Yu kin gɛt sik dɛn bak we kin mek yu sik ɔltɛm? Lɛ wi lan bɔt dis denja sik? (Status Ɛpilɛptik)

Yu go dɔn si sɔm pan wi padi ɛn fambul dɛn gɛt sik we dɛn kɔl seizure insay wan row. Ɔ dɛn kin gɛt wan sik we dɛn kɔl seizure ɛn afta dat dɛn kin gɛt ɔda wan bifo dɛn no bak. Dis na siriɔs kɔndishɔn. Tide, wi go tɔk bɔt dis denja ɛn imejensi mɛdikal kɔndishɔn we dɛn kɔl ``Status Epilepticus``.

Wetin na Status Epilepticus?

Fɔ tɔk am simpul wan, Status Epilepticus (SE) na wan sik wae pɔrsin kin gɛt kɔntinyu fɔ gɛt sik, ɔr kin gɛt sɔm kayn sik, wae nɔr kin gɛt bɛtɛ tɛm fɔ gɛt kɔnshɛns bak ɔr kin wɛl. Dis sik kin mɔs pan pipul dɛm wae gɛt epilepsy, bɔt pipul dɛm wae nɔr gɛt epilepsy kin gɛt dɛn kayn kɔntinyu sik ya bak bikɔs ɔf difrɛn kayn mɛrɛsin.

Dis na mɛdikal imejensi we kin mek pɔsin in layf de pan denja ɛn i nid fɔ go to dɔktɔ wantɛm wantɛm.

If yu ɔ pɔsin we yu de wit gɛt sik we de te pas fayv minit, ɔ if yu dɔn gɛt siriɔs sik ɛn nɔr dɔn gɛt ful kɔnshɛns bak, kɔl 1990 (ambulans) ɔ yu lokal imejensi nɔmba wantɛm wantɛm. Dis na impɔtant tin, bikɔs di kwik we yu gɛt tritmɛnt, na di mɔ i go fayn.

Udat dɛn dis kayn tin kin afɛkt mɔ?

Ɛnibɔdi kin gɛt sik we de mek i sik, ɛn di stetɔs ɛpileptik (SE) nɔ de pan am. Bɔt sɔm pipul dɛn kin gɛt am mɔ. Dɛn tin ya na:

• Ej: Yɔŋ pikin dɛn we nɔ rich wan ia yet ɛn big pipul dɛn we dɔn pas 60 ia kin gɛt dis sik. Bɔt, i kin apin pan ɛni ej. Dɛn tu ej grup ya de pan ay risk bikɔs ɔf ɔda mɛdikal kɔndishɔn dɛm we kin mek dɛn gɛt stetɔs ɛpileptik (SE) (luk di Kɔz ɛn Simptom dɛm).
• Jɛnda: Man dɛn kin gɛt dis sik smɔl.
• Fɔ gɛt epilepsy: Bɔrku pipul dɛm wae gɛt status epilepticus (SE) gɛt epilepsy. Dɛn dɔn si se bitwin 16% ɛn 38% pan di yɔŋ pikin dɛm ɛn bitwin 42% ɛn 50% pan di big pipul dɛm gɛt ɛpilepsi.

Aw dis sik kin kɔmɔn?

Status epilepticus (SE) nɔto kɔmɔn sik, bɔt na wan pan di kɔmɔn mɛdikal imejensi dɛm we gɛt fɔ du wit di bren. Masta sabi bukman dɛn se ɛvri ia, bitwin 7 ɛn 40 pipul dɛn kin gɛt dis sik ɛvri ia. Dat min se fɔ ɛgzampul, na Amɛrika, dɛn kin ripɔt bitwin 23,000 to 131,800 pipul dɛn we gɛt di sik ɛvri ia. bכt 2% pan כl di sik dεm we de sik de divεlכp to status epilepticus (SE), εn bכt 23% pan di nyu sik dεm de divεlכp to dis kכndyushכn.

Aw di status epilepticus de afɛkt di bɔdi?

Pan ɔl we di status epilepticus (SE) kin bigin na yu bren, i kin gɛt denja ifɛkt pan sɔm sistɛm dɛn ɔlsay na yu bɔdi. DisFɔ ɔndastand aw dis kin apin, i kin ɛp fɔ ɔndastand smɔl bɔt wetin na sik we de mek pɔsin sik.

Ifekt pan di bren

Di nɛv sɛl dɛn na yu bren we dɛn kɔl nyuron nɔ kin ebul fɔ faya fɔ lɔng tɛm we yu nɔ ebul fɔ kɔntrol. Jɔs lɛk aw ilɛktronik tin kin bɔn if i gɛt bɔku kɔrɛnt, na so di kɔnvulsiv aktiviti we dɛn nɔ kin kɔntrol we dɛn kɔl status epilepticus (SE) kin pwɛl yu nyuron dɛn. Bɔku tɛm, dis damej kin de sote go. Dis min se yu nɔ go ebul fɔ kɔntrol di pat dɛn na yu bren we bin dɔn pwɛl.

