Understand the disease
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20052019 International Anti-Breaking Challenge (li ton)Alliance ( ILAE) right (du the)The definition of burning has been revised ,The recommended definition is: Incision is a brain disease ,Features (diǎn)It's persistent (xù)Existence and energy (chǎn)Eating and inhalation (fā)Persistence changes in the brain ,And appear (xi ton)Related (yīng)The nerve (jīng)Biology (xu And)、Recognize (r Andn)Know 、Psychology (xu And)and society (hu the)and other consequences.Clinic injections that require at least one injection (fā)do 。However ,So far ,Domestic (n Andi)learn (xu And)Common sense of the world (sh the)for ,Reversal (fù)appear (xi ton)The swelling of (fā)The test can be done to diagnose the discharge 。There was only one (fā)Do not diagnose as incision 。therefore ,Correct understanding ILAE The definition definition of (du the)Cure diagnosis has important meaning.
1、At least once (fā)Do: At least once, no fixed cause of inducing (fā)The basic condition for diagnosis and discharge, single or single clusters of discharge (fā)It's hard to prove (sh the)and confirm chronic dysfunction in the brain ,Clinic must be (jǐn)Be careful 。
2、The ability to increase will appear (xi ton)send (fā)Persistent brain persistence changes: that is, there is a reversal (fù)Injection (fā)The direction of the work, inhalation is a chronic disease ,Exist in the brain (n Andi)Chronic dysfunction ,The manifestations of this type of brain dysfunction (xi ton)It is possible to appear (xi ton)Reversal (fù)Injection (fā)The foundation of work (chǔ)。
3、The accompanying state (t toi):Chronic brain dysfunction is a proliferation (fā)The disease foundation (chǔ),In addition to (hu the)Cause a reversal (fù)The swelling of (fā)Beyond ,Will (hu the)right (du the)Other functional products of the brain (chǎn)Osteopathic effects, at the same time (sh the)Long-term burning (fā)Will do (hu the)right (du the)Patient's body 、Recognize (r Andn)Know 、Psychology and Society (hu the)Functions and other aspects of production (chǎn)Bad effects 。
At the same time (sh the)Have the above three (g And)Elements can be used to diagnose the 。
Cure is a group caused by a known or unknown cause ,Brain nerve (jīng)Highly synchronized and often self-limited abnormal discharge station (dǎo)A comprehensive sign 。Reverse (fù)、send (fā)Sexuality 、Shortness 、Usually stereotyped Chinese nerve (jīng)System (tǒng)dysfunction is characteristic 。Due to abnormal release of nerves (jīng)Different locations of the element ,Release the electric spray (ku or)Different scopes of exhibition ,Patient's disease (fā)Can express (xi ton)To feel, to be (yùn)move (d orng)、Idea (sh the)、Spirit 、behavior 、Autonomous nerve (jīng)Functional dysfunction may be both.Each time (fā)As called stolen (fā)do ,Persist (xù)The susceptibility of exertion (dǎo)Reversal (fù)send (fā)As called stolen 。These susceptibility includes a clear family history of incision, (fā)During the period, the brain discharges clearly and clearly, and there is a cause of impotence. 。Injection ,It consists of specific pharmacological and physical conjugation ,Specific swelling (xi ton)The symbol is called the stolen comprehensive sign 。The consequences of incision (du the)Patient psychology 、Recognize (r Andn)Knowledge and Society (hu the)All factors have obvious effects 。
Inciduous disease (fā)Early stage patients (hu the)appear (xi ton)Surprise (fā)Sexual mental activities (d orng)The interrupted swelling ,This disease develops (fā)Postnatal patients (hu the)appear (xi ton)Idea (sh the)Lost appearance (xi ton)elephant ,Will (hu the)Accompanied by muscle dysfunction or automatic (d orng)Worry ,These swellings are once (fā)Meeting (hu the)Persist (xù)Number (shù)Seconds, these are some common manifestations of incision diseases (xi ton)。
Inciduous disease (fā)When sick (sh the)The patient suddenly realized (sh the)After the loss, it will (hu the)appear (xi ton)Screaming 、Bluish-purple face 、Urinary incontinence 、Foggy mouth 、A dilated pupil ,These symptoms persist (xù)Number (shù)Ten seconds or a few (shù)It will be in minutes (hu the)Stop naturally, and the patient will (hu the)In (j then)Into a sleepy state (t toi),After waking up, I will (hu the)appear (xi ton)Short time (sh the)The dizzy head between 、Impressive, fatigue and other irritability 。
Can cause dysfunction (xi ton)Spiritual sensibility and spiritual exercise (yùn)move (d orng)Sex and mixed (fā)do ,The patient is developing (fā)Will be after illness (hu the)appear (xi ton)Different degrees of consciousness (sh the)Obstacles and obvious thoughts, emotions and spiritual exercises (yùn)move (d orng)Obstacles ,Patients usually (hu the)Have fun 、Night tours and other automatic (d orng)The manifestation of (xi ton),Sometimes (sh the)The patient will also (hu the)Appears under the dominance of illusion (xi ton)Violent acts such as injuring people or self-injury 。
Injection (fā)Working time (sh the)A part or side of the patient (c And)Limb Association (hu the)appear (xi ton)Abdominal development (fā)do ,this (g And)Hour (sh the)Waiting for patients (hu the)appear (xi ton)Short-term idea (sh the)Disorders, if the patient's disease (fā)The operation scope affects patients (yùn)move (d orng)district (qū)Or other limbs ,So ,In (fā)After the disease patients will (hu the)appear (xi ton)temporary (sh the)Sexual trauma 。??
