He aha ka Cerebral Palsy? E aʻo kākou i kāu pēpē.

Ma ke ʻano he makuahine a makua paha, hauʻoli loa ʻoe ke ʻike ʻoe i kāu keiki e ulu iki ana, ke ʻike ʻoe iā ia e hala ana i hoʻokahi pae ma hope o kekahi, ʻeā? Akā i kekahi manawa, ke lohi kāu pēpē i nā mea e like me ka ʻōwili ʻana, ka noho ʻana i luna, a me ke kū ʻana i luna, makaʻu iki ʻoe. ʻOiai ʻo ka hapa nui o ka manawa he mau mea maʻamau kēia, i kekahi manawa aia paha kahi maʻi ma hope o kēia e like me " Cerebral Palsy". Mai hopohopo, e kamaʻilio mākou e pili ana i nā mea āpau ma nā ʻōlelo maʻalahi i kēia lā.

I ka ʻōlelo maʻalahi, he aha ka cerebral palsy (CP)?

ʻO Cerebral Palsy, ka mea a mākou e kapa nei he CP no ka pōkole, he hui ia o nā kūlana e hoʻopilikia ai i ka neʻe ʻana o ke keiki, ke kaulike , a me ka hana ʻiʻo. ʻO "Cerebral" ke ʻano o kahi mea e pili ana i ka lolo. ʻO "Palsy" ke ʻano o ka nāwaliwali a i ʻole ka pilikia me nā ʻiʻo.

Hiki mai kēia kūlana i ka wā e ulu pono ʻole ai ka ʻāpana o ka lolo e kāohi ana i nā neʻe ʻana o ko mākou kino, a i ʻole inā he pōʻino i kēlā ʻāpana i ka wā hānau a i ʻole i ka wā kamaliʻi. ʻO ka hapa pinepine, hānau ʻia kahi keiki me kēia kūlana. Kapa mākou ia he "congenital CP." Akā, he mea kākaʻikahi loa, hiki ke hana ʻia kēia kūlana e ka pōʻino o ka lolo ma hope o ka hānau ʻana.

Hiki i ka CP ke ʻano mai ka ʻoluʻolu a i ka ʻino. Hiki i kekahi mau keiki ke paʻakikī i ka hele wāwae a me ke kamaʻilio ʻana. ʻAʻohe pilikia o ka hapa nui o nā keiki me ko lākou akamai. Eia nō naʻe, hiki i kekahi mau keiki ke loaʻa nā kīnā noʻonoʻo.

He aha nā ʻano nui o CP?

Hiki ke hoʻokaʻawale ʻia ʻo CP i ʻehā ʻano nui ma muli o ke ʻano o ka neʻe ʻana o ke keiki.

ʻIke hou aku e pili ana i ka Spastic CP

ʻO kēia ke ʻano maʻamau. Ua māhele ʻia hoʻi i ʻekolu ʻāpana:

• ʻO Spastic Diplegia: He ʻano kēia kahi e ʻoʻoleʻa ai nā ʻiʻo o nā wāwae. ʻOʻoleʻa nā ʻiʻo o nā pūhaka a me nā wāwae, e hoʻohuli ai i nā kuli i loko a keʻa nā wāwae e like me ka ʻokiʻoki i ka wā e hoʻāʻo ai e hele. Ua kapa ʻia hoʻi kēia he "scissoring."
• ʻO Spastic Hemiplegia: Hoʻopilikia kēia i hoʻokahi ʻaoʻao o ke kino (ʻākau a hema paha). ʻOi aku ka pōkole a me ka lahilahi o ka lima a me ka wāwae ma kēlā ʻaoʻao ma mua o kēlā ʻaoʻao. Hoʻoikaika kēia i kekahi mau keiki e hoʻāʻo e hele ma ko lākou mau manamana wāwae . Hiki i kekahi ke loaʻa i kahi iwi kuamoʻo piʻo (scoliosis).
• Spastic Quadriplegia: ʻO kēia ke ʻano koʻikoʻi loa o ka spastic CP. Hoʻopilikia ia i nā lālā ʻehā, ke kino, a me ka maka. Hiki nō hoʻi ke loaʻa nā ʻūlū a me ka paʻakikī i ka ʻōlelo ʻana.

No ke aha lā e kū mai ai kēia kūlana?

He mea paʻakikī pinepine ke kuhikuhi i ke kumu pololei o CP. Eia nō naʻe, hiki ke hana ʻia e kekahi mea e hoʻopilikia ai i ka ulu maʻamau o ka lolo. Hiki i kēia mau mea ke hana ma mua, i ka wā, a ma hope paha o ka hānau ʻana o ke keiki.

ʻO nā kumu nui e hiki ai:

• Nā maʻi i ka makuahine i ka wā hāpai: Nā maʻi e like me ka German measles (Rubella), chickenpox (Chickenpox).
• Ka hānau mua ʻana: ʻOi aku ka nui o ka pilikia o nā pēpē i hānau ʻia ma mua o 37 mau pule.
• Nā pilikia i ka wā hānau: ʻO ka paʻakikī i ka hānau ʻana hiki ke hoʻonele i ka lolo o ka pēpē i ka oxygen (asphyxia). Eia naʻe, ʻaʻole kēia he kumu maʻamau e like me ka mea i manaʻo ʻia ma mua.
• Nā maʻi lolo i ka wā kamaliʻi: Nā maʻi lolo e like me ka meningitis bacteria.
• Genetics: Hiki i kekahi mau loli genetic ke hoʻopilikia i ka ulu ʻana o ka lolo.
• Jaundice koʻikoʻi: Inā piʻi nui nā pae bilirubin ma hope o ka hānau ʻana a ʻaʻole mālama ʻia, hiki iā ia ke hōʻino i ka lolo.