Efεkt dεm pan כda bכdi sistεm dεm

Insay status epilepticus (SE), yu ɔl bɔdi in mɔsul dɛn kin muv insay wan we we yu nɔ kin kɔntrol, we kin go ɔlsay. Dis kin mek yu bɔdi wam ɛn yu mɔsul dɛn kin taya. Yu bɔdi de tray fɔ kɔmpɛns bay we i de pul kemikal dɛn na yu blɔd. Bɔt dis kin jɔs ɛp fɔ smɔl tɛm.

If di status epilepticus (SE) de las fɔ lɔng tɛm, i kin afɛkt dɛn sistɛm ya na yu bɔdi:

• At: If di kεmikכl chenj dεm na di bכdi de te, dεn kin du bad insted fכ εp. Dis kin mek di at nɔ de bit ɔltɛm ɔ i kin ivin pwɛl di at. Sɔm sik kin mek di at slo (bradycardia) ɔ ivin stɔp ɔl (asystole).
• Mɔsul dɛn: Di mɔsul dɛn kin pwɛl we yu de du tin ɔltɛm, lɛk we yu de tray pasmak we yu de du ɛksɛsayz. Dis kin mek yu mɔsul ɛn ɔda sɔft tisu dɛn wund. If i rili bad, dis damej kin ivin mek yu mɔsul dɛn rɔtin.
• Kidni: Di ​​tin dεm we de kכmכt we di mכsul dεm we dεn dכn brok, na tכxik. Yu kidni kin filta smɔl pan dɛn tin ya, bɔt if di amount go ɔp, di kidni dɛn kin ful-ɔp ɛn i kin mek di kidni nɔ wok fayn.
• Brith: Status epilepticus (SE) kin ambɔg yu bak fɔ ebul fɔ blo. Dis kin mek di ɔksijɛn nɔ de na di bren ɛn bɔdi, ɛn dis kin mek pɔsin day leta. Pipul wae gɛt status epilepticus (SE) kin aspirayt wata bak frɔm dɛn bɛlɛ insay dɛn lɔng, we kin mek dɛn gɛt nyumonia ɛn infɛkshɔn.
• Di tɛmpracha na yu bɔdi we go ɔp: Jɔs lɛk aw yu gɛt ay fiva, di status epilepticus (SE) kin mek yu bɔdi in tɛmpracha go ɔp to di lɛvɛl we denja. Dis kin pwɛl ɔl yu bɔdi in sistɛm dɛn, mɔ di bren.

Wetin na di sayn dɛm we de sho se yu gɛt dis sik?

di simptom dεm fכ di status epilepticus (SE) de dipכnt pan di εria na di bren we dεn afekt. Bikɔs di sik kin apin na difrɛn pat dɛn na di bren, difrɛn kayn sik kin de. fכ du dat, difrεn sכbtayp dεm de fכ di status epilepticus (SE). Dɛn na:

• Konvulsiv stetכs εpileptikכs `(Kכnvulsiv SE)`:Dis kin bi we di tu say dɛn na di bɔdi kin jɔk ɛn shek we dɛn nɔ kin kɔntrol. Jɛnɛral tonik-klɔnik sik na di men kayn sik we kin mek pɔsin gɛt dis sik.
• Nonconvulsive status epilepticus `(Nonconvulsive SE)`: Insay dis, nכ jכk, trem, כ mכsul muvmεnt dεm we dεn nכ de kכntrol. Bɔt sɔm smɔl smɔl mɔsul dɛn kin muv. Fɔ ɛgzampul, we yu an ɔ pat pan yu fes twitch smɔl, lɛk we yu de muv sloslo fɔ ripit. dis `(Nonconvulsive SE)` kin kכz fכ di kayn sik dεm lεk `(Absence seizures)` εn `(Focal seizures)` we de afekt כnli wan limited pat pan di bren.

Wetin na di rizin dɛn we mek dɛn de du dis?

Di onli tin wae kin mek yu gɛt status epilepticus (SE) na wae pɔrsin kin gɛt sik. Tu men we dɛn de we pɔsin kin gɛt di sik:

• Provoked seizures: Dɛn kin kam wit ɔda tin ɔr tin wae kin mek pɔrsin fil bad. Fɔ ɛgzampul, yu kin gɛt ay fiva, yu kin lɛf fɔ drink rɔm ɔ yu kin tek drɔgs, yu blɔd shuga nɔ bɔku, yu kin gɛt strok, yu bren tumbu, ɛn yu gɛt ɛnsefalaytis. Dis kayn de mek 25% to 30% pan ɔl di sik dɛm we de mek pɔsin sik. If na di bren we dɔn pwɛl, dɛn kin kɔl am akyu simptomatic seizure, ɛn i kin gɛt ay risk fɔ mek i bi status epilepticus.
• Di sik wae nɔr kin mek pɔrsin fil bad: Dɛn sik ya nɔr kin si sayn fɔ wan ɔndalayn mɛdikal kɔndishɔn ɔr kɔz. Dɛn kin apin we pɔsin in bren kin izi fɔ mek i gɛt sik fɔ insɛf. Di sik wae kin kam insay sɛvin dez afta pɔrsin gɛt injury na in ed ɔr strok kin fɔdɔm bak insay dis kategori.

