Convulsions hauv me nyuam tsis yog ib qho txawv. Qhov no yog vim muaj cov yam ntxwv ntawm cov paj hlwb, lub immaturity ntawm lub hlwb thiab lub hauv paus paj hlwb. Tsis yog lub luag haujlwm kawg tau ua los ntawm cov menyuam yaus uas tau txais txiaj ntsig zoo, uas nyob rau ntau pua xyoo dhau los tsuas yog tsis ua rau qaug dab peg, cov menyuam yaus los ntawm kev kub ntxhov CS vim yog qhov tsis zoo ntawm placental abruption, cov me nyuam ntxov ntxov uas hnyav dua 1.5 kg. Yog li, niaj hnub no, kwv yees li ib tug ntawm 50 tus menyuam raug kev txom nyem los ntawm tus mob, thiab ntau tshaj li ib nrab ntawm tag nrho cov mob tshwm sim nyob rau hauv thawj peb xyoos ntawm lub neej.
Kev qaug dab peg: cov tsos mob piav qhia thiab hom
Cramps yog cov leeg tsis muaj zog. Tau kawg, cov kws tshaj lij paub yuav ua li cas rau qhov no. Tab sis thaum qhov no tshwm sim rau menyuam yaus, cov niam txiv thiab cov neeg laus uas nyob ze tuaj yeem tsis meej pem. Qhov spectacle no tsis yog rau lub plawv faint, yog li koj yuav tsum paub yuav ua li cas koj yuav pab tau tus me nyuam. Kev pab thawj zaug yuav tau tham tom qab. Tam sim no xav txog hom qaug dab peg hauv cov menyuam yaus.
Tonic yogntev nqaij nro los yog spasm. Tus menyuam tuaj yeem thim rov qab nws lub taub hau, strain thiab ncab cov ceg qis, tig nws xib teg tawm sab nraud, nthuav nws txhais tes. Qee zaum, ua pa nyuaj nrog cyanosis ntawm daim duab peb sab nasolabial, reddening ntawm lub ntsej muag yog yam ntxwv. Clonic - ceev, feem ntau 1-3 twitches ib ob.
Raws li kev txheeb xyuas thiab nthuav dav, clonic qaug dab peg tuaj yeem yog focal, myoclonic, tonic-clonic lossis fragmentary. Focal yog tus cwj pwm los ntawm twitching ntawm caj npab thiab ob txhais ceg, qhov chaw ntawm lub ntsej muag. Myoclonic yog contractions ntawm ib leeg nqaij los yog pab pawg ntawm cov leeg.
Fragmentary convulsions yog tus yam ntxwv ntawm lub taub hau nodding, limb flexion, qhov muag tsos mob, thiab tej zaum yuav tsis nco qab los yog cessation (qhov nyuaj heev) ntawm ua pa. Tonic-clonic yog tus cwj pwm los ntawm kev sib cog lus thiab nce cov leeg nqaij.
Txhua qhov kev ntxhov siab hauv cov menyuam yaus raug muab faib los ntawm kws kho mob ua rau mob vwm thiab tsis yog mob vwm, thiab tom kawg tuaj yeem "loj hlob" mus rau yav dhau los dhau sijhawm. Tsuas yog ib tus kws kho mob tshwj xeeb tuaj yeem kuaj xyuas tus mob vwm los ntawm kev ua tib zoo tshuaj xyuas tus menyuam cov ntaub ntawv kho mob. Nyob rau tib lub sijhawm, kev saib xyuas tsis yog tsuas yog ua rau muaj qhov tshwm sim ntawm convulsive syndrome thiab cov xwm txheej txaus ntshai, tab sis kuj hais txog seb puas muaj keeb kwm ntawm kev qaug dab peg. Yog tias tsis muaj kev hloov pauv tsis zoo, tus menyuam lub hauv nruab nrab lub paj hlwb yog qhov qub, tsis muaj cov yam ntxwv hloov pauv ntawm electroencephalogram, tom qab ntawd cov kws kho mob tsis kam lees paub qhov tseeb ntawm kev mob vwm, xav tias qaug dab peg tsis yog mob vwm.
