In spring and autumn, there is a significant increase in the number of patients with rheumatic heart disease. In the Union Hospital, there are two rheumatic heart disease patients have been living in a ward at the same time for three years in a row, already like sisters very familiar with very familiar. One of them did heart valve replacement surgery in the Department of Cardiac Surgery of the Union Hospital after the Spring Festival this year, and now lives “iron”. Du Xinxin, Department of Cardiac Surgery, Wuhan Union Medical College Hospital
In the past, when it comes to rheumatic heart disease, always think of adults, but now, more and more small sae have heart valve problems. A 15-year-old boy, who looked less than 10 years old. After a careful examination, Professor Du Xinxin told the parents that the child was suffering from rheumatic heart disease and joint valve disease, and that valve replacement surgery needed to be performed as soon as possible, otherwise the child’s development would be affected. Professor Du said that the original is accompanied by the elderly or rural people to open the valve replacement, but now more and more young people need to replace the valve.
Rheumatic heart disease, it’s the bacteria that causes the trouble
Rheumatic heart valve disease, referred to as rheumatic heart disease, is a chronic heart valve lesion caused by rheumatic fever. Many patients are always puzzled, how can a good heart and good valves break down? Especially parents ask, how can a child suffer from adult heart disease at such a young age? Professor Du explained that this rheumatic heart disease is a metabolic systemic disease of the hemolytic Laneococcus infection during adolescence. Generally, when infants and children suffer from pharyngitis and pharyngitis after repeated fever, it will cause a systemic metabolic immune reactive disease, and after about 10 years, it will cause a reaction of the heart valves, and after another 10 years or so, the heart valves will be destroyed and the corresponding symptoms will appear. In addition, wind heart disease is closely related to the daily blowing air conditioning and eating seafood at all times.
Two ways to save the heart
Many patients believe that after suffering from wind heart disease is a dead end, there is no cure, and therefore live in a state of fear all day long. In fact, wind heart disease itself is not terrible, and there are two effective treatments for wind heart disease: heart valve revisionplasty and heart valve replacement.
Simply put, valvuloplasty is the repair of a diseased valve under direct visualization in extracorporeal circulation, which is the process of making a diseased heart look brand new. In some patients, if the valve disease worsens again after surgery, then valve replacement is required again. This means removing the diseased valve and replacing it with an artificial one.
Professor Du said that as long as the patient’s timing is appropriate and the heart function is stable before surgery, the success rate of surgery can reach 99% and the survival rate of 20 years after surgery can reach more than 90%. Those who apply mechanical valves have the possibility of valve failure, however, it is not common, in addition to lifelong anticoagulation therapy to prevent thrombosis caused by the artificial valve, but it should be reminded that a very small number of patients still have anticoagulation accidents every year, organism embolism or bleeding, or even cause serious complications and death.
Early recognition of wind heart disease
The early detection of rheumatic heart disease is actually very good.
1. Patients often have a history of rheumatic diseases, such as laryngitis, tonsillitis, joint pain, etc.
2. Symptoms of cardiac insufficiency: difficulty in breathing, panic, shortness of breath, general weakness, irritability, etc.
3. When the weather is cold, it seems that there is always a breath of air that cannot be taken, gasping for air on the stairs.
3. The simplest medical examination is to listen to your heart, look at your face, and look at your legs, and you will have a rough idea of what to expect. If your face is flushed, especially on the sides of the nose like a rouge, you may have a mitral valve problem, if your aortic valve area sounds like the wind is blowing, then most likely the aorta has a problem, etc. An experienced doctor can experience eight or nine of them.
4. The most common tests, such as electrocardiogram, echocardiogram, X-ray and cardiac catheterization, can basically confirm the diagnosis.
This article was published in the Wuhan Evening News on February 18, 2009