Ɛnibɔdi na yu famili dɔn gɛt siriɔs sik lɛk dis? Lɛ wi lan bɔt Tonic-Clonic (we dɛn kin kɔl bak Grand Mal) we kin mek pɔsin sik!

Yu dɔn ɛva si pɔsin we de jɔk wantɛm wantɛm ɛn nɔ no natin? Dɛn kin ivin drɔl. Wi ɔl kin fred we wi si dis kayn tin, nɔto so? Bɔrku kayn sik de wae kin apun dis kayn wae. Tide wi go tɔk bɔt di Tonic-Clonic (Grand Mal) seizure, we na wan kayn sik we kin tranga smɔl bɔt we bɔku pipul dɛn sabi. Lɛ wi si wetin na in rili, wetin mek i kin apin, wetin na di sayn dɛm, ɛn wetin wi fɔ du pan dis kayn tin.

Wetin na tonic-clonic ɔ grand mal seizure?

Fɔ tɔk am simpul wan, tonic-clonic seizure na bad bad sik we di mɔsul dɛn na di tu say dɛn na wi bɔdi kin wok wantɛm wantɛm ɛn kin twitch. Dis na di kayn we we bɔku pipul dɛn kin tink bɔt we dɛn yɛri di wɔd "seizure" ɛn i izi fɔ no. Dɛn bin de kɔl am "Grand Mal." Na Frɛnch wɔd we min sɔntin lɛk "big sik."

di nem "Tonic-Clonic" sho se dis seizure gεt tu men fεz dεm.

1. Tonic phase: Dis na we di mכsul dεm na di כl bכdi, spεshal wan di an εn leg dεm, de tayt wan wan.

2. Klonik faz: Dis kin fala di bכdi jכk, כ kכnvulshכn.

Aw dis sik difrɛn frɔm ɔda kayn sik ɛn ɛpilepshi?

Bɔku kayn sik dɛn de we kin mek pɔsin sik. Sɔm pan dɛn gɛt di sem nem, ɛn dis kin mek pɔsin kɔnfyus. Lɛ wi tek tɛm luk di men tin dɛn we difrɛn:

• Atonic seizures: Dɛn kin kɔl am bak "drop attacks," dis na sɔdɛn, involuntary muscle contractions we kin mek di pɔsin fɔdɔm na grɔn. Dis kin mek di risk fɔ mek pɔsin wund bikɔs i fɔdɔm.
• Tonic seizures: Dɛn tin ya tan lɛk tonic-clonic seizures, bɔt di clonic phase, ɔ jerking, nɔ kin apin. Di pɔsin kin lɔs kɔnshɛns ɛn stif, bɔt nɔ de jɔk.
• Klɔnik sik: Dis na sik we kin apin we nɔ gɛt tonik faz, ɛn wantɛm wantɛm i kin go insay klonik faz. Dis min se di bɔdi nɔ de stif, bɔt bifo dat, i kin bigin fɔ jɔk ɛn i kin ivin lɔs in kɔnshɛns.
• Myoclonic seizures: Dis na we wan mɔsul grup de jɔk wantɛm wantɛm. I tan lɛk se ilɛktrik shɔk dɔn bit yu. If i afɛkt di leg dɛn, yu kin ivin fɔdɔm. (Bɔt na smɔl tin ya: We wi jɔs de jɔk wi bɔdi wantɛm wantɛm we wi de go slip, dɛn kin kɔl am `myoclonic jerk.' Na nɔmal tin, nɔto fɔ mek pɔsin sik ɔ fɔ gɛt ɛpilepsi. )
• Epilepsy: Epilepsy na wan sik wae de kam na yu bren wae kin mek yu gɛt sik wae de kam ɔltɛm, wae yu nɔr kin ɛksplen. Dɔktɔ dɛn kin no if pɔsin gɛt ɛpilepsi bay we dɛn:Dɛn kin du am if yu dɔn gɛt at le tu tɛm we yu nɔ bin dɔn mek yu sik insay di tɛm we pas 24 awa, ɔ if yu dɔn gɛt wan sik ɛn i gɛt bɔku prɔblɛm fɔ gɛt ɔda wan insay di nɛks 10 ia.

Udat dɛn kin afɛkt mɔ pan dis sik? Aw i kɔmɔn?

Ɛnibɔdi kin gɛt dis sik, bɔt sɔm pipul dɛn kin gɛt dis sik. Di sik kin kam pan yɔŋ pikin dɛm ɛn pipul dɛm wae dɔn pas 65 ia.

Ɔl togɛda, lɛk 25% pan di pipul dɛm wae gɛt sik kin gɛt tonik-klɔnik sik. Frɔm wetin dɛn dɔn lan na Amɛrika, lɛk 11% pan pipul dɛn go gɛt sik we dɛn kɔl epilepsy. Na lɛk 1% pan di sik pipul dɛm we kin kam na di imejensi dipatmɛnt na di wan dɛm we kin kam bikɔs ɔf di sik we dɛn kin gɛt.

Aw dis sik kin afɛkt di bɔdi?

