{"id":1203,"date":"2024-09-08T16:03:52","date_gmt":"2024-09-08T14:03:52","guid":{"rendered":"https:\/\/roneuro.ro\/blog\/?p=1203"},"modified":"2024-09-09T12:58:21","modified_gmt":"2024-09-09T10:58:21","slug":"prevenirea-si-gestionarea-epilepsiei","status":"publish","type":"post","link":"https:\/\/roneuro.ro\/blog\/prevenirea-si-gestionarea-epilepsiei\/","title":{"rendered":"Prevenirea \u0219i gestionarea epilepsiei"},"content":{"rendered":"\n<h2>Prevenirea \u0219i gestionarea epilepsiei<\/h2>\n<p>Pe l\u00e2ng\u0103 tratamentul medicamentos, stilul de via\u021b\u0103 joac\u0103 un rol esen\u021bial \u00een gestionarea epilepsiei. Adoptarea unor obiceiuri s\u0103n\u0103toase \u0219i evitarea factorilor declan\u0219atori pot contribui semnificativ la reducerea frecven\u021bei crizelor \u0219i la \u00eembun\u0103t\u0103\u021birea calit\u0103\u021bii vie\u021bii pacien\u021bilor.<\/p>\n<p>Schimb\u0103rile simple, cum ar fi men\u021binerea unui program regulat de somn, gestionarea stresului, alimenta\u021bia echilibrat\u0103 \u0219i evitarea substan\u021belor care pot declan\u0219a crizele, pot avea un impact profund \u00een controlul epilepsiei.<\/p>\n<p><strong>Aproximativ 25% din cazurile de epilepsie pot fi prevenite prin:<\/strong><\/p>\n<ul>\n<li><strong>Evitarea traumatismelor craniene \u2013<\/strong> prin reducerea num\u0103rului de c\u0103z\u0103turi, accidente rutiere \u0219i leziuni sportive, pentru a preveni epilepsia posttraumatic\u0103.<\/li>\n<li><strong>\u00cengrijire perinatal\u0103 adecvat\u0103 \u2013<\/strong> poate reduce cazurile de epilepsie cauzate de leziuni la na\u0219tere.<\/li>\n<li><strong>Sc\u0103derea temperaturii corporale \u2013<\/strong> reduce \u0219ansele de apari\u021bie a crizelor febrile.<\/li>\n<\/ul>\n<p><strong>Prevenirea epilepsiei asociate cu accidentul vascular cerebral<\/strong> &#8211; prin reducerea factorilor de risc cardiovascular (ex. m\u0103suri de prevenire sau control al hipertensiunii arteriale, diabetului \u0219i obezit\u0103\u021bii \u0219i evitarea consumului de tutun \u0219i alcool \u00een exces) <strong>[1].<\/strong><\/p>\n<p><img fetchpriority=\"high\" decoding=\"async\" class=\"wp-image-1204 aligncenter\" src=\"https:\/\/roneuro.ro\/blog\/wp-content\/uploads\/2024\/09\/prevenirea-epilepsiei-scaled.jpg\" alt=\"\" width=\"700\" height=\"402\" title=\"\" srcset=\"https:\/\/roneuro.ro\/blog\/wp-content\/uploads\/2024\/09\/prevenirea-epilepsiei-scaled.jpg 2560w, https:\/\/roneuro.ro\/blog\/wp-content\/uploads\/2024\/09\/prevenirea-epilepsiei-300x173.jpg 300w, https:\/\/roneuro.ro\/blog\/wp-content\/uploads\/2024\/09\/prevenirea-epilepsiei-1024x589.jpg 1024w, https:\/\/roneuro.ro\/blog\/wp-content\/uploads\/2024\/09\/prevenirea-epilepsiei-768x442.jpg 768w, https:\/\/roneuro.ro\/blog\/wp-content\/uploads\/2024\/09\/prevenirea-epilepsiei-1536x883.jpg 1536w, https:\/\/roneuro.ro\/blog\/wp-content\/uploads\/2024\/09\/prevenirea-epilepsiei-2048x1178.jpg 2048w, https:\/\/roneuro.ro\/blog\/wp-content\/uploads\/2024\/09\/prevenirea-epilepsiei-750x431.jpg 750w, https:\/\/roneuro.ro\/blog\/wp-content\/uploads\/2024\/09\/prevenirea-epilepsiei-1140x656.jpg 1140w\" sizes=\"(max-width: 700px) 100vw, 700px\" \/><\/p>\n<h2>Care sunt principalii declan\u0219atori ai crizelor de epilepsiei?