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When encountering a sudden seizure of an epilepsy patient, the first thing to do is to stay calm, observe the symptoms of the seizure, and see if there are any objects around the patient that threaten safety or whether the patient is in a dangerous environment, and ensuring the safety of the seizure patient is the primary task.
Secondly, the patient's collar and belt can be properly untied to ensure that the patient's breathing is smooth. Place the patient's head obliquely to one side to facilitate the flow of secretions from the mouth.
Let the patient lie flat in a relatively safe place, and do not press and drag the convulsive limb vigorously to avoid causing fractures, dislocations and other injuries.
If the seizure lasts more than five minutes and there is still no relief, then the patient may have a persistent seizure and should immediately call the emergency service** to avoid danger.
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Observe whether the patient has symptoms such as screaming, falling, limb twitching, tilting back or turning to one side, hanging eyeballs or strabismus, and then whether there are trismus and foaming at the mouth; Shout and pat the person on the shoulders to see if they are conscious.
120 First Aid.
When a person is found to be having a seizure, they should immediately call emergency 120. Before the arrival of the ambulance, rescue the patient according to the relevant steps, record the time and condition of the patient's seizure, and inform the patient in time when the medical staff arrives.
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First of all, we need drugs**, and at present, we mostly advocate monotherapy**, which has the advantages of high efficacy, good tolerance, few adverse reactions, good compliance, and low cost. The drugs of choice for grand mal seizures are valproic acid, lamotrigine, topiramate, levetiracetam, etc. However, before taking the drug, it is necessary to determine whether it is the time to start the first time, because there are no imaging lesions in the skull for a single episode, and the electroencephalogram is normal, so it can be temporarily not administered.
It is recommended that the doctor decide whether to use the drug according to the patient's imaging, EEG results, the form of the seizure, the frequency of the seizure, etc.
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See if your epilepsy is serious, if it has been many years and it is not too serious, you know how to deal with it when you get sick, you don't need to go to the hospital, if you don't know what to do, go to the hospital, let the doctor give a plan, don't be blind.
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The emergency patient pinched the patient's middle with his finger and dialed 120 for help.
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Leave dangerous items around the patient, such as knives, thermoses, etc., to avoid bruising and scalding the patient.
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Epilepsy, commonly known as "epilepsy" or "epilepsy", is a chronic disease in which neurons in the brain suddenly and abnormally discharge, resulting in transient brain dysfunction.
Epilepsy in children**:
1. When epilepsy patients suffer from epilepsy, they should not be anxious, but should choose the right hospital, which is the step of epilepsy, and it is also very important, so patients should be cautious when choosing a hospital.
2. Then the epilepsy patient should have a comprehensive examination, to understand the severity of his condition so far, and at the same time, the epilepsy patient should also have a comprehensive understanding, so that after understanding their own condition, they can choose the best method according to their own condition, so that they can help the patient choose a more suitable method for their own condition, and then they will start to carry out the first method.
3. Epilepsy patients should follow the doctor's instructions to carry out the process accurately, and at the same time, they should strengthen the care of the patient's condition, which is also a part of the disease, and let the patient correct some bad habits to avoid the existence of these bad habits, which will make the epilepsy patient's condition reversed, and at the same time, the patient should maintain a good attitude.
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The drug is the main drug for epilepsy, which should be patient-centered, and the adverse reactions should be reduced as much as possible while controlling the seizures, and the program should focus on the long-term overall prognosis of the child to achieve the balance between the best effectiveness and the greatest safety.
Ideal goals include complete seizure control to achieve physical and mental health and good intellectual-motor development as much as possible. Therefore, the clinical management of epilepsy emphasizes principled individualization**.
The first scientific diagnosis of epilepsy should be carried out as much as possible, and it is better to target it according to **.
Acute phase**.
When a child has a life-threatening situation, such as a seizure, prolonged pause in breathing for more than 30 seconds, emergency treatment is required, and the guardian should immediately perform artificial respiration while calling for emergency aid**.
So so**. Closely observe the child's consciousness and vital signs, ensure the patency of the child's respiratory tract, avoid aspiration and suffocation, and monitor the child's blood pressure, ECG, respiration, EEG and other conditions to prevent accidental injury.
Drugs**. Antiepileptic drugs are the most important method, and the standardized and reasonable use of antiepileptic drugs can improve the success rate.
The basic principles of the drug**.
Fully evaluate the child and disease before medication, and determine the medication regimen after full communication with parents.
