Infantile cerebral palsy (ICP) tsis yog ib qho kab mob sib cais, tab sis tag nrho cov kab mob ntawm lub hauv paus paj hlwb uas tshwm sim thaum lub paj hlwb puas lossis tsis zoo hauv nws txoj kev loj hlob.
Kev mob hlwb palsy
Cov kab mob no tuaj yeem muaj ntau yam tshwm sim, ob qho tib si me thiab hnyav heev. Raws li qhov tshwm sim, cerebral palsy tau muab faib ua nyias hom. Feem ntau yog cov hemiparetic daim ntawv ntawm cerebral palsy. Ntxiv rau nws, cov ntaub ntawv hauv qab no kuj txawv:
- spastic diplegia - tshwm sim los ntawm tag nrho cov tuag tes tuag taw, tshwm sim thaum ib feem ntawm lub paj hlwb lub luag haujlwm rau kev txav ntawm caj npab thiab txhais ceg puas;
- ob lub diplegia - hom mob cerebral palsy uas hnyav tshaj plaws, ua rau muaj kev puas tsuaj rau lub paj hlwb hemispheres; tus menyuam tuav tsis tau lub taub hau, zaum, txav;
- hyperkinetic daim ntawv - tshwm sim los ntawm kev puas tsuaj rau lub hlwb cov qauv nyob hauv qab lub cortex, lub thiaj li hu ua subcortical qauv(nws cov kev tshwm sim yog tam sim ntawd txav uas tsis tuaj yeem tswj tau los ntawm kev nco qab);
- atonic-astatic daim ntawv - tshwm sim thaum lub hauv paus tseem ceeb ntawm kev sib koom tes - lub cerebellum puas lawm, tus cwj pwm los ntawm kev tsis khov kho, txo cov leeg leeg.
Ntawm ntawm daim ntawv hemiparetic
Daim ntawv hemiparetic ntawm cerebral palsy yog ib qho ntawm feem ntau. Nws tshwm sim thaum lub paj hlwb puas thaum lub sij hawm intrauterine txoj kev loj hlob ntawm tus me nyuam hauv plab thiab yog yus muaj los ntawm ib tug ua txhaum ntawm cov qauv ntawm lub hauv nruab nrab lub paj hlwb. Thiab nws lub ntsiab tshwm sim yog lub hauv paus paresis (tsis muaj zog ntawm caj npab lossis ceg) thiab tuag tes tuag taw (ua tiav immobilization ntawm ceg).
Vim tias lub paj hlwb puas nyob rau hauv cov kab mob no yog ib sab, kev cuam tshuam ntawm lub cev muaj zog kuj tseem pom ntawm ib sab ntawm lub cev. Txawm li cas los xij, nws yog tus yam ntxwv uas paresis thiab tuag tes tuag taw cuam tshuam rau sab nraud ntawm lub hlwb puas tsuaj!
Kev kho mob tshwm sim
Cov yam ntxwv tseem ceeb ntawm daim ntawv hemiparetic ntawm cerebral palsy, ntxiv rau qhov muaj unilateral paresis thiab tuag tes tuag taw, suav nrog:
- nce suab nrov ntawm ceg ceg ntawm paresis sab;
- hyperreflexia (nce reflexes) ntawm tib sab;
- hais lus qeeb;
- ncua kev txhim kho lub cev muaj zog;
- hais lus nyuaj vim lub ntsej muag tuag tes tuag taw;
- nyob rau hauv ib nrab ntawm cov xwm txheej, muaj hyperkinesis (spontaneous nce lub cev muaj zog ua haujlwm) yog yam ntxwv;
- fawm - qaug dab peg;
- nrog kev kawm ntevCov kab mob, kev puas hlwb kev txawj ntse thiab kev puas siab puas ntsws yog ua tau.
ob leeg hemiplegia
Ob chav hemiparetic daim ntawv ntawm cerebral palsy yog qhov hnyav tshaj plaws. Nws yog manifested los ntawm impaired txav nyob rau hauv tag nrho cov ceg. Cov kev hloov no feem ntau asymmetrical thiab txawv qhia. Ntxiv nrog rau kev mob lub cev, kev nqhis dej thiab kev hais lus tsis zoo yog cov yam ntxwv, mus txog rau qhov tsis tuaj yeem ua tiav (anarthria). Kev qaug dab peg feem ntau tshwm sim.
