Five misunderstandings of epilepsy

In the eyes of many people, the eyes are white, the mouth is foaming, and then it is epilepsy. The seizure is indeed one of the characteristics of epilepsy, but not all seizures are epilepsy.

The clinical manifestations of epilepsy are diverse. Seizures are not just the exclusive symptoms of people with epilepsy. Each of us may have had one or two seizures in our lifetime.

Epilepsy is one of the oldest diseases in the world. It was recorded in the early days of human civilization. It was first seen in the Hammurabi Code of 2000 BC. Traditional Chinese medicine called this disease epilepsy.

The pathological basis of epilepsy is necrosis, loss, structural abnormality or blood supply disorder of nerve cells in a certain part of the brain. When the brain cells maintain their potential stability, they are in an unstable state. Once the internal and external environment changes, Causes sudden discharge of nerve cells at this site, and causes more nerve cells to discharge synchronously from near to far. Therefore, epilepsy is a chronic seizure brain disorder. Clinically manifested as different degrees of disorders such as exercise, sensation, consciousness, mental and autonomic nerves.

There are several misunderstandings about the understanding of epilepsy:

Myth 1: Patient convulsions are epilepsy

Other diseases can also cause convulsions, such as convulsions, low calcium convulsions, febrile seizures in children, hypoglycemia and convulsions are not in the epilepsy category. Therefore, convulsions are not necessarily caused by epilepsy. At the same time, some types of epilepsy patients do not have convulsions, such as absence seizures, temporal lobe epilepsy, abdominal epilepsy, headache epilepsy and so on. Therefore, convulsions cannot be equated with epilepsy.

Myth 2: The convulsion is a big attack, and the small movement is a small attack.

Major episodes and minor episodes of epilepsy are systemic seizures. Size attacks are not differentiated by the magnitude of the twitch action. Large episodes have convulsions of the limbs of the whole body, while typical small episodes have only a short loss of consciousness and no convulsions. Some patients or their families have identified other forms other than major seizures as minor episodes, which is obviously inaccurate.

Myth 3: When a seizure occurs, the patient has a loss of consciousness.

Most patients have seizures with seizures, but some types of epilepsy, such as patients with localized seizures, have a clear consciousness. Therefore, it is impossible to deny the diagnosis of epilepsy because the patient does not lose consciousness.

Misunderstanding 4: Epilepsy is hereditary, patients with epilepsy are not suitable for fertility

Although epilepsy is hereditary, the impact on the next generation is not 100%. In general, only 5% of children with epilepsy have epilepsy, so epileptic patients can be born.

Misunderstanding 5: Western medicine for epilepsy, need to take medication for life

One of the principles of western medicine in the treatment of epilepsy is to adhere to long-term medication and slow withdrawal, but not necessarily for life. After the patient has determined the effective drug treatment plan, he/she should follow the doctor’s advice and continue to take the medicine according to the course of treatment according to the time of treatment. After 4 years of complete control, the drug is gradually reduced, and the reduction process needs to last for 1 to 2 years. If the disease occurs during the gradual reduction of the drug, the original drug amount needs to be restored, and the control is continued for 4 years, and then the reduction is repeated. If a reasonable amount of Western medicine treatment can not control its onset, and there are obvious toxic side effects, you can also choose Chinese medicine treatment. Western medicine is gradually replaced with traditional Chinese medicine, and the treatment of primary disease with indications for treatment cannot be ignored.

Summer vacation, parent-child tour, careful locust

Aphids mainly live in forests and hilly areas, and are parasitic in areas where animal skin is thin and difficult to be found. After leaving the animal, it is attached to the grass, and the monk sucks blood. When the mites suck blood, they bury their heads under the skin. The blood-sucking time lasts for several days, and they fall off after taking blood. The vast majority of the onset season is from May to November, and the peak period is from May to July.

Pan Hongying, director of the Infectious Diseases Department of the People’s Hospital of Zhejiang Province, said that after being bitten by a mites, the patient had symptoms such as allergies, ulcers or inflammation, and most of them were mild. However, as a vector organism that spreads infectious diseases, aphids have many pathogens (viruses, bacteria, parasites, especially new Bunia viruses) in their bodies, which can cause illness by biting blood. “If you have fever with thrombocytopenia syndrome, you should be alert to the new type of Bunia virus, you should go to the hospital immediately. Infected with this virus, the mortality rate is high, 6% to 30%. If found in time, early Treatment, most patients can heal.”

Infected patients with “new Bunia virus”, the body temperature is more than 38 °C, the severe cases continue to high fever, up to 40 °C, some cases have a heat history of more than 10 days, with fatigue, anorexia, nausea, vomiting, etc. Headache, muscle aches, diarrhea, etc., can also cause gastrointestinal symptoms, myalgia, platelets and leukopenia after infection with the virus. Severe patients have bleeding tendency, which is characterized by skin ecchymosis, bleeding gums, conjunctival hemorrhage, etc., may die due to multiple organ failure.

Pan Hongying reminded everyone that from the critically ill patients who were admitted, most of the cases were bitten in the woods, low shrubs and so on. “Now during the summer vacation, some parents take their children to the wild to swim in the wild, and may also be exposed to mites.”

In the main habitats of locusts, such as grasslands and woods, you should be extra careful and take protective measures. For example, wear long-sleeved clothes, tighten the trouser legs, try not to wear sandals, and apply the repellent to the bare skin. After the end of the field activities, check if there are any mites on the body, the focus is on the head, behind the ears, 腋Lower skin, groin and other areas of thin skin; if you are carrying a pet, you should also check the pet body surface for the presence of mites.

If you find that you are being bitten by a mites, you should not force the mites out, and you can go to the nearest hospital to treat the wounds. In case of suspected symptoms or signs such as fever, seek medical attention as soon as possible and inform the doctor about the situation.

In addition, the locust bites are infected with the virus, and the blood, body fluids, secretions or vomit of the normal person’s contact with the patient may also be infected, that is, human transmission. Special reminders of family members, pay attention to self-protection, avoid contact with patients’ blood, body fluids or vomit.