Seizure na chenj ɔr nɔr de wok fayn na di we aw wi bren sɛl dɛm we dɛn kɔl nyuron de sɛn ilɛktrik signal. We pɔsin de sik, dɛn nyuron dɛn ya kin kɔntinyu fɔ faya we dɛn nɔ ebul fɔ kɔntrol, ɛn dis kin go to ɔda nyuron dɛn.

tכnik-klonik sik na `jεnarכl sik`. Dis min se i kin afɛkt ɔl tu di say dɛn na di bren. Dis kin mek i nɔ de no natin, di mɔsul dɛn kin wik ɔlsay na di bɔdi, ɛn di muvmɛnt dɛn we pɔsin nɔ kin ebul fɔ kɔntrol lɛk fɔ jɔk ɛn shek.

Status Epilepticus - Dis na denja!

Impɔtant: If pɔsin gɛt sik we de te pas fayv minit, ɔ if wan sik dɔn ɛn ɔda wan kam jɔs bifo i gɛt kɔnshɛns bak, dɛn kin kɔl am status epilepticus . Dis na mɛdikal imejensi we kin mek pɔsin in layf de pan denja! I kin mek yu bren pwɛl sote go ɛn ivin day.

Na lɛk 98% pan di sik dɛn we kin mek pɔsin sik kin dɔn insay lɛs pas fayv minit. Status epilepticus kin apin fɔ ɛni rizin we kin mek yu gɛt sik.

If pɔsin gɛt sik we de mek i sik we de te pas 5 minit we yu de de, ɔ if ɔda wan apin bifo di fɔs wan dɔn, duya kɔl 1990 (Sri Lanka in imejensi ambulans savis) wantɛm wantɛm, ɔ kɛr am go na di ɔspitul we de nia yu. If di status epilepticus de te, i kin tranga fɔ mek dɔktɔ dɛn stɔp am, ɛn chans de fɔ mek di bren pwɛl.

Wetin na di sayn dɛm fɔ tonic-clonic seizures?

We bɔku pipul dɛn kin tink bɔt "seizures," dɛn kin tink bɔt tonic-clonic seizures. Bɔrku tɛm, de sayn dɛm nɔr kin sote ɛn i kin izi fɔ no. Tri men stej dɛn de:

1. Tonik faz (lɛk 10-30 sɛkɔn):

• If na so i bi, yu nɔ kin no natin wantɛm wantɛm.
• Di mɔsul dɛn na di wan ol bɔdi, mɔ di an ɛn leg dɛn kin tayt. I kin tan lɛk se di bɔdi bɛn bak ɛn di bɛlɛ de kɔmɔt na do.
• As di mɔsul dɛn we de blo de tayt, di briz kin kɔmɔt na di lɔng dɛn, ɛn mek sawnd we de mek pɔsin wispa.
• If yu fɔdɔm dis tɛm, ɔ if yu klem yu tit ɛn bit yu tɔng , yu kin wund.

2. Klonik fεz (30-60 sekכnd, sכmtεm i lכng pas dat):

• Dis na we di wan ol bɔdi bigin fɔ shek ɛn shek (kɔnvulshɔn).
• Yu kin spit bak di mכkus na yu mכt.
• Di nɔys dɛn de stɔp smɔl smɔl, ɛn smɔl smɔl dɛn de stɔp.
• we dis stej dכn, di urine εn di fεs kin kכmכt, we min se dεn kin gεt pan klos.

3. Fεz fכ rεkכvεshכn afta yu gεt sik (lεk 30 minit):

• Bɔrku pipul dɛn kin gɛt kɔnshɛns bak smɔl smɔl afta di sik dɔn dɔn.
• Bɔt yu kin fil kɔnfyus, yu ed kin at, ɔ yu bɔdi kin at . Dɛn tin ya na nɔmal tin.
• Sɔm siriɔs kes dɛm, mɔ if wan kɔndishɔn lɛk `Status epilepticus` apin, i kin tek lɔng tɛm fɔ mek yu gɛt kɔnshɛns bak.

Wetin na fokal seizure ɛn aura?

Bɔrku pipul kin gɛt filin, wan tin wae de kam bifo, bifo dɛn gɛt sik. Dɛn kɔl dis wan `prodrome`. Sɔntɛnde dis fɔs fɔs tin kin kam wit wan `aura`. Aura na di sɛns we pɔsin kin fil se sɔm pat dɛn na di bren kin afɛkt we pɔsin bigin fɔ sik.

Jɛnɛral sik, lɛk tonik-klɔnik sik, nɔ gɛt aura. כltu, fכkal sik dεm – di sik we de afekt כnli wan say na di bren – kin sכmtεm spre to di כl bren εn bi tכnik-klonik sik. di aura we de bifo di fokal sik kin bi wɔnin sayn se tonik-klonik sik de kam.