Ask for medical history
Including first release (fā)Works age, (fā)What factors do you think of (fā),When asking (sh the)It also reminds the patient to develop (fā)Working time (sh the)What factors are related to (guān)、If you have a cold 、Tired 、Mental stimulation, etc. (fā)There is no sign before doing ?send (fā)How do you feel before and after doing it?send (fā)The starting part and pills of the work ?send (fā)Working time (sh the)Unintentional obstacles ?How is the degree?send (fā)Nothing is certain (guī)Routine ?From (fā)How long does it take to start and end (sh the)between ?send (fā)Frequency ,Instant (sh the)How long does it take to be (sh the)Interval (fā)Do it once (including taking medicine and not taking medicine) and get the pre- and post-clinic treatment (fā)Date of ?send (fā)What's wrong with the work break ?Whether (jīng)What medicines have you used to treat anti-injection drugs ?Used over-working (sh the)How effective is the ,Good safety, (xi ton)Is it still taking ?
Past history 、Life History
For example (chǎn)Expect ,What disease did the mother suffer during pregnancy? There is no sign of miscarriage (chǎn)、diabetes 、Hyperthyroidism, etc. ;The birth of (jīng)Past: Whether it is premature (chǎn)、Difficult (chǎn)、Parity, position 、Production (chǎn)Procedure ,Have you used it before (zh Andn)Silent or anesthetic ,Born is infertile (chǎn)Injury, fake death ;What disease have you suffered ,Especially the nerves (jīng)System (tǒng)disease? 。ㄓ未 o History of coma 、Hot and shocked 、Meningitis 、Brain inflammation and other brain diseases, etc.) and poisoning 、External injury;Feed (yǎng)condition ,No risol 、Buy (yǎng)Bad etc. ;You also need to know the patient's growth (fā)History of education: Highlights (diǎn)Understand the nerves (jīng)Spiritual development (fā)Educational situation ,Including (yùn)move (d orng)、Feelings, language 、Intelligence, etc. 。right (du the)Come to adults ,To understand its drinks 、Take medicine 、Smoking 、Sleep 、Work conditions and whether the head office has been damaged ,How good is it 。 It is also necessary to ask the patient's family history.Pay attention to asking your father 、Mother and fellow countrymen have no history of incision and other neurologies (jīng)History of mental illness.
send (fā)Working period (fā)Now (xi ton)Release the power (Spinos 、Sharp waves, etc. )It is a powerful basis for the diagnosis and injection (jù),If you can record the (fā)The abnormal discharge period has a greater meaning of diagnosis 。29% of adult patients with incisions ~55%Can be found (fā)Now (xi ton)send (fā)Release the power during the period and reverse the (fù)The yang rate can be increased to about 90% by checking. ,The tiny swelling of the brain has a higher stimulation rate 。
Can develop (fā)Now (xi ton)More obvious (ji And)Structure (g oru)Anomaly, but difficult to (fā)Now (xi ton)Details (x the)The microscopic (ji And)Structure (g oru)Anomaly 。Mostly used for emergency diagnosis, suspected to be aware of (n Andi)Calcium 、Hemorrhagic STDs, unable to be ejaculated (j then)Magnetic resonance ( MRI) Check and other situations 。
already (jīng)It is widely used in clinical diagnosis and treatment plan for incision 。MRI Has a high spatial resolution ,Can develop (fā)Now (xi ton)Some details (x the)The microscopic (ji And)Structure (g oru)Anomaly ,right (du the)There are high references for etiology diagnosis (ji to)value ,Especially right (du the)Review of difficult-to-treat (solid) impotence (p theng)estimate 。There are many different imaging techniques (shù)and imaging sequences are tested in clinical ,right (du the)Of different natures (zh the)The end of (ji And)Structure (g oru)The diagnosis meanings of abnormalities (lesions) also vary. ,For example (du the)Himaru sclerosis, focal dermis (fā)Dystrophy, marina hemangioma 、End (ji And)Seminar (ji And)Sexual hardening 、Brain hemangioma disease 、Smoking disease 、All cerebral diseases and other diseases are seen as distinctive.Under normal circumstances ,It is recommended to be a doctor of the pharmacist (yī)The teacher teaches the patient (sh And). (j the)Head MRI Check plan 。
