Epilepsy in women

Introduction to female epilepsy Epilepsy occurs in many people, regardless of age, regardless of gender, so many incentives cause more and more women to be favored by epilepsy. It is particularly reminded that women's physiological cycle response or pregnancy reaction will indirectly induce epilepsy. Therefore, women with epilepsy should pay more attention to the condition and early treatment. basic knowledge The proportion of sickness: 0.01% Susceptible people: women Mode of infection: non-infectious Complications: psychological disorders depression

Causes of female epilepsy

Working pressure (20%):

As the pressure of life and work continues to increase, more and more women are also drinking a lot, and excessive drinking is also the cause of female epilepsy. Drinking alcohol may be a cause of epileptic seizures in every epileptic patient. Alcohol has a role in the brain. Excessive drinking is easy to cause seizures. Moreover, alcohol interacts with antiepileptic drugs. Alcohol makes antiepileptic drugs effective. Lower, resulting in seizures.

Endocrine (20%):

Endocrine changes are also the cause of epilepsy in women: epilepsy patients will have symptoms of seizures at menarche, and some patients have seizures during pregnancy, which is due to abnormal estrogen levels in patients during these two periods, resulting in epilepsy The number of episodes increased and the symptoms worsened. The same lack of sleep, excessive fatigue can also lead to epileptic seizures: patients with epilepsy should ensure adequate rest and sleep. It is recommended that patients with epilepsy do not perform heavy physical labor and exercise with a large amount of exercise, because the large mouth breathing and hyperventilation caused by these activities are common causes of seizures, but patients can participate in activities such as walking, walking, and Tai Chi.

Mental factors (10%):

The etiology of female epilepsy also includes mental stress: patients with epilepsy have increased seizures during stress, anxiety or depression, and some patients have anxiety, depression, inferiority and other psychological problems. For this situation, it should be resolved as much as possible. Stress, it is necessary to reduce the psychological burden. If you still can't get a good mental state through self-regulation, it is recommended to practice psychotherapy. In addition, women with epilepsy usually have seizures in premenstrual or menstrual periods, so during this period, more attention should be paid to rest and avoiding mood swings. Patients should try to avoid the predisposing factors of epileptic seizures, establish a good living habit, and inhibit all available factors of epileptic seizures.

Genetic (15%):

Chromosomal variation caused by natural diseases, hereditary metabolic stagnation, brain malformation and natural hydrocephalus. Another is caused by trauma. Some patients have epilepsy after closed traumatic brain injury; severe and open brain trauma produce more epilepsy in women.

Disease factors (15%):

Some patients will have intracranial tumors, which are usually more than 30 years old. In addition to brain trauma, brain tumors are common causes, especially slow-growing gliomas, meningiomas, and astrocytomas.

Female epilepsy prevention

Prevention of inheritance

1. Patients with epilepsy must choose to marry someone with a family history of epilepsy when choosing a married spouse. And both parties have to do an EEG check before getting married. If they find that both sides have a family history of epilepsy, they must not get married.

2. For pregnant women, they must do a certain amount of health care work, and must do a good job in raising a baby and protecting a baby. Part of the children with epilepsy is because the mother did not get good mental health, strong dietary nutrition and other factors during pregnancy, resulting in the birth of children with epilepsy.

3, pregnant women should be diagnosed before production, if the fetus is found to have a hereditary disease associated with epilepsy, you can consider abortion, thus avoiding the birth of children with epilepsy.

4. If the pregnant woman with a relatively large age feels difficult to deliver the product, the caesarean section should be implemented as soon as possible, so as to avoid the possibility of epilepsy caused by hypoxia, asphyxia and birth injury.

5. If the child born to epilepsy is already an epilepsy patient, it should not be regenerated. Because it can be seen, even if the child is reborn, it is likely to be an epilepsy patient. Fertility should be considered until the condition is fully recovered.

How to raise a fetus in women with epilepsy

First, regular inspections are always concerned

In view of the genetic characteristics of epilepsy and the dystocia during childbirth, it may lead to neonatal birth injury (production injury is one of the important factors in the onset of epilepsy), so during pregnancy, pregnant women must go to the hospital for examination according to the doctor's advice. Prepare for the treatment of dystocia.