Wan aura kin gɛt dɛn kwaliti ya:

• Sεns dεm: If di pat dεm na yu bren we de kכntro yu sεns dεm afekt, yu kin gεt lay lay sεns dεm we yu de rili si כ yεri. Fɔ ɛgzampul, yu kin si layt dɛn we gɛt kɔlɔ, si tin dɛn we de muv, yɛri sawnd, yu kin fil strenj tin dɛn we yu kin lɛk ɛn smɛl, ɔ yu kin fil sɔntin we de muv na yu skin.
• Di chenj na di filin: Sɔm pipul kin gɛt bad bad filin lɛk fɔ fred ɛn wɔri. Ɔda pipul dɛn kin fil fayn lɛk gladi at ɛn gladi at. Sɔm kin gɛt filin lɛk `déjá vu` (filin fɔ no bɔt nyu ɛkspiriɛns) ɔ `jamais vu` (filin fɔ no bɔt nyu ɛkspiriɛns).
• Autonomic symptoms: Dɛn kin afɛkt di tin dɛm wae wi bɔdi kin kɔntrol fɔ insɛf. Fɔ ɛgzampul, we pɔsin de swet, we i de salv pasmak, we in skin de shayn ɔ we de rɛd, ɛn we i de tɔn agens di bɛlɛ.

Wetin kin mek yu gɛt tonic-clonic seizures?

Bɔrku rizin kin de fɔ dis sik. Lɛ wi tek tɛm luk di men wan dɛn:

• wiknes dεm na di bכdi vεsul dεm na di bren (`Aneurysms`).
• di at ritm we nכ de rεgεl (`Arrhythmias`), spεshal wan we di bכdi fכ fכlכ to di bren nכ de wok fayn.
• Bren tumor (kansa ɛn nɔ gɛt kansa).
• כksijεn we nכ de na di bren (`Sεribral haypoksia`).
• Injuri wae kin kam wae yu blo yu ed bad bad wan (konkyushɔn ɛn traumatik bren injuri).
• Sik dεm we de wik sכmtεm di bren, fכ egzampl. Alzaima sik, frɔntotemporal dimɛnshɔn.
• Drug ɛn rɔm (dis nɔto jɔs mɛrɛsin, drɔgs fɔ ɛnjɔy yusɛf, bɔt ivin di kafin we de insay kɔfi).
• Kɔndishɔn wae kin apin afta yu dɔn stɔp fɔ tek drɔgs ɔr rɔm.
• Eclampsia (na wan sik we uman dɛn we gɛt bɛlɛ kin gɛt sik bikɔs dɛn gɛt ay blɔd prɛshɔn).
• imbalans na di bכdi sכlt dεm (spεshal wan lכw sכdiכm - `hayponatremia`, lכw kalsiכm, magnεsiכm).
• Fiva, mɔ di ay fiva (wi gɛt wan sɛpret atikul bɔt fiva sik we pikin dɛn kin gɛt).
• Brayt, flashin bim dɛn fɔ layt (as yu kin si am na TV, fim, vidio gem dɛn).
• Di sik dεm we dεn kin bכn wit jεnεtik (`Jεnεtik dizכrd`).
• כmon chenj dεm (e.g., katamenial epilepsy, wan kכndyushכn we sכm uman dεn kin gεt mכr sik we dεn de mεnstral saykl).
• Infεkshכn (especially encephalitis כ meningitis; dis kin kכz bay vayrus, baktri, parasayt, כ fכn).
• כtoimyun kכndishכn dεm we de kכz fכ dizכrd dεm na di imyun sistεm.
• Nɔ slip ɛn ɔda prɔblɛm dɛn we kin mek pɔsin slip.
• di mεtabolik prכblεm dεm (sεf di hכy bכdi shuga - `haypa glycemia` כ lכw bכdi shuga - `haypoglycemia`).
• di mεntal hεlth prכblεm dεm (dεn kכl dεn tin ya `saykojεnik sεiz`, fכ egzampl `kכnvכshכn dizכrd`).
• di prכblεm dεm wit di bren strכkchכ (spεshali biכs fכ di prכblεm dεm we de apin we di bren de divεlכp na di bεlε).
• Sepsis (na wan sik we de mek pɔsin in layf de pan denja we infεkshɔn de skata ɔlsay na di bɔdi ɛn di imyun sistɛm de riak pasmak).
• Strɔk ɔ transiɛnt ischemic atak (TIAs).
• Pɔyzin (e.g. kabɔn monoksayd pɔyzin, hεvi mɛtal pɔyzin).

Seizures we dɛn kin provok ɛn we nɔ provoked

We dɔktɔ dɛn no se pɔsin gɛt sik, dɛn kin luk bak if i `provoked` ɔ `unprovoked`.

• Provoked seizures: Dɛn kin apin as sayn fɔ ɔda mɛdikal kɔndishɔn ɔ fɔ ansa to wan patikyula tin (e.g., ay fiva, lɔw blɔd shuga, lɛf fɔ tek mɛrɛsin, drɔgs, ɔ rɔm).
• Di sik wae nɔr kin mek pɔrsin fil bad: Dis na sik wae nɔr kin apun as sayn fɔ sɔm kayn sik wae de sik fɔ shɔt tɛm ɔr sɔm patikyula tin wae apin. Di sik wae kin kam afta sɛvin dez, lɛk afta yu gɛt injury na yu ed ɔr yu strok, dɛnsɛf kin fɔdɔm insay dis kategori.

Yu tink se di sik we dɛn kɔl tonic-clonic seizures kin pas?

