Febrile convulsion feem ntau tshwm sim hauv cov menyuam yaus hnub nyoog 6 hli txog 5 xyoos, Nws yog qhov tshwm sim ntawm qhov kub siab (lub cev kub ≥ 38 ℃), tsis suav nrog cov kab mob hauv nruab nrab ntawm lub paj hlwb thiab lwm yam ua rau muaj kev ntxhov siab. Tsis muaj keeb kwm ntawm febrile convulsion yav dhau los. Nws yog tus kab mob convulsive tshaj plaws nyob rau hauv cov me nyuam mos thiab cov me nyuam yaus, nrog rau qhov tshwm sim ntawm 3% - 5%, uas feem ntau tshwm sim nyob rau hauv lub sij hawm ntawm lub cev kub sai sai thiab tshwm sim nyob rau hauv 24 teev ntawm kub taub hau.
Cov tsos mob ntawm convulsions yog tam sim ntawd tsis nco qab, qhov muag tig los yog ntsia, kaw cov hniav, foaming ntawm lub qhov ncauj, cyanosis nyob ib ncig ntawm lub qhov ncauj, cov leeg tonic clonus, incontinence ntawm cov zis thiab zis, thiab lwm yam. tom qab kev tawm tsam, lawv muaj kev nyuaj siab thiab tsaug zog.
Nws yuav tsum tau muab sau tseg tias feem ntau cov me nyuam yog yooj yim febrile convulsions. Feem ntau, tsuas muaj ib qho kev tawm tsam ntawm kev kub taub hau, thiab lub sijhawm ntev yog tsawg dua 15 feeb, feem ntau yog nyob rau hauv 5 feeb; Complex febrile convulsions, feem ntau yog< 6="" lub="" hlis="" los="" yog=""> 5 xyoos, muaj lub sijhawm ntev (> 15 feeb) lossis muaj ntau tshaj 2 ntu hauv kev kub taub hau, thiab tej zaum yuav nrog cov paj hlwb txawv txav. Convulsion duration yog hais txog lub sij hawm ntawm qaug dab peg ntev dua 30 feeb los yog rov qab qaug dab peg, thiab kev nco qab ntawm kev qaug dab peg tsis tau zoo dua li 30 feeb.
Yam uas ua rau febrile convulsion
Feem ntau ua rau febrile convulsion muaj xws li kab mob ua pa sab sauv, otitis media, mob ntsws, mob plab, mob plab, kab mob urinary thiab lwm yam.
Kev qaug dab peg muaj feem xyuam rau lub hnub nyoog. Feem ntau hais lus, nws yog vim menyuam yaus' txoj kev loj hlob ntawm lub paj hlwb tsis paub tab, tej zaum yuav muaj teeb meem hauv kev tiv thaiv kub taub hau, qaug dab peg tuaj yeem tshwm sim vim qhov txawv txav ntawm lub hlwb hlwb, thiab muaj qhov pom tseeb ntawm caj ces. . Yog li ntawd, cov menyuam yaus hnub nyoog qis dua 5 xyoos thiab cov txheeb ze thawj qib uas muaj keeb kwm ntawm febrile qaug dab peg yog qhov yuav muaj convulsions thaum kub taub hau.
Cov txheej txheem no tsis pom zoo thaum lub sij hawm qaug dab peg
Cov ntaub ntawv xov xwm kho mob tau pom tias thaum menyuam yaus muaj convulsions, cov niam txiv feem ntau poob. Qhov tseeb, lawv tsis ua' tsis tas yuav siv rab diav Chopsticks thiab lwm yam khoom siv tawv qhib cov hniav (yooj yim ua rau cov hniav puas), tsis tas yuav muab cov phuam, ntiv tes, thiab lwm yam rau hauv tus menyuam [ GG] #39; lub qhov ncauj (feem ntau, tus nplaig tsis tshua raug tom thaum lub sijhawm tawm tsam, uas yooj yim los thaiv txoj hlab pa), tsis tas yuav nias, co lossis tuav tus menyuam kom nruj (yooj yim tsis muaj oxygen), thiab tsis tas yuav nkaug tib neeg nrog rab koob (nruab nrab kis kab mob), thiab tsis muaj pov thawj tias compression tuaj yeem txo lub sijhawm pib ntawm tib neeg.
