Yu smɔl pikin in ed tu big smɔl? Mek wi lan bɔt Makrosɛfali - Nirogi Lanka

Mi mama ɛn papa dɛn we una lɛk, sɔntɛm una dɔn notis se yu smɔl pikin in ed kin tan lɛk se i big smɔl pas ɔda pikin dɛn we dɛn ej. Ɔ sɔntɛm yu dɔktɔ we de mɛn pikin dɛn bin tɔk bɔt am afta we i dɔn mɛzhɔ yu pikin in ed we dɛn de chɛk am ɔltɛm? insay mεdikal tεm dεm, dεn kכl dis "Macrocephaly." Duya, nɔ panik we yu yɛri dis wɔd. Nɔto ɔl big ed de sho se pɔsin de wɔri bɔt mɛrɛsin. Lɛ wi tɔk bɔt dis ditayli wit Nirogi Lanka.

Wetin na Makrosɛfali?

Fɔ tɔk am simpul wan, Makrosɛfali min fɔ gɛt "big ed." If yu pikin gɛt makrosɛfali, i min se di say we dɛn ed de rawnd dɛn ed rili big pas ɔda pikin dɛn we gɛt di sem ej ɛn di sem sɛks. fכ mεdikal, di pikin dεm dεn dεfεn dis as ed sεkכnfεnshכn (dεn mכsu na di say we wayd pas כl) we pas 97% pan di pikin dεm we de na di sem ej grup—dεn de put dεm oba di "97th pasεntil" pan standad growth chכt dεm.

Bɔt, duya nɔ panik if yu yɛri dis. Pan ɔl we sɔntɛnde makrosɛfali kin bi sayn fɔ wan ɔndalayn kɔndishɔn we nid fɔ go to dɔktɔ, bɔku tɛm na jɔs wan kwaliti we pɔsin kin gɛt frɔm in famili. Dis kayn we we nɔ fayn ɛn we nɔ de du bad ɛn we nɔ nid ɛni tritmɛnt, dɛn kɔl am Benign Familial Macrocephaly .

Aw dis sik kin kɔmɔn?

dεn εstimat se makrosεfali de afekt bitwin 2% εn 5% pan di jεnarכl pipul dεm. Na kɔndishɔn we wi kin mit bɔku tɛm na Nirogi Lanka, so i nɔ kɔmɔn, ɛn nid nɔ de fɔ alawm.

Wetin na di sayn dɛm wae gɛt fɔ du wit Makrosɛfali?

Lɛ wi luk di sayn dɛm wae gɛt fɔ du wit makrosɛfali. Duya mɛmba se nɔto ɔl pikin go sho ɔl di sayn dɛn; sɔm pikin dɛn kin gɛt big ed we nɔ gɛt ɔda sayn dɛn atɔl.

• Di ed we de gro kwik kwik wan: If di ed saiz de go ɔp fast fast pas aw dɛn bin de tink, dis kin mek dɛn ebul fɔ chɛk am wit mɛrɛsin.
• di vein dεm na di sכl we de sho klia wan: sכmtεm, di vein dεm we de כnda di skin na di sכl kin tan lεk se dεn nכ de si כ dεn distend.
• Divεlכpmεnt dilay: Delay fכ rich maylston dεm lεk fכ smayl, ol di ed כp, rכl oba, sidon, כ waka.
• di we aw yu de luk dכn: dεn kin kכl am "Setting-Sun Eye Phenomenon," usay i tan lεk se di pikin in yay dεn de dכn כltεm.
• di fכntanel dεm we de bכl כ fכm: di "sכft spat dεm" na di pikin in sכkul (we di bon dεm nכ jכyn yet) kin fil tayt כ bulge.
• I nɔ go want fɔ it: If yu pikin nɔ gri fɔ it ɔltɛm ɔ i sho se i nɔ want fɔ it tin.
• Prεsεns כf כda kכndyushכn dεm: sכmtεm dεn kin gεt makrosεfali wit kכndyushכn lεk epilepsy (seizures) כ autism.