Nɔ, tonik-klɔnik sik nɔ kin pas.Bɔt sɔm tin dɛn, lɛk infɛkshɔn we kin mek pɔsin gɛt sik kin mek pɔsin gɛt sik (pan ɔl we nɔto ɔl infɛkshɔn kin mek pɔsin gɛt sik). Dɔn bak, sɔm tin dɛn we kin mek pɔsin gɛt sik na in jɛnɛtiks (dɛn kin pas frɔm mama ɛn papa to pikin dɛn).

Aw dɛn kin no se pɔsin gɛt tonik-klɔnik sik ?

Bɔku tɛm, yu dɔktɔ, we kin bi nyurolɔjis, kin no se yu gɛt tonic-clonic seizure bay di sayn dɛm. Bikɔs yu nɔ kin no natin we yu gɛt dis sik, yu kin jɔs mɛmba wetin yu bin fil bifo ɛn afta di sik. If na so i bi, di dɔktɔ kin aks pɔsin we bin de wit yu fɔ ɛksplen wetin apin.

If yu si pɔsin we gɛt sik, mɔ if i stif, i de shek shek, ɔ i de shek, dɔktɔ kin aks yu fɔ tɔk bɔt di sayn dɛm. We yu tɛl dɛn wetin yu si, dat kin rili ɛp yu fɔ no wetin mek yu de si am.

Us kayn tɛst dɛn kin du?

Bɔku tɛst dɛn de fɔ no if yu gɛt tonic-clonic seizures ɔ yu nɔ gɛt. Di tɛst dɛn we dɛn kin du mɔ na:

• ilektroεnsεfalogram (EEG): Dis de mכsu di ilektrikal aktiviti na di bren.
• Blɔd tɛst: Dɛn tin ya kin luk fɔ tin dɛm lɛk di mɛtabolik disɔda, blɔd kemikal imbalans, imyun sistɛm prɔblɛm, ɛn pɔyzin.
• Kɔmpyuta tomografi skan (CT skan): I de tek krɔs-sekshɔn imej dɛn fɔ di bren.
• Magnetic resonance imaging (MRI): Dis kin tek ditayla imej bak fɔ di bren.
• Spinal tap (lumbar pancture): Fɔ chɛk fɔ tin dɛn lɛk infɛkshɔn na di bren ɛn spɛshal kɔd.

We dεn de no se yu gεt epilepsy, dכkta dεn kin tray fכ fכn wan spεshal ples na di bren (wan `focal point`) usay di sik dεm kin bigin. If dɛn kin fɛn dis ples, i kin gɛt big impak pan di we aw dɛn kin du di tritmɛnt.

Tonic-clonic seizures kin mek yu nɔr no natin, yu jaw kin klem, ɛn yu kin gɛt injury wae yu jolt ɔr hit tin. If dɔktɔ dɛn tink se ɔda injury ɔ kɔmplikeshɔn dɛn de we di sik gɛt, dɛn kin ɔda fɔ mek dɛn du ɔda tɛst dɛn apat frɔm di wan dɛn we dɛn rayt ɔp. Yu dɔktɔ go ebul fɔ tɛl yu us tɛst dɛn we fit fɔ yu sik ɛn wetin mek dɛn de du am.

Aw dɛn kin trit tonic-clonic seizures? Yu tink se dɛn go ebul fɔ mɛn dis?

Tonic-clonic seizures kin stɔp fɔ dɛnsɛf. So, no dairekt tritmɛnt nɔr de fɔ di sik wae de kam pan pɔrsin wae de sik wae i de apun. Bɔt i difrɛn if yu gɛt status epilepticus (na sik we kin tek pas 5 minit ɛn we kin fala ɔda wan bifo di wan we bin de bifo dɔn dɔn).

Di tritmɛnt fɔ di sik we dɛn kin gɛt kin dipen pan wetin mek dɛn gɛt am fɔs. If yu gɛt `provoked seizure`, di sik fɔ stɔp wans di ɔndalayn kɔndishɔn we mek dɛn dɔn trit ɔ wɛl. If dɛn nɔ ebul fɔ mɛn di tin we de mek pɔsin sik, dɔktɔ dɛn go tray fɔ ridyus di frɛkuɛns ɛn di kayn we aw di sik kin tranga.

Bɔku tɛm, dɔktɔ dɛn nɔ kin se yu fɔ trit di fɔs pɔsin we nɔ gɛt ɛnitin fɔ du wit am bikɔs no we nɔ de fɔ no fɔ tru if ɔda sik go apin, ɛn if na so i bi, i nɔ gɛt ɛni bɛnifit fɔ trit am.

Dɔktɔ dɛn kin no if yu de pan denja fɔ gɛt ɔda sik bay we dɛn luk yu mɛdikal histri, EEG, CT skan, ɔ MRI skan.

Us kayn mɛrɛsin ɔ tritmɛnt dɛn kin yuz?

