Инсульт у детей – проблема современного мира.
До недавнего времени врачи считали, что инсульт – прерогатива пожилых людей. Однако это не так. По статистике внутримозговое кровоизлияние среди детей чаще случается у новорожденных и годовалых деток, но с взрослением риски получить кровоизлияние в мозг уменьшаются. Поскольку почти в каждой семье есть минимум один компьютер и мобильный телефон, многие дети жалуются на постоянные головные боли, теряют сознание и даже получают острое нарушение мозгового кровообращения.
У детей чаще фиксируют геморрагический инсульт, а у взрослых – ишемический. Также различны причины возникновения кровоизлияния.
В группе риска находятся дети, у которых:
- патологии сердца и артерий;
- острые либо хронические заболевания головы и шеи;
- инфекционные болезни;
- аномалия свертываемости крови, анемия, лейкоз и прочие патологии кроветворной системы.
Как распознать инсульт у деток?
Проблема идентификации мозгового кровоизлияния у новорожденного состоит в том, что малыш не может об этом сообщить доктору или маме.
Основные симптомы инсульта у детей:
- слабость одной половины тела (гемипарез);
- паралич части тела (гемиплегия);
- затруднения речи (афазия);
- проблемы с глотанием (дисфагия);
- ухудшение зрения;
- резкая смена настроения;
- нарушения памяти и мышления;
- поведенческие или личностные изменения;
- судороги;
- дезориентация в пространстве;
- церебральный паралич.
Правое полушарие отвечает за координацию движений левой половины тела, аналитическое мышление, измерение расстояния, размера, скорости и положения объектов. Когда у ребенка правостороннее кровоизлияние, это будет заметно по движениям левой стороны его туловища и конечностей, возникнут трудности с завязыванием шнурков или застегиванием пуговиц на рубашке.
Левое полушарие, соответственно, занимается правильностью движений правой доли тела, правильностью речи и естественной работой языка. Когда у ребенка левостороннее кровоизлияние в мозг, могут быть разлады подвижности частей туловища, руки и ноги справа, затрудненная речь или чтение.
Чтобы обнаружить патологии, предвещающие острое нарушение мозгового кровообращения (ОНМК) у ребенка, врач-педиатр или невролог направляет на следующие виды диагностики:
- допплерография сосудов верхних и нижних конечностей;
- рентгенография;
- магнитно-резонансная томография головного мозга;
- УЗИ органов брюшной полости;
- клинические анализы крови и мочи;
- эхоэнцефалография и пр.
Общие положения в терапии детского инсульта:
- стабилизация нормальной температуры тела, гидратации и уровня глюкозы в крови маленького пациента;
- наблюдение за повышенным артериальным давлением;
- выявление и снятие приступов с видео-ЭЭГ мониторингом и назначение противосудорожных препаратов;
- контролирование внутричерепного давления.
К сожалению, предупредить ОНМК у ребенка получается не всегда, но можно свести к минимуму его компьютерные игры, разговоры по мобильному телефону, нарушения режима сна. Больше акцентируйте внимание своего чада на подвижных играх на свежем воздухе, наполните его рацион витаминами группы В и Омега-3 жирными кислотами, проходите профилактические осмотры у педиатра, невролога и кардиолога.
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