In clinical diagnosis and treatment work,The question of whether epilepsy can be **It is not only a concern for many patients and their families, but also a topic that many patients and their families often feel confused about.
Now with the progress of science and technology, accept timely and formal **,Around the patient by medication** isSeizures can be controlled, and the drug can be gradually reduced and stopped under the guidance of a doctorEven if there are no seizures at all, the remaining 30% of patients can be treated with surgery** and neuromodulation**.
However, in real life, many patients with epilepsy have a lack of correct understanding of epilepsy and poor compliance with medical treatment, and think that epilepsy is a bad choice to give up, or do not carry out systematic and formalization, so that patients who could have lost the opportunity, resulting in refractory epilepsy, which increases the difficulty of epilepsy in the futureOne of the most typical problems is poor compliance, without the guidance of a doctor, repeated changes in dressing, reduction and discontinuation of drugs.
Therefore, today I will talk to you about what compliance is, and how terrible it is to change the medication and reduce the withdrawal of the drug by yourself? How to properly understand the effects of anti-epileptic drugs and other issues!
What is Adherence?
Epilepsy is one of a kindChronic, reversible, transientBrain diseases, mainly due to recurrent seizures caused by abnormal electrical discharges in the brain, are a long processRegular follow-up visits and long-term** are required.
Usually at the initial ** stage,According to the patient's seizure type, epilepsy syndrome, age, gender, whether there are other underlying diseases, etc., and combined with the thoughts of the patient's family, the doctor will jointly determine the individualized initial plan, strictly control the type and dosage of medication, and require regular re-examination during the medication period, dynamically track the patient's physical condition and adjust the medication regimen in time, and the doctor will find a suitable balance between efficacy and adverse reactions. At the same time, the doctor will let the patient and family fully understand the specific practices of the program (such as how to increase the dose of drugs or the need for surgery**), possible adverse effects, and how long the need for follow-up examinations will be required.
**After the plan is decidedWhat patients and their families need to do is to follow the determined **protocol**, and the vast majority of epilepsy can be controlled, or even completely**.
Unfortunately, there are always some patients and family members who, for various reasons, do not follow the doctor's instructions and do not take their medications as plannedThat is, non-compliance**, and abrupt discontinuation, drug change, or private reduction will lead to a decrease in blood levels of antiepileptic drugs, causing seizures, and even status epilepticus, which may also develop into refractory epilepsy.
Therefore, adherence is of great importance in epilepsy. Compliance,It refers to the behavior of the patient following the doctor's instructions for ** and follow-up. For diseases that require a longer term, "compliance", as one of the important factors affecting the efficacy, has attracted more and more attention from clinical professionals. The issue of "compliance" in people with epilepsy should also be given sufficient attention.
How terrible is it for epilepsy patients to change their medication repeatedly?
First of all, this risk is there, but we have to analyze it according to the situation, because some patients may be more sensitive to certain drugs, so in the process of repeated attempts to take drugs, including the dosage and type of drugs, only in this way many attempts, can finally choose the most effective class of drugs for patients of this type of seizure, so this is a must exist in the process of repeated adjustmentHowever, it is done under the guidance of a doctor, and the risks are controllable by the doctor.
Secondly, there is another situation where people with epilepsy repeatedly change their own dressingsI believe that many patients have such an experience in the process of taking one drug when they are sick, they will immediately change to another drug, or try several drugs, or even reduce and stop the drug, which is commonplace for epilepsy patients who have reversed their condition, but we must be clear that there are great risk factors in doing so.
We all know that different anti-epileptic drugs can also have very different characteristics. When the blood concentration reaches a certain amount, it has not yet reached the first amount, and the effect of controlling the seizure has not yet come out, in this case, if we frequently change the drug, such as directly removing the drug, the blood concentration will be greatly reduced, and it is very likely that there will be more serious seizure results than before, and it will be more intense in terms of frequency and intensity.
Therefore, there is a great risk in the above-mentioned situation of repeatedly changing and stopping drugs without permissionFrequent dressing changes can easily lead to uncontrolled epilepsy, which can worsen epilepsy.
Core Tips:In the process of epilepsy, even if it is necessary to change the dressing, it must be carried out under the guidance of the epilepsy doctor, we cannot change the dressing repeatedly at will, and the conversion of multiple drugs will lead to the occurrence of many adverse reactions, and even lead to the loss of control of epilepsy. In addition, we should not be gullible enough to advertise the abuse of certain drugs, which will have more serious consequences and unnecessary losses to families and the economy.