Spɛshal tin dɛn we kin mek pɔsin gɛt sik

Bɔrku rizin de wae mek pɔrsin kin gɛt sik wae de mɛk pɔrsin fil bad. Sɔm ej grup dɛn kin gɛt ay risk fɔ gɛt stetɔs ɛpileptik (SE) fɔ sɔm patikyula rizin dɛn. Dɛn tin ya na:

• Fiva, mɔ di ay fiva: Dɛn kɔl dɛn tin ya ``Febrile seizures'' ɛn na di men tin we kin mek pikin dɛn we nɔ rich wan ia gɛt sik.
• Strɔk, anɛrizm, ɛn blɔd we de kɔmɔt na di bren: Ɛni prɔblɛm we de wit di say we di blɔd de go ɔlsay we de pwɛl di bren ɔ we de ambɔg di bren wok kin mek pɔsin gɛt sik. Strɔk ɛn prɔblɛm dɛn we gɛt fɔ du wit am, lɛk di anɛrizm ɛn blɔd we de kɔmɔt na dɛn bren, na dɛn kin mek pipul dɛn we dɔn pas 60 ia gɛt sik.

Ɔda rizin dɛn:

• Bren tumor (inklud kansa).
• כksijεn we nכ de na di bren (Sεribral haypoksia).
• Sivεr ed injuri `(Sivεr kכnkyushכn εn traumatik bren injuri)`.
• Sik dɛm wae kin pwɛl di bren smɔl smɔl, fɔ ɛgzampul Alzaima sik ɔr frontotemporal dementia.
• Drug ɛn rɔm (dis inklud mɛrɛsin, drɔgs fɔ ɛnjɔy yusɛf, ɛn ivin kafin).
• Fɔ lɛf fɔ yuz drɔgs ɔ fɔ drink rɔm.
• Eklampsia na wan sik wae de mek yu gɛt ay blɔd prɛshɔn we yu gɛt bɛlɛ.
• Ilektrolayt prɔblɛm, mɔ we yu gɛt hayponatremia, we yu nɔ gɛt kalsiɔm ɔ magnɛsiɔm.
• Sɛnsitiviti to layt we brayt ɔ we de flash.
• Jεnεtik sik dεm (sik dεm we dεn kin gεt frכm di mama εn papa we dεn bכn am).
• di chenj dεm na di כmon dεm (fכ egzampl, katamenial epilepsy, we de afekt pipul dεm we gεt mεnstral saykl, kin mek dεn gεt mכr sik na sכm tεm dεm na di saykl).
• Infεkshכn (especially infεkshכn dεm we vayrus, baktri, parasayt, כ fεnshכn, lεk εnεfalaytis כ mεningaytis de kכz).
• Inflameshɔn we kin kam bikɔs ɔf di sik dɛn we de na di imyun sistɛm (we yu imyun sistɛm atak yu yon bren).
• di mεtabol prכblεm dεm, spεshal wan hεy bכdi shuga (Hyperglycemia) כ lכw bכdi shuga (Hypoglycemia).
• di prכblεm dεm wit di bren strכkchכ (sεf di wan dεm we de de we dεn bכn am).
• Sepsis (blɔd pɔyzin).
• Pɔyzin ɛn pɔyzin (lɛk kabon monoksayd pɔyzin ɔ hεvi mɛtal pɔyzin).

Aw dɛn kin no se pɔsin gɛt Status Epilepticus?

Dɔktɔ kin mek di fɔs diagnosis fɔ di status epilepticus (SE) bay di pɔsin in sik we de mek i sik, aw lɔng di sik bin tek, ɛn if inof tɛm bin de fɔ mek i wɛl bitwin mɔ pas wan sik we i sik. Bɔt i impɔtant bak fɔ no wetin mek di pɔsin bin gɛt di sik we bin mek i gɛt di sik we dɛn kɔl status epilepticus (SE). Bɔku tɛm, dis kin gɛt fɔ du wit difrɛn we dɛn.

Us tɛst dɛn kin du fɔ no dis sik?

εlektroεnsεfalogram (EEG) tεst na di bεst we fכ no εni sik, inklud di stetכs εpileptik (SE). Insay dis tɛst, dɛn kin put sɛns dɛn we dɛn kɔt wit wan jel we stika ɛn we de kɔndukt ilɛktrik na yu skel. dis jel de εp di sεns dεm fכ no di ilektrikal aktiviti na yu bren.

Dɔktɔ dɛn kin no if yu gɛt sik bay we dɛn de luk aw yu bren de wok. If pɔsin gɛt sik we de kɔntinyu fɔ sik, ɔ if i gɛt sɔm sik dɛn we de kam insay wan row, dɔktɔ kin no se i gɛt di sik we dɛn kɔl status epilepticus (SE). EEG rili impɔtant fɔ pɔsin we gɛt nɔ-kɔnvulsiv stetɔs ɛpileptik (Nɔnkɔnvulsiv SE).

Bɔt dɔktɔ nid fɔ no bak if di pɔsin in sik na ``Provoked'' ɔ ``Unprovoked.'' Dis kin nid fɔ du difrɛn tɛst ɛn ɛgzamin. Fɔ ɛgzampul:

• Blɔd tɛst: Dɛn tin ya kin no bɔku tin, lɛk we di mɛtabolik ɛn blɔd kemistri nɔ balans, prɔblɛm wit di imyun sistɛm, pɔyzin, ɛn pɔyzin.
• CT skan (Kɔmpyuta Tomografi - CT skan) tɛst.
• MRI (Magnetik Rɛsɔnans Imej - MRI) tɛst.
• Spinal tap / Lumbar pankchɔ.