Specific brain functional areas can be quantitatively analyzed (qū)Biochemistry (xu And)Process ,It can be understood as brain deficiency (x the)Cell activity check, if the brain can be tested (du the)Glucose utilization ,And different neural (jīng)Active substances (zh the)distribution, etc.In the positioning of "stove stove" ,Currently, commonly used clinical tracking agents (biāo)The record is 2-oxidized glucose ( FDG),Used to detect local brain healing changes.Generally speaking ,Non-degree (fā)Brain dermal resonance (or understood as activity) during the stool (also known as a break period) (d orng)Reduce ability) ,And injecting (fā)Presentation period (xi ton)Thank you for your generation.in addition PET Checking can also help (fā)Now (xi ton)Magnetic resonance is difficult to develop (fā)Now (xi ton)The slightest (x the)Lesion 。
Under normal circumstances ,As long as the clinical diagnosis is correct ,The selected drug is (zhǔn)OK ,The amount used is suitable ,The method of taking is reasonable ,All (hu the)Received satisfactory results ,So from a certain meaning ,The effect of the drug is also a way to determine whether the diagnosis is correct or not. (g And)Important aspects 。
Hematology (xu And)Examination includes blood (guī)、blood sugar 、Electrolysis quality (zh the)、Examination of blood calcification and other aspects can help find the cause of the disease 。Anti-ultrasound medicine blood concentration monitoring (jiān)Testing helps with drug tuning (di too)all ,send (fā)Now (xi ton)Drug poisoning, etc., hematology (xu And)Checking is also used for (du the)Adverse drug reactions (yīng)Test ,Commonly used monitoring (jiān)Testing indicators (biāo)Including blood (guī)、Liver and kidney function and electrolysis quality (zh the)wait.Injection (fā)The main manifestations of transcendental diseases (xi ton)one ,Blood and urine transitive graft screening can help diagnose etiology of the incision 。Part of the burning and transmission related (guān),Especially some special types of swelling ,Need to be genetically checked and confirmed (r Andn)Clinic ,And enter (j then)Complete consultation and guidance in one step (dǎo)。
Anti-injection drugs are used to treat (j then)The main and methods of treatment of incision ,And (zhǔn)Correct swelling (fā)The classification of typing and synthesis is (j then)Sticky (du the)The basis of sexual treatment (chǔ)。Follow the rules (guī)Principles for choosing anti-ultrasound drugs and using single medicine for treatment principles ,right (du the)For patients with poor single medicine control, use multiple medicines (li ton)Combined treatment ,Start the dose of the smaller dose ,Slowly add dosage ,Serious (y ton)Observe various adverse reactions of anti-ultrasound drugs (yīng),Pay attention to the interaction between drugs ,If you want to reduce the medicine and stop the medicine, you need to go to the hospital (yī)Life's guidance (dǎo)Go down (j then)OK 。Head doctor (yī)Grand Scholar Brology Medical (yī)The hospital can carry out blood concentration monitoring of anti-ulcer drugs (jiān)可 ,according to (jù)Needs accurate (di too)60% of clinical medicines ~70%People can control the (fā)do ,By (jīng)3~5Can stop taking medicine in the year 。
Learn about the appropriateness of commonly used anti-ultrasound drugs (yīng)Certification, commonly used dose 、Major adverse reactions (yīng)and main (yōu)point (diǎn)and disadvantages (diǎn)。Patients and family members can match (du the)There are some medicines taken (g And)Preliminary recognition (r Andn)Know (sh the),At the same time (sh the)Can effectively monitor (jiān)Test drug adverse reactions (yīng),right (du the)Patients cooperate with doctors (yī)It is very beneficial to treat and improve self-management of taking medicine 。
Commonly used drugs include traditional (tǒng)Anti-scaling drug Kamazepine (Delivery )、Valproic acid calcification (Debakin )、Phenytoin 、Phenobarbital 、Pyrimonone 、Ethexuxamide 、Clonazepam (chlorinated )、Sediapam (stable );New anti-ultrasound drugs include ammoniacetic acid and lamotriazine 、Topiramidate 、Gaba diethyl, non-aminoester 、Okazepine 、tigabin 、Zonisamide 。If you are in the treatment process, there are some medicines (yī)The hospital gave some weird ,Or a magical and effective medicine ,At this time (sh the)Wait ,You have consulted several doctors (yī)Hospital doctor (yī)Decide whether to take it 。
