Know-well about cerebral palsy
Cerebral palsy in
infants is a form of brain nerve disorder that makes sufferers difficult to
move. Suffering from this condition makes the baby experience various disorders
of movement and coordination of the body, one of which is unable to move part
of his body.
Cerebral palsy (CP) is
a collection of symptoms abnormalities in motor development and body posture
Cause: impaired brain
development from the womb, or in childhood
Usually accompanied by
disturbance of sensation, perception, cognition, communication, behavior,
epilepsy and musculoskeletal problems
Symptoms begin to be
observed in children under the age of 3 years, in the form of initial hypotonia
in the first 6 months to 1 year and generally followed by spasticity
There are several
factors that can increase the risk of a baby experiencing CP, namely:
·
Born
·
Lack of oxygen
to the brain, for example due to asphyxia or severe breathing problems.
·
Affected by
infection during the womb, for example due to rubella, herpes, toxoplasmosis,
and amniotic infections.
·
Exposed to
meningitis after birth.
·
Has a low Apgar
value at birth.
·
Having bleeding
in the brain.
·
Having a head
injury, for example due to a fall or use of forceps or vacuum at birth.
·
Has a genetic
disorder.
·
Having a stroke
or obstruction of blood flow to the brain.
In general, there are
several signs and symptoms that indicate that the baby has cerebral palsy,
namely:
· Growth and development disorders, for example, babies can not roll, crawl, sit, and walk.
· There are parts of the body that are too drooping or stiff.
· Babies only use one side of the body in their activities. For example when crawling, he supports his body with only the right hand and foot.
· Difficulty breathing.
· Frequent seizures.
· Impaired vision or hearing.
· Can not talk or late talking.
· You can also recognize specific signs of cerebral palsy based on the baby's age.
In infants younger
than 6 months, cerebral palsy is usually characterized by:
· One part of his body feels stiff or weak.
· When lifted, his legs crossed or stiff.
· When held, he acts as if he is uncomfortable and tries to stay away from you.
· While in infants aged 6 months or more, cerebral palsy can be recognized by the appearance of symptoms in the form of:
- The baby does not roll in any direction.
- He had difficulty putting his hands together.
- His hands could not reach his mouth.
- He reached for something with only one hand, while the other hand just clenched.
Then in babies over 10
months old, you need to be suspicious that he is suffering from cerebral palsy
if:
- · Crawling on one side only uses one hand and one leg, while the other hand and foot are dragged as if it cannot be moved.
- · Sucked using his thigh or butt.
- · Cannot stand even though it has been holding on or resting on an object.
Can Cerebral Palsy Be
Cured?
Cerebral palsy is a
condition that will last a lifetime. Until now there has not been found any
method of treatment that can cure this condition completely. However, there are
several methods of treatment that can be done to relieve symptoms and support
so that the baby can grow and develop as well as possible.
The main therapeutic
goal in cerebral palsy is also more focused on helping infants or children who
experience this condition to be able to perform activities independently, such
as holding an object, crawling, sitting, and walking.
To ascertain whether
the baby has cerebral palsy or not, it needs to be examined by a pediatrician
first. In determining the diagnosis, the doctor will conduct a physical
examination on the baby or child, ask for a history of the mother's pregnancy,
and determine whether there are certain health problems in the baby after the
baby is born.
The doctor will also
evaluate growth and development and supporting examinations, such as blood
tests, electroencephalography (EEG), and brain scans with CT scans, MRI, or
head ultrasound.
If the results of the
doctor's examination indicate that the baby has cerebral palsy, then the doctor
can suggest a number of treatment steps, namely:
Physiotherapy
There are several
types of physical therapy (physiotherapy) that can be applied to help babies
adapt to their conditions. The doctor will determine the type of physiotherapy
and specific training techniques the baby needs with this condition according
to which part of the body is affected by cerebral palsy.
The main goal of this
therapy is to increase muscle strength, balance and coordination of movements,
and control of the baby's movements. That way, babies are expected to be able
to carry out normal activities, such as raising their heads, rolling, and
grasping.
Speech therapy
This therapy is
actually aimed at children with cerebral palsy who have difficulty
communicating and speaking. In infants, speech therapy can be done to train the
strength of the mouth and jaw muscles, so that it can improve the ability to
speak later.
Growth evaluation
This is an important
component in the management of cerebral palsy. The aim is to assess whether
there are problems with the growth and development of infants and provide
treatment as early as possible so that the baby can grow and develop normally.
Drugs
The administration of
drugs here is not to cure cerebral palsy, but rather to deal with annoying
complaints.
For example if there
are stiff muscles that make it difficult for the baby to move or undergo
physical therapy or speech therapy, then the doctor can give muscle relaxants,
such as diazepam, baclofen, and injections of onabotulinumtoxin A (botox). If
cerebral palsy makes the patient experience frequent seizures, the doctor can
give anti-seizure medication.
In addition to
medication and therapy, cerebral palsy symptoms can also be alleviated by
surgery. This method is usually done when other treatments are ineffective or
complications occur, such as contractures or scar tissue that makes muscle
movement limited, or abnormal bone growth.
In addition to the
medical treatment above, emotional support and encouragement or good growth and
development stimulus from people is also a very important step in handling
babies with cerebral palsy.
if you find the
symptoms above, immediately consult a doctor so that more quickly treated. With
proper treatment of patients with cerebral palsy can grow and develop normally
despite limitations.
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