As the semester draws to a close, although there is still a long summer vacation before the new school year, many parents of children with epilepsy have begun to worry about: their children suffer from febrile convulsions, infantile epilepsy, and some have been taking medication. Even if the condition is completely controlled, whether the children can receive normal education, How do you let your children learn and live like other children?
Epilepsy is a common chronic disease of the nervous system, about 60% of which starts in infancy. Early diagnosis and reasonable treatment can enable about 80% of children to achieve good control. Children with benign epilepsy account for about 15% to 24% of children with epilepsy. The prognosis of febrile convulsions and benign epilepsy in children is good, and the intellectual development is generally not affected. Therefore, about 75% of children with epilepsy can go to school normally, and going to school will not aggravate seizures, on the contrary, it will help to narrow the gap between normal children and better integrate into society. However, such children should go to the outpatient department of neurology to communicate with the specialist before going to school, and if necessary, they should receive comprehensive reexamination, such as the examination of EEG. In addition, they should give professional consultation on the neuropsychological problems of children, and make preparations before entering school.
Parents should take a correct view of the life and learning of children with epilepsy. Although there are many factors that are likely to trigger seizures, such as fatigue, sleepiness, staying up late, as long as work and rest are combined, the onset can be completely avoided. Do not take excessive protection, excessive agency, indulgence, learning negligence and limiting activities because of fear of children's seizures, There is no need to worry that school use of brain will aggravate the attack. If school-age children leave the school environment for a long time, it is not conducive to the development of children's physical and mental health, and it will also cause the formation of unhealthy personality.
After enrollment, parents also need to remember: 1. Although the child's condition is completely under control, they should still take medicine according to the doctor's requirements. They should not reduce drugs or stop taking drugs at will. They should also regularly return to the neurology clinic for further consultation. If necessary, it is recommended to recheck the EEG 1-2 times a year. Because the epileptic behavior is often inconsistent with the EEG, many patients do not have seizures, However, EEG is still an abnormal performance, so when to reduce medication and when to stop medication, we must listen to the doctor's advice and actively cooperate with the treatment. 2. Influenced by the use of long-term anticonvulsant drugs and seizures, some children may have abnormal personality and behavior, hyperactivity, withdrawal, and distraction. It is recommended that a psychological assessment be conducted every year. Professional neuropsychological assessment can help these children and premature existing problems, develop effective treatment methods, and correct unhealthy personality in a timely manner. Recently, epilepsy science popularization activities are concentrated. From 8:30 a.m. on June 16, a health education activity on epilepsy themed "Walking with Epilepsy Patients" will be held on the sixth floor of the Democratic Party Building on Shaanxi North Road. At that time, patients can receive medical consulting services such as neuropsychological assessment.
For special children, such as those with mental retardation or frequent seizures that are not effectively controlled, so as to affect others in class, they should not go to school. Children with poor seizure control should first control seizures and then choose to go to school, which is the best policy. Guo Hui (Professor of Brain Center of Shanghai Quyang Hospital)
