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Infantile Spasms - How To Resolve Them?

MBBS, MD - Paediatrics, Fellowship in Neonatology
Pediatrician, Zirakpur
Infantile Spasms - How To Resolve Them?
Infantile spasm is a seizure-related disorder that is witnessed among infants and young children. The average age for getting affected with infantile spasm is four months, but some kids might experience this disorder within a month of the birth. This disease can have a subtle appearance, and as such, it is difficult to recognize as a serious condition. While a full seizure in an adult is scary, the one observed among infants can be as little as a minor head drop, along with minor body shakes. This might appear to be that serious, but infantile spasm is more serious as compared to a full body convulsion in adults. Unfortunately, an infant suffering from infantile spasm is at great risk of developmental disability, if the condition is not detected and treated early.

Anticonvulsant Medication:
There are very few medicines that are approved by the FDA for treating infantile spasms. The two medicines that are widely used by doctors include Adrenocorticotropic hormone (ACTH) and Vigabatrin.

ACTH: This is the oldest approved medicine by the FDA that was first discovered in the year 1958. This injection needs to be pushed twice in a day. Children tend to gain weight and feel hungry when this injection is injected.
Vigabatrin: Vigabatrin is very well tolerated by young kids and has a successful track record of treating infantile spasms. Studies have proven that Vigabatrin can tackle tuberous sclerosis and plays an important role in improving developmental outcome.
Second line therapies:

Pyridoxine: Dependency on Pyridoxine as a cause of infantile spasm is very rare. High dosage of oral administration of pyridoxine has fetched good results for patients, who do not suffer from pyridoxine related seizures.
Valproic acid: Valproic acid has the best anecdotal rate of success. However, doctors do not recommend this medicine for kids less than 2 years of age because of possible complications.
Clonazepam: This is one of the earliest non-steroid medicine for the treatment of infantile spasm. Some of the popular medicines used are nitrazepam, benzodiazepines, and clonazepam.
Ketogenic Diet: This is a decade old practice that has come back to popularity again. Studies have shown that ketogenic diet can help 20-35 % patients of infantile spasm to keep the condition under control.
IVIG: High dosage of IVIG has been reported to be very helpful in tackling infantile spasms. The dosage ranges from 100-200 mg/kg/dose ranging for about 2-3 weeks at stretch.
Surgery: The final part of the therapy includes a surgery that removes the abnormal part of the brain. It should only be considered for patients who have not responded to therapies including Vigabatrin and ACTH. It should also be investigated whether the patient has any structural abnormalities of the brain.
1998 people found this helpful

Seizures - Know Misconceptions About It!

MBBS, MD - Pediatrics, DNB (Pediatrics)
Pediatric Neurologist, Mumbai
Seizures - Know Misconceptions About It!
Epilepsy is one of the most common neurological disorders. This condition can affect children. However, it is associated with a number of myths. As a result of these myths, epileptic patients are often discriminated against.

Let s bust a few of these myths:

Myth 1: Epilepsy is contagious
Coming in contact with an epileptic patient will not increase your risk of suffering from this condition. Epilepsy can be caused by a number of factors but is not transferable from one person to another. Factors triggering epilepsy include genetic defects, oxygen deprivation at birth, trauma to the head and strokes.

Myth 2: Epilepsy cannot be treated
There is no known cure for epilepsy but this condition can be managed with treatment. Treatment for epilepsy can take many forms. The most common amongst these is medication to reduce and stop seizures. In some cases, brain surgery may also be advised. A special diet can also help control epileptic attacks. Lastly, nerve stimulation may also be used to treat epilepsy.

Myth 3: Epileptic patients cannot lead a normal life
There is nothing stopping an epileptic patient from living a normal life like everyone else. Epilepsy does not affect a person s intelligence or any other ability. It is also a misconception that epileptic children will never be able to have children. With treatment and a healthy prenatal plan, they can have a healthy pregnancy and give birth to a healthy child. However, certain activities like driving should be avoided by epileptic patients.