Second, nutrition and health care tires

As we all know, pregnancy in October is the biggest challenge in a woman's life, because it is not just the peace of one person, but the health of two generations. Therefore, in order to promote the healthy growth of the baby, pregnant women must pay attention to dietary nutrition. After all, the fetus's bones, flesh and blood, and fur are all dependent on the warmth and support of the mother's blood.

Third, the spirit is stable and comfortable

Now everyone is paying attention to prenatal education, hoping that the baby born is healthy and smart. In fact, as long as pregnant women can maintain a cheerful and comfortable mood during pregnancy, it is the basic guarantee for the health and wisdom of the baby. Because of the stability of the emotions, the five internal organs can be harmonized, and the blood and blood can be adjusted smoothly, so that the fetal sputum is sufficient, and the baby will naturally give a good growth environment.

Prevent episode

l, patients with epilepsy can not suddenly reduce or stop taking anti-disease drugs, so as not to cause epilepsy state.

2. Overcome inferiority and fear, and avoid fatigue and tension.

3, strengthen physical exercise, regular living, avoid alcohol and other stimulating food.

4. It is strictly forbidden to drive, swim, and go out alone at night. If there is a warning sign, you should immediately fall down and avoid falling.

Female epilepsy complications Complications, mental disorders, depression

1. The effect of epilepsy on women's body: Because epilepsy is a disease that harms the whole body, the onset of epilepsy will reduce the function of epilepsy patients, and it will affect fertility in different aspects.

Secondly, after treatment for patients with epilepsy, long-term treatment with antiepileptic drugs will cause menstrual cycle disorder and sexual dysfunction, which will cause the hormone levels in women to change greatly, thus reducing fertility.

2, the impact of epilepsy on women's psychology: because epilepsy patients generally have different levels of psychological barriers, such as inferiority, serious depression, autism, suicide, etc., plus concerns about marriage and fertility in patients with epilepsy This will result in lower fertility in these women with epilepsy than in women.

3, the side effects of epilepsy drugs on the appearance of women: women with epilepsy long-term anti-epileptic West, will have a great impact on the appearance. The beauty of beauty is available to everyone, but some anti-epileptic drugs have a great impact on the outside. Long-term use of some drugs can make women's skin rough, thicker lips, thicker facial and scalp subcutaneous tissue, widened nose, and hairy face.

Symptoms of female epilepsy Common symptoms Epileptic headache Epilepsy Seizure seizures Complex partial seizures Epilepsy of generalized tonic... Seizures

According to the type of clinical attack:

1. Whole body rigidity - clonic seizures (big seizures): Sudden loss of consciousness, followed by acupuncture and convulsions. Often accompanied by screaming, complexion bruising, urinary incontinence, tongue bite, foaming or foaming at the mouth, dilated pupils. After a tens of seconds or minutes, the seizure naturally stops and enters a state of drowsiness. After waking up, there is a short period of dizziness, irritability, and fatigue, which cannot be recalled during the attack. If the episode continues, those who have been in a coma state say that the episode is in a state of constant attack and often endangers life.

2. Absence of seizures (small episodes): Sudden interruption of mental activity, loss of consciousness, may be associated with myoclonus or autopsy. A seizure of a few seconds to more than ten seconds. EEG appears 3 times / sec slow or sharp slow wave synthesis.

3. Simple partial seizures: a local or one-sided limb's rigidity, clonic seizures, or paresthesia episodes, which lasts for a short time and has a clear consciousness. If the range of attack extends to other limbs or the whole body along the movement, it can be associated with loss of consciousness. It is called Jack. After the attack, the affected limb may have temporary paralysis, called Todd paralysis.

4. Complex partial seizures (psychomotor episodes): psychosensory, psychomotor, and mixed seizures. There are varying degrees of disturbance of consciousness and obvious mental, sensory, emotional and psychomotor disorders. There may be autopsy symptoms such as snoring and night snoring. Sometimes, under the control of hallucinations and delusions, violent acts such as wounding and self-injury can occur.

5. Autonomic seizures (diencephalic): may have headache type, abdominal pain type, limb pain type, syncope type or cardiovascular attack.

