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The pain of children with congenital heart disease _31051

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The pain of children with congenital heart disease _31051 Powered By Docstoc
					?Drugs, check, spironolactone, breathing, shortness of breath




?The pain of children with
congenital heart disease

?

The family health

Starting from pregnancy prevention

Congenital heart disease (CHD) tend to give children and families are
enormous pain and heavy financial burden. So how do we bring CHD and
proactively?

Embryo formation within the 2 weeks, the cardiac development began,
about 4 weeks of the cycle, to the first 8 weeks have cardiac
appearance, atrial-ventricular shape. In the embryonic development of
this critical period, any impact on the cardiac development inner or
external factors can make a part of the developmental disorders of
the heart, thereby creating various types of congenital heart disease.
Therefore, the prevention of congenital heart disease should start
from before and during pregnancy. Janet qilu hospital paediatric

Pre-pregnancy care: before pregnancy should be appropriate to
increase nutrition, increase physical activity in order to enhance
the resistance; long-term exposure to radiation or radiation therapy,
radiation to the detachment before pregnancy after half a year;
regular contact with all insecticides, chemical agents on protective
measures for women should be strengthened; unused or rarely used SD
and hormone drugs, do not contain hormones in cosmetics. Pregnant for
the first three months of exposure to indoor pollutants if more high-
risk fetus, or heart disease.

Maternal health: prenatal check on time, generally 4 months later you
can for high-risk fetus of fetal cardiac check. Pregnancy Week 3 ~ 8,
as were susceptible to virus infection, fetal cardiac malformations,
which caused fetal rubella virus is the main culprit of congenital
heart disease, influenza, mumps, Coxsackie viruses, herpes virus also
tend to be evoked.

The following tips for children with congenital heart disease
symptoms

Various types of congenital heart disease symptoms, when the
following symptoms in children, you should think about whether there
is a congenital heart disease:

1. birth continued adverse cardiac, respiratory function;

2. restless, crying, when sucking breast feeding difficulties, weight
increase;

3. sustained bruising or repeated delirious, crying or activities
after the shortness and lips bruising;

4. in the pulmonary recurring "pneumonia" performance, and repeated
respiratory infections;

5. some cyanotic congenital heart disease in children, but also may
appear acropachy (i.e. hand or toe tip soft tissue hypertrophy, drum
mallet), both vertical and horizontal drive as cockatoo mouth tight
bends, which are caused by chronic hypoxia;

6. When you find a doctor auscultation bruits, it should be noted
that the level of noise is not always proportional to the severity of
the illness is, with some serious congenital heart disease, or
congenital heart disease in the development stage to serious, but not
heart murmur.

Congenital heart disease mainly based on history, signs, chest x-ray,
and ECG, especially echocardiography diagnosis made. Some complex
congenital heart disease on the basis of cardiac catheterization and
angiography, selective further expressly diagnoses.

Common congenital heart surgery

Mainly include the following open heart surgery, thoracic techniques
and interventional therapy. Common congenital heart disease treatment
time and methods according to different diseases are as follows:

1. Atrial Septal defects: 1-year-old natural closed in may, 1-year-
old after-closure little should be 4 to 5 years of operation, the
heart of asymptomatic and may continue to increase. As complicated by
heart failure or cyanosis, early surgery should be considered.

2. the Ventricular septal defects: small defect may have closed, but
5 years after the closure of the heart enlargement if not may
continue to be observed. For large defects often complicated by
pneumonia or obstinate heart surgery in children, preferably as soon
as possible.

3. closure of patent ductus arteriosus: some children can avoid
surgery, interventional therapy to cure. Interventional treatments
for age 3 months and weight of 4 kg of children.

4. the tetralogy of fallot: common cyanotic heart disease, the use of
a correction method, within 1 year of age. But with pulmonary
stenosis and position light to the appropriate back surgery.

5. the transposition of great vessels: currently considers
satisfactory transposition should be 2 weeks after birth.

6. the endocardial cushion defect completely endocardial cushion
defect need surgery at the age of 1, some type elective surgery,
generally for around 3 years old.

Home care for children with

For children suffering from congenital heart disease, combined with
active treatment doctors, parents of meticulous care is very heavy.

1. cardiac dysfunction in children tend to sweat more, keep the skin
clean, summer, winter service, a hot bath towel (precautionary
measures). Maintain the smooth, so that the stool of defecation is
difficult too hard will increase intra-abdominal pressure, increasing
the burden on the heart.

2. undergoing General is required to take a period of strong heart
drugs (bogosing tablets), diuretics (spironolactone), potassium drugs
(potassium citrate oral solution). It is important to note that every
day to monitor the pulse of the children, if the heart rate is lower
than 70 times per minute will be deactivated and bogosing tablets.

3. discharged early activities should, in particular in the following
1 to 3 months to restrict activities. Later you can gradually
increase the amount and intensity of activity. Avoid overcrowded
public places, in order to reduce the incidence of respiratory
infections.

4. during the early postoperative period (1-2 months) weighed on a
regular basis, typically once per week.

5. go to the hospital review on a regular basis to learn about the
restoration of the heart function. Principle is that after 3 months
and a half years. The cardiac insufficiency who visits in advance.



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?Drugs, check, spironolactone, breathing, shortness of breath

				
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posted:11/4/2010
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