Yu fɔ mɛmba se if yu pikin gɛt Benign Familial Macrocephaly, yu go mɔs si ɛni ɔda sayn pas di big ed saiz, we na jɔs wan pat pan dɛn jenɛtik mek-ap.

Wetin kin mek pɔsin gɛt Makrosɛfali?

di tin dεm we de mek makrosεfali de kכmכt frכm we nכ de du bad (benign) to mכr siriכs, klinik kכndishכn dεm.

If yu pikin gɛt Benign Familial Macrocephaly, dɛn jɔs gɛt big ed bikɔs ɔf di jenɛtiks—bɔku tɛm i kin tan lɛk di ed saiz fɔ ɔda famili mɛmba dɛn. Dis nɔto natin fɔ wɔri bɔt.

Bɔt ɔda tin dɛn de we kin mek pɔsin gɛt dis sik—sɔm dɛn we dɛn kin bɔn wit (we kin de we dɛn bɔn am) ɛn sɔm we kin apin as tɛm de go—we nid fɔ mek dɔktɔ dɛn chɛk:

• Megalencephaly: Na big big bren strɔkchɔ we nɔrmal.
• Hydrocephalus: Na di sεribrospεnal fכluid (CSF) we de bכku insay di bren, we kin mek prεshכn pan di sכkul.
• Intracranial hemorrhage: Blɔd de kɔmɔt insay di bren, sɔmtɛm na bikɔs ɔf di vaskul dɛn we nɔ de wok lɛk Arteriovenous Malformation.
• Cranial Hyperostosis: di bon dεm na di sכkul de tik pasmak.
• Tumɔs dɛn na di bren.
• Ɛmatoma we nɔ de chenj: Blɔd kin klɔt bikɔs i gɛt trauma, i fɔdɔm, ɔ if i rili bad, i kin shek di pikin.
• Bren infεkshכn: Na tin dεm lεk mεningayt, εnεfalaytis, כ bren absεs.
• Jɛnɛtik dizayd: Inklud Achondroplasia, Fragile X Syndrome, Nyurofibromatosis Tayp 1, PTEN Hamartoma Tumor Syndrome (Cowden Syndrome), Gorlin Syndrome, ɛn Greig Cephalopolysyndactyly Syndrome.
• inkrεs intrakranial prεshכn: εni kכndishכn we de mek prεshכn go כp insay di sכkul.

Aw dɛn kin no se pɔsin gɛt Makrosɛfali?

Na Nirogi Lanka, wi spɛshal pipul dɛn kin yuz wan sistamɛtik we fɔ no bɔt makrosɛfali ɛn fɔ no di ɔndalayn kɔz.

Bifo dɛn bɔn pikin

yu dכkta kin no di sayn dεm fכ makrosεfali we dεn de du rutin prenatal ultrasound skan, mכtalman we de let sεkכn כ ali tכd trimεst.

Afta dɛn bɔn pikin

Afta dɛn bɔn yu, yu dɔktɔ we de mɛn pikin dɛn go de mɛzhɔ di say we yu pikin de ed ɔltɛm we dɛn de chɛk am ɔltɛm fɔ di fɔs fayv ia. Dɛn kin kɔmpia dɛn mɛzhɔmɛnt ya wit standad growth chɛt, pan ɔl we dɛn kin tink bak bɔt di ed saiz fɔ mama ɛn papa ɛn dɛn fambul dɛn we de nia dɛn. if dεn no di makrosεfali, di nεks step na fכ no di kכz tru difrεn asesmεnt dεm.

