Lennox-Gastaut Syndrome: Ua, Cov tsos mob, thiab kev kho mob

Cov txheej txheem:

Lennox-Gastaut Syndrome: Ua, Cov tsos mob, thiab kev kho mob
Lennox-Gastaut Syndrome: Ua, Cov tsos mob, thiab kev kho mob
Anonim

Lennox-Gastaut Syndrome yog dab tsi?

Lennox-Gastaut Syndrome (LGS) yog ib yam mob uas tsis tshua muaj thiab hnyav heev uas pib thaum yau. Cov menyuam yaus nrog LGS feem ntau qaug dab peg, thiab lawv muaj ntau hom qaug dab peg.

Tus mob no nyuaj kho, tab sis cov kws tshawb fawb tab tom nrhiav kev kho tshiab. Nrhiav kev txhawb nqa thiab kev xav yog qhov tseem ceeb los pab koj muab koj tus menyuam lub neej zoo tshaj plaws thaum ntsib kev nyuaj siab thiab ntxhov siab rau qhov mob no.

Cov qaug dab peg feem ntau pib thaum muaj hnub nyoog 2 txog 6 xyoos. Cov menyuam yaus uas muaj LGS muaj teeb meem kev kawm thiab kev loj hlob qeeb (xws li zaum, nkag, taug kev) uas tuaj yeem ua rau nruab nrab mus rau qhov hnyav. Lawv kuj tuaj yeem muaj teeb meem coj tus cwj pwm.

Txhua tus menyuam muaj qhov sib txawv, thiab nws tsis tuaj yeem kwv yees tias tus menyuam nrog LGS yuav ua li cas. Txawm hais tias cov menyuam yaus feem ntau muaj qaug dab peg tsis tu ncua thiab qee hom kev kawm tsis taus, qee tus yuav teb tau zoo rau kev kho mob thiab muaj qaug dab peg tsawg dua.

Lwm tus tuaj yeem ua rau qaug dab peg ntau zaus, nrog rau teeb meem ntawm kev xav, kev loj hlob, thiab kev coj cwj pwm, thiab yuav xav tau kev pab hauv kev ua neej nyob txhua hnub. Qee cov niam txiv pom tias kev noj zaub mov tshwj xeeb, hu ua ketogenic noj, pab.

Caus

Cov kws kho mob tsis tas yuav paub tias yog vim li cas tus menyuam LGS. Qee zaum, nws tuaj yeem tshwm sim los ntawm:

  • Tsis muaj oxygen thaum yug
  • mob hlwb mob hnyav txuas nrog cev xeeb tub lossis yug me nyuam, xws li yug me nyuam los yog yug ntxov ntxov
  • kab mob hauv hlwb (xws li encephalitis, meningitis, lossis rubella)
  • Kev qaug dab peg uas pib thaum me nyuam mos, hu ua infantile spasms lossis West's syndrome
  • Ib lub hlwb teeb meem hu ua cortical dysplasia, qhov twg qee cov paj hlwb hauv lub hlwb tsis ua raws txoj cai thaum loj hlob hauv plab
  • Tuberous sclerosis, qhov chaw uas tsis yog qog nqaij hlav hauv ntau qhov chaw thoob plaws hauv lub cev, suav nrog lub hlwb
  • noob caj noob ces

Symptoms

Cov menyuam yaus uas muaj LGS muaj qhov qaug dab peg ntau zaus. Thiab lawv feem ntau muaj ntau yam qaug dab peg, suav nrog:

Atonic qaug dab peg. Kuj hu ua "kev tawm tsam," vim tus neeg poob cov leeg nqaij thiab tuaj yeem poob rau hauv av. Lawv cov leeg yuav jerk. Cov qaug dab peg no luv luv, feem ntau kav ntev li ob peb feeb.

Tonic qaug dab peg. Cov qaug dab peg no ua rau tus neeg lub cev tawv thiab tuaj yeem kav ntev li ob peb feeb mus rau ib feeb. Lawv feem ntau tshwm sim thaum tus neeg tsaug zog. Yog tias lawv tshwm sim thaum tus neeg tsaug zog, lawv tuaj yeem ua rau ntog. Zoo li atonic qaug dab peg, lawv kuj hu ua kev tawm tsam.