<\/h2>\n<p><strong>Pute\u021bi ajuta la prevenirea crizelor lu\u00e2nd medicamentele conform prescrip\u021biei \u0219i evit\u00e2nd factorii declan\u0219atori.<\/strong><\/p>\n<p>Declan\u0219atorii includ:<\/p>\n<ul>\n<li>cofeina;<\/li>\n<li>alimenta\u021bie inconsistent\u0103;<\/li>\n<li>infec\u021biile;<\/li>\n<li>v\u0103rs\u0103turi, diaree sau constipa\u021bie;<\/li>\n<li>febra;<\/li>\n<li>lipsa somnului;<\/li>\n<li>stresul fizic \u0219i emo\u021bional;<\/li>\n<li>modific\u0103rile hormonale cauzate de menstrua\u021bie;<\/li>\n<li>omiterea unei doze sau administrarea unei cantit\u0103\u021bi prea mari de medicamente antiepileptice;<\/li>\n<li>alergenii;<\/li>\n<li>consumul de alcool sau de droguri;<\/li>\n<li>schimb\u0103ri severe de temperatur\u0103;<\/li>\n<li>luminile intermitente [1, 2].<\/li>\n<\/ul>\n<h2>Cum \u00eemi pot da seama care sunt factorii declan\u0219atori ai crizelor mele de epilepsie?<\/h2>\n<p>Crizele pot ap\u0103rea \u00een anumite momente ale zilei sau \u00een jurul anumitor evenimente.<\/p>\n<p>Monitoriza\u021bi-v\u0103 crizele pentru a determina factorii declan\u0219atori \u0219i a observa dac\u0103 exist\u0103 un anumit tipar.<\/p>\n<p>Men\u021bine\u021bi un jurnal de crize, unde se noteaz\u0103 ora, evenimentele din jurul momentului de criz\u0103 \u0219i simptomele.<\/p>\n<h2>Cum se poate gestiona epilepsia?<\/h2>\n<p>Colabora\u021bi cu medicul dumneavoastr\u0103 pentru a ob\u021bine cea mai bun\u0103 metod\u0103 de control a crizelor epileptice, \u00een special dac\u0103 planifica\u021bi o sarcin\u0103.<\/p>\n<p>Pentru a v\u0103 ajuta s\u0103 v\u0103 controla\u021bi crizele:<\/p>\n<ul>\n<li>Lua\u021bi-v\u0103 medicamentele exact a\u0219a cum v-au fost prescrise;<\/li>\n<li>Dormi\u021bi suficient (\u00eentre \u0219apte \u0219i nou\u0103 ore pe noapte);<\/li>\n<li>Gestiona\u021bi-v\u0103 stresul cu tehnici diverse precum yoga, medita\u021bia, exerci\u021biile de respira\u021bie profund\u0103, biofeedback sau alte metode de relaxare;<\/li>\n<li>Face\u021bi exerci\u021bii fizice \u00een mod regulat;<\/li>\n<li>Evita\u021bi consumul excesiv de alcool;<\/li>\n<li><strong>Spune\u021bi tuturor furnizorilor dvs. de asisten\u021b\u0103 medical\u0103 c\u0103 ave\u021bi epilepsie.<\/strong> Verifica\u021bi cu medicul curant dac\u0103 un alt medic v\u0103 prescrie medicamente pentru a trata alte probleme de s\u0103n\u0103tate.<\/li>\n<li>Spune\u021bi \u00eentotdeauna medicului care v\u0103 gestioneaz\u0103 epilepsia despre toate produsele pe care le lua\u021bi, inclusiv medicamentele f\u0103r\u0103 prescrip\u021bie medical\u0103, vitaminele \u0219i suplimentele \u0219i produsele pe baz\u0103 de plante.<\/li>\n<li>Identifica\u021bi \u0219i evita\u021bi factorii declan\u0219atori ai crizelor.<\/li>\n<\/ul>\n<div style=\"border: 1px solid #b14cf4; padding: 10px;\"><center><strong>Unele medicamente, inclusiv antidepresivele, antihistaminicele \u0219i stimulentele, pot interfera cu eficacitatea medicamentelor antiepileptice sau pot provoca efecte secundare!