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Monthly Archives: Tháng Năm 2018

What Happens To A Woman-Body After Birth?

The recovery of the health of pregnant women after Caesarean section is longer and more difficult than for normal delivery, so it is very important to take care of women after caesarean section.

1. What should women do after Caesarean section?

In order for pregnant women to undergo rapid surgery to recover, attention and care should be taken from the cleaning of the incision, daily life and adequate nutrition in the daily menu and food:

  • On the first day after surgery, you should drink filtered water, sugar and porridge until you can deflect before starting to add other foods ... From day 2 onwards, you can eat normally, eat a lot protein and calcium-rich foods. Drinking lots of water helps you have more milk for your baby to breastfeed.
  • Getting enough sleep helps the postpartum mother feel refreshed, reduce the feeling of stress and have more breast milk.
  • Supplement vitamins B, C, K, A to participate in collagen synthesis and diversification of fibroblasts, and control inflammation. Vitamin K helps stop bleeding in the early stages. In addition, foods rich in calcium, iron, zinc ... play an important role in the healing process.
  • Should often change the menu to stimulate appetite, avoid boredom. Do not eat cold or unripe foods.
  • Ginger and turmeric should be used in food preparation to help warm the body and enhance the immune system for the intestinal mucosa.
  • After giving birth, women should spend a lot of time to rest, when they feel better and more comfortable, they should sit up and practice to circulate blood, avoid intestinal inflammation and venous inflammation.
  • Bathe every day to avoid infection. Do not soak in water for long, only bath for 5-10 minutes. Bathe with warm water, airtight bathroom, and dry people after showering. For pregnant women after caesarean section, the incision should be cautious. After about 3-4 days after birth, women can wash their hair, so dry their hair quickly. Clean the vaginal area, use cool boiled water or warm water to wash.

2. What should women abstain from after caesarean section?

Caesarean section surgery is not too complicated, but after the caesarean section, a few things should be noted:

  • Avoid lying on your back: When you lie on your back, you will feel more pain due to your uterus contracting, so you should lie on your back and put your pillow on your back, reduce your body movement, it will be less painful.
  • Do not sleep too much: Resting after birth is very important. However, if sleeping too much, amniotic fluid will accumulate in the uterus, need to sit up, move gently to avoid intestinal obstruction and blood vessels.
  • Avoid eating fishy foods, eating too much: You eat too much will lead to difficult digestion and easy constipation, increased gas in the intestines makes the abdomen bloating. Avoid hot spicy foods. Avoid fishy food as it will inhibit the hematoma, making the incision long.
  • Do not work early: Pregnant women after caesarean section need to rest to heal quickly, should not work early.
  • Not to be cold: Pregnant women after birth, kidneys are debilitated so it is easy to get cold. So do not shower with cold water. However, you can use warm water to clean your body, clean your whole body. Because if you do not take a bath for a long time, this will be an ideal condition for bacteria to grow, cause illness for the mother and even spread to the baby such as stomatitis, diarrhea ...
  • Do not use hot spicy foods such as chili, pepper: In chili, there are capsaicin components to create a feeling of hot mouth, tongue throat, stomach stimulation, causing more serious ulcers. When using a lot of pepper, it can aggravate stomach ulcers and constipation.
  • Do not use alcoholic beverages such as alcohol, beer ... as it may change the taste of milk, can cause children to constipation or stop breastfeeding.
  • It is not advisable to have an early relationship: Maternity after the caesarean section should not have an early relationship, usually it is advisable to abstain from 4-6 weeks for the uterus to have time to recover.
  • Avoid thinking too much, strong emotions can be harmful to maternal health, leading to a lack of milk.
  • During the healing phase, passive smoking or smoking should not be avoided to prevent peripheral vascular contraction, reduce blood flow to the incision, reduce oxygen to tissue. For women with blood sugar disorders, diabetes, liver failure ... often the incisions will be very difficult to heal.

Postpartum women, besides paying attention to how to exercise, need to pay attention to the daily diet. After caesarean birth, women need to be more careful in health care because recovery will take longer than normal delivery. At the same time, relatives should also encourage and encourage the spirit to be comfortable and happy.

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Hypertrophic Cardiomyopathy – Things To Know

Hypertrophic cardiomyopathy is a condition of the left ventricle or the whole heart muscle, right ventricle, hypertrophy of the heart that causes abnormal thickening. Hypertrophic cardiomyopathy is an inherited disease with an incidence of 1/500.

1. What is hypertrophic cardiomyopathy?

Hypertrophic cardiomyopathy is a disorder of the heart muscle, causing the heart to reduce its ability to contract blood circulation, affecting the heart rate, causing cardiac arrhythmias. When hypertrophic cardiomyopathy, abnormal cardiomyopathy causes the heart wall to thicken, especially in the main blood pumping compartment (left ventricle), the small left ventricle inside the ventricle, the heart cannot relax. between beats causes the ventricle to pump blood out of the heart less. The mechanism of causing disease causes angina patients, difficulty breathing, can lead to sudden death.

