Cov no yog cov qaug dab peg thaum muaj ib co kab mob lwm tus (kab mob, raug mob). Lawv ploj tom qab kho cov kab mob lwm tus. Xws li kev qaug dab nrwg muaj kev lim ntshav nrog cov ntsev tsis muaj ntsig (tshaj), qaug dab nrig nrog rau daim npluag qhwv paj hlwb thiab lub plawv encephalitis, nrog lub cev tsis muaj peev xwm ntawm cov piam thaj los yog nrog cov khoom siv roj hauv lub cev. Ib daim ntawv tshwj xeeb ntawm qaug dab peg yog kev sib ceg sib ceg.
Lawv pom muaj hauv cov menyuam yaus. Hauv kev kho nws tseem ceeb heev kom paub tseeb tias tus me nyuam muaj kev puas hlwb. Qhov tseeb yog tias cov tshuaj uas tau qhia rau kev qaug dab peg yog ua tsis tau zoo rau kev kho ntawm qaug dab peg ntawm lwm cov etiologies thiab tuaj yeem ua rau muaj kev phiv.
Rau qhov kev ceeb toom.
Cov niam txiv ntawm tus menyuam uas tau mob qaug dab peg yuav tsum qhia meej rau tus kws kho mob tag nrho cov xwm txheej uas muaj feem xyuam nrog qaug dab peg. Cov kev soj ntsuam no yog cov lus qhia tseem ceeb rau tus kws kho mob. Nrog rau lwm yam kev kuaj thiab kev sim, lawv yuav ua rau tus kws kho mob paub txog tus kab mob.
Febrile convulsions
Hauv qee cov me nyuam, tus kab mob nrog rau kub cev (mob caj pas, mob viral, pneumonia) tuaj yeem ua qaug dab peg. Ntshav nce siab hauv lub cev tseem tuaj yeem pab rau qhov pib ntawm qaug dab peg. Nws tsis paub tias yog vim li cas cov qaug dab peg
qee cov menyuam yaus, tab sis lwm tus tsis ua. Nws ntseeg tias qhov tseem ceeb tshaj plaws yog ua los ntawm kev cog qoob loo. Cov tsos mob ntawm kev raug mob ntawm kev raug mob ntawm febrile yog tib yam li cov neeg ntawm kev qaug dab peg: tus me nyuam poob siab, pib ua lub siab tonic-clonic. Tom qab ntawd, nws tsis nco txog kev qaug dab peg. Qhov nruab nrab, kev sib cav sib ceg dhau 5-15 feeb, txawm tias ntev dua ib zaug tau. Yav tas los, febrile qaug dab peg tsis tau txaus ntshai, tab sis hnub no nws yog twb paub tias qee zaus lawv ua rau txoj kev loj hlob ntawm seem phenomena. Yog li, tus menyuam yuav tsum tau qhia rau tus kws kho paj hlwb (tus kws kho mob tshwj xeeb hauv cov hlab ntsha) yog tias: thawj zaug qaug dab peg ntawm qhov kev sib txuam ua rau pom tus kheej hauv thawj lub rau hli ntawm tus me nyuam lub neej los yog tom qab plaub xyoos; qhov ntev ntawm kev sib tua kav ntev tshaj 30 feeb; tus me nyuam muaj ntau tshaj li peb qhov mob qaug dab peg; Thaum muaj menyuam hauv plab los yog yug menyuam, qhov tseem ceeb tshaj plaws tau muab sau tseg; Tom qab tus kab mob fibile qaug dab peg, tus menyuam txoj kev xav psychomotor hlob qeeb; Tawm hauv cov me nyuam yaus pib kub cev (tsawg dua 38.5 "C).
Thetania.
Kabmob Aetania yog ib yam kabmob uas muaj qee yam qaug dab peg uas txuam nrog qis calcium uas nyob hauv cov ntshav. Yav tas, nws yog ib txwm, feem ntau ntawm cov menyuam yaus nrog rickets. Txawm li cas los xij, qhov pom tau hais tias cov menyuam pib noj cov tshuaj vitamin D prophylactically, hnub no rickets tau pom ntau ntau zaus dua ua ntej, thiab yog li ntawd cov neeg mob ntawm tetany kuj tau poob. Lwm yam ua rau me nyuam yaus tetany - lub raum thiab thyroid kab mob, lom, thiab lwm yam kab mob hauv metabolic congenital. Feem ntau thaum lub caij tus kab mob tetany nres, tus me nyuam tsis nco qab lawm. Spasm npog cov kab mob hauv cov leeg mob ntawm cov leeg sab nrauv thiab sab qis, tsawg dua muaj qhov sib tw ntawm lub ntsej muag thiab lub cev. Laryngospasm (tus lej nqus ntawm glottis) kuj ua tau. Nyob ntawm seb cov nqaij ntshiv twg yog qhov sib cog lus, tus cwj pwm ntawm lub cev tshwm sim, piv txwv li, "tes ntawm obstetrician" los yog lub caj npab nodding. Ces lub sij hawm ntawm tonic convulsions pib.
Yog li, thaum lub sij hawm muaj tus kab mob tetany, nws yuav tshwm sim tau qee yam qaug dab peg.
Hloov cov ntxhuav nrog sodium deficiency (tshaj).
Cov txheej txheem sodium hauv cov ntshav hloov vim ntuav ntev thiab ntuav. Cov txiaj ntsim ntawm no rau cov me nyuam yug tshiab tuaj yeem ua rau mob hnyav heev, tab sis vim yog qhov excox (lub cev qhuav dej), cov menyuam yau thiab cov laus muaj qhov teeb meem. Yog li ntawd, tiv thaiv cov keeb kwm ntawm kev qaug zog thiab tsis pom zoo, lub zos (laus) los sis dav dav (generalised) nrawm. Tus menyuam muaj lub coma. Yog li, tus me nyuam leej niam leej txiv yuav tsum xyuas kom meej tias thaum ntuav thiab zawv plob nws tus me nyuam yuav tsum tau haus dej txaus, yog li ntawm qhov nws tsis muaj peev xwm. Yog tias ntuav nce, tus menyuam yuav tsum raug coj mus rau tus kws kho mob.
Cov kab mob uas ua rau mob qaug dab peg.
Kev sib deev hauv zos los yog kev sib ntau yuav pib tau vim muaj kev raug mob los yog mob hlwb. Kev qaug dab peg feem ntau pom muaj qee zaum lom (piv txwv, cawv). Tsis tas li ntawd, muaj ob peb lub cev metabolic mob, vim hais tias ntawm cov kev qaug dab peg muaj txawm nyob hauv cov me nyuam mos.