先天性心臟病

先天性心臟病是指一種與生俱來的心臟病。它與後天的心臟損傷、細菌感染與動脈硬化毫無關聯。例如心臟發育不正常的先天性中隔缺損,這是心臟雜音的常見原因。其發生原因乃卵子受精後,反覆的展開細胞分裂,一面作成組織、器官、臟器。然待完成分化後,而成為一個「人」。但在這個「個體」的發生過程中,有時卻因某些原因,無法完成充分的分化,使心臟的功能發育不完全。

事實上,胎兒在三個月就大致成為人形,目前一般多認為,在這三個月之內所發生的「發生停止」、感染、遺傳影響、染色體異常等,便是心臟畸形的原因。所謂「發生停止」,便是指胎兒在母親的子宮裡,由於溫度、X光線、維他命缺乏、藥物等種種影響,經過母體達到胎兒,由於複雜的分化過程,而使心臟的發生停止,於是產生形形色色的心臟畸形。

年前由於藥物導致胎兒畸形的事件屢次發生,人人談藥色變;誠然,若想生一個健全的嬰兒,至少在懷孕四個月以後不要亂服藥。至於有病的人,最好也把病治好,再做懷孕的打算。至於遺傳心臟病影響的例子也有,迄今已有兄弟姊妹、雙胞胎、親子間的遺傳現象之報告。

一般先天性心臟病常出現的症狀,最多的是所謂的心臟雜音。心臟雜音的種類很多,可分為無害性心雜音和病態性心雜音。而一般有先天性心臟病的兒童,很多是門診或急診時,因感冒而無意間被發現的,因此,一但被醫師診斷有心臟雜音時,便應該立刻找小兒心臟科醫檢查,有無先天性心臟病存在。

此外,像心衰竭是指心臟無法充分維持身體各組織器官所需要的血量而產生的一些症狀,例如:呼吸困難、餵食困難、生長發育遲緩及四肢浮腫等,所以,家長如果發現有以上的症狀,應及早帶小朋友到小兒心臟科門診做詳細的檢查,確認是何種心臟病及嚴重程度,儘早給予治療心臟衰竭的藥物,如毛地黃、利尿劑等。並根據病情限制水分及鹽分之攝取量,以避免症狀加重。

最後可能出現的症狀便是發紺,所謂發紺就是臨床上小朋友的嘴唇及四肢指甲發黑,這是代表嬰幼兒有缺氧的現象。某些發紺型的先天性心臟病,因為有不正常的由右至左的血流,就會產生發紺。另外有些發紺缺氧的病童,平日就有嘴唇發紺的現象,當在哭鬧、早晨起床或稍微運動時,發紺症狀會突然加劇,造成病童呼吸困難、煩燥不安的現象,這種現象叫做缺氧發作,如果不能有效及時處理,即病童有可能出現酸中毒,抽筋甚至死亡的後果。所以妥善的預防及處理是非常重要的可避免造成終生遺憾。

那些先天性心臟病需要手術治療﹖

台灣地區最常見的六種先天性心臟病依序為:室膈缺損、法洛氏四重症、存開性動脈導管、肺動脈狹窄、房膈缺損和大動脈完全轉位。肺動脈狹窄近年來可以利用心導管檢查時做氣球導管擴張術來治療、不必施行開心手術。存開性動脈導管在三個月內有自動閉合之可能,房膈缺損在一歲以內有將近一半會自動閉合。

但如果破洞持續存在,就得用手術的方式來修補。室膈缺損很多人都知道可以自行長肉閉合,特別是位置較低靠近三尖瓣的類型(第二型)。但是所謂的第一型(較高的類型),或較靠近出口部的第二型,由於牽涉到主動脈瓣閉合的功能,應該早期施行手術治療。至於法洛氏四重症、大動脈完全轉位和其他複雜性先天性心臟病,只有外科手術的方式才能治癒。

先天性心臟病手術費用一般而言,不必體外循環的手術例如存開性動脈導管和接血管以減輕發紺的分流手術等,一般費用包括住院約五、六萬元。至於需要體外循環的開心手術,簡單型的術後住院約需五天花費在十萬元左右;複雜型的約二十萬元。本院曾有開心補室膈缺損的病例只花了八萬元。最近兩年本院總共有274名小兒心臟手術的病例, 花費的多少與病童的輸血量、加護病房停留期和恢復期有關。目前雖無全民保險,但是社會服務部可以幫忙申請各種補助。

