mob tshwj xeeb tom qab kuaj xyuas tus neeg mob ua ntej thiab sib tham nrog nws niam nws txiv. Yog hais tias cov me nyuam muaj occipital qaug dab peg thaum muaj hnub nyoog, ces 2-4 teev VEEG soj ntsuam yog ua, txij li thaum tus me nyuam muaj lub sij hawm ntev ntawm kev pw tsaug zog physiological. Rau cov neeg mob ntawm pawg hnub nyoog laus, hom kev kuaj no tsuas yog pom zoo thaum hmo ntuj.
Txawm li cas los xij tau kuaj pom tus menyuam muaj mob vwm, ntxiv rau cov txheej txheem no, nws raug nquahu kom siv cov neuroimaging, uas yuav tso cai rau kuaj pom lub cev ntawm lub cev ntawm tus neeg mob vwm. Tsis tas li ntawd, cov neeg mob uas muaj qhov sib txawv loj no tau raug sau npe magnetic resonance imaging ntawm lub hlwb, thiab yog tias calcifications tau kuaj pom, ces CT kuj tseem ua. Cov kev ntsuam xyuas no loj heev thiab muaj ntau yam contraindications uas yuav tsum tau coj mus rau hauv tus account yam tsis poob. Lawv yuav tsum tsis txhob noj yam tsis muaj kev sab laj nrog tus kws tshaj lij ua ntej, vim qhov no tuaj yeem ua rau muaj qhov tsis zoo thiab rov qab los tsis tau.
Ntau zaus, txawm tias cov kws kho mob feem ntau cuam tshuam cov tsos mob ntawm Panagiotopoulos syndrome nrog rau lwm yam kab mob, xws li:
- mob ua pa kis kab mob (ARVI);
- meningitis yog ib qho txheej txheem inflammatory uas tshwm sim nyob rau hauv cov mos mos ntawm lub hlwb thiab qaum qaum, provoked los ntawm ntau yam kab mob (kab mob, kab mob);
- kab mob plab;
- mob ntshav qab zib;
- cawv-hypertensive crisis;
- kev tawm tsam ntawm cephalalgia lossismigraines.
Epileptic syndrome tsis tuaj yeem tsim los ntawm ib qho kev tawm tsam, txawm tias muaj kev hloov pauv EEG. Yog tias tsim nyog, tus menyuam tau sau npe nrog tus kws kho mob hlwb rau ib lub sijhawm txhawm rau txhawm rau tshem tawm qhov kev kuaj mob tsis zoo no. Nws yog ib qho tsim nyog yuav tsum nco ntsoov tias cov kev ua ub no tuaj yeem tshwm sim hauv EEG txoj kev tshawb fawb thaum lub sij hawm kho mob, tab sis tom qab ntawd ploj mus ze rau cov hluas.
Lumbar puncture yog pom zoo rau cov neeg mob tsuas yog tias nws yog qhov tsim nyog los sib txawv qhov mob no los ntawm cov kab mob organic, xws li cyst, hematoma, neoplasm hauv lub hlwb, lossis neuroinfection (encephalitis, abscess). Nws tseem yuav tsum tau coj mus rau hauv tus account qhov tseeb tias yuav tsis muaj kev cuam tshuam ntawm cov kua hauv hlwb.
Kev kho mob. Kev tiv thaiv
Kev kho mob, raws li tau hais dhau los, yuav nyob ntawm qhov kev kuaj mob thiab raug tshuaj los ntawm tus kws kho mob tshwj xeeb. Koj yuav tsum tsis txhob koom nrog kev kuaj mob tus kheej thiab, ntxiv rau, sau tshuaj kho mob, vim qhov no tuaj yeem ua rau muaj qhov tsis zoo, tshwj xeeb tshaj yog nyob rau hauv qhov xwm txheej no. Yog tias koj nrhiav kev pab tsim nyog raws sijhawm, qhov tshwm sim yuav zoo.
Kev kho mob qaug dab peg yuav nyob ntawm nws daim ntawv, qhov tsis saib xyuas qhov xwm txheej ntau, yuav tsum tau siv sijhawm thiab siv zog ntau los tshem tawm. Txoj kev tseem ceeb ntawm kev kho mob rau tus kab mob no yog suav tias yog tshuaj, uas yuav txhim kho tus mob hauv ntau cov neeg mob ntawm cov hnub nyoog sib txawv. Qhov kev xaiv zoo tshaj plaws yog kev kho mob nrog ib hom tshuaj, yog tias hom no yogtsis muaj txiaj ntsig, tom qab ntawd cov kws tshaj lij tau sau ntau yam tshuaj antiepileptic. Nws yuav tsum nco ntsoov tias lawv tsis pom zoo kom noj yam tsis muaj kws kho mob cov tshuaj. Ua ntej koj pib siv cov tshuaj, ua tib zoo nyeem cov lus qhia, xyuam xim rau contraindications thiab phiv.