Tsis yog qaug dab peg
Zoo li nocov menyuam yaus tshwm sim feem ntau. Kev qaug dab peg tuaj yeem tshwm sim los ntawm ntau yam. Raws li txoj cai, convulsive syndrome tau pom nyob rau hauv cov me nyuam mos, tab sis cov me nyuam loj tuaj yeem raug kev txom nyem los ntawm nws, piv txwv li, kub taub hau thiab kis kab mob. Xav txog thawj qhov ua rau qaug dab peg hauv tus menyuam hauv thawj lub hlis ntawm lub neej:
- kev raug mob thaum yug (lub hlwb hemorrhage, cov ntaub so ntswg puas);
- qab zib qis (hypoglycemic cramps);
- oxygen starvation, uas ua rau cerebral edema;
- qis zinc hauv cov menyuam yug tshiab (tsib hnub cramps);
- tshuaj lom ntawm bilirubin ntawm lub hauv nruab nrab paj hlwb (hemolytic kab mob);
- ua txhaum ntawm calcium metabolism (spasmophilia, lossis tetanic convulsions);
- ua txhaum cov metabolism ntawm vitamin B6, lossis pyridoxine;
- lub plawv tsis xws luag thiab kab mob ntawm cov hlab plawv;
- txhim kho lub hlwb tsis xws luag (tsis tshua muaj, kwv yees li 10% ntawm txhua kis);
- Niam txiv siv cawv, tshuaj, qee yam tshuaj (ntxhis spasms) thaum cev xeeb tub.
Cov pab pawg muaj kev pheej hmoo suav nrog cov menyuam mos ntxov ntxov, cov menyuam mos yug los vim muaj xwm txheej xwm txheej ceev.
Thaum pib ntawm tag nrho, convulsions yuav tshwm sim, tshwm sim los ntawm kev yug me nyuam raug mob los yog asphyxia. Tus mob no tshwm sim thawj yim teev ntawm tus me nyuam lub neej. Thaum cov ntshav qab zib qis qis (hypoglycemic qaug dab peg), cov tsos mob tshwm sim los ntawm kev tawm hws, tus cwj pwm tsis zoo, kev ua siab ntev, thiabua pa. Cov convulsions tshwm sim thawj ob hnub.
Tsib hnub cramps tshwm sim nyob nruab nrab ntawm peb thiab xya hnub ntawm tus menyuam mos lub neej. Kev qaug dab peg zoo li cas hauv tus menyuam? Cov no yog luv luv twitches, shudders, taub hau nods, twisting thiab nqa ntiv tes ua ke, ib tug "spasm" ntawm saib, uas yuav rov qab mus rau plaub caug zaug ib hnub twg. Yog tias cov tsos mob tshwm sim nrog jaundice, peb tuaj yeem tham txog convulsions tawm tsam keeb kwm ntawm tus kab mob hemolytic.
Convulsions vim neonatal asphyxia
Feem ntau ua rau qaug dab peg hauv cov menyuam mos yog ua tsis taus pa, lossis asphyxia. Cov tsos mob yog tshwm sim los ntawm cov kab mob ntawm cov hlab plawv, vim tsis muaj oxygen nyob rau hauv cov ntaub so ntswg thiab lub cev, ntau tshaj ntawm carbon dioxide. Feem ntau, qhov tshwm sim no ua rau petechial hemorrhages nyob rau hauv lub hlwb thiab edema. Tus menyuam mos liab xav tau kev kho mob tam sim ntawd, vim qhov nyob ntev hauv lub xeev no tuaj yeem ua rau lub hlwb atrophy thiab hloov tsis tau cov kab mob hloov pauv.
