Pediatric epilepsy should not be reduced and stopped without permission

  Medication for epilepsy generally takes about 2 to 4 years, but parents need not worry too much. Doctors will choose the corresponding anti-epileptic drugs according to the type of seizure the patient has. As long as the medication is regulated and monitored with regular checkups, it is relatively safe. In addition, once a child has epilepsy, parents should pay attention to the right mindset – epilepsy can be controlled. If parents are not in the right frame of mind, it may also have a degree of negative impact on the child’s growth.  Keep the airway clear when sending patients to the hospital Epilepsy is a common neurological disorder in pediatrics. It is a chronic disease caused by sudden abnormal discharges of neurons in the brain, resulting in transient brain dysfunction. The causes of epilepsy are complex and varied, including genetic factors, congenital brain development abnormalities, cranial tumors, intracranial infections, cranial trauma, and cerebrovascular abnormalities.  When you hear a child suddenly scream and fall to the ground with foaming at the mouth, convulsions, and eyes rolled up, do not panic, but remain calm.  Before sending the child to the hospital, do some simple things: 1. First, let the child lie flat and turn the head to the side, check whether the breathing is stable and the airway is clear, and if there are secretions in the nasal cavity, remove them first; 2. If the seizure is not relieved for more than 5 minutes, the child should be sent to the hospital immediately. If the seizure is not relieved for more than 5 minutes, the child should be sent to the hospital immediately.  After the doctor receives the child, the parents or witnesses should calmly give detailed feedback to the doctor about the child’s performance and duration of the seizure, whether it is accompanied by fever, etc. This information can help the doctor to make an important basis for the seizure. Also, the doctor will usually do an EEG to help diagnose and determine the type of epilepsy.  Unauthorized medication reduction and discontinuation or induced grand mal seizures “Once epilepsy is diagnosed, the duration of medication is relatively long, taking about 2 to 4 years.” Many parents are most concerned about the effects of anti-epileptic drugs on the brain’s intelligence or other aspects of the body, but there is actually no need to worry too much. The doctor will choose the corresponding anti-epileptic drugs according to the type of seizure the patient has. As long as the medication is regulated, the dosage and indications are mastered, and regular checkups are done to monitor the situation, it is still relatively safe.  Some antiepileptic drugs have an effect on the function of the nervous system, but if the dose of the drug is adjusted appropriately, the adverse effects can be reduced. For example, phenobarbital can have some effect on cognition, but the drug is more effective and cheaper and more economical for the treatment of epilepsy in infancy and childhood. Therefore, when some small infants need long-term medication, doctors may choose phenobarbital, while doing all the monitoring, and then consider replacing it with other drugs when the baby is 3 years old or when he or she needs to be educated.  There are also some antiepileptic drugs that can damage liver and kidney function, etc. If the child has a combination of liver damage (such as hepatitis, etc.) or has inherited metabolic disorders of their own, avoid antiepileptic drugs that can damage liver and kidney function. Parents should trust their doctor’s treatment plan and should not refuse to use antiepileptic drugs because of fear of their toxic side effects.  In addition, some parents stop or reduce the medication when they see their child’s symptoms relieved with medication, which may induce grand mal seizures or persistent status epilepticus, which is very detrimental to the child’s treatment. The medication for epilepsy is a long-term process, and doctors, patients and families need to have sufficient patience. Parents should strictly follow the individualized treatment plan developed by the doctor and should not rush to the doctor and look for the so-called “secret recipes” everywhere.  Parents should avoid negative psychological implication because seizures are dangerous and have a certain degree of psychological impact on both parents and children. Some parents feel fear and shame when they hear that their child has epilepsy. Parents who are overly concerned about their own face may invariably send the message to their child as he grows up that his disease is embarrassing or disgraceful to his parents, which can cause the child to grow up full of guilt and self-blame, or to become withdrawn because of the disease. Once a child is unfortunate enough to have epilepsy, parents should be careful to set the right mindset that epilepsy is actually manageable.  In preventing epilepsy, it is important for newlyweds to be eugenic and have good genetic counseling. Avoiding viral or bacterial infections during pregnancy, avoiding radiation, doing regular maternity examinations, and avoiding birth injuries are important in preventing secondary epilepsy.