How is neonatal brain hypoxia? We know that oxygen is very important to us. If you lack oxygen for a long time, it will lead to the death of brain cells. In life, neonatal brain hypoxia is a serious problem. So what is neonatal brain hypoxia?
What is neonatal brain hypoxia? 1 1, poor umbilical cord blood circulation: umbilical cord knotted, umbilical cord around the neck, etc. May cause neonatal ischemic cerebral palsy.
2. Newborns' own diseases: Many diseases may lead to hypoxia, such as congenital heart disease and polycythemia.
3, placenta causes: placental prolapse, placenta previa or placental dysfunction lead to ischemic cerebral palsy.
4. Jaundice is the main cause of neonatal cerebral palsy, but with the continuous development of modern medicine, the probability of cerebral palsy is also decreasing.
5. Problems during delivery: Delayed delivery, malposition of fetus, doctor's auxiliary use of forceps, anesthesia or prolonged delivery time can also cause ischemic cerebral palsy.
6. Maternal causes: ischemic cerebral palsy, excessive bleeding, severe anemia, coma, drug poisoning, excessive smoking and drinking caused by pregnancy-induced hypertension syndrome.
How to nurse newborns with cerebral hypoxia
1, feeding care: advocate breastfeeding, and can be mixed when breast milk is insufficient. When feeding, give priority to with a small number of times. It is not recommended to feed too much, which may easily lead to the danger of spitting, choking cough, aspiration pneumonia and suffocation. When the baby is 4~6 months old, it is necessary to add complementary food in time, and should choose digestible and balanced food. After the baby is born 15 days, it needs to be supplemented with vitamin AD (OTC logo is selected) until the baby is 2 years old, and there are many outdoor activities in summer, so it can be suspended for about 2 months.
2, temperature care: cold and hot need to be balanced, the indoor temperature is kept at 25~28 degrees in summer, and the indoor and outdoor temperature difference should not exceed 6 degrees. Always ventilate to ensure fresh indoor air.
3, environmental care requirements: the care of children with cerebral hypoplasia should keep the ward quiet and clean, do not move the baby easily, and the surrounding environment should not be noisy. Clean the indoor floor and disinfect it frequently. Strengthen inspections during the day and night to prevent accidents such as baby falling out of bed and self-injury.
4, psychological care: severe brain hypoxia baby treatment time is too long, parents are easy to get impatient and even have the idea of giving up treatment, so adjusting the mentality will play a decisive role in baby treatment.
Symptoms of neonatal cerebral hypoxia
1, mild cerebral hypoxia. If it is a mild brain hypoxia problem, then the child will have excessive awakening, and the child is more prone to irritability, excitement, jitter and tremor. But at this time, the child's muscle tension will not be abnormal, Moro reflex is normal, and breathing is relatively stable. This situation will gradually disappear in three days.
2. Moderate cerebral hypoxia. In this case, the child is in a state of inhibition and the muscle tension of the child is relatively low. At this time, children prefer to sleep or be in a shallow coma. Half of the cases have convulsions or apnea, and the child's hug or sucking reflex will be much weakened. If this situation lasts for a week or ten days, it must be treated.
3. Severe brain hypoxia. The child will be in a coma. And the child's muscle tension will be particularly low, and the child will be softer. Both hug launching and tendon reflex will disappear, and abnormal situations such as pupil disparity will occur, and some even have respiratory failure. The mortality rate is relatively high, and even if you are alive, you will have sequelae.
Can newborns heal themselves?
Neonatal brain hypoxia can be cured. If it is mild, early detection of cerebral ischemia and hypoxia can cure the child. If there is no bleeding, it is not a big problem. When the baby is three months old, look at the baby's mental state and the feeling of grasping. If it is normal, it is basically no problem. If there is a slight change, you can carry out rehabilitation exercise.
How is neonatal brain hypoxia? 2 Does neonatal brain hypoxia have sequelae?
Neonatal cerebral hypoxia refers to hypoxic-ischemic brain damage caused by perinatal asphyxia. A series of manifestations of encephalopathy will appear in clinic. Neonatal cerebral hypoxia not only seriously threatens the life of newborns, but also is a cerebrovascular disease with high disability rate. Most children may have different degrees of sequelae after illness.
More than 7 points are mild hypoxia, which often does not affect the prognosis; 4-6 is divided into moderate asphyxia, which can often be recovered in a short time after active treatment; When the score is less than 4, it shows severe hypoxia, asphyxia and respiratory depression. At this time, it is necessary for doctors to carry out emergency rescue and resuscitation, so that it is possible to get better, otherwise it is difficult for newborns to survive.
Although resuscitated by first aid, the score of 10 minutes after birth is still very low, and newborns who have not yet established normal and effective breathing may leave sequelae such as mental retardation or dyskinesia in the future due to long-term hypoxia, even if they survive. Children with low resistance are prone to aspiration pneumonia, neonatal scleredema, hypocalcemia, hypoglycemia, neonatal intracranial hemorrhage and systemic infection.
What are the symptoms of neonatal brain hypoxia?
Neonatal hypoxic encephalopathy refers to partial or complete hypoxia caused by perinatal asphyxia, which leads to brain damage of fetus or newborn. Its clinical manifestations are divided into mild, moderate and severe according to the changes of consciousness, muscle tension, primitive reflex and convulsion. It is necessary to improve the ct, MRI, EEG and other related examinations. His prognosis is related to the severity of the disease and whether the rescue is correct and timely.
What can parents do in the early stage of neonatal hypoxia?
1, visual stimulation: hang a bright red ball beside the child's bed to guide the child to pay attention or show him his face many times a day, and talk to him when the newborn wakes up.
During the period, slowly move the position of the ball or face, so that the child's line of sight moves with it.
2. Tactile stimulation: Touch is the most primitive sensory function and the external receptor of the central nervous system. By touching the baby's whole body and massaging the acupoints, you can get a lot of information input, thus promoting the development of the baby's nervous system. Touching is a simple, easy to operate and effective treatment. Parents can learn basic touching methods under the training of professional doctors, and do touching therapy for their children at home after mastering the essentials of action.
3, exercise stimulation: you can often put your child in a prone position to make it look up. You can loosen the package and let your limbs move freely. Massage and functional training should be given to the limbs that do not exercise regularly to promote the development of children's sports ability.
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