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Cerebral palsy

Cerebral palsy is a movement disorder caused by lesions not progressing.
The disease accounts for about 2/1000 live births and the rate common in boys than girls.
Causes and prevention
Risk factors before birth
Sick mother: mother miscarried before, birth defects, pregnancy poisoning, mental retardation, chemical exposure / pesticide, drug use during pregnancy, thyroid disease, diabetes equipment ... diabetes during pregnancy are at risk of having children with cerebral palsy.
Of human disease: fetal chromosome disorder transitions, brain malformation, stalk vegetables Roll neck, abnormal fetal position
Risk factors in students:
Under 37 weeks premature
Birth weight less than 2500g
Or hypoxic brain asphyxia at birth: births not cry immediately, purple or white emergency
Obstetric Interventions: forceps pregnancy, abortion, birth commander
Neonatal jaundice human brain: the golden child from newborn postnatal day 2, dark yellow are not monitored and treated promptly may appear not feeding, cyanosis and stretching stiff chi (sign damage brain).
Risk factors for postpartum:
Bleeding in the brain, the meninges
Neurological infections: encephalitis, meningitis
Hypoxic encephalopathy severe respiratory failure ventilation
Traumatic brain injury caused by accidents, falls, beatings
The other causes of brain damage: febrile convulsions, diarrhea, severe dehydration
Routine antenatal care can detect early pathological condition of the mother and the child's brain abnormalities.
Improving the quality of neonatal emergency medical facility at the commune, district and province is the most positive approach which would reduce the proportion of children with cerebral palsy (selected health facilities trust)
Routine follow-up visit with healthy infants at high risk in 12 quarterly months of life can be detected early with cerebral palsy
Early detection and the symptoms of cerebral palsy
Detect early signs of cerebral palsy at 6 months
a child with some risk factors mentioned above as 6 months of age:
Four major signs:
Babies have cramps or / and hard when placing your feet flat stand.
Babies uncontrollable head neck or / and do not know tumbler or / and prone not looked.
Two young hands are clenched.
Two unknown young hands to hold objects.
Four Signs sub:
Mother not recognize faces.
Difficulty eating.
Not responding when called to ask.
Cried the night and day of birth.
Some other signs
Postpartum soft bland
Do not look under objects
Do not turn his head to noises
Children need to be a doctor, neurology, rehabilitation immediately to confirm the diagnosis of cerebral palsy.
Cerebral palsy include:
Can cramp
Can dance vờn
Can ataxia
Can bland
Spastic cerebral palsy can
When one passive motion in the joints against strong young
Spastic muscles strong gong making tough young athletes
Reduced muscle force: weak neck muscles lifting, the body (head, neck down, bent) muscles his palms folded (hand swing) flexors instep (spade feet) ...
Abnormal movement pattern: or bend the elbows, palms folded, closed shoulder, closing the thumb, forearm tails, paws hard stretching, stretching or folding the knee strong. When young athletes are actively involved extremities are moving into one block.
Other signs: myoclonus (when folded quickly find instep Achilles tendon muscle spasms), muscle spasms (child self groin, bend the knee, ankle equinus ...)
Cerebral palsy can dance vờn
Muscle tone changing: young people at stiffened, while soft, normal.
Conscious mobilization: Balance poor head and neck. Earlier at time balance collapses, or continuous rotation sides.
Fingers, toes constantly twisting movement neon objects handling difficult children. Environment - motor function continuously, or sticking out tongue, vibration can have limbs
Other signs: multiple saliva flow, possibly in high-frequency hearing loss
Ataxic cerebral palsy can
Decreased muscle tone all over.
Motor coordination disorder intentionally.
Balance control head and neck, torso poor.
Two hand movement far beyond, troubled Games, failed sophisticated movements
Balance when sitting, standing, walking less.
Commuting like drunkards.
Cerebral palsy can washy:
Whole body muscle tone: bland soft body, the weak force.
Campaign: young little limb movement, always lay in bed.
Tendon reflexes normal or slightly increased (other than myopathy.
(The combination of rigidity and dance to playing)
Muscle tone changes: strong limbs at normal time.
Advocacy unconscious: finger - toe twisting motion, mouth - tongue continuous motion, vibration can have limbs.
Mass mobilization.
Common symptoms
gross motor retardation: Slow splendid, sitting, crawling, kneeling, standing, walking ...
fine motor retardation: defects in use in gripping hand and perform daily living activities.
Underdeveloped communication skills early (first 12 months)
Concentration skills. slow turning response to sound, colored toys, looking at her face - loved.
Skills imitate: slow black thing, showing affection.
Skill Games: With impressive objects, hand coordination - eyes, enjoy a social game ..
Communication skills gestures: slow know facial expressions, eye used to express delight ...
Slow developing language skills: comprehension skills including language, expressed in language to communicate ..
Intellectual retardation: some children with cerebral palsy and mild medium capable of attending school and acquire normal. Children with cerebral palsy have difficulty to speak, slow to the study very hard, and often do not go to school
Dysregulated sense: children with cerebral palsy are not disturbed sensation such as heat, cold, pain. Some children may become dysregulated feel like when I touched lightly on the cheek, doll hair touch ... in the young child that backlash (startled people, body rigidity, crying ...)
Paralysis of cranial nerves: there may be cross-eyed, drooping eyelids, blindness, deafness, deformed mouth ...
Treatment principles
Treatment as soon as the date when it detects infected children
Combining multiple methods: just treat moderate rehabilitation, combining eastern and western medicine treatment to achieve the highest efficiency.
Long term prognosis
               Non-pharmacological methods:
Acupuncture: help blood circulation, recovery of muscle function - the bones - joints (softening spastic muscles in cases and increased muscle tone in the soft case)
Implantation only: For as acupuncture and superiority over Vietnam by the ability to stimulate acupuncture points should constantly higher treatment efficacy, patients with less travel and more economical for the cost of treatment.
Not only do transplants restore brain cells were hurt but by stimulating acupuncture points continuously and in a long time will gradually improve the movement of limbs, head and neck of children with cerebral palsy, as well as stimulating thinking ability to help children understand and identify some new knowledge ...
Massage - reflexology: effects maintain the power and range of motion of joints prevent muscle atrophy, joint stiffness during treatment.
                                Drug method:
Can be combined with a number of drug seizures, sedation, increase cerebral circulation
Some parents of children with cerebral palsy thing to know:
My son can cure it?
Cerebral palsy is not curable disease. The only treatments aimed at the rehabilitation and recovery of symptoms for children.
Babies with cerebral palsy can go to school?
Maybe if they were mild, not hurt the language and educational skills in kindergarten and early treatment.
My son has the ability to marry and have children is not?
Maybe if the brain damage does not affect the psychological and physical development as well as the process of reproduction. Need to see a specialist about genetic, psychological and reproductive specialist for further advice.
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