Yu pikin jɔs de luk yu? I kin bi ‘Absence Seizure’! Wi go tɔk?

Yu dɔn ɛva si yu smɔl pikin de luk yu wantɛm wantɛm afta i dɔn ple ɔ lisin to sɔntin we yu de tɔk? I tan lɛk se i nɔ de na dis wɔl. I nɔ de ansa yu we yu de tɔk to am. Afta sɔm sɛkɔn, i dɔn kam bak to in nɔmal. Yu kin tink se, "O, i jɔs lɔs na drim wɔl." Bɔt sɔntɛnde, i nɔ kin simpul lɛk aw wi kin tink. Dis kin bi wan kɔndishɔn we dɛn kɔl absence seizure .

Wetin na dis ‘Absence Seizure’? Fɔ put am rili simpul wan...

Absence seizure, we dɛn kin kɔl bak petit mal seizure, na wan sik we tan lɛk seizure fɔ rili shɔt tɛm. I kin apin we yu nɔ no bɔt di tin dɛn we de arawnd yu atɔl. Fɔ ɛgzampul, yu de du sɔntin, tɔk to pɔsin, ɔ lisin to sɔntin, ɛn wantɛm wantɛm yu stɔp . I kin bigin witout ɛni wɔnin , bɔku tɛm i kin tek tri to fayvtin sɛkɔn. Dɔn yu pik usay yu bin lɛf, lɛk se natin nɔ apin.

Naw, if pɔsin we nɔ no dis gud gud wan si am, i go tink se yu de drim, ɔ yu maynd de ɔdasay, ɔ yu nɔ de pe atɛnshɔn to wetin dɛn de tɔk. Bɔt wetin rili de apin na smɔl sik we de insay yu bren, we tan lɛk sik. Dis ‘Absence Seizure’ na wan kayn jenaral seizure . Tu kayn dis de, ``tipik'' ɛn ``atipik''. Di bɛst pat na dat dɔktɔ kin ɛp fɔ kɔntrol dis sik wit mɛrɛsin.

Aw kɔmɔn tin fɔ absɛns sik? Udat kin gɛt dɛn mɔ?

Fɔ fala di statystik, dɛn se bitwin siks ɛn et pan ɛvri 100,000 pikin dɛn we nɔ rich 15 ia yet kin gɛt dis ‘absence seizure’ ɛvri ia. Bɔt, i nɔ kin kɔmɔn so pan big pipul dɛn. Dɛn kin si am mɔ pan yɔŋ pikin dɛn.

Wetin na di sayn dɛm fɔ dis sik? Aw yu no am?

Di sayn dɛm fɔ absɛns seizure na:

• Wantɛm wantɛm, fɔ shɔt tɛm, yu de luk, lɛk "blank stare."
• A de lɔs fɔ no wetin de apin rawnd mi.
• Di tin dɛm we yu bin de du we yu bin de na di siza (lɛk fɔ tɔk ɛn waka) kin stɔp kpatakpata.
• Sɔntɛnde, yu kin blink, yu ed kin tilt, ɔ yu kin muv yu an ɔ yu mɔt we yu nɔ want (lɛk fɔ purs di lip dɛn). Wi kin kɔl dɛn tin ya ``ɔtomɛtik muvmɛnt''.

Afta di Siza dɔn dɔn:

• Yu kin bigin bak fɔ du wetin yu bin dɔn lɛf.
• Yu kin fil lɛk se yu de mis wetin de apin rawnd yu.
• Sɔntɛnde, yu nɔ kin ivin no se ɛnitin apin., a kin fil lɛk se a de tink klia wan ɛn wit gud spirit.

Dɛn sayn ya kin apin bɔrku tɛm insay di de, ɔr kin apun bɔrku tɛm, lɛk wan tɛm ɛvri sɔm wik ɔr mɔnt.

Yu kin kɔnshɛns di tɛm we yu gɛt absence seizure?

Nɔ, yu nɔ kin no di tɛm we yu gɛt absence seizure. Bikɔs di sayn dɛm kin apin insay sɔm sɛkɔn dɛm, dis disrɔpshɔn fɔ sɔm tɛm kin afɛkt di tɔk ɔr aktiviti wae yu bin de du ɔr nɔr kin afɛkt. Dɔn yu kin go bak to am jɔs lɛk aw di sik dɔn dɔn.

