Write the "epilepsy diary" to make the treatment of treatment half -effective

Dahe Health News reporter Liang Lulu

Epilepsy is one of the common diseases of the nervous system. According to epidemiological surveys, the prevalence of epilepsy in the population in my country is 7 ‰. According to the World Health Organization report, about 50 million patients with global epilepsy and 40 million in developing countries. There are more than 9 million patients with epilepsy in my country, of which 6 million patients still occur each year.

Can epilepsy be cured? Will it be inherited to the next generation? How to better care for patients with epilepsy? In response to these issues, the reporter interviewed relevant experts.

Life that is discriminated against, withdrawn from divorce and is broken by epilepsy

"If it wasn't for epilepsy, I have been married for more than three years now, and there may be a baby who has a happy family of three." When Li Xiaoya (a pseudonym) said this, he revealed helplessness and sadness.

The first intersection of Xiaoya and epilepsy began at the age of seventeen. A few minutes of consciousness was lost, her body was not controlled by the brain, and she became the beginning of her nightmare. She never expected that she would be labeled "patients with epilepsy" since then.

"At that time, I was just in high school, the study was under great pressure, and the competition was very intense. I occasionally insomnia at night, sometimes only sleeping for four or five hours. At the time of the first illness, it was the end of the monthly test. In the process of walking out of the examination room, I lost consciousness. "Xiaoya said that the teacher then sent her to the hospital, and the results of the examination actually had epilepsy. "In fact, I am more afraid of the mockery of my classmates than getting sick. The 'madman' 'neuropathy' is the nickname they give me." Xiaoya told reporters that in order to get rid of these unpleasant names, she has been actively treating. Fortunately, Xiaoya rarely occurred after entering college. After graduating, Xiao Ya wished to become a teacher and met her boyfriend Xiao Chen at work. In May 2019, they were preparing to engage. I thought a happy life kicked off. I didn't think about it, and happiness was so short.

"Once I went out to eat with his family, I ate half of the meal, and my epilepsy had a seizure." Speaking of sad past, Xiao Ya's expression was lonely. Since then, her boyfriend Xiao Chen and her family have been indifferent to her, saying that a good engagement is a good engagement. The ceremony is also pushed again and again. After half a year, Xiao Chen proposed to her for breaking up with epilepsy that she could not cure her epilepsy, and was afraid that the next generation of epilepsy was inherited. Xiaoya was difficult to accept for a while, insomnia, depression, alcoholism, and epileptic seizures were getting higher and higher, so she had to go to the hospital for treatment again.

The proportion of epilepsy caused by genetics is extremely low

Yang Xiaopeng, director of the Department of Neurology, the Second Affiliated Hospital of Zhengzhou University, told reporters that in my country, there are many patients who are plagued by epilepsy like Xiaoya, and many people who have misunderstandings about epilepsy like Xiao Chen. "Not all epilepsy cannot be cured. From the perspective of the classification of epilepsy." Yang Xiaopeng preached that epilepsy is generally divided into two categories: one is secondary epilepsy. Patients such as encephalitis, brain tumors, cerebrovascular diseases, brain trauma, etc., or patients with inheritance and metabolism, patients with clear causes. As long as these patients are treated with primary diseases, the symptoms of epilepsy may disappear and no longer need to be treated. Therefore, secondary epilepsy can be cured. The other type is through the current scientific and technological testing methods, such as imaging, genetics, pathology, etc., and no patients have a morphological structure or other abnormal conditions, but the patient still has symptoms of seizures, called it called it, called it, called epileptic seizures, called it called Primary epilepsy. Primary epilepsy does not have a clear cause at present, and can only control the condition through drugs. 80%of patients with primary epilepsy can be controlled through regular drug treatment, and the remaining 20%can be treated by other means such as surgery.

Liang Qinghua, director of the functional neurosurgery of Henan Provincial People's Hospital of Henan Provincial People's Hospital, introduced that surgical therapy is mainly for epilepsy lesions and neuropsychological treatment. As for genetic issues, the world's research on epilepsy has been deeply deepened, especially its problems with genes and genetics. A considerable number of epilepsy patients are related to genetic genes, such as family genetic or other genetic metabolic diseases, which may cause changes in brain tissue in secondary, but this type of genetic disease occupies very few in the entire disease system Essence The proportion of epilepsy caused by genetic problems is extremely low, and everyone doesn't have to worry.

Learn to write epilepsy diary

Patients like Xiaoya, what can I do to return to normal as soon as possible during treatment?

Yang Xiaopeng mentioned that patients can remember the "epilepsy diary" to cooperate with the doctor's diagnosis and treatment. The so -called epilepsy diary is the record of key points during epileptic seizures. The epilepsy diary is very important for patients and doctors. The diagnosis of epilepsy mainly depends on clinical symptoms. Video examinations such as MRI, CT, or EEG examinations. These are assisted examinations. They can only provide some support for doctors' clinical diagnosis and cannot directly diagnose epilepsy. When some patients come to the doctor, the description of the symptoms and time is unclear. At this time, the epilepsy diary can reduce the probability of describing the wrong diagnosis and misdiagnosis when the patient is diagnosed. Doctors can also understand more detailed information based on the epilepsy diary, and to clear the type of epilepsy faster, so as to formulate a treatment plan. Yang Xiaopeng preached.

Who records and records of epilepsy diary? Yang Xiaopeng made the following suggestions:

The record of epilepsy diary is not a matter of patients. Patients with epilepsy may have conscious disorders during the seizure, and they cannot recall some scenarios at the time. Therefore, the epilepsy diary of the seizure and seizures also requires the assistance of people around them.

After each seizure of epilepsy patients, try to record the symptoms before and after the seizure, including whether there are signs before the attack, whether there are abnormal conditions, symptoms, duration at the time of attack, how long after the seizure recovery consciousness, whether there are discomfort symptoms, etc.EssenceRecords that may exist, such as before the attack, patients with emotional instability, excessive mental stress, insufficient sleep, and fever should be recorded to help doctors diagnose and diagnose epilepsy.

Patients with epilepsy should also have a good diary of epilepsy during the treatment.For example, the names and types of drugs taken, dosage, time, side effects after taking, or the frequency, seizure time, symptoms and other abnormal manifestations of the seizures during treatment.

Epilepsy diary is as important as the medical records recorded by the doctor. It is necessary to keep it properly in daily life.

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