Health

How to treat epilepsy better

  In daily life, it is possible to see someone suddenly falling to the ground in a public place, twitching, foaming at the mouth, and eyes widening, but returning to normal after a few minutes, which is often a typical feature of epileptic seizures. At present, there is no treatment method that can completely cure epilepsy. Drugs are mainly used to control the number of seizures and reduce the damage to the patient’s brain. If the drug treatment is not effective, the appropriate surgical treatment can be selected according to the actual situation.
  What are the characteristics of epilepsy
  Epilepsy has different characteristics in different periods. (1) Premonition stage: the patient will show dizziness, discomfort, and stomach discomfort. (2) Ankylosis stage: Sudden loss of consciousness anytime and anywhere, falling to the ground, rigid limbs, and head backward; due to spasm of the diaphragm, the patient will continue to roar like a “lamb”, accompanied by apnea, dilated pupils, and blue complexion , and the duration ranges from tens of seconds to tens of seconds. (3) Clonic phase: The patient will experience rhythmic twitching of muscles, accompanied by symptoms such as foaming at the mouth, biting the tongue, and incontinence of feces and feces, most of which last for about 1 to 3 minutes. (4) Recovery period: It takes about tens of minutes for the patient to regain consciousness, and he has no impression of the whole process of the disease, only feeling fatigue and pain. Some patients will show abnormal mania during the recovery period, beating people and destroying things, running and screaming. In addition, some patients may have “petit seizures”, that is, absence seizures, showing transient or complete loss of consciousness, and occasional mild disturbance of consciousness in life, that is, they understand the surroundings, can hear questions, but cannot answer .
  What are the pathogenic factors of epilepsy?
  The pathogenic factors involve many aspects. (1) Alcoholism: Many adults suffer from epilepsy due to long-term and heavy alcoholism. The main reason is that excessive alcohol intake causes vitamin deficiency in the body, affects brain tissue metabolism, causes brain atrophy, and causes epileptic seizures. (2) Traumatic brain injury: Relevant studies have shown that about 1/3 of all epilepsy patients are related to traumatic brain injury. Especially for open traumatic brain injury, if you don’t go to the hospital to find out the situation in time, it is likely to develop into epilepsy in the later stage. (3) Infection: mostly caused by wounds or other diseases, such as acute brain abscess, meningitis, etc., which may cause epilepsy symptoms due to toxins, edema, congestion, etc. Parasites also have a certain chance of triggering epilepsy.

