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Infant Reflux, Vomit and Failure to Thrive


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سمیه محمدی
ارسال شده اسفند 1, 1395توسط سمیه محمدی
دسته: اطفال و کودکان
کل بازدیدها: 124
Salam aghaye doktor, omidvaramke khoob bashid.
man dokhtaram 5 maheshe. ma dar Ireland zendegi mikonim va moshkelate ghalbie dokhtaram vaghti 3 rozesh bod diagnose shod, VSD size motevasset dare, va PDA size e kochik dare va coarctation aorta ke hamchenan hast. moshkele aslish feeding hast va vazn gereftan. alan faghat 5.5 kilo vazneshe. Rafte rafte az dahan shir nakhord va alan kamelan az NG tube shir mikhore. Va kheili estefragh mikone, taghriban har dafe mikhore kolli bala miare. Alan shire Neocade LCP masraf mikone ke concentrate dorost mikonim, 5 scoop for 120 ml. va 3 saat yekbar behesh midam, behesh Gaviscon ezafe mikonam va gahi cerelace berenj ezafe mikonam, roozi dobar sobh va shab Losec unti-reflux mikhore 5mg. Aya be nazare shoma in moshkelate failure to thrive va reflux be ghalbesh rabt dare ya inja daran chizio miss mikonan? Contrast Scan kardan ke OK bode. Baraye Mitachandrea test kardan felan manfi bode. Hanuz natijeye Skin biobsy nayumade. Kheili negaranim. kheili mayel bodim iran doktoraye khodemun bebinanesh vali bkhatere khatare coarctation aorta be ma ejazeye parvaz be iran ro nadadan. alan be ma goftan ke yeki az chamber haye ghalbesh bozorg shode va dige bayad amal beshe. emroz tu checkup be ma goftan ke amale ghalbesh behtare ke open heart surgery bashe. Dalileshon in eke goya nazdike VSD ye zaede hast ke esmesho alan yadam nist va in zaede momkene ba roshde bache rosht kone va jeloye valve ro begire va majbor beshan ke ba jarrahi ono beborran va agar amale VSD closure ro ba Key hole device surgery anjam bedan momkene on device moshkel ijad kone. Yek bar ham dokhtaram ro be Cath bordan