00:00ཁંરངས ད�གતེས ཅંરིག ར�ાར ཤེསར མལ�ས ཇંરང ར�ར འིགરིག སར ར�ར འིགત� ར�ར འིགડ མཤར འིགતེས
00:30We will do this again.
00:32Hello, Dr. Inleka Swagadam.
00:35Dr. Inleka Swagadam, I will ask questions about the question of the children's children.
00:41Children's children usually are children.
00:45They are usually a group of children's children.
00:49In the past, if there is anygenicum, you can get a little bit of a pediatrician.
01:00If you have a treatment for those who don't have anygenicum, you can get treatment for those who don't have anygenicum.
01:10Now what do you call congenital hard disease?
01:14Conjunctal heart disease is a developmental problem
01:17In pregnancy, there are a lot of problems in the fetus in pregnancy
01:24It is a heart form in the fetus in the fourth week
01:29In the fourth week, in the eighth week, there are changes in the chambers in the heart
01:37During the formation, there is a damage or a heart defect in the formation process
01:48Do you know how many people are doing this?
01:51On a proven genetic basis, there is a lot of evidence to prove it
01:58There is a lot of evidence to prove it
01:59There is a lot of evidence to prove it
02:04That is something we have to prove it
02:08It is a multifactor
02:12On the one's genetic basis, there are changes in the development
02:19There is no quality of life or anything
02:22There are very few diseases
02:25There are many pregnancy loss of parents
02:28We have to do genetic workup
02:30There are a lot of genetic issues proven
02:33We also have to counsel that for the pregnancy.
02:39During the pregnancy, we have to deal with the issues that we have to deal with.
02:49To deal with the issues we have to deal with, we have to deal with the issues that we have to deal with.
02:56We say it is simple two things.
02:58Ion supplementation, folic acid, and Ion folic acid supplementation.
03:04If you take this Ion folic acid in a crucial developmental period,
03:08many developmental defects will not happen.
03:11That is proven.
03:14It is always better. Regular monitored pregnancy is always better.
03:20Doctor, if you ask me, we are going to abort in 2-3 years.
03:25We are going to get a heart beat and a heart beat.
03:29Do you think that is something else?
03:32In the medical legal procedures,
03:37we do not have autopsies for these babies.
03:41We don't have to say that we are going to get a heart disease.
03:47That is the reason that we are going to get a heart disease.
03:53We have tested a fetal echocardiogram in pregnancy.
03:57Do you think that is a heart issue?
04:00Definitely.
04:02We have an anomaly scan for the first pregnancy.
04:08There is a general screening of anomalies.
04:11There is a doubt in heart disease.
04:15There is more than one multi-system involvement.
04:18There is a heart disease.
04:20There is a fetal echocardiogram in the fetal echocardiogram.
04:25But if you ask this question,
04:27there is a tendency,
04:29if there is a problem that the parents don't want the baby.
04:34If there is a problem that the parents don't want the baby.
04:38If there is a problem that the parents don't want the baby.
04:43That is not correct.
04:44Correct.
04:45Correct.
04:46That is a definite treatment style.
04:49Now, we have a treatment style.
04:51Now, we have a treatment style.
04:54We have a treatment availability facilities.
04:57We have a treatment 90 to 95 percent heart disease treatable.
05:04It is a cure.
05:05If we treat a simple heart disease, we have to treat a normal life-span.
05:13If we get pregnant, we have to get the time to get IVF,
05:20we have to treat a treatable heart disease, it is not a right decision.
05:31If you have an informed decision, you can consult a pediatric cardiologist or a pediatric cardiac surgeon,
05:37if you have this treatment, that is an informed decision, it is better.
05:42The doctor said that the abortion is going to be continuous,
05:45the heartbeats are going to happen in many cases.
05:50It is not going to happen in a minute.
05:52We have to treat a precious pregnancy.
05:57We have to treat a previous pregnancy.
06:03If we want to treat this voluntarily,
06:06then the chances of having a baby become lesser.
06:09Do we have to treat a pregnancy?
06:15The fetal echo is not 100% confirmatory.
06:19No.
06:20No.
06:21Because when the baby is in position,
06:23there are a few changes,
06:25and we have to treat it 100% accurate.
06:28It is not a result.
06:30There are general observations.
06:32There are problems and chances.
06:35As science improves,
06:37it is not accurate.
06:39It is not accurate.
06:40If we don't have problems,
06:42there is no problem at all,
06:44therefore not there,
06:45or there is no doctor at all,
06:47so we can definitely treat it.
06:52In the past,
06:53there is no doctor at all.
06:56Yes, definitely.
06:57Yes, definitely.
06:58Yes, definitely.
06:59But that is what I wanted to tell.
07:00The fetal echo is a diagnostic screening method.
07:04It is a screening method.
07:05It is 100% confirmatory.
07:06It is 100% confirmatory.
07:07It is 100% confirmatory,
07:08when the baby is in position,
07:10we have to treat exactly the issues.
07:13Yes.
07:14Yes.
07:15But this is a guideline.
07:16There is a pregnancy problem,
07:18there is a baby problem,
07:19there is a high-risk pregnancy unit,
07:22there is a Neonetology back-up unit,
07:25there is a genetic surgery immediately,
07:28there is a cardiologist intervention,
07:31there is a cardiologist in the unit,
07:34and there is a in-house doctor available.
07:36There is a pregnancy continue to do it.
07:40Yes.
07:41I will tell you it is a guideline.
07:44What are symptoms of genitiation?
07:49What are the symptoms of genitiation?
07:50In the past,
07:51we have a genitiation in a few days,
07:53we have a hard time to go to surgery.