<\/strong><\/center><\/div>\n<h2><\/h2>\n<h2>Resurse \u0219i suport pentru pacien\u021bi<\/h2>\n<p>Suferi\u021bi de epilepsie? Programa\u021bi-v\u0103 acum contact\u00e2nd recep\u021bia Institutului <strong>RoNeuro<\/strong> la num\u0103rul de telefon<strong> <a href=\"tel:+40374462222\">0374 46 2222<\/a><\/strong>, luni \u0219i mar\u021bi \u00eentre orele <strong>08:00 &#8211; 19:00<\/strong>, iar de miercuri p\u00e2n\u0103 vineri \u00eentre orele <strong>08:00 &#8211; 18:00. <\/strong><\/p>\n<p>La momentul program\u0103rii, pute\u021bi opta \u0219i pentru consulta\u021bie neurologic\u0103 gratuit\u0103, decontat\u0103 prin Casa Na\u021bional\u0103 de Asigur\u0103ri de S\u0103n\u0103tate. Mai mult, pot fi efectuate program\u0103ri online.<\/p>\n<p style=\"text-align: center;\"><a style=\"background-color: #6852ed; color: white; text-decoration: none; border: none; padding: 10px 20px; cursor: pointer; display: inline-block;\" href=\"https:\/\/www.roneuro.ro\/progamari.html\">Program\u0103ri online aici!<\/a><\/p>\n<p>Locui\u021bi \u00eentr-o zon\u0103 izolat\u0103 sau nu v\u0103 pute\u021bi deplasa la clinic\u0103? RoNeuro ofer\u0103 \u0219i op\u021biunea de <strong><a href=\"https:\/\/www.roneuro.ro\/telemedicina.html\" target=\"_blank\" rel=\"noopener\">telemedicin\u0103<\/a>.<\/strong><\/p>\n<h2>Pot conduce dac\u0103 am epilepsie?<\/h2>\n<p>\u00cen Rom\u00e2nia, persoanele care au avut o criz\u0103 de epilepsie sau episoade de pierdere a con\u0219tien\u021bei sunt sf\u0103tuite s\u0103 nu conduc\u0103 autovehicule p\u00e2n\u0103 c\u00e2nd nu se evalueaz\u0103 capacitatea lor de a conduce \u00een mod sigur.<\/p>\n<p>Pentru asta, este necesar\u0103 \u00eentocmirea unui raport medical care s\u0103 stabileasc\u0103 perioada \u00een care conducerea este interzis\u0103 \u0219i s\u0103 monitorizeze starea pacientului. \u00cen plus, trebuie identificat sindromul epileptic specific pentru a evalua riscul de noi crize [3].<\/p>\n<p><img decoding=\"async\" class=\"wp-image-1205 aligncenter\" src=\"https:\/\/roneuro.ro\/blog\/wp-content\/uploads\/2024\/09\/condus-auto-epilepsie-scaled.jpg\" alt=\"\" width=\"699\" height=\"205\" title=\"\" srcset=\"https:\/\/roneuro.ro\/blog\/wp-content\/uploads\/2024\/09\/condus-auto-epilepsie-scaled.jpg 2560w, https:\/\/roneuro.ro\/blog\/wp-content\/uploads\/2024\/09\/condus-auto-epilepsie-300x88.jpg 300w, https:\/\/roneuro.ro\/blog\/wp-content\/uploads\/2024\/09\/condus-auto-epilepsie-1024x301.jpg 1024w, https:\/\/roneuro.ro\/blog\/wp-content\/uploads\/2024\/09\/condus-auto-epilepsie-768x226.jpg 768w, https:\/\/roneuro.ro\/blog\/wp-content\/uploads\/2024\/09\/condus-auto-epilepsie-1536x451.jpg 1536w, https:\/\/roneuro.ro\/blog\/wp-content\/uploads\/2024\/09\/condus-auto-epilepsie-2048x601.jpg 2048w, https:\/\/roneuro.ro\/blog\/wp-content\/uploads\/2024\/09\/condus-auto-epilepsie-750x220.jpg 750w, https:\/\/roneuro.ro\/blog\/wp-content\/uploads\/2024\/09\/condus-auto-epilepsie-1140x335.jpg 1140w\" sizes=\"(max-width: 699px) 100vw, 699px\" \/><\/p>\n<p>Crizele provocate de factori externi, care sunt improbabili \u00een timpul conducerii, pot permite acordarea permisului, de la caz la caz, pe baza avizului neurologic [3].<\/p>\n<p>Persoanele cu crize neprovocate pot fi considerate apte pentru condus dup\u0103 6 luni f\u0103r\u0103 crize, iar cei cu crize exclusiv \u00een timpul somnului pot conduce dac\u0103 nu au avut crize \u00een timpul zilei pentru o perioad\u0103 echivalent\u0103.