Epileptiform syndrome yog ib qho kev mob tshwm sim uas tau nthuav tawm nyob rau hauv kev tawm tsam ntawm convulsions thiab kev txav tsis tau. Kev qaug dab peg yog nrog los ntawm kev tsis zoo ntawm kev noj qab haus huv thiab kev tsis meej pem ntawm kev nco qab. Xws li kev tshwm sim feem ntau tshwm sim hauv cov menyuam yaus. Tus mob no nyob rau hauv ib tug me nyuam yog txaus ntshai heev rau cov niam txiv. Txawm li cas los xij, episyndrome tsis muaj dab tsi ua rau qaug dab peg. Cov mob no qiv nws tus kheej zoo rau kev kho thiab kho.
Epileptiform Syndrome (episindrome) yog lub npe dav dav rau qaug dab peg uas tuaj yeem tshwm sim los ntawm kev mob hlwb. Xws li kev sib txawv tsis yog ib qho kab mob sib txawv, nws tsuas yog ib qho kev tshwm sim ntawm ntau yam pathologies.
Thaum episyndrome qaug dab peg tshwm sim dheev thiab cia li nres. Lawv tshwm sim raws li cov tshuaj tiv thaiv ntawm lub hauv paus paj hlwb rau stimuli. Nyob rau tib lub sijhawm, ua kom pom tseeb ntawm overexcitation yog tsim nyob rau hauv lub hlwb.
Npua ploj mus ib txhis tom qab kho cov kab mob hauv qab. Yog tias qhov kev ua txhaum cai no tshwm sim thaum menyuam yaus, nws tsis cuam tshuam rau kev loj hlob ntawm lub hlwb thiab lub cev ntawm tus menyuam.
Dab tsi ntawm qaug dab peg
Nws yog ib qho tseem ceeb heev rau kev sib txawv ntawm tus kab mob epileptiform los ntawm kev qaug dab peg. Cov no yog ob qhov sib txawv pathologies nrog cov tsos mob zoo sib xws. Cov kws kho mob paub qhov txawv qhov txawv ntawm ob kab mob no:
- Episyndrome yog ib qho ntawm cov tsos mob ntawm lwm yam kab mob ntawm lub paj hlwb. Epilepsy yog ib yam kab mob sib cais uas tshwm sim nyob rau hauv daim ntawv mob.
- Ntau yam kab mob tuaj yeem ua rau muaj qhov tshwm sim ntawm episyndrome. Qhov ua rau qaug dab peg nyob rau hauv feem ntau yog ib tug hereditary predisposition rau no pathology.
- Thaum muaj kev tawm tsam episyndrome tshwm sim ib ntus. Kev qaug dab peg tuaj yeem cuam tshuam tus neeg mob thoob plaws lub neej. Thaum tsis muaj kev kho mob, qaug dab peg tshwm sim ntau zaus.
- Episyndrome yog qhov tsis zoo ntawm tus nplaig tom thiab tso zis tsis tuaj yeem thaum muaj kev tawm tsam. Cov paib no yog tus yam ntxwv ntawm kev qaug dab peg.
- Ua ntej qhov tseeb qaug dab peg, tus neeg mob tau ntsib lub xeev aura. Cov no yog cov tsos mob ua ntej qhov tshwm sim ntawm qaug dab peg. Ua ntej qhov pib ntawm kev tawm tsam, tus neeg mob tsim kev tsis xis nyob hauv lub cev, loog ntawm qhov kawg, kiv taub hau, pom kev cuam tshuam, thiab kev hloov pauv ntawm kev xaav ntawm cov ntxhiab tsw. Nrog rau tus mob episyndrome, qaug dab peg ib txwm pib npaj txhij txog, yam tsis muaj cov neeg ua ntej.
thawj cov cim qhia ntawm mob vwm hauv 70%cov xwm txheej tshwm sim thaum yau. Nrog rau kev kawm ntev ntawm pathology, tus neeg mob tsim kev puas siab puas ntsws. Epileptics yog tus cwj pwm los ntawm kev hloov mus rau ntau zaus, kev nyuaj siab, kev nco thiab kev paub tsis meej. Episyndrome tuaj yeem tshwm sim hauv cov menyuam yaus thiab cov laus. Nws tsis yog nrog kev puas siab puas ntsws.
Etiology
Qhov ua rau mob vwm vwm rau cov neeg laus thiab menyuam yaus sib txawv me ntsis. Qhov no pathology nyob rau hauv ib tug me nyuam yog feem ntau congenital. Nws yog tshwm sim los ntawm ntau yam tsis zoo cuam tshuam rau tus menyuam hauv plab thaum lub sijhawm cev xeeb tub:
- kab mob sib kis hauv niam thaum cev xeeb tub;
- fetal hypoxia;
- yug raug mob.