Lɛk ɔl kayn sik, bɔrku tritmɛnt de fɔ tonik-klɔnik sik wae kin kam wit ɛpilepshi. Sɔm pipul dɛn kin kɔntrol dɛn sik wit jɔs wan mɛrɛsin. Ɔda pipul dɛn kin nid fɔ tek wan kɔmbayn mɛrɛsin ɛn ɔda tritmɛnt dɛn.

Sɔm pan di tritmɛnt dɛm fɔ tonic-clonic seizures wae kin kam wit epilepsy na:

• Mεdikeshכn dεm: IV mεdikeshכn dεm de we dεn kin gi fכ stכp di sik; כltu, dεn kin כnli gi dεn tin ya we dεn gεt stetכs εpileptik. Pil dɛn de bak we dɛn kin tek ɛvride fɔ mek dɛn nɔ gɛt sik ɔ fɔ mek dɛn nɔ gɛt bɔku sik. Dis na di fɔs mɛrɛsin wae dɛn kin gi pɔrsin wae gɛt sik wae de mɛk pɔrsin fil bad.
• Epilepsy ɔpreshɔn: If mɛrɛsin nɔr woke, sɔmtɛm dɛn kin du ɔpreshɔn fɔ stɔp di sik bay we dɛn pul di pat na di bren (di fokal pɔynt) usay di sik bigin, ɔr bay we dɛn ayd am frɔm ɔda pat dɛm na di bren. If yu kɔntinyu fɔ gɛt sik pan ɔl we yu tek tu kayn mɛrɛsin fɔ mek yu nɔ gɛt sik na di dos we dɛn se yu fɔ tek, dɔktɔ dɛn kin tɛl yu fɔ du ɔpreshɔn pan di sik we dɛn kɔl epilepsy.
• di chenj dεm we yu de it: di it dεm we nכ gεt bכku כ we nכ gεt kab (`ketogenic diets`) kin stכp di sik kכmplit כ ridyus di frεkuεns fכ di sik. Pan ɔl we i nɔ kin izi fɔ fala dɛn it ya, dɛn kin ɛp pipul dɛn we nɔ bin dɔn tek mɛrɛsin ɔ we gɛt bad bad tin dɛn we kin apin to dɛn we dɛn tek mɛrɛsin. Dɛn na opshɔn bak fɔ pipul dɛn we nɔ want fɔ du ɔpreshɔn.
• Bren stimulation: Dis min se yu fɔ put smɔl tin insay di bren ɛn kɛr ilɛktrik kɔrɛnt go na di bren. Dis kɔrɛnt de ambɔg di ilɛktrik aktiviti fɔ wan sik we de mek pɔsin sik ɛn tray fɔ stɔp am. Naw tu we dεm de, dip bren stimulashכn εn rεspכnsiv nyurostimulashכn.
• di vagal nεv stimulashכn: di tεn kraynia nεv we wi gεt, we na di vagal nεv, de kכnekt dεn wan wit di bren. ilektrikal stimulashכn fכ di lεft sayd fכ dis nεv kin rεdכks di frεkuεns fכ sεiz.

Ɛni sayd ɛfɛkt ɔ kɔmplikeshɔn de fɔ di tritmɛnt?

Di sayd ɛfɛkt ɛn prɔblɛm dɛn we dɛn tritmɛnt ya kin gɛt kin dipen pan di tritmɛnt, yu wɛlbɔdi istri ɛn kɔndishɔn, ɛn di kayn ɛpilepshi we yu gɛt. Yu dɔktɔ kin tɛl yu mɔ bɔt dis. I kin tɛl yu bak wetin fɔ wach fɔ ɛn aw fɔ mek dɛn nɔ ambɔg yu.

Aw a kin tek kia ɔf misɛf ɛn kɔntrol mi sik dɛn?

Nɔ ɛva trit pɔsin we gɛt sik fɔ yusɛf, ɛn tink se na jɔs wan sik we de mek yu sik. Bɔku tɛm, di sik kin bi sayn fɔ wan siriɔs sik we kin afɛkt di bren. Bikɔs tonic-clonic seizures kin mek yu nɔr no natin, yu nɔr kin no wetin bin apin di tɛm we yu bin de seizure.

If yu ɔ pɔsin we de nia yu gɛt sik fɔ di fɔs tɛm, i rili impɔtant fɔ go to dɔktɔ. Dɔktɔ we sabi du di wok kin chɛk di sayn dɛn we de sho se pɔsin gɛt di sik ɛn di tin dɛn we kin mek i sik.

Wetin fɔ du if pɔsin gɛt sik we de mek i sik we a de de?