Hypertrophic cardiomyopathy is an inherited disease caused by genetic mutations, which currently have 13 genes with more than 900 mutations that can cause hypertrophic cardiomyopathy. About 60% of patients identified with genetic mutations encode proteins of myocardial sarcomere structure and 40% due to mutations in other genes or unknown causes.

Hypertrophic cardiomyopathy is rare in children. Cases of hypertrophic cardiomyopathy in children are often unknown.

2. Symptoms of hypertrophic cardiomyopathy

The main object of hypertrophic cardiomyopathy is young people or sports athletes. This is a particularly dangerous disease because it often has no obvious symptoms, the patient can live life as normal people, however the first and last symptom of the disease is sudden death.

Some symptoms of the disease are easily confused with other conditions such as: Angina, dizziness, dizziness, dizziness when sudden posture changes or arteries, difficulty breathing, or fatigue, fainting.

Most cases of hypertrophic cardiomyopathy only detect the disease during a routine health check. Tests for diagnosis include:

  • Heart examination to detect abnormal sounds or blown sounds in the heart.
  • Echocardiography, electrocardiography, X-ray, cardiac catheterization to measure blood pressure in the heart chamber.
  • In some advanced countries, patients and family members will be tested for genes to cause mutations.

3. Causes of hypertrophic cardiomyopathy

Hypertrophic cardiomyopathy is a genetic disease that causes disease by genetic mutations that thicken the heart wall, affecting the function of the heart muscle. When diagnosed, the remaining members of the family also need to be checked for timely diagnosis. Other causes of hypertrophic cardiomyopathy include:

Secondary body after overloaded systole:

  • Abnormal apparatus under the mitral valve.
  • Narrow master
  • Stenosis of the aorta
  • Hypertension
  • Transient
  • Hypertrophic cardiomyopathy in newborns with mothers with diabetes.
  • Corticoide in newborns.

Any organ with cardiac hypertrophy:

  • Noonan syndrome
  • Bệnh Friedreich
  • Glycogen metabolic disease
  • Oxidation chain deficiency in mitochondria
  • Abnormalities in fatty acid oxidation.

Simply: Idiopathic, family

3. Treatment of hypertrophic cardiomyopathy

The treatment of hypertrophic cardiomyopathy is mainly symptomatic treatment to alleviate the symptoms and complications of the disease by using a lifestyle-changing drug.

Drug treatment:

  • Beta blockers to reduce heart rate and preserve heart muscle;
  • Calcium channel blockers to prolong diastolic period and increase in contractions; Anti-arrhythmic drugs.

Lifestyle changes:

  • Limit the effort and participate in motor sports with high motor intensity such as running, football, basketball ...
  • Follow up and follow-up according to the doctor's schedule to understand the health status of the patient.
  • Use medication and diet according to the advice of the treating doctor.

Surgery:

In case the patient does not respond to cardiopulmonary hypertrophy treatment, the patient will have to apply the treatment by surgery or cutting heart muscle with pure alcohol.

  • Surgery to cut heart muscle: The doctor will remove the hypertrophy of the ventricular septum to release the left ventricular outflow. At the same time surgery can repair pathological heart valves for patients. 90% of hypertrophic cardiomyopathy patients improve their condition and live normal lives for more than 30 years later. In some cases the heart conduction system is affected, the patient will have to attach a permanent pacemaker.
  • Heart muscle burning with pure alcohol : The method of pure alcoholic heart muscle burning is to bring the catheter through the artery to the coronary artery, providing blood to the heart muscle that is enlarged. After identifying the appropriate arterial branch, the doctor will inject 3 - 4ml of pure alcohol, causing the artery branch to be blocked and unable to supply blood to the enlarged heart muscle, helping the hypertrophy to collect smaller after 8-12 weeks. This is a new method, effective in 70-80% of patients, the effective time is less than 5 years.

4. How to prevent hypertrophic cardiomyopathy?

Myocardial hypertrophy is an inherited disease caused by genetic mutations, so there is no effective prevention. Currently, medicine does not have a diagnostic test for the risk of gene mutation before pregnancy. The most effective method to prevent complications of the disease is to detect the disease in the early stages, preventing the disease from getting worse.

Cases of high risk of sudden cardiac arrhythmia may be fitted with a defibrillator to treat arrhythmias in case of need. Defibrillator is a small device, attached under the skin of the patient's chest and has an electrode that leads to the right ventricle or atrium. It can monitor heart rate and generate electric shocks when abnormal heart rhythms are detected, helping the heart rate to return to normal.

In the case of family members with hypertrophic cardiomyopathy, the remaining members should go for regular checkups to be able to detect the disease early and have effective treatment.

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