Chav kawm nyob ntawm tus neeg mob thiab qhov tsis saib xyuas tus kab mob. Lub arsenal ntawm cov tshuaj rau cov menyuam yaus uas muaj mob vwm yog tib yam li cov neeg laus. Hauv kev xyaum niaj hnub no, muaj cov xwm txheej thaum tus menyuam Panayotopoulos syndrome tau kho nrog kev pab los ntawm Sultiam, uas yog ib pawg ntawm cov tshuaj. Tsis tas li, kws kho mob tuaj yeem sau tshuaj "Carbamazeline", "Oxarbazeline". Yog hais tias cov kab mob pathology yog resistant atypical, ces siv Clobazam, Levetiracetam, Valproate yog ua tau. Lub sijhawm kawm yuav tsum tsis pub tshaj ob xyoos.
Yog tias muaj kev tawm tsam hauv tus menyuam yaus uas muaj Panagiotopoulos syndrome nrog cov kab mob hauv lub hlwb puas tsuaj los ntawm 20 feeb mus rau ib nrab teev, yuav tsum tau kho qhov xwm txheej ceev. Vegetative status epilepticus tuaj yeem nres los ntawm qhov quav lossis tso quav tso ntawm Phenozepam, Clonazepam, Diazepam.
Ntxiv rau kev kho tshuaj, tus neeg mob me tuaj yeem raug tshuaj hormonal lossis immunoglobulin kho. Yog tias qhov kev kho mob tsis muab qhov txiaj ntsig zoo, ces nws tuaj yeem siv neurosurgery. Txoj kev kho no suav nrog kev txiav tawm ntawm qhov txawv txav ntawm lub hlwb lossis lawvmuab cais nyob ib leeg. Rau cov neeg mob hauv pawg hnub nyoog yau, cov kws tshaj lij pom zoo kom noj ketogenic.
Dab tsi yog qhov tshwj xeeb ntawm cov zaub mov no?
Txoj hauv kev no rau kev noj haus yog pom zoo tsis yog rau cov menyuam yaus uas muaj mob vwm, tab sis kuj rau cov kab mob oncological thiab ntshav qab zib. Cov zaub mov no tsis tsuas yog muaj qhov zoo xwb, tab sis kuj tseem muaj qhov tsis zoo, uas yuav tsum tau coj mus rau hauv tus account. Yog tsis ua tsis tau, yuav tsum muaj ib txoj hauv kev uas muaj peev xwm thiab cov ntawv qhia zaub mov muaj txiaj ntsig zoo.
Lub ntsiab lus tseem ceeb ntawm kev noj zaub mov ketogenic yog kev cais tawm ntawm carbohydrates los ntawm kev noj zaub mov, kev siv cov rog thiab cov protein ntau. Maj mam, cov piam thaj thiab insulin hauv cov ntshav txo qis, lub siab pib tsim cov ketone lub cev, uas cuam tshuam rau oxidation ntawm fatty acids. Thaum lub cev xav tau cov carbohydrates, nws pib hlawv txheej, thiab cov protein pab txo qis qab los noj mov.
Cov neeg noj zaub mov txawv peb hom kev noj zaub mov ketogenic:
- qauv. Txhais tau tias 5% carbohydrates, 20% protein thiab 75% rog nyob rau hauv cov khoom noj.
- Tawm. Ua ntej kev cob qhia, tus neeg mob tau tso cai noj me me ntawm carbohydrates ceev.
- Cyclic. Nws raug tso cai noj carbohydrates ntau hnub hauv ib lub lis piam.
Cov neeg mob tau tso cai noj zaub mov xws li nqaij liab, nqaij qaib, ntses rog thiab cheese, qe hauv tsev, qab zib, butter, avocados, txiv lws suav, kua txob, txiv ntseej, txiv roj roj. Txiv hmab txiv ntoo unsweetened, tsaus iab chocolate, kas fes, tshuaj yej raug pom zoo nyob rau hauv me me. Los ntawm kev noj haus koj yuav tsum tau tshem tawm tag nrho legumes, qab zibkhoom noj khoom haus, qos yaj ywm, carrots, mayonnaise.