Convulsions nyob rau hauv cov me nyuam uas muaj oxygen tshaib plab tshwm sim yog thaum yug me nyuam muaj teeb meem, piv txwv li, yog hais tias placental abruption tshwm sim, lub umbilical qaum qhwv nyob ib ncig ntawm lub caj dab, cov dej tawm ntxov dhau, cov txheej txheem yug yog qeeb heev. Cov tsos mob ceeb toom nyob rau hauv rooj plaub no yuav nres yuav luag tam sim ntawd, sai li sai tau thaum tus menyuam raug tshem tawm ntawm lub xeev ntawm kev tshaib plab oxygen. Nyob rau hauv tas li ntawd, lub o ntawm lub hlwb ploj mus, thiab tus mob ntawm tus me nyuam mos maj mam rov qab mus rau qhov qub.
Cramps vim yug trauma
Vim li castus menyuam puas qaug dab peg? Nrog kev yug me nyuam raug mob, qhov no tshwm sim vim hemorrhages hauv lub hlwb. Feem ntau lawv yog cov hauv zos hauv qhov xwm txheej, nrog rau spasms ntawm cov leeg ntawm lub ntsej muag. Feem ntau nyob rau hauv cov ntaub ntawv no, muaj cramps nyob rau hauv ob txhais ceg ntawm tus me nyuam. Tej zaum kuj yuav muaj qhov tsis muaj zog hauv cov leeg, ua rau lub cev tag nrho. Feem ntau, qhov no ua rau cyanosis ntawm daim tawv nqaij (tshwj xeeb tshaj yog lub ntsej muag), ua pa nyuaj, thiab ntuav yuav tshwm sim.
Yog tias koj tsis tso cov ntshav tawm hauv lub sijhawm, ces kev nqhis dej yuav tsis pom tam sim, tab sis tsuas yog hnub plaub lossis hnub thib tsib tom qab yug menyuam. Qhov no yuav yog qhov tshwm sim ntawm kev nthuav dav hematoma. Raws li txoj cai, xws li convulsions nyob rau hauv ib tug me nyuam dhau tsis kub taub hau. Tej zaum lawv yuav tshwm sim tom qab, piv txwv li, tom qab ob mus rau peb lub hlis. Qhov no tshwm sim vim cov txheej txheem nplaum, tsim cov hlwv, caws pliav. Kev qaug dab peg tuaj yeem yog txhaj tshuaj tiv thaiv, raug mob, lossis mob.
Thaum kis kab mob
Feem ntau muaj convulsions nyob rau hauv tus me nyuam nrog kub. Tsis tas li ntawd xwb, tsis yog cov menyuam yaus uas muaj kev raug mob thaum yug los lossis ua pa tsis ua haujlwm, tab sis tseem muaj kev noj qab haus huv thiab cov menyuam mos tag nrho. Qhov no yog vim muaj tus kab mob toxicity thiab ua rau lub cev tsis muaj zog tiv thaiv cov keeb kwm yav dhau los ua npaws, qhov xwm txheej tsis zoo cuam tshuam rau lub hauv nruab nrab paj hlwb.
Feem ntau, convulsions nyob rau hauv ib tug me nyuam uas muaj qhov kub thiab txias tshwm sim tawm tsam keeb kwm yav dhau ntawm cov theem mob ntawm SARS los yog mob khaub thuas, nrog cov pob ua pob ua xyua ntawm qhua pias, qaib pox thiab rubella. Lub nro ntawm tag nrho lub cev, uas yog nrog los ntawm o ntawm lub paj hlwb, nce nyob rau hauv intracranial siab tuaj yeemtshwm sim tawm tsam keeb kwm ntawm encephalitis thiab lwm yam neuroinfections. Raws li txoj cai, convulsions nyob rau hauv ib tug me nyuam uas kub siab ploj mus thaum lub xeev ntawm kev noj qab haus huv rov zoo li qub.