Cov niam txiv yuav tsum tsis txhob febrile convulsions artificially, vim convulsions feem ntau nres ntawm lawv tus kheej. Qhov tseem ceeb tshaj plaws yog tiv thaiv kev raug mob los ntawm kev qaug dab peg. Muab tus me nyuam tso rau ntawm lub tiaj tus thiab tsis yooj yim rau kev raug mob hauv av los yog lub txaj, khi nws caj dab, ua kom nws lub taub hau tig mus rau ib sab, ntxuav lub qhov ncauj thiab qhov ntswg, tsis txhob nqhis qaub ncaug thiab ntuav, thiab sim sau lub sijhawm. . Feem ntau, nws tuaj yeem txo tau ntawm nws tus kheej hauv 3-5 feeb, Tom qab qhov kev ntxhov siab tau txo qis, coj tus menyuam mus rau hauv tsev kho mob kom paub qhov ua rau kub taub hau. Yog tias qhov kev tawm tsam ntev dua 5 feeb, koj yuav tsum mus ntsib kws kho mob nyob ze lossis hu rau 120 kom pab.
Febrile convulsion nres, nws puas yuav rov tshwm sim yav tom ntej?
Tus nqi rov qab yog 50% thaum thawj hnub nyoog qis dua 1 xyoos, thiab 30% thaum thawj hnub nyoog yog 1 xyoos lossis tshaj. Cov kev pheej hmoo ntawm kev rov tshwm sim muaj xws li: ① hnub nyoog pib qis; ② Lub sij hawm ua npaws luv (< 1h);="" ③="" tsev="" neeg="" keeb="" kwm="" ntawm="" febrile="" convulsion;="" ④="" lub="" cev="" kub="">< 38="">
febrile convulsion puas tuaj yeem ua rau lub hlwb puas?
Cov niam txiv feem coob xav tias" Cov me nyuam ntshai tsam plab thaum lawv kub taub hau, thiab mob taub hau ntshai ua rau lawv lub hlwb puas". Qhov tseeb, txawm hais tias convulsions zoo li txaus ntshai, ntau dua 90% ntawm lawv tuaj yeem txo lawv tus kheej hauv 5 feeb, uas feem ntau yuav tsis ua rau lawv cov menyuam puas tsuaj' lub hlwb thiab cuam tshuam rau lawv txoj kev txawj ntse thiab kev loj hlob. Qhov txaus ntshai tiag tiag yog qhov kev raug mob tshwm sim los ntawm kev tawm tsam, xws li ntog thaum lub sij hawm convulsion, ntuav, cov hniav ntog thaum lub qhov ncauj, cov khoom tawv tsoo tsoo rau hauv lub qhov ncauj, ntshav tom tus ntiv tes, thiab lwm yam asphyxia tshwm sim los ntawm kev nqus pa ntawm lub qhov ncauj. kab mob ua pa.
Yuav ua li cas tiv thaiv febrile convulsion?
Cov tshuaj prophylactic tsis pom zoo rau qhov yooj yim febrile convulsion. Qhov kev tiv thaiv zoo tshaj plaws yog ua kom muaj kev noj qab haus huv ntxiv thiab tsis txhob ua npaws ntau zaus. Thaum tus me nyuam loj hlob thiab lub paj hlwb loj hlob tuaj, nws yuav zoo dua. Feem ntau, febrile convulsion tsis tshua muaj tshwm sim hauv cov menyuam yaus hnub nyoog qis dua 7 xyoo. Thaum ua npaws yog qhov tsim nyog, kev siv cov tshuaj tua kab mob uas tsim nyog tuaj yeem txo qhov tsis xis nyob ntawm cov menyuam yaus, tab sis cov tshuaj tua kab mob tsis tuaj yeem cuam tshuam cov txheej txheem kub ntawm lub cev. Yog li ntawd, noj tshuaj antipyretic ua ntej thaum muaj kub taub hau tsawg tsis tuaj yeem tiv thaiv qhov kub ntawm lub cev thiab tiv thaiv kev qaug dab peg.
Cov menyuam yaus uas muaj keeb kwm ntawm convulsions nyuaj thiab cov xwm txheej epilepticus yuav tsum tau noj tshuaj antiepileptic raws li kev taw qhia ntawm pediatric neurophysicians.