Nyurolɔjik Ɛgzam

We yu de du gud gud nyurolɔjik ɛgzamin, yu dɔktɔ go evalyu:

• Yu dɔktɔ go asɛs yu pikin in growth histri ɛn in wɛlbɔdi naw bay we i go aks yu ditayla kwɛstyɔn dɛn ɛn du wan saful klinik ɛgzam.
• Dɛn go aks yu if yu pikin dɔn gɛt ɛni injuri na in ed ɔ if sɔntin de we de mɔna yu bɔt di damej we di bren ɔ di nervɔs sistɛm dɔn pwɛl.
• Di dɔktɔ go aks bɔt ɛni infɛkshɔn we yu go gɛt we yu gɛt bɛlɛ, ɔ if di pikin dɔn gɛt infɛkshɔn lɛk mɛningaytis frɔm we dɛn bɔn am. Sɔntɛnde dis kin mek yu gɛt haydrosɛfalɔs (di wata we de bɔku na di bren).
• Dɛn go aks yu if yu pikin de vɔmit, sho se i de vɛks mɔ ɛn mɔ, ɔ i de sho sayn dɛn fɔ se in ed de at (lɛk we i de chenj in bihayvya ɔ we i de kray we i nɔ de kɔrej am). dis kin bi indikεtכr dεm fכ inkrεs prεshכn insay di sכkul.
• Yu dɔktɔ go aks if yu pikin gɛt histri fɔ sik.

Fizik Ɛgzam

We yu de du dis ɛgzamin, pas fɔ mɛzhɔ di say we di ed de rawnd, yu dɔktɔ go chɛk fɔ dɛn tin ya:

• Fontanels (Soft Spots): Dis na di fleksibul gap dεm bitwin di sכkul bon dεm. dεn de mek di ed pas na di bכn kanal izi wan εn i de mek di bren gro. di bak fontanel tipikli kכloz insay 2–3 mכnt, we di fכnt wan de kכloz bitwin 9 εn 18 mכnt. fכntanel we de bulg, tayt, כ fכm kin bi sayn fכ intrakranial prεshכn we de go כp.
• Prominent Scalp Venins: Dɛn wan ya kin sho se di blɔd volyum ɔ prɛshɔn de go ɔp insay di bren.
• Setin-Sun Ay Fenomen: Na kכndishכn we di pikin in yay dεm de luk dכn כltεm, we na klinik sayn fכ intrakranial prεshכn we de go כp.
• Failure to Thrive: Sɔntɛnde, we pɔsin nɔ de gɛt bɛtɛ wet ɔ we i nɔ want fɔ it kin gɛt sɔntin fɔ du wit di tin dɛn we de mɔna am na di nyurolɔjik.

Tɛst dɛn we dɛn kin yuz fɔ tek pikchɔ

Dɛn tin ya kin bi:

• Ultrasound Scan: Bɔku tɛm dis na di fɔs, sef, ɛn izi fɔ no di sik, bikɔs i nɔ gɛt ɛni raytin ɛn i nɔ nid fɔ mek pɔsin fil fayn. if di fontanel stil opin, dis de mek yu si klia wan di strכkchכ dεm na di bren.
• Computed Tomography (CT Scan): Dis skan de gi ditayli pikchɔ dɛn bɔt di bren tisu. Bikɔs i de yuz redyushɔn, dɛn kin kip am fɔ kes dɛn we di ɔltra saund rizɔlt nɔ kin klia ɔ if dɛn nɔ ebul fɔ sɛd di pikin fayn fɔ mek dɛn du MRI.
• Rapid MRI: Na spɛshal, fasta we fɔ MRI we nɔ kin nid fɔ mek pɔsin fil fayn, we dɛn kin yuz fɔ no di wata we pasmak na di bren.

Wetin na di prɔblɛm dɛn we kin kam wit Makrosɛfali?

I impɔtant fɔ mek dɛn no bɔt di prɔblɛm dɛn we kin apin we gɛt fɔ du wit makrosɛfali. Pan ɔl we nɔto ɔlman kin ɛkspiriɛns dɛn, fɔ no na di men tin:

• di bren stεm kכmpreshכn: if di ed saiz de rεstrεkt di spεs insay di sכkul, i kin put prεshכn pan di bren stεm.
• Hydrocephalus: Na sik wae de mek yu nid fɔ go to dɔktɔ kwik kwik wan bikɔs i kin mek yu layf de pan denja.
• Siz ɛn Epilepsy.
• Divɛlɔpmɛnt Dilɛys.
• Di bren we nɔ de wok fayn.