Lwm yam ua rau qaug dab peg
Nws tsis yog ib qho uas cov me nyuam yaus muaj qaug dab peg los teb rau kev txhaj tshuaj tiv thaiv kab mob. Qhov no yog ib qho teeb meem tshwj xeeb tshaj yog rau cov me nyuam mos uas tau raug kev txom nyem asphyxia, ntu ntu caesarean thaum muaj xwm ceev, kev yug me nyuam raug mob, diathesis (exudative). Rau cov menyuam yaus uas muaj qhov siab ntawm kev npaj txhij, kev txhaj tshuaj tiv thaiv yog contraindicated.
Tsis muaj teeb meem sai npaum li cas tuaj yeem ua rau qaug dab peg thaum tus menyuam tsaug zog lossis thaum tsaug zog yog ntau yam kab mob metabolic. Tib lub sijhawm, tsis muaj calcium, magnesium, potassium nyob rau hauv lub cev, thiab convulsions yog manifested los ntawm ib tug distortion ntawm lub ntsej muag qhia.
Yog li, feem ntau ua rau mob pob qij txha hauv cov menyuam mos yog kev raug mob thaum yug me nyuam, asphyxia thaum yug menyuam, kev yug menyuam ntev dhau, tso dej tawm ntxov, thiab lwm yam. Yog hais tias tus kab mob convulsive tshwm sim nyob rau hauv keeb kwm ntawm kab mob los yog lwm yam kab mob, tab sis tom qab kho, lub hauv paus ntawm tus kab mob tsis ploj mus, ces nws yog tsim nyog los qhia tus me nyuam mus rau tus kws kho mob nyob rau hauv thiaj li yuav tshem tawm cov kev loj hlob ntawm qaug dab peg.
Cov tsos mob ntawm convulsions ntawm qhov kub thiab txias
Thaum ntuav, tus me nyuam tsis teb cov niam txiv cov lus, ua, tsis sib cuag nrog lub ntiaj teb sab nraud, nres qw thiab quaj. Tej zaum daim tawv nqaij xiav, nyuaj lossis tuav koj ua pa.
Tus me nyuam tuaj yeem thim rov qab nws lub taub hau, tom qab ntawd mus tas liqhov nro ntawm tag nrho lub cev yog maj hloov los ntawm lub sij hawm luv luv twitches, lawv maj mam ploj mus. Limbs tej zaum yuav twitch, ob lub qhov muag rov qab, convulsions nrog sudden nqaij so, involuntary plob tsis so tswj thiab tso zis.
Cov convulsions tsis tshua muaj ntau tshaj kaum tsib feeb. Qee zaum, cov tsos mob yuav tshwm sim hauv ib mus rau ob feeb, tab sis ploj mus ntawm nws tus kheej. Yog hais tias tus me nyuam muaj convulsions ntawm qhov kub thiab txias, kuv yuav ua li cas? Cov kev ua ntawm cov niam txiv yuav tsum ua tib zoo sib xws thiab nyob twj ywm. Yuav ua li cas? Nyeem hauv qab no.
Kev pab thawj zaug rau tus me nyuam uas muaj convulsions
Cov niam txiv yuav tsum pab dab tsi rau tus me nyuam mob plab? Ua ntej tshaj plaws, koj yuav tsum hu rau lub tsheb thauj neeg mob. Tus me nyuam tau muab tso rau ntawm qhov chaw tiaj tus ntawm nws sab kom lub taub hau thiab lub hauv siab nyob hauv kab. Koj tsis tuaj yeem txav lub ncauj tsev menyuam nqaj qaum. Nws yog ib qho tseem ceeb rau nteg tus me nyuam kom nws tsis poob. Yuav tsum tsis muaj khoom nyob ib puag ncig uas tuaj yeem ua rau koj raug mob. Nws yog ib qho tsim nyog kom tso lub hauv siab thiab caj dab ntawm tus menyuam los ntawm cov khaub ncaws nruj, kom ua pa dawb.