Myth 4: A person having an epileptic fit should be restrained
An epileptic seizure will run its course and restraining the person may do more harm than good. Instead, the person should be made to lie down on their side. This will keep saliva from collecting in their mouth. Clear the area around the person and loosen their clothing. If the person wears spectacles, these should be removed. Do not try and put anything into the person s mouth. An epileptic fit usually lasts for up to 5 minutes. If the person does not recover within that time, call a doctor immediately.

Myth 5: Anyone who has a seizure is epileptic
Seizures are not synonymous with epilepsy. They can be triggered by a number of factors including excessive drinking, heat, injury to the head etc. To be diagnosed with epilepsy, a person should have had two or more seizures with unrelated triggers.

Here are some more points related to childhood seizures -

1. Parents can use for self-termination of seizure only for 2 min. Thereafter they can use intranasal or buccal spray prescribed by their Pediatrician or Pediatric Neurologist.

2. Childhood Epilepsy is curable in 60-80% of cases.

2157 people found this helpful

Epilepsy - How To Handle It?

MBBS, MD, Fellow Rheumatology
Internal Medicine Specialist, Guwahati
Epilepsy - How To Handle It?
Epilepsy is a relatively common disorder. Most cases of epilepsy can be controlled with a combination of drug therapy and a healthy lifestyle. In some cases, surgery may also be advised. Epilepsy affects not only the lifestyle of the patient but also that of their caregiver. Each person reacts to epilepsy in a different way and hence the type of care needed also varies from person to person. While some patients have few seizures and require care only when they're having a seizure others need round the clock care.

Here are a few tips to keep in mind if a loved one suffers from epilepsy.

Know what type of epilepsy you are dealing with.
Not all epileptic seizures are the same. Find out what type of seizures your loved one suffers from and what are the possible triggers associated with Involve yourself in their lifestyle.

Epilepsy should not be a reason for your loved one to lock themselves in a room to stay safe. Participate in activities with them of you feel the activity may be a safety risk if they were to have a seizure; for example - swimming.

Notice seizure triggers.
Often an epileptic patient may not remember the seizure after it has occurred. As their caregiver, keep a seizure diary to track their seizures and its related triggers. Look for patterns in the triggers to their epilepsy attacks.

Keep them safe during a seizure.
When experiencing a seizure, the patient will lose consciousness, experience muscle convulsions and may grit his teeth. If the person is standing, hold them so that they do not fall. If they are lying down, try turning them onto their side. Do not put anything into their mouth.

Take care of them after a seizure.
After the seizure, people are most likely to be confused, tired and have a headache. Check for injuries and keep them calm till medical help arrives. Loosen clothing around their neck and ensure that there is nothing inhibiting their breathing.

Medical identification.
While someone who suffers from seizures often is likely to always have someone with them, others who have rare seizures may often venture out alone. In such cases, ensure that they always have medical identification on them. Also make sure that their friends, colleagues etc are aware of their medical condition.

Help them maintain a healthy lifestyle.
Staying active is essential for people with epilepsy. Avoid contact sports and pick low impact exercises like walking, running or swimming. Following a buddy system is essential when an epileptic person works out.
5401 people found this helpful

Shocking! Lychees Claim 48 Innocent Lives in Bihar - Know How!

MBBS Bachelor of Medicine and Bachelor of Surgery
General Physician, Faridabad
Shocking! Lychees Claim 48 Innocent Lives in Bihar - Know How!
The consumption of unripe litchis (lychees) is said to be responsible for the death of 48 children in Muzaffarpur, which is one of the leading districts producing litchi in Bihar. These children consumed litchi on an empty stomach. The authorities concluded that litchi consumption can be directly related to Acute Encephalitis Syndrome AES.