Qee zaus, cov menyuam yaus tau kis tus kabmob episyndrome. Kev tawm tsam tuaj yeem tshwm sim tawm tsam keeb kwm ntawm qhov kub thiab txias (ntau tshaj +40 degrees) lossis tsis muaj cov kab mob (potassium, sodium) hauv lub cev.
Hauv cov neeg laus, episyndrome feem ntau kis tau. Nws tuaj yeem provoked los ntawm cov kab mob hauv qab no:
- kab mob hauv hlwb (encephalitis, meningitis);
- kev raug mob hauv lub cev;
- demyelinating pathologies (ntau yam sclerosis, thiab lwm yam);
- mob hlwb;
- hemorrhagic stroke;
- ua haujlwm tsis zoo parathyroid;
- kev ntshav poob;
- hnyav hlau lom thiab tshuaj sedative;
- hypoxia vim poob dej los yog ua tsis taus pa.
Feem ntau, qaug dab peg tshwm sim hauv cov neeg uas haus cawv. Episyndrome tshwm simtsis tsuas yog nyob rau hauv cov neeg haus cawv ntev. Qee zaum haus cawv ntau dhau ib zaug txaus ua rau qaug dab peg.
ICD code
Kev faib tawm thoob ntiaj teb ntawm cov kab mob kho mob episyndrome raws li cov tsos mob qaug dab peg. Qhov no pathology yog suav nrog nyob rau hauv cov pab pawg neeg ntawm cov kab mob nrog qaug dab peg. Lawv tshwm nyob rau hauv tus lej G40. Tag nrho cov cai rau tus mob epileptiform syndrome raws li ICD-10 yog G40.2.
Symptomatics
Cov kab mob no tuaj yeem tshwm sim nrog ntau yam tsos mob. Kev tshwm sim ntawm tus mob epileptiform syndrome nyob ntawm qhov chaw ntawm lub hlwb lesion. Yog hais tias qhov ua kom pom tseeb ntawm excitation tshwm sim nyob rau hauv lub frontal lobes, cov tsos mob hauv qab no tshwm sim thaum muaj kev tawm tsam:
- ncab caj npab thiab ceg;
- ntse nqaij nro thoob plaws lub cev;
- mob spasm ntawm masticatory thiab mimic nqaij;
- dov qhov muag;
- dhau los ntawm qhov ncauj.
Yog tias thaj chaw cuam tshuam yog nyob rau ntawm lub sijhawm ntawm lub hlwb, ces cov tsos mob hauv qab no yog yam ntxwv:
- tsis meej;
- chim siab lossis siab siab;
- mob plab;
- fever;
- xeev siab thiab ntuav;
- auditory thiab pom kev pom kev pom.
Rau qhov swb ntawm parietal, feem ntau cov tsos mob ntawm lub paj hlwb yog yam ntxwv:
- dyscoordination;
- mob taub hau;
- kho qhov ntsia ntawm ib qho taw tes;
- poob ntawm kev taw qhia spatial;
- faint.
Ntawm ib qho chaw ntawm kev ua kom pom kev zoo siab, kev tawm tsam yog nrog los ntawm kev ua txhaum ntawm kev nco qab. Tom qab qaug dab peg tas, tus neeg mob tsis nco qab dab tsi thiab tham tsis tau txog nws tus mob.
Ntau zaus, xws li qaug dab peg yog cais. Yog hais tias qaug dab peg tshwm sim, ces cov kws kho mob kuaj mob epilepticus.
Tus yam ntxwv ntawm episyndrome hauv menyuam yaus
Epileptiform syndrome hauv cov menyuam yaus hnub nyoog qis dua 1 xyoos tshwm sim nrog cov tsos mob tshwm sim. Qhov no yog vim lub fact tias nyob rau hauv cov me nyuam mos lub hauv paus paj hlwb tseem tsis tau tag nrho tsim. Kev tawm tsam hauv cov menyuam mos yog nrog los ntawm cov tsos mob hauv qab no:
- Thaum pib qaug dab peg, muaj kev sib zog ua kom cov leeg ntawm lub cev tag nrho. Ua tsis taus pa.
- Tus me nyuam nias tes kom nruj rau hauv siab.
- Tus me nyuam fontanelle bulges.
- Cov leeg nqaij tawv nruj, thiab cov ceg qis tau txuas ntxiv.
- Tus me nyuam pov lub taub hau rov qab los yog ua suab nrov nrov.
- Ntau zaus tawm tsam nrog ntuav thiab ua npuas ncauj tawm ntawm qhov ncauj.
