May 31, 2011
Seizures ON CHILDREN, Beware!
Seizures, whether or not accompanied by fever, can be fatal impact. That is why, after giving first aid, take your child immediately to hospital. Tutty, not her real name, panic is not playing for the sake of her baby have a fever accompanied by convulsions. His whole body was shivering but stiff like wood, his hands clenched tightly and his eyes glared upwards. As a mother, Tutty very worried about her child will suffer brain disorders. Fortunately Tutty sprightly immediately took him to the nearest pediatrician. Now, after all this time passed, little has been actively playing again. Indeed, any mother who does not panic see their children who were aged under five had seizures-fever. "It feels embarrassed at once confused, baseball know what to do," chirped another mother.
"The truth is only natural that parents confused, but need not panic too. Because febrile seizures are often inflicted on children under five, mostly children aged 6 months to 5 years, "said dr. Adi Tagor, Sp.A, DPH. According to Adi, seizures themselves are the result of excessive muscle contractions in a certain time without being able to be controlled. One cause of the occurrence of febrile seizures is high body temperature of children. Incidence of febrile seizures is termed febrile seizures (convalsio febrillis) or stuip / step. The problem is, tolerance of each child against the fever is very varied. At the low tolerance of children, the fever in the body temperature 38 C was already able to make seizures. While the children are normal tolerance, new seizures experienced if the body temperature had reached 39 C or more.
BRAIN METABOLISM DISORDERS Then why can occur seizures? "High body temperature will cause the basal metabolic disorders. Whereas the increase in body temperature by 1 C alone can cause an increase in basal metabolism (ie, the minimum amount of energy needed to maintain vital body functions) of 10-15%. In this condition, needs oxygen to the brain increased by 20%. The problem, at the age of five, blood flow to the brain reaches 65% of the flow around the body. Compare at adults only 15%. That's why, obviously pediatrician who practice in hospitals such as Pondok Indah, the increase in body temperature more easily cause disturbances in brain metabolism. Consequently, the balance of brain cells would be disrupted. The disturbance will cause the occurrence of electrical discharge that spreads throughout the brain tissue. As a result, there was muscle rigidity causing spasm in the whole body earlier. Febrile seizures, clear Adi, indicating little one has a disease that triggers fever like tuberkolusa (TB). Can also other infectious diseases such as flu, sore throat, mumps, measles, dengue, typhoid, and so forth. Fever that trigger seizures can arise due to the body's reaction to the existing conditions. Like a stung child sun in a long time, is teething, or after receiving the immunization. "So many doctors who gave febrifuge once your child immunized. Give immediate febrifuge this in children, "advises Adi.
HAVE 'HISTORY' Seizures In addition to fever, seizures and others who appear without a fever. One cause of such seizure is a disturbance in brain function. Could be due to allergies, birth defects, birth trauma, head trauma, brain tumor, brain inflammation, bleeding in the brain, hypoxia (lack of oxygen in tissue), metabolic disorders, circulatory disorders or poisoning. Make no mistake, diarrhea and vomiting can cause seizures in children. The reason is the blood electrolyte balance disorders due to vomiting and diarrhea that had caused a lot of wasted body fluids. Other causes of pain in the long term that causes low blood sugar levels, food intake is less, or concerned had been suffering from seizures due to epilepsy disorders. "Seizures due to epilepsy is usually easily detected by looking at family history of febrile seizures. Therefore, parents who have experienced seizures as a child should be wary because of the high-risk children experienced similar seizures. "
Such seizures usually lasted more than 15 minutes. After having a seizure, usually the child will look limp, drowsy and fell asleep. When awakened, if the seizure had no impact on brain function, children can recover. Meanwhile, if you had the brain, usually the child will have behavioral disorders. Can also be frequently exposed child had seizures.
TAKE TO PHYSICIAN IMMEDIATELY! (Do not be stingy old man ...)
To prevent things that are not desirable, Adi suggested that parents give first aid as soon as possible so know your child having a febrile seizure. After that, do not wait for another time promptly bring the child to the doctor or the nearest clinic. Do not be fixated only on the duration of seizures, whether just a few seconds or few minutes. That way, your child will receive further treatment right from the experts. Usually the doctor will also give febrifuge, as well as provide drugs to cope with seizures and antikejang. "As first aid, do not take him straight to a full hospital that is located relatively far away because your child might get a more dangerous risk due to slowly get first aid," said Adi, too.