Aw dɛn kin trit Makrosɛfali?

Di tritmɛnt fɔ makrosɛfali de strikt wan dipen pan di ɔndalayn kɔz.

Benign Famili Makrosɛfali ɛn BESSI

If yu pikin de mit di divεlכpmεnt maylston dεm εn i nכ gεt nyurolכjik simptom dεm, εn famili histri de fכ big ed saiz, bכku tεm na benign, inhεrit trayt we nכ nid nכ tritmεnt . BESSI dεn kin kכnsidr am bak as kכndishכn we nכ de du bad we tipikli de rεsכlv insεf as di sεribrospεnal fכluid lεvεl dεm nכmal.

Di tin dɛn we kin mek pɔsin gɛt jɛnɛtiks

Kes dɛm wae gɛt fɔ du wit jɛnɛtik kɔndishɔn kin nid fɔ gɛt sɔpɔt ɔltɛm, lɛk fɔ trit yu bɔdi, wok, tɔk, ɔr bihayvya.

Hydrocephalus ɔ Bren Ɛmoraji

Insay dɛn kayn tin ya, bɔku tɛm dɛn kin nid fɔ du ɔpreshɔn fɔ pul di wata we pasmak ɔ fɔ adrɛs di say we di blɔd de kɔmɔt.

Bren Tumɔr

Di tritmɛnt plan kin gɛt fɔ du wit ɔpreshɔn, kemotɛrapi, redyushɔn tɛrapi, ɔ sterɔyd mɛrɛsin.

Yu tink se dɛn kin ebul fɔ mek dɛn nɔ gɛt Makrosɛfali?

Makrosɛfali jɔs de tɔk bɔt wan big ed saiz; i nɔ min se na pɔsin we gɛt mɛrɛsin de. If i de rɔn na yu famili, i go mɔs bi se na nɔmal, wɛlbɔdi kwaliti. Yu Nirogi Lanka dɔktɔ go disayd if ɛni ɔndalayn mɛdikal kɔz de.

No we nɔ de fɔ mek yu nɔ gɛt makrosɛfali insɛf. Bɔt, bɔku pan di ɔndalayn kɔz dɛn kin bi fayn fayn wan wit di rayt mɛrɛsin.

Wetin fɔ du if mi pikin gɛt Makrosɛfali?

If dɛn no se yu pikin gɛt makrosɛfali bɔt i de mit ɔl di divɛlɔpmɛnt maylston dɛm ɛn sho nɔmal nyurolɔjik sayn dɛm, di prɔgnosis kin fayn, ɛn nɔr nid fɔ gɛt tritmɛnt. Dis kin bi di kayn tin we kin apin to Bɛnign Famili Makrosɛfali.

If dɛn no wan ɔndalayn kɔndishɔn, di prɔgnosis de dipen ɔl pan da patikyula kɔz de. Di tim we de kia fɔ yu pikin na Nirogi Lanka go mek wan pɔsnal tritmɛnt plan we dɛn mek fɔ dɛn yon nid. If yu notis bɔt di sayn dɛm, duya go to ɛp frɔm di imejensi savis dɛm wantɛm wantɛm.

Ustɛm yu fɔ go to dɔktɔ?

Dis na impɔtant pɔynt. If yu pikin sho ɛni wan pan dɛn sik ya, duya go to yu dɔktɔ we de mɛn pikin dɛn wantɛm wantɛm.

• fכntεl we de bulg כ tεns (di sכft say we de na di pikin in ed).
• I nɔ kin want fɔ it ɔltɛm ɔ i nɔ kin izi fɔ it.
• Fɔ vɔmit ɔltɛm ɛn we nɔ de chenj.
• Di we aw yu de muv di yay we nɔmal ɔ we nɔ kɔmɔn.
• I kin taya pasmak ɔ i nɔ kin izi fɔ wek.
• Inkris iritabiliti wae at fɔ sooth.