Bɔt if yu gɛt tu ɔ mɔ sik dɛn we de mek yu sik insay wan row, yu kin tan lɛk se yu kɔnfyus ɛn ɔda tin dɛn we de arawnd yu kin ambɔg yu maynd. Fɔ ɛgzampul, yu kin mis instrɔkshɔn frɔm yu ticha ɔ sɔntin we sɔmbɔdi bin tɔk we yu de tɔk to yu we yu gɛt sik we de mek yu sik.

Aw lɔng dis Siza dɔn de?

tipikli, wan ``tipik absεns seizure'' de las frכm tri to fayvtin sekכnd (``3-15 sekכnd``). ``atypical absence seizure'' kin las fɔ lɔng tɛm.

Wetin mek absence seizure kin apin? Wetin na di kɔz?

Fɔ tɔk am simpul wan, na we ilɛktrik we de kɔmɔt na di nyuron dɛn na yu bren kin bɔs wantɛm wantɛm . Dɛn nyuron ya kin gɛt di rɔng instrɔkshɔn ɛn dɛn kin sɛn tumɔs ilɛktrik signal to difrɛn pat dɛn na di bren.

Risach pipul dɛn biliv se sɔntɛm sɔntin de we de mek pɔsin gɛt dis sik. Risach stil de go bifo fɔ no aw di kɔndishɔn de pas frɔm jɛnɛreshɔn to jɛnɛreshɔn ɛn di patikyula jin dɛn we de insay.

Wetin na de tin wae kin mek pɔrsin gɛt dis sik?

`Trigger` na tin dεm na yu envayroment wae kin trigεr dεn simptom ya. Tin dɛm lɛk dis kin mek yu gɛt absens seizure:

• Layt dɛn we brayt ɛn we de flash.
• Fɔ blo lawd wan ɛn dip (hyperventilating) .

Udat de pan big risk fɔ gɛt dis?

Yu kin gɛt ay risk fɔ gɛt absence seizure if yu:

• fכ gεt כda kayn sik (lεk ``grand mal seizures'', ``myoclonus'', כ ``atonic seizures'').
• Sɔm mɛrɛsin dɛn we de mek pɔsin sik (e.g., phenytoin, carbamazepine, ɛn gabapentin) kin mek sɔm tɛm dɛn gɛt di risk fɔ mek pɔsin nɔ gɛt sik.

Tin dɛm fɔ no bɔt absence seizure na pikin dɛm

Pan ɔl we absence seizure kin apin pan ɛni ej, i kin apin mɔ pan yɔŋ pikin dɛn. Dɛn kin bigin bitwin 3 ɛn 13 ia, wit wan mak we kin apin arawnd 6-7 ia.

Yu tink se fɔ absɛns seiz denja?

"Usually dis nor denja."

Dis na bikɔs bɔku tɛm dɛn nɔ kin te, ɛn dɛn nɔ kin gɛt kɔnvulshɔn. Fɔ ɛgzampul, if yu gɛt absence seizure we yu tinap, i nɔ go izi fɔ mek yu fɔdɔm na grɔn. Bifo dat, yu go de usay yu de fɔ sɔm sɛkɔn dɛn.

Us prɔblɛm dɛn dis kin mek?

Dipen pan di kayn absens seizure wae yu gɛt ɛn aw ɔltɛm i kin apun, dɛn tin ya kin apin:

• I at fɔ pe atɛnshɔn.
• I nɔ izi fɔ fala di instrɔkshɔn dɛn.
• Fɔ gɛt prɔblɛm fɔ lan na skul.
• Aksidɛntal injuri kin apin.

Dɔn bak, di tin dɛn we yu nid fɔ pe atɛnshɔn to ɔltin – lɛk fɔ drayv, swim, ɛn waka – nɔ kin sef te dɛn kɔntrol di kɔndishɔn. Yu dɔktɔ go gi yu mɛrɛsin fɔ kɔntrol yu sik, ɛn yu go ebul fɔ du dɛn tin ya sef wan. Yu dɔktɔ go tich yu bak aw fɔ de sef if yu gɛt dis sik.

Aw dɔktɔ kin no kɔrɛkt wan se yu gɛt absence seizure?

