Cause And Management Of Epilepsy In Nigeria

Status epilepticus is a medical emergency in which seizures recur without the patient regaining consciousness between events. This condition can develop in any type of seizure but is most common in tonic-clonic seizures. Status epilepticus may cause brain damage or cognitive dysfunction and may be fatal.
Subsequent seizures become briefer; more localized, and may be reduced to myoclonic activity. Complications may include:
•    Aspiration
•    Cardiac arrhythmias
•    Dehydration
•    Fractures
•    Myocardial infarction (heart attack)
•    Oral and head trauma
•    Pulmonary edema (fluid build-up in the lungs)
2.7 MANAGEMENT AND PREVENTION
Understanding your condition can help you take better control of it:
•    Take your medication correctly. Don't adjust your dosage before talking to your doctor. If you feel your medication should be changed, discuss it with your doctor.
•    Get enough sleep. Lack of sleep can trigger seizures. Be sure to get adequate rest every night.
•    Wear a medical alert bracelet. This will help emergency personnel know how to treat you correctly.
•    Exercise. Exercising may help keep you physically healthy and reduce depression. Make sure to drink enough water, and rest if you get tired during exercise.
In addition, make healthy life choices, such as managing stress, limiting alcoholic beverages and avoiding cigarettes.
2.7.1 Coping and support
Uncontrolled seizures and their effects on your life may at times feel overwhelming or lead to depression. It's important not to let epilepsy hold you back. You can still live an active, full life. To help cope:
•    Educate yourself and your friends and family about epilepsy so that they understand the condition.
•    Try to ignore negative reactions from people. It helps to learn about epilepsy so that you know the facts as opposed to misconceptions about the disease. And try to keep your sense of humor.
•    Live as independently as possible. Continue to work, if possible. If you can't drive because of your seizures, investigate public transportation options near you. If you aren't allowed to drive, you might consider moving to a city with good public transportation options.
•    Find a doctor you like and with whom you feel comfortable.
•    Try not to constantly worry about having a seizure.
•    Find an epilepsy support group to meet people who understand what you're going through.
2.7.2 Health Education;
You may offer them suggestions, such as:
•    Carefully roll the person onto one side.
•    Place something soft under his or her head.
•    Loosen tight neckwear.
•    Don't try to put your fingers or anything else in the person's mouth. No one has ever "swallowed" his or her tongue during a seizure — it's physically impossible.
•    Don't try to restrain someone having a seizure.
•    If the person is moving, clear away dangerous objects.
•    Stay with the person until medical personnel arrive.
•    Observe the person closely so that you can provide details on what happened.
•    Time the seizures.
•    Be calm during the seizures. [2][3]