Kev qaug dab peg. Thaum cov qaug dab peg no, ib tug neeg yuav muaj lub ntsej muag ntsia tsis pom lossis tig taub hau lossis ntsais sai.

Nyob rau hauv qee cov menyuam yaus, thawj lub cim ntawm LGS yog kev qaug dab peg tsis tu ncua uas kav 30 feeb, lossis qaug dab peg tsis tu ncua tsis muaj kev rov qab los ntawm lawv. Qhov no hu ua xwm txheej epilepticus, thiab nws yog kev kho mob xwm txheej ceev.

Cov neeg nrog LGS kuj tseem yuav muaj sijhawm qeeb qeeb. Ib txhia muaj teeb meem kev kawm thiab ua cov ntaub ntawv. Tej zaum lawv yuav muaj teeb meem coj tus cwj pwm, thiab.

Kev kuaj mob

Koj tus kws kho mob yuav xav paub:

  • Thaum twg koj pom qhov teeb meem thawj zaug?
  • Koj tus menyuam puas tau qaug dab peg? Muaj pes tsawg? Ntev npaum li cas?
  • Ntev npaum li cas, thiab koj yuav piav qhia li cas?
  • Koj tus menyuam puas muaj mob lossis noj tshuaj?
  • Puas muaj teeb meem thaum yug los?
  • Koj puas paub tias koj tus menyuam puas muaj mob hlwb?
  • Koj tus menyuam puas muaj teebmeem kev kawm lossis tus cwj pwm?

Koj tus kws kho mob yuav saib peb lub cim los kuaj xyuas LGS:

  • Ntau yam qaug dab peg uas nyuaj rau tswj
  • Kev txhim kho qeeb lossis kev tsis taus kev txawj ntse
  • Ib electroencephalogram (EEG) uas qhia tau hais tias ib hom qauv, hu ua tus qauv qeeb qeeb-yoj, ntawm qhov qaug dab peg. EEG siv lub tshuab sau cov hluav taws xob hauv lub hlwb.

Cov lus nug rau koj tus kws kho mob

  • Kuv tus menyuam puas xav tau kev xeem ntxiv?
  • Koj puas tau kho lwm tus menyuam tus mob no?
  • koj xav kho dab tsi?
  • kev kho mob yuav ua rau kuv tus menyuam zoo li cas?
  • Kuv tuaj yeem ua dab tsi kom kuv tus menyuam muaj kev nyab xeeb thaum qaug dab peg?
  • Puas muaj kev sim tshuaj uas kuv tus menyuam tuaj yeem koom nrog?
  • Kuv yuav ua li cas txuas nrog lwm tsev neeg uas muaj menyuam nrog LGS?

Kev kho mob

Tshuaj

Cov kws kho mob yuav sau ntau yam tshuaj los kho mob qaug dab peg los ntawm LGS. Lub hom phiaj yog txo cov qaug dab peg nrog cov tshuaj uas ua rau muaj kev phiv tsawg tshaj plaws. Nrhiav kev kho mob zoo rau koj tus menyuam yuav siv sijhawm thiab sib koom tes nrog tus kws kho mob. Cov tshuaj siv los kho mob qaug dab peg muaj xws li:

  • Cannabidiol (Epidiolex)
  • Clobazam (Onfi)
  • Felbamate (Felbatol)
  • Lamotrigine (Lamictal)
  • Rufinamide (Banzel)
  • Topiramate (Topamax)

Valproate, valproic acid (Depakene, Depakote)

Feem ntau, tsis muaj ib qho tshuaj tswj kev qaug dab peg kiag li. Tus kws kho mob yuav saib xyuas koj tus menyuam cov tshuaj kom ze, tshwj xeeb tshaj yog tias koj tus menyuam noj ntau dua ib zaug.