Cov zaub mov no tsis yog ib txwm haum rau txhua tus, yog li koj yuav tsum xub sab laj nrog kws kho mob, kws kho menyuam yaus thiab kws kho mob hlwb.
Hauv qhov mob no, vim muaj qhov tsis tshua muaj kev tawm tsam thiab lub sijhawm luv ntawm pathology, nws raug nquahu kom ua cov tshuaj tiv thaiv kab mob. Cov no suav nrog:
- khoom noj kom raug thiab sib npaug;
- kev sab laj nrog kws kho mob hlwb;
- kho raws sijhawm thiab kuaj;
- nquag taug kev hauv huab cua ntshiab;
- kev ua haujlwm ntawm lub cev thiab lub hlwb;
- zoo pw tsaug zog;
- tsis suav nrog kev khaus khaus thiab cov xwm txheej ntxhov siab.
Txawm li cas los xij, ntawm thawj cov cim ceeb toom, koj yuav tsum hu rau tus kws tshaj lij. Txawm hais tias koj hnov tias Panayotopoulos Syndrome nyob rau hauv tus menyuam tau kho los ntawm micromovements, qhov no tsis tau txhais hais tias koj yuav tsum pib sim tam sim ntawd rau koj tus menyuam, vim tias txhua tus neeg mob yuav tsum tau ua raws li tus kheej.
Huab cua
Raws li kev kwv yees, nws tuaj yeem sib txawv, txhua yam nyob ntawm tus kab mob. Thaum qaug dab peg nrog rau lwm yam kev mob hnyav, qhov tshwm sim yuav poob siab, qhov kev cia siab tsis zoo, thiab kev kho mob tsis muaj txiaj ntsig. Nrog rau tus mob no, txawm tias qhov xwm txheej zoo li cas, kev kho mob yuav tsis xav tau. Qhov no tsuas yog txiav txim siab los ntawm tus kws tshaj lij tom qab kuaj xyuas.
Hauv kev xyaum niaj hnub no, muaj cov xwm txheej zoo li no thaum cov neeg mob uas muaj hnub nyoog ntxov tau txhaj tshuaj hormones, txawm tias qhov no tsis yog ib txwm tsim nyog thiab tau txais txiaj ntsig zoo. Txhawm rau tshem tawm qhov tshwm sim tsis zoo, koj tuaj yeem sab laj nrog ntau tus kws kho mob thiab tuaj rau qhov kev txiav txim siab dav dav, tsis muaj leej twg tau qhia pib kho, nws yog qhov zoo dua los xaiv ntau txoj kev kho mob thiab nrhiav qhov zoo rau koj tus menyuam.
Ntau zaus, cov neeg mob hluas raug kuaj pom tias muaj cov tsos mob benign uas zoo ib yam li, tab sis tsis yog qaug dab peg. Hauv qhov no, tus menyuam yuav loj hlob zoo li qub. Yog hais tias pathology yog provoked los ntawm kev puas tsuaj rau lub hlwb los ntawm ib tug neoplasm, mob stroke, kis kab mob los yog raug mob, ces nws raug nquahu kom tshem tawm cov structural anomaly thiab qaug dab peg yuav ploj mus ntawm lawv tus kheej thiab yuav tsis cuam tshuam dua.
Koj ib txwm yuav tsum ntsuas qhov zoo thiab qhov tsis zoo ua ntej pib kho, kom tsis txhob ua rau tus menyuam ua txhaum rau nws lub neej. Nws yuav tsum to taub tias kev qaug dab peg yog ib yam kab mob uas tuaj yeem kho tau, txawm tias muaj kev hloov pauv hauv lub hlwb. Qhov tseem ceeb tshaj plaws yog nrhiav cov txheej txheem tsim nyog. Nyob rau tib lub sijhawm, muaj qhov ua tau tias tus menyuam yaus yuav poob qis hauv kev loj hlob vim yog cov teeb meem no. Nyob rau hauv cov xwm txheej tsis tshua muaj, koj yuav tsum tau mus rau qhov kev ua phem, xws li kev phais, nws yog qhov zoo dua los muab kev nyiam rau kev kho tshuaj, noj zaub mov ketogenic.
Kev qaug dab peg thiab tag nrho nws cov ntaub ntawv yog ib qho teeb meem loj uas ua rau muaj kev tsis xis nyob ntau rau cov neeg mob thiab cov neeg nyob ib puag ncig lawv, tab sis nrog txoj hauv kev zoo, koj tuaj yeem nrhiav txoj hauv kev tawm thiab txhim kho qhov xwm txheej.
