The health of heart function has always been a matter of concern to everyone. We must protect our hearts at ordinary times, because an unhealthy heart may cause stress and numerous burdens on the heart, bringing harm to every family. If a five-month pregnant woman is found to have dot-like strong echoes in the left atrium during pregnancy, it is not necessarily a disease factor, but may be a physiological factor, which requires further examination and diagnosis. Strong echoes in the ventricles are an ultrasound manifestation, not a heart malformation, nor an ultrasound diagnosis of fetal heart abnormalities. Timely follow-up examinations should be made, and they will usually disappear naturally in the late pregnancy. In addition, the comprehensive miscarriage rate of umbilical cord blood puncture technology is about 1%. Every pregnant woman and her family hopes to give birth to a healthy baby. With the continuous development of medical technology, ultrasonic diagnosis of fetal heart has been carried out in many hospitals in my country. Once the ultrasound indicates that the fetus has heart problems, many pregnant women and their families fall into a state of anxiety and panic. The mood of the pregnant woman in particular directly affects the growth and development of the fetus in the uterus. How do you view congenital heart defects in the fetus? Director Sun Shanquan of the Heart Center of Guangdong Provincial Women and Children's Health Care Hospital believes that pregnant women and fetuses are inseparable, and the fetus's right to survival cannot be independent of the pregnant woman's autonomy. When we make a decision about whether to give up or keep a fetus with congenital heart malformation, it mainly depends on the severity of the fetal heart malformation, whether there is a way to correct it, the health of the pregnant woman, the family's economic conditions, the quality of life of the fetus after birth, and the parents' wishes and religious beliefs. It is recommended that the best time to perform fetal cardiac ultrasound examination is between 24 and 28 weeks of pregnancy. If ultrasound indicates that the fetus has congenital heart disease, the pregnant woman and her family should go to a hospital with cardiac surgery conditions, where cardiologists and surgeons will provide non-directive consulting services. At present, the treatment effect of most congenital heart malformations is good. Only some severe congenital heart diseases have poor treatment effect. In summary, they can be roughly divided into the following five situations: 1. No treatment is required, only follow-up observation is required. Such as: small ventricular septal defect in the membranous or muscular part, atrial septal aneurysm or small atrial septal defect, mild tricuspid regurgitation, etc. 2. After treatment, the quality of life is the same as that of normal children of the same age. Such as: ventricular septal defect, atrial septal defect, patent ductus arteriosus, pulmonary artery stenosis, etc. 3. After biventricular correction, the quality of life is slightly lower than that of normal children of the same age. Such as: tetralogy of Fallot, atrioventricular septal defect, double outlet right ventricle, transposition of the great arteries, persistent truncus arteriosus, etc. 4. Children who have undergone single ventricle correction or palliative surgery and have lower activity tolerance than normal children. Such as: single ventricle, tricuspid atresia, mitral atresia, isolated right ventricular dysplasia, etc. 5. Multiple surgeries are required in stages, and activity tolerance is significantly lower than that of normal children. Such as: hypoplastic left heart syndrome, severe aortic valve stenosis or atresia, etc. |
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