Nws yog qhov yuav tsum tau ua kom cua hauv chav, qhov zoo tshaj plaws kub yog li 20 degrees Celsius. Tsis txhob yuam tus menyuam los ntawm kev txav mus los, tsis txhob qhib nws lub puab tsaig, ntxig ntiv tes, diav lossis lwm yam khoom rau hauv nws lub qhov ncauj.
Yog tus menyuam mob qaug dab peg thawj zaug, tsis txhob kam mus pw hauv tsev kho mob. Qhov tsawg kawg nkaus, nws yog ib qho tsim nyog los qhia tus me nyuam mus rau tus kws kho mob sai li sai tau tom qab muaj kev tawm tsam, nws tsim nyog hu tsis tau tsuas yog ib tug kws kho mob, tab sis kuj yog ib tug neurologist. Tus kws kho mob tshwj xeeb yuav muab ntau cov kev tshawb fawb, suav nrog kev kuaj ntshav biochemical thiab kuaj ntshav, EEG, txhawm rau txiav txim siab qhov ua rau convulsive syndrome.
Kev kho mob spasm
Yog tias qhov mob ntawm qhov kub thiab txias hauv tus menyuam tsis tshua muaj tshwm sim, tsis pub dhau 15 feeb, ces tsis tas yuav muaj kev kho mob tshwj xeeb. Nws yog txaus kom txias tus menyuam lub cev los ntawm txhua txoj kev uas muaj (xaiv nrog cov kua qaub tsis muaj zog, ib daim phuam txias rau ntawm lub hauv pliaj thiab hauv ob txhais tes, inguinal folds, khoov hauv qab lub luj tshib thiab hauv caug).
Tom qab nres nres, koj yuav tsum tau muab tshuaj tua kab mob. Nrog rau ntuav thiab ntuav ntev, cov tshuaj tiv thaiv kab mob hauv cov hlab ntsha yuav tsum tau ua, tab sis qhov xav tau ntawm qhov no yuav raug txiav txim los ntawm tus kws kho mob. Phenobarbital, Diazepam, lossis Lorazepam kuj yuav raug tshuaj.
Ib tug me nyuam uas muaj convulsions yuav tsum tsis txhob cia nyob ib leeg. Thaum muaj kev tawm tsam, tsis txhob muab tshuaj, dej, zaub mov kom tsis txhob ua pa.
Yuav ua li cas rau convulsions hauv tus menyuam? Cov kws kho mob hauv tsheb thauj neeg mob tuaj yeem muab tshuaj rau cov piam thaj hauv cov ntshav (25%) ntawm qhov ntau npaum li 4 ml ib kilogram ntawm qhov hnyav, vitamin B 6, lossis pyridoxine (50 g), "Phenobarbital" intravenously (los ntawm 10). mus rau 30 mg ib kilogram ntawm qhov hnyav), magnesium tov (50%), 0.2 ml ib kilogram, calcium gluconate tov (2 ml ib kilogram ntawm qhov hnyav).
qaug dab peg hauv me nyuam
Nyob rau thaum yau, qaug dab peg heev, tab sis nws qhov kev kuaj mob nyuaj. Cov me nyuamlub cev muaj qhov pib ua rau qaug dab peg, tab sis feem ntau qaug dab peg tshwm sim uas tsis muaj feem cuam tshuam nrog kev qaug dab peg. Vim yog cov teeb meem no, cov kws kho mob tsis maj mus kuaj cov menyuam mos uas muaj mob vwm.
Qhov feem ntau ua rau tus kab mob no hauv cov menyuam yaus preschool yog:
- Heredity. Cov kws tshawb fawb tau nthuav tawm cov kev xav tias nws tsis yog tus kab mob nws tus kheej tuaj yeem tau txais los ntawm cov niam txiv, tab sis tsuas yog ib qho kev xav rau nws. Txhua tus neeg muaj cov xwm txheej convulsive inherent tsuas yog rau nws. Lub realization ntawm predisposition nyob ntawm ntau yam.