According to the type of epilepsy of the child and whether he has taken other drugs, if the epilepsy syndrome can be diagnosed, the anti-epileptic drug should be selected according to the principle of syndrome, and if the syndrome cannot be diagnosed, the drug should be selected according to the type of seizure.
Whenever possible, monotherapy** is chosen, starting with small doses and gradually increasing to maximizing seizure control, which can reduce adverse effects or have very few adverse effects. For **difficult cases, a combination can be chosen**, and antiepileptic drugs with different mechanisms of action should be selected as much as possible**.
Follow the rules of drug metabolism to take the drug, and the blood drug concentration can be monitored, and the drug administration can be guided according to the monitoring results. It should be regular and uninterrupted, and the dosage should be individualized to reduce blindness in the process of medication, and if the drug needs to be replaced, it should be gradually transitioned; The course of medication should be long, generally at least 2 consecutive years without seizures, and the EEG shows that the epileptiform discharge is completely or almost absent, before the gradual tapering can begin.
The discontinuation process should be slow, and the destining process is generally required to be greater than 3 to 6 months.
Regular follow-up should be followed throughout the process to monitor possible adverse effects of the drug. For example, carbamazepine, oxcarbazepine, phenytoin, lamotrigine, phenobarbital may cause allergic** mucosal damage, and even cause severe or fatal allergic reactions, so it should be used carefully and closely observed, especially within the first 3 months of use.
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Many people know that epilepsy is very harmful to people's bodies, and it is necessary to seek medical attention in time when they find symptoms, but not everyone knows how to give first aid to epilepsy. Therefore, in order to allow more epilepsy patients to be rescued at the onset of the disease, it is very important to learn some emergency treatment of epilepsy.
Many people know that epileptic seizures are a very urgent thing, and the symptoms are almost the same, so if you see someone having epileptic seizures in your daily life, you must learn to deal with them in time, so as to ensure the safety of epilepsy patients. So how to rescue for epileptic seizures? Today we will introduce you to some ways to deal with epileptic seizures.
First of all, when we see patients with epilepsy around us in our daily life, ensure a normal diet, which is good for the body, do not let the patient's body curl up together, and at this time, we must unbutton the epilepsy patient in time to ensure that the epilepsy patient's breathing is smooth. At the same time, it is necessary to disperse the crowd of onlookers, because too dense a crowd can also cause the patient to have difficulty breathing and aggravate the condition. In addition, because people with epilepsy can be in danger at all times, it is important to have someone by their side.
In addition, for epilepsy patients, at the time of epileptic seizures. Then these symptoms will appear in different periods, and the most likely accident is that it is easy to bite your tongue, so the family and relatives of the epilepsy patient must give the epilepsy patient a tongue depressor in time to bite, so as to prevent the accidental occurrence of epilepsy bites themselves as much as possible.
The third thing to pay attention to in the emergency treatment of epilepsy is some symptoms. After the appearance of the disease, it is necessary to observe at all times, and the patient will have a certain amount of foaming at the mouth at the time of the onset of the disease, and if these excrements are swallowed back into the trachea, it can easily lead to the occurrence of pneumonia. Therefore, the excreta of epilepsy patients should be removed as much as possible.
Finally, epilepsy is a very dangerous psychiatric disorder. There is no need to worry about such a situation, and it is also very important to call 120 in time when you find someone around you is sick. I hope that the knowledge about epilepsy first aid introduced to you today can help you and let you know how to do the best treatment when epilepsy occurs, so that epilepsy patients can stay away from harm as soon as possible.
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The best principle of epilepsy is to start early, start with a small amount, take medication regularly, and take a long course of treatment. The type or dose of the drug should be increased or decreased gradually, otherwise, it may cause an overdose or seizures. Antiepileptic drugs are usually used for 2 to 4 years after a seizure, including a 1 to 2 year tapering process.
Children's tissues and organs are delicate, the function is not perfect, the absorption, distribution, metabolism, excretion and so on of antiepileptic drugs are different from adults, the process of medication should be carefully analyzed and flexibly applied according to these characteristics, emphasizing individualization, control, comprehensiveness, and treatment of both symptoms and symptoms.
1. Choose safe, effective, inexpensive and easy-to-buy drugs according to the type of seizure.
2. The dosage of the drug should start from the low limit of the usual dosage and gradually increase to the ideal seizure control and no serious toxicity.
3. The number of administrations should be determined according to the characteristics of the drug and the characteristics of the attack.
4. Generally, it is not changed or intermittent at will, and the seizures are completely controlled for 2-3 years, and the electroencephalogram is normal, before the dose can be gradually reduced and stopped.
