Focus on epilepsy series of frequently asked questions III

  What causes epilepsy patients not to receive regular treatment 1, because epilepsy is a disease that requires long-term treatment, patients need to come to the hospital frequently to review and adjust their medication, many patients from remote rural areas can not follow up on time, treatment is intermittent, delaying the disease.  2. Long-term treatment puts pressure on the family’s economy, which discourages many poor patients from the treatment that should be promising.  3, many patients are deceived by the so-called “cure”, “ancestral secret formula” or “the latest scientific research results” on the network, accepting some irregular or even fatal treatment.    The reason why epilepsy needs to receive formal treatment There are various drugs for the treatment of epilepsy, and doctors need to reasonably choose the drugs according to the type of seizure, the type of epilepsy syndrome, and the need to closely observe the adverse reactions during the process of medication, the type of medication, whether it needs to be combined, and when to increase or decrease the medication, when to change or stop the medication is a very rigorous scientific process. Only formal treatment in a hospital can ensure that the treatment is carried out according to the above-mentioned principles, so that the patient can achieve the purpose of controlling or minimizing the number of seizures. If the patient is not treated properly and scientifically, it will only make the treatment of epilepsy more complicated and difficult to treat, and sometimes even cause lifelong regrets.  The first thing you need to do is to take care of your family members in the five areas of “food, clothing, housing, transportation and use” when you have epilepsy.  The patient should have a good lifestyle and diet, avoiding overfeeding, overwork, constipation, lack of sleep and emotional impulsiveness. Avoid spicy and caffeinated foods, such as coffee and tea, and carbonated beverages as little or as much as possible. Appropriate physical and mental activities are beneficial to health and should be encouraged. Avoid jobs and activities with risk, such as working at high altitude construction, working next to high voltage motors, climbing high, swimming, bungee jumping, etc. Avoid driving vehicles as much as possible. Stay away from fireplaces in winter to avoid sudden attacks of burns. More importantly, pay attention to the patient’s psychology, relieve him/her from mental stress and burden, do not be lonely and isolated because of low self-esteem, and encourage him/her to establish confidence to overcome the disease.  What should family members do once a patient with epilepsy has a seizure, and what do they need to pay attention to in the care of epilepsy patients?  When a patient has a grand mal seizure, family members should first support the patient to lie down to prevent falls or injuries. The collar and belt must be unfastened to facilitate unobstructed breathing. Stuff a soft object such as towel or gauze between the upper and lower teeth to prevent the patient from biting his tongue. Do not press the patient’s limbs hard during convulsions to avoid fractures or dislocations. Padding some soft objects such as clothes or quilts behind the back can prevent vertebral fractures. After the seizure stops, the patient usually foams at the mouth, so rotate the patient’s head to the side to let the secretions flow out and avoid suffocation. If the attack is prolonged or recurrent within a short period of time, go to the nearest hospital as soon as possible.  If the patient is having a seizure for the first time, ask the family to take a video of the patient during the seizure and show it to the doctor during the visit. This will avoid any omissions or errors in the description and help the doctor determine if the seizure is a seizure.  Whether epilepsy can be cured After scientific and rational medication and removal of the cause of structural intracranial abnormalities, most patients can achieve complete seizure control. However, about 20% to 30% of patients still develop drug-refractory epilepsy. In this group of patients with drug-refractory epilepsy, a significant proportion of patients can achieve complete seizure freedom or a significant reduction in the number of seizures when a surgical indication is confirmed through preoperative evaluation.