If pɔrsin gɛt sik wae yu de fil wae yu de de, sɔm fɔs ɛp tin dɛm de wae yu kin du. Na sɔm tin dɛn we yu fɔ du ɛn tin dɛn we yu nɔ fɔ du:

Tin dɛn fɔ du (Dos):

• Si if i ebul fɔ blo. Lus di klos we de rawnd in nɛk.
• Rimov ɛnitin we denja we de rawnd am. Rimov ɛnitin we kin brok ɔ ɛnitin we go fɔdɔm pan am. If i wɛr glas, tek tɛm pul am ɛn put am na sayd.
• Tɔn am na in sayd (rɛskɔ pozishɔn). Dis pozishɔn de mek am izi fɔ blo ɛn i de mek di saliva ɔ vɔmit nɔ go insay di say we di briz de blo .
• Tray fɔ rayt di tɛm we di sik de tek as mɔ as yu ebul. Dis infɔmeshɔn kin rili impɔtant to dɔktɔ. I kin ɛp bak fɔ no if yu nid fɔ ɛp yu kwik kwik wan.
• Stay wit di pɔrsin afta di sik dɔn dɔn ɛn te i gɛt kɔnshɛns bak. De pɔrsin wae dɔn gɛt dis sik kin fil fɔ kɔnfyus ɛn frayd wae dɛn kam fɔ no bak. Kɔrej dɛn ɛn ɛnkɔrej dɛn.
• Afta i dɔn gɛt kɔnshɛns bak, chɛk fɔ si if i fayn. Chek fɔ si if i gɛt ɛni injuri frɔm di sik we i gɛt ɛn if i nid fɔ go to dɔktɔ. If i dɔn nak in ed, ɔ if yu tink se i go gɛt wund na in nɛk ɔ bak, i go fayn fɔ mek yu go to dɔktɔ. Dɔn wi kin chɛk fɔ ɛni siriɔs injuri we wi nɔ ebul fɔ si.
• If yu gɛt status epilepticus, kɔl fɔ ɛp. If di sik tek pas fayv minit, ɔ if ɔda wan apin bifo di fɔs wan dɔn, kɔl 1990 (Sri Lanka in imejensi ambulans savis) wantɛm wantɛm. Dis kin mek pɔsin in layf de pan denja!

Nɔto fɔ du am:

• Nɔ tray fɔ ol am ɔ mek i muf. Yu ɔ di ɔda pɔsin kin gɛt bad bad tin.
• Nɔ put ɛnitin na yu mɔt. Bɔku lay lay stori dɛn de bɔt aw pɔsin kin sik. Wan na dat yu fɔ put sɔntin lɛk spun ɔ bɛlt na yu mɔt fɔ mek yu nɔ bit yu tɔŋ. Duya una nɔ du dat.I nɔr fayn fɔ put ɛnitin na pɔrsin in mɔt wae gɛt sik. Yu kin wund yusɛf ɔ di ɔda pɔsin.
• Nɔ wɔri. Stay wit yu at. If pipul dɛn we de arawnd yu de wɔri, tray fɔ kɔrej dɛnsɛf.

Aw kwik a go fil fayn afta dɛn dɔn trit mi?

Di tɛm fɔ wɛl kin dipen pan us tritmɛnt dɛn gi am ɛn wetin mek i gɛt di sik. Yu dɔktɔ kin tɛl yu mɔ bɔt dis, aw lɔng i go tek, ɛn ustɛm yu go fil fayn.

Aw a go ridyus di risk fɔ dis? Yu tink se dɛn kin mek pɔsin nɔ gɛt sik?

Bikɔs ɛnibɔdi kin gɛt di sik we dɛn kɔl di sik ɔnda di rayt tin, i nɔ pɔsibul fɔ mek i nɔ gɛt di sik kpatakpata. Bɔt sɔm pipul dɛn kin gɛt dis sik. So, tin dɛn de we yu kin du fɔ ridyus di prɔblɛm we yu gɛt.

De bɛst tin wae yu kin du fɔ ridyus yu risk fɔ gɛt sik na:

• It fayn it ɛn kɔntinyu fɔ gɛt wɛlbɔdi wet. dis kin εp fכ mek di sik dεm we di sεkyulatכri sistεm gεt (e.g. strok) εn εlektrolayt imbalans.
• Nɔ ignore infɛkshɔn. Fɔ trit infɛkshɔn kin ridyus di risk fɔ gɛt sik, ilɛksɛf na infekshɔn ɔ di ay fiva we gɛt fɔ du wit am.
• Wear sefty ikwipmɛnt. Ɛlmɛt ɛn sit bɛlt kin ɛp fɔ mek yu nɔ gɛt sik we yu gɛt bikɔs yu gɛt injuri na yu ed.
• Nɔ yuz rɔm, mɛrɛsin, ɔ drɔgs bad bad wan. If yu yuz ɔ stɔp dɛn tin ya, dat kin mek yu gɛt sik. If yu gɛt adikshɔn to rɔm ɔ drɔgs, yu famili dɔktɔ kin ɛp yu fɔ fɛn ples ɛn spɛshal savis dɛn we go ɛp yu fɔ pul dɛn.
• Manej yu wɛlbɔdi kɔndishɔn. Di sik kin kam dairekt wan bikɔs ɔf sik dɛm wae nɔr de dɔn ɔr ɔda tin dɛm wae gɛt fɔ du wit di sik wae de mek pɔrsin fil fayn. Fɔ ɛgzampul, if yu gɛt dayabitis (Tayp 1 dayabitis ɔ Tayp 2 dayabitis), kɔntrol di shuga we yu gɛt na yu blɔd.
• Nɔ du tin dɛn we kin mek yu gɛt sik. Pipul wae bin dɔn gɛt sik wae dɔn pas bikɔs ɔf tin dɛm lɛk brayt layt fɔ avɔyd dɛn kayn tin ya as dɛn ebul.