Lub hlwb puas tsuaj, tsis hais lus, uas ua rau tsis muaj peev xwm sib txuas lus nrog cov phooj ywg thiab kev kawm, ua rau muaj kev puas siab puas ntsws thiab kev txawj ntse.
Daim ntawv no ntawm cerebral palsy feem ntau nrog los ntawm ntau yam kev loj hlob anomalies. Piv txwv li, microcephaly - lub taub hau me me.
Qhov kev cia siab rau qhov mob hnyav ntawm lub paj hlwb yog qhov tsis zoo.
Diagnosis
Kev kuaj mob yog ua raws li kev kuaj mob. Txawm li cas los xij, ua tib zoo sau cov ntaub ntawv keeb kwm ntawm daim ntawv hemiparetic ntawm cerebral palsy kuj tseem ceeb. Nws yog ib qho tsim nyog yuav tau xyuam xim rau keeb kwm ntawm obstetric: lub nra hnyav ntawm cev xeeb tub lossis yug menyuam nrog gestosis, toxicosis, eclampsia, tus cwj pwm phem ntawm leej niam tuaj yeem ua rau muaj qhov tseeb. Lub nra hnyav hauv tsev neeg keeb kwm kuj tuaj yeem tshwm sim nrog mob hlwb.
Yog tias daim duab kho mob raug tshem tawm, thiab tus kws kho mob tsis paub meej txog qhov kev kuaj mob, nws tuaj yeem siv cov kev kuaj mob ntxiv. Muaj cov kev tshawb fawb los ntawm cov kws tshawb fawb Lavxias lees paub txoj kev loj hlob ntawmspastic daim ntawv ntawm cerebral palsy metabolic ntshawv siab, nrog rau hypoxia ntawm cov hlwb thiab cov ntaub so ntswg (tso oxygen cov ntsiab lus nyob rau hauv lawv), nce kev ua ntawm lub antioxidant system. Yog li ntawd, kev loj hlob ntawm rickets, hypo- thiab atrophy, anemia yog ua tau. Yog li ntawd, kev tswj cov ntshav biochemical tsis yog ib qho tseem ceeb nyob rau hauv kev kuaj mob ntawm cerebral palsy thiab tshwj xeeb tshaj yog nyob rau hauv nws cov kev kho mob los tswj cov kev ua ntawm cov txheej txheem.
Kev kho mob
Cov yam ntxwv thiab kev kho mob ntawm hemiparetic daim ntawv ntawm cerebral palsy yog inextricably txuas, txij li thaum txoj kev kho tseem ceeb yog tsom tshwj xeeb rau kev tshem tawm cov tsos mob thiab ua rau lub neej yooj yim dua rau tus neeg mob. Kev txuas ntxiv thiab kev kho mob mus ib txhis kuj tseem ceeb rau kev ua tau zoo tshaj plaws.
Ib txoj hauv kev zoo tshaj plaws yog zaws. Txij li thaum daim ntawv hemiparetic ntawm cerebral palsy yog tshwm sim los ntawm cov leeg nqaij, massage pab daws nws. Kev tawm dag zog lub cev kuj tseem siv dav, uas pab txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhuam
Physiotherapy kuj tseem siv - electrophoresis, myostimulation. Txawm li cas los xij, thaum muaj qaug dab peg, hom kev kho no yog contraindicated.
Nyob rau hauv txoj kev loj hlob ntawm kev txawj ntse, cov tshuaj tau pom tias txhim kho cov metabolism hauv lub hlwb thiab ua kom cov pa oxygen ntau ntxiv hauv nws. Qhov no yog ib pawg ntawm nootropics: Cerebrolysin, Piracetam.
Txawm hais tias daim ntawv hemiparetic ntawm cerebral palsy yog ib yam kab mob loj uas yuav tsum tau siv zog los tawm tsam nws, qhov no tsis yog kab lus. Nruam kho gymnastics, massage thiab physiotherapy thoob plaws hauv lub neej muab ib qho zoo heevQhov tshwm sim, thiab cov neeg laus uas mob hlwb hlwb tuaj yeem ua neej nyob puv npo.
