Epilepsi Hakkında Bilinmesi Gerekenler

Epilepsi Hakkında Bilinmesi Gerekenler
Epilepsi Hakkında Bilinmesi Gerekenler
Bu içerik 559 kez okundu.

Eppsi nedir?

Eppside beynin tamamında veya bir bölgesindeki bir grup beyin hücresinde anormal olarak kısa ve ani başlayan aşırı biyo-elektriksel deşarjlar ortaya çıkar. Bu da nöbet ve havaleye olur. Belirtri nelerdir? 

Nöbetler beyinde kaynak aldıkları bölgedeki hücre gruplarına göre farklı belirtr gösterebilir.

Kasılma olmayan nöbetler: Dalgınlık, sabit bakma, donakalma, bazen korku hissi.

Kasılma gelen nöbetler: Ani bilinç kaybı, yere düşme, kol ve bacaklarda sürekli kasılma, kasılı kalma, ağızdan körük gelme, altına kaçırma, dişlerde kenetlenme ve morarma. Bebeklerde nöbetler büyük çocuklardaki gibi belirgin olmayabilir. Sebepsiz ve sık ani sıçramalar, ağzın tek taraflı çekilmesi, ağız şapırdatma, sık göz kırpma, sabit bakmalar nöbet olabilir. Çocuğunuz yapmakta olduğu bir aktiviteyi kesintiye uğratıyor ve durgunlaşıyorsa, buna farkında olmadan yaptığı küçük el, kol, mimikler eşlik ediyorsa nöbet açısından incelenmeli.

Sebepleri nelerdir?

Eppsi vakalarının yüzde 50-60’ında bir bulunamaz. Bu tip eppsr genellikle 15 yaşından önce başlar. Geri kalanlarında ler şunlar: Doğuştan metabolizma hastalıkları, gebelikte beyin gelişimi etkyen olaylar (rahim içi enfeksiyonlar vb.), doğumda beynin oksijensiz kalması, kafa içi kanama, menenjit, kazalar, beyin tümörleri ve uzun süren ateşli havaleler.

Nasıl tedavi edilir?

Eppsi nöbetleri öncelikle anti-epptik denen ilaçlarla tedavi edilir. İlaçlar nöbetleri baskılayarak tedavi eder. Hastanın durumuna ve hastalığın seyrine göre tedavi süresi 2-4 yıldır. Ömür boyu ilaç cevap vermeyen dirençli hastalarda VNS, eppsi cerrahisi gibi diğer tedavi seçenekleri de kullanılır. 

Tamamen iyşebilir mi?

Çocuk hastaların büyük çoğunluğu ilaçlara iyi cevap verir ve nöbetler kontrol altına alınır. Tedaviye iyi yanıt veren, başka nörolojik problemi olmayan, en az 2 yıl nöbetsiz dönem geçiren çocuklarda iyşme kabul edilir ve ilaçlar azaltılarak kesbilir. Eppsi ilaçlarının kontrolsüz bir şekilde ani kesilmesinin nöbetlerin tekrarlanmasına yol açacağını çocuk hastalarda yüzde 70-80 gibi yüksek bir oranda eppsiden tamamen kurtulmak mümkündür.

 

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