If a dɔn gɛt wan ɔ mɔ tonik-klɔnik sik, wetin a fɔ ɛkspɛkt?

Na lɛk af pan di pipul dɛm wae dɔn gɛt dis sik wae nɔr bin dɔn mek dɛn gɛt dis sik go gɛt ɔda wan. Na lɛk 75% pan di pipul dɛm wae dɔn gɛt sɛkɔn sik go gɛt mɔr. Na dat mek dɔktɔ dɛn kin no se di sɛkɔn sik we nɔ gɛt ɛni provoked sik na epilepsy ɛn dɛn kin bigin fɔ trit am.

Fɔ di wan dɛn we de bigin fɔ tek mɛrɛsin, i kin nid fɔ tray fɔ tek bɔku mɛrɛsin, ɔ fɔ tek wan kɔmbayn mɛrɛsin, pas fɔ yuz wan mɛrɛsin nɔmɔ. Ivin if mɛrɛsin nɔ ɛp, ɔda tritmɛnt dɛn de we kin ɛp fɔ ridyus di frɛkuɛns we di sik kin gɛt ɛn di kayn we aw i kin tranga.

Aw lɔng dis tin go las?

If di `provoked` seizures go stɔp ɔ nɔ go stɔp, i dipen pan if dɛn kin trit di ɔndalayn sik ɔ prɔblɛm we mek dɛn gɛt am. Fɔ bɔrku pipul dɛm, wae de ɔndalayn prɔblɛm dɔn go, de sik nɔr go kam bak, pas nɔmɔ i kam bak.

Epilepsy na sik wae de kam wae yu de liv yu layf bikɔs dɛn nɔr kin ebul fɔ mɛn am. Bɔt sɔm tɛm dɛn de, dɛn kin trit di men tin we kin mek pɔsin gɛt di sik. We dɛn du dat, ɛn yu ebul fɔ kɔntinyu fɔ gɛt sik, dɛn kin se yu kɔndishɔn "in remission."

Wetin na de luk fɔ tonic-clonic seizures?

fכ provoked tonic-clonic seizures, di prognosis dipכnt pan di כndalayn kכndishכn. If de sik kin trit, ɛn yu kin gɛt tritmɛnt kwik, di prɔgnosis kin fayn. Yu dɔktɔ kin tɛl yu fayn fayn wan wetin na de prɔgnosis fɔ yu sik ɛn wetin yu kin du.

pan ɔl we dɛn kin trit di provoked seizures we kin apin wit pɔrmɛnt ɔ siriɔs mɛdikal kɔndishɔn (e.g., kansa, pɔrmɛnt bren damej) sɔmtɛm dɛn kin trit, di prɔgnosis nɔ kin fayn bikɔs ɔf di ɔndalayn kɔz. Di sik wae kin kam wae pɔrsin gɛt jεnεtik εn kכndyushכn dεm kin gεt pwεl prכgnosis bak.

De luk fɔ sik wae nɔr de mek pɔrsin gɛt dis sik kin dipen pan sɔm tin dɛm, lɛk di ɔndalayn kɔndishɔn, aw di sik kin tranga, aw ɔltɛm i kin apun, ɛn if tritmɛnt de ɛp.

Day we pɔsin kin day wantɛm wantɛm we i gɛt ɛpilepshi (SUDEP) .

SUDEP na wan sik wae nɔr kin bɔrku wae kin afɛkt ɛnibɔdi wae gɛt epilepsy, bɔt nɔr kin apun wae dɛn trit am. Wan pan ɛvri 150 pipul dɛm wae gɛt epilepsy wae nɔr gɛt tritmɛnt kin de pan denja fɔ gɛt SUDEP, wae yu kɔmpia am wit wan pan ɛvri 1,000 pipul dɛm wae gɛt epilepsy wae dɛn dɔn trit.

Di masta sabi pipul dɛn stil nɔ no bɛtɛ bɛtɛ wan wetin mek SUDEP kin apin. De bεst εkspεryεns naw na dat e kin kam wit hat כ brith prכblεm wae kin apun wit wae yu de siz.

Aw a kin kia fɔ misɛf?

If yu dɔn gɛt tonic-clonic seizure wan tɛm, i fayn fɔ no wetin fɔ du if yu gɛt ɔda wan. If yu gɛt ɔda sik ɔ if yu gɛt mɛrɛsin we kin mek yu gɛt sik, go to yu dɔktɔ kwik kwik wan.

