Značaj parcijalnih epileptičnih napadaja u svakodnevnom radu stomatologa

master's thesis

• Author: Zdravka Barbir
• Mentor: Vesna Šerić (mentor)
• Granter: University of Zagreb; School of Dental Medicine; Zagreb
• Defense date and country: 2006, Croatia
• Scientific / art field, discipline and subdiscipline: BIOMEDICINE AND HEALTHCARE; Clinical Medical Sciences; Neurology

Abstract

Epilepsija je skupina bolesti obilježena ponavljanjem određene vrste napadaja i patološki promijenjenim EEG-om. Statistički podaci pokazuju da u svijetu oko 50 milijuna ljudi boluje od epilepsije (na Europu otpada 6 milijuna), od kojih 32 milijuna nisu liječeni. Dijagnoza epilepsije donosi se na temelju uzete anamneze, kliničkog neurološkog pregleda i EEG-a. Uz ove osnovne provode se i dodatne pretrage, poput kompjutorske tomografije i magnetske rezonancije. Najčešća terapija je konzervativna, a provodi se različitim vrstama antiepileptika. U slučajevima koji su rezistentni na ovaj oblik terapije može se provesti i operativno liječenje. Stomatolog se u svom svakodnevnom radu susreće s pacijentima oboljelima od epilepsije. Većina ih je pod odgovarajućom terapijom pa je vjerojatnost nastanka epileptičnog napadaja mala. Ipak, rizik je uvijek prisutan, poglavito zbog brojnih provocirajućih čimbenika prisutnih za vrijeme stomatološkog zahvata. Zato je iznimno važno da stomatolog u svakom trenutku bude spreman na mogući napadaj, da ga na vrijeme prepozna i pruži pacijentu odgovarajuću pomoć. Za vrijeme bilo kojega hitnog medicinskog stanja u stomatološkoj ordinaciji, pa tako i za vrijeme epileptičnog napadaja, najvažnije je omogućiti dotok kisika mozgu. To se postiže osiguranjem otvorenih dišnih putova uz odgovarajuće disanje i cirkulaciju. Preporučljivo je pozvati hitnu pomoć, te paziti da svaki postupak koji poduzmemo ne ošteti i ne pogorša zdravstveno stanje pacijenta.

Abstract (english)

Epilepsy is a group of diseases characterized by the repetition of a certain kind of seizure and a pathologically changed EEG. Statistical data show that about 50 million people around the world suffer from epilepsy (6 million of them in Europe), and 32 million of them are not being treated. A diagnosis of epilepsy is given on the basis of the taken case history, a clinical neurological examination and an EEG. Apart form these basic tests, some additional tests are also necessary, like Computer Tomography and Magnetic Resonance Imaging. The most common therapy is the conservative one, conducted with various kinds of antiepileptics. Operative treatment is possible in cases which have developed a resistance to the common form of therapy. Dentists encounter patients who suffer from epilepsy in their day-to-day work. Most of these patients are being properly treated, so that an epileptic seizure is very unlikely to occur. Nevertheless, the risk is always there, especially due to numerous provoking factors involved in a dental intervention. This is why it is extremely important that a dentist should always be prepared for a possible seizure, be able to recognize it in time and provide adequate help to the patient. During any urgent medical condition in the dental office, including an epileptic seizure, the most important thing is to provide sufficient oxygen to the brain. This is achieved by ensuring that the respiratory tract is unblocked, through adequate breathing and blood circulation. It is recommended to call an ambulance and to be careful so as not to damage or worsen the patient's condition through our own actions.

• Keywords: epilepsija; konvulzije; zubna njega za kronične bolesnike
• Keywords (english): Epilepsy; Seizures; Dental Care for Chronically Ill
• Language: croatian
• URN:NBN: urn:nbn:hr:127:235901
• Study programme: Title: Integrated undergraduate and graduate university study of Dental Medicine; Study programme type: university; Study level: integrated undergraduate and graduate; Academic / professional title: doktor dentalne medicine (doktor dentalne medicine)
• Type of resource: Text
• File origin: Born digital
• Access conditions: Closed access
• Created on: 2024-06-25 07:57:02