6. No clear cause: those with primary epilepsy, secondary to intracranial tumors, trauma, infection, parasitic diseases, cerebrovascular disease, systemic metabolic diseases, etc. caused by secondary epilepsy.

Examination of female epilepsy

1. EEG, BEAM, Holter (EEG, EEG topographic map, dynamic EEG monitoring): visible pathological waves, spikes, spikes, spines-slow waves or sharp-slow waves.

2. If secondary epilepsy should be further examined by head CT, head MRI, MRA, DSA, etc., the corresponding lesions can be found.

3. Waist wear CSF examination, there may be changes.

Diagnosis of female epilepsy

diagnosis

1. Menstruation: The change of women's menstrual cycle is mainly because the level of sex hormones changes continuously and periodically, and the effect of sex hormone itself, especially estrogen, on seizures is obvious, so seizures change with the sexual cycle. Variety.

2, contraception: women with epilepsy need contraception, there are two main types of contraception, one is oral contraception, one is tool contraception.

3. Fertility: Anti-epileptic drugs affect women's sexual function, which will affect women's reproductive function, which will also reduce fertility. Another reason is the social psychological factors. Women with epilepsy have aggravated their economic burden. Some people still can't find a job. They simply don't get married. Therefore, low fertility is caused by many factors, and it is not simple. It is the disease itself, there are also social and psychological factors, various factors, and various reasons can lead to lower fertility.

4, pregnancy: women in pregnancy, because they also bear the health responsibility of the next generation, so women with epilepsy should not blindly take medicine after pregnancy, if you are sick, be sure to use the medicine carefully under the guidance of a doctor, otherwise it may lead to the fetus deformity.

Should be identified with syncope, pseudo seizures, narcolepsy, hypoglycemia. According to EEG, medical history, symptoms and signs are not difficult to identify.

(1) narcolepsy:

It is an unexplained sleep disorder in which unrestrained sleep occurs at times and places where sleep should not occur. Its sleep is the same as normal sleep and can be awakened. Most patients may be accompanied by one or several other symptoms, including cataplexy, sleep apnea and sleep illusion, also known as narcolepsy. The onset age is mostly 10 to 20 years old, the incidence of both sexes is the same, and individual cases have a positive family history.

(2) syncope (with syncope and large seizures, small seizure identification)

This is a group of symptoms caused by a variety of reasons for the temporary lack of blood supply to the brain, resulting in a high degree of inhibition of the cerebral cortex and a sudden loss of consciousness. Clinical according to the principle of the disease and the causes of syncope are as follows: 1 Reflex syncope: including vascular decompression syncope, orthostatic hypotension, carotid sinus syndrome, swallowing syncope, urinary syncope, coughing syncope, supine Hypotension syndrome; 2 cardiogenic syncope: including arrhythmia, sick sinus syndrome, aortic stenosis, congenital heart disease, primary pulmonary hypertension, angina pectoris and acute myocardial infarction. 3 brain-derived syncope: including blood circulation disorders of the brain, local blood supply deficiency, nerve tissue itself, brain injury.

In summary, the difference between syncope and epileptic seizures is: 1 there is often no aura in syncope episodes, and there are many auras in epileptic seizures; 2 the clonic convulsions caused by syncope are sinus arches, and most occur in When consciousness is lost for more than 10 seconds, the seizures caused by epilepsy are clonic and last longer, before loss of consciousness. 3 When the syncope occurs, it is rare to bite the tongue or incontinence, but it is more common in epileptic seizures. 4 syncope recovery is faster, no obvious sequelae, and recovery after epileptic seizures is slow, often left with sleepiness, headache and confusion.

The difference between syncope and epileptic seizures: 1 more syncope episodes are accompanied by falls, while epileptic seizures are absent; 2 blood pressure drops during syncope episodes, pale and lasts until the late syncope, while epileptic seizures have no significant changes in blood pressure and complexion; 3 The onset and termination of syncope is slower than that of epileptic seizures; 4 systemic weakness after syncope episodes, and can continue to be active after epileptic seizures.

The material in this site is intended to be of general informational use and is not intended to constitute medical advice, probable diagnosis, or recommended treatments.