Mostrando entradas con la etiqueta Epilepsy. Mostrar todas las entradas
Mostrando entradas con la etiqueta Epilepsy. Mostrar todas las entradas

The young designer María Prats has wanted to change the way of seeing the world of epilepsy with a project full of colors with which she wants to demonstrate that “a disability is not an obstacle to achieving dreams”

María Prats is a cheerful and optimistic girl who likes peace and tranquility, virtues that she has reflected in her project ‘Colours. Creativity & Design’.

This young woman is 21 years old and lives in Barcelona. She spent her childhood in the San Joan de Déu hospital after suffering a complicated birth that caused her trauma.

Mary currently lives with refractory epilepsy, a disease of the nervous system that produces brain alterations and that makes it difficult to control through pharmacological treatment.

This problem leads the young woman to live a complicated daily life. Her illness forces her to sleep a minimum of 10 hours a day to be able to face the day to day with energy and, above all, to prevent possible crises.

Within the framework of International Epilepsy Day, EFEsalud spoke with María and her mother, Chus, and also with her doctor and neurologist, María del Mar Carreño. The colors of life

María knew from a very young age that her passion was to paint and create. She has always “expressed herself through colors,” her mother tells us, which is why “we decided to professionalize this profession so that it would become her life project.”

“He wants to fill the world with colors. For Maria colors are synonymous with joy and happiness. Her goal is to be able to pass on this happiness to everyone through her designs »,

Chus account.

Maria Prats color design
Maria Prats.

The young designer has never doubted her abilities, which is why his work is not directed to the approval of his public, but to his own satisfaction to elaborate what for her is “sharing the magic of colors”.

“A disability is not an obstacle to achieving our dreams and being successful. I paint to express my joy of living, sharing the magic of colors is my gift to the world. I can’t change the world, but I can change the way of seeing it.”

Maria shares.

“It is not a mental problem”

The Dr. Mª del Mar Carreño, president of the Spanish Epilepsy Societydescribes Maria as a “compliant, tenacious and very good-natured patient, with her family and with the health personnel”.

He believes that his project “is a benefit for María because it helps her work on attention, creativity and organize her time”.

“The project is very good for the entire community of patients with epilepsy, it gives visibility to the disease and helps reduce stigma”,

says the expert.

The stigma that this disease suffers in society is due to the little knowledge that is had of it, reaching confused with a mental problem.

“I think they don’t understand it and they misunderstand it. Crises are scary and frightening because there is little information, few people know how to act before a person who suffers a seizure, “

tells the young Maria.

Her doctor agrees and reflects that part of this stigma is also due to the fear of the disease, “a problem that limits the patient’s social and work life.”

«To integrate socially we recommend participating in all kinds of activities that encourage contact with other people and where activities that interest them are carried out as long as they do not pose a potential risk. For example, risky sports are contraindicated, but most team sports can be practiced.”

advises the expert in epilepsy.

More inclusion, empathy and self-esteem

María has given us the keys so that her quality of life, as well as that of all patients, can be better.

In inclusion, empathy and self-esteem is the key. Well asks that “they be valued for what they can do and not be treated differently”.

“I always say that I don’t have a disability, I’m lucky to have other abilities and believe in them,”

says the young woman.

“My dream is to be able to create an inclusive space where other young people with other abilities can express themselves and share projects. Together we can do great things and show the world how great we are.”

Maria Prats color design
Designs by Maria Prats.

life with epilepsy

The drug resistance that Maria suffers from in her illness limits much of her daily activity.

Her crises prevent her from being alone since “they need rescue, that’s why there is always someone looking out for me.”

“The worst thing about crises is that they are unpredictable, you never know when or where you might have one,”

says the young designer.

In the case of this young woman’s epilepsy, the treatment includes a combination of drugs that allow her seizures to be controlled.

However, the refractory nature of his epilepsy leads him “often to change some drug to maintain stability.”

“Over time, the body gets used to it and some medications lose their effectiveness, so you have to change your medication, try a new combination and hope it works. This always generates fear and anguish”,

Mary describes.

drugs medicines

Therapeutic adherence is essential to control epileptic seizures, as well as “avoiding those factors that can worsen them, such as lack of sleep, excessive stress, or alcohol and drug use“, advises the neurologist.

The evolution of pharmacology in epilepsy has made it possible to reduce serious side effects in the short and long term and to complement other existing medicines.

In fact, “for patients in whom medicines do not work, there are alternatives such as surgery, certain diets or brain stimulation with devices.”

In uncontrollable cases…

There are many types of epilepsy. When the disease is controlled, the chances of having an education and working and social life is comparable to people who do not have epilepsy.

In the case of uncontrolled crises, which continue despite the correct medication or in addition to epilepsy they suffer from an intellectual disability, the “special needs are not always covered”.

“In general, you have access to special education, but the situation is quite complicated to get a job. I believe that more resources should be developed in this field, such as having more places in companies for people with disabilities and more occupational centers”,

claims the expert in neurology.

It could be epilepsy and you don’t know it

This disease, like others, can be misdiagnosed. Epilepsy can be confused with “vasovagal or cardiac syncope and with psychogenic crises,” explains Dr. Carreño.

“There are many diseases that can give similar symptoms, such as migraine, metabolic disorders or transient vascular accidents,”

Add.

Every second Monday in February, International Epilepsy Day is commemorated with the aim of raising awareness and educating society about this neuronal pathology suffered by around 50 million people in the world and some 400,000 in Spain, which makes it a one of the most common neurological disorders and, at the same time, the most discriminated

Epilepsy is a chronic disease of the nervous system that produces epileptic seizures and for which there is still no cure.

