Did you know, Spina Bifida is actually an umbrella term to define different neural tube defects?! Crazy huh?! So, no two Spina Bifida patients are actually alike, because they all have different "types" and the lesion or affected area is actually different on every person!
Due to the fact that this month is Spina Bifida Awareness month, I will address a lot of the questions we get asked about Mia and tackle some myths about this birth defect.
*This post was updated January 2019 because some medical diagnoses changed*
Our Journey with Spina Bifida (FAQs)
Mia looks so healthy! How does Spina Bifida Affect Mia?
Just because Mia has this birth defect, it doesn't mean she is "sick" all the time! She is actually quite "healthy". She is more susceptible to allergies and UTI's and those are our main problems. I will explain the latter in questions below.
Instead of Spina Bifida, let's call it by what Mia actually has:
Myelomeningocele (pronounced my-e-lo-MENING-o-seal). Basically, before birth, (around 8 weeks of gestation) the baby's backbone, spinal cord and the structure they float in (spinal canal) did not close normally. A myelomeningocele is the most serious form of Spina Bifida. It also causes the baby to have a lot of fluid in the brain called, Hydrocephalus. (For more information click here)
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| I did it in black and white so people can stomach the image. But if you can't feel free to scroll down. |
In Mia's case, she was born with a sack. This sack had her spinal cord floating around in spinal cerebral fluid. The doctors had to dissect it, take the spinal cord out and put it in place, then stretch the muscles, and skin over it so she would be able to lay flat on her back without causing a major infection. This surgery was done the day after she was born and is now all healed up!
Her lesion, or affected area is in the L4-S2 region. Which means, the bottom part of the spine. She has some weakness from the knees down, but a few months after turning two and a half, she started walking!
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| haha! Her cute face!! |
She also has nerve damage that affects her bladder (called, Neurogenic Bladder) and her bowels. So we have to straight catheter her. You've seen me post about me having to "cath" Mia in the morning or if we hang out in person you've heard me say things like, "I have to go! Gotta go cath Mia." A lot of you are probably like,
Yeah, I know. I'm probably using it wrong. HECK probably all SB parents use it wrong. But it's easier than saying "I have to straight catheter her" every time!
What do you mean by that? How long will you have to do it for?
We currently cath Mia every day every 3 hours. This makes it more likely for her to get a UTI. Last time she was hospitalized in 2018 was due to a pretty nasty kidney infection. And it just comes on. We try to do it super clean, but the catheter introduces bacteria regardless.
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| To cath Mia we need: The catheter, swabsticks (to disinfect the area) and lubricant, to put on the catheter so it can go in easily. Then, we insert the catheter in the urethra and empty the pee out in a sample cup or diaper (not pictured). |
According to what the doctors have said, and how she acts, she can't feel it because she doesn't have feeling there. It doesn't bother her one bit. Except when she has a UTI, then it bothers her when I press on her bladder.
This is how she's going to learn to potty train! So, she might not be potty trained for a while.
As for her bowels: She also has neurogenic bowels, which means, the whole process of emptying for a b.m is quite difficult for her body. As of the summer of 2018, we started her on something called, The Enema Program. I will go into more detail on another post that I will tag here.
She will always have bladder and bowel incontinence.
Finally, myelomeningocele caused her to have a Chiari II malformation.
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| Normal Brain (I got this from the Internet by the way) |
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| Mia's last MRI scan |
This causes problems when the shunt isn't working, and pressure builds up in her brain, it squeezes the malformation more into her spinal cord, causing muscle weakness or loss of movement in the upper body. She has dysphagia and hypotonia due to this malformation.
In conclusion, hydrocephalus and the neurogenic bladder is what causes most of the "health issues" and hospital stays. If we don't treat the hydrocephalus, she gets brain damage. If we don't take care of the cathing, she gets kidney damage. The "extra" things we do for Mia are so that she can have the best quality of life possible.
2. Well, did you take Folic Acid while you were pregnant?
A lot of people asked me this question when I was pregnant with Mia and they learned she had Spina Bifida. Some still ask me now.
Let me tell you what my doctor told me, "It IS NOT your fault!" It hurts when people tell me how I "could've prevented" it. Trust me, I couldn't.
I took folic acid religiously, but I was also really sick during my first trimester. Turns out, doctors don't even really know why people are born with Spina Bifida. They think it might be for these reasons. But since it's not in my husband's family or mine, and I always took my folic acid, then it was just how it was meant to be.
Mia is perfect in every way! It's not something we need to point fingers at and assign "blame" to. It's just the life she was given and we are going to make the best out of it.
So, if you ever meet someone who is expecting a baby with Spina Bifida, hug them, be kind, and don't look for a culprit. Then, tell them to contact me because I'd love to become friends with them.
3. Will her brain get better and nerve damage "heal" as she grows?
Nope. There's no cure. There's no special pill to make it "go away". She will have it for the rest of her life and it will affect her differently as she grows. However, she can grow up and have quite a normal life!
Isn't that great?!
That's it!
Three major questions with a lot of information!
I'm so grateful for modern medicine! Her chances of living and succeeding in life have grown exponentially because of it.
If you have any more questions, please feel free to ask. Hope I was able to tackle some myths and answer your questions.
If you want to learn more you can visit:
http://spinabifidaassociation.org/
or
join the group: Redifining Spina Bifida on Facebook, it truly gives a new outlook and it has given me a lot of hope.
Please feel free to share this post so we can raise awareness about Spina Bifida.
Thank you for reading and praying, for us and Mia! We really appreciate it!
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