Epilepsy is a condition which makes sufferers experience repeated seizures. Approximately 50 million people of the world’s population are suffering from epilepsy. Data were taken from WHO records show that growth with epilepsy every year to reach 2.4 million people. Nearly 80 percent of people with epilepsy live in countries with low per capita income and middle.
The effectiveness of the treatment of epilepsy in a patient is 70 percent. The number is quite high, but 75 percent of people with epilepsy who live in low per capita income countries and the middle did not get the treatment they need.
Status epilepticus is a condition where people with epilepsy experience seizures for more than 30 minutes or experiencing a series of short seizures.
When that happens, the patient will usually be in a state of unconsciousness. It takes immediate action to address it because status epilepticus can cause permanent brain damage-even death.
Someone can be suspected to have the condition if they have epilepsy experience seizures more than once. The doctor will collect facts about the characteristics of the patients experienced seizures. We recommend that patients already have a record of the characteristics of seizures experienced, based on the testimony of those who saw the incident seizure patients.
In addition, the doctor will ask the patient’s medical history, lifestyle, as well as drugs that may be consumed by patients. If the information collected is not enough to make a diagnosis, the doctor may perform other inspection methods, such as:
Electroencephalogram or EEG. This is a general examination carried out to diagnose epilepsy. This examination is conducted to determine the electrical activity in the brain, including if an interruption occurs.
Magnetic resonance imaging (MRI). This examination uses radio waves and magnetic fields to obtain detailed images of the brain. Thus, doctors can detect conditions that exist in the brain, such as a tumor or a disability, which can lead to seizures.
The main symptom of epilepsy is a seizure more than once or repeatedly. Characteristics of seizures depend on the part of the brain that is impaired first. Although characteristics vary, most patients experience recurrent seizures with the same pattern.
Based on brain disorders, epilepsy is divided into two, namely partial and general.
In partial or focal seizures, disturbances experienced only on the part of the brain alone. Partial seizures are subdivided into two types, namely:
1. Simple partial seizures
At the moment of simple partial seizures, the patient does not lose consciousness. Symptoms of simple partial seizures are:
There was an uncomfortable feeling that is hard to describe.
Patients find it ever been in the same situation (déjà vu).
Patients feel the sensation of tension in the abdomen, such as being boarded exciting rides at the amusement park.
Tingling in the hands and feet.
Savor the taste or smell unusual.
The limbs feel stiff or even flinch.
The symptoms above are known as a warning signal. This signal is raised to warn the patient that a seizure will occur, so people can tell on around him or move to a safer location.
In simple partial seizures, the body that has a seizure depends on the part of the brain is impaired. So, seizures not only occur on the hands or feet. In fact, there are people who do not have seizures physical but psychological experience seizures. For example, feel very excited or scared suddenly.
2. Complex partial seizures
When experiencing complex partial seizures, patients will experience a loss of consciousness. Patients also can not remember the seizure occurred. The symptoms of complex partial seizures are:
Rubbed his hands.
Make strange noises.
Gesticulate with uncontrolled.
Pinching clothes repeatedly.
Repeatedly chewing or swallowing.
3. Common Seizures
In generalized seizures, symptoms occur all over the body and are caused by disorders that affect the entire brain. Some of the symptoms of generalized seizures are usually the case, namely:
Tonic seizures. Causing the muscles to stiffen. It usually occurs in the muscles of the back, legs, and arms so that the patient vulnerable to falls and injuries.
Seizures atomic. Causes the muscle relaxes and the patient falls.
Clonic seizures. Jerking and repetitive muscle movements, usually affect the muscles of the neck, face, and arms.
Tonic-clonic seizures. Patients experiencing a seizure thoroughly into unconsciousness while wetting or biting the tongue.
Myoclonic seizures. Jerky muscle movements are short, or muscular arms and legs twitching.
Absence or petite mal seizures. Commonly experienced by children. Lost consciousness for a few seconds or move their lips with a blank look.
Most epilepsy is not curable. However, patients can take medication to prevent seizures. Drugs commonly prescribed doctor is an antiepileptic drug (OAE). OAE proven effective for people with epilepsy may experience a decrease in seizure frequency drastically.
The doctor will take into consideration the age, condition, as well as the frequency of seizures experienced by patients in determining the type of OAE will be given. OAE given can be adjusted with drugs that may be consumed by the patient to deal with other diseases so that the performance of the two do not intersect. OAE should be consumed regularly.
OAE side effects, among others:
- difficulty concentrating
- Reduced bone density
- A rash on the skin
- Inflammation in body organs
- feeling depressed
- Arise curiosity suicide
- If after taking OAE, sufferers experience mood swings, depression or suicide appears curiosity, consult your doctor immediately.
If OAE is not effective in reducing seizures, the doctor may suggest brain surgery. Brain surgery performed to remove part of the brain that produces seizures. This action probably will not eliminate seizures completely, but patients will be able to consume fewer OAE or in small doses.
Brain surgery has no effect on vital functions, such as speech, language skills, motor function, vision or hearing. However, the surgical risks remain, namely the issue of memory and postoperative stroke. To that end, the patient should discuss with your doctor about the profits and losses of this action if indeed this method is recommended.
Living with Epilepsy
Epilepsy affects the lives of sufferers in different ways. However, there are some steps that can be done so that the patient can live a normal retinitis with, among others:
Know trigger seizures. The more you know about triggers and how to avoid seizures, convulsions will be more controlled.
Consumption of medicines regularly. OAE effectively address epilepsy in 70 percent of sufferers. Discuss with your doctor’s treatment plan suited to your condition.
Perform regular inspections. You should already have a specific timetable for inspection.
Self-care. Apply a healthy lifestyle by eating nutritious food, exercise regularly, and avoid alcoholic beverages. Discuss with your doctor about a diet that fits your situation.
Based on the cause, there are two types of epilepsy, ie epilepsy idiopathic and symptomatic. Idiopathic epilepsy is a type of epilepsy of unknown cause. There are allegations that the condition is caused by genetic factors. Most cases of epilepsy that occurs are idiopathic epilepsy.
In contrast to idiopathic epilepsy, epilepsy symptomatic epilepsy is a condition that causes can be known. Some conditions that can cause symptomatic epilepsy, namely:
- Cerebrovascular disease (blood vessel problems in the brain), such as stroke.
- Brain tumor.
- Severe head injury.
- Abuse of drugs.
- Addiction to alcohol.
- Infectious diseases of the brain, such as meningitis.
- Growth in some parts of the brain is interrupted.
- Problems that arise during childbirth, such as infant choking the umbilical cord that had experienced a lack of oxygen.
Occurrence Trigger Seizures
For many people with epilepsy, seizures can occur without any obvious trigger. However, there are several factors which can be categorized as a trigger of seizures, namely:
- Lack of sleep.
- Excessive alcohol consumption
- Abuse of drugs.
- Seeing flashing lights or light. Rare cases, only five percent of people with epilepsy have photosensitive epilepsy condition.