Dɔktɔ go no se yu gɛt absence seizure afta dɛn dɔn du yu bɔdi ɛgzam ɛn ɔda tɛst dɛn. We dɛn de du di ɛgzam, yu dɔktɔ go aks yu bɔt di sayn dɛn we yu gɛt. E fayn fɔ mɛmba us sayn dɛm wae yu de gɛt ɛn wetin bin apin bifo, di tɛm wae yu bin de fil, ɛn afta yu gɛt di sik. If dɛn tin ya apin na skul ɔ na wokples, tɔk to pɔsin we yu de spɛn bɔku tɛm wit ɛn aks am if dɛn dɔn notis ɛnitin we nɔ kɔmɔn.

Yu kin du tɛst dɛn lɛk dis:

• Hyperventilation test: If yu brith tu lawd (hyperventilation) i kin mek yu nɔ gɛt absɛns sik. Dɔktɔ go aks yu ɔ yu pikin fɔ blo ɔltɛm pan pepa ɔ tɔys briz chime fɔ lɛk tu minit so.
• EEG (electroencephalogram) test: insay dis tεst, dεn de put sεns dεm na di skin na yu ed εn dεn de mכnitor di ilektrikal aktiviti na yu bren. di absens seizure dεm de dεtekt bay wan spεsifi k bren wev patεn.
• MRI (magnetic resonance imaging) ɔ CT scan (computed tomography scan): Dɛn imej tɛst ya kin luk fɔ ɛnitin we nɔ fayn na di bren we kin mek pɔsin gɛt sik.
• Blɔd ɛn urine tɛst: Yu dɔktɔ kin ɔda fɔ du dɛn tɛst ya fɔ si if ɔda ɔndalayn mɛdikal kɔndishɔn de we de mek yu gɛt di sik.

Bɔrku tɛm, pipul dɛm wae nɔr no se yu gɛt absence seizure kin mistek kɔl am fɔ prank ɔr drim. Fɔ bɔku pipul dɛn, dis nɔr ɔndastandin kin mek dɛn delay fɔ no if dɛn gɛt di sik.

Wetin na di difrɛns bitwin ‘Typical’ ɛn ‘Atypical’ Absence Seizures?

Tu kayn absence seizure de: ‘typical’ ɛn ‘atypical’.

• Insai wan tipik absens seizure, ɔl wetin kin apin na wae yu de luk yu ɛn nɔr no natin.
• Insay atypical absence seizures, yu kin si ɔda fyzikal bihayvya, lɛk fɔ luk ɛn nɔr no natin, ɛn bak fɔ blink yu yay ɛn fɔ shek yu an. Bɔku tɛm, dɛn tin ya kin las fɔ lɔng tɛm pas di wan dɛn we dɛn kin du. Atypical absence seizures kin apin togɛda wit ɔda kayn seizures ɛn i kin mɔs afɛkt pikin dɛm wae gɛt disabiliti fɔ lan ɛn wae gɛt siriɔs epilepsy.

Wetin na di tritmɛnt dɛm fɔ dis?

Dɛn kin trit di sik dɛn we nɔ de na di bɔdi wit mɛrɛsin dɛn we de mek pɔsin sik . Yu dɔktɔ go chɛk yu sik dɛn ɛn tɛl yu fɔ tek mɛrɛsin we go fayn fɔ yu.

Sɔntɛnde, if yu nɔ de tek mɛrɛsin fayn, yu dɔktɔ kin tɛl yu fɔ it di it we gɛt ketogenic . Dis na plan fɔ it we gɛt bɔku fat, we nɔ gɛt bɔku kab. Pan ɔl we na smɔl pruf de fɔ di mɛrɛsin we de sho se dis kayn it kin bɛnifit dis kayn kansa, i kin ɛp sɔm pipul dɛn.

If dɛn nɔ ebul fɔ kɔntrol di sayn dɛn wit mɛrɛsin ɛn chenj dɛn layf, dɔktɔ kin tink bɔt fɔ ɔpreshɔn .