Kev noj haus

Kev noj zaub mov tshwj xeeb uas muaj rog, tsis muaj carbohydrates, hu ua ketogenic noj, pab qee tus neeg mob vwm, suav nrog qee cov menyuam yaus uas muaj LGS. Nws yog kev noj zaub mov tsis muaj rog, muaj protein tsawg, tsawg-carb. Nws yuav tsum tau pib hauv ib txoj kev tshwj xeeb thiab ua raws li nruj heev, yog li koj xav tau tus kws kho mob saib xyuas.

Koj tus kws kho mob yuav saib xyuas kom pom seb puas lossis thaum twg qib tshuaj tuaj yeem txo qis. Vim tias kev noj zaub mov tshwj xeeb, koj tus menyuam yuav tau noj cov tshuaj vitamin lossis ntxhia.

Cov kws kho mob tsis paub meej tias yog vim li cas cov khoom noj ketogenic ua haujlwm, tab sis qee qhov kev tshawb fawb qhia tias cov menyuam yaus uas muaj mob vwm uas nyob hauv kev noj zaub mov muaj txiaj ntsig zoo ntawm kev txo qis qaug dab peg lossis lawv cov tshuaj.

Rau qee cov menyuam yaus, kev hloov kho Atkins noj zaub mov yuav ua haujlwm, ib yam nkaus. Nws txawv me ntsis ntawm cov khoom noj ketogenic. Koj tsis tas yuav txwv cov calories, protein, lossis kua dej. Tsis tas li ntawd, koj tsis hnyav lossis ntsuas cov khoom noj. Hloov chaw, koj saib xyuas cov carbohydrates.

Cov neeg qaug dab peg uas nyuaj kho tau kuj tau sim noj cov zaub mov glycemic qis. Cov zaub mov no tsom rau hom carbs, nrog rau cov nyiaj, uas ib tug neeg noj.

Kev Kho Mob Marijuana

Ntau qhov kev saib xyuas tau tsom mus rau kev siv tshuaj maj kho mob los kho cov menyuam yaus uas muaj mob vwm, thiab ntau tsev neeg xav kawm ntxiv. Cov kws kho mob tseem tsis tau kawm txog kev siv tshuaj maj rau cov menyuam yaus uas muaj LGS, thiab feem ntau ntawm cov kev tshawb fawb siv nws los kho mob qaug dab peg tau tsom mus rau cov txiaj ntsig luv luv. Raws li Lennox-Gastaut Foundation, yuav tsum muaj kev tshawb fawb ntxiv kom paub seb qhov no puas muaj kev nyab xeeb thiab zoo rau cov menyuam yaus nrog LGS.

Surgery

Yog tias tshuaj thiab lwm yam kev kho mob tsis txo qis, koj tus kws kho mob yuav hais kom phais.

Lub vagus paj hlwb stimulator yog ib qho khoom me me tso rau ntawm caj npab lossis ze ntawm lub hauv siab. Nws xa hluav taws xob impulses mus rau lub paj hlwb vagus, uas khiav ntawm lub plab mus rau lub hlwb. Cov hlab ntsha ces xa cov impulses mus rau lub hlwb los pab tswj kev qaug dab peg. Kev phais yog ua tiav raws li kev siv tshuaj loog thiab siv sijhawm li ib teev.

RNS stimulator yog ib yam khoom uas muab tso rau hauv lub pob txha taub hau thiab txuas nrog lub hlwb. Nws hnov txog kev ua haujlwm tsis zoo ntawm hluav taws xob thiab tom qab ntawd xa hluav taws xob rau lub hlwb kom sim ua kom qaug dab peg tsis tshwm sim.

Corpus callosotomy faib rau sab laug thiab sab xis hemispheres ntawm lub hlwb. Qhov ntawd ua rau qaug dab peg uas pib hauv ib feem ntawm lub hlwb tsis txhob kis mus rau sab nraud. Nws yog feem ntau pom zoo rau cov neeg uas muaj mob hnyav, tswj tsis tau dab tsi uas ua rau lawv poob thiab raug mob. Ib tug neeg uas muaj corpus callosotomy yuav tsum tau nyob hauv tsev kho mob li 2 mus rau 4 hnub, thiab yuav tau noj tshuaj tiv thaiv qaug dab peg tom qab lawv mus tsev.

