Qhov sib txawv tseem ceeb ntawm kev qaug dab peg thiab kev qaug dab peg yog qhov qaug dab peg yog ib yam mob uas ua rau tsis nco qab ib txwm vim tam sim ntawd, tsis muaj kev tswj xyuas hluav taws xob hauv lub hlwb, thaum syncope yog ib yam mob uas ua rau tsis nco qab ib txwm vim ntshav tsis txaus. ntws mus rau lub hlwb.
Kev tsis nco qab tuaj yeem tshwm sim thaum lub cev ua haujlwm ntawm cerebral hemispheres lossis brainstem reticular activating system ua haujlwm tsis zoo. Ntxiv mus, episodic dysfunction ntawm cov cheeb tsam no ua rau ib ntus thiab feem ntau rov tsis nco qab nyob rau hauv tib neeg. Muaj ob txoj hauv kev loj uas tuaj yeem ua rau tsis nco qab: qaug dab peg thiab syncope.
Dab tsi yog qaug dab peg?
Kev qaug dab peg yog ib yam mob uas ua rau tsis nco qab ib txwm vim muaj kev tswj tsis tau hluav taws xob tam sim ntawd hauv lub hlwb. Kev qaug dab peg tuaj yeem ua rau muaj kev hloov pauv ntawm tus cwj pwm, kev txav, kev xav, thiab qib kev nco qab ntawm tib neeg. Tsis tas li ntawd, muaj ob lossis ntau qhov qaug dab peg tsawg kawg 24 teev sib nrug vim yog qhov ua rau pom tau feem ntau hu ua mob vwm. Cov tsos mob thiab cov tsos mob ntawm qaug dab peg tej zaum yuav muaj xws li tsis meej pem ib ntus, ib tug ntsia spell, uncontrolled jerking txav ntawm caj npab thiab ob txhais ceg, tsis nco qab los yog kev paub, thiab kev txawj ntse los yog cov tsos mob xws li ntshai, ntxhov siab vim, los yog Deja Vu. Kev qaug dab peg tuaj yeem muab faib ua ob chav kawm: focal qaug dab peg lossis qaug dab peg. Focal qaug dab peg cuam tshuam rau ib cheeb tsam ntawm lub hlwb, thaum kev qaug dab peg feem ntau cuam tshuam rau txhua qhov chaw ntawm lub hlwb.
qaug dab peg tuaj yeem tshwm sim los ntawm kev qaug dab peg, kev hloov pauv ntawm caj ces, kub taub hau, pw tsis tsaug zog, teeb ci ntsa iab, tsis tshua muaj sodium hauv cov ntshav, tshuaj xws li tshuaj tua kab mob, mob taub hau, kev txawv txav ntawm cov hlab ntsha hauv cov hlab ntsha. paj hlwb, kab mob autoimmune (lupus), mob stroke, mob hlwb, siv tshuaj txhaum cai lossis kev ua si, kev siv dej cawv tsis zoo, thiab kev kis kab mob COVID. Kev qaug dab peg tuaj yeem kuaj tau los ntawm kev kuaj mob hlwb, kuaj ntshav, lumbar puncture, electroencephalogram, MRI, CT scan, positron emission tomography (PET), thiab ib qho photon emission computerized tomography (SPECT). Tsis tas li ntawd, kev kho mob qaug dab peg suav nrog cov tshuaj tiv thaiv qaug dab peg (cannabidiol), kev noj zaub mov noj (ketogenic noj), thiab phais (lobectomy, ntau qhov kev hloov pauv, corpus callosotomy, hemispherectomy, thiab thermal ablation).
Dab tsi yog Syncope?
Syncope yog ib yam mob uas ua rau tsis nco qab ib txwm vim ntshav tsis txaus mus rau lub hlwb. Syncope cuam tshuam txog 3% ntawm cov txiv neej thiab 3.5% ntawm cov poj niam ntawm qee lub sijhawm hauv lub neej. Nws tshwm sim thaum cov neeg laus dua 75 xyoos. Txawm li cas los xij, nws tuaj yeem tshwm sim thaum muaj hnub nyoog thiab tshwm sim rau cov neeg muaj thiab tsis muaj teeb meem kho mob. Cov tsos mob uas tshwm sim feem ntau muaj xws li blacking out, hnov lub teeb-headedness, ntog vim tsis muaj laj thawj, kiv taub hau, xav tias tsaug zog los yog groggy, fainting tom qab noj mov los yog qoj ib ce, tsis xis nyob, hloov nyob rau hauv lub zeem muag, thiab mob taub hau. Tsis tas li ntawd, feem ntau ua rau syncope suav nrog ntshav siab, lub plawv dhia tsis zoo, lub cev tsis muaj zog, sawv ntev ntev, kev ntxhov siab, mob hnyav lossis ntshai, cev xeeb tub, lub cev qhuav dej, thiab qaug zog.