This disease can be suffered by anyone, but there are two moments in life when it is more common to suffer from it: the childhood (first months of life) and old age (From the age of 50 the risk increases, especially from the age of 70).

This pathology can be triggered by many causes, such as genetics, being a hereditary disease that can be transmitted to offspring.

EFEsalud has interviewed the president of the Spanish Epilepsy Society (SEEP), the Dr. Maria del Mar Carreno Martinezto learn more about this disease on its International Day.

“The main problem with epileptic seizures is that they are unpredictable, they can occur at any time and that limits the patient’s life. The most serious crises are generalized seizures (the ones we all associate with epilepsy), but there are crises in which the patient does not have jerks, but remains absent»

Reports the president of the SEEP.

Your risk of death is three times higher in the general population and in many places around the world patients and their families are victims of stigmatization and discrimination.

In this way, epilepsy becomes a chronic disease that can cause not only physical and neuronal problems, but also a stigma that entails social, work and family difficulties that are fought against on February 14.

“I think it would be essential for the entire population to know how to act in the event of witnessing a generalized crisis,”

claims Dr. Carreño.

The president of the Spanish Epilepsy Society, María del Mar Carreño/Photo courtesy of this medical society

Stigma and discrimination towards epilepsy

The discrimination and social stigma that surround epilepsy in some places are a big part of the fight against the disease, as in some cases the stigma is more difficult to control than the epileptic seizures themselves.

The stigmatization of the pathology can prevent patients from seeking help and treatment in order to avoid being recognized as epileptic.

“Despite the fact that we have made great progress in understanding the disease and in disseminating truthful medical information, epilepsy continues to have a great stigma, largely due to ignorance,” shares the expert.

How to act against an epileptic crisis?

In order for the patient’s day-to-day life to have the best possible quality, it is important to observe the crises and then describe them and provide information that helps the choice of treatment.

epilepsy can manifest in various wayssuch as involuntary muscle spasms, absences, seizures or sensory sensations, among others, being able to lose consciousness during a crisis.

It is advisable to know its onset, the part of the body in which it suffers, the duration, if it loses consciousness from the beginning, if the gaze is diverted, foam is perceived at the mouth, if there is loss of sphincter control, if it requires medication and how subsequent recovery occurs.

However, there are cases and patients in which it is difficult to prevent a crisis.

“There are patients who, for example, have had brain hemorrhages or other injuries. These patients must be evaluated periodically and undergo tests such as the electroencephalogram. It is not entirely clear that it is appropriate to treat them preventively, “

explains the doctor.

Pandemic and epilepsy

During the pandemic, medical care for chronic diseases was reduced by the global health emergency.

According to a study carried out by the Epilepsy Unit of the Neurology Service of the Vall d’Hebron Hospital in Barcelona, ​​10% of patients worsened the control of their epilepsy due to confinement.

healthcare
Since the start of the coronavirus crisis, home visits and care have increased. EFE/Enric Fontcuberta.

Face-to-face visits were reduced and new consultation possibilities were opened. The telephone attention and video visits allowed to continue with the control of the diseases without putting the patient at risk.

“In general, patients were able to contact us whenever they needed to. Some patients have found virtual visits very convenient and we continue to do them in specific cases or when the pandemic situation is bad, “

informs the president of the SEEP.

Drugs, surgery and robots for its treatment

As in any disease, pharmacological treatment is essential for a good quality of life for the patient. “Most epilepsies (70%) are adequately controlled with drugs,” says the expert.

Among the variety of antiepileptic drugs, of which there are currently 20, There is also the use of medical cannabis without THC.

«In Spain we have cannabidiol in pharmacies. This can be used as an add-on treatment to treat severe epilepsies such as Dravet syndrome or Lennox-Gastaut syndrome.”

emphasizes Dr. Carreño.

Each of the drugs is intended for a type of patient according to their age, type of epilepsy, electroencephalographic pattern, etc. Always monitoring the possible appearance of side effects that leads to the abandonment of treatment in some cases.

“You have to work with the patient to convince him of the importance of taking the drugs regularly to avoid the occurrence of crises. And change the drug if you don’t tolerate it well, because we currently have many options, “

expresses the doctor.

But nevertheless, there are patients with drug-resistant epilepsya problem that leads to the continuation of the seizures despite having taken the anti-seizure drug correctly.

epilepsy brain
Plastic mold with the steps of the surgery that can end epileptic seizures.

For these cases It is possible to use surgery, «especially if there is an injurysays the expert. With this method, the epilethogenic area or area of ​​the brain where the crises originate is removed.

In these surgeries, it is increasingly common to use robots since “they represent additional help to place, for example, intracranial electrodes. However, they are never a substitute for an experienced neurosurgeon.”

Diet and stimulation

It is also possible to use a ketogenic diet in cases of add-on therapy in childhood epilepsy refractory to antiepileptic drugs (AED).

In it, carbohydrates in the diet are replaced by lipids (fats), which become the main energy source, thus metabolizing fatty acids instead of carbohydrates, which are what cause a state of ketosis.

On the other hand, there is the possibility of stimulating the vagus nerve to reduce crises. In this case, a programmable generator similar in size to a cardiac pacemaker is placed in the chest wall.

This regularly sends electrical signals to the vagus nerve, and the patient and family can use a magnet to stop the stimulation or activate it outside of the programmed cycle.

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