Our country needs surgery (shù)The patients treated with stools are about 1.5 million ,Receive surgery every year (shù)There were about 2,000 patients with incision, and the patient was diagnosed clearly. 、OK to be appropriate (yīng)Certificate is surgery (shù)premise 。The diagnosis of incision is mainly based on (jù)send (fā)Working time (sh the)Performance of (xi ton)and brain image (ji And)fruit ,Exclude short-term ischemic syndrome (fā)do (TIA)、Disease caused by alcohol and drug withdrawal (fā)Do it, know if it is difficult to cure the injustice ,And confirm the (fā)Type of work 。
If surgery is considered (shù)Methods to cure swelling ,It is necessary to make sure that this method is suitable (yīng)Certificates and Taboo Certificates ,In case of unnecessary problems 。
(1)Partial swelling ,There is a clear starting area for burning (qū);
(2)Drugs are difficult to treat incision ,The stove is clear;
(3)Biology (xu And)Factor (yù)Show it (fā)It may exist for a long time;
(4)Special children's syndrome, such as Lennox Gastaut Comprehensive sign (LGS)and West Comprehensive signs, etc. 。
Benign, self-limiting inflammatory syndrome; accompanied by neurology (jīng)Diseases and Neuroscience (jīng)System (tǒng)Responsible for sexual diseases; not (guī)Take medicine; accompanied by harshness (y ton)Severe familial diseases and brain dysfunction; accompanied by mental illness 。
Currently clinical (yīng)Surgery used (shù)How many ways ,Resectional surgery (shù),Functional surgery (shù),Neuros (jīng)Comment (di too)Control and treat various surgeries (shù)Method (ji And)combine 。
Resectional surgery (shù)
Resectional surgery (shù)Can be caused by complete resection (d to)For the purpose of treatment, it can be (jù)End (ji And)Structure (g oru)Tags (biāo)未分 (zhǔn)and function tags (biāo)未分 (zhǔn)Or both are involved [such as surgery for stolen leaves (shù)treatment〕 ,It is mainly divided into selected lesions resection (shù)、Bone Resection (shù)and brain cortex (zh the)Resection (shù)。,Aesthetics (shù)After slowly stopping the medicine ,Will no longer burn (fā)do 。
Operation (shù)Fees (f Andi)Use: about 80,000-100,000
During hospitalization (sh the)Interval: about 4 weeks
Functional surgery (shù)
Functional surgery (shù)It is through blocking (fā)Translation of (dǎo)Reduce sexual development (fā)Make or change its properties (fā)Form to protect (hù)Brain function ,For palliative surgery (shù),Including preventing discharge and transmission of discharge (dǎo)、Callus cleavage and disconnect or damage the central nerve (jīng)The connection of the 、Sub-film cutting (MST)、Low power condensation burning (BCFC)and brain-lost 。
Neuros (jīng)Comment (di too)Control and treat
Mainly by stimulating the nerves (jīng)Fibers and nuclear groups (tu ton)To prevent irritation (fā)Work, including deep brain nuclear group (tu ton)Stimulation (shù)(DBS)、Vaginal nerve (jīng)Stimulation (shù)(VNS)and brain stimulation (shù)(CS)。
Vaginal nerve (jīng)The treatment of difficult injections can reduce the patient's disease (fā)Frequency (d to)50%,Reduce lightness (fā)Level of work and improve patient's quality of life (zh the)quantity ?;Sorry X Deep stimulation (brain pacemaker) ,The technology (shù)It is a brain three-dimensional orientation surgery (shù)In the brain (n Andi)Specific neural (jīng)Nuclear Group (tu ton)Implanted electrode at the location ,Anomalous electrical activities can be suppressed by high frequency stimulation (d orng)The nerve (jīng)Yuan ,It can play a role in treating diseases 。Ed (d to)To control the disease 、Reduce the (fā)Work and improve your quality of life (zh the)The purpose of quantity.
Various surgeries (shù)Method (ji And)combine
End (ji And)Combined resection and functional surgery (shù)Their respective qualities (yōu)point (diǎn),Partial resection causes disease and (du the)Located in the brain function area (qū)The disease of the disease (j then)OK BCFC or MST,To reduce inflammatory development (fā)and protect (hù)The function of the brain layer is not damaged.
