Living with epilepsy-2010

Living with Epilepsy : 

8/22/2010 1 Living with Epilepsy Dr.Piyush N Shah M.D(AYU.) Medical officer ( Cl-II) Govt.Ayurved Dispensary Gerita, Ta.vijapur. Dist.Mehsana Resident- Ahmedabad,India E-mail : drpns@rediffmail.com Blog : drpiyushnshah.blogspot.com

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8/22/2010 2

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8/22/2010 3 Definition:- Epilepsy is characterized by occasional unconsciousness associated with loathsome activities (like froth from mouth and abnormal postures of the body),due to the perversion of memory, intellect and other psychic faculties. (Apasmara punha smruti-buddhi-satva samplavad bibhtsa chestha avasthik tamha pravesh ma chakste- Ca.ni :-8\5

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8/22/2010 4 Type :- According to Ayurved- Vatik Apasmar Paitik Apasmar Shleshmik Apasmar Sanipataj Apasmar

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According to Modern science Focal seizures- 1.simple partial seizures 2.complex partial seizures Generalised seizures- 1.absences seizures 2.myoclonic seizures 3.tonic-clonic seizures 5

Causative Factors : 

8/22/2010 6 Causative Factors - Intake of unwholesome and unclean food. - Suppression of the sattva by rajas(rosh anashtvat-anger-attachment) and tamas(moha anashtvat-ignorance-lethargyness - Occlusion of the heart-brain by the aggravated doshas -Affication of the mind by worry, desire , fear, anger,grief,anxiety etc.

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8/22/2010 7 Head injury Apasmar punh kali-kalahshila - ch.sha.8/24.

Pathogenesis, signs & symptoms : 

8/22/2010 8 Pathogenesis, signs & symptoms Doshas located in the dhamani(nerves) afflict the heart(brain) and cause disturbances in its functions. The person, thus affected, is afflicted with stupor and mal-functioning of the mental activities He falls down and gets tremors. His eye and eyebrows become distorted,saliva comes out from his mouth and his hands and legs become convulsed.

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8/22/2010 9 When the epileptic attacks are over, he regains consciousness as he were getting up from the sleep.

Precipitating Factors : 

8/22/2010 10 Precipitating Factors In a survey of precipitating or modulating factors associated with occurrence of seizures carries out in 177 patients, the second most frequently reported factor was emotional stress(58%). The effects of different types of emotional stress were compared.

Precipitating Factors : 

8/22/2010 11 Precipitating Factors Most frequently reported were worry, frustration, anger and stimulating experience. The association between stress and seizures was most common in patients with complex p)artial seizures.(Mattson 1991)

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8/22/2010 12 In a survey of 76 patients attending the epilepsy clinic at the Maudsley Hospital, in London, More than 50% of the patients reported that they had more seizures when they were tense, depressed or tired, and over 30% had more seizures when they were angry, excited or bored(Fenwick 1991).

MYTHS & FACTS : 

8/22/2010 13 MYTHS & FACTS Myth Epilepsy is because of possession by evil spirit and hence sorcery is the treatment. Fact Epilepsy is a neurological disorder and there are drugs to treat.

MYTHS & FACTS : 

8/22/2010 14 MYTHS & FACTS Myth Epilepsy is a mental illness Fact NO, it is a disease of the brain.

MYTHS & FACTS : 

8/22/2010 15 MYTHS & FACTS Myth Epilepsy is contagious so one should not come in contact with a person with epilepsy. Fact Certainly Not contagious.

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8/22/2010 16 16 Myths Epileptic attacks damages the brain Fact Certainly not on the contrary it is the damaged brain which can cause epilepsy.

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8/22/2010 17 17 Myth People with epilepsy are below normal in their intelligence. Fact Epilepsy does not affect intelligence or memory. If the attacks are frequent or the person is taking large doses of antiepileptic drugs, this may affect temporarily the memory.

MYTHS & FACTS : 

8/22/2010 18 MYTHS & FACTS Fact Epilepsy does not affect intelligence or memory. If the attacks are frequent or the person is taking large doses of antiepileptic drugs, this may affect temporarily the memory. Myth Epilepsy is hereditary and so one should not marry.

MYTHS & FACTS : 

8/22/2010 19 MYTHS & FACTS Fact Epilepsy is not a hereditary disease. The tendency to get epilepsy is passed on in about 3 % only. Hence epilepsy is no bar for marriage.

MYTHS & FACTS : 

8/22/2010 20 MYTHS & FACTS Myth Marriage cures epilepsy ? Fact Off course Not

MYTHS & FACTS : 

8/22/2010 21 MYTHS & FACTS Epilepsy is life long disorder Fact Not at all. In about 75% of people with epilepsy the seizures are well controlled and a great majority of them can go off the drugs.

MYTHS & FACTS : 

8/22/2010 22 MYTHS & FACTS Myths Epilepsy is rare Fact Epilepsy affects almost 1% of population all over the world.

MYTHS & FACTS : 

8/22/2010 23 MYTHS & FACTS Myths- Epilepsy occurs only in children Fact- It is common in children, epilepsy can occur at any age.Infact a second peak of incidence occurrence between the age of 60-70 years.

MYTHS & FACTS : 

8/22/2010 24 MYTHS & FACTS Myth- Epilepsy is rare Fact- Epilepsy affect almost 1% of population over the world.

TREATMENT : 

8/22/2010 25 TREATMENT PANCHKARMA THERAPY Vaman (Emesis by herbs decoction) Virechan (purgation ) Niruha Basti (Enema of medicated Decoction ) Anuvasan Basti (Enema of medicated Oil ) Nasya (nasal drop )

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8/22/2010 26 Medicine :- Churna(powder)- Vacha churna - 500 mg to 1 gm,with honey . Brahmi churna – 4 gm to 8 gm,with honey. Shatavaree churna – 4 gm to 8 gm,with milk. Lasun(Garlic) – 4 gm to 6gm,with til tail. Vatee(Tablet)- Brahmi vati – 2 tab t.d.s. Apatantrakaree vati – 2 tab t.d.s.

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8/22/2010 27 Ghrit(Medicated Ghee)- Panchagavya Ghrit- 10ml to 20ml,with worm milk. Kalyanak Ghrit- 10ml to 20ml,with worm milk. Brahmi Ghrit- 10 ml to 20 ml with worm milk

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SEIZURE BALANCE Seizure Control Adequate amount of AED in blood Adequate sleep & rest Fluid and Good nutrition Electrolyte Balance Alcohol Abstinence Low Anxiety Level by Sadvrita and Achara Rasayana Increase Emotional stress sevan (Pariharya visheshen Manso (Manasik Hetu Sevan) dukha Hetava - ca.su-30) Trauma / Illness / Fever Meditation Lack of sleep Hormonal changes Photosensitivity Fluid Electrolyte Imbalance Alcohol Ajirna-Indigetion Factors promoting seizure control and factors precipitating seizures Seizure Precipitants (Triggers) 8/22/2010 28

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29 Thank u all