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原发性癫痫能治好吗?原发性癫痫怎么治疗?

发布时间:2016-08-22   问大夫  责任编辑:红豆

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近年来,癫痫病的发病率越来越频繁,人们对癫痫病的重视程度也越来越高。原发性癫痫是癫痫病的一种,一旦患上此病,患者的身体和精神都受着双重的折磨。患者希望了解到原发性癫痫是否能治好,以及原发性癫痫的治疗方法,给其带来一线希望。下面就原发性癫痫能治好吗?原发性癫痫怎么治疗?这个问题,给大家介绍一下。

原发性癫痫的病因

一般遗传率3%5%,原发性患者的亲属中,血缘关系越近发病率越高,反之越低。

可能与下面的因素有关:

1、大脑某些神经系胞发育异常,细胞内外电解质失衡;

2、遗传基因易患性的。

原发性癫痫的症状

原发性癫痫的初发年龄不定,多在幼儿期和少年期起病,以典型大发作或典型小发作为临床表现。

原发性癫痫患者常常随同着短暂性的肌阵挛,肌肉不能自在收放,并有连续性失神的情况,癫痫小发作病症不那么剧烈,癫痫大发作会呈现四肢抽搐等现象,癫痫小发作多数是在患者苏醒的状态下产生的。

原发性癫痫能治好吗

原发性癫痫能治愈吗?癫痫病是一种慢性疾病,控制不好,可迁延数年、十年、甚至几十年之久,对患者的身体、精神、婚姻、经济、社会地位以及家庭等造成很大影响。为此,不少癫痫患者对能否根治这个病持悲观态度。那么,原发性癫痫能治愈吗?

原发性癫痫能治愈吗?答案是肯定的。

临床分析,约三分之一的癫痫病人因为发作次数较少,且程度较轻,只要治疗及时,对症治用药,愈后是良好的,不易复发。由于85%的病人在有效药物的控制下,继续巩固治疗的患者,可以完全根治的,而且长期不发作。原发性癫痫控制在2年以上,脑图正常或病情必须逐渐好转,均有较好的愈后。愈后较差的患者,一般发病在1岁以内,婴儿痉挛症、精神运动型发作或混合性发作,脑电图异常或进行性恶化,发作频繁有癫痫持续状态的发作。

大多数癫痫愈后较好,当然也有少数癫痫难以控制,愈后不理想。那么这样的癫痫能治愈吗?答案也是肯定的。所以得了癫痫不要不去治疗,而是及时的治疗。

原发性癫痫的检查

1、血、尿、大便常规检查及血糖、电解质(钙、磷)测定。

2、脑脊液检查。

3、脑电图检查不同类型可有不同特征。

4、神经影像学检查CTMRI检查对原发病因诊断有重要意义。

原发性癫痫的诊断

继发性癫痫指由其他疾病导致的癫痫发作,也就是说,继发于其他疾病,癫痫仅是其病的一个症状,故又称为“症状性癫痫”。如产伤、新生儿窒息、脑发育不良、脑血管畸形、脑积水、脑外伤、脑膜炎、脑脓肿、脑囊虫、脑肿瘤、脑血管意外等,均可导致癫痫发作。

原发性癫痫的治疗

常用药物有苯巴比妥、苯妥英钠、扑米酮等单独或联合使用。

对有些智力低下、记意力减退、思维紊乱、好忘事的患者,应从改善脑功能、益智开窍、修复受损神经细胞的治本角度来治疗。

对有些体弱多病、经常感冒发烧、易疲劳的患者,应从调节免疫、增强身体抗病能力的角度来治疗。

原发性癫痫的保健

一、护理

l、癫痫患者不能骤减或停服抗病药,以免引起癫酰持续状态。

2、克服自卑感及恐惧心理,避免疲劳、紧张诸因素刺激。

3、加强体质锻炼,起居有规律,忌烟酒等刺激食物。

4、严禁开车、游泳、夜间独自外出等活动,如有发作预兆,应立即卧倒,避免跌伤。

二、饮食

1、某些矿物质对部分患者有帮助,镁(大量存在于全麦面粉、小米、无花果、肉、鱼、坚果和豆类中);锌(存在于肉、家畜内脏、麦芽、坚果、蟹、牡蛎和小扁豆中)和钙(钙食品)(主要存在于牛奶和乳制品中)中帮助某些人预防惊厥。

2、混合色拉和生的水果(水果食品)可减低发病的次数和程度。

3、应吃家常便饭,而且食品应多样化,米饭、面食、肥肉、瘦肉、鸡蛋、牛奶、水果(水果食品)、蔬菜(蔬菜食品)、鱼、虾等都要吃。

4、癫痫的初起多属实证,身体壮实者,或属风痰壅盛者,饮食宜清淡而富有营养,多食米面、蔬菜。

5、病症属虚或体质虚弱者,应偏于滋补肝肾、健脾助运、益气血之食品。可多吃瘦猪肉、猪心、猪肝、动物脑、桂圆肉、莲子、枸杞等。

6、可多食润肠道通便的食物(如蜂蜜、香蕉、胡桃、杏仁、菠菜等),以保持大便通畅。

最后提醒大家,原发性癫痫病的预防可做到,控制发作;减少癫痫对患者躯体、心理和社会的不良影响。

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