Can congenital diaphragmatic hernia be treated?

summary

Congenital diaphragmatic hernia, which brings great harm to patients, is a serious fetal diaphragmatic malformation. About one in every 1000 newborns will get this disease. Yao Yao from Hongsibao District of Wuzhong City was unfortunately recruited. So let's talk about congenital diaphragmatic hernia can be treated?.

Can congenital diaphragmatic hernia be treated?

First: fetal diagnosis of diaphragmatic hernia: obstetric ultrasound experts and fetal echocardiography experts should check whether there are other abnormalities and cardiac abnormalities, whether there are chromosomal abnormalities, especially trisomy 18 syndrome. The decision of termination of pregnancy, fetal operation or reoperation after birth should be discussed by perinatal medical experts.

Second: the conservative treatment: diet regulation, appropriate use of viscous diet, life guidance, the sick children use half sitting position, after eating appropriate pat back. Gastric motility drugs and acid making drugs were given to strengthen gastric emptying and prevent esophagitis. Sliding small hiatal hernia; The clinical symptoms are mild, and can disappear or improve in the process of development, so conservative treatment is often used.

Third, there is no clear line between surgical treatment and conservative treatment. The diagnosis should be confirmed as soon as possible after elective surgery, if there is occlusion emergency surgery. The treatment of hiatal hernia is based on the size of hiatal hernia, the number of abdominal esophageal and cardiac fundus hernia into the chest, whether combined with gastroesophageal reflux and gastric volvulus, and the severity of clinical symptoms.

matters needing attention

We should do a good job in genetic counseling, health care during pregnancy, and actively prevent and treat various infectious diseases. In order to reduce and reverse the incidence of neonatal birth defects, prevention should be carried out from pre pregnancy to prenatal: premarital physical examination: it plays a positive role in the prevention of birth defects. The role depends on the examination items and contents, mainly including serological examination (such as hepatitis B virus, toxoplasmosis, HIV), reproductive system examination (such as screening of cervicitis), and so on General physical examination (such as blood pressure, ECG), family history of disease, personal history, etc. and genetic disease consultation. Health care during pregnancy: pregnant women should avoid harmful factors as much as possible; Including away from radiation, pesticides, noise, smoke, alcohol, drugs, volatile harmful gases, toxic and harmful heavy metals. In the process of prenatal care during pregnancy, we need to carry out systematic birth defect screening, including regular ultrasound examination, serological screening, and if necessary, chromosome examination. Preventive measures refer to other birth defects. Once there are abnormal results, we need to know whether to terminate the pregnancy; The safety of fetus in uterus; Whether there are sequelae after birth, whether it can be treated, and how the prognosis is, etc. To take practical measures for diagnosis and treatment.