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Hypoxic Ischemic Encephalopathy: An Ayurvedic Review and Treatment: A Case Study

Khushbu R. Prajapati, Ram Shukla, Haresh Vyas

Abstract


One of the most severe and potentially fatal conditions of the infant brain that can develop before or during delivery is HIE. Common definitions of HIE include HYPOXIC (insufficient oxygen), ISCHEMIC (insufficient blood flow), and ENCEPHALOPATHY (brain disease). It is a terrible disease that can leave children with severe neurologic deficits or even kill them. HIE happens when a baby's brain receives insufficient oxygen and blood (perinatal hypoxia), which results in the death of brain cells. Long term complication commonly found is Cerebral Palsy, Epilepsy, Sensory deficit. In modern science there is no permanent treatment. Some therapies are continue to be investigated but there are no final conclusion for treatment. Here a new born’s relatives were come to Ayurveda chikitsa mandir and panchkarma research center, Ahmedabad who diagnosed HIE GRADE-2 with the chief complaints of Swasa kashtata(~dysnoea), Ati nidrata(~excessive sleepiness), Kshdhamandya(~anorexia), Alashyata(~decreased motor activities), Sharira Shyavata(~cynosed, on & off), repeated Convulsion 3–4 times in a single day. patient birth history revealed that birth weight was 2 kg 200 gm Normal delivery (on 1/8/2020). Patient’s cry was absent after delivery, then after patient’s oxygen saturation was decreased (fluctuable) and patient suffered from severe convulsion within 2–5 minutes, patient became cyanosed so patient was shifted in neonatal ICU and started oxygen intervention and anti-convulsant, anti-biotic medicine. Patient became cyanosed many times in a single day and other above symptoms in severe form. Paediatrician was consulted and was diagnosed HIE GRADE-2. So they came to here for treatment. They were benefited in all the symptoms of HIE grade-2 in 1 month but treatment was continue for 1 year for observation purpose.


Keywords


Hypoxic Ischemic Encephalopathy, Cerebral Injury, Ayurveda, Infant brain, childbirth

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References


Gaffey, M.F.; Das, J.K.; Bhutta, Z.A. Millennium development goals 4 and 5: Past and future progress. Semin. Fetal Neonatal. Med. 2015, 20, 285–292. [CrossRef] [PubMed]

Blencowe H, Cousens S, Oestergaard MZ, Chou D, Moller AB, Narwal R, et al. National, regional, and worldwide estimates of preterm birth rates in the year 2010 with time trends since 1990 for selected countries: a systematic analysis and implications. Lancet (2012) 379(9832):2162–72.

Huang BY, De courten-myers G et-al. Reversal sign on CT: effect of anoxic/ischemic cerebral injury in children.AJNR Am J Neuroradiol-pubmed citation.

Douglas-Escobar M, Weiss MD. Hypoxic-ischemic encephalopathy: a review for the clinician. JAMA pediatrics. 2015 Apr 1;169(4):397–403.

Allen KA, Brandon DH. Hypoxic ischemic encephalopathy: pathophysiology and experimental treatments. Newborn and Infant Nursing Reviews. 2011 Sep 1;11(3):125–33.

Volpe JJ. Neonatal encephalopathy: an inadequate term for hypoxic–ischemic encephalopathy. Annals of neurology. 2012 Aug;72(2):156–66.

Johnston MV, Ishida A, Ishida WN, et al. Plasticity and injury in the developing brain. Brain Dev. 2009; 31:1–10. [PubMed: 18490122]21. Fatemi A, Wilson MA, Johnston MV.

Yogaratnakara” Sastusahitya prakashana” edited by Shri Girijashankara mayasankar Shastri, 2016, Purvardhakhanda Rajyakshama rogadhikar/1-7, pg no-442

Thakur Nathusinhji, Ras Tantra Sar va Siddha Prayog Sangrah, Pratham Khand, Krushna Gopal Ayurved Bhavan, Kaleda, Rajsthan, reprint 2017. Kharaliy Rasayan prakran, Pg. 141

Charakasamhita of agnivesha shri Satyanarayana sastri with Vidhyotini commentary by pt. Kashinatha Shastri and Dr. Gorakhanatha Chaturvedi, Chaukhambha Bharati Academy 2016, Chikitsa sthana 8/104, pg no-293.


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