Dɛn sayn ya kin sho se di chenj dɛn we de ɔnda yu pikin in kɔndishɔn we nid fɔ mek pɔsin ebul fɔ chɛk am. Yu fɔ gɛt kol at, ɛn go to dɔktɔ kwik kwik wan.

Aw bɔku pikin in ed fɔ gro?

Mek wi luk pan standad ed growth. Yu fɔ mɛmba se dɛn tin ya na avrej valyu dɛn. di wan dεm we de wok fכ hεlth kεriכn de yuz standad growth chכt fכ trak kכrekt if yu pikin in ed de fכlכ hεlty patεn. We yu de go na di klinik, dɛn go tek dɛn mɛzhɔmɛnt ya, ɛn yu dɔktɔ go tɔk to yu bɔt di rizɔlt.

Wetin na di difrɛns bitwin Makrosɛfali ɛn Mɛgalɛnsɛfali?

Pan ɔl we dɛn wɔd ya kin tan lɛk, difrɛn klinik difrɛns de.

Makrosɛfali na wan brayt wɔd we dɛn kin yuz fɔ tɔk bɔt di ed saiz we big pas di avɛrej.

Megalencephaly na mכr spεsifi k; i de tɔk bɔt wan big bren we nɔrmal , we kin bi wan pan di ɔndalayn kɔz dɛm fɔ makrosɛfali.

Wetin “Benign extra-axial collections of infancy” min?

dεn kכl am bak Benign External Hydrocephalus , dis de tכk bכt sכm sכm wata we de kכmכt bitwin di bren εn di sכkul. Dis kin rili kɔmɔn pan bebi dɛn we gɛt big ed saiz. Bɔrku tɛm, dis sik nɔr kin nid tritmɛnt. Yu dɔktɔ go tek tɛm wach yu pikin, ɛn bɔku tɛm, dis sik kin sɔlv insɛf as di pikin de gro.

Ki tin dɛn we dɛn kin tek fɔ tek

Lɛ wi tɔk smɔl bɔt di impɔtant pɔynt dɛn we wi bin dɔn tɔk bɔt.

Makrosɛfali jɔs min se di say we yu pikin in ed de rawnd am big pas di avɛrej, we kin notis bɔku tɛm frɔm we dɛn bɔn am.

Di impɔtant tin na dat, nɔto ɔl big ed de sho se pɔsin de wɔri bɔt mɛrɛsin. If ɔda pipul dɛn na di famili gɛt big ed saiz ɛn yu pikin nɔ sho ɛni ɔda sayn, i kin bi wan kwaliti we nɔ bad, we yu gɛt frɔm yu mama.

Bɔt bikɔs sɔntɛnde makrosɛfali kin bi sayn fɔ se yu gɛt mɔ siriɔs sik, yu dɔktɔ we de mɛn pikin dɛn go du gud gud wan fɔ chɛk yu bɔdi ɛn nyurolɔjik ɛn i kin ɔda fɔ mek dɛn du imej tɛst (lɛk ɔltra saund ɔ MRI) if nid de.

Bay dɛn tin ya we yu dɔn fɛn, yu dɔktɔ go no di rizin ɛn mek wan plan fɔ kia fɔ yu pikin we yu want.

If yu gɛt ɛnitin fɔ wɔri bɔt yu pikin, mɔ if yu notis ɛni wan pan di wɔnin sayn dɛn we dɛn tɔk bɔt, duya go to pɔsin we sabi bɔt wɛlbɔdi biznɛs wantɛm wantɛm. Fɔ aks fɔ kɔrɛkt advays na di bɛst tin ɔltɛm. Nirogi Lanka de wish yu pikin gud wɛlbɔdi ɛn wɛlbɔdi!

Ki wɔd dɛn: Big ed, Makrosɛfali, Bebi ed saiz, Bren divɛlɔpmɛnt, Haydrosɛfalɔs, Jɛnɛtik kɔndishɔn, Nyurolɔjik kɔndishɔn