Patient Question:Disease:Myotonia problem
Description:The baby is a full-term baby, born with hemolytic jaundice, amniotic fluid is less than three degrees of contamination, born into the incubator, magnetic resonance imaging out of the neonatal brain changes, the doctor said that the newborn brain is such, I heard that just born to do magnetic resonance imaging is not very useful, because there are too many high-risk factors, worry about the baby affected, now more than two months, can chase objects, can not chase the sound, can not tease, occasionally can lift the head, please ask the baby will Is it cerebral palsy.
Help wanted:Please give me some advice on treatment
Response from Sun Kexing, Department of Traditional Chinese Medicine, Shanghai Children’s Medical Center.
The information you provided is not enough to determine cerebral palsy. However, there are high-risk factors and follow-up is recommended.
Patient Question.
What are the chances of cerebral palsy? I spend every day in fear and have nightmares every day. Now my muscle tone is a little high and I’m thinking about going to rehabilitation, but my baby is too young. I’m worried that it will rise again afterwards, but I’m afraid that jaundice will affect my brain.
Patient Question.
Is Dr. Sun here? Can you give me a reply?
Response from Dr. Sun Kexing, Department of Traditional Chinese Medicine, Shanghai Children’s Medical Center.
Amniotic fluid contamination reflects possible intrauterine hypoxia in the child.
Your child’s bilirubin index is close to normal, and if it subsides within 3 weeks after the light, it will not be a problem.
The evaluation of muscle tone in children around the age of one month is influenced by many factors and requires a high degree of expertise.
Your child can be allowed to float more in the water and move freely.
Wait for another evaluation at 3 months to see.
Patient Question.
So, does third degree contamination of amniotic fluid necessarily mean intrauterine hypoxia? Would there be exceptions? I just asked a professor in the cerebral palsy bar and he said that the baby has a high possibility of cerebral palsy and needs to be rehabilitated, my mind went blank instantly.
Response from Sun Kexing, Department of Traditional Chinese Medicine, Shanghai Children’s Medical Center.
There are exceptions to this rule. Mature fetal defecation can also cause contamination.
Patient Question.
So how can I tell the difference, can I tell the difference?
Response from Sun Kexing, Department of Traditional Chinese Medicine, Shanghai Children’s Medical Center.
You can recall for yourself if you have ever had abnormal fetal movements.
(1) Chronic fetal distress Normal fetal movement is 3~5 times/hour. Decreased fetal movement is an important indicator of fetal distress.
(2) Acute fetal distress At the beginning, fetal movement increases suddenly, then weakens and decreases in number, and then disappears.