翻譯醫學文章-癲癇症

2010-03-04 3:39 pm
請幫忙翻譯以下醫學文章

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癲癇症
簡介
癲癇症又名『羊癇症』,俗稱『發羊吊』,是一種常見的腦神經系統失調現象。腦神經系統是由成千上萬的腦細胞組成,在正常情況下,每個細胞均帶有極微量的電流。當腦神經細胞異常放電,會引起陣發性的短暫大腦神經功能紊亂。所謂『癲癇症』,就是指病者有重複和自發性的癲癇傾向。
目前,香港仍沒有整體的統計數字顯示癲癇症有多普遍。一般來說,每二百至五百人中,便會有一人是持續性病發的癲癇症病患者。由此推算,香港已可能有三萬至六萬人受癲癇症影響。
成因
原發性(即原因不明)
遺傳
出生前因素,包括:妊婦感染(性病、風疹)或藥物影響
腦部病變或創傷,如:腦炎、腦膜炎、顱腦損傷、腦腫瘤、腦血管病
新陳代謝變化,包括:血糖低、血鈣低
嚴重的肝病和腎病
由此看來,癲癇症和孕婦懷孕時吃羊肉沒有任何關係。
癲癇症的種類
癲癇症的類型很多,大致分為兩種:
全腦性癲癇
局部性癲癇
依其發作時的症狀再細分,常見的症狀如下:
全身痙攣
跌倒
咬破舌頭
感覺麻木
發白日夢
目光呆滯
短暫記憶失常
胡言亂語
行動怪異
在癲癇發作過後感疲倦或頭痛,病者可以有一種或多種上述的癲癇形式,但每次病發的表現都是相似的。
癲癇症發病情況-全腦性癲癇
開始便失去知覺,可能會尖叫一聲,然後全身僵硬,繼而昏倒,四肢陣攣抽搐。
可能會暫停呼吸而臉色轉藍
由於咬緊牙關,可能會咬破舌尖,大小便也可能失禁。
全腦性通常持續一至三分鐘,在恢復知覺後,病者會感到神智錯亂,有劇烈頭痛或想睡覺的感覺。

全身僵硬
如病者站著,會突然跌倒,但四肢沒有痙攣抽搐
全身軟弱乏力
病人突然全身肌肉放鬆,跌在地上,不省人事
陣攣抽搐
病者可能昏迷或清醒,四肢突然抽搐,通常發生於睡眠過後,未完全清醒的時候,或和其他癲癇形式一起出現。
失神:俗稱「小發作」
病人有幾秒鐘失去知覺,通常不會跌倒,四肢也不會抽搐,間中眼皮會頻密跳動。這情況常見於兒童。
癲癇症發病情況-局部性癲癇
簡單局部性癲癇
病者保持清醒
只有面部、手或腿部出現抽搐,有時會感到針刺、灼熱或其他特殊感覺。
複雜局部性癲癇
腦顳葉掌管情緒和記憶等功能。
當它受到影響時,病人初期可能會有一種奇異感覺由胃部上升,繼而產生錯覺或嗅到怪味,見到周圍的東西變形或變色。病者會局部失去知覺。
可能往前呆視,漠視別人的存在,如進入夢中一樣。無意識地重複咀嚼、舔唇、搓手、解扣、玩弄衣服或附近物件等動作,行走、奔跑或露出恐懼、歡樂、憤怒的表情,甚至大哭大笑。
治療方法
一般而言,藥物能幫助減少癲癇的發作,患者需長時期服食。
大部份的病者只須服食一種藥物便可。
在少數的情況下,亦會用上兩至三種的抗癲癇藥。
部分抗癲癇藥會有輕微的副作用,例如會引致渴睡症。通常將癲癇藥調較至適當的份量時,副作用便會消失。
病人在服藥後,身體如有任何不適,應告訴醫生,切勿擅自停藥。
當患者未能透過藥物有效控制其發作次數時,有部份可適合進行手術治療。然而,現時本地在這方面的手術治療,仍未普及。
癲癇病發作時的處理方法
針對全腦性癲癇病發患者:
保護癲癇病者,特別是其頭部位置 ;
移開週遭危險的物件 ;
把癲癇病者身體放側;同時,可放些薄身及柔軟的東西在其頭下,讓患者慢慢復原 ;
避免人群聚集圍觀,保持空氣流通 ;
不要強塞東西進癲癇病患者口裏 ;
切勿強行捉緊癲癇病患者或制止其抽搐 ;
記錄癲癇病患者抽搐的時間 ;
如果發現癲癇患者呼吸不暢順,應檢查其口中是否有嘔吐物、假牙之類,以免它們哽塞病者喉部
切勿給予癲癇患者飲食,也無需即時讓他服用抗癲癇藥。
針對局部性癲癇病患者:
安慰病患者 ;
引領病患者離開危險環境 ;
不要強行抑制病患者 ;
如病患者情緒受到影響,必須避免刺激病患者,減少病患者以及他人的危險;
不要單獨留下病患者 ;
記錄病患者病發的形式和時間 。
一般情況下,患者無需送院,除非出現以下情況:
第一次病發 ;
病患者受到損傷 ;
病患者懷有身孕或有糖尿病 ;
病患者持續性抽搐超過15分鐘 。
更新1:

http://hk.knowledge.yahoo.com/question/question?qid=7010030400215 (煩請幫忙翻譯這文章)

回答 (3)

2010-03-08 4:30 am
✔ 最佳答案
Epilepsy
Introduction
Epilepsy, also known as 』『 epilepsy, commonly known as 』『 epileptic, is a common neurological imbalances. Cranial nerve system is composed of hundreds of thousands of brain cells, in normal circumstances, every cell of all with a very small amount of current. When the brain cells, abnormal discharge, will cause the temporary paroxysmal disorder of brain function. The so-called epilepsy 『』, this means the patient has the tendency to repetition and spontaneous seizures.
At present, Hong Kong is still no overall statistics show how common epilepsy. Generally speaking, every 200-500 people, there will be one of venereal disease issued by the continuing epilepsy patients. From this projection, the Hong Kong may have 30000-60000 people affected by epilepsy.
Causes
Primary (that is, for unknown reasons)
Genetic
Prenatal factors, including: pregnant women's infection (sexually transmitted diseases, rubella), or the influence of drugs
Brain disease or trauma, such as: encephalitis, meningitis, head injury, brain tumor, cerebrovascular disease
Metabolic changes, including: low blood sugar, low blood calcium
Serious liver disease and kidney
From this, epilepsy and pregnant women to eat meat during pregnancy does not in any way.
Types of epilepsy
There are many types of epilepsy, can be divided into two types:
Whole-brain epilepsy
Partial epilepsy
參考: google
2010-06-28 7:57 am
the symptom is like parkinsonian disease

one -- it could be genetic, i.e. the fault of parent not having abortion
second -- your MEDICAL DOCTOR use some major transquillizer EPS side effect to produce the EPILEPSY alike symptom by medicaiton and pretend to use ANTIMUSCARINIC drug to relive it
2010-03-04 4:42 pm
Epilepsy (from the Ancient Greek ἐπιληψία (epilēpsía) — "to seize") is a common chronic neurological disorder characterized by recurrent unprovoked seizures.[1][2] These seizures are transient signs and/or symptoms of abnormal, excessive or synchronous neuronal activity in the brain.[3] About 50 million people worldwide have epilepsy, with almost 90% of these people being in developing countries.[4] Epilepsy is more likely to occur in young children, or people over the age of 65 years, however it can occur at any time.[5] Epilepsy is usually controlled, but cannot be cured with medication, although surgery may be considered in difficult cases. However, over 30% of people with epilepsy do not have seizure control even with the best available medications.[6][7] Not all epilepsy syndromes are lifelong – some forms are confined to particular stages of childhood. Epilepsy should not be understood as a single disorder, but rather as syndromic with vastly divergent symptoms but all involving episodic abnormal electrical activity in the brain.

Epilepsies are classified in five ways:

By their first cause (or etiology).
By the observable manifestations of the seizures, known as semiology.
By the location in the brain where the seizures originate.
As a part of discrete, identifiable medical syndromes.
By the event that triggers the seizures, as in primary reading epilepsy or musicogenic epilepsy. The diagnosis of epilepsy usually requires that the seizures occur spontaneously. Nevertheless, certain epilepsy syndromes require particular precipitants or triggers for seizures to occur. These are termed reflex epilepsy. For example, patients with primary reading epilepsy have seizures triggered by reading. Photosensitive epilepsy can be limited to seizures triggered by flashing lights. Other precipitants can trigger an epileptic seizure in patients who otherwise would be susceptible to spontaneous seizures.


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