Table of contents:
That's how children that mobility for theman indispensable condition for which there is a development. Of course, a rare child manages to avoid falls and bumps. Often the consequence of such cases is a concussion in children.
Concussion - a mild traumatic brain injury. A more severe form - the brain injury with skull fractures.
Not always in the fall we can confidentlysay, the brain was hurt or not. It often happens that the symptoms of concussion appear later. Therefore, if there is suspicion, it is better not to delay the situation and to consult a specialist.
For each age is characterized by its own reasons,resulting in a traumatic brain injury. Those most prone to injuries school-age children. It may be falling from a height, or shocks, such as swings in the playground.
Sometimes a concussion is and without visible injuries. there is a concept in medicine - a syndrome of "shaken baby". Such injuries occur when a child while running brakes sharply or, on the contrary, starts from the place. Also jumping from a great height can cause a concussion.
For infants the main cause of traumatic brain injury - the decline due to an oversight. Slightly older children can fall from the roofs, staircases, windows, etc.
The danger here is that sometimesCan not establish the fact of injury. For example, if the child was with other people, in the garden or with a babysitter, can hide. And it turns out only when the characteristic symptoms.
The brains of children has its own characteristics. Thanks to them, children are seldom the classic symptoms that have an adult (loss of consciousness, nausea, vomiting, dizziness, etc.)
The younger the age, the less manifest signsconcussion of the child. Toddlers rarely unconsciousness. Appears anxiety, poor appetite, vomiting, pale skin. Often marked drowsiness, or on the contrary, a bad dream.
In school-age children tend to eatbrief loss of consciousness and subsequent nausea and vomiting. When you shake note headaches, dizziness, pulse may quicken or slow down, there sweating, pale skin, there is the instability of blood pressure.
Sometimes when hitting the occipital region thereposttraumatic blindness. It may not appear immediately after the impact, but later. This phenomenon is due to the fact that the injury which hurt the eye center, which is located in the occipital part. In this case, treatment is required, all the effects go away.
Another feature of the childhood trauma, the symptoms may not be immediately apparent. At first, the baby feels good, and then the symptoms begin to increase.
If any head bumps need to show the child's doctor. Even if the symptoms are mild and the child no matter what does not complain, additional tests will not hurt.
The basic trauma care on the part of parents - to ensure peace. In the presence of wounds and abrasions to conduct primary processing, if necessary, apply a dressing.
Risk of concussions is that in the absence of symptoms can be severe brain damage. Especially such a pattern is observed when there are bleeding place.
Deterioration can occur in a few days. And of course, progressive symptoms should alert. In infants may swells fontanelle.
Note!In severe injuries compulsory hospitalization in the Department of Neurosurgery.
To exclude the skull fractures, be sure to make an X-ray. About the brain able to judge ultrasound.
Young children do cranial ultrasonography. The photographs clearly visible brain. If there is a violation of: edema, hemorrhage, hematoma, they are easily diagnosed. This method is effective up to the age of two.
Later skull bones in children and thickenuse another method of ultrasound - Echo-encephalography. He identifies brain bias, which indirectly indicates the volume formation (hematoma and swelling). This method is simple, but has a low reliability.
The most effective way to detect brain injury - computed tomography. In this survey get a complete picture of the skull and brain.
Features of treatment
During treatment it is necessary to organize a daya child so as to avoid outdoor games. In severe cases, we recommend strict bed rest. Drug treatment is aimed at several points.
In the first phase the therapy, allowing to remove the symptoms and consequences of injuries: swelling, bruising, bleeding.
To remove a brain edema prescribe diureticsagent, it may be diakarb or furosemide. They are usually used with drugs containing potassium (asparkam, Pananginum). Potassium prevents swelling and nourishes the brain. When expressed nausea, antiemetic drugs are needed (Reglan).
In addition, spend a soothing therapy (tincture valerian, fenozipam). Sometimes add antihistamines (diazolin, suprastin).
For mild injuries, further treatment is required. In more severe cases may appoint nootropics. They improve the metabolic processes in the brain.
Also required for some timeobserve mode. Reduce motor activity may be exempted from physical education. Limit your stay at the computer and TV, reading. This activity results in stimulation of the cortex.
During a period of post-concussion, the child can rock on the bus. Later, these symptoms disappear.
Condition returns to normal, after about 3 weeks. Typically, after treatment, complications no longer appear.
Timely treatment specialists will not only help to reduce the period of rehabilitation, but to prevent the occurrence of consequences.