Really (sh the)Resectional surgery (shù)The premise is to clearly locate the lead area (qū)and function area (qū),And the area (qū)More limited 、Located in a non-important functional area (qū)Outside 。
1、大发 (n Andi)Continuation of placeholder disease changes (fā)Sexual irritation (fā)Make: like (n Andi)Cyst 、Focal dermal layer (fā)Dystrophy, embryonic development (fā)Dysplasia epithelial dysplasia (x the)Cell tumor 、Bone bleeding, etc. 。
2.Focal incision: including magnitude and minus leaf incision 、Top leaf swelling 、Pillow leaf injector, island leaf injector ,Those who have caused cerebral resection do not affect important functions 。
If the patient passes the system (tǒng)Check and review (p theng)I guess, no stove found ,The medicine cannot be controlled, or it is very strong after taking the medicine (qi tong)Side effects ,Or the incision lesions are not limited to one of the brain (g And)district (qū)domain ,Instead, it is scattered in multiple (g And)district (qū)domain ,Moreover, some lesions are located in important functional areas of the brain (qū),For example, in language 、Run (yùn)move (d orng)Central or feel central or so on ,Then, while the lesion is removed (sh the)It's very likely that it will (hu the)Destroy these important neural (jīng)Zhongle ,Direct (dǎo)Topics (shù)Post-breathing, lost words, etc. 。This type of patients is also suitable for functional surgery (shù)。
Treatment of stool drugs ,60% ~70%People can control the (fā)do ,By (jīng)3~5You can stop taking medicine in the year.30% left ~40%In patients with ineffective medication ,That is, patients with improper incision ,Want to enter (j then)Procedure (shù)Previous review (p theng)estimate ,If resection surgery is suitable (shù),Resectional surgery (shù),Resectional surgery cannot be performed for various reasons (shù),This may be due to poor lesions or wide range of lesions. ,This group of patients is suitable for choosing vagus nerves (jīng)Stimulation (shù)Come to treat 。
No matter what kind of surgery it is (shù),All must be based on (jù)Characteristics of the type, location and other incision of the patient (diǎn)Come choose. ?
Ketogenic diet is difficult to treat invigorate
Ketogenic diet refers to eating more foods with high fat content to reduce protein (zh the)and carbohydrates ,De (d to)To control the discharge (fā)The purpose of doing.However, ketogenic dietary methods need to be professional (y And)Medical (yī)Life guide (dǎo)Next (y ton)Gejin (j then)OK ,And there are certain adverse reactions (yīng)Hour (sh the),Patients must be careful (du the)treat ,Ejaculation is a chronic disease ,Because it (fā)Unpredictable (yù)Visibility and frequent (fā)do ,The possible brain damage caused has a great impact on patients' lives. 。Difficult to treat incisions have always kept patients and even doctors (yī)All my life hurts ,because? y ton)Linden ∪可以 A rough silence? guī)Two kinds of medicines ,Still unable to control the injection ,Trying other new drugs can effectively control development (fā)The machine made (jī)Can (hu the),Only 15% ~20%。In this case ,Patients can consider ketogenic diet treatment to (d to)To control the discharge (fā)Purpose of 。
In normal thanks ,Carbohydrates are the energy source of the brain. After the inoculation patients undergo ketogenic diet treatment ,Physical (n Andi)High in fat and very little carbohydrate ,Brain will be burned by fat (chǎn)Raw ketones ,As its main source of energy ,Ketone body has (zh Andn)The static function ,But ,Just as (du the)The burning of the (fā)I don’t know much about the disease, but what kind of ketone is produced by (d to)To treat the purpose of ,Not yet clear 。
Generally speaking ,Medical (yī)No recommended patients who suffer from swelling ,Accept ketogenic diet from the beginning ,because? y ton)?,most? shù)The swelling of (fā)Use only 1 to 2 kinds of drugs to control ,And the side effects are small ,This is simpler and easier than using ketogenic diet, so you should (yīng)Use medicine first ,Only the pin (du the)Only ketogenic diets show their meaning in patients with intractable incisions who have poor efficacy with two or more drugs. ,At this time (sh the),Because children have better results ,Therefore, the best age for treating ketogenic diet is 1 to 10 years old, but it is not ruled out that patients of other ages should be tried. 。
Effects of ketogenic diet
Studies have shown that ketogenic diets last 1 year (sh the),7%No (fā)do ,20%send (fā)Reduce the treatment by more than 90%, and 50% of patients suffer from (fā)Reduce the work by more than 50% 。In addition, in some cases, although the patient suffers from injecting inflammation, (fā)No improvement ,Can reduce the number of anti-ultrasound drugs (shù)To improve patient recognition (r Andn)Knowledge function and operation (yùn)move (d orng)Behavioral ability 。
Mostly studied (xu And)Those who agree (r Andn)A ketogenic diet is suitable for the following conditions:
(1) Right (guī)Should (yīng)Using two or more anti-ultrasound drugs still cannot control the development (fā)Make or appear (xi ton)Serious (y ton)Severe adverse drug reactions (yīng)。
(2) Suffering from baby dysfunction 、Dravet Comprehensive, there is a fall (fā)Made LGS、Doose Comprehensive medicine, etc.。
(3) Suffering from severity (ji And)Seminar (ji And)Sexual hardening 、Brain deformity 、Brainless deformity ,Or other associated with incision (fā)Congenital deformity of the brain 。
(4) The mentality of the sick person is very low ,Or feeding it with a bottle if you are young (yǎng),Ketogenic diets may be easier to use in such cases ,And it is more effective than medicine.
