What is a congenital heart disease in newborns
Congenital heart disease in newborns – this is a very serious topic for conversation, as this diagnosis is quite reasonably makes mom fear for the life of the child. It is known that without surgical intervention, approximately 70% of children with CHD do not survive even up to a year! So, to know more about this disease – the natural desire of expectant parents.
Congenital heart disease: causes
Begins to form cardiac disease, as a rule, already on the 2nd week of pregnancy. Quite often this is caused by viral diseases (such as rubella, herpes, influenza, etc.) suffered by the mother, her work in hazardous industries, the age of the pregnant woman, uncontrolled intake of drugs and alcohol. A major role in the formation of the UPU heredity plays a kid, gene or chromosome mutations.
Signs of congenital heart disease
One of the main signs that a newborn is abnormal heart muscle, is cyanosed mucous membranes and skin (called cyanosis). The child lethargic, Moody, bad eating (it gets tired quickly when feeding), the baby excessive sweating, and heart rate increases.
The noise is caused by pathological changes in the heart, can be detected after birth crumbs almost immediately, but sometimes it is only a few months. So, although they are one of the signs of the UPU cannot act as the main symptom.
To accurately diagnose congenital heart disease in newborns, require serious examination: ultrasound, x-ray and ECG, as well as cerezzola catheterization with the measurement of intracavitary pressure to the heart muscle. All this is carried out as to determine the degree and type of pathology, and to develop operating strategies.
Even during pregnancy, since the fourteenth week by ultrasonography in a fetus is possible to determine the presence of heart disease. In this case, depending on the severity of the condition newborn deliveries are conducted in a special way, and the operation is done immediately after his birth.
For the treatment of severe UPU apply only to operational methods. And the sooner it was held the intervention, the greater the chances of recovery is a newborn.
Perform this kind of operation, usually open heart, using the heart-lung machine. But in recent years, become more frequent endoscopic operations in which the baby through a vein catheter under x-ray control shall be brought to the heart, where, with the help of special tools is a delicate operation.
In particularly severe cases, the VPS operation can be carried out in several stages: first, it facilitates state of the baby, and the next surgery is eliminated and the pathology.
If the child has defects that cannot be treated, then it shows a heart transplant.
Is it always congenital heart disease in neonates require surgery?
There are changes in the heart, which with age are of themselves. These include small defects in the interventricular septum. They eventually close spontaneously and do not require surgical intervention. In such cases, supervision by a physician, frequent walks on fresh air, hardening and protection of child from infections.