Symptoms and treatment of head injury in children under one year
The most dangerous and insidious head injuries occur in the first or second life of a child. Where the child is dangerous, and what parents should pay attention to, says Anna Sheveleva, a pediatrician and a mother of two children.
Head injuries are usually characteristic of children under 1 year of age and adolescents over 15 years of age. Boys have these injuries more often than girls. Since a head injury is always potentially dangerous, any child should be examined by a doctor.
We parents often underestimate the ability of the crumbs to learn about the world. Unfortunately, at this age often falls and injuries occur.
Where does the danger lie?
Monthly baby can push off the legs from the wall and fall from the changing table; at the age of 4-5 months, having learned to roll over from side to side, the baby can fall off the couch, the diaper, should mom just move away from him for a minute ...
The eye and the eye are needed for the child of the second half of the year, who has learned to sit and crawl and stand on his feet. The child can stand in the crib and roll over the side.Try to get up in a wheelchair, and being not fastened, to fall out of it. While eating, push your feet off the table and fall along with the high chair.
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When falling, the baby lands on the head - the heaviest part of his body. Let's discuss what you need to know about head injuries in a baby.
How does a child behave?
After a fall, a child cannot complain of pain, loss of consciousness for children of this age is rare. Usually the baby cries, then falls asleep. After awakening, there may be a single vomiting, the baby is capricious, may refuse to eat. The stronger the injury, the longer the “abnormal” behavior of the baby lasts.
With some injuries, on the contrary, the child initially behaves as usual, and the symptoms of injury increase over several days.
What to look for if the baby fell and hit his head:
Did he immediately cry or was there a pause?
A pause between a fall and a scream may indicate a loss of consciousness.
Inspection of the place of impact -notice the symmetry of the head, the discharge from the wound.
For a soft tissue injury, the headache is characterized by swelling and redness at the site of impact. Severe trauma can be caused by prolonged bleeding.In case of fracture of the bones of the skull, their displacement is possible (asymmetry of the head is possible). Isolation of the cerebrospinal fluid (yellowish transparent liquid) from the wound, nose or ears indicates open trauma to the skull.
Violation of behavior.
Drowsiness, refusal to eat, prolonged crying, vomiting and other violations of the child’s normal behavior indicate the severity of the injury. Also disturbing symptoms are different sizes of pupils in a child, inability to follow the moving object with eyes, asymmetry of facial wrinkles on the face, weakness of a particular muscle group (handles or legs).
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When do I need to see a doctor?
Always. When a child falls, accompanied by a head injury, you need to be examined and examined by a doctor (even if you think that everything is fine).
To do this, you need to call an ambulance or independently take the child to the nearest emergency room. The kid should be examined by a neurologist, a traumatologist, and, if necessary, a neurosurgeon. An ultrasound of the brain (neurosonogram) in children under 1 year old, X-ray or other examinations may be performed.
To treat the effects of injury, drugs can be prescribed to reduce swelling of the brain tissue, improve blood flow and metabolism in it.
Possible consequences of injury
It is possible that there is a violation of the work of the brain and the organs and systems of the body “controlled by it”; violation of vascular tone, intracranial pressure. The consequences of injury and the duration of the recovery period are directly dependent on the degree of its severity.
To avoid injury, create a safe environment for your child - do not leave him unattended on the changing table, fasten in a highchair and stroller.