In addition, if the febrile seizure was not immediately receive proper treatment, your child will be exposed to any danger of mental retardation. Because febrile seizures can cause damage to brain cells of children. So, if the seizures took place in a long time, then possibility of damaged cells would be more and more. It is not possible level of intelligence of children will decrease dramatically and can no longer develop optimally. Even some cases of febrile seizures may cause epilepsy in children. No less important, so children affected by febrile convulsions, parents also should caution ekstrahati. You see, in the first year after the incident, similar seizures or even greater chance of repeating itself. To anticipate and make preparations febrifuge antikejang drug that has been prescribed a pediatrician. Even so, parents should not overly worried. Because with the proper and immediate treatment, a febrile seizure that lasted a few moments generally do not cause brain dysfunction.
Seizures CHARACTERISTICS Of course in this case parents should be able to read the characteristics of a child affected by febrile seizures. Among them:
- Both legs and arms stiff movements accompanied by a strong shock and seizures for 5 minutes. - Eyeballs turned upward - Teeth clenched - Vomiting - Not infrequently the child stops breathing for a moment. - In some cases can not control spending bowel / small. - In severe cases, the child often unconscious. The intensity of the seizures also vary widely, from several seconds to tens of minutes.
TIPS OVERCOME febrile seizures Here are some of Adi's explanation about the seizures and fever in children:. Child's normal body temperature ranges between 36-37 C. Little declared a fever if her temperature is measured through the mouth / ear showed the 37.8 C; through the rectum 38 C, and 37.2 C through the armpit. Before the higher, ventilate febrifuge. . Parents do not be so easy to tell a child a fever or not simply by attaching the back of his hand on the forehead of the child. This method is clearly not accurate because it is very influenced by temperature sensitivity and parents themselves. . Mercury thermometer is believed to be the most appropriate way to measure body temperature. Measurement of body temperature would be more accurate if the thermometer is placed in the mouth or rectum / anus than the armpit. When faced with little ones who are febrile seizures, as far as possible try to stay calm. The attitude of panic will only make us do not know what to do that just might make a child suffering worse.
Do not use alcohol or cold water to lower body temperature of children who had a fever. Alcohol use is very likely to cause irritation to eyes and intoxication / poisoning. It's safer to use plain water compress placed on the forehead, armpits, and groin. Compress is aimed at lowering the temperature at the surface of the body. The fall in temperature is expected to occur because the body heat used to evaporate water on the cloth compresses. A drastic drop in temperature it is not recommended. Do not try and give aspirin or other drugs containing salicylates may trigger suspicion of Reye's syndrome, a rare disease and affects the work of liver, blood, and brain.
After the child was acutely aware, persuade him to much to drink and eat food berkuah or fruits that contain lots of water. Can be a juice, milk, tea and other beverages. Thus, body fluids which evaporate quickly due to high temperatures can be replaced. . Do not selimuti baby with thick blankets. Blankets and clothing covered with thick and it will increase body temperature and prevents evaporation. Tight or binding clothes are too tight it should be uninstalled.
PARENTS CAN DO Immediately give febrifuge so the child's body temperature exceeded 37.5 C.
Compress with a warm towel (which is approximately the same temperature with little body temperature). Do not compress with cold water, because it can lead to "short circuit" / strong impact on the brain between the child's body heat with a cold pack earlier. In order for your child is not injured, move objects that are hard or sharp near children. Do not hold your baby's mouth to remain open with a prop / menggigitkan something between his teeth. Tilt the child's body position for the patient does not swallow his own vomit fluid that can interfere with breathing. Do not give drinks / food immediately after seizure stops because it will only make the child a chance to choke.
Seizures WITHOUT FEVER The causes vary. What is important, do not get repeated and prolonged as it can damage brain cells. According to dr. Merry C. Siboro, Sp.A, from Metro Medical Centre Hospital, Jakarta, seizures are excessive muscle contractions in the outside of the will. "Seizures-convulsions might occur if a baby or child's body temperature too high or it could be without a fever." Febrile seizures are called febrile seizures (convalsio febrilis). Usually caused by a disease in a child's body. For example, high fever due to respiratory infections, ear inflammation, gastrointestinal infections, and urinary tract infections. While seizures without fever are febrile seizures that do not. Also common in children.
Can be experienced ALL CHILDREN The condition generally appears from the body seizures that become stiff and eyeballs turned upward. This condition is commonly called a step or seizures toniklonik (kejet-kejet). Seizures without fever can be experienced by all children under five. Even a newborn baby. "Generally, because there are congenital abnormalities that interfere with brain function that can cause seizures. It could also due to birth trauma, the presence of infections at the last moment of birth, the birth process is difficult so most do not get into the brain of oxygen, or suffer a big head or small, "said Merry.