(5) Family members of the sick can fully understand 、Support and have the ability to work with doctors (yī)born 、Buy (yǎng)Teachers cooperate to complete ketogenic diet meals and various supervisions (jiān)Test (xi tong)Meaning 。
In summary ,Ketogenic diet (yīng)Being misled by "diet treatment" (dǎo),It is a medical need (yī)born 、Buy (yǎng)Treatment methods for difficult incisions completed by close cooperation between teachers and parents ,Need to be professional (y And)Completed by the stolen center ,Need to master the appropriateness (yīng)Bad, taboo ,Select suitable cases and visit closely 。
Vaginal nerve (jīng)It's from the bottom (n Andi)send (fā)Out ,By (jīng)From the head to the chest, it dominates the heart ,throat, throat ,lung ,To the stomach ,Liver ,Some organs in the abdominal cavity ,Let's do vagus nerves (jīng)There is one (g And)Device ,Just let it pass it into your brain (dǎo)Current ,Improve brain damage (hu ton)Don't let it go down ,right (du the)Heart ,lung ,These in the stomach have no effect.
Vaginal nerve (jīng)Stimulation (shù)It's going to be a (g And)Small device vagus nerve (jīng)Stimulator implanted on the left side (c And)Under the chest wall, the stimulator electrode is fixed to the vagus nerve in the vein (jīng)superior ,Stimulator according to the procedure (fā)Radio current ,Through the vagus nerve (jīng)Transfer stimuli to the brain ,From then on (d to)To treat the purpose of 。
Vaginal nerve (jīng)Stimulation (shù)right (du the)Not suitable for surgery (shù)The difficult to cure the invigorating intestinal discharge is an effective treatment method 。Three Bo's Art (shù)Among those ,50%Left and left and right are in doubt and difficult (fù)Difficult surgery (shù),Sanbo Cryogenic Surgery (shù)The radical cure rate is nearly 90%.
60% of patients with early diagnosis of inoculation are treated with reasonable anti-injection drugs. ~70%People can control the (fā)do ,By (jīng)3~5You can stop taking medicine in the year.30% left ~40%In patients with ineffective medication ,That is, patients with difficult infectious infusion should be treated (j then)Procedure (shù)Previous review (p theng)estimate ,How to do resection surgery (shù),Resectional surgery (shù),For various reasons ,Cannot perform resection surgery (shù),This may be due to poor lesions ,Or there is a wide range of lesions, etc., this part of the patient is suitable for vagus nerves (jīng)Stimulation (shù)Come to treat 。
In (j then)Oral (sh And)It is about 160,000 yuan, and it is in China (chǎn)未分 (sh And)In preparation ,It is divided into two types: adult and child ,Adult (sh And)Preparation ,13About 10,000 children (sh And)10 W about 。
By (jīng)Magnetic stimulation is an indistinct (chu tong)Sexual Neuros (jīng)Comment (di too)Seminar (ji And)method ,By high strength (qi tong)The magnetic field of degree acts on the brain (guān)Part ,Come on (d to)to treat diseases.
By (jīng)The principle of treating impotence by magnetic stimulation is to use low frequency stimulation to reduce brain cortex (zh the)The state of excitement (t toi),Reduce swelling (fā)The frequency of the operation can improve abnormal discharge of brain images ,right (du the)Brain damage caused by incisions is repaired (fù)effect ,From then on (d to)To treat the purpose of incitement.
1、Right (guī)Take anti-scaling medicine ,Patients who fail to effectively control the condition;
2、Multiple (fā)Patients with indeterminate lesions or lesions location;
3、Leather layer (fā)Patients with dysplasia or induced lesions located in the dermis (This type of patient can significantly reduce the development during the treatment period (fā)do ,Even some patients can (d to)Totally unavailable (fā)do )。
1、By (jīng)Magnetic stimulation treatment of in vitro in vitro (chu tong),Good safety and reversibility 。
2、Relatively (du the)In surgery (shù)Fees (f Andi)For use ,Price (ji to)Low quality 。
3、Stimulate a single target of action (diǎn),It may also affect multiple (g And)Try the stove 。
Can be (du the)Functional area (qū)Lesions (j then)Excitement, can (d to)To one-third of the no-point (fā)Rate ,Eighty percent of patients develop (fā)Reduce half 。
Sanbo adopts original British decoration (j then)Odd TMS Stimulator, when done (sh the)Waiting for the patient to sit ,Put one (g And)Eight-shaped circle ,Slim-skin (head (fā)Not affected) 。Make the production (chǎn)The magnetic field (sh And)Preparation ,A (g And)Something similar to an amplifier ,After enlarging the magnetic field, output it through the eight-shaped circle ?;The cheeks are slim and the slim and the slim is }The sound of the ,Somewhat (diǎn)Like a clock sound 。No other abnormal feeling 。
The magnetic field itself has no radiation.The earth is a magnetic field ,We're in the magnetic field every day ,No radiation exists ,Therefore, there is no need to deal with radiation problems (dān)Heart 。There are no side effects either.