If yu dɔktɔ si se yu gɛt ɛpilepshi, sɔm tin dɛn de we yu kin du fɔ ɛp fɔ kɔntrol di sik:

• Tek yu mɛrɛsin lɛk aw dɛn tɛl yu fɔ tek am. I impɔtant fɔ kɔntinyu fɔ tek yu mɛrɛsin, ilɛksɛf yu fil fayn. Yu fɔ jɔs stɔp fɔ tek yu mɛrɛsin afta yu dɔn tɔk to yu dɔktɔ ɛn if i tɛl yu fɔ tek am.
• Tɔk to yu dɔktɔ bɔt di tin dɛn we yu go ebul fɔ du. If yu want fɔ ridyus yu mɛrɛsin ɔ chenj to ɔda mɛrɛsin, tɔk to yu dɔktɔ. I kin gayd yu fɔ no aw fɔ du dis sef wan ɛn us opshɔn dɛn de.
• Si di dɔktɔ lɛk aw dɛn dɔn plan fɔ du am.Dɛn apɔntin ya rili impɔtant fɔ manej yu kɔndishɔn, wach am, ɛn si if yu mɛrɛsin ɛn tritmɛnt dɛn de wok fayn.
• Nɔ ignore di sayn dɛm. If yu no am kwik kwik wan ɛn trit yu, dat kin mek big difrɛns pan di tritmɛnt fɔ di sik we pɔsin kin gɛt we i de sik ɛn di sik we dɛn kɔl epilepsy.

Ustɛm a fɔ go na di imejensi rum?

If yu gɛt tin we apin we yu nɔ no natin ɛn yu nɔ no wetin mek, yu fɔ go na di imejensi rum. Bɔrku pipul dɛn kin gɛt pipul dɛn arawnd dɛn we dɛn gɛt dɛn fɔs sik, bɔt nɔto ɔlman kin gɛt am. If yu wan de ɛn yu tink se yu de gɛt yu fɔs sik we de mek yu sik, yu fɔ go to dɔktɔ wantɛm wantɛm.

If di pɔsin we gɛt sik no se i gɛt ɛpilepshi, bɔku tɛm i nɔ kin nid fɔ kɔl ambulans. Bɔt if di sik dɔn mek dɛn wund, dɛn kin nid fɔ go to dɔktɔ.

Ustɛm a fɔ aks fɔ ɛp?

If pɔsin gɛt sik we yu de si, mɛmba dɛn tin ya:

• If dis na di fɔs tɛm we i sik, aks fɔ ɛp. Ɛnibɔdi we gɛt di fɔs sik we dɛn kɔl seizure, ilɛksɛf dɛn tink se dɛn gɛt am ɔ dɛn dɔn kɔnfyus am, dɔktɔ fɔ evalyu am. Bɔku tɛm, we pɔsin kin fil lɛk se i gɛt siriɔs wɛlbɔdi prɔblɛm.
• If yu gɛt status epilepticus, aks fɔ ɛp. If di sik tek pas fayv minit, ɔ if ɔda wan apin bifo di fɔs wan dɔn, kɔl 1990 (Sri Lanka in imejensi ambulans savis) wantɛm wantɛm. Dis kin mek pɔsin in layf de pan denja! If yu nɔr gɛt kɔnshɛns bak ɔr nɔr ansa fayn fɔ pas 10-15 minit afta di sik dɔn stɔp, yu fɔ go to ɛp kwik kwik wan. Dis kin bi sayn fɔ se di sik stil de go bifo na di bren, pan ɔl we yu nɔ de muv.

If a gɛt ɛpilepsi, i sef fɔ gɛt bɛlɛ we a de tek mɛrɛsin?

Bɔku tɛm, uman dɛn we gɛt ɛpilepshɔn kin bɔn pikin dɛn. Bɔt bɔku mɛrɛsin dɛn we dɛn kin yuz fɔ mɛn ɛpilepshi nɔ kin sef fɔ tek we uman gɛt bɛlɛ, bikɔs dɛn kin ambɔg di pikin in divɛlɔpmɛnt na di bɛlɛ.

Laki, ɔda mɛrɛsin dɛn de we dɛn kin yuz fɔ sɔm tɛm we uman gɛt bɛlɛ, ɔ sɔm tɛm we i gɛt bɛlɛ. Di bɛst pɔsin fɔ tɔk to bɔt dis na yu dɔktɔ. I kin gi yu dairekt gayd ɔ rifer yu to spɛshal pɔsin.

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

Tonic-clonic seizures na wan kayn sik wae kin izi fɔ no ɛn bɔrku tɛm kin frayd. Na nɔmal tin fɔ mek yu fred we yu si dɛn ɔ we yu gɛt dɛn. Bɔt bɔku tɛm, dɛn kin stɔp fɔ dɛnsɛf insay sɔm minit. Pan ɔl we dɛn kin apin fɔ bɔku rizin, dɛn sik ya kin go, mɔ we dɛn trit di sik we de ɔnda am. We dɛn sik ya kin kam wit ɛpilepshi, bɔku we dɛn de fɔ trit am. If yu gɛt fayn tritmɛnt, bɔrku pipul dɛm wae gɛt dis sik – ivin di wan dɛm wae gɛt epilepsy – kin liv gladi, sakrifays, ɛn fulfil layf.

So, if yu ɔ pɔsin we yu sabi gɛt prɔblɛm wit sɔntin lɛk dis, nɔ fred fɔ go to dɔktɔ. Kwik tritmɛnt kin tɔn bɔku tin fɔ bɛtɛ.

` Tonic-clonic seizures, grand mal seizures, epilepsy, seizure simptom dɛm, fɔs ɛp fɔ seizures, status epilepticus, di tin dɛm we kin mek pɔsin sik