Perinatal encephalopathy - the diagnosis is very popular today. You can learn about the diagnosis and treatment of this pathology from this article.
Content
Starting a story about such a diagnostal encephalopathy diagnostal diagnostal today, it is necessary to note such a fact. In the international classification of diseases of the tenth revision, that is, the latter, there is no such diagnosis. Plot neuropathologists continue to put it with three of four children. Why does it happen and is valid? Let's think together.
Translation of the term «Perinatal encephalopathy» This is what: the pathology of the brain, which arose in the perinatal period. In fact, it combines all the poor brain dysfunction in itself.
Some experts believe that such a diagnosis is authorized during the first month of the child's life, others argue that during the first year. Before reaching the crumb of this age (1 month) to determine which pathology of the brain is available, it is extremely difficult.
And therefore, all cases of violation of the structure or the functioning of cerebral tissue called perinatal encephalopathy. All the cunning of the diagnosis is that its manifestations are too long. Competent neurologists are diagnosed as follows: «Perinatal encephalopathy in the form of such and such a syndrome». If you can, seek a physician of this wording. What for? Then, that you yourself will be clear much more, both in relation to the manifestations of the disease and on the forecast.
So, how perinatal encephalopathy can manifest itself? We list the main ones.
- Syndrome of motor disorders - muscle hypotension or hypertension. Difficulties in the diagnosis of these states are associated with physiological hypertonus, to estimate the degree of which is not easy. I know many adult neuropathologists who are not solved to watch children for this reason. The determination of the age norm of the tone is one of the most necessary skills for children's neurologist.
- The syndrome of increased neurophelial excitability speaks for itself. Watch your baby. Is he sufficient enough, is it easy to fall asleep? How behaves in waking condition: is it too active? Do not tremble chin and limb? If something in this list is alarming - inform the doctor.
- The syndrome of the oppression of the central nervous system is also difficult not to notice. Baby is inactive, jemy, cheating. Hypotonic, may be asymmetry of the face and body because of various muscle tone, squint for the same reason. Sucks badly, accuming when swallowing.
- Syndrome of intracranial hypertension - one of the most serious. After all, it can then go into hydrocephalus, requiring operational treatment. Pay attention to the skull of crumbs. If a large spring is increased in comparison with the age norm and empty, the head circumference is somewhat increased, the seams are diverged - start hitting the alarm.
- Convulsive syndrome. Children of the first year of life, it is not so simple to recognize him, because it can manifest itself not only by convulsions, but also their equivalents. These include ICOT, jeeping, reinforced salivation, automatic chewing movements, fine amplitude jitter. Since all children jerk and osculate, additional research is needed to clarify the diagnosis.
Diagnostics of perinatal encephalopathy
I will express a purely personal opinion (not confirmed by science), if I notice that any attentive mother is able to notice deviations from his child much faster than a neuropathologist. Even in a newborn, not even knowing what he is a healthy child. At the level of intuition, this happens, or what. And if it seems to you that the kid is healthy, and the doctor claims the opposite, ask him to explain what is the problem. Maybe you really did not notice something important? And maybe your doctor is reinsured?
Of course, today there is a hyperdiagnosis of perinatal encephalopathy. What is it connected with?
The answer is simple - with the causes of this state. All damage to the nervous system of newborns are conventionally divided into hypoxic, traumatic, as well as combined. Chronic fetal hypoxia can be formed in the intrauterine period, with various pathologies of the mother. The sharp hypoxia of the fetus may be a consequence of any pathology in childbirth, and the same pathology contributes to traumatic damage to the nervous system (rapid or protracted labor, a long anhydrous period, drug stimulation, caesarean cross-section, campus). In the period after birth, neuroinfection and head and spinal cord injuries have the greatest importance.
Thus, to find a woman today, who would never have sick during pregnancy, and then it was perfectly given birth, it is quite difficult. You ask a question «How the birth was traced?». And you answer: «OK, only there was a hiding». And immediately receive a diagnosis: perinatal encephalopathy. Because your doctor believes that it was a curse, which means there was hypoxia. Once there was hypoxia, which means there was damage to the nervous system. Most often he is right, but…
Children's cells are much less sensitive to the lack of oxygen than adults. And if a 30-tent man who has not received oxygen is 5 minutes, there will be serious changes in the brain, then children may not be. So do not despair those who have not all safely with pregnancy or childbirth. If you can change the situation, affect the course of events - it needs to be done. If not - hope for the best.