- Kev cuam tshuam hauv kev loj hlob ntawm lub hlwb. Kev loj hlob ntawm CNS tuaj yeem tshwm sim los ntawm kev kis kab mob, noob caj noob ces, raug tus niam cia siab rau cov tshuaj phem thaum cev xeeb tub (cawv, tshuaj, qee yam tshuaj), nws cov kab mob.
- Ntau yam kab mob sib kis. Qhov ua ntej tus me nyuam muaj tus kab mob qaug dab peg, nws yuav ua rau muaj mob qaug dab peg yav tom ntej. Raws li txoj cai, encephalitis thiab meningitis yog qhov ua rau. Tab sis nrog rau qhov ua rau qaug dab peg, txhua yam kab mob tuaj yeem "pib" tus kab mob.
- raug mob taub hau. Yam ntxwv, qaug dab peg tsis tshwm sim tam sim tom qab raug mob, tab sis tsuas yog tom qab qee lub sijhawm. Qhov no yog qhov tshwm sim nyob deb ntawm qhov kev txiav txim ntawm kev raug mob ntawm lub hlwb.
Qhov pib ntawm tus kab mob tuaj yeem hla. Kev qaug dab peg thaum xub thawj tej zaum yuav tsis tshua muaj thiab luv luv, tus mob yog nrog los ntawm kev pw tsaug zog, qhov tshwm simua rau muaj kev ntshai, kev nyuaj siab mus ob peb vas, bouts ntawm qhov mob nyob rau hauv ntau yam kabmob, kev coj cwj pwm tsis zoo. Yog tias cov tsos mob no tshwm sim dua, ces koj yuav tsum mus ntsib kws kho mob.
Kev kho mob qaug dab peg yog ib txwm xaiv los ntawm tus menyuam tus yam ntxwv. Tsis muaj kev kho mob dav dav. Rau txhua tus me nyuam, tsis yog tsuas yog qhov kev pom zoo tshaj plaws thiab ntau npaum li cas yuav tsum tau kos, tab sis kuj yog kev sib xyaw ua ke zoo tshaj plaws ntawm cov tshuaj. Tsis muaj kev kho sai rau kev qaug dab peg. Kev kho mob ib txwm ntev heev, cov tshuaj yuav tsum tau txiav maj mam, hloov mus rau lwm yam tshuaj yuav tsum maj mam ua.
Muaj feem cuam tshuam ntawm qaug dab peg
Feem ntau, qaug dab peg uas tshwm sim thaum me nyuam mos tsis nyob ib leeg thaum tus menyuam loj hlob tuaj. Hauv cov menyuam yaus hnub nyoog qis dua ib xyoos, lub hlwb rov zoo sai heev, thiab nws txoj kev loj hlob tseem tsis tau tiav. Tab sis qhov hnyav dua qhov convulsions (ntau zaus thiab ntev dua qhov qaug dab peg), qhov muaj zog oxygen tshaib plab, uas yog, qhov tshwm sim loj heev tuaj yeem xav tau. Hauv qhov no, nco ntsoov qhia tus menyuam rau tus kws kho mob.
Yog tias qhov teeb meem cuam tshuam txog kev qaug dab peg, kev kho mob nyuaj yog qhov tsim nyog, txoj hauv kev loj rau tus kab mob, kev saib xyuas tas li los ntawm tus kws kho mob epileptologist. Yog tias tsis muaj tus kab mob thaum nws loj tuaj, txhua qhov qaug dab peg tshiab tuaj yeem txo qis kev txawj ntse ntawm tus menyuam, uas tuaj yeem ua rau muaj qhov tshwm sim loj. Kev kho mob, raws li tau hais los saum toj no, yuav tsum ua tiav thiab xaiv tus kheej.
