Life considerations for people with epilepsy

  How can epileptic patients prevent seizures in their daily life?  The most reliable prevention for people with epilepsy is to take antiepileptic drugs regularly on a regular, quantitative and long-term basis. Once epilepsy is diagnosed, treatment should be started immediately to prevent frequent seizures. If treatment is delayed, recurrent seizures increase the risk of accidental injury and may also lead to physical and intellectual harm. Some people with epilepsy and their families are more concerned about the side effects of antiepileptic drugs than the seizures themselves and would rather have several seizures than take the medication. In comparison, the damage of medication side effects is certainly much less than the damage of recurrent seizures. In addition to long-term regular medication, we also need to prevent triggers that cause epilepsy, such as alcohol consumption, fatigue, staying up late, fever, heavy drinking, overeating, and violent mood swings.  Before epilepsy is well controlled, patients with epilepsy should pay attention to: (1) Avoid dangerous work, such as: work at height, water work, exposure to fire, strong acid and alkali, driving and other industries.  (2) Stay away from fire or be accompanied by a family member.  (3) Take a bath or swim with a family member.  (4) Minimize the time spent alone and tell friends and relatives about epilepsy first aid.  Do not try to stop the seizure by pressing on the patient’s body or pinching him/her. Seizures are transient in nature and usually resolve on their own within 5 minutes and are not terminated by non-drug external factors.  2. When the patient has a seizure, unbutton the patient’s clothes and pants to keep him breathing freely, and remove foreign objects from the mouth, remove dentures, and take a lateral position to prevent choking caused by foreign objects and secretions in the mouth. Prevent falls and bruises. Oxygen can be given to those who are in a position to do so.  3.For those who continue to convulse for more than 5 minutes or those who have continuous convulsions, call 120 urgently to send to the nearby emergency room for treatment.  4.What about seizures during pregnancy?  Pregnancy in women with epilepsy may increase the risk of seizures, various complications and malformations in the offspring, and preconception counseling for women with epilepsy is necessary. Patients should be aware that the mother’s anti-epileptic drugs are 2-3 times more teratogenic than normal for the child, although such drugs are only one reason why the mother’s health is also important. What should be done to reduce the chance of malformation?  Continuation of antiepileptic drug therapy: Except for a few patients whose seizures have stopped for many years before the planned pregnancy and whose ancillary tests are no longer abnormal, antiepileptic drugs can be gradually reduced and discontinued before conception, most patients should continue antiepileptic drug therapy during conception and pregnancy because seizures during pregnancy, especially tonic seizures, may cause maternal trauma and lead to miscarriage or other damage to the fetus.  Simplify treatment medications: It is best to use single-agent, low-dose therapy because no antiepileptic drug is completely safe for the fetus, so the principle of drug selection remains based on the patient’s seizure type and the drug that is most effective in controlling seizures. Monotherapy can significantly reduce the incidence of fetal malformations. Supplementation with adequate amounts of microbiotics, inorganic salts, trace elements and folic acid, ensure adequate nutrition and sleep, avoid taking other medications as much as possible, and prohibit alcohol consumption.