Congenital heart makes children down syndrome; nutritional deficiency.
REPUBLIKA.CO.ID, JAKARTA – Pediatric cardiologist, Sri Endah Rahayuningsih said, children with syndromes down need to do a screening for examination of the heart to detect if there is a disease congenital heart or not. “About 40-60% of children with syndromes down is accompanied by congenital heart disease, so we recommend screening, then later the pediatrician will first perform a physical exam, if there are additional sounds in his heart, “he said in a discussion titled” Congenital Cardiology in Down’s Syndrome “with the Indonesian Pediatrician Association (Indonesian Pediatrician Association) .IDAI) which was followed online in Jakarta, Thursday (10/28/2022).
Explain to the children Down syndrome, there is an excess of chromosome 21 which should be a pair, but it becomes three, so it is often called trisomy 21. The chromosome carries the properties that will become organs ranging from the brain, to the formation of the blood system, to the endocrine hormones and to the system cardiovascular or cardiac system.
In children syndromes down, excess chromosomes cause interference with organ formation. Therefore, children with Down syndrome are often accompanied by congenital heart disease.
“Because there is a chromosomal disease, the organs that form are automatically disturbed, so that eventually the heart that forms is often accompanied by abnormalities,” he said.
He said that congenital heart disease in Down syndrome has various types and symptoms, such as frequent shortness of breath, difficulty gaining weight, and frequent blue attacks (the baby’s body looks blue). “The most frequent heart defects in syndromes down is Patent Ductus Arteriosus (PDA), so there can be a leak in the hole between the right atrium and the left atrium, and in the blue type it can also be like Fallot’s tetralogy (low-oxygenated blood coming out of the heart), ” Endah said.
If there is a strong suspicion of congenital heart disease, the doctor will do a chest X-ray, then an electrical examination of the heart with an electrocardiogram (ECG).
“If the suspicion is very high, a pediatric cardiologist will be consulted for echocardiography. As congenital heart disease is detected and treated, God willing, the results will be good,” Endah said.
Congenital heart disease that many children suffer from syndromes down they often render them unable to obtain a good nutritional supply, so that their nutritional status is below standard and they are susceptible to viral infections from the environment. The best way to prevent children from getting infected is to keep all sources of the virus away.
“Advice If you suffer from this disorder, avoid infection with the people around you, meet the baby and kiss him No not at all, due to the source of the infection. Love a healthy environment, “said the doctor from Melinda 2 Hospital in Bandung.
source: Tra
