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"etiology": "<p>Эпилепсия - во многом противоречивое заболевание, особенно если рассматривать причины ее возникновения. До сих пор однозначно не доказано, что она передается по наследству, однако больше, чем у 40% эпилептиков были или есть родственники с такой же проблемой.</p>\r\n<p>Также причинами возникновения данной болезни может являться:</p>\r\n<ul>\r\n<li>черепно-мозговая травма;</li>\r\n<li>болезни, причинами возникновения которых являются паразиты и вирусы (в том числе и менингит);</li>\r\n<li>нарушение кровоснабжения мозга и, как следствие, кислородное голодание;</li>\r\n<li>опухоли и абсцессы головного мозга.</li>\r\n</ul>\r\n<p class=\"nblock\">К сожалению, конкретные причины возникновения конвульсий медикам не известны до сих пор. Точно так же в 70% случаев остается не выясненными обстоятельства возникновения заболевания.</p>\r\n<p>Известно лишь то, что мозговая ткань у больных более чувствительна к химическим изменениям под воздействием различных раздражителей, чем у здоровых. И одни и те же сигналы, полученные мозгом эпилептика и здорового человека, в первом случае приводят к приступу, а во втором - проходят незамеченными.</p>",
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"diagnostics": "<p>Диагноз эпилептику ставиться только в следствии двух и более припадков, кроме того обязательным условием является отсутствие иных болезней, которые могут послужить причиной подобного состояния.</p>\r\n<p>Наиболее часто эпилепсии подвержены подростки, также в группу риска входят люди старше шестидесяти лет. Люди среднего возраста менее подвержены истинной эпилепсии и, если у них возникают приступы, схожие с эпилептическими, то их причина кроется в полученных ранее травмах или инсультах. У новорожденных детей также могут быть разовые припадки, но их причиной обычно является высокая температура, поэтому вероятность дальнейшего развития болезни очень мала.</p>\r\n<p>Чтобы диагностировать эпилепсию у больного, для начала нужно провести его полное обследование и проанализировать имеющиеся проблемы со здоровьем. Также необходимо изучить истории болезней всех его родственников. При всей сложности постановки диагноза, доктор вынужден проделать огромный объем работ: сверить симптомы, проанализировать частоту и тип припадков с максимальной тщательностью. Для уточнения анализа также используется электроэнцефалография (анализ активности головного мозга), магнитно резонансная и компьютерная томография.</p>",
"treatment": "<p>На данный момент существуют возможности улучшения здоровья и самочувствия эпилептиков. При хорошем и правильном лечении у больного наблюдается уменьшение либо полное отсутствие припадков, то есть человек может вести нормальный образ жизни.</p>\r\n<p>Один из самых часто встречаемых вариантов лечения – это лечение несколькими препаратами, воздействующими только на определенную часть мозга человека, которая является причиной эпилепсии в конкретном случае. Конечно, у такого вида лечения есть и побочные эффекты, поэтому важно соблюдать все предписания врачей, чтобы свести их к минимуму.</p>\r\n<p>Отдельную категорию больных представляют беременные и кормящие грудью женщины. Им ни в коем случае нельзя резко прекращать прием препаратов против эпилепсии. В таких случаях необходимо дополнительное обследование с возможной сменой препарата, но только по назначению лечащего врача.</p>\r\n<p>Если же эпилепсия прогрессирует и назначенные лекарства не помогают, остается радикальный метод лечения - удаление поврежденной части мозга. Но разрешение на подобную операцию дается только после целого комплекса анализов, а также требуется наличие высокотехнологичной аппаратуры.</p>\r\n<p>Как помочь человеку во время приступа</p>\r\n<p>Помощь при эпилептическом припадке должна оказываться своевременно, но без приложения избыточных физических усилий. В том случае, если эпилептический припадок случился при неподготовленном человеке, то это событие может его сильно напугать. Судороги, пена изо рта, повышение артериального давления, бледность – все это может стать причиной сильного стресса. Тем не менее, нужно позаботиться о состоянии больного до приезда кареты скорой медицинской помощи.</p>\r\n<full></full>\r\n<ol>\r\n<li>Пациента нужно уложить на плоскую и мягкую поверхность, так как в ином случае избежать травм и синяков не удастся.</li>\r\n<li>Все стягивающие предметы одежды нужно снять.</li>\r\n<li>Желательно голову человека повернуть в сторону.</li>\r\n<li>Нужно убрать от пациента все предметы, которыми он непроизвольно может нанести себе вред - столовые приборы, посуду, любые острые или режущие вещи.</li>\r\n<li>Некоторые люди советуют максимально сильно удерживать эпилептика во время приступа, но не стоит этого делать, так как таким образом можно легко сломать ему кости. В крайнем случае, можно немного его придержать, но не более того.</li>\r\n<li>Если у больного челюсти сомкнуты, то не стоит стараться их разомкнуть, так как во время судорог они сцеплены настолько сильно, что можно сломать человеку зубы или самому в результате остаться без пальца.</li>\r\n<li>Твердые предметы в рот вставлять не стоит, так как они могут поранить и сломать зубы. Не стоит пока давать больному пить, а если он заснул, то пусть поспит.</li>\r\n</ol>\r\n<p>Что делать после приступа</p>\r\n<p>В 2-3 случаях из 100 имеется вероятность того, что припадок перейдет в эпилептический статус. В этом случае больному требуется срочная госпитализация в медицинское учреждение, так как он находится в тяжелом состоянии. Обычно через некоторое время приступ проходит, больно засыпает, а кода просыпается, то уже ничего не помнит о том, что с ним было. Если больному были выписаны какие-либо препараты для блокирования приступов, то таблетки всегда должны быть рядом с ним, чтобы в минуты потребности можно было быстро их выпить. Все подобные препараты являются рецептурными, без назначения врача их употреблять запрещено и опасно.</p>\r\n<p>После приступа нужно дать возможность пациенту хорошо отдохнуть - из питания необходимо исключить все продукты, которые могут изменять скорость процессов в нервной ткани. Для этого нужно отказаться от кофе (даже бескофеинового), крепкого чая, избыточно соленых продуктов, специя, копченостей или маринадов.</p>\r\n<p>Если нет изменения характера приступов или ритма их возникновения, то пациент должен продолжать прием лекарственных препаратов по схеме, предписанной врачом и в той же дозе. В том случае, когда приступы учащаются, становятся затяжными, необходима коррекция проводимой терапии.</p>",
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