心臟病症狀

人類的心臟是一個構造極為靈巧的器官,它的重量雖然只佔人體重量的二百分之一,然而它卻是維持人體分秒都不可缺少的寶貝。主宰人類意志的大腦在心臟罷工的三分鐘之內,就會發生不可收拾的損傷。所以,心臟從人出生到死亡,就必須一輩子持續跳動。心臟病症狀的出現是由於臟動脈內壁上的膽固醇塊上,形成了血塊,而令到供應給心臟的血液嚴重減少,引致心絞痛、心肌組織產生電脈性不穩。倘若供應給心臟某部份血液完全停止時,該部份便無法得到氧氣和賴以保持正常運作的養份,造成無法彌補的傷害,甚至導致患者死亡。

心臟的跳動可以將全身所需的氧氣和養分,經由血液送達全身。因此心臟是生命不可欠缺的重要幫浦,它片刻也不休息且精力充沛地運作。

粗略地估計,心臟大約一分鐘跳七十下,每天得跳十萬次以上。醫學上還未能確實心臟病的成因,但己經發現一些有關要素,包括:

  1. 膽固醇過高,患心臟疾病的機會比普通人多三倍:因為體內過多的膽固醇會積聚在血管內,使血管日漸狹窄,妨礙血液流通。
  2. 吸煙人士比普通人的機會多兩倍半:原因是香煙中的尼古丁或煙草化學物質會損害心臟血管,若血管出現裂痕,膽固醇便會積聚起來。
  3. 血壓高,比常人的機會多兩倍半:血壓高會使到血管收縮。
  4. 糖尿病,女性患者有心臟病的機會比一般人多一倍,男性多百分之五十。
  5. 過分肥胖:因為肥胖引致血壓高、血脂肪過高、糖尿病,而這些疾病又會誘發心臟病症狀。
  6. 生活緊張:神經緊張令心律失常、內分泌失調,影響心跳,刺激心臟病發。

上述六項因素互相連繫,如果一個人同時有上述幾項因素,他患心臟病症狀的機會就會更高。

以下有三種常見的分類

  1. 先天性心臟病
  2. 缺血性心臟病
  3. 風濕性心臟病

心臟病有哪些症狀?

  • 胸前疼痛:胸前痛是心臟病最常見的症狀之一。最容易造成胸痛的原因是冠狀動脈性心臟病。即冠狀動脈發生阻塞或硬化,以致無法輸送足夠的血液到心臟肌肉而造成的心肌缺血和疼痛。對於這種疼痛,醫學上特別稱做「心絞痛」。一般說來,心絞痛都是突然發生的。如果您有心絞痛的話,則當您做劇烈運動或爬樓梯時,就會突然發生這種胸痛。當您安定下來的時,症狀也跟著消失。
  • 呼吸困難短促:呼吸困難或呼吸短促也是心臟病常見的症狀之一。尤其是左心室衰竭的病人更是明顯。造成呼吸困難的原因,主要是因為心臟衰竭,無法壓出足夠的血液或無法將肺臟中的血液送回心臟而造成的。一個人如果患有心臟病的話,則他的運動耐力必定比正常人差。他無法像正常人一般運動或登山。雖然健康的人運動之後也會有呼吸急促的現象,但只要稍作休息即可恢復過來。然而,有心臟病的人卻無法在短期間內恢復過來。
  • 心悸:醫學上所謂的心悸是指一個人可以清楚地感覺到自己的心跳而言。通常心悸時,心跳比較重也比較快。當一個人有充血性心臟衰竭時,在早期就會出現心悸的現象。另外有些比較神經質的人,一但面臨重大場面,總是出現心悸的現象。這種心悸完全是因為心跳加速而產生的,和心臟病也沒有關係。總之,心跳太快、心搏過程或心律不規則會使人感到心悸。
  • 疲倦無力:疲倦無力可說是心臟病患者最常抱怨的症狀了。當心臟有毛病時,輸送到全身組織的血液量會減少許多,因此人體中新陳代謝所產生的廢物─尤其是乳酸,無法完全排泄出去,於是就容易疲倦無力的症狀。換句話說,人體新陳代謝的廢物本應經由血液排出體外,然而血液循環不好時,這些廢物就會留積體內而造成疲倦及軟弱無力等現象。
  • 四肢浮腫: 當心臟無法有效地收縮時,循環全身的血液量就會減少許多。此時,流到腎臟的血液也會大大地減少,因此體內多餘的水分和鹽分無法經由腎臟而排出體外,終於造成液體留積於體內而形成身體浮腫的現象。通常浮腫的部份以四肢較為明顯,厲害的話,則陰囊或背部也會浮腫。然而,人體的疾病中,並非只有心臟病才會出現四肢浮腫的現象。腎臟病、營養不良或內分泌失調時也會出現這種症狀。婦女懷孕時或月經來臨前,也會因為鹽分的留積而造成四肢浮腫。
  • 頭暈目眩:心臟病患者偶爾也會抱怨頭暈或目眩。主要是由於心臟收縮力量不足或心臟節率不整,以至於輸送到腦部的血液不足而造成的。除了心臟病以外,還有許多情況也會造成頭暈目眩,譬如血壓較低的人,服用降血壓藥的人,腦血管有問題的人以及貧血患者都會出現這種症狀。尤其是患者由臥姿或蹲姿突然改成立姿時最容易出現。

