Neurosonography - what is it and why do it?
Future moms eagerly await a memorableday of the appearance of his baby. Unfortunately, not always everything goes according to plan. Practically in 80% of cases there are unforeseen problems: prolonged delivery, weakness of labor activity, too painful attempts, crocheting of the baby's umbilical cord and much more. Most often, doctors without complications for the mother and child decide the difficulties that have arisen in the process. Anyway, but if there is a testimony, the neonate is assigned neurosonography. What this is, why this procedure is carried out and what diseases can be identified with it, this article will tell.
What is neurosonography?
Translated from Greek means"The study of nervous tissue" the term "neurosonography." What is it and why do such research? This diagnostic procedure appeared in medical practice relatively recently. It is in the study of the brain of a newborn child with the help of ultrasound for the purpose of preventive examination or according to the testimony of a neonatologist.
Previously, the procedure for the study of the brainappointed only in rare, life-threatening baby cases. Since such a diagnosis was made by magnetic resonance imaging with the use of anesthetic drugs. Such a technique is dangerous for serious complications and is extremely undesirable for a weakened organism of a newborn.
The advent of ultrasound diagnosis has becomea real breakthrough and a "lifebuoy" in neonatology. Neurosonography of the infants maximally safely identifies congenital and acquired birth defects of the brain from the first minutes of the baby's life. Such a diagnostic method in a short time led to a significant reduction in the death rate of newborns due to the timely detection of brain pathologies.
The procedure takes no more than 7-10 minutes. In such a short time, the doctor can detect serious, often incompatible with life and requiring immediate medical attention pathologies. Although professional analysis requires neurosonography. Decoding of indicators is a laborious, ambiguous process, often requiring additional research and consideration of many external factors.
Indications for prescription
Recommend procedure for neurosonography by doctorscan be used both for preventive purposes and for indications. Assign a procedure for ultrasound examination of the brain of newborns under the following conditions:
- complicated labor, the use of obstetric forceps, drugs to activate contractions;
- birth traumas of the child;
- birth defects and obvious pathologies;
- genetic diseases;
- delivery before the term (prematurity);
- a delayed pregnancy;
- when conducting cesarean section;
- in the presence of intrauterine infection;
- if a history of resuscitation of the newborn;
- with trauma to the skull.
Is neurosonography safe for newborns?
Neurosonography of the baby - the procedure is safefor a child. Ultrasound examination of the brain is absolutely painless, the child does not need preparation and recovery period. Although in medical circles discussions are still held about the complete safety of ultrasonic waves. Opponents of the technique believe that the impact of such procedures is manifested several years later, reducing immunity and causing cancer. But to confirm or refute these statements at the moment is not possible.
In the meantime, neurosonography of the brain is widely practiced in infants, who are in intensive care cuvies.
Types of Neurosonography
Neurosonography is classified according to the area through which the ultrasound is performed:
- The most common is the procedure through the large fontanel of the newborn.
- Through the temporal bone of the skull, ultrasound is performed for older children, in which the fontanelle is already overgrown.
- Through the clefts of the skull, which can be formed after trauma or surgical intervention.
It is carried out by any of the above types of neurosonography on the Zenitchikov in St. Petersburg. The clinic is highly qualified and has received positive feedback from patients.
Features of the procedure
The peculiarity of neurosonography is that,that such a procedure can be carried out only in the crevices of the skull, since ultrasonic waves can not pass through the grown stronger bones. Neurosonography in children is performed quite effectively and has no contraindications.
How is it conducted?
Are carried out by means of the ultrasound machineneurosonography. What is it and what is the principle of the device? The doctor sets the sensor, pre-lubricated with a special gel to remove air bubbles between the surfaces, in the area of the big fontanel of the newborn.
Ultrasonic waves are displayed from shells,revealing contours of the brain, intracranial inclusions. The results are displayed on a computer monitor. The doctor, analyzing the picture, makes preliminary conclusions.
Do I need to prepare for the procedure?
Special preparation of neurosonography is notsuggests. But doctors recommend feeding the baby before the procedure in order for the child to be calm, and the doctor had the opportunity to conduct the procedure effectively.