He aha nā hōʻailona o kēia? Pehea ʻoe e ʻike ai?

ʻOkoʻa nā hōʻailona o CP mai kekahi keiki a i kekahi keiki, no laila ʻo ka mea nui loa, ua lohi nā pae hoʻomohala o kāu keiki. Akā e hoʻomanaʻo, ʻaʻole nā ​​lohi āpau he CP. Inā he mau hopohopo kāu, ʻoi aku ka maikaʻi o ke kamaʻilio ʻana me kāu kauka.

Pehea e ʻike ʻia ai ka CP?

E nānā pono ke kauka lapaʻau o kāu keiki i ka ulu ʻana o kāu keiki i kēlā me kēia nānā lapaʻau. E nānā pono lākou i nā neʻe ʻana o kāu keiki, ke kani o nā ʻiʻo, a me ke kūlana.

Inā he mau hopohopo kāu, hiki i kāu kauka ke kuhikuhi i kāu keiki i kahi neurologist pediatric. Pono paha nā hoʻokolohua aʻe e hōʻoia i ka hōʻailona:

• Nā scan lolo: Hiki ke hana ʻia kahi scan MRI (Magnetic Resonance Imaging) a i ʻole kahi scan CT (Computed Tomography) e nānā i ke ʻano o ka lolo. Hiki i ka MRI ke hana i nā kiʻi ʻoi aku ka maopopo.
• EEG (Electroencephalogram): Hiki i kekahi mau keiki me CP ke loaʻa i nā ʻōʻili (epilepsy). Ana kēia hoʻāʻo i ka hana uila o ka lolo.
• Nā hoʻāʻo koko: Hana ʻia nā hoʻāʻo koko e nānā i nā kūlana genetic a metabolic paha e hōʻike ana i nā hōʻailona like me CP.

He aha nā lāʻau lapaʻau?

ʻAʻole hiki ke ho'ōla loa ʻia ka CP. Eia nō naʻe, me ka mālama pono ʻana a me ka hoʻokele ʻana, hiki ke kōkua ʻia ke keiki e ola i ke ola maikaʻi loa. ʻO ka wikiwiki o ka hoʻomaka ʻana o ka mālama ʻana, ʻoi aku ka maikaʻi o nā hopena. Pili kēia i kahi hui o nā kānaka he nui, me nā kauka, nā physiotherapists, nā therapists occupational, nā therapists speech, a me nā mea ʻē aʻe.

Nā ʻano lapaʻau nui:

• Hoʻōla Kino : He mea nui loa kēia. Hāʻawi ʻia nā hoʻomaʻamaʻa kino e hoʻoikaika i nā ʻiʻo, hoʻonui i ka maʻalahi, a hoʻomaikaʻi i ke kaulike.
• Hoʻōla Hana: Kōkua i ke keiki e hana i nā hana o kēlā me kēia lā (e like me ke kāhiko ʻana, ka ʻai ʻana, ke kākau ʻana) me ke kūʻokoʻa.
• Lapaʻau ʻŌlelo: Kōkua iā ʻoe e ʻōlelo, moni, a kamaʻilio maopopo.
• Nā lāʻau lapaʻau: Hāʻawi ʻia nā lāʻau lapaʻau e hōʻemi i ka ʻoʻoleʻa o nā ʻiʻo (nā mea hoʻomaha ʻiʻo), kaohi i ka ʻeha, a kaohi i nā hopu ʻana. I kekahi manawa hiki i nā inikini Botox i loko o nā ʻiʻo ke hōʻemi i ka ʻoʻoleʻa no kekahi manawa.
• Nā ʻoki kino: I kekahi mau hihia, pono paha ke ʻoki kino orthopedic e hoʻolōʻihi i nā ʻiʻo i ʻoki nui ʻia a hoʻoponopono paha i ke kūlana o nā iwi.
• Nā Mea Kōkua Neʻe: Hiki i nā mea hele wāwae, nā koʻokoʻo, nā noho huila, a me nā mea pale/ʻāpana pale like ʻole ke kōkua me kēia.

Hiki ke pale ʻia kēia kūlana?

ʻOiai ʻaʻole hiki ke pale ʻia ka CP 100% o ka manawa, aia kekahi mau mea e hiki iā mākou ke hana e hōʻemi i ka pilikia.

• Ke olakino maikaʻi i ka wā hāpai: E kiʻi i nā lāʻau pale e pono ai (ʻoi aku hoʻi ʻo Rubella) ma mua o ka hāpai ʻana. E kiʻi i ka meaʻai maikaʻi i ka wā hāpai, a e pale loa i ka puhipaka a me ka waiʻona.
• Ka Mālama Kūpono no ka Hānau ʻana: He mea nui loa ka hele ʻana i nā keʻena lapaʻau maʻamau mai ka lā āu i ʻike ai ua hāpai ʻoe.
• Ka palekana mai nā maʻi: E pale iā ʻoe iho mai nā maʻi i ka wā hāpai a ma hope o ka hānau ʻana o ke pēpē.
• Ka mālama ʻana i ka palekana o kāu keiki: E pale i nā ʻeha hiki ke hōʻeha i ke poʻo o kāu keiki (e like me ka hāʻule ʻana).

Cerebral Palsy, CP, Pediatrics, Nā maʻi lolo, Ka lohi o ka ulu ʻana, Hoʻōla kino, Spasticity