No ,First of all, you need to have a location diagnosis (sh And)Preparation ,Must be required (zhǔn)OK (du the)未分 (zhǔn)Stove stove (j then)Do exciting ,If not (du the)未分 (zhǔn)It's ineffective stimulation 。First of all, you need to have a high level (dǎo)Contact (li ton)brain map, nuclear magnetic field 、Brain Magnets, etc. (Currently 99.999% of patients do not get this (xi tong)Technology (shù)treatment )。
Only one hundred and five dollars at a time ,A (g And)Ten times.
Yangyang (Pseudonym )This year, 14 years old ,2007The year (sh the)Waiting for no reason (xi ton)Removal of burning (fā)So I'm in the medicine (yī)Life's guidance (dǎo)Oral Debakin ,Nothing happened until 2011 (fā)do ,But it appears again during the process of stopping the drug (xi ton)Deep (fā)In the past year (fā)Daily increase in operation frequency ,And appear (xi ton)New development (fā)Form ,Sometimes (sh the)Waiting for (fā)Pre-work meeting (hu the)Seeing the black shadow flashing in front of you ,Adding Open Pu Lan in the Outer Hospital 、Levetiracetam, Tote 、5 kinds of medicines including phenytoin and clonazepam ,send (fā)Still can't be controlled ,And appear (xi ton)Keep burning (xù)condition (t toi)。Go to Sanbo Brain Medicine (yī)The sect (jīng)Inside (n Andi)After the subject, (ji And)Host (fā)Medication status (xu And)、Brain Picture 、MRI、PET-CT End (ji And)fruit ,Determine the patient's incision area (qū)Located on the left (c And)Pillow and surrounding brain (qū)High possibility ,Due to the patient's family (jīng)未分 (j the)Reasons for selecting drugs for conservative treatment (ji And)Joint (jīng)Magnetic stimulation treatment 。By (jīng)Has been 10 times rTMS Treatment end (ji And)Combination of drug (di too)After the whole ,Patient's incision (fā)Completely disappear.
未分 (jù)Sanbo Medical (yī)Hospital stool (n Andi)Wang Jie, deputy director of the department (m Andng)Introduction to the sun ,The patient was injected with occipital leaf ,Tomb area (qū)Relative location (du the)Show purity ,End (ji And)Anti-inflammation drugs (di too)all ,By (jīng)rTMS After treatment, it can effectively inhibit the discharge of injectable and discharge.Anything toll (qū)Patients on the brain surface ,Optional rTMS Low frequency stimulation area (qū)End (ji And)Anti-inflammation drugs (di too)When rectifying (d to)To control the discharge (fā)The purpose of the work, the area (qū)Located deep or both sides of the brain (c And)Patients with lesions ,You can choose high frequency stimulation of brain and treatment 。In addition, studies have shown ,By (jīng)rTMS Technology (shù)The skin layer stimulation of anti-ulcer drugs can be detected and can be used as a precaution for anti-ulcer drugs. (yù)Testing indicators (biāo)。
Brain skin layer electrocoagulant burning (shù)It is a therapeutic function area (qū)An effective and safe way to burn ,Resection via lesion (li ton)Brain-cold and heat burning (shù)Treatment involves functional areas (qū)The stolen ,Good results can be achieved.
Functional area (qū)The treatment of incision has always been a medical treatment (yī)learn (xu And)The problem of the world ,Drugs cannot be controlled ,Operation (shù)Removal of nerves that cause difficulty in acceptance (jīng)Missing function ,At present, multi-soft sub-film cleavage surgery is often used abroad (shù)(MultipleSubpialTransections,MST)Treatment function area (qū)Injection 。MST Although the time effect is certain, the operation is correct (fù)Difficult ,Concurrently (fā)More glutes.Therefore, it is found that both can reduce the infusion (fā)do ,The method that can reduce functional damage is medical (yī)learn (xu And)send (fā)The urgent need for exhibition.
