Tuesday, June 23, 2020

How to prevent the occurrence of cerebral palsy and how to detect it early

"Prevention first" is listed as the first of the four major guidelines for my country's medical and health work. From the perspective of social medicine, prevention is particularly important for the prevention and treatment of cerebral palsy, and it should be vigorously publicized and given strong scientific guidance.

How can we prevent cerebral palsy? This must first start with the cause of cerebral palsy and do the following:

Do a good job during pregnancy From the mother's pregnancy to delivery, the fetus depends on the mother to survive. The health and nutritional status of pregnant women are closely related to the growth and development of the fetus. The adverse factors that affect maternal health can directly harm the fetus. The first three months of pregnancy is a key period for the differentiation and formation of various organs of the fetus, especially the formation and differentiation of nerve organs. During this period, if the mother suffers from viral infection, poisoning, x-ray irradiation, trauma, smoking or alcoholism, etc., it can affect the development of the fetal central nervous system, resulting in cerebral palsy or other deformities. In addition, certain conditions during childbirth, such as dystocia, asphyxia, etc. may also cause cerebral palsy. Therefore, good health care during pregnancy to ensure the health of women, prevent disease, reasonable nutrition, control the number of pregnancies, do not smoke, do not drink alcohol, do a good job of prenatal examination of pregnant women, eliminate dystocia factors to ensure smooth delivery is an important and powerful measure to prevent cerebral palsy.

Do a good job of newborn health care within 1 month of birth (the neonatal stage), the baby leaves the mother to live in the natural environment, all aspects of its growth and development are very fast. However, the ability to adapt to the environment is relatively poor, and it is easy to get sick and infected and cause cerebral palsy. If you can do a good job in newborn health care, adopt a set of scientific newborn screening measures, that is, grasp prenatal care. The health care in the three stages of childbirth and postpartum (Figure 1.3) can prevent the occurrence of a considerable number of children with cerebral palsy, deformed children and mentally retarded children. In short, as long as conditions permit, babies born must go to a nearby health center for regular physical examination.

Necessary immunization

The necessary planned immunizations for pregnant women, such as the injection of rubella vaccine, can prevent the infection of pregnant women with rubella virus, thereby preventing the resulting fetal cerebral palsy. In order to carry out fetal monitoring, resuscitation or surgical delivery when necessary, in order to avoid fetal brain damage during delivery as much as possible.

Early detection and early treatment of infants with cerebral palsy should go to the hospital for regular inspection immediately after birth, especially those whose mothers are not going well during pregnancy, or who have dystocia, premature delivery, neonatal asphyxia, etc. should receive close observation. Once the child is found to be abnormal, he should go to the hospital for a comprehensive examination. If correct early diagnosis of cerebral palsy can be made, and reasonable treatment and comprehensive rehabilitation measures taken as soon as possible, it is possible for some children with cerebral palsy to return to normal.

So, how can children with cerebral palsy be detected early?

For ordinary parents who are not medical professionals, it is mainly based on the early manifestations of cerebral palsy in children, namely:

Parents who are lagging behind normal children can find that children with cerebral palsy are inferior to normal children of the same age in all aspects. They have a soft body, weakness, or tight limbs. They are very frightened, they move less or excessively, and eat Weak milk often chokes, chokes, vomits milk, weak cries or screams; does not laugh at 2 to 3 months, does not raise his head, continues to cry, keeps fingers open, 4 to 5 months Will not turn over; will not sit for 8 months, will not even grab, hold, or put his hand to his mouth. In addition, intellectual development also lags behind normal children of the same age.

Postures accompanied by abnormal movements such as drooling, tremors, feet always touching the ground with toes and heels hanging over the ground or crossing the feet, uncoordinated movements of the limbs, head tilted to the side and unable to maintain the median position, etc. are all cerebral palsy Abnormal movements and postures often accompanied by children. According to the different postures of normal children and cerebral palsy children, it is possible to detect and treat cerebral palsy early in the hospital as early as possible to obtain rehabilitation effects.

In the prone position, normal children can use their arms to support the upper body and raise their heads. Children with cerebral palsy cannot.

Use both hands to tease children lying on their backs, normal children can raise their hands and play with their hands facing back and forth, but children can still stay in a supine position; after raising their hands with cerebral palsy, grab the hands facing them (adults), then Hold tightly, and even suspend the upper body to assume the specific posture of Figure 5.

When holding a child's one-legged knee by hand, a child with cerebral palsy will use the other leg to kick the holder's hand, but normal children have no such reaction.

When lifting one leg of the side lying child by hand, the normal child can bend the other leg, which seems to have an "escape" or "antagonism" position, but the child with cerebral palsy does not respond, and the legs are brought together.

When holding the child with both hands and touching his feet on the ground, normal children can maintain a normal standing posture, but children with cerebral palsy show a peculiar posture with their toes touching the ground, their feet hanging in the air, and their legs crossed.

Stroking the child's side with both hands, children with cerebral palsy are easily frightened, raising their limbs and screaming, but normal children are not;

Normal children can spread their limbs on their backs on the bed, and children with cerebral palsy often bend their legs and arms.

Pressing the sitting child by hand, the normal child has a certain degree of stability and can still sit firmly, but the child with cerebral palsy can easily lean forward, lower his head, stretch his arms back and forth and swing up and down.

When the child is lifted by hand, the normal child can bend the unheld leg in an “escape” and “antagonist” posture, but the cerebral palsy child straightens their legs and does not react much when they are upside down.

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