Yuav Ua Li Cas

Kev ua niam txiv tus menyuam nrog LGS nyuaj. Yog tias koj tus menyuam mob qaug dab peg, tej zaum lawv yuav tsum tau hnav lub kaus mom hlau tiv thaiv yog tias lawv poob. Tej zaum koj yuav tau nrog cov teeb meem coj tus cwj pwm xws li ua tawm, thiab cov kev mob tshwm sim los ntawm cov tshuaj tiv thaiv qaug dab peg.

Tsis muaj kev kho rau LGS, txawm hais tias muaj kev tshawb fawb ntau los nrhiav kev kho mob uas ua haujlwm zoo dua.

Txhua tus menyuam nrog LGS muaj qhov xav tau sib txawv. Feem ntau tseem muaj qaug dab peg thiab kev tsis txawj ntse tom qab lawv loj hlob tuaj. Qee tus yuav muaj peev xwm ua neej nyob ntawm nws tus kheej, tab sis feem ntau yuav xav tau kev pab ua haujlwm txhua hnub. Tej zaum lawv yuav tau nyob hauv ib pab pawg lossis pab nyob hauv tsev.

Nws yog ib qho tseem ceeb rau cov niam txiv thiab cov kwv tij kom tau txais kev txhawb nqa uas lawv xav tau raws li cov neeg saib xyuas thiab cov neeg hauv tsev neeg ntsib lub neej nrog tus mob hnyav. Tham nrog lwm tsev neeg ntsib cov teeb meem tib yam tuaj yeem pab koj tsis nyob ib leeg, thiab tau txais cov lus qhia thiab cov ntaub ntawv los ntawm lwm tus tuaj yeem ua rau lub neej niaj hnub yooj yim dua.

Tau Txais Kev Pabcuam

Yog xav paub ntxiv txog Lennox-Gastaut syndrome, koj tuaj yeem mus xyuas lub vev xaib ntawm LGS Foundation. Nws yog qhov chaw pib zoo los nrhiav kev txhawb nqa koj thiab koj tsev neeg yuav xav tau.

Pom zoo:

Nthuav cov khoom
Kev Siv Dej Cawv Dej
Nyeem ntxiv

Kev Siv Dej Cawv Dej

Kev Siv Dej Cawv Yog Dab Tsi? Kev haus dej haus cawv (AUD) yog mob hlwb ntev uas koj tsis tuaj yeem nres lossis tswj koj haus txawm tias nws ua rau koj lub neej, koj txoj haujlwm, lossis kev noj qab haus huv. Nws yog ntau yam uas suav nrog kev haus cawv, uas yog thaum haus cawv muaj qhov tshwm sim loj dua.

Kev Tsim Nyog Tshuaj: Hom Tshuaj, Cawv, Luam Yeeb, thiab lwm yam
Nyeem ntxiv

Kev Tsim Nyog Tshuaj: Hom Tshuaj, Cawv, Luam Yeeb, thiab lwm yam

Kev tsim txom tshuaj tsis yog ib yam uas koj yuav tsum tau ua me ntsis. Nws tshwm sim thaum koj siv cawv, tshuaj kho mob, thiab lwm yam khoom raug cai thiab tsis raug cai ntau dhau los lossis tsis raug. Kev quav yeeb tshuaj txawv ntawm kev quav yeeb quav tshuaj.

Sib Nrauj Ntsig Txog Kev Txhaum Cai
Nyeem ntxiv

Sib Nrauj Ntsig Txog Kev Txhaum Cai

Kev quav cawv yog ib yam kab mob nyuaj thiab kho tau. Nws feem ntau yog kho nrog kev sab laj lossis lwm yam kev kho mob. Qee zaum koj yuav xav tau tshuaj nrog rau kev kho tus cwj pwm. Hmoov tsis zoo, ntau tus neeg uas muaj teeb meem siv tshuaj yeeb dej caw los yog kev quav yeeb quav tshuaj pom nws nyuaj rau kev tso tseg.