कूल्हे का उतर जाना(CDH)
जन्म के समय कूल्हे के उतर जाने एवं सही समय पर इलाज नही होने से बच्चे का पैर छोटा हो जाता है।किंतु सही समय अर्थात जन्म के शुरुआती महीनो में अस्थि विशेषज्ञ की मदत से शिशु को पूर्णतः सामान्य रूप से चलने में सहायता की जा सकती है…..
What does it mean to be diagnosed with CDH?
CDH occurs when the diaphragm (the muscular structure that separates the chest contents (heart and lungs) from the abdominal contents (bowel, stomach, and liver) does not form correctly. This creates an opening between these two cavities, which can allow the abdominal organs to “herniate” into the chest cavity, causing problems for growth and development of the baby. Abdominal organs may be misplaced in the chest, with the most common being the bowel and stomach.
What happens when my child has CDH?
The herniation of the abdominal contents into the chest cavity can cause underdevelopment of the lungs, called pulmonary hypoplasia. This underdevelopment can cause significant breathing issues at birth and beyond. Children with a congenital diaphragmatic hernia require specialized care for the medical complications associated with this condition. Care includes assistance with breathing, surgery to repair the hernia, and long-term health care.
What if CDH is suspected during pregnancy?
Most cases of CDH can be diagnosed in utero using ultrasound. If CDH is suspected, a specialist will evaluate the fetus with another ultrasound to confirm the diagnosis. The Colorado Fetal Care Center uses cutting-edge technology that combines fetal ultrasound, echocardiography, and fetal MRI to evaluate the severity of disease. From there, our fetal specialists can make recommendations for prenatal and postnatal care aimed at ensuring the best outcome possible.
What are the different types of CDH?
There are three different types, or locations, of a congenital diaphragmatic hernia. These types are based on which part of the diaphragm has the defect, and can be described as left-sided, right-sided, or central hernia.
How serious is a CDH?
CDH is a significant diagnosis that will require specialized medical care for you and your baby. Consultation and care from experts are very important to ensure the best outcomes.
What causes CDH?
CDH is an abnormality that forms during the embryonic period of development occurring between 4 and 10 weeks’ gestation. It is likely due to a failure of the pleuroperitoneal folds to close, which leaves a gap in the diaphragm.
Could this have been prevented?
There is no known way to prevent a congenital diaphragmatic hernia.
Do I have to give up my plans for breastfeeding?
No, you do not. Babies with congenital diaphragmatic hernia usually do not feed by mouth for the first several days of weeks of life, but breast pumping and milk storage can be arranged. Eventually, feeding at the breast may be possible. Breast milk contains important nutrients for the baby and breast feeding is encouraged.