epilepsijeEpilepsija je hronično neurološko stanje koje karakteriziraju epizode napada koji narušavaju osjetila, ili mogu uključivati kratka razdoblja nesvjestice. Mnogi ljudi oboljeli od epilepsije imaju nepredvidive napade svaki dan. Oni ne mogu voziti, raditi neke poslove, ili se čak dobro naspavati.

 

Prema „Centru za kontrolu i prevenciju bolesti“, u 2010. godini, samo u SAD-u 467 711 djece mlađe od 17 godina ima dijagnosticiranu epilepsiju. Napadi koji dolaze s epilepsijom poremete život. Poznavanje simptoma napada i mogućnost njegovog zaustavljanja prije nego što se dogodi može dramatično poboljšati kvalitet života i povećati neovisnost osoba s epilepsijom. To će se uskoro i desiti, zahvaljujući novom neurološkom uređaju.

Čudo tehnologije

Lijekovi i drugi tretmani pomažu mnogim ljudima da drže napade pod kontrolom. No, oko 30 % pacijenata ima teški epileptični poremećaj u kojem tretman ne uspijeva kontrolirati napade. Neukrotive epilepsije ne samo da ometaju život već ga i uništavaju. Kod ljudi sa čestim napadima slabo kontrolirananih lijekovima, smrtnost je oko 1 na 150 ljudi godišnje. Nedavno se pojavio novi uređaj koji se aktivira prije predstojećeg napada i donosi kratke električne impulse kako bi prevenirali napad.

Uređaj se hirurški nalazi ispod tjemena unutar lubanje i priključen je na elektrode koje su strateški postavljene u mozgu, odakle napadi potječu. Programirani kompjuterski čip u glavi komunicira sa sustavom za snimanje podataka kako bi ga regulirao i slao odgovarajuće stimulacije. Kada se stimulira, smiruje epileptički napad.


Uređaj je dobio jednoglasnu potporu SAD-a za hranu i lijekove (FDA) u 2013. Nakon više od 15 godina razvoja i testiranja, te tri klinička ispitivanja, kliničko istraživanje pokazuje smanjenje od 38 % učestalosti napada u usporedbi sa 17 % smanjenja u kontrolnoj grupi.

Predviđa se da će s vremonom rezultati biti još bolji.

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Device offers new hope for severe epilepsy

Epilepsy is a chronic neurological condition characterized by recurrent seizures that disrupt the senses, or can involve short periods of unconsciousness or convulsions.Many people with epilepsy have scores of unpredictable seizures every day that make it impossible for them to drive, work or even get a good night's sleep. According to the Centers for Disease Control and Prevention, in 2010, epilepsy affected approximately 2.3 million adults in the U.S. and 467,711 children under the age of 17.The seizures that come with epilepsy disrupt life. Never knowing when the next one might strike, even day-to-day activities can be filled with anxiety for the roughly 2.8 million Americans who have this neurological condition. Knowing when a seizuremight happen or stopping it before it happens could dramatically improve the quality of life and increase the independence of people with epilepsy.

That may change soon, thanks to a new neurological device.

Relief through technology

Medications and other treatments help many people get seizures under control. But about 30 percent of patients with this condition have intractable epilepsy, a disorder in which treatment fails to control seizures. Intractable epilepsy not only interferes with life — it can destroy life. In people with frequent seizures that are poorly controlled with medications, the death rate is approximately 1 in 150 per year.The device detects triggers of an impending seizure and delivers short electrical pulses to interrupt them before symptoms occur.

The device is surgically placed underneath the scalp within the skull and connected to electrodes that are strategically placed within the brain where the seizures originate (called the seizure focus). A programmed computer chip in the skull communicates with the system to record data and to help regulate responsive stimulation.When stimulated, these extensive epileptic circuits are calmed.

The device gained the unanimous backing of a U.S. Food and Drug Administration (FDA) neurological device advisory panel in 2013. After more than 15 years of development and testing and three clinical trials, the clinical study reported a 38 percent reduction in seizure frequency in the treatment group compared to a 17 percent reduction in the control group. The results get even better with time, too.

Izvori/Sources:

http://medicalxpress.com/news/2014-04-newly-brain-individuals-uncontrolled-epilepsy.html

http://health.clevelandclinic.org/2013/10/no-3-innovation-disrupting-seizures-that-disrupt-life-video/

https://www.aesnet.org/sites/default/files/file_attach/AboutAES/EpilepsyDevicesAD_Layout%20final.pdf

http://www.who.int/topics/epilepsy/en/

Piše/By: Farah Džanković

BhDOCumentary je registrovana elektronska serijska publikacija i ima dodjeljen ISSN broj 2303-615X