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Treatment of Child and Adolescent Problems
Thyroid Problems Treatment
Thyroid Disorder Treatment
Paediatric Critical Care
Treatment of Childhood Infections
Child Nutrition Management
Growth And Development Including General Paediatri
Management of New Born Care
Preimplantation Genetic Diagnosis (Pgd)
Congenital Ear Problem Treatment
Treatment of Polycystic Ovary Syndrome In Adolesce
Treatment of Thyroid Disease in Children
Cleft Lip Treatment
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My 5 year old daughter is not sleeping peacefully at night even when she is tired and skipped afternoon sleep. She often gets crankier and cries or asks for change in room after 2 hours. This pattern is continuing forever since her 3 years. She is tough to manage during the day as well where she is very strong willed for every small thing. I'm so stressed and worried where we end up beating her very often as we fail to control her. Is there any way this could be solved?
Mera naam Dr. Nargesh Agarwal hai. Mein pediatric orthopedic and deformity correction surgeon hun. Aaj me apke samne bachon ki ek aisi bimari jo bachon me janam se upasthit hoti hai, suke baare me batane ja rha hun. Jiska naam hai clubfoot. Clubfoot ko hum usually CTE k naam se bhi jante hain. Majority of parents mere se puchte hain ki ye bilkul correctable hai ya nhi hai, iska kya illaj hai. To mera answer hai ki ye almost 100% correctable hai. Lekin isme illaj hume jitna jldi ho sake utna jdli shuru krna dena chaiye.
Iilaj me humko plaster lgane hote hian. Jisme 4-5 plaster lgte hain. Uske baad me foot correct ho jata hai. Almost 10 se 7 bachon me choti si minor surgery ki jrurat pdti hai. Jisme hum jo piche se nus hoti hai, use dhilla krte hain. Vo day care procedure hota hai. Jise hum tenotomy k naam se jante hain. Parents mere se puchte hain, is surgery ka bache ke foot pe koi effect to nhi ayega? Nhi, bache k foot pe koi effect nhi aata. Jo tendon hum release krte hain, vo almost dubara se regenerate ho jata hai without any side-effect.
Or bachon ko future me chalne se is se koi dikkat nhi hoti. Bacha bilkul normal life jita hai. Isme humko correction k baad me braces dene hote hain. Un braces ko hum bolte hain DB splint or denic browne splint or CTV braces. Ye braces shuru k 3 mahine take, 23 hours in a day pehnane hote hain. Uske baad me 4 saal ki umar tak unhe pehnane hote hain jab bacha sota hai tab, night hours me ya fir din me jab bhi bacha soyega. Usually jo clubfoot hota hai, isme bache ko correction bada acha mil jata hai, Kayi bache hmare pas kafi der se aate hain. Suppose kro 6 mahine par, 1 saal me, 2 saale me aate hain. Jitna deri se hum iska treatment krate hain, usme correction me utni hi dikkat hoti hai.
Number of plasters bhi badh jate hain. Usme volume of surgery bhi badh jati hai. To mera kewal yhi salaha hai ki iilaj jldi se jldi krayein. In fact, within a week, within a month of life treatment start kr dena chaiye. Treatment bada hi simple hai. Plaster lgte hain. 4-5 plaster lgte hain. Uske baad me jrurat pdne par ek choti si minor surgery hai jisme baad me bachon ko brace dete hain. So, success rate is almost 95-98% and the results are very good. Aap is trha ki problem k lia, aap mere clinic pe aa skte hain, budhwar or shaniwar shaam ko 5-7 available rehta hun aur budhwar or shaniwar, 2-4 afternoon me available rehta hun.
My baby who is one and half year old has right leg shorter than left (2 cm difference). What type of treatment should need?
Mera beta 1 month ka he or 4 6 Dino se uske kan ke undar skin nikal rahi he. Esa kyu hota he? Hum uske kan me signtel ke 2 bund dalte he.
Cleft palate or palatoschisis is a common genetic abnormality that leads to a horde of problems and is presently a growing challenge to medicine practitioners. The major developmental stages affected due to this particular irregularity include feeding, speech development, dentition and maxillofacial growth which are rather important to the normal overall developmental pace of an individual. Even though the cleft palate deformity was defined centuries ago, no fixed management algorithm exists for patients suffering from the condition in the present day scenario
Cleft palate may be successfully fixed using reconstructive surgery. Multiple specialists are involved in the reconstruction surgery includingplastic surgeons, otolaryngologists, nutritionists, oromaxillofacial surgeons and speech pathologists. Some hospitals also consider psychological therapy for the patient and the family to help get through the emotional trauma and the issues faced due to developmental backlogs
The treatment for cleft palate usually begins around 9 to 12 months of age. If left untreated, it may cause major deformities. It takes about some years before the whole procedure is completed although it depends on the type and severity of the deformity
The process involves the administration of anaesthesia after which the palate repair closes the inner, middle and final layers and at the same time realigning of the palatal muscles in a technique called anintravelarveloplasty is conducted. This ensures that the muscles are adjusted in a normal position which facilitates the best functioning of the palate during feeding, swallowing and speaking. It is possible that the child might require more than one surgery to completely close the palate.
1. Abnormal reactions to the medications
3.Problems in breathing
4. Need for more surgery
Although complicated and time consuming, cleft palate must be given immediate attention to avoid serious developmental issues. The reconstruction surgery and therapy combined ensures a normal development for the child in the longer run, given the surgery was done at the correct time. The child would be required to remain at the hospital for about 5-7 days. Complete recovery takes a time period of 4 weeks. Keeping the wound of the surgery clean is of the utmost importance and it should not be strained. If you wish to discuss about any specific problem, you can consult a General Surgeon.