Capital Medical (yī)University of Science (xu And)Sanbo Brain Medicine (yī)Hospital Expert Dept (fā)Improving something (xi tong)Technology (shù):Brain skin layer electrocoagulant burning (shù),The technology (shù)Principles and MST resemblance. Morrel Wait for recognition (r Andn)The new leather layer consists of 6 layers of purified depth ,The discharge of the discharge mainly starts in the Ⅳ-ⅤThe neural (jīng)Yuan ,pass through Ⅰ-ⅢLevel level fiber transmission (dǎo)。MST The principle of Ⅰ-ⅢLevel level standard ,Blocks the nerves (jīng)Network (wǎng)Title (lu or)Translation of (dǎo),The deep nerve (jīng)The element and fiber are normal ,This allows important functions to be saved 。
Capital Medical (yī)University of Science (xu And)Sanbo Brain Medicine (yī)Hospital expertGroup (tu ton)Team (du the)The research has been (jīng)Certify a single pure functional area (qū)Electrocoagulant scaling surgery for skin-induced skin (shù)Bipolarel ectro-coagulation on functional cortex(BCFC) Treatment function area (qū)Patients with incision can achieve good results.Capital Medical (yī)University of Science (xu And)Sanbo Brain Medicine (yī)hospital2004From May 2011 to May 2011 (yīng)use BCFC Interaction with lesion resection (li ton)40 cases of induced lesions were treated in a functional area (qū)Patients with incision ,Clinic observation ,Achieve good results.
First surgery (shù)Removal of non-functional areas (qū)To cause cerebral and remove the functional area after removal (qū)Electrocoagulant burning on the skin 。Specific operation of electrocondensation: The double-electrocondensation tip erects vertically on the brain, and the tip is obliquely shaped on the brain surface 45 °horn ,Output power is 4 ~5w, Hot and burning (sh the)1 second ,Every 3 ~5mm It was burned from left to right.Wash with room temperature physiological salt water after heat burning ,Reduce unnecessary heat damage 。After the heat burn (shù)district (qū)Covering artificial dura to prevent adhesion 。
In terms of diet, patients with inhalation generally do not need to avoid certain foods ,Just have to choose 。Dietary treatment for patients with injectable (guān)Notes (xi tong)For vegetables and fruits 、You can eat more soy products ,Oily 、Raw cold and irritating (qi tong)Eat less or fast 。Oily 、Eat too much raw and cold food ,Very difficult to digest and easily hurts the spleen and stomach ,Causes patients' appetite to decrease ,Will also (hu the)Stimulate the spleen and stomach ,Formation (fā)Work (n Andi)可 (hu ton)territory.
move (d orng)Foods of liver disease contain higher levels of sterilization 。By (du the)Patients who inject inject (j then)Blood hydration concentration determination, (fā)Now (xi ton)Almost all patients with incision have significantly higher blood ulcer content than normal people ??arch d Drugs or other grafting products (chǎn)It can effectively interact with ionic ion (fā)Bio-End (lu or)Combination reaction (yīng),Reduce blood concentration in patients with incision and control incision (fā)do 。so ,Patients with severely ill and relieved vitiligo (yī)Extratective ,The diet of patients with injectable (yīng)Eat as little or no rich foods with irrigation 。
Chili, sausage 、Garlic, etc.; lamb 、Dog meat 、Male chicken 、Wild ducks, fish, etc. (fā)"It is not suitable to eat too much; 、Tea and coffee (yīng)Extremely (du the)Forbidden; pepper 、chili 、mustard 、Spicy ingredients such as garlic and garlic (di too)The condiments should also (yīng)Suitable (dāng)Limited quantity 。
Many fruits contain many elements 。but ,Too many drills (du the)It's not great to have a patient who is sucked 。Patients with incision caused by brain injury and long-term use of baby (zh Andn)Patients with static drugs are prone to hydration 、Being blood 、White slight (x the)Reduce cell count 、Buy (yǎng)Bad, etc. (y ton)Severe patients may develop (fā)Now (xi ton)Electrolysis quality (zh the)Reply disorder (Hyperblooded )。The diet of patients with injectable (yīng)Restricted entry of the drill 。
Pay attention to the amount of food you eat ,right (du the)Patients with incisions say that proper diet is also very effective. (yù)Anti-spray (fā)How to do it 。Blu-eating can easily cause physical health (n Andi)System (tǒng)Imbalance ,Causes relapse (fā)do 。Carbohydrate injection should be appropriate ,Too much is not OK 。Don't drink too much, eat less water and salt 。Physical (n Andi)If too much water is stored, it is prone to disease and disease (fā)。
Consultation (yù)Phone:010-62856916 / 010-62856918
Location (diǎn):Haidian District, Beijing (qū)No. 50, Yike Pine in Xiangshan (h too)
Email:100093
Medical (yī)Hospital level (j the):Level 3 (j the)qualified
WeChat public number (h too):sanbonaoke
Beijing ICP No. 12025547 (h too)-2 Beijing Public Network (wǎng)No. 11010802035500 (h too) Medical (yī)Advertising review clear text (h too):(Beijing) Medical (yī)Guang【2025】No. 01-3-0017 (h too)