Syncope tuaj yeem kuaj tau los ntawm kev sim kuaj, electrocardiogram, (EKG lossis ECG), kev cob qhia kev ntxhov siab, kev saib xyuas lub cev, echocardiogram, lub taub hau nce qaij ntsuas, ntsuas ntshav ntim, kuaj hemodynamic, thiab kuaj autonomic reflex test. Tsis tas li ntawd, cov kev kho mob suav nrog kev noj tshuaj lossis hloov cov tshuaj uas twb tau noj lawm, hnav cov ris tsho txhawb nqa los txhim kho cov ntshav ncig, hloov kev noj zaub mov (noj zaub mov uas muaj sodium ntau thiab haus dej ntau ntxiv, nce cov poov tshuaj, zam caffeine thiab cawv), ua kom ceev faj ntxiv txog kev sawv ntsug, tsa lub taub hau ntawm lub txaj thaum pw tsaug zog, zam lossis hloov cov xwm txheej uas cuam tshuam rau lub sijhawm syncope, kev cob qhia biofeedback los tswj lub plawv dhia ceev, kho cov kab mob hauv lub plawv, implanting pacemaker kom lub plawv dhia tsis tu ncua thiab implantation. ntawm cardiac defibrillator (ICD).
Dab tsi zoo sib xws ntawm Kev qaug dab peg thiab Syncope?
- Kev qaug dab peg thiab syncope yog ob txoj hauv kev loj uas tuaj yeem ua rau tsis nco qab.
- Ob qho xwm txheej raug cais raws li kev mob hlwb.
- Ob qho xwm txheej tuaj yeem ua rau qaug zog.
- Lawv raug kho los ntawm cov tshuaj tshwj xeeb thiab kev phais.
Dab tsi yog qhov sib txawv ntawm qaug dab peg thiab Syncope?
Kev qaug dab peg yog ib yam mob uas ua rau tsis nco qab vim tsis muaj kev tswj xyuas hluav taws xob tam sim hauv lub hlwb, thaum syncope yog ib yam mob uas ib txwm ua rau tsis nco qab vim ntshav tsis txaus rau lub hlwb. Qhov no yog qhov sib txawv tseem ceeb ntawm kev qaug dab peg thiab syncope. Tsis tas li ntawd, qaug dab peg yog tshwm sim los ntawm kev qaug dab peg, kev hloov ntawm caj ces, kub taub hau, pw tsis tsaug zog, teeb ci ntsa iab, tsis tshua muaj ntshav sodium hauv cov ntshav, tshuaj xws li tshuaj tua kab mob, mob taub hau, ua tsis taus pa ntawm cov hlab ntsha hauv hlwb, autoimmune disorders (lupus.), mob hlab ntsha tawg, mob qog hlwb, siv tshuaj txhaum cai thiab ua si, siv cawv tsis raug, lossis kev kis tus kabmob COVID. Ntawm qhov tod tes, syncope tuaj yeem tshwm sim los ntawm cov ntshav siab, lub plawv dhia tsis zoo, lub cev tsis muaj zog, sawv ntev ntev, mob hnyav lossis ntshai, ntxhov siab heev, cev xeeb tub, lub cev qhuav dej, lossis qaug zog.
Cov hauv qab no infographic nthuav tawm qhov sib txawv ntawm kev qaug dab peg thiab syncope hauv daim ntawv tabular rau kev sib piv ntawm ib sab.
Summary – Seizure vs Syncope
Kev qaug dab peg thiab syncope yog ob txoj hauv kev loj uas tuaj yeem ua rau tsis nco qab. Ob leeg yog cov xwm txheej ntsig txog teeb meem hauv lub hlwb. Kev qaug dab peg ib txwm tshwm sim los ntawm kev tswj tsis tau hluav taws xob tam sim ntawd hauv lub hlwb. Syncope feem ntau tshwm sim vim cov ntshav tsis txaus rau lub hlwb. Yog li, qhov no yog qhov sib txawv tseem ceeb ntawm kev qaug dab peg thiab syncope.
