sky neurosurgeon and trauma Moscow, MD, Arkady M. Mytnik.
from this disaster is not fenced in any one child. During warmer months, one of the frequent causes of injuries and a concussion - falling from heights, most of the trees. In recent years, the "traditional" added new injuries - gunshot and mine blast. Even in Moscow, the guys now and then find that any gun, the grenade, the cartridge ... In the capital, children with brain injuries take five major hospitals in the Filatov hospital around the clock asns resuscitation service, always ready to send a team of doctors anywhere in the city or even in the suburbs. Already during the transportation of the victim made infusions, supporting heart activity, if necessary, use breathing apparatus. In the hospital the patient immediately transferred to an artificial lung ventilation. Computer tomography can immediately make an accurate diagnosis and determine treatment strategy. If necessary, the patient is surgery, then within a few days of using the most modern methods and means to restore his health.
And after discharge from the fate of a sick child are given to the parents and the district neurologist. Here's the place sometimes unforgivable misfires.
Order to traumatic brain injury did not cause unpleasant effects, two, and in severe cases, and four weeks discharged patient should be in bed, then somemoretime to comply with home mode. We assign a long-term dasg treatment, conduct that should be under the supervision of a neurologist. For at least two years of a child, you should regularly appear in the clinic.
Unfortunately, too often, our recommendations are not met, treatment is not fully implemented or terminated prematurely. Neurologist suddenly announced to his parents that, they say, these tablets needmorepoprinimat, and without these, and these can be avoided. Parents, seeing that their son had "completely recovered", on its own initiative cancel treatment and send the child to school. Or the worst: the kid hit his head, but there is no visible damage, basise or bump is out, and mum and dad decide that seeking medical help is not necessary. And after a while the trouble starts. The consequences of traumatic brain injury may occur in the child and the first weeks after befall him, and after a year - half. For example, earlier diligent student suddenly begins to complain of fatigue and headaches, become inattentive in class, can not concentrate, get bad marks.
In some cases, complications lead to night terrors, sleepwalking and even snogovoreniyu. If, under-treatment is not fully dissolve adhesions formed as a result of internal bleeding, may be partially or completely damaged eyesight. Can not be excluded convulsive status: a child suddenly begins to twitch half of the face, arm or leg. Inmoresevere complications the patient has epileptic seizures: fading, loss of consciousness, convulsions, foaming at the mouth, involuntary urination. And that is significant: if patients receive proper treatment, will comply fully with our recommendations, it is prone to bouts of one child out of a hundred or even less. In cases where post-operative therapy is caused by a neurologist or parents conducted by the "reduced" to the program, epilepsy from ten to twenty percent of traumatized children.
In all cases, complications requires much longer treatment, and it does not always lead to full recovery.
That's why when people ask me, what trauma ismoredangerous for a child - a head injury or concussion, my answer is that there is nothingmoredangerous than the injury nedolechennoy.
Artem Tarasov