Yu dɔktɔ kin tɛl yu bak fɔ du ɔda tɛst dɛn. Dis kin dipen pan bɔrku tin, lɛk if yu gɛt ɛni injury, yu mɛdikal histri, di kayn sik wae yu gɛt, ɛn ɔda tin dɛm. Yu dɔktɔ (ɔ pɔsin we yu pik fɔ disayd fɔ yu bɔt mɛrɛsin) go tɛl yu us tɛst dɛn we bɛtɛ fɔ yu, ɛn wetin mek.

Aw dɛn kin trit am? Yu tink se dɛn kin mɛn am?

Status epilepticus (SE) dεn kin trit am wit wan kכmbaynshכn fכ sεvεra mεtכd dεm. Dis na bikɔs di status epilepticus (SE) kin mek siriɔs ɔr layf de pan denja kɔmplikeshɔn wae kin afɛkt di ɔl bɔdi. Dɛn we ya na:

• Mɛrɛsin dɛn we dɛn kin yuz.
• Intubation we dɛn kin put insay pɔsin in bɔdi.
• Fɔ trit di ɔndalayn kɔz dɛm (if ɛni wan de).
• Adjɔnt tɛrapi we dɛn kin gi.

We di status epilepticus (SE) nɔ de ansa to tritmɛnt, dɛn kin kɔl am refractory SE. Bɔt, tritmɛnt dɛn stil de we yu go ebul fɔ du.

Mɛrɛsin dɛn we dɛn kin yuz

Mɛrɛsin impɔtant fɔ stɔp di sik we de mek yu sik na yu bren. Mεdikeshכn kin trit כda kכmplikεshכn dεm bak, lεk hat ritm prכblεm, we kin apin bikoz fכ di stetכs εpileptik (SE).

De mɛrɛsin wae dɛn kin yuse fɔ stɔp pɔrsin wae gɛt sik na:

• Benzodiazepines (Benzos): Dɛn drɔgs ya de wok bay we dɛn de blok di ilɛktrik wok we yu nyuron dɛn de du ɛn stɔp fɔ mek yu sik. Dɛn kin gi dɛn bay injɛkshɔn dairekt insay yu bɔdi, ɔ tru wan layn we dɛn kin put insay yu bɛlɛ (IV). Dɛn kin kam insay di we aw dɛn kin sprɛy na yu nos ɔ we dɛn kin yuz jel. dεn kin gi dεm bay mכt כ rεktal (di jel dεm kin izi fכ abzכp bay di tisu dεm na di mכt εn rεktum). Bɔku pan dɛn na fɔs layn drɔgs. Bɔt dɛn kin kip sɔm pan dɛn fɔ yuz we ɔda mɛrɛsin dɛn nɔ dɔn wok.
• Antiseizure mεdikeshכn: Bεnzodiazepin dεm nכmכ kin stכp di sik dεm כnli lεk 50% pan di tεm. Insay di ɔda 50% pan di kes dɛm, di sik kin bigin bak we di fɔs mɛrɛsin dɔn west. So, dɛn mɛrɛsin ya kin ɛp fɔ mek di sik nɔ kam bak fɔ lɔng tɛm. Di mɛrɛsin dɛn we de mek yu nɔ gɛt sik kin chenj bak di we aw yu bren de wok, ɛn dis kin mek di ilɛktrik wok we de na yu bren nɔ bɔku. Dɛn kin gi dɛn mɛrɛsin ya as IV.
• Jɛnɛral anestezi: We i kin rili bad, dɔktɔ dɛn kin yuz anestezi fɔ put pɔsin na kɔma we di mɛrɛsin dɔn mek. Dis de protεkt di pכsin in bren εn bכdi frכm di damej we de kכntinyu we di status epilepticus (SE) de kכz.

Intubation we dɛn kin put insay pɔsin in bɔdi

Intubation na we dεn put tכb insay pכsin in winda paip (bronchi ). Di tiub de mek shɔ se di pɔsin in winda paip de opin. I de alaw bak fɔ mek di mɛdikal wokman dɛn ebul fɔ blo fɔ yu bay we dɛn de yuz bag dɛn we dɛn kin yuz fɔ mek yu gɛt layf bak ɔ ventilator.

Fɔ trit di ɔndalayn kɔz dɛm

Wae pɔrsin gɛt provoked seizure, sɔmtɛm fɔ trit de ɔndalayn kɔz kin inof fɔ stɔp di seizure. Fɔ ɛgzampul, wae yu kin gɛt sik wae de kam bikɔs yu de tek mɛrɛsin, pɔyzin, wae yu nɔr de drink rɔm ɔr drɔg, ɔr yu gɛt prɔblɛm wit yu mɛtabolik lɛk wae yu gɛt bɔku ɔ smɔl sodium ɔ potassium.