<\/p>\n<p>Autorit\u0103\u021bile pot permite conducerea \u00eenainte de aceste perioade dac\u0103 prognosticul este favorabil \u0219i examenele neurologice sunt satisf\u0103c\u0103toare [3].<\/p>\n<h2>Ce alte limit\u0103ri au persoanele cu epilepsie \u00een Rom\u00e2nia?<\/h2>\n<ol>\n<li><strong>Limit\u0103ri la locul de munc\u0103: <\/strong>Activitatea la locuri de munc\u0103 care implic\u0103 riscuri semnificative, cum ar fi lucrul la \u00een\u0103l\u021bime, cu utilaje grele, sau \u00een medii periculoase poate fi restric\u021bionat\u0103. Alte restric\u021bii vizeaz\u0103 operatorii de ma\u0219ini \u0219i lucr\u0103torii \u00een domeniul securit\u0103\u021bii sau transportului public.<\/li>\n<li><strong>Limitarea \u00een activit\u0103\u021bi sportive<\/strong>: Participarea la sporturi de contact (ex. boxul) sau extreme (ex. alpinismul) poate fi limitat\u0103, \u00een func\u021bie de severitatea \u0219i controlul crizelor.<\/li>\n<li><strong>Limit\u0103ri pentru activit\u0103\u021bi recreative<\/strong>: Anumite activit\u0103\u021bi recreative care implic\u0103 riscuri, (ex. schiatul, condusul motocicletelor), pot fi restric\u021bionate pentru a preveni accidentele.<\/li>\n<li><strong>Limit\u0103ri \u00een func\u021bii publice \u0219i profesii speciale<\/strong>: Exist\u0103 restric\u021bii privind ocuparea anumitor func\u021bii publice sau profesii care necesit\u0103 standarde ridicate de siguran\u021b\u0103 \u0219i responsabilitate.<\/li>\n<\/ol>\n<p>Aceste limit\u0103ri au rolul de a proteja persoanele cu epilepsie \u0219i de a preveni riscurile asociate cu crizele necontrolate.<\/p>\n<p>Este important ca persoanele afectate s\u0103 consulte profesioni\u0219ti \u00een domeniul medical \u0219i juridic pentru a \u00een\u021belege exact cum se aplic\u0103 aceste reglement\u0103ri \u00een cazul lor.<\/p>\n<h2>Concluzii | Prevenirea \u0219i gestionarea epilepsiei<\/h2>\n<p>De\u0219i tratamentul medicamentos este prima linie \u00een gestionarea epilepsiei, modificarea stilului de via\u021b\u0103 poate avea un impact major prin reducerea factorilor de risc. Mai mult, monitorizarea factorilor declan\u0219atori ajut\u0103 la prevenirea crizelor ulterioare.<br \/>\n\u00cen Rom\u00e2nia exist\u0103 anumite limit\u0103ri \u00een diverse domenii ale vie\u021bii pentru persoanele cu epilepsie, dar acestea nu au rol de a discrimina, ci de a proteja s\u0103n\u0103tatea \u0219i siguran\u021ba pacien\u021bilor c\u00e2t \u0219i a celor din jur.<\/p>\n<h2>Referin\u021be<strong>\u00a0<\/strong><\/h2>\n<ol>\n<li>World Health Organization. (n.d.-b). <a href=\"https:\/\/www.who.int\/news-room\/fact-sheets\/detail\/epilepsy\" target=\"_blank\" rel=\"noopener\"><em>Epilepsy<\/em><\/a>. World Health Organization.<\/li>\n<li><a href=\"https:\/\/epilepsyfoundation.org.au\/understanding-epilepsy\/seizures\/seizure-triggers\/\" target=\"_blank\" rel=\"noopener\"><em>Seizure triggers<\/em><\/a>. Epilepsy Foundation. (n.d.-b).<\/li>\n<li><em>Norma 31\/08\/2010 &#8211; <a href=\"https:\/\/legislatie.just.ro\/public\/DetaliiDocument\/122024\" target=\"_blank\" rel=\"noopener\">portal legislati<\/a>v<\/em>. NORMA 31\/08\/2010 &#8211; Portal Legislativ. (n.d.).