Qhov Tseem Ceeb – Fits vs Epilepsy
Fits, uas tseem hu ua qaug dab peg, tuaj yeem txhais tau tias yog qhov tshwm sim ntawm cov tsos mob thiab cov tsos mob tshwm sim vim qhov txawv txav, ntau dhau los yog synchronous neuronal hauv lub hlwb. Cov kev ua hluav taws xob uas ua rau muaj kev sib haum xeeb yog provoked los ntawm ntau yam cuam tshuam. Tab sis cov hluav taws xob tawm hauv lub hlwb uas ua rau muaj mob vwm tsis muaj zog. Yog li ntawd, kev qaug dab peg yog txhais tau tias yog txoj kev nyiam ua rau qaug dab peg tsis muaj zog. Qhov no yog qhov sib txawv tseem ceeb ntawm kev haum thiab mob vwm.
Yuav ua li cas yog Fit?
Fits, uas tseem hu ua qaug dab peg, tuaj yeem txhais tau tias qhov tshwm sim ntawm cov tsos mob thiab cov tsos mob tshwm sim vim qhov txawv txav, ntau dhau lossis synchronous neuronal ua haujlwm hauv lub hlwb.
Pathophysiology
Muaj ib qho neurotransmitter hu ua GABA uas inhibits excitation ntawm cerebral neurons. Thaum muaj qhov tsis txaus ntseeg ntawm qhov excitatory thiab inhibitory neurotransmitters hauv lub hlwb, qhov kev tawm dag zog ntau dhau ntawm cov neurons tuaj yeem ua rau qaug dab peg. Ib qho kev cuam tshuam hauv cheeb tsam hauv lub paj hlwb ua rau muaj kev qaug dab peg uas nws tshwm sim nyob ntawm thaj chaw uas cuam tshuam. Thaum ob lub hemispheres koom nrog thaum pib lossis tom qab kis tau, qhov qaug dab peg yuav tshwm sim.
Tseeb Yam Ntxim Saib Ntxim Ua / Haum
- Nyob tsis tsaug zog
- Tsis noj tshuaj tiv thaiv kab mob kom raug
- Alcohol
- Kev siv tshuaj tsis raug cai
- Lub cev thiab lub siab qaug zog
- Flickering teeb
- kis kab mob sib kis
Focal Seizure
Caus
Zoo caj ces
- Tuberous sclerosis
- Autonomal frontal lobe epilepsy
- Von Hippel-Lindau tus kab mob
- Neurofibromatosis
- Cerebral migration abnormalities
- Infantile hemiplegia
- YCortical dysgenesis
- Sturge-Weber syndrome
- Mesial temporal sclerosis
- Intracerebral hemorrhage
- Cerebral infarction
Raws li tau piav qhia yav dhau los, kev cuam tshuam hauv zos hauv kev ua haujlwm hauv hlwb hlwb yog lub hauv paus pathological ntawm focal qaug dab peg. Yog tias cov haujlwm hluav taws xob txawv txav no kis mus rau lub cev ntawm lub cev, nws tuaj yeem ua rau tsis nco qab. Ntawm qhov tod tes, kev ua ub ua no tsis zoo nyob rau hauv lub lobe pem hauv ntej tuaj yeem ua rau tus neeg muaj tus cwj pwm txawv txawv.
Figure 01: A pw tsaug zog EEG
Kev qaug dab peg
Tonic-clonic qaug dab peg
Nws tuaj yeem muaj aura uas ua ntej qhov qaug dab peg nyob ntawm thaj tsam ntawm lub hlwb uas cuam tshuam. Tus neeg mob ua nruj thiab tsis nco qab, thiab muaj kev pheej hmoo siab ntawm lub ntsej muag raug mob. Kev ua pa kuj nres thiab hauv nruab nrab cyanosis tuaj yeem tshwm sim. Qhov no yog ua raws li lub xeev flaccid thiab tob coma uas feem ntau nyob rau ob peb feeb. Thaum lub sij hawm tawm tsam, muaj peev xwm ntawm tus nplaig tom thiab tso zis incontinence uas yog pathognomonic ntawm tonic-clonic qaug dab peg. Tom qab qaug dab peg, tus neeg mob feem ntau yws yws ntawm qaug zog, myalgia, thiab tsaug zog.
Nyob tsis muaj zog
Cov qaug dab peg no pib thaum menyuam yaus. Kev tawm tsam tuaj yeem tshwm sim ntau zaus thaum nruab hnub thiab feem ntau yuam kev rau qhov tsis muaj kev xav.
Myoclonic Seizures
Jerky txav feem ntau tshwm sim hauv caj npab yog tus yam ntxwv ntawm hom qaug dab peg.
Atonic Seizures
Tseem muaj cov leeg tsis muaj zog lossis tsis nco qab.
Tonic Seizures
Cov no yog txuam nrog kev nce hauv cov leeg nqaij.
Clonic Seizures
hom qaug dab peg no muaj cov tsos mob tshwm sim zoo ib yam li tonic-clonic qaug dab peg tab sis tsis muaj theem tonic ua ntej.