Di mɛrɛsin dɛn we dɛn kin gi

Dɔktɔ kin gi yu wan pan dɛn mɛrɛsin ya fɔ trit di sik dɛn we pɔsin kin gɛt we i nɔ de wok:

• `Etosuksimayd (Zarontin ®)`
• `Lamotrijin (Lamiktal ®)`
• `Topiramat (Topamax ®)`
• `Valproat (Dɛpakɛn ®)`

Sɔm antikɔnvulsant mɛrɛsin dɛm – fɔ ɛgzampul, phenytoin, carbamazepine, gabapentin, pregabalin, ɛn vigabatrin – dɛn nɔ kin yuz fɔ trit absence seizures. Dɛn kin mek di sik dɛn we de mek pɔsin sik wɔs.

Mek shɔ se yu tɛl yu dɔktɔ if yu sik de wɔs ɔ if yu gɛt ɛni sayd ɛfɛkt frɔm yu mɛrɛsin. Yu kin gɛt fridɔm bay we yu chenj di mɛrɛsin ɔ chenj to ɔda mɛrɛsin.

Udat na di mɛdikal tim we de ɛp yu?

Wan tim fɔ spɛshal pipul dɛn go ɛp yu fɔ manej yu absence seizures. Dis tim kin gɛt:

• Di wan dɛn we de stɔdi bɔt nyurolɔji
• Famili dɔktɔ dɛn (Praymari kia dɔktɔ dɛn - PCP dɛn) .
• Di wan dɛn we sabi bɔt it
• Di wan dɛn we sabi bɔt mental wɛlbɔdi biznɛs

Yu tink se dɛn kin mek pɔsin nɔ gɛt di sik we dɛn kɔl absence seizures?

Bɔt i sɔri fɔ no se, no we nɔ de fɔ mek yu nɔ gɛt absɛns sik fɔs. Dis kin bi bikɔs ɔf di tin dɛn we de mek pɔsin gɛt jɛnɛtiks. Bɔt we dɛn dɔn no se yu gɛt di sik, di bɛst we fɔ mek yu nɔ gɛt sik na fɔ tek yu mɛrɛsin jɔs lɛk aw dɛn tɛl yu fɔ tek am ɛn fɔ de nia yu dɔktɔ.

Wetin pɔsin we gɛt absence seizure fɔ ɛkspɛkt?

Pan ɔl we dɛn nɔ kin te, di sik we pɔsin nɔ de si kin rili ambɔg am. Yu kin gɛt dɛn ɔltɛm ɔ yu kin gɛt dɛn ɔltɛm. Sɔm pipul dɛn kin ripɔt se dɛn kin gɛt 10 to 30 absence seizures ɛvride. Sɔntɛnde, mɔ pan pikin dɛn, bɔku bɔku pipul dɛn kin gɛt sik dɛn we de mek dɛn sik insay wan de. Dɛn kin afɛkt di we aw yu ebul fɔ lan ɛn pe atɛnshɔn pan wan wok. Bɔt gud tritmɛnt dɛn de, ɛn bɔku tɛm, mɛrɛsin kin ebul fɔ kɔntrol di sik dɛn fayn fayn wan.

Bɔku pikin dɛn kin gro pas di absɛns sik we dɛn kin gɛt we dɛn de yɔŋ. Na mɔtalman pikin dɛm we gɛt ɔl di absɛns sik ɛn nɔ gɛt ɔda kayn sik kin mɔs pas dɛn kpatakpata.

Di sik kin gɛt big impak pan yu maynd wɛl bɔdi, kɔnfidɛns pan yusɛf, ɛn aw yu de fil bɔt yusɛf. Bɔrku pipul kin si se i fayn fɔ tɔk to pɔrsin wae de gi advays bɔt mɛntɛl hεlth wae dɛn de gɛt ɔda tritmɛnt.

Aw a go no fɔ tru if mi pikin jɔs de drim ɔ i gɛt absence seizure?

Dis na kwɛstyɔn we rili impɔtant. Wan kwik we fɔ no if yu pikin de drim na fɔ tɔk to am.

• Daydreaming: Bɔku tɛm i kin kɔmɔt frɔm bore, ɛn i kin bigin smɔl smɔl. If yu tɔk to am, i go mɔs bi se i go ansa yu.
• Absence Seizure: If yu pikin gɛt ‘absence seizure’, dɛn nɔ go ebul fɔ ansa yu di tɛm we di sik de. Dɛn lɔs fɔ pe atɛnshɔn kin apin wantɛm wantɛm ɛn dɛn nɔ kin ebul fɔ stɔp am.