  How to treat epilepsy better
  Medication
  Medication is currently the mainstream treatment for most epilepsy. When patients have symptoms similar to epilepsy, they should go to the hospital for diagnosis immediately, and take the medicine on time, according to the amount, and for a long time according to the doctor’s advice, because stopping the medicine rashly may cause recurrence and aggravation of the disease. It needs to be reminded that the higher the price, the better the efficacy of drugs for the treatment of epilepsy. Since there are many types of seizures in epilepsy, and different types require different drugs, there is no best drug for epilepsy, only the most suitable drug. For example, sodium valproate, lamotrigine, and ethosuximide are often used for absence seizures in children; sodium valproate and lamotrigine are often used for juvenile myoclonic epilepsy; generalized tonic-clonic seizures in adults and children are often used Sodium valproate, lamotrigine, and oxcarbazepine are selected; for partial seizures and secondary generalized seizures, phenytoin sodium and carbamazepine can be selected. In addition, you can also choose new antiepileptic drugs that are relatively common in the current market, such as partial seizures and secondary generalized seizures, you can choose levetiracetam, topiramate, etc.; if you have generalized tonic-clonic seizures, you can choose gabapentin, etc. In short, the choice of drugs and the determination of the dosage should be carried out under the guidance of a doctor. Do not change the type of drug and dosage at will to avoid affecting the therapeutic effect.
  Surgical treatment
  If drug treatment fails to achieve the corresponding effect, surgical treatment is required to remove the pathogenic factors that can induce epilepsy in the patient’s body. Surgical treatment includes the following methods. (1) Corpus callosum incision: Some epileptic lesions are extremely complex and difficult to remove. At this time, surgery to block the spread of abnormal epileptic discharge can be selected to treat epilepsy by cutting the corpus callosum. (2) Craniotomy for resection of epileptogenic foci: When MRI and EEG examinations confirm the existence of intracranial epileptogenic foci before surgery, craniotomy for resection of epileptogenic foci can be performed. This surgical method works well and can even achieve the goal of completely curing epilepsy. (3) Deep brain stimulation: the surgical method used when no definite epilepsy focus is found, that is, electrodes are placed in the deep brain nuclei, and pulse currents are continuously released through the stimulator to stimulate the deep brain nuclei to achieve the purpose of controlling epilepsy . (4) New type of surgery: For example, deep brain stimulation, vagus nerve stimulation and neuromodulation can be used to treat some intractable epilepsy; in addition, auxiliary techniques such as damage, thermal coagulation, and radio frequency can be used to improve the surgical effect, mainly for some relatively small epilepsy. epileptic focus. It should be noted that each type of epilepsy surgery corresponds to specific indications, so the surgical method should be determined in combination with the patient’s clinical symptoms, neurophysiological evaluation results, and imaging studies; and after surgical treatment, it needs to be matched with corresponding drugs. Stabilizes the healing effect.
  Physiotherapy
  Physiotherapy mainly includes the following forms. (1) Exercise rehabilitation treatment: mainly by improving the patient’s immunity and inhibiting repeated seizures, the methods used are mostly heart function enhancement technology, neurophysiological treatment technology, traction technology, balance and coordination training, muscle stretching, joint activity technology, etc. . If the patient can persist for a long time, it will have a better effect on alleviating epilepsy symptoms. (2) Rehabilitation treatment of traditional Chinese medicine: the main purpose is to stimulate the ear of the patient, so as to control epilepsy; epilepsy can also be controlled by massage of traditional Chinese medicine. (3) Physical factor therapy: Through endocrine, humoral, nerve and other physiological regulation mechanisms, it directly acts on the body to control epilepsy. Common methods include heat therapy, cold therapy, electrotherapy, hydrotherapy, and sound therapy.
  diet therapy
  Controlling the daily diet is very important for epilepsy patients. Epilepsy treatment diet should be light, do not eat or eat less spicy and irritating food, such as pepper, sauerkraut, hot pot, barbecue, etc.; try to quit smoking and alcohol, do not drink coffee, strong tea, etc.; eat more fresh vegetables and fruits, such as cucumber, Radish, celery, cabbage, banana, pear, peach, watermelon, etc. These foods can provide rich vitamin C to the human body, which is beneficial to the synthesis of neurotransmitters, so as to make up for the lack of some neurotransmitters in patients with epilepsy, especially those with primary epilepsy. It has a certain effect on reducing epileptic seizures. In addition, under the guidance of a doctor, try a ketogenic diet. Epilepsy is caused by abnormal discharge of brain neurons, and with the help of ketogenic diet, formulate high-fat, low-carbohydrate food formula, and properly supplement protein, so that ketone bodies are produced during the process of fat decomposition in the body, which can play a role in epileptic seizures. to inhibition.
  Exercise therapy
  Epilepsy patients can generally do aerobic exercise such as jogging, walking, or Tai Chi. When jogging, you don’t need speed, but keep your breathing even. You can stop and rest for a while after the body is hot, but you must persevere. With the increase in physical strength, gradually increase the amount of exercise, which is of great significance to reduce the complications of epilepsy and the harm of the disease to the body. When walking, patients can choose the time independently, either after dinner or after intense work, so as to relax tense muscles and regulate brain nerves. Playing Tai Chi is a good way of exercising. If it can mobilize the mind and learn to use Qi, it is very suitable for epilepsy patients. Pay attention to controlling the amount of exercise each time, and it is best to have friends to accompany you to avoid unpredictable situations; if you feel tired, you should reduce the amount of exercise appropriately.
  After the above discussion, everyone must have a preliminary understanding of epilepsy. Once the body has epilepsy-related symptoms, it is necessary to see a doctor in time to achieve early intervention and early treatment. Since there is no sign of epilepsy before the onset, it is recommended not to go to more dangerous places, try not to swim, drive, or engage in high-altitude operations; daily care should also be strengthened, and attention should be paid to one’s physical and mental health.

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