In many cases, in the first stages, the treatment of cerebral ischemia in newborns requires cardiopulmonary resuscitation in newborns with artificial lung ventilation and all measures to restore the hemodynamics of the cerebral vascular system, maintain hemostasis, and prevent hyperthermia, hypo and hyperglycemia.
Significantly reduces the degree of moderate and severe ischemic damage to brain cells in infants. Controlled hypothermia: cooling the body for 72 hours to + 33-33.5ºC followed by gradual bringing the temperature to the physiological norm. Such treatment does not apply to premature babies, born before 35 weeks.
Drug therapy symptomatic, for example, with tonic-clonic convulsions, anticonvulsants Diphenin (Phenytoin), Trimetine (Trimetadion) - twice a day for 0.05 g (with systematic monitoring of blood composition) are most often used.
To reduce muscle hypertonicity after three months in / m, muscle relaxant Tolperisone (Midokalm) can be administered - 5-10 mg per kilogram of body weight (up to three times a day). The drug can cause side effects in the form of nausea and vomiting, skin rashes and itching, muscle weakness, suffocation and anaphylactic shock.
Improvement of cerebral perfusion is facilitated by intravenous drip of Vinpocetin (the dosage is calculated by body weight).
To activate the functions of the brain it is customary to use neuroprotective drugs and nootropics : Piracetam (Nootropil, Nocephalus, Piroxil, Dinacel) - 30-50 mg per day. Syrup Ceraxon is prescribed for 0.5 ml twice a day. It should be borne in mind that this drug is contraindicated in hypertension of the muscles, and its side effects include allergic urticaria, lowering blood pressure and disturbing the heart rhythm.
When suppressing the functions of the central nervous system Glutan (glutamic acid, Acidulin) is used three times a day for 0.1 g (with the control of blood composition). A drug-nootropic gopantenovoy acid (syrup Pantogam) improve the oxygenation of brain tissue and exhibit neuroprotective properties.
Parenterally used vitamins B6 (pyridoxine hydrochloride) and B12 (cyanocobalamin) with a solution of glucose.
With an easy degree of cerebral ischemia in a newborn child, physiotherapeutic treatment is mandatory, in particular a therapeutic massage that helps to reduce muscle hypertonicity. However, if there is an epileptic syndrome, massage is not applied.
Improve the state of newborns with cerebral ischemia water procedures in the form of a bath with a decoction of chamomile flowers of pharmacy, pepper or lemon mint. Herbal treatment - see Soothing means for children