Kev tshawb nrhiav
- Txhua tus neeg mob uas tau poob qhov tsis nco qab yuav tsum tau txais 12 lead ECG
- Thaum qaug dab peg xav tias MRI tuaj yeem ua tiav
- EEG yog siv los ntsuas kev ntsuas tus kabmob
Kev tswj hwm
Tus neeg mob yuav tsum paub txog tus kab mob no, thiab cov neeg txheeb ze yuav tsum tau kawm txog kev pab thawj zaug uas yuav tsum tau muab thaum tus neeg mob tau txais kev qaug dab peg. Nyob rau tib lub sijhawm, cov neeg uas nyiam qaug dab peg yuav tsum tau qhia kom tsis txhob ua haujlwm ua rau lawv tus kheej thiab lwm tus muaj kev pheej hmoo yog tias lawv tau qaug dab peg. Kev siv cov tshuaj anticonvulsant yuav tsum tau txiav txim siab tsuas yog yog tias tus neeg mob tau muaj ntau tshaj ib ntu ntawm kev qaug dab peg.
Epilepsy yog dab tsi?
Txoj kev nyiam ua rau qaug dab peg tsis muaj zog yog hu ua qaug dab peg. Raws li qhov tshwm sim ntawm qhov qaug dab peg, lub hnub nyoog ntawm qhov pib thiab kev teb rau cov tshuaj kho mob, ntau yam qauv ntawm kev qaug dab peg tau piav qhia uas tau sau tseg tias yog electroclinical epilepsy syndromes.
Cov kab mob electroclinical epilepsy yog,
Childhood Absence Epilepsy
Cov menyuam yaus hnub nyoog 4-8 xyoo feem ntau cuam tshuam los ntawm hom mob vwm no. Kev tsis tuaj kawm ntawv luv luv tuaj yeem pom tau.
Juvenile Absence Epilepsy
Cov menyuam yaus uas tab tom loj hlob, nruab nrab ntawm 10-15 xyoos, tau txais hom qaug dab peg. Txawm hais tias cov menyuam yaus muaj mob qaug dab peg kuj tshwm sim los ntawm qhov tsis tuaj kawm ntawv, lawv qhov zaus tsawg dua li kev mob vwm thaum yau.
YMe nyuam yaus Myoclonic Epilepsy
Hnub nyoog pib yog nyob nruab nrab ntawm 15-20 xyoo. Generalized tonic-clonic qaug dab peg, tsis tuaj kawm ntawv thiab thaum sawv ntxov myoclonus yog classical nta.
Generalized Tonic-Clonic Seizures on Awakening
Cov neeg mob uas muaj hnub nyoog 10-25 xyoo feem ntau cuam tshuam los ntawm tus mob no. Generalized tonic-clonic qaug dab peg qee zaus nrog myoclonus tuaj yeem pom.
Kev tshawb nrhiav
cheeb tsam ntawm lub paj hlwb uas cuam tshuam tuaj yeem txheeb xyuas tau siv EEG.
Qhov ua rau qaug dab peg tuaj yeem txheeb xyuas tau siv cov kev tshawb fawb sib txawv xws li CT, MRI, kev kuaj lub siab ua haujlwm thiab lwm yam.
Kev tswj hwm
Kev tswj tus mob qaug dab peg yog los ntawm kev tswj hwm cov tshuaj tiv thaiv kab mob.
Dab tsi zoo sib xws ntawm Fits thiab Epilepsy?
- Qhov txawv txav ntawm cov hluav taws xob ua haujlwm ntawm lub hlwb yog lub hauv paus ntawm ob qho xwm txheej,
- Feem ntau ntawm cov kev tshawb fawb tau ua rau kev kuaj xyuas qhov haum kuj yog siv rau kev kuaj mob vwm.
Qhov txawv ntawm Fits thiab Epilepsy yog dab tsi?
Fits vs Epilepsy |
|
| Fits lossis qaug dab peg yog qhov tshwm sim ntawm cov tsos mob thiab cov tsos mob tshwm sim vim qhov txawv txav, ntau dhau los yog synchronous neuronal ua haujlwm hauv lub hlwb. | Txoj kev nyiam ua rau qaug dab peg tsis muaj zog yog hu ua qaug dab peg. |
| Tsib Factor | |
| Cov khoom hluav taws xob uas ua rau kom haum yog feem ntau provoked los ntawm ntau yam cuam tshuam. | Cov kab hluav taws xob uas ua rau muaj mob vwm tsis muaj zog. |
| Diagnosis | |
| Txhua yam txawv txav ntawm lub paj hlwb hluav taws xob raug suav tias yog qhov haum. | Rau tus neeg mob kom kuaj pom tias muaj mob vwm, nws yuav tsum tau muaj tsawg kawg yog ob ntu ntawm kev qaug dab peg. |
Summary – Fits vs Epilepsy
Fits, uas tseem hu ua qaug dab peg, tuaj yeem txhais tau tias yog qhov tshwm sim ntawm cov tsos mob thiab cov tsos mob tshwm sim vim qhov txawv txav, ntau dhau los yog synchronous neuronal hauv lub hlwb. Ntawm qhov tod tes, kev qaug dab peg yog txhais tau tias yog qhov kev nyiam ua rau qaug dab peg tsis muaj zog. Nyob rau hauv fits, qhov txawv txav hluav taws xob tawm yog provoked los ntawm ntau yam trigger yam tsis zoo li nyob rau hauv qaug dab peg qhov twg cov hluav taws xob tawm nyob rau hauv spontaneously generated yam tsis muaj provocation. Qhov no yog qhov sib txawv tseem ceeb ntawm fits thiab qaug dab peg.
Download PDF Version of Fits vs Epilepsy
Koj tuaj yeem rub tawm PDF version ntawm kab lus no thiab siv nws rau offline hom phiaj raws li daim ntawv ceeb toom. Thov download PDF version ntawm no Qhov txawv Ntawm Fits thiab Epilepsy