As per the officials, Eating unripe litchis on an empty stomach may be the reason for outbreaks of high fever followed by disorientation and seizures in Bihar. It is said that the consumption of this fruit in its unripe form is the reason for the death in young children from socio-economic backgrounds in rural Muzaffarpur and other litchi-growing regions in India during the harvest season in May and June.

What Is AES?

Acute Encephalitis Syndrome (AES), a brain disease, is a group of clinically similar neurological manifestation caused by several different viruses, bacteria, parasites, fungus, toxins, etc. It is characterized by an acute onset of fever and clinical neurological manifestation that includes mental confusion, delirium, coma, or disorientation. The effects of AES are mostly seen in children and young adults. It begins with high fever and then hampers neurological functions causing confusion and seizure.

How do lychees cause it?

Unripe fruit contains the toxins hypoglycin A and methylenecyclopropylglycine, which can cause vomiting if ingested in large quantities. Hypoglycin A is a naturally occurring amino acid found in the unripened litchi that causes vomiting. On the other hand, methylenecyclopropylglycine is a poisonous compound in litchi seeds that causes a sudden drop of blood sugar and altered mental states leading to lethargy, unconsciousness, coma, or death.

These toxins cause sudden high fever and seizures, which may require immediate hospitalisation in young and severely malnourished children. Apparently, most of the children who succumbed to death because of these toxins were also malnourished.

Treatment of AES:

Not many researches have come up with a proper treatment of this disease.

The government and non-government organisations, however, have started providing proper nutrition to the AES-affected population. This is because most of the affected people belong to the lower economic strata of the society.

AES is hard to tackle. The wide range of causal agents and the rapid rate of neurological impairment due to pathogenesis, clinicians face the challenge of a small window period between diagnosis and treatment.

Prevention:

Lychee is a safe fruit but it is advisable that no one should eat large amounts of unripe litchis on an empty stomach.
3 people found this helpful

Epilepsy - How To Administer It?

MBBS, DM - Neurology
Neurologist, Hyderabad
Epilepsy - How To Administer It?
Epilepsy is a form of chronic disorder and it is characterized by recurrent seizures. The episodes of epileptic seizures may differ from person to person. These seizures could be a result of a genetic disorder or a result of trauma or stroke. During a seizure, a patient may also experience symptoms of neurological disorders and sometimes lose consciousness.

Medical help for epilepsy
Epilepsy itself cannot be cured using medication, but proper medicines help in eliminating recurrent seizures. These medicines stabilize the electrical activity within the brain preventing seizures.

How effective is the medication for epilepsy?
The success of controlling seizures using medicines depends on the type and severity of epilepsy. Medicines for epilepsy are usually very effective and may fully keep seizures under control. However, controlling seizures caused due to brain problems may be more difficult. Usually, epilepsy medicines can control seizures for a long period of time when they are taken regularly.

When is medical help needed?
The decision about when to start medicines for epilepsy is a tricky one. This is because a first seizure cannot confirm whether a person has an on-going epilepsy problem. A second seizure may occur after many years or may not happen at all. Prediction of seizures is also quite difficult.

The severity of seizures also indicates when to start medicines for treatment. In case a first seizure is quite severe, medication should be started at once. Some people have very mild seizures even though they may be recurring in nature, and medication can be avoided in this situation. After first seizure, MRI and EEG may help to know whether you have the risk of second seizure or not.

All the pros and cons must be thought over before starting medications for the treatment of epilepsy. It is advisable to wait for a second seizure and then start medications for treatment. In most cases, medication is started after a second seizure occurs, twelve months within the first seizure. You should always consult a doctor to know when you need to start taking medicines to treat the condition.