<\/li>\n<\/ol>\n","protected":false},"excerpt":{"rendered":"<p>Prevenirea \u0219i gestionarea epilepsiei Pe l\u00e2ng\u0103 tratamentul medicamentos, stilul de via\u021b\u0103 joac\u0103 un rol esen\u021bial \u00een gestionarea epilepsiei. Adoptarea unor obiceiuri s\u0103n\u0103toase \u0219i evitarea factorilor declan\u0219atori pot contribui semnificativ la reducerea frecven\u021bei crizelor \u0219i la \u00eembun\u0103t\u0103\u021birea calit\u0103\u021bii vie\u021bii pacien\u021bilor. Schimb\u0103rile simple, cum ar fi men\u021binerea unui program regulat de somn, gestionarea stresului, alimenta\u021bia echilibrat\u0103 \u0219i [&hellip;]<\/p>\n","protected":false},"author":2,"featured_media":1208,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"jnews-multi-image_gallery":[],"jnews_single_post":{"source_name":"","source_url":"","via_name":"","via_url":"","override_template":"0","override":[{"template":"6","single_blog_custom":"","parallax":"1","fullscreen":"1","layout":"no-sidebar","sidebar":"default-sidebar","second_sidebar":"default-sidebar","sticky_sidebar":"1","share_position":"floatbottom","share_float_style":"share-normal","show_share_counter":"1","show_view_counter":"1","show_featured":"1","show_post_meta":"1","show_post_author":"0","show_post_author_image":"1","show_post_date":"1","post_date_format":"default","post_date_format_custom":"Y\/m\/d","show_post_category":"1","show_post_reading_time":"1","post_reading_time_wpm":"300","show_zoom_button":"1","zoom_button_out_step":"2","zoom_button_in_step":"3","show_post_tag":"1","show_prev_next_post":"0","show_popup_post":"1","number_popup_post":"3","show_author_box":"0","show_post_related":"1","show_inline_post_related":"0"}],"override_image_size":"0","image_override":[{"single_post_thumbnail_size":"crop-500","single_post_gallery_size":"crop-500"}],"trending_post":"0","trending_post_position":"meta","trending_post_label":"Trending","sponsored_post":"0","sponsored_post_label":"Sponsored by","sponsored_post_name":"","sponsored_post_url":"","sponsored_post_logo_enable":"0","sponsored_post_logo":"","sponsored_post_desc":"","disable_ad":"0"},"jnews_primary_category":{"id":"","hide":""},"jnews_override_counter":[],"footnotes":""},"categories":[6],"tags":[],"class_list":["post-1203","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-neurologie"],"_links":{"self":[{"href":"https:\/\/roneuro.ro\/blog\/wp-json\/wp\/v2\/posts\/1203","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/roneuro.ro\/blog\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/roneuro.ro\/blog\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/roneuro.ro\/blog\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/roneuro.ro\/blog\/wp-json\/wp\/v2\/comments?post=1203"}],"version-history":[{"count":4,"href":"https:\/\/roneuro.ro\/blog\/wp-json\/wp\/v2\/posts\/1203\/revisions"}],"predecessor-version":[{"id":1236,"href":"https:\/\/roneuro.ro\/blog\/wp-json\/wp\/v2\/posts\/1203\/revisions\/1236"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/roneuro.ro\/blog\/wp-json\/wp\/v2\/media\/1208"}],"wp:attachment":[{"href":"https:\/\/roneuro.ro\/blog\/wp-json\/wp\/v2\/media?parent=1203"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/roneuro.ro\/blog\/wp-json\/wp\/v2\/categories?post=1203"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/roneuro.ro\/blog\/wp-json\/wp\/v2\/tags?post=1203"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}