Congenital heart disease in newborns
Childhood Diseases / / August 12, 2017
Congenital heart defects in children
heart newborn baby has a relatively large size and has significant spare capacity.The heart rate in infants varies widely (from 100 to 170 beats / min for the 1st week of life, and from 115 to 190 beats / min -.... During the 2nd week).The child first months of life may slow heart rate (100 beats. / Min.) During sleep and straining, and while crying, swaddling and sucking it becomes more frequent (180-200 ud. / Min.).
formation of congenital heart disease usually occurs at 2-8 weeks of pregnancy.A frequent cause of their appearance are viral diseases of mother, pregnant receiving certain medications, harmful production on which it operates.A role in the occurrence of congenital heart disease heredity plays.Clinical manifestations of congenital heart defects are varied.Approximately 30% of children have seen a dramatic deterioration since the first days of life.
main signs of congenital malformations of the cardiovascular system are: blueness (cyanosis) of the skin and mucous membranes, some permanent or paroxysmal emerging signs of heart failure.The presence of cyanosis of the skin and mucous membranes is considered to be a sign of serious heart disease.The child is usually sluggish, restless, refuses the breast, quickly gets tired during feeding.He appears sweating, quickens the heart rate.
heart murmur, which are caused by congenital heart disease, are usually found in children immediately after birth or within a few months.These noises occur due to improper structure of the heart or blood vessels.By themselves, noise or changes in the electrocardiogram for diagnosis are not important.Valuable assistance is provided by X-ray examinations and other fairly sophisticated methods of examination to be carried out in specialized clinics.
Child Treatment depends on the type and severity of congenital heart disease.More than half of children with this disease without surgery die during the first year of life.Therefore, to give up surgery should not be.If the child operation is not shown, then it is prescribed for a long time various heart medications, you need to give is strictly prescribed by a doctor, clearly follow the dose and time of receipt.
- creation mode with the maximum stay in the air, feasible exercise;
- number of feedings in these children should be increased to 2-3 hours.The volume of food, on the contrary, is reduced;
- for the smallest preference should be given to a nursing mother's milk or donor.
All children with heart defects are on the dispensary at cardiorheumatology and the district pediatrician.In the first year of life, an expert cardiologist should examine the child every 3 months, and electrocardiogram and X-ray examination is repeated every 6 months.Children older than one year visiting every 6 months, X-ray examination is performed every 12-18 months.In severe illness of a child visiting a monthly basis, while the deterioration of the hospitalized.
great help to the doctor in monitoring and treatment of a child with a heart defect must have parents.Any change in the health of the baby is an urgent need to inform your doctor.Children are exempt from physical activity in the kindergarten and on physical training at school, if they have cardiac or respiratory failure symptoms (defines a cardiologist).If these symptoms are not present, children are engaged in physical therapy in a special group in the clinic under the supervision of a physician.
problem of physical education at school will help solve cardiorheumatologist.Classes are held at the beginning in a special group, and then - in preparation.Children are exempt from the competition and from physical education classes in the main group.Children with heart defects have a high meteosensitivity.They do not tolerate sudden changes in weather.In summer, the hot weather, they can not long stay in the sun.Prolonged exposure to the cold winter is also contraindicated.
kids with heart defects are very susceptible to infectious diseases.All of infection foci, which are identified in the child when inspections should be immediately cured.Treatment of other diseases to be more intense to avoid complications in the heart muscle.Bed rest is prolonged for 2-3 days.Children with this disease do not require a special diet.They should receive a variety of rich vitamins food.
Consumption of salt is limited, even in the absence of signs of deterioration.The daily volume of liquid is also to be reduced to 1-1.5 liters per day.For children with heart defects are useful raisins, dried apricots, prunes, baked potatoes.These products contain a lot of potassium, which is needed for the work of the heart muscle.environment of the child is very important.She should be calm and evoke positive emotions.On the child's extremely difficult to operate permanent prohibitions and restrictions, they force him to "go to the disease."
Mobility child is not determined by the nature of vice, and his condition and state of health.These kids themselves restrict their motor activity.Parents should avoid excessive excitement, especially in games with older children.No less important is the state of the "spirit" of the child.If he is involved in the daily activities on an equal basis with everyone, it will not feel sorry for yourself, consider themselves painful, not like everyone else.
for the spiritual development of the child is very important not to be considered disabled and not treated it as something special, and allowed him to lead a normal life.Preventive vaccination in children with congenital heart disease can be carried out only if they have no cardiac decompensation.Identify it can only be a doctor.