心臟病的預防

  1. 避免過度勞動或劇烈運動。
  2. 保持情緒平穩。
  3. 避免過冷或過熱的氣候,溫度太高的環境。
  4. 飲食少量多餐,少吃脂肪及太鹹的食物,切勿暴飲暴食。
  5. 勿吃產氣性食物,飯後休息片刻。
  6. 肥胖者,應少吃高卡路里及高膽固醇的食物。
  7. 多吃高纖維食物、預防便秘及消化道疾病,且減低膽固醇及三酸甘油脂之數值。
  8. 戒菸。
  9. 高血壓及糖尿病會使血管硬化,應定期治療,以免發生心臟病。

心臟病是許多先進口家裡的頭號殺手。為了自己心臟的健康,我們應該趕快改變生活習慣,減低患上心臟病的危機。要預防心臟病,我們可以不倚仗藥物,因為生活習慣的改變,也可以把情況扭轉。為了保持健康的心臟.我們應該戒煙、保持正常體重、運動、控制壓力、吃得健康。當然.在一生中,我們的生活模式也會有失去平衡的時候,最重要的.是盡量避免這些不平衡的情況出現。

What is Palpitations | Palpitations and Heart Diseases

What is palpitations?

The so-called palpitations patients themselves feel the heart is not normal activity. It can reflect the changed condition of the heart beat, such as: change in cardiac contractile force or heartbeat speed. But for some patients, non-cardiac disease may be considered the normal activities of the heart, leaving the patient misidentification. “Palpitations” sounds like a disease terminology, but in reality, it is but the patients personal subjective feeling uncomfortable heartbeat, and the patients it has many different description, including the “heart beat so hard heart thump thump jump “,” think that the heart will overflow “argument.

Why some people will feel palpitations feel it?

This phenomenon involves two conditions: one is the beating of the heart is normal, another is the sensitivity of the individual patient. In general, if the heart’s contraction intensity or heartbeat becomes irregular, it is easier to feel this situation; sensory nerve sensitivity is often in the evening quiet will feel palpitations.

Causes of  palpitations

Mainly because of less environmental background noise of the night, and was more sensitive to sensory nerves, so the feeling became apparent. However, some elderly people or patients with diabetes, and have actually might neurodegenerative or neuropathy disorders, so even if there is a significant arrhythmias, it will not feel.