For making the most out of the medicines to control seizures, you should follow certain steps:

You must take medications exactly as your doctor has prescribed.
Before switching to generic versions of your medicines or before taking other prescribed medicines, you must consult your doctor.
You should never stop taking the medicines.
In case you experience enhanced depression, mood swings and suicidal thoughts, you should talk to your doctor immediately.
In case you have a migraine, you should let your doctor know so that he can prescribe you anti-epileptic medicines, which also prevent migraines.
Medicines cannot treat the underlying cause of epilepsy, but these help in controlling seizures and this is the most common symptom of epilepsy. Medication should be started at a proper time and must be continued without stopping.
2861 people found this helpful

Seizure Or Epilepsy

MBBS, MD - Internal Medicine, Fellow In Pain Management, DM - Neurology
Neurologist, Gurgaon
Play video
Hi,

I am Dr. Sankalp Mohan hoon, neurologist, Vashi, Navi Mumbai. Aaj hum baat karenge seizures ya epilepsy ki. Ab seizures kya hain? Seizures ko hum aam bhasha mein mirgi, daura, fit ya aakdi bhi kehte hain. Seizures ke lakshan kya hai? Seizure kayi prakar ke hote hain aur jis prakar ke seizure hain uss hisab se uske lakshan bhi hote hain. Commonly seizures ke seizure hone se hath pair akad jaate hain, hath pair jhatke marne lag jaate hain ya fir aapki aankhein upar chali jati hain, jaban cut jati hai, muh se jhaag nikalne lagta hai, yeh usually 2-3 minute tak rehta hai aur insaan behosh ho jata hai iske bad jo ek adh ghante tak bhi reh sakti hai. Ab kuch logo ko sirf ek part of the body yani ek hath ya ek pair mein jhatka ya akdi aati hai jise focal seizures kehte hain. Kabhi kabhi insaan sirf gumsum ho jata hai, use yaad nahi rehta hai kya hua kuch, kuch samay tak aur voh respond nahi karta hai jo absent seizures hote hain ya complex partial seizure ho sakta hai.

Ab seizures ke kya kaarand hai? Seizures jo hain chote bache se leke boodhe tak kisi mein bhi ho sakta hai, iske jo kaarand hai vo bachcho mein alag type ke hote hain aur boodhon mein alag type ke hote hain. Generally yeh kabhi kabhi jaise shareer mein sodium kam hone ki vajah se, sugar kam hone ki vajah se jo log alcohol bahut jyada lete hain unhe ho sakta hai ya koi bahut samay se alcohol le raha hai aur suddenly chord de use bhi ho sakta hai. Kayi bar hume koi kaarand nahi milta jise idiopathic seizures bolte hain. Ab epilepsy kya hai? Jisko baar baar seizures aate hain usko hum ek syndrome bolte hain vo epilepsy hota hai. Ab aam taur par jab kisi ko seizure aata hai to hum kuch tests karte hain, blood tests, MRI karte hain, EEG karte hain. Jyadatar log almost 50% log jo hai voh ek dawai se respond kar jaate hain.

Jab voh ek dawai se respond nahi karte toh unhe doosri ya teesri dawai dalni padti hai jise hum refractive seizures kehte hain. Aise mein jaroor aapko specialist ke pass jana chahiye, kabhi kabhi hume video ranging ki bhi zarurat pad jati hai aur kuch mareej hote hain kuch epilepsy syndromes aise hote hain jisme hum surgery bhi kar sakte hain jo kuch gine chune centres mein hi hoti hai. Ab important cheez yeh hai ki jab kisi ko seizure ho tab aapko use ek side letana hai taki vo aspirate na kar jaye ya choke na hojaye, doosri important cheez ye hai ki aapko uske muh ke andar koi bhi vasto nahi dalni hai jaise chamach ya fir hanky jo hum normally daal dete hain usko nahi dalna hai aur aapko turant hospital hi leke aana hai. Toh ant mein main itna hi kehna chahunga ki seizure ek aam bimari hai, kayi logo ko hota hai aur log jo hai isme ekdum normal life lead kar sakte hain bus kuch precautions lene hote hai jaise driving avoid kare, swimming avoid kare ya uchaiyon pe jana avoid kare aur acha sleep le, alcohol avoid kare. Thank you. Thank you for watching this video. For more information you can contact a lybrate.com