Epileptiform syndrome thaum muaj hnub nyoog laus yog nrog los ntawm lub ntsej muag convulsions, uas tom qab ntawd dhau mus rau tag nrho lub cev. Cov menyuam yaus hnub nyoog tshaj 2 xyoos tuaj yeem sawv thiab taug kev ncig hauv chav tsis nco qab. Nyob rau tib lub sijhawm, lawv tsis muaj kev cuam tshuam rau ib qho stimuli.
Diagnosis
Episyndrome yuav tsum tau paub qhov txawv ntawm qhov mob vwm tiag tiag. Yog li ntawd nws tseem ceeb heevua qhov kev kuaj xyuas qhov tseeb.
Cov neeg mob tau muab tshuaj MRI ntawm lub hlwb. Qhov kev ntsuam xyuas no yuav pab txheeb xyuas qhov etiology ntawm tus mob epileptiform syndrome. Gliosis hauv daim duab qhia kev puas tsuaj rau cov neurons vim raug mob lossis mob stroke. Cov kws kho mob hu ua gliosis hloov kev loj hlob ntawm pab hlwb hlwb. Qhov no feem ntau tau sau tseg tom qab kev tuag ntawm neurons.
Ib txoj hauv kev tseem ceeb ntawm kev kuaj mob sib txawv yog ib qho electroencephalogram. Nrog episyndrome, EEG yuav tsis pom cov kev hloov pauv pathological. Tom qab tag nrho, foci ntawm excitation nyob rau hauv lub hlwb tshwm sim ua ntej ib tug nres. Hauv kev qaug dab peg, hluav taws xob ua haujlwm ntawm lub paj hlwb cortex tau nce ntxiv.
Txoj Kev Kho Mob
Episyndrome ploj tsuas yog tom qab nws raug tshem tawm. Yog li ntawd, nws yog ib qho tsim nyog yuav tsum tau mus rau kev kho mob rau tus kab mob hauv qab. Nyob rau tib lub sijhawm, kev kho mob ntawm tus mob epileptiform syndrome yog nqa tawm. Cov pab pawg tshuaj hauv qab no raug sau tseg:
- Cov tshuaj tiv thaiv kab mob: Carbamazepine, Lamotrigine, Depakine, Convulex. Cov tshuaj no tso tseg kev qaug dab peg thiab txo qhov qaug dab peg.
- tshuaj sedative: Phenibut, Phenazepam, Elenium, Atarax. Cov tshuaj no ua kom lub siab ua kom muaj zog hauv lub hlwb thiab so cov leeg.
Raws li kev kho mob ntxivsiv phytotherapy. Cov neeg mob tau qhia kom noj decoctions ntawm violet, linden, tansy, rosemary. Cov nroj tsuag tshuaj no calm lub hauv nruab nrab paj hlwb.
Nyob rau hauv epileptiform syndrome, cov neeg mob tau pom kev noj zaub mov. Cov zaub mov ntsim thiab qab ntsev yuav tsum tsis suav nrog kev noj zaub mov, nrog rau kev txwv cov carbohydrates thiab cov protein. Cov khoom zoo li no tuaj yeem ua rau muaj kev tawm tsam. Nws raug pom zoo kom txo cov dej haus.
Feem ntau, episyndrome yog amenable rau kev saib xyuas kev kho mob. Kev kho phais tsis tshua siv. Neurosurgical operations tsuas yog ua nyob rau hauv lub xub ntiag ntawm neoplasms nyob rau hauv lub hlwb.
Huab cua
Kab mob no tsuas yog ib qho tsos mob ntawm lwm yam kab mob. Yog li ntawd, qhov tshwm sim ntawm tus mob epileptiform syndrome yuav nyob ntawm qhov xwm txheej ntawm lub hauv paus pathology. Yog hais tias tus mob no provoked los ntawm kev kis kab mob, cov kab mob no teb zoo rau cov tshuaj tua kab mob. Yog hais tias qhov ua rau ntawm episyndrome yog ib tug raug mob lub hlwb raug mob, ntau yam sclerosis los yog mob stroke, ces kev kho mob yuav ua tau ntev heev.
Feem ntau, epileptiform syndrome muaj qhov pom zoo. Yog tias qhov kev ua txhaum cai no tshwm sim thaum yau, tom qab ntawd los ntawm kev puberty, qaug dab peg feem ntau ploj mus. Tus kab mob episyndrome tsis ua rau muaj kev puas siab puas ntsws thiab tsis cuam tshuam rau kev loj hlob ntawm tus menyuam. Feem ntau, qaug dab peg ploj mus yam tsis muaj kab mob thaum muaj hnub nyoog 14-15.