Different types of palpitations symptoms

  1. Patients feel heartbeat obvious or a little heavier touch the speed of the pulse is normal or slightly faster rhythm touches rules. This is the most common form of heart palpitations, symptoms may be due to cardiac contraction is stronger or more sensitive patients often occurred in patients with more anxiety. In such a situation, usually the patient’s heart is normal, and only a small part because of some heart disease, such as valve defect, resulting in cardiac contraction due to intensity.
  2. The patients feel heartbeat suddenly feeling pause, touch the pulse may feel a sudden stop. Symptoms caused by arrhythmia called early cardiac contraction, heart beat usual rules, but if there is a heartbeat earlier appeared to cause the next heartbeat interval is longer, resulting in contraction increased, will allow patients feel the heartbeat of the obvious, this arrhythmia is considered to be fairly common, whether it is normal or abnormal heart will have, but the number of occurrences of abnormal heart would be more frequent.
  3. Such palpitations symptoms are rare, its onset is very sudden, all of a sudden very fast heart rate, more than per minute, more than a hundred, and may be regular or irregular, touch the pulse of the feeling is very fast but weak, which Typical arrhythmia, tachycardia caused too fast heartbeat, in addition to the palpitations discomfort, often accompanied by chest tightness, shortness of breath, dizziness, decreased blood pressure, and even fainted.

Causes of  palpitations

  1. Arrhythmia palpitations of the most common causes, which may have potentially dangerous sinus tachycardia is the most common diagnosis, and premature ventricular contraction is also one of the common diagnosis.
  2. Non-arrhythmia cardiac abnormalities, including heart failure and valvular heart disease may cause heart palpitations.
  3. Non-cardiac diseases may also cause palpitations. One of the most common reasons include: fever, hyperthyroidism, the influence of drugs and psychological aspects of the problem.

What should I do is I feel Palpitations?

Palpitations in fact often occur but most healthy people do not particularly care about. Only a small portion of the people will seek medical help. Because most of the patients were diagnosed as other diseases, and therefore does not have the correct statistics indicate that the incidence of the primary care how high. Higher probability of some dangerous people, but it has nothing to do with gender and race. In addition to the non-cardiac activity factors, such as the chest wall contraction or intestinal peristalsis, most of the palpitations are caused because of the change of speed, rhythm and force of contraction of the heart beat.

Chest Pain | Right Chest Pain | Symptoms and Causes

Chest pain: warning sign of coronary heart disease (CHD)

Chest pain for some people, is indeed a warning sign of coronary heart disease (CHD), many patients due to right chest pain to allow the physician to diagnose coronary heart disease will be the appropriate treatment. In some patients, however, although the pain but not the heartache disturbing that these people do not have heart disease. This pain often cause public concern, some really high risk fatal risk of acute myocardial infarction, unstable angina, aortic dissection, pulmonary embolism, or pneumothorax caused.

Chest pain causes

Most chest pain is caused by some slight cause. In fact, the chest is a very complex part of the various organs and nerve segment which will cause symptoms similar to a heart attack. Want to find out the source of the first to recognize the thoracic organ anatomy and its sensory nerve disposable. Thorax external musculoskeletal system, inward pleural wrap thoracic organs.

Thoracic organs and chest pain

Thoracic organs, in addition to the left and right lobe, mediastinum thymus; in mediastinal heart, the pericardium and several large blood vessels; mediastinal trachea, esophagus and down the main artery. The sensory nerve disposable chest pain parasympathetic and sympathetic. Distribution of sensory nerve endings to the surface of organs, a receiver can feel the chemical and physical nature of the stimulus, the stimulus passes through nerve fibers to the central control of the spine or brain, issued a message of pain.

Possible cause of right chest pain

  1. Length of liver cancer liver: no nerves within the liver, liver cancer long infringement to the surface of the liver in the right lobe of the liver, nerve symptoms may be the right chest, pain in your lower. If liver rupture in great pain, If the growth of liver cancer up top to the diaphragm, the pain will be up reflection to the right shoulder, because the nerves of the diaphragm to stimulate it. In general, if the chest pain caused by liver cancer, ultrasound will be able to see the presence of the tumor, ultrasound can not see the liver tumor that almost certainly right chest pain and liver.
  2. Called the pleura right lung pleurisy: pleural endometrial layer film that covers the surface in the lungs, lung inflammation (pneumonia), spread to the pleura, or inflammation of the pleura itself, it will cause the right chest pain, this pain with breathing and obvious (because breathing pleura and diaphragm will move with it). In addition to pain, patients often have fever phenomenon. Pleural inflammation, often causes the liquid is piling up in the pleural cavity, medically known as pleural effusion (commonly known as pleural effusion), chest X-rays of fluid in the lungs or pneumonia can often see the changes.
  3. Improper movement or carrying heavy loads, or trauma caused by muscle, tendon or periosteal injury stimulate nerve caused by sports injuries, musculoskeletal pain: for example, can cause. In fact, this may be the most common cause of right chest pain.
  4. Spurs or other bone lesions caused by: the elderly often have bone spurs to stimulate the chest the nerves causing right chest pain.
  5. Cancer metastasis to the ribs: ribs easily transferred to many cancers, stimulate nerve caused right chest pain.

