Wednesday, January 14, 2009

For the heart to open a new "journey"

Can pregnant women, heart disease, depending on the cardiac function and the nature of the disease. If the heart changed lighter, capable of performing daily activities or Light workers, pregnancy and childbirth in heart failure occurs when fewer opportunities. No other complications and cyanosis, the age of 35 women in the obstetrics and heart physicians to allow regular inspection of pregnancy. For heart disease for women, the sick heart can bear the burden of pregnancy in this task? After childbirth, which contraceptive measures more appropriate for them? In this regard, heart patients and their families are very concerned about this.

After pregnancy (particularly late pregnancy), as a result of fetal development, the expansion of the uterus, maternal and child of oxygen and blood supply to demand increased, the body of sodium water retention, so that the increased frequency of heart rate, cardiac workload increased, becoming myocardial hypertrophy; during childbirth uterine contraction, abdominal pressure increased, around the circle of resistance increase in hypertension lungs, heart, blood returning to the increase in the burden on the heart also increased significantly; childbirth after 1 ~ 2 days, systemic circulation of blood volume will increase short-term. Therefore, whether it is pregnancy or childbirth, would increase the burden on the heart, and promote the occurrence of heart failure.

Can pregnant women, heart disease, depending on the cardiac function and the nature of the disease. If the heart changed lighter, capable of performing daily activities or Light workers, pregnancy and childbirth in heart failure occurs when fewer opportunities. No other complications and cyanosis, the age of 35 women in the obstetrics and heart physicians to allow regular inspection of pregnancy. If a serious change of heart disease, minor work on the emergence of palpitation, dyspnea, it should not be pregnant. The occurrence of heart failure and cardiac function is closely related to a cardiac function of pregnant women, heart failure incidence rate of 7 percent; two for 17 percent; 47 percent for the three. Heart failure will not only bring disaster to the mother, but also affect the fetus. 3 cardiac function, the fetal mortality rate of 12%, 31% up to 4 hours. If pregnant women suffering from congenital heart disease associated with cyanosis, fetal abortion, premature delivery or stillbirth is greater possibility. Congenital heart disease there is genetic predisposition. If a parent suffering from congenital heart disease, infant congenital heart disease incidence is 2%, which is 6 times the general population. In addition, serious congenital heart disease associated with cyanosis, rheumatic heart disease with severe mitral stenosis, severe arrhythmias, subacute bacterial endocarditis, and had a history of heart failure who are not pregnant. Even if the pregnancy termination of pregnancy should also be.

Heart disease of pregnancy should not be soon as she becomes pregnant, it should be in the 3 months to have an abortion. If more than three months of pregnancy, there is a certain risk of induction of labor. At this point, physicians should be the heart and obstetricians common consultation, heart medicine and obstetrics under close follow-up of induction of labor. If pregnant women have heart failure, heart failure must be controlled before induction.

Pregnancy should be regularly checked. Data suggest that without prenatal care for pregnant women of heart disease than those who had prenatal care, heart failure incidence and mortality rate to 10 times or even several times higher. The general idea five months before pregnancy, every two weeks check once a week, three months after the first investigation. Cyanotic congenital heart disease and those with poor cardiac function should be in pre-production was hospitalized two weeks ago, so careful observation, inspection, found the problem to tackle them promptly.

Post-natal breast-feeding in general have little effect on the heart. Cardiac function 2 below, can be self-breast-feeding. Heart function three persons, in order to avoid over exertion to the use of artificial feeding for the good.

After childbirth involves a contraceptive. At present, many methods of contraception, but more reliable can be summed up in only two kinds of drugs and tools. For heart attack people, what kind of contraceptive methods is good?

Whether oral contraceptive drugs or injections are not suitable for heart disease. Because contraceptives containing estrogen; estrogen excess water would sodium retention, so that blood volume increases, adding to the burden of heart. Contraceptives can increase the viscosity of the blood, causing thrombosis, people with a heart severely disadvantaged.

Intrauterine IUD put Although simple, safe, but after all, is a foreign body. If post-operative infection, it may cause acute or subacute bacterial endocarditis. If endocardial inflammatory substances become detached emboli, also cause life-threatening. You can use contraceptives, condoms and **** can choose a kind of divide. If the tie in with the external use of contraceptives paste, can increase the effect.

"Bar-tube" is a way to reduce the trouble of contraception and safe and reliable, does not affect the harmony of married life of reliable and efficient method. Husband "bar-pipe" more desirable. However, after ligation should insist on contraception tool for a period of time until the **** in sperm did not see when. Rhythm, extended breast-feeding, in vitro methods such as scheduling precision, the result is not reliable contraception should not be used.

As long as the attention of the heart function, heart medicine and listen to the views of obstetricians, even if the risk of heart disease, the same can also enjoy their grandchildren.

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