Thanks!
3592 people found this helpful

Seizure And Epilepsy - Know More About It

DM - Neurology, MD - General Medicine, MBBS
Neurologist, Noida
Play video
Hi,

I am Dr. Kapil Singhal, Neurologist. Today I will talk about seizure and epilepsy. Seizure, fit, mirgi ka dora is a thing where a sudden loss of consciousness, rolling eyes, salivation from the mouth, stiffness, and tightness of the limb, forward fall. It can occur multiple time in succession. It may occur once and may not be repeated for a large number of days. Sudden jerky of the limbs can also be a seizure. Lack of awareness, a moment of one part of the body, sudden drops while playing or standing can also be a seizure. It can be of different types and reasons. It has to be recognized and treated, otherwise, it can affect the brain, daily activities, playing capacity, many things.

So, what has to be done in such cases. The first thing is immediate treatment. You don't have to panic. Jutta sunghane ki koshish nahi karni, muh pe chitta dalna nahi hai, daant tight ho gaye hain toh you don't have to insert anything in mouth of the patient. Make the patient comfortable. Agar aas pass koi aisi chiz hai jo patient ko lag sakti hai toh durr kar dena hai. Agar patient gir gaya hai toh koi bhi soft chiz patient ke head ke niche rakhna hai. Agar seizure violent hai toh body ko dabane ki koshish karni hai. Seizure 1-2 minutes se jyada nahi hota hai. Agar patient hosh mein bhi aa jaye to muh mein kuch bhi dalne ki koshish nahi karni hai. Patient ko hospital leke jayein.

Aur agar seizure dubara aa jata hai toh immediately patient ko hopital leke jayein. Agar kisi ko seizure hai toh long-term mein kya karna hai? Humein kuch tests karane hote hain like CT scan, MRI and EEG. Epilepsy, seizure treatable bimari hain. In bimariyon se kisi bhi parkar se patient ki life mein koi problem nahi aati. Sahi time pe sahi treatment bohut jaruri hai. Agar timely treatment nahi hua hai toh seizure baar baar padne ke chances badh jaate hain. Humare pass bohut sari medications available hain. Patient ki jarurat ke hisab se 1-2 tables humein deni hoti hai. Kuch patients aise bhi hote hain jo medicines se thik nahi ho rahein hai toh unhein brain ki surgery se thik kiya ja sakta hai. Agar aap neurologist se check kara rahein hain to treatment ke options ache hain. Epilepsy koi taboo nahi hai. Is se mentally kamjor nahi hote hain. Agar kisi ko epilepsy or seizure hai toh chup ke rehne ki jarurat nahi hai. Treatment karayein and free life rahein.

Thank You!
2399 people found this helpful

Seizures - Know Forms Of It!

MBBS, MD- Medicine, DM- Neurology
Neurologist, Delhi
Seizures - Know Forms Of It!
When particular nerve cells in the brain don't function properly, it leads to epilepsy, which is a common brain disorder. There are several variants of epilepsy, and the one that you are suffering from would play a major role in the type of seizure you are likely to have. Here are the two most common type of seizures:

Common types of Seizures

Generalized seizures: This type of seizures take place when nerve cells on both sides of the brain start misfiring. They may lead to black out, fall or muscle spasms.
Focal seizures: It starts in a particular area of the brain, and the names of the seizure are based on the affected area of the brain. They may lead to both emotional and physical effects which may affect the way a person feels or sees or hear things that have no real presence. In particular cases, the symptoms of focal seizures are regarded as some other kinds of mental or nervous disorder.
Seizures are not considered an either-or thing since some people tend to have a particular type of seizure which gradually alters its course. It is not always easy to classify certain types of seizures which are called unknown-onset seizures and may lead to both physical and sensory symptoms. Both focal and generalized seizures can be categorized into various groups. The most common are listed below:

Subcategories of focal and generalized seizures

Simple focal seizures: It may change how the senses read the surroundings of a person. It can make a familiar taste or smell appear strange. Some people feel dizzy or visualize flashes of light or make the affected individual feel nauseated or sweaty.
Complex focal seizures: It normally happens when a part of the brain which controls emotion and memory gets affected. The affected person may feel awake even when he has lost consciousness. It can take several minutes for a person to come out of the problem.
Secondarily generalized seizures: It starts when a part of the brain spreads to the nerve cells. They may lead to a few physical symptoms including muscle slackness and convulsions.
On the other hand, there are six variants of generalized seizures:

Clinic seizure: The muscles tend to have spasms which make a face, neck, and arms jerk rhythmically. It can last for minutes together.
Tonic-clonic seizure: These are the most notable type of seizures and leads to stiffening of the body, jerking and shaking along with the loss of consciousness. It can last between 1 to 3 minutes, and in case they go for a longer span, it is important to seek immediate medical attention. It may lead to breathing issues and may cause the person to bite his tongue or cheek.
Tonic seizures: When the muscled in the legs or arms or trunk tense up for more than 20 seconds, it is called a tonic seizure. If the affected person is in standing position, he or she may end up falling.
Other types of generalized seizure include atonic seizure, absence seizure and myoclonic seizure which are commonly seen in people who have epilepsy.
1959 people found this helpful

मिर्गी का उपचार - Mirgi Ka Upchar!

Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurvedic Doctor, Lakhimpur Kheri
मिर्गी का उपचार - Mirgi Ka Upchar!
मिर्गी उन बिमारियों में से है जिनका पहचान काफी पहले ही हो चुकी थी. आज हम मिर्गी के लक्षण, कारण और उपचार को लेकर बात करेंगे. विशेषज्ञों के अनुसार मिर्गी की बीमारी तंत्रिका तंत्र में विकार आने के कारण होती है. तंत्रिका तंत्र का सीधा सम्बन्ध मस्तिष्क से है. जब मस्तिष्क में विकार आता है तो इसकी वजह से तंत्रिका तंत्र प्रभावित होता है. फिर मिर्गी का अटैक आता है और पीड़ित का शरीर अकड़ जाता है. इस बीमारी को लेकर पहले समाज में कई तरह की भ्रांतियां प्रचलित थीं. हलांकि अब भी कई लोग इसे भुत-प्रेत से जोड़कर देखते हैं. कई बार तो मिर्गी के मरीज को पागल की तरह भी ट्रीट किया जाता है. यहाँ ये बताना आवश्यक है कि मिर्गी भी बस एक बीमारी के सिवा कुछ नहीं है. इस लिए इसके मरीजों को तुरंत किसी चिकित्सक के पास ले जाना चाहिए. हम मिर्गी के के विभिन्न पहलुओं पर प्रकाश डाल रहे हैं.


मिर्गी होने का क्या कारण-
शरीर के सभी अंगों की संवेदनशीलता मस्तिष्क द्वारा तंत्रिका तंत्र को दिए गए निर्देश के अनुसार ही काम करती है. मस्तिष्क में स्थित न्यूरॉन्स ही तंत्रिका तंत्र को सिग्नल देते हैं. लेकिन जब इस प्रक्रिया में बाधा पहुंचती है यानी कि न्यूरॉन्स तंत्रिका तंत्र को सही निर्देश नहीं दे पाते हैं तब मरीज को मिर्गी का दौरा पड़ता है. इसमें शरीर का अंग विशेष कुछ देर के लिए निष्क्रिय हो जाता है.
1. न्यूरोलॉजिकल प्रॉब्लम्स जैसे कि अल्जाईमर.
2. अनुवांशिक कारण यानि आपके खानदान में किसी को रहा हो या हो.
3. ब्रेन ट्यूमर
4. जन्म से ही मस्तिष्क में ऑक्सीजन का आवागमन पूर्ण रूप से बंद होने पर.
5. मस्तिष्क ज्वर और इन्सेफेलाइटिस के के संक्रमण से.
6. ब्रेन स्ट्रोक के कारण ब्लड वेसल्स को नुकसान पहुँचने से.
7. कार्बन मोनोऑक्साइड की विषाक्तता से.
8. अत्यधिक मात्रा में ड्रग लेना.


