Can someone help me with this counting? im getting so confused.
The right hand consists of what we call tuplets. In this case, the number by each tuplet indicates that there are that many notes in the span of four regular sixteenth notes (that is, one quarter note).
5-tuplets (or 5-lets) are often counted as "hip-po-pot-a-mus," so you can try saying that word evenly in the space of one quarter-note beat to hear how those articulations are spaced. When there are rests in the 5-let, you'll just be silent on some of the syllables. When the 5-let begins with an eighth rest (=two sixteenths), for instance, you're silent on "hip-po" but you play on "pot-a-mus." If the 5-let ends with a sixteenth note, you play on "hip-po-pot-a" but are silent on "mus." And so on.
6-lets are really just two sixteenth-note-triplets back to back. For more on triplets, see Notes not adding up to time signature?
The left hand rhythm is just a (poorly notated) vamp of 1 e & a 2 e & a 3 e & a 4 e & a.
Playing these two opposing rhythms simultaneously takes some practice; make sure you can play each hand individually, and then try to join hands without thinking about them too much. For joint rhythms like these, I think it's best to focus on the flow of the rhythm and then tweak the specifics later.
Lastly, it looks like this is a transcription of a recorded piece. As such, do your best to mimic the recording!