5. The drug concentration should be monitored regularly and the drug dose should be adjusted in a timely manner.
1. When a child has a grand mal seizure, the child should be immediately helped to lie on his side to prevent falling and bruising.
2. Stand on the side of the head, so that saliva and vomit flow out of the mouth as much as possible.
3. To prevent tongue bite, roll a handkerchief or wrap a pair of chopsticks around the cloth strip and stuff it between its upper and lower teeth.
4. Do not press the child's limbs hard during convulsions, so as not to cause fractures or sprains.
5. If you don't wake up after the seizure, reduce moving as much as possible, let the child rest properly, and give oxygen.
6. Children who have fallen to the ground should be checked for external injuries, and if there are external injuries, they should be treated according to the specific situation.
7. Those with a history of epilepsy must take anti-epileptic drugs regularly according to the doctor's instructions, and do not reduce or stop taking them without authorization, otherwise it will lead to epilepsy or continuous seizures.
8. Be sure to breathe immediately and call 120 first aid**, ask the doctor to come to first aid, even if the attack has stopped, you must go to the hospital for further examination, determine**, symptomatic**, prevent**.
9. Pediatric convulsions (similar to seizures) are more common caused by high fever, and the body temperature should be lowered as soon as possible to prevent convulsions from occurring again, and should be sent to a pediatric hospital for further examination as soon as possible**.
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How to be more targeted** epilepsy? Multidimensional diagnosis and treatment system for epilepsy.
Reaching the forefront of epilepsy diagnosis and treatment.
Director Zhang Han, an epilepsy expert, said that for a long time, the first way of epilepsy is relatively simple, the first rate is low, and epilepsy has also become a worldwide problem. In response to this situation, after years of clinical research and practice, the epilepsy expert group of Shanghai Blue Cross Brain Hospital has created a "multi-dimensional diagnosis and treatment system for epilepsy", which adopts "comprehensive repair of brain neurons", "minimally invasive intervention of neurofactors" and "Young's epilepsy removal" for epilepsy classification and age, which is suitable for personalized diagnosis and treatment plans for different epilepsy patients, so as to effectively improve all kinds of refractory and intractable epilepsy and solve the problem of refractory epilepsy.
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Childhood epilepsy** has a high success rate, and some types tend to disappear spontaneously. Shanghai Quyang Epilepsy Research Center**Basic principles and guiding ideology of pediatric epilepsy:
1. Early stage and special disease specialty: Once the diagnosis is confirmed, drugs should be carried out as early as possible under the guidance of a specialist doctor to avoid incorrect diagnosis and classification of epilepsy, or inappropriate drug selection, non-standardization, delay or blind multi-medication.
2. Choose medication according to the type of seizure: when choosing anti-epileptic drugs**, choose appropriate anti-epileptic drugs according to the type of seizures, different anti-epileptic drugs have different anti-seizure mechanisms, because a certain anti-epileptic drug is only effective for one or several types of seizures.
3. Improve immunity and enhance one's ability to resist diseases.
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After the child suffers from epilepsy, he needs to go to the neurology department of the hospital in time, and he needs to do routine blood tests, as well as urine routine and electroencephalogram, as well as CT and other examinations to determine the child's epilepsy**, and then take corresponding methods to carry out **. The cause of epilepsy in children is very complex, and it is also related to encephalitis, as well as some traumatic injuries such as unsound development of the nervous system.
Suggestions: For the care of children's epilepsy is very important in life, we must pay attention to the regularity of life, rest on time, and ensure adequate sleep quality, and do not often let children stay up late.
Affected for life, sometimes incontinence, and this disease can not be used for life, and it also affects work and study
When a grand mal seizure occurs, the first thing is that there is a lot of secretions from the respiratory tract, which can easily cause airway obstruction or aspiration pneumonia. From the beginning of a grand attack, the patient's head should be turned to one side to allow the discharge to flow naturally. In addition, the collar and buttons of the patient's shirt should be unbuttoned to keep the airway open.
There are medications**, surgery**and repair**, and which is the most suitable for the patient's situation can only be known after the patient's symptoms, electroencephalogram and other auxiliary examinations are carefully grasped, and the type of epilepsy of the patient is further clarified. In some cases, it can be controlled by taking medication, but surgery cannot be done; Some cases are very suitable for surgery, and the sooner the case is done, the less impact it will have on the patient's brain nerves. Drugs can only control seizures, once the drug is stopped or reduced, it will be **, to completely eliminate seizures, the only way to completely eliminate seizures is to repair damaged neuronal cells and balance their abnormal discharge. >>>More
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