Babies born weighing over 4000 grams can also be at risk of seizures without fever during the period of neonates (28 days after birth). "This is usually caused by a maternal history of diabetes, so that his son had hipoglemi (ganggguan sugar in the blood, Ed.). Thus, any baseball fever, he could be seizures. "Furthermore, the baby with the disorder hipoglemik due to diabetes will be vulnerable to seizure. "For example, late given to drink alone, she immediately seizures." Uniquely, added Merry, premature babies actually less likely to suffer seizures. "Sufferers more babies who just months. Allegedly because of her nervous system is perfect and so are more vulnerable than premature babies who are not perfect. "
DO NOT let it happen Important note, if the child has seizures, there is a chance he could spasm again. In fact, recurring seizures should not be allowed in addition also should not last long or more than 5 minutes. When going to harm the child. The problem is, every time the child has seizures asfiksi or lack of oxygen in the blood. "Every minute, seizures can cause damage to brain cells, because inhibition of oxygen flow to the brain. Imagine what happens when kids go back and forth seizures, how many thousands of cells would be damaged? The lack of oxygen flow to the brain it can cause some brain cells were damaged.
"The damage in the brain can cause epilepsy, paralysis, and even mental retardation. Therefore, in children who had seizures or convulsions talented, parents should continue to monitor for recurrent seizures do not occur.
Monitored THREE YEARS Risk of recurrence of seizures in children, generally depending on the type of seizures and the presence or absence of neurological disorder based on EEG (Electroencephalography). Among infants with neonatal seizures (without fever), there will be resurrection without fever within the first 7 years in 25% of cases. Seventy-five per cent among infants who experience seizures will become epileptic. "It must be cultivated, within three years after the first seizure, lest any seizures following," said Merry. Your doctor will monitor for three years thereafter, after the first seizure came. If in three years there was no seizure again, though only in a few seconds, then for the next child has a good prognosis. That is, not going mental and neurological disorders.
But, what if after treatment, was in second year spasm again? "The count has to start again from the first year. "Anyway, a period that is considered safe for the monitoring is for three years after the seizure. So, for three years after the first seizure, the child must be free of seizures. Children with seizure-free for three years and thereafter, will generally be better and better. Except in children who are born have congenital abnormalities, such as small head (microcephaly) or large heads (makrosefali), and if there are tumors in the brain.
TYPES OF CAUSES
"Seizures without fever can be derived from abnormalities in the brain, not from the brain, or hereditary factors," said Merry who then translate it one by one below. * Any disease or disorder neurological disorders that interfere with brain function can cause seizures. For example, birth trauma, head trauma, brain tumor, brain inflammation, bleeding in the brain, or lack of oxygen in brain tissue (hypoxia) .* It is not neurological disorders can be caused by blood electrolytes from vomiting and diarrhea, low blood sugar due to a long illness, less food intake, long seizures induced epilepsy, metabolic disorders, circulatory disorders, drug toxicity / chemical substances, allergies and birth defects.
Seizures due to heredity diseases such as epilepsy usually come from families who have a history of febrile seizures same. Parents who had experienced seizures as a child should be wary because of the high-risk children experience the same strain.
Beware UNDER 6 MONTHS Parents should be vigilant when children are often seizures without fever, especially under the age of 6 months, "Because of the possibility to suffer from epilepsy," said Merry. The problem is, seizures in children under 6 months, especially in the neonatal period it is unique. "Not just like toniklonik as we know, but also in the form of other movements. For example, his eyes squint up and moving, his lips twitching or arms like tremors. Doctors usually cautious, but if the seizure occurred at home, usually rare ngeh mother. "That is why parents should pay attention to correct the condition of the baby.
HELPING CHILDREN Seizures Do not panic, immediately loosen his clothes and throw off all that inhibit or windpipe. "So if you're eating all of a sudden seizure of children, or there is something in his mouth during the seizure, immediately remove it," said Merry.
Tilt the child's body, as most children who were seizure remove fluids from his mouth. "It's actually a lot of saliva in number because the nerves that regulate salivary gland uncontrollably again. If it is seizures, right, central nervous disturbed. Not just the saliva, tears can come out. "In order to tilt the body is to direct these fluids come out, do not settle in the mouth are even at risk of clogging airways and aggravate the situation.
Do not easily believe that to drink coffee on the child who was seizure can immediately stop such seizures. "Medically, coffee useless to overcome cramps. Coffee can actually cause respiratory obstruction if given when the child has seizures, which can even cause death. " Immediately take the child to the nearest hospital, not to the brain eventually gets no oxygen. "Try not long seizure of more than three minutes. Prepare medication recommended antikejang doctor if the child had ever had a history of seizures or convulsions. "