Chest pain reasons

Chest pain for many reasons, caused by heart disease, lung or gastrointestinal diseases, muscle, bone, nerve lesions caused by psychological and emotional stress caused. , She has to be good to the disease told the doctor, the physician can see, according to history, auscultation, palpation, physical examination and blood tests to differential diagnosis. Often required with the electrocardiogram, chest X-ray and ultrasound examination, when necessary, do sports ECG, nuclear myocardial perfusion and upper gastrointestinal fiberoptic other tests, sometimes also required with the invasive cardiac catheterization, in order to obtain a correct diagnosis .

  1. Chronic angina
  2. Esophageal reflux
  3. Esophageal spasm Crest
  4. Musculoskeletal pain
  5. Rib cartilage inflammation
  6. Pneumonia
  7. Pleural inflammation
  8. Pericardial inflammation
  9. Acute myocardial infarction
  10. Aortic dissection
  11. Pneumothorax

Rheumatic heart disease | Symptoms of rheumatic heart disease

What is rheumatic heart disease

Rheumatic heart disease is a general term for inflammation caused by heart disease. For example, a special strain of Streptococcus β ─ hemolytic Streptococcus, causing the reaction will lead to rheumatic heart disease. It is usually in the more moisture and colder adverse environment, the more likely to occur, at the same time, the most easy to contracting this disease at the age of five to ten children. Bacterial infection of the disease is the inflammation of the tonsils, the incidence of one to four weeks, sometimes sudden symptoms, symptoms sometimes slowly. Characterized by fever, usually up to a high fever of 40 degrees Celsius, and sometimes micro burned about 37 degrees. This morbid, soon spread to the organs of the body, the symptoms, it will affect the endocardium, myocardium, pericardium, confidants etc., so carditis said.

Symptoms of rheumatic heart disease

  1. Valvular disease: the so-called valvular disease, is due to the flap by rheumatic fever or acute bacterial endocarditis deformation, so that the valve is not completely closed, or because of the valve can not open, and makes the heart pump role can not be complete state, so that the heart must reluctantly play the role of the pump, the heart is becoming hypertrophy or dilatation. To this point, is still unable to cope with the requirements of the body, it would cause congestive failure.
  2. The heart membrane disease: Heart film is infringement, called the pericardium disease, often cardiac membrane cavity storage exudate amount for a long time the heart by its oppression, the heart of the oppressive lungs also oppressed and respiratory difficulties.
  3. Myocarditis: acute rheumatic fever causing acute myocarditis, chest will feel tingling or pain. Sometimes the pain is very sharp and direct pressure on the heart of the site, but also make the pain got worse. Especially in stimulus conduction system have been violated, that is caused by the heart’s functional disability, not the whole pulse, tachycardia.

Ischemic heart disease | What is Ischemic heart disease| Medication for Ischemic heart disease

Ischemic heart disease

Nutrition blood vessels of the heart called the “coronary”, divided into left and right two left for the left coronary, the right of the right coronary artery. After leaving the aorta, the left coronary artery, it is divided into two, walk forward called the left anterior descending coronary artery, the left rear side and rear walk called “left circumflex coronary artery, the surface of the heart’s coronary Finally, drill into the myocardium become very small arteries and capillaries to to supply myocardial needed oxygen and nutrients.

What is ischemic heart disease?

When the surface of the heart, coronary artery atherosclerosis, which leads to coronary artery stenosis, reduced blood flow and myocardial oxygen and glucose nutrients reduce myocardial cells occurs hypoxia or necrosis, called “ischemic heart disease” or coronary heart disease.

What is the cause of ischemic heart disease risk factors?

  1. Hypertension.
  2. High cholesterol.
  3. Smoke.
  4. Diabetes.
  5. Obesity.
  6. Lack of exercise.
  7. Family history of coronary heart disease.
  8. Radical personality.
  9. Hyperuricemia.
  10. High-density lipoprotein cholesterol lower than 40mg/dl.
  11. Left ventricular hypertrophy.
  12. Men greater than 55 years old, more than 65-year-old female.

Ischemic heart disease symptoms

  1. Unstable angina.
  2. Unstable angina.
  3. Acute myocardial infarction.
  4. Ischemic cardiomyopathy.
  5. The silence of myocardial hypoxia.

Treatment of ischemic heart disease

  1. Remove or improve coronary heart disease risk factors.
  2. Reducing myocardial oxygen consumption: medications: beta-receptor blocker Inderal (propranolol administration, the), Tennormin and so on.
  3. Increase in myocardial oxygen supply: Drug therapy: vasodilator
  4. Surgery

Ischemic heart disease medication

  1. Nitrate: sublingual nitroglycerin tablets (Nitroglycerin), skin nitro glycerin tablets, oral isordil (isorbide dinitrae).
  2. Calcium channel blockers: Norvasc (amlodipine), Adalat (Nifedipine), Herbsser (Diltiazem).
  3. (Acute myocardial infarction thrombolytic agents): Streptokinase, Recombinant tissue plasminogen activator (Actilyse), etc..

What the daily life of patients with ischemic heart disease should pay attention to?

To avoid intense exercise, quit smoking, do not eat too much, to avoid constipation, to avoid the emotional tension and stay up all night to keep warm in the cold weather, the bath water temperature is not too high, we should always carry sublingual nitroglycerin tablets to emergency use, prepared angina attack medication regularly and back to the clinic check. The encounter was even more severe than usual angina chest pain, or will the night sweats, difficulty in breathing, weakness, dizziness, pale, ah, vomiting and other symptoms, seek immediate medical attention, do not hesitate, so as not to delay the golden period of treatment.

Causes of Heart Disease

Heart beating can bring oxygen and nutrients through the blood stream to the whole body. So heart beat is indispensable to life, it keep operateing every seconds. A rough estimate, about a minute heart beat 70 times. Which make thousands times and more a day. There still not confirmed the causes of heart disease, but it has been found that some of the elements, including:

  1. High cholesterol: risk of heart disease is three times more than the average person. Because too much cholesterol in the body will accumulate in the blood vessels and increasingly narrow the blood vessels and impede blood circulation.
  2. Smoking: smokers are two and a half times higher than ordinary people to have heart disease: because the nicotine in cigarettes or tobacco chemicals can damage the heart blood vessels, vascular cracks, cholesterol will build up.
  3. High blood pressure: opportunity is two and a half times more than the common people: high blood pressure cause vasoconstriction.
  4. Diabetes: female patients with heart disease are double of general population. Men are fifty percent higher.
  5. Excessive obesity: obesity caused by high blood pressure, high blood fat, diabetes, and these diseases will induce heart disease symptoms.
  6. Stressful lifestyle: nervous so arrhythmia, endocrine disorders, affecting the heartbeat, stimulation of the heart attack.

These six factors are linked with each other. If a person has several factors at the same time, his chance of suffering from the symptoms of heart disease will be higher.

 

Congenital Heart Disease | Symptoms | What is Congenital Heart Disease

What is congenital heart disease?

Congenital heart disease is an inborn heart disease. It is not related to acquired heart damage, bacterial infections and atherosclerosis. Such as abnormal heart development of congenital septal defect, which is a common cause of heart murmur. Congenital heart disease is due to its occurrence after the egg is fertilized, repeatedly expand cell division side made of tissues, organs, organ. Contingent upon completion of differentiation, and to become a “person”. However, the occurrence of the “individual” process, sometimes because of some reason, unable to complete the full expand which made the incomplete development of the function of the heart.

Stop development in fetus

The fetus will becomes a human form at approximately three months, in general belives during these three months, occur “stop development”, genetic influences, and chromosomal abnormalities is heart malformations causes. Stop development refers to the fetus in the mother’s womb, due to the various effects of temperature, X-rays, vitamin deficiency, drugs, reaches the fetus though the mother body, stop the complex process of differentiation which arose all kinds of heart malformations.

Medication and congential heart disease

Years ago, drugs lead the fetal malformations event repeatedly occurs. Everyone were scared by medicine. Indeed, if you want to born a healthy baby, you should not take any medication after four months of pregnancy. As for the sick people, the best is to cure the sickness completely and then plan for prednancy. There are also example of genetic heart disease on brothers and sisters, twins, between parents and children.

Symptoms of congenital heart disease

The most general symptoms of congenital heart disease is heart murmur. There are many kinds of heart murmur, it can be divided into harmless heart murmurs and pathological heart murmur. Very often a child is found to have congenital heart disease when they are at outpatient or emergency room because of cold. So if physician diagnosed to have heart murmur, they should immediately find a pediatric cardiologists to check and confirm the heart disease.

Heart failure and congenital heart disease

In addition, heart failure means the heart is unable to adequately maintain the blood and produce some of the symptoms of various tissues and organs of the body, such as: difficulty breathing, feeding problems, growth retardation and limb edema, etc. Therefore, if parents found above symptoms, should try to bring their children to the pediatric cardiology clinic to do a detailed inspection to confirm the type of heart disease and severity as soon as possible. A take the drug to treat heart failure, such as digitalis, diuretics. Limit water and salt intake, according to the disease in order to avoid the symptoms get worse.

Clinical cyanosis when children has congenital heart disease

Finally, it may appear symptom is cyanosis, the so-called clinical cyanosis children’s lips and limbs, nails black, this is the phenomenon of hypoxia on behalf of the infant. Cyanotic congenital heart disease, abnormal blood flow from right to left, will produce cyanosis. In addition, some children with cyanotic hypoxia, usually have lips cyanosis phenomenon, when in crying, got up in the morning or a little movement, cyanosis symptoms suddenly intensified, resulting in children with breathing difficulties, restlessness phenomenon, a phenomenon. The attack called hypoxia, effective and timely treatment if you can not, that children may appear acidosis, cramps or death consequences. Proper prevention and treatment is very important to avoid lifelong regret.

 

Symptoms of Heart Disease

Symptoms of heart disease

The human heart is a very smart organ. It’s weight is just 1/200 of the body weight, but it is indispensable to maintain the human body in every minute. The brain which dominate the human mind will have unrecoverable damage if the heart stop functioning for three minutes. So, from a people born to death, the heart need to continue beating in every minutes. The symptoms of heart disease is due to the cholesterol block in the arteries. The formation of a blood clot made the blood flow to the heart severely reduced, causing angina. If the supply to a part of the blood in the heart completely stopped, the part will not be able to get oxygen and which to maintain the normal operation of the nutrients, causing irreparable harm, and even leads to death.

Impact of heart disease

Heart beating can bring oxygen and nutrients through the blood stream to the whole body. So heart beat is indispensable to life, it keep operateing every seconds. A rough estimate, about a minute heart beat 70 times. Which make thousands times and more a day.

What are the symptoms of heart disease?

  • Chest pain: chest pain is the most common heart disease symptoms. Most likely to cause chest pain due to coronary heart disease. That coronary artery clogged or hardened, making it impossible to deliver enough blood to the heart muscle and lead to myocardial ischemia and pain. Such pain is known as “Angina”. Generally speaking, angina all happen in a sudden. If you have angina, that is if you do strenuous exercise or climbing stairs, you’ve suddenly got this chest pain occurred. You should settle down until the symptoms disappear.
  • Difficulty short breathing: one of the common symptoms of heart disease is shortness of breath or difficulty in breathing. Especially in patients with left ventricular failure is obvious. Causing breathing difficulties, mainly because of heart failure, can not deliver enough blood or unable to return blood from the lungs to the heart. If a person is suffering from heart disease, his exercise tolerance must be worse than normal. He can not like a normal person to have general sports or mountaineering. For healthy people, normal sport will also lead to shortness of breath, but they will be recovered after a short break. However, people with heart problems can not recover in a short period.
  • Palpitations: the so-called medical palpitations is clearly a person can feel your own heartbeat. Usually the heartbeat is also relatively fast when I person suffered from palpitations. When a person has congestive heart failure, palpitations will appears in the early stage. In addition, some of the more neurotic people, when facing a tense situation will always appear palpitations phenomenon. These kind of palpitations completely because rapid heartbeat, not heart disease. In short, too fast heartbeat, the stroke process or irregular heart rhythms make people feel palpitations.
  • Fatigue: fatigue is the most common symptoms that heart disease patients with complaint. The amount of blood to the body tissues will reduce if a person has heart problems. These make the transport of waste generated by human metabolism, especially lactic acid can not be completely excreted. So it is easy to tiredness weakness symptoms. In other words, the waste of human metabolism which should be eliminated from the body through the blood, blood circulation is not good, then these wastes will remain in the body and cause such phenomena as tired and weak.
  • Swollen limbs: when the heart is unable to effectively shrink the amount of circulating blood throughout the body will reduce a lot. In this case, the blood flow to the kidneys will be greatly reduced, so the body of excess water and salt can not be excreted by the kidneys, and finally cause the liquid to stay plot in the body and the formation of the body swelling phenomenon. The most usually swollen limbs, the more obvious and powerful, the scrotum will be swollen or back. However, diseases of the human body, is not the only heart disease appear swollen limbs phenomenon. Kidney disease, malnutrition or endocrine disorders such symptoms can also occur. Pregnant women or the onset of menstruation, and also because the salt left plot limb edema.
  • Dizzy: heart patients occasionally complain of dizziness or dizziness. Mainly caused due to lack of cardiac contractile force or not the whole heart rhythms that transport insufficient blood to the brain. In addition to heart disease, there are many cases can also cause dizziness, low blood pressure, taking blood pressure lowering drugs, cerebrovascular, and patients with anemia will appear, for example, such symptoms. Especially patients most prone to suddenly changed to a standing position by lying or squatting.

Love Yourself | How to love myself | How to make people love me?

How to love yourself?

Love yourself? Some people say it is easier said than done. I think we may not yet clear what the “love yourself”, let me share what I know.

What the Chinese say

“Love” in Chinese society, especially the need to promote and clarify is: “Love yourself” does not mean “selfish”. Chinese parents have been teaching their children to give more consideration to others, kind of if you treat other right, the others will also treat you the same way. So many of my friends put their own needs behind and often first try to accommodate others. But at his heart he is unhappy! Sometimes accommodate not necessarily come from the parents, but to seek social identity, the so-called that is life. For example, some colleagues will urge you to drinks, in fact, want you to get to the grown. But you think your performance is good and no need to get into the office politics. Your heart tell you, you may be bad mouth by other if you don’t join, so you go. At the end of the gathering, you found yourself pretented for the whole night and feel wasting a whole night and say: “Why not just say no when they first asked me?”

Love yourself is the way

Another example is your friend ask you out for dinner, but you are sometimes want to be alone to deal with a your own business or a quite night. You enjoy being alone than keeping a close friendship. Why not consider what you wanted most and refuse an appointment? Don’t want to have a life that always complaining? Love yourself is a way.

Are you really the Mr. Nice Guy?

One of my friends always love to complain about dinner gathering, the talk are meaningless, make no nutrients and he would rather read a good book or make time to clean. I ask him to refuse the dinner, learn to say no, he said embarrasly, he hoped that people think he is Mr. Nice Guy, and easy going.  I asked: “You’re not that easy going and not care about your own unhappy? And enjoy the whole dinner? Create a good image is more important than respecting yourself? Are you really the Mr. Nice Guy?”Friends dumb, and suddenly complained: “I did not dare, I am not that good in talking as you, I do not know how to say.” We both know this is not the truth. A friend one day complaining: “I’ll have to help someone moving out, he never said thank you after I have helped him every weekend for a year!” I said: “If you do not want to help, you have to tell him! And such with grievances is bad. You want your friend to say thanks, why not tell him directly?” The friend say: “Asked him to thank me seem preoccupied, and I am not dare to say no. Why don’t you help me …” What?

  • To love oneself need intention with action, and not depend on other people!
  • To love oneself is to do their own masters, instead of sovereignty to others!
  • To love oneself is to set their own boundaries and stick to it.

You will alway feel relax when you are honest to your heart!

One day a friend called with an invitation, I refused. He said: “You must be very busy, and I know you are busy so you are not joining.” My honest answer: “I’m not busy, I would like to stay at home, how about next time?” I respect my heart, I ask myself honestly, I do not want to find some excuse or reason. This is not good for themselves and their friends, you will alway feel relax when you are honest to your heart!