07:57It is a major complex heart disease.
08:00To identify that,
08:02definitely a doctor has a presence.
08:05But mostly,
08:07In the heart beat variation, there is no doubt that the blood supply is sufficient to be able to get the doctor's output.
08:18There is a doubt that there is a heart failure, there is a blue baby.
08:22There are a few factors that have been detected by the doctor.
08:27If we have a baby with a VT, if the baby has a bluish sting, we have a doubt.
08:33If you have a pulse oximeter, everybody is familiar with the COVID-19,
08:39that is what you can use.
08:41You can use all the limbs.
08:42You can use both legs and two legs.
08:45You can use 95 saturation of the male.
08:50You can use 85 to 95.
08:54There is a government health program called Pulse Oximeter Screening for Detection of Heart Disease.
09:00That is the same we can do.
09:02There is a lot of questions in the face.
09:04There is a different type of heart disease.
09:06Some of them are late,
09:08some of them are late for 3 months, 4 months,
09:10they are in the hospital,
09:12they are in the heart beat,
09:14they are in the hospital,
09:16they are in the hospital.
09:18Some of them are a bit simpler heart defects.
09:20Some of them are treated or cured,
09:22some of them are treated or cured.
09:24Some of them are crossed into school age group.
09:28Some of them are in the hospital,
09:29some of them are treated or cured.
09:31They are treated when they are treated or treated.
09:33In the hospital,
09:34they are treated when they are treated or hardened.
09:36What are the things that are treated when they are treated like this?
09:38If there are symptoms of the heart disease, the parents are getting a lot of tension with the doctor's message.
09:46If there is a heart disease, there is a lot of tension.
09:52At that time, there is no stress.
09:55There is no heart disease in any treatment.
09:58At best, if you have a consultant, you can do treatment for them.
10:03As parents, we can do a good treatment for a good facility.
10:10After that, the medical treatment is decided by the doctors.
10:14In that open mindset, if I can do what I want to do, I will have confidence.
10:21What are some of the problems in my life?
10:24What are some of the things in lifestyle and other things?
10:29Diabetes, maternal diabetes, maternal age, Down syndrome for babies.
10:35What are some of the causes?
10:37Definitely, very few percentage are always associated with it.
10:42There is no reason for many people.
10:45What are some of the questions about heart disease?
10:48What are some of the complications?
10:51What are some of the diseases that can help us?
10:52There is no need for a significant heart disease.
10:54There is no normal heart disease.
10:56There is no problem for treatment.
10:58There is no other diseases.
10:59No treatment for some of the diseases.
11:00There is no treatment for intensive care treatment for many years.
11:04There is a surgical treatment for many years.
11:06We can try to do it in a normal life span.
11:12So, we will take care of the patients,
11:14and we will take care of the patients.
11:17Unfortunately, we have a stabilization for the medicines,
11:24especially in complex congenital heart disease.
11:27There are some defects,
11:28we have to follow up with VSD and ASD,
11:33if there are defects in the past,
11:38there are maybe 10% of all heart disease.
11:41In other words,
11:43there is an interventional therapy for cardiac catheterization.
11:48There is an angioplasty procedure.
11:51There is a surgical treatment.
11:54The medicines are part of treatment.
11:56If you have any heart failure,
11:58we will take care of it.
12:01Do you want to take care of the heart transplant?
12:04Do you want to take care of the last stage?
12:06There are two situations in the heart transplant.
12:11One is a cardiomyopathy.
12:13It is a condition for the heart and muscle function.
12:17So, usually, it will take care of the symptoms for five or six years.
12:24Then, we will respond to a medicines.
12:27Then, we will take care of the heart failure symptoms for 10, 15 years.
12:31these heart failure symptoms can be controlled by the heart failure symptoms.
12:34But when it comes to that point, the medicines are not effective.
12:38The transplant can be removed by the transplant.
12:42As we say, complex congenital heart disease,
12:46one or two percentage percentage of surgical treatment is beneficial to everyone.
12:56The transplant can be removed by the transplant.
13:00They can be removed by the transplant.
13:03They can be removed by the transplant.
13:04Therefore, there are a few minority of children.
13:07In this situation, there is a problem.
13:11In this situation, there is no problem.
13:14There is no problem.
13:16There is no problem.
13:19Every heart disease can be cured in a crucial period.
13:25There is no problem.
13:26In this situation, there is no problem.
13:28In this situation, there is no problem.
13:30There is no problem in the heart.
13:33There is no problem in the lungs.
13:36If we ask our parents,
13:41we ask them to wait for any problem.
13:46If we ask them to wait for any condition,
13:50we ask them to do treatment in the time frame.
13:54VAD, Ventricular Assisted Device,
13:56that is what you say?
13:59That is a newer type of treatment.
14:02I think that is a heart failure.
14:05In this situation, there is no heart is available.
14:11If there are no such a heart failure.
14:19If there is no heart failure,
14:20there is no such a heart failure.
14:22In this situation, there is no such a heart failure.
14:29Now, the medicine is not effective.
14:31The medicine is the maximum.
14:33The transplant is listed on the list.
14:35If you have a transplant, the heart is not available.
14:38If you have a patient,
14:40a mechanical device will take the heart end function completely.
14:45We call the pacemaker.
14:47The pacemaker will regulate the heart end rhythm.
14:52This is the pumping of the heart end.
14:57We have a lot of information about this.
15:03The basic message is that 90 to 95% of the heart disease is treatable.
15:10It is not a pedicand.
15:12If you have a doctor, you will do the treatment.
15:17If you have a curative or normal life span.
15:24If you have a doctor, you will do the treatment.
15:27Thank you, doctor.
