TREATMENT OF A TONIC-CLONAL CONVULSION. THE FIRST BASIC HELP

• The first thing that must be done is to protect the affected person so that one could not hurt.
• It has to of a soft object puts itself between the teeth to avoid the injuries of the jaw contractions.
• To separate the furniture and objects that are about the affected person
• To try the person to prevent the movements from balancing during the convulsion.
• To protect the person of the possible aspiration of vomiting or of mucous membranes. If the person is sick, it is necessary to turn him towards a side and to support it of this way while he sleeps after it has finished the convulsion.
• If the person who has convulsions puts herself of blue color or stops breathing, it is necessary to turn towards a side to support the clear airways and to prevent the language from stopping up them.
• The respiration usually begins herself as soon as the convulsion has ended.
• The resuscitation cardiopulmonar or the respiration mouth to mouth is necessary in very little occasions after a convulsion and it is never necessary to realize during the convulsion.

MEDICAL TREATMENT OF A TONIC-CLONAL CONVULSION

After the episode of sharp convulsion they must sign up to inform the doctor such details of the convulsion like: date and hour of the episode, duration, parts of the body that turned out to be affected, the type of movements or other symptoms, possible causes and other factors that have been observed.

PREVENTIVE - STABILIZING LONG-TERM TREATMENT OF THE EPILEPSY

Sometimes it is not necessary to treat more than the causes, if they have been identified, to stop the convulsions. This can include medical treatment of the illnesses detected like causers of the convulsions, the surgical intervention of tumors or cerebral injuries or other treatments.

The oral anticonvulsionantes prepare or diminish the number of future convulsions. The answer to these medicines is individual and the medicines and the dose used they can need of adjustments periodically every person.

TREATMENT FOR TYPES OF CONVULSIONS

The crisis of "small evil" normally they answer better to the acid valproico or etosuximida, as alternative can be used clonazepam or other medicines.

The convulsion of "big evil" generally answers better to the fenitoína, the carbamazepina, to the valproico acid or phenobarbital, like alternative sepueden to use primidona or other medicines.

The focal convulsions or complex partial convulsions usually answer better to the fenitoína or to the carbamazepina.

Other medicines that can be used are the levitracetam, the gabapentina, the gabatril, the lamotrigina, the oxcarbazepina and the topiramato.

In all the cases it is necessary to personalize the treatment and to do control panel of the evolution and of the treatment at least every year. For it they usually do analysis to measure the level in blood of the established medicines, in such a way that the necessary minimal dose could fit to every person who could control the symptoms and diminish the side effects.

In spite of the suitable control panel, sometimes there are certain processes that descompensan to a person with epilepsy, as they can be:

• Pregnancy
• Lacking in sleep
• Nonperformance of the treatment
• To use drugs, medicines or alcohol
• Diverse illnesses

TO SEE ALSO

• Epilepsy
• Epilepsy: Classification and Diagnosis
• The Epilepsy and his Prognosis

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