A SYSTEMATIC APPROACH AND GENDER ASPECTS OF EPILEPSY
Journal: I.P. Pavlov Russian Medical Biological Herald (Vol.25, No. 1)Publication Date: 2017-03-31
Authors : Lesik O.O.; Zhadnov V.A.;
Page : 118-132
Keywords : epilepsy men; epilepsy in women; systematic approach; quality of life;
Abstract
Epilepsy affects patients of opposite gender differently, hence requires gender-specific approaches in both management and treatment of such patients. Reproductive health, sexual function and other symptomatic disorders of various organ systems ought to be of cen-ter-focus for doctors treating patients with epilepsy, especially considering the fact that, all these conditions can adversely affect the quality of life of these patients. A considerate amount of scientific interest is being devoted to epilepsy in separate genders, however, insufficient attention is given to the comparative analysis peculiarities in these patients in terms of impact on health, level of depression and anxiety, leading psychological defense mechanisms, satisfaction and overall quality of life of patients with epilepsy. When activity of component parameters are viewed separately, they may not reveal pathogenesis as a whole, thus can't be used to assess patients' condition. Complex of electrographic and clinical characteristics are considered as a semiotic system. Such combined analysis of both physiological as well as clinical factors allow biologically-based systematic assessment of syndrome formation and relationship establishment between human biological peculiarities and clinical characteristics of the disease based on gender. Systematic approach in the analysis of physical, psychological and social aspects of epilepsy in men and women will focus attention to gender based disease peculiarities optimize treatment, outpatient follow-up and overall improvement of quality of life of patients.
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