Rehabilitation medical treatment for pediatric cerebral palsy.
1. Key: early diagnosis, early treatment and early training. Li Wei, Rehabilitation Center of Heilongjiang Nongken General Hospital
2. Objective: To make the children with cerebral palsy fully rehabilitate physically and mentally and other functions, so that they can obtain maximum rehabilitation in motor function and spiritually, achieve self-care, and lay the foundation for their future participation in social activities, labor and work.
3. Comprehensive rehabilitation medical measures are broadly divided into.
(1) Motor rehabilitation including gross motor, fine motor, balance and coordination training.
(2) Self-care training and occupational therapy to train hand function.
(3) Treatment of coexisting disorders such as timely seizure control, correction of visual, auditory and orofacial dysfunction, improvement and development of cognitive function, and language training.
(4) Cultivate good psychological quality, correct emotions, correct behavioral abnormalities, increase the child’s confidence to overcome difficulties, and develop social interaction skills.
(5) Promote intellectual development, receive education and learn culture. Create conditions for future participation in social activities.
(6) Use orthopedic appliances, and orthopedic surgery can be performed for those who have developed severe contractures and deformities.
Prevention of pediatric cerebral palsy.
(1) Prevention before birth.
1. Pre-marital health care: provide guidance on sexual health, fertility and genetic diseases to men and women who are ready to get married; counseling on issues such as marriage and fertility and medical examination of men and women for diseases that may affect marriage and fertility, and provide medical opinions.
2. Improve the health care during pregnancy: regular prenatal checkups; increase nutrition; prevent the occurrence of infectious diseases, etc.
(II) Prevention in the perinatal period.
1. avoid preterm birth and low birth weight babies
2. Prevention of asphyxia and intracranial hemorrhage
3. Prevention and control of hyperbilirubinemia
(C) Postnatal prevention: 1.
1. prevent the occurrence of infectious diseases
(1) the implementation of hospital delivery.
(2) pay attention to the protection of the newborn’s skin.
(3) keeping the umbilicus of the newborn dry and clean.
(4) closely observe the waxing and waning of jaundice.
(5) pay attention to the observation of fontanelle.
(6) breastfeeding.
2. prevent the occurrence of high fever convulsions.
3. correct treatment of lumbar puncture: lumbar puncture to extract a small amount of cerebral fluid for examination, in order to understand the nature of the disease and condition, to provide the basis for correct diagnosis and treatment, so as to reduce the occurrence of intracranial disease sequelae. For this reason, parents should cooperate closely and be jointly responsible for the health of the child.
(B) Aspects of pediatric cerebral palsy misunderstanding.
Pediatric cerebral palsy, is a group of syndromes such as motor dysfunction, mental retardation, epilepsy, aphasia, and deafness caused by substantial brain injury before and after birth in children. If detected and intervened in time, the prognosis is basically ideal. However, when this disease is misunderstood, not actively treated, or when treatment is indiscriminately sought, it can leave irreversible sequelae for the child. Common misconceptions about pediatric cerebral palsy include
1. Caused by calcium deficiency. When parents bring their children to the doctor, they often encounter some parents who ask about the medical history, have obvious risk factors for the development of cerebral palsy, and with the special performance of the child, they can basically diagnose cerebral palsy. However, some parents lack knowledge about this disease and think that the softness, paralysis and cramps are caused by calcium deficiency, so they just take calcium supplements and prescribe a lot of calcium preparations to their children. Some children with cerebral palsy also have calcium deficiency, and the real cause of their “softness” and “paralysis” is cerebral palsy. The principle of treatment should be to treat the root of the problem first, to solve the central problem, and then treat the symptoms, to solve the calcium deficiency problem, or to treat both the symptoms and the root cause. It is not possible to treat the symptoms and replace the central problem with calcium supplementation.
2. No treatment. The treatment of cerebral palsy is tricky both at home and abroad. According to the original western medical viewpoint, cerebral palsy is incurable. However, with the development of science, practice has confirmed that as long as reasonable interventions are made as early as possible, there is still great hope for the rehabilitation of children with cerebral palsy.
3. Foolishness and superstition. Many parents burn incense and worship Buddha for their children, but the money spent is small, but the children are older and it is very difficult to treat them.
4, the desire for speed is not achieved. Some parents are too eager to cure their children, and as soon as they hear where they can cure the disease, they want to try it out. It is not known that cerebral palsy is caused by substantial brain damage, and only when the damaged brain tissue reaches an activated state can normal physiological functions be restored. At the same time, during the treatment of cerebral palsy, there is often a treatment paralysis phase, and the child’s response is likely not as good as when he or she first entered the hospital, so some parents become indolent, thinking that the worse the treatment is, and give up the treatment. In fact, this temporary paralysis is often a sign that the culmination of treatment is approaching, and the effects of treatment will be evident beyond this stage. Therefore, parents should be ideologically prepared not to give up halfway.
5, monotherapy. Some parents hope to use a single treatment method, so that children suffer less, is not possible. Because surgical therapy has strict indications and is highly selective, and various physical therapies cannot solve the fundamental problem. After clinical treatment practice, it is believed that the treatment of pediatric cerebral palsy is still rehabilitation training.