Tritmɛnt dɛn we de mek pɔsin nɔ gɛt sik

Wan ɔda we na fɔ mek di sik nɔ kam, so dat go mek di stetɔs ɛpileptik (SE) nɔ apin igen. Sɔm pan di we dɛn we dɛn kin yuz fɔ mek dɛn nɔ gɛt sik (ɔ at ɔl fɔ ridyus di kayn we aw dɛn kin sik ɔ fɔ mek dɛn nɔ gɛt sik) na:

• Mɛrɛsin dɛn we dɛn kin yuz.
• Ɔpreshɔn we dɛn kin du fɔ mek pɔsin gɛt ɛpilepsi.
• chenj dεm na di it dεm (especially low or no carbohydrate ``Ketogenic diets'').
• fכ mek di nεv sεstem (lεk dip bren stimulashכn כ vagus nεv stimulashכn).

Ɔda tritmɛnt dɛn

Dipen pan yu patikyula kes ɛn di tin dɛn we de apin to yu, ɔda tritmɛnt ɛn prosidur dɛn kin de. Yu dɔktɔ (ɔ pɔsin we gɛt rayt fɔ disayd fɔ yu bɔt mɛrɛsin) go ebul fɔ tɛl yu us tritmɛnt we bɛtɛ fɔ yu ɛn ɛksplen wetin mek.

Wetin na de kɔmplikeshɔn ɔr sayd ɛfɛkt dɛm wae de tritmɛnt kin gɛt?

Di kɔmplikeshɔn ɔ sayd ɛfɛkt dɛm we kin apin frɔm tritmɛnt fɔ stetɔs ɛpileptik (SE) kin dipen pan bɔku tin dɛm. Dɛn tin ya na:

• Di mɛmori we yu nɔ ebul fɔ mɛmba.
• Prɔblɛm wit yu maynd (lɛk pwɛl hat ɛn/ɔ wɔri).
• Di spɛshal tritmɛnt we dɛn bin gɛt.
• Di tin wae kin mek yu gɛt di sik (if dɔktɔ kin fɛn am).
• Yu mεdikal histri εn εni mεdikal kכndyushכn wae yu bin gεt bifo.

Yu dɔktɔ na di bɛst pɔsin fɔ ɛksplen di prɔblɛm dɛn we kin apin ɛn di bad tin dɛn we kin apin to yu, ɛn i kin gi yu advays bak bɔt aw fɔ avɔyd ɔ stɔp dɛn if i pɔsibul.

Aw a go tek kia ɔf misɛf ɔ kɔntrol di sayn dɛm?

Status epilepticus (SE) na wan mɛdikal imejensi we kin mek pɔsin in layf de pan denja. Pipul wae gɛt dis sik nɔr kin ebul fɔ kia fɔ dɛnsɛf ɔr stɔp de sik dairekt wan. Di onli sef we fɔ no ɛn trit am na fɔ go na imejensi rum - ɔ ɔda imejensi mɛdikal fasiliti - we gɛt di ikwipmɛnt ɛn sapɔt dɛn we yu nid. Fɔ dɛn rizin ya, dis kɔndishɔn na rizin ɔltɛm fɔ kɔl 1990 (Imejɛnsi Mɛdikal Savis) ɔ yu lokal imejensi nɔmba ɛn go to dɔktɔ wantɛm wantɛm.

Aw lɔng e kin tek fɔ wɛl afta dɛn dɔn trit am?

Di tɛm we pɔsin kin wɛl frɔm di status epilepticus (SE) ɛn di tritmɛnt we i kin gɛt kin dipen pan bɔku tin dɛn. De impɔtant tin wae de sho aw fɔ wɛl na wetin mek yu gɛt yu stetɔs epilepticus ɛn aw lɔng i dɔn de go. Yu dɔktɔ na di bɛst pɔsin fɔ tɛl yu bɔt di tɛm we yu go wɛl pan yu kes.

Aw fɔ ridyus di risk fɔ gɛt status epilepticus?

Bɔrku tin de wae kin mek pɔrsin gɛt sik, bɔrku pan dɛn tin ya nɔr kin no. So, no we nɔ de fɔ mek yu nɔ gɛt sik ɛn status epilepticus (SE) kpatakpata. Bɔt we dɛn de fɔ mek yu nɔ gɛt bɔku sik. If yu du dat, i go ridyus di chans fɔ mek yu gɛt sik we de mek yu sik go bi status epilepticus (SE). Na sɔm tin dɛm wae yu kin du fɔ ridyus yu risk fɔ gɛt sik:

• Kip di mɛrɛsin fɔ sev yu na yu an: Fɔ di wan dɛm wae no se dɛn gɛt sik wae de mek yu sik, fɔ gɛt "rescue" mɛrɛsin na yu an kin mek big difrɛns. Fɔ ɛgzampul, benzodiazepines we kin kam insay wan sprɛy na yu nos. Sɔmbɔdi kin gi yu dɛn tin ya fɔ stɔp yu sik. Wan ɔda ɛgzampul na tablɛt we kin sɔlv na di mɔt. Yu kin tek dis bitwin di sik wae de kam fɔ stɔp sɔm kayn sik wae de kam. If ɔda pɔsin de gɛt sik, gi am di pil we dɛn gi am afta di sik dɔn stɔp.
• It fayn it ɛn mek yu gɛt wɛl bɔdi: Bɔku sik dɛn we gɛt fɔ du wit yu blɔd ɛn at wɛlbɔdi, mɔ we yu gɛt strok, kin pwɛl sɔm pat dɛn na yu bren. Dis na big tin we kin mek pipul dɛn we dɔn pas 60 ia gɛt sik we dɛn kɔl 60. If yu de manej yu it, dat kin ɛp bak fɔ mek yu nɔ gɛt sik we yu gɛt bikɔs ɔf ilɛktrɔlayt prɔblɛm (fɔ ɛgzampul, bɔku ɔ smɔl sodium). Sɔm pipul dɛn kin nid fɔ it tin dɛn we nɔ gɛt bɔku kabɔd ɔ we nɔ gɛt bɔku kabɔd fɔ mek dɛn nɔ gɛt sik. Dɔktɔ kin gayd ɛn ɛp yu wit dɛn it ya.
• Trit infekshɔn: I impɔtant mɔ fɔ trit infɛkshɔn na yu yay ɛn yes. Infεkshכn kin spre to di bren εn/כ mek yu gεt hεvi fiva. Dɛn tu tin ya kin mek yu gɛt sik.
• Wear safety gear: We yu wund na yu ed na di men tin we kin mek yu kɔnkyushɔn. If yu wɛr sef tin dɛn lɛk ɛlmɛt ɛn sit bɛlt ɛnitɛm we nid de, dat kin ɛp fɔ mek yu nɔ wund we go mek yu kɔnkyushɔn.
• Nɔ drink rɔm, mɛrɛsin, ɛn drɔgs fɔ ɛnjɔy yusɛf: If yu nɔ yuz dɛn tin ya di rɔŋ we, dat kin mek yu gɛt sik. Dɔn bak, if yu dɔn adikshɔn to dɛn tin ya, yu kin stil gɛt sik we yu dɔn stɔp fɔ yuz dɛn.
• Manej yu wɛlbɔdi kɔndishɔn: If yu de manej di sik dɛn we nɔ de mɛn, dat kin ɛp fɔ mek yu nɔ gɛt sik, mɔ di wan dɛn we kin kam bikɔs yu gɛt bɔku shuga na yu blɔd, lɛk tayp 1 dayabitis ɛn tayp 2 dayabitis. If yu gɛt epilepsy, fɔ tek mɛrɛsin fɔ mek yu nɔ gɛt sik na pat bak pan yu sik mɛnejim.

Wetin a kin ɛkspɛkt if a gɛt stetɔs ɛpileptik?

If yu gɛt status epilepticus `(SE)`, yu kin lɔs kɔnshɛns bikɔs di sik kin ambɔg yu bren in aktiviti. We yu gɛt sik, yu bren nɔ de wok fayn, ɛn dis kin mek yu nɔ ebul fɔ ɔndastand wetin de apin ɔ du ɛnitin bay wilful. di εksakεt ifekt dεm pan yu bכdi dipכnt pan di kayn sik we de mek yu gεt di stetכs εpilepticus `(SE)`. Pipul wae gɛt status epilepticus `(SE)` kin wund dɛnsɛf bak bay wae dɛn fɔdɔm ɔr bɔmp pan tin dɛm wae de nia dɛm.

Aw lɔŋ di stetɔs ɛpileptik kin las?

Status epilepticus (SE) kin las fɔ at le fayv minit. Di mɔ we di sik de te, na di mɔ i nɔ go stɔp fɔ insɛf. Dis min se di status epilepticus (SE) go mɔs las te pɔsin day bikɔs ɔf di ifɛkt dɛm we dis kɔndishɔn gɛt.

Wetin na di lukin-grɔn fɔ dis sityueshɔn?

Status epilepticus (SE) na mɛdikal imejensi bikɔs i kin kil pɔsin if dɛn nɔ trit am. Bɔt di tritmɛnt we dɛn kin gɛt dɔn rili bɛtɛ. Tide, di status epilepticus (SE) nכmכ de kil insay כnli 0.5% to 2% pan di kes dεm.

Tipikli, yכng pikin dεm εn bεlε pikin dεm we de divεlכp status epilepticus (SE) frכm fεbril sεiz dεm gεt di bεst כutluk. Bɔt if i apin wit siriɔs sik lɛk strok, di risk fɔ day (we na frɔm di status epilepticus (SE) ɔ frɔm ɔda sik dɛm) kin go ɔp. Dis na di rizin we mek di rεt fכ sכvayv fכ status epilepticus (SE) de lכw pan big pipul dεm we pas 60 ia.

Aw a go tek kia ɔf misɛf? (Fɔ mek yu nɔ gɛt sik dɛn we de mek yu sik)

If yu gɛt histri fɔ status epilepticus (SE), fɔ mek yu nɔ gɛt sik na di impɔtant tin we yu kin du fɔ kia fɔ yusɛf. De impɔtant tin wae yu kin du fɔ mek yu nɔr gɛt sik na:

• Kip di mɛrɛsin dɛn we yu go yuz fɔ sev yu: If yu gɛt di mɛrɛsin dɛn we yu dɔktɔ dɔn tɛl yu fɔ ɛp yu, kip dɛn wit yu ɔltɛm. Nɔ kɔmɔt na os we dɛn nɔ de. Kip kad wit yu kɔndishɔn ɛn ɛni mɛrɛsin we yu nid ɔ alɛji, ɔ tink bɔt fɔ wɛr breslɛt fɔ infɔmeshɔn bɔt mɛrɛsin. Dis kin fayn fɔ ɛp fɔs ɛdman dɛn if yu nid mɛrɛsin ɛn nɔbɔdi nɔr de nia yu fɔ no bɔt yu sik.
• Tek yu mɛrɛsin lɛk aw dɛn tɛl yu fɔ tek am: If yu tek yu mɛrɛsin fɔ mɛn yu sik kin ɛp fɔ ridyus di frɛkuɛns ɛn di kayn we aw yu kin sik. Dis impɔtant fɔ mek yu nɔ gɛt stetɔs ɛpileptik (SE). Ivin if yu fil fayn ɔ yu nɔr dɔn gɛt sik fɔ lɔng tɛm, yu nɔ fɔ ɛva stɔp fɔ tek yu mɛrɛsin dɛn. Yu fɔ jɔs stɔp fɔ tek dɛn wit yu dɔktɔ in advays.
• Tɔk to yu dɔktɔ bɔt di tin dɛn we yu go ebul fɔ du: If yu want fɔ ridyus di mɛrɛsin we yu de tek ɔ chenj to ɔda mɛrɛsin, yu dɔktɔ go tɛl yu if i pɔsibul ɛn wetin yu go ebul fɔ tek. If i pɔsibul fɔ stɔp ɔ chenj, yu dɔktɔ kin ɛp yu fɔ du am sef wan.
• Si yu dɔktɔ ɔltɛm: Yu dɔktɔ go mek wan schedule fɔ yu fɔ si. Dɛn apɔntinmɛnt ya impɔtant mɔ fɔ mɛn yu sik ɛn fɔ fɛn di rayt mɛrɛsin ɔ tritmɛnt.
• Nɔ ignore di sayn dɛm: Yu dɔktɔ kin ɛp yu fɔ no di sayn dɛm wae de wɔn yu ɔr di sayn dɛm wae kin kam bifo yu gɛt sik. If yu notis ɛni chenj pan yu sik wae gɛt fɔ du wit yu sik ɔr aw yu mɛrɛsin dɛn de wok fayn, yu fɔ tɛl yu dɔktɔ.
• Nɔ mek tin dɛn we kin mek yu sik: If yu gɛt tin dɛn we kin mek yu gɛt mɔ sik, lɛk brayt layt ɔ nɔ slip, avɔyd dɛn tin dɛn de ɛnitɛm we i pɔsibul.

Ustɛm a fɔ go na di Imejɛnsi Dipatmɛnt (ETU) ?

Status epilepticus `(SE)` na wan mεdikal imejensi. If yu gɛt status epilepticus `(SE)`, yu nɔ go ebul fɔ kɔl 911 (Imergency Medical Service) yusɛf, so fɔ mek ɔda pɔsin du am, i kin mek big difrɛns. If yu gɛt histri bɔt di sik we dɛn kɔl epilepticus `(SE)` ɛn yu de pan denja fɔ gɛt am bak, i kin fayn fɔ tɔk to yu famili, pipul dɛn we yu lɛk, yu kɔmpin wokman dɛm, ɛn padi dɛm. If yu mek dɛn no ustɛm fɔ go fɛn ɛp, dat go sev yu layf ɔ ɔda pɔsin in layf.

If pɔsin we yu de wit gɛt sik we de te pas fayv minit, ɔ if i dɔn gɛt pas wan sik ɛn nɔ wɛl, kɔl 1990 (Imejɛnsi Mɛdikal Savis) ɔ yu lokal imejensi nɔmba wantɛm wantɛm. Di kwik we pɔsin gɛt tritmɛnt fɔ di stetɔs ɛpileptik (SE), na di mɔ di chans fɔ gɛt gud autkam.

Wetin a go du if pɔsin we de wit mi gɛt sik we de mek i sik?

If pɔrsin wae yu de wit de gɛt sik wae de mɛk yu gɛt sik, sɔm tin de wae yu kin du as pat pan fɔs ɛp fɔ sik wae yu de fil. If di sik dɔn pas fayv minit, ɔ if di pɔsin gɛt ɔda sik bifo i wɛl ɔl, kɔl 1990 (Imejɛnsi) ɔ yu lokal imejensi nɔmba wantɛm wantɛm.

Na sɔm tin dɛm wae yu fɔ du ɛn nɔr fɔ du wae pɔrsin gɛt sik wae de mɛk yu gɛt sik:

Tin dɛn fɔ du:

• Chek if i ebul fɔ blo: Lus di klos we de rawnd in nɛk ɛn mek shɔ se i de blo.
• Kip tin dɛn we denja frɔm am: Dis kin inklud tin dɛn we kin brok ɔ fɔdɔm ɛn wund am. If i wɛr glas, tek tɛm pul am ɛn put am nia de.
• Turn am insay di `Rɛskɔ pozishɔn`:Turn di pɔsin na dɛn sayd. dis posishכn de εp fכ protεkt dεn aywe εn i de mek dεn nכ inhal wata lεk saliva כ vכmit. Tray fɔ mek dɛn ed de layn wit dɛn spayna (wit dɛn an we dɛn strɛch, pilo, ɔ ɔda tin ɔnda dɛn ed), if nɔto dat, di angul we dɛn nɛk gɛt go blok di say we dɛn de blo ɛn mek i nɔ izi fɔ blo.
• Taym di sik we yu gɛt as klos as yu ebul: Fɔ tɛl dɔktɔ aw lɔng di sik bin tek kin bi rili impɔtant infɔmeshɔn. I kin ɛp bak fɔ no if dɛn nid fɔ go to dɔktɔ kwik kwik wan.
• Stay wit dɛm as dɛn de wɛl frɔm wan sik: Pipul wae dɔn gɛt sik kin kɔnfyus ɛn frayd as dɛn de wɛl frɔm dɛn sik. Ɛp dɛn fɔ kɔrej dɛn ɛn mek dɛn gɛt kɔrej.
• Chek if di pɔsin fayn afta i dɔn gɛt kɔnshɛns bak: If i gɛt ɛni injury afta di sik, si if i nid fɔ go to dɔktɔ. If di pɔsin dɔn hit in ed, ɔ if risk de fɔ wund in ed, nɛk, ɔ bak, di tin we sef fɔ du na fɔ go to dɔktɔ ɛn mek shɔ se no siriɔs injuri nɔ de we yu nɔ go ebul fɔ si.
• Sik ɛp if di pɔrsin nɔr wɛl insay 10-15 minit: If di pɔrsin nɔr wɛl fɔ pas 10-15 minit afta di sik dɔn stɔp, ɔr if dɛn nɔr de fil fayn, yu fɔ go to dɔktɔ kwik kwik wan. Dis kin bi sayn fɔ se di sik de kɔntinyu, ivin if di bɔdi nɔ de muv.

Tin dɛn we yu nɔ fɔ du:

• Nɔ Panik: Stay wit yu at. If ɔda pipul dɛn we de nia yu de fred, tɔk to dɛn wit kol at ɛn tray fɔ kɔrej dɛn di bɛst we aw yu ebul.
• Nɔ ``Restrain`` pɔsin we gɛt sik: yu kin du di pɔsin ɔ yusɛf bad.
• Nɔ put ɛnitin na pɔsin in mɔt we gɛt sik: Bɔku lay lay stori dɛn de bɔt sik ɛn ɛpilepshi. Wan lay lay stori na dat, if pɔsin put sɔntin lɛk bɛlt ɔ spun na in mɔt, dat go mek i nɔ swɛla ɔ bit in tɔŋ. Nɔ du dis. Yu nɔ fɔ ɛva put ɛnitin na pɔsin in mɔt we gɛt sik. Yu kin du dɛn ɔ yusɛf bad.

Wetin a fɔ du if a fil lɛk se a gɛt sik we de mek a sik?

Bɔrku pipul kin gɛt sayn wae de wɔn dɛn wae dɛn de kam fɔ gɛt sik. If yu tink se yu de gɛt sik, yu kin du dɛn tin ya fɔ rɛdi ɛn protɛkt yusɛf:

• Mek yusɛf sef as yu ebul: Sidɔm ɔ ledɔm so dat yu nɔ go fɔdɔm ɛn wund yusɛf. If yu de du sɔntin lɛk fɔ drayv motoka, fɔ yuz ebi ebi mashin, ɔ fɔ yuz wɛpɔn, yu fɔ stɔp fɔ du am bak.
• Kɔl pɔsin we yu trɔst ɛn aks fɔ ɛp: tɛl am usay yu de ɛn aw fɔ fɛn yu.
• If yu nɔr ebul fɔ tɔk to pɔrsin wae yu sabi, tɛl pɔrsin wae de nia yu: Fɛn pɔrsin wae gɛt pɔrsin wae gɛt rɛspɔnsibiliti ɔr gɛt pawa ɛn tɛl dɛm se yu tink se yu de gɛt sik. Fɔ ɛgzampul, yu kin tɛl polisman, sikyɔriti gad, ticha, ɔ pɔsin we de wok na di stɔ.

Sɔma ɛn Mɛsej we dɛn kin kɛr go na os

Status Epilepticus (SE) na wan mɛdikal imejensi we kin mek pɔsin in layf de pan denja we kin apin we pɔsin we gɛt sik dɔn pas fayv minit, ɔ we i nɔ gɛt bɛtɛ tɛm fɔ mek i wɛl ɔl we i gɛt sik. Fɔ de pan denja fɔ gɛt sik ɛn stetɔs ɛpileptik (SE), ɔ fɔ si pɔsin we yu lɛk we gɛt sik fɔ lɔng tɛm, kin mek yu wɔri ɛn fred.

Bɔt if dɛn trit dɛn kwik kwik wan, bɔku pipul dɛn kin liv ɛn wɛl frɔm dis sik. If dɛn kɔntinyu fɔ gɛt mɛrɛsin, mɛrɛsin, ɛn ɔda tritmɛnt, bɔrku pipul dɛm wae gɛt histri fɔ gɛt status epilepticus (SE) kin wɛl ɛn gɛt layf bak.

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Mɛmba se if pɔsin gɛt sik we de te pas 5 minit ɔ i nɔ no bak bitwin di sik we i gɛt, kɔl 911 ɔ wan imejensi mɛdikal savis wantɛm wantɛm!

` Size, status epilepticus, epilepsy, bren, imejensi tritmɛnt, simptom dɛm, fɔs ɛp