Imajin se yu pikin de ple. If yu kol dem nem en dem luk yu en aks, "Wetin de apin, Mama/Papa?", i go bi se na jos tinkin. Bɔt if dɛn kɔntinyu fɔ luk yu we yu nɔ ansa ivin afta yu dɔn kɔl dɛn bɔku tɛm, i kin bi se yu nɔ de si yu.

Wetin na di difrɛns bitwin Childhood Absence Epilepsy (CAE) ɛn wan tipik absence seizure?

De men tin wae de sho if absence seizure de klas as Childhood Absence Epilepsy (CAE) na:

• Di ej we di CAE bigin: Di sayn dɛm fɔ CAE kin bigin we dɛn smɔl, bɔku tɛm na bitwin 3 ɛn 8 ia.
• Di sayn dɛm we de kam bak: Absence seizure we kin apin wit CAE kin apin bɔku tɛm, bɔku tɛm insay di de, sɔmtɛm te to 200 tɛm insay di de.
• Pɔtn fɔ di sayn dɛm: di CAE simptom dɛm kin bigin wantɛm wantɛm ɛn las fɔ sɔm sɛkɔn dɛm.

Absence seizures kin apin if yu nɔr dɔn no bifo tɛm se yu gɛt ɛpilepshi. Fɔ ɛgzampul, absɛns sik kin apin pan ɛni ej, i kin difrɛn pan frɛkuɛns, ɛn i nɔ kin apin insay wan patikyula patɛn.

Ustɛm a fɔ go to dɔktɔ?

If yu tink se yu de gɛt sayn dɛm fɔ absence seizure, mek shɔ se yu go to dɔktɔ. Bɔrku tɛm, de pɔrsin wae yu kin spɛn bɔrku tɛm wit na in fɔs fɔ notis dɛn kayn sik ya, bikɔs yu nɔr kin no se dɛn de apun to yu.

If dɔktɔ dɔn ɔlrɛdi no se yu gɛt absence seizures, mek yu dɔktɔ no if yu gɛt ɛni nyu sayn, if yu sik de wɔs, ɔ if yu gɛt sayd ɛfɛkt frɔm yu mɛrɛsin.

Wetin na di impɔtant kwɛstyɔn dɛn we wi fɔ aks di dɔktɔ?

Yu kin aks yu dɔktɔ kwɛstyɔn dɛn lɛk dɛn wan ya:

• Wetin mek mi/mi pikin kin gɛt dɛn kramp ya?
• Wetin na di sef aktiviti dɛm fɔ mi/mi pikin fɔ du? Wetin a fɔ avɔyd?
• Aw wi go mek dis ‘absence seizure’ nɔ apin tumara bambay?
• Us kayn tritmɛnt yu kin advays?
• Ɛni sayd ɛfɛkt de we di tritmɛnt kin gɛt?

Fɔ dɔn, tin dɛn fɔ mɛmba (Take-Home Message) .

Fɔ liv wit di sayn dɛm wae de sho se yu nɔr gɛt dis sik kin mek yu kɔnfyus ɛn pwɛl yu at. Bikɔs yu nɔ go ebul fɔ no ustɛm dɛn go kam, dɛn kin pul yu kɔmɔt nia ɛnitin we yu de du wantɛm wantɛm. Imajin, yu de lisin to jok ɛn sik de apin bifo yu se di rayt ansa... We yu wek, ɔlman we de rawnd yu de laf, bɔt yu nɔ ebul fɔ no wetin mek.

Absence seizure nɔ kin te, bɔt i kin apin lɛk ɔndrɛd wan de. Bɔt nɔ wɔri. Dɔktɔ kin ɛp yu fɔ kɔntrol dɛn kayn sik ya. Bɔku tɛm, mɛrɛsin dɛn we de mek pɔsin nɔ gɛt sik kin ridyus di sayn dɛn we pɔsin kin gɛt. Dis go mek yu kɔntinyu fɔ no ɔltin ɛn kɔnɛkt to di wɔl we de rawnd yu ɔltɛm.

If yu ivin tink se yu ɔ yu pikin gɛt ɛni wan pan dɛn sik ya, duya go to dɔktɔ. If yu no am kwik kwik wan ɛn trit yu fayn, dat kin mek layf izi pasmak.

` absence seizure, petit mal, seizure, seizure, pikin dεm, bren ilektrikal aktiviti, EEG, epilepsy