मिर्गी के उपचार और रोकथाम-
उपचार-
मिर्गी एक बेहद संवेदनशील बिमारी है. इसके उपचार के लिए सबसे महत्वपूर्ण उपाय बताया जाता है कि जब भी मिर्गी का दौरा आए उस समय सीजर को नियंत्रित करना. इसे नियंत्रित करने के लिए एन्टी एपिलेप्टिक ड्रग थेरपी और कुछ सर्जरी होती है. हलांकि डॉक्टर्स का ये भी कहना है कि जिन लोगों पर दवाई का असर नहीं होता है उन्हें सर्जरी करने की सलाह दी जाती है. मिर्गी के मरीजों को ज्यादा वसा वाले खाने से दूर ही रहना चाहिए. खाने में ज्यादा से ज्यादा कार्बोहाइड्रेट वाले खाद्य पदार्थों का इस्तेमाल करना चाहिए. इससे सीजर की आवृत्ति में कमी आती है.

रोकथाम के उपाय-
आपको जानकर हैरानी हो सकती है कि अभी भी मिर्गी के कारणों का ठीक से पता नहीं लगाया जा सका है. हलांकि शिशुओं के जन्म के दौरान जेनेटिक स्क्रीनिंग की सहायता से माँ को बच्चे में इसके होने का पता लगाया जा सकता है. इससे बचने के लिए आप इस बात का ध्यान रखें की आपके सर में चोट न लगे. इसके अलावा आप ये उपाय कर सकते हैं-
1. जितना हो सके तनाव से दूर रहें.
2. खाने में संतुलित आहार लें.
3. डॉक्टर द्वारा दी गई दवा का सही तरीके से सेवन करते रहें.
4. नियमित रूप से चिकित्सक से सलाह लेते रहें.
5. पर्याप्त नींद लेना भी अत्यंत जरुरी है.


मिर्गी का आयुर्वेदिक उपचार
1. लहसुन
लहसुुन भारतीय औषधियों में कई बीमारियों को ठीक करने के लिए इस्तमाल में लाया जाता रहा है. इससे शरीर की एैठन भी दूर होती है. इसमें एंटी-स्पास्म, एंटी ऑक्सीडेंट और एंटी इंफ्लामेट्री विशेषता होती है जिससे दौरों से बचाव होता है. आधा कप दूध और पानी को मिलाकर इनमें 5 लहसन की कलियाँ डालकर उबाल लें. तब तक उबालें जब तक मिश्रण आधा न हो जाए. इस मिश्रण को नियमित रूप से पीने पर दौरे नहीं पड़ेंगे.
2. ब्रह्मी
ब्रह्मी एक ऐसा ही हर्ब है जिसे आयुर्वेद लेने की सलाह देता है. इससे तनाव भी कम होता है और शरीर को फ्री रैडिकल से बचाता है. यह दिमाग सम्बन्धी बीमारियों के उपचार के लिये काफी लाभदायक है. यह दिमाग में न्यूरोन का तालमेल ठीक करता है जिससे एपिलेप्सी के इलाज में मदद मिलती है. जिस इंसान को दौरे आते हैं उसे रोज़ ब्रह्मी के 5-6 पत्ते खाने चाहिए. इसके बाद एक ग्लास गर्म दूध पी लेना चाहिए. ऐसा करने से धीरे धीरे दौरे आना बंद हो जाएंगे.
3. तुलसी
भारतीय घरों में यह मिलना आम बात है तुलसी पूज्यनीय पेड़ है. यह दौरों को खत्म करने में भी काफी मददगार साबित होता है. इससे तनाव भी दूर होता है. तुलसी के पत्तों को रोज़ चबाना या एक चम्मच तुलसी का जूस पीने से दिमाग में न्यूरोन का तालमेल बैठता है और दौरे नहीं पड़ते.
4. ऐश गॉर्ड
इसे सफेद कद्दू या पेठा भी कहते हैं और इसका विवरण इसके रोगनाशक गुण की कारण 'चरक संहिता' में भी किया गया है. यह दौरे के इलाज के रूप में काफी असरदार सिद्ध हो सकता है. ऐश गॉर्ड को घिसकर इससे आधा कप जूस निकाल लें. सुबह उठकर यह जूस पीएं. इससे दौरे पड़ना बंद हो जाएंगे.
5. नारियल तेल
नारियल तेल से दौरों में काफी फायदा होता है. इससे दिमाग में न्यूरोन को ऊर्जा मिलती है और ब्रेन वेव पर इसका शांतिदायक असर पड़ता है. नारियल में जो फैटी ऐसिड होते हैं वह एपिलेप्सी से निजात पाने में मदद करते हैं. दिन में एक चम्मच नारियल का तेल खाएं. आप चाहें तो खाना नारियल तेल में ही बनाएं या सलाद पर डाल कर खाएं.
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Seizures - What Are The Common Types Of It?