Neurosonography: interpretation of indicators
Decipher the results can onlyspecialist, because, analyzing the indicators, it is necessary to take into account other external factors, for example, anamnesis, weight of the child and others. In addition, it should be noted that in almost 70% of cases in newborns show slight deviations in the development of the brain. But within a year such indicators independently come back to normal and do not entail any negative consequences for the health of the baby. Therefore, in some cases, when analyzing the results, there is a need for early medical involvement, in others - only regular monitoring.
After the procedure the doctor of the cabinetThe ultrasound diagnosis brings the received data to the medical protocol. In the standard document, indicators such as the structure of the hemispheres and the cerebellum, the presence or absence of neoplasms, intracranial fluid, developmental pathologies are indicated.
Norms and deviations of indicators
Requires special medical knowledge analysisresults of such a procedure as neurosonography. Decoding of indicators is unacceptable. Parents of the baby can understand only the conclusion of the doctor "pathologies are not found." Such a record indicates that there is no reason for concern - all indicators are within the norm.
In the absence of any pathology from the sidethe brain of a newborn doctor fixes the symmetry of the hemispheres and ventricles, the clear expression of furrows and gyri, the absence of tumors, fluid inclusions.
Deviations are any indicators thatdiffer from the above. Thus, pathology is the detection of echogenic inclusions, dilated furrows or interhemispheric fissure, asymmetry, displacement of structures.
Establishing diagnosis
Based on the indications of neurosonography, the doctor can not deliver the final diagnosis. If any deviations are detected, additional studies and necessary analyzes are prescribed.
Based on the results of ultrasound diagnosis, a doctor may suspect cerebral cysts, ischemic disease, infection, cerebral palsy, intracranial trauma and inflammatory processes.
Where is the procedure performed?
Where to make a neurosonography? The procedure is carried out in almost every major perinatal center. In insurance cases, such diagnostics will be conducted free of charge. For the prevention of ultrasound is carried out on a fee basis.
In private clinics, a procedure is also conductedneurosonography. But here it is worth paying attention to the fact that in many cases doctors do not recommend the transportation of weakened by birth or disease of the newborn. In addition, in difficult situations, every minute, as they say, on the account - there is simply no time to transport the child to another clinic. Therefore, in the presence of medical indications, experts recommend that parents agree to conduct neurosonography directly in the maternity hospital.
In the case of a preventive examination, you can chooseprivate clinic, since the cost of the procedure is not much different from the price of neurosonography in a public medical institution, but equipment with modern equipment is more characteristic of private hospitals.
The cost of neurosonography
It is worth the procedure of neurosonography on average1000-3000 rubles, depending on the applied model of ultrasound apparatus and the price policy of the clinic. In addition, private hospitals offer an additional procedure - dopplerography, which will help analyze the blood supply to the brain, detect clogged vessels, and other blood flow disorders. In this case, the cost of neurosonography will have to pay another 200-500 rubles.
Neurosonography in St. Petersburg. Reviews
Neurosonography Center at Zenitchikov Building 3, building2 is the most famous clinic in St. Petersburg. This medical institution differs by the regular introduction of innovative methods. So, for example, the specialists of the clinic conduct not only a standard neurosonography, but also a three-dimensional one.
The following medical institutions have won the trust:
- Diagnostic center "Energo", whichlocated at: Leninsky Prospekt, 160. The cost of neurosonography in this institution is 1200 rubles. The patients' testimonies indicate the quality and timely provision of medical services.
- Multidisciplinary medical center "MSCh 15". His address: st. Varshavskaya, 100. The price of the procedure in the center is only 1000 rubles. Reviews about this institution are ambiguous. It is noted that administrative work is not enough.
- Center "USI XXI century" (st. Olkhovaya, 6/289) offers standard and three-dimensional neurosonography. The equipment of the company of high quality from world manufacturers of medical equipment. The cost of the procedure is from 1200 to 2500 rubles.
In this article we have revealed the essence of the term"Neurosonography": what it is, in what cases and for what it is carried out. Do not neglect the doctor's recommendations and refuse this type of diagnosis. This simple, painless and safe procedure will help to detect the pathology of the child's brain and with the timely medical help to save the baby's life.
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