Self perceive phrases: «Your child has an ultrasound crucible cord, and therefore chronic hypoxia with the possibility of acute hypoxia in childbirth». Everything can be quite safe, do not let yourself intimidate! This is not a sentence, do not worry ahead of time. I do not call you to carelessness! Just follow, follow and watch yourself and your own bluer living within you or already born. Be her and mom and first doctor and psychologist.
But still suspicions flooded, preliminary diagnosis. It is necessary to confirm it. The most common methods for diagnosing perinatal damage to the nervous system include the following: echohetephalography, doppler, neurosonography, electroencephalography with potentials caused. Using these methods, you can define the structure and density of the brain substance, evaluate the blood supply to the brain and see areas of narrowing or blockage of vessels, identify the availability of convulsive readiness. These same studies will help shed light and on the nature of brain tissue damage, and accordingly, will help in treatment.
Hazards perinatal encephalopathy
What is the danger of perinatal encephalopathy? In that initially determine the development of the disease is not always possible. And this is either recovery, or the formation of serious diseases (epilepsy, hydrocephalus, retardation of mental or motor development, neurosis), or the presence of minimal brain dysfunction. The forecast for the end of the first month of life is already evoked, and the term «Perinatal encephalopathy» Replaced with a new corresponding child.
Since the difference between outcomes in recovery and children's cerebral paralysis is obvious, it is clear that treatment should be started as early as possible. I will make a reservation immediately that the forecast of the disease is not only the result of the treatment, unfortunately. It is mainly due to the degree of suffering of the nervous system and the depth of structural changes. No matter how cruel it sounded, but if the cells of the cortex of the brain died due to the hardest generation injury, they died.
If you have perinatal encephalopathy, you need to fight. The main place in the therapy of this state belongs to the physical methods of exposure: massage, medical physical education, physiotherapeutic procedures. What is the principle of their action? It can be very simplistic to demonstrate on this example. The child has a hypertonus due to acute fetal hypoxia in childbirth. The regulation mechanisms are broken and adjusted precisely under this hyperton, t.To. The body considers it the norm, he does not know the state «NEGIPERTONUS».
If, using the muscle massage, relax, they will give a signal to the brain about their condition, as the most physiologically comfortable, adjusting it to the new way to which you need to strive. In addition, it can be reduced with the greatest muscle efficiency, from the state of complete relaxation, which, again, is achieved by massage. Plus massage - these are certain training, the benefits of which are obvious. On this occasion, it is necessary to remember the following. Easy massage and gymnastics you can spend at home at a convenient time for you on your own. Therapeutic massage Trust only specialist! Do not experiment!
Therapeutic gymnastics and swimming are extremely useful to kids with perinatal encephalopathy (excluding heavy sharp states). The principle of action is the same as massage. Consult your doctor and instructor about the best time of classes, the optimal load for your child and enjoy together.
Do not forget about the baths. Their action is similar to sedatives. With different pathologies of the nervous system, certain herbal fees can be added to them. Recommended baths with salt. Well, always «Under the sauce of love». After all, the baby should know that parents defend his health!
Now a few words about the use of medicines. In the syndrome of intracranial hypertension, episindrome is not discussed: drugs are uniquely shown. With controversial issues, where the doctor says: «You can pour», - That's your business. If the baby has, for example, restless sleep and no more symptoms - try to do without drugs. Look at the result in a month, discuss it together with a neurologist. Then make a decision. If you doubt the need to appoint medicines - ask the doctor why he prescribes them? If the answer seems to be unusable you, look for another doctor. In Kiev, there are several schools of children's neurology with opposite glances to the same problem. The point of view is arguments and have successful practical applications. So, the final choice is yours.
And, finally, it is impossible not to say about surgical methods of treatment. First of all, they relate to hydrocephalus, in which the waterproof path is created for the outflow of the liquor, and the children's cerebral paralysis, which uses the feeding of embryonic stem cells directly in the brain.
be healthy! Take care of yourself and your children!