DM - Neurology, MBBS, MD - Medicine
Neurologist, Bhubaneswar
Seizures - What Are The Common Types Of It?
When particular nerve cells in the brain don't function properly, it leads to epilepsy, which is a common brain disorder. There are several variants of epilepsy, and the one that you are suffering from would play a major role in the type of seizure you are likely to have. Here are the two most common type of seizures:

Common types of Seizures:

Generalized seizures: This type of seizures take place when nerve cells on both sides of the brain start misfiring. They may lead to black out, fall or muscle spasms.
Focal seizures: It starts in a particular area of the brain, and the names of the seizure are based on the affected area of the brain. They may lead to both emotional and physical effects which may affect the way a person feels or sees or hear things that have no real presence. In particular cases, the symptoms of focal seizures are regarded of some other kinds of mental or nervous disorder.
Seizures are not considered an either-or thing since some people tend to have a particular type of seizure which gradually alters its course. It is not always easy to classify certain types of seizures which are called unknown-onset seizures and may lead to both physical and sensory symptoms. Both focal and generalized seizures can be categorized into various groups. The most common are listed below:

Subcategories of focal and generalized seizures:

Simple focal seizures: It may change how the senses read the surroundings of a person. It can make a familiar taste or smell appear strange. Some people feel dizzy or visualize flashes of light or make the affected individual feel nauseated or sweaty.
Complex focal seizures: It normally happens when a part of the brain which controls emotion and memory gets affected. The affected person may feel awake even when he has lost consciousness. It can take several minutes for a person to come out of the problem.
Secondary generalized seizures: It starts when a part of the brain spreads to the nerve cells. They may lead to a few physical symptoms including muscle slackness and convulsions.
On the other hand, there are six variants of generalized seizures:

Clinic seizure: The muscles tend to have spasms which make a face, neck, and arms jerk rhythmically. It can last for minutes together.
Tonic-clonic seizure: These are the most notable type of seizures and leads to stiffening of the body, jerking and shaking along with the loss of consciousness. It can last between 1 to 3 minutes, and in case they go for a longer span, it is important to seek immediate medical attention. It may lead to breathing issues and may cause the person to bite his tongue or cheek.
Tonic seizures: When the muscled in the legs or arms or trunk tense up for more than 20 seconds, it is called a tonic seizure. If the affected person is in standing position, he or she may end up falling.
Other types of generalized seizure include atonic seizure, absence seizure and myoclonic seizure which are commonly seen in people who have epilepsy.
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