The places of the large veins are changed ... a dangerous and rare heart disease

The places of the large veins (TGA) change a serious and rare heart disease, in which the position of the two main artery changes from the heart, and this disease is caused at birth, which means it is a birth defect in the heart. There are two types of changes in large arteries: the complete change of large arterial positions, and is also called the right-wing change of the large arteries (D-TGA). This type reduces the supply of the body with oxygen -rich blood. Symptoms are usually observed during pregnancy, immediately after birth or within a few weeks of birth. If the condition stays without treatment, serious complications can occur, and it can lead to death. Congenital change corrected from large arterial positions, also known as the leftist change of large arteries (L-TGA). This type is less frequent. Symptoms may not be observed immediately. Treatment depends on the specific problems in the heart. The treatment is usually the surgical intervention to correct the locations of the veins, and surgery is usually performed shortly after birth. Symptoms of change in large arteries can be observed. The great -to -child -arterial places can be seen during birth during the routine photographic examination of ultrasound during pregnancy. However, there are no symptoms in some people with congenital replacement who have been corrected to large arteries for many years. Symptoms of changing large arteries after birth include the following: The skin color changes to blue or gray. Depending on the color of the child’s skin, it can be more difficult or easier to see these color changes. Wrist weakness. Loss of appetite. Slow weight gain. Skin color changes may not be observed immediately if the child with the changes of large arteries also has other heart problems. This is because other heart problems can allow some oxygen -rich blood to flow over the body. But less blood flows over the body as the child becomes more active. Then the color of blue or gray becomes more striking. The reasons for changing the places of great arteries, the exchange of large veins during pregnancy, during the growth of the heart of the fetus. The reason is often unknown. To understand the nature of the exchanges of the great arteries, it can be helpful to identify the way the heart pumps blood in the natural state: Usually the artery that carries blood from the heart to the lungs – called the pulmonary artery – usually connected to the right -pointed room called the right ventricle. Thereafter, the oxygen loaded blood from the lungs to the upper heart, also known as the left atrium, is also pumped. The blood then flows to the lower left room, known as the left ventricle. The header in the body – known as the aortic artery – is usually connected to the left ventricle. The blood loaded with oxygen from the heart to the rest of the body is transmitted. Change the full position of the large veins in the case of a complete change of large arterial positions (also called the right switch of large arteries), the places of the two arteries outside the heart change. The pulmonary artery is connected to the lower left heart. While the aorta is connected to the right lower heart room. The artery changes lead to changes in blood flow, so the blood that does not have oxygen flows over the right side of the heart. It returns to the body without going through the lungs. Oxygen -rich blood now flows over the left side of the heart. And he returns directly to the lungs without going through the rest of the body. Correct congenital exchange of large arterial positions in this less common type, also called the left exchange of large arteries (L-TGA), the lower heart rooms are reflected, the left heart room, called the left ventricle, is on the right of the heart and gets blood from the upper heart room. The right heart room is on the left side of the heart, and you get blood from the upper heart room. The blood usually flows properly over the heart and body. But the heart can have long -term problems to pump blood. People with a left arterial exchange may also have problems with a three -side heart valve. Prevention If the mother has a family history with the heart problems that exist from birth, she should talk to a genetic diseases consultant, and a doctor who specializes in congenital heart defects before pregnancy. It is important to take the necessary steps to enjoy a healthy pregnancy. Before pregnancy, the mother must ensure that the recommended vaccinations are received, and begin to take several vitamins containing 400 micrograms of folic acid. Diagnosis of changing the veins is often discovered by replacing large arteries after the child’s birth. However, the condition can sometimes be observed during a routine graphic test with ultrasound during pregnancy. In this case, an ultrasound fetus’s heart can be performed to confirm the diagnosis. This test is known as the echo of the heart of the fetus. After childbirth, the doctor may reflect on the diagnosis of changing the places of large arteries if the skin of the child is blue or gray, or if his pulse is weak, or if he has trouble breathing. The doctor may hear a sound in the heart called the bladder when he listens to the child’s heart. Diagnosis of diagnosis of arterial replacement is needed to perform tests to confirm the diagnosis by changing large arterial places. This may include: Echo of the Echo: This test uses sound waves to create animated images of the heart during the pulse rate. It shows how blood flows through the heart, its valves and its blood vessels. It can show the places of the two main artery from the heart. The echocardiogram can also show if there are other heart problems from birth, such as a heart hole. X -Ray Chest Photography: The X -ray breast photography shows the heart of the heart and lungs. He cannot diagnose the change of large arteries on his own, but it helps the doctor to see the size of the heart. Electrical Planning (ECG or ECG): This simple non -Painful -procedure records the electrical activity of the heart. And in it it is stuck to the leather channels, known as the electric poles on the chest, and in some cases on the arms and legs. The electrodes connect wirelessly to a computer showing the test results. It is possible to make the electrical planning of the heart clear whether the heart beats very quickly, very slowly, or that there is no imbalance in its speed. Treatment to change the large veins of the veins needs all babies who have a complete exchange of large veins (the right exchange of large arteries) to solve the heart problem. The treatment of congenital exchanges corrected for large arteries (the left exchange of large arteries) depends on the timing of the diagnosis of the condition and other pathological conditions in the heart. Medicine for the treatment of arterial change before the arterial exchange surgery, the child can get a medicine called Albrostadil (Caverjce and Edex or others). This drug increases the blood flow. It helps to bloom the blood that does not have oxygen with oxygen -loaded blood. Surgery or other procedures usually perform surgery that changes large arteries during the days or the first weeks after birth. The identification of the therapeutic options depends on the type of change of large arteries. Not all cases of congenital corrected places ask for surgical intervention. Among the operations and other treatments used to treat the change of large arteries: in the child’s body. The arterial liaison process: These are the most common surgeries used to correct the replacement of large arteries. During this operation, the two chief of the heart can be corrected to their right place, as well as other heart problems that exist from birth. Boezem linking process: The surgeon spreads the blood flow between the two upper heart rooms. After this operation, it is necessary to pump the lower right heart room to the body, not just after the lungs. Rastli Procedure: This operation can be performed if the child has a change in large arterial places, and also a hole in the heart known as the defect of the ventricular barrier, where the surgeon uses the hole and is used and directed at the blood flow of the lower left heart chamber to the aorta, which allows the blood to the blood. While the artificial valve reaches the right heart room with the pulmonary artery. Double linking procedure: The doctor used this complex surgical procedure to treat the innate corrected locations, where the blood flow to the heart is again, and the large arterial compounds are replaced, allowing the bottom left heart room to pump the blood saturated with oxygen in the aortic. Other heart problems in babies born with large veins are often. It may need other surgeries to correct these heart problems. Surgical intervention may also be needed to treat complications that change the large arteries. The doctor may recommend a heart attack system if the changes of large arteries change the incidence of heart rate. After undergoing correction operations, large arterial places are changed, and the condition requires lifelong care and follow -up with a doctor who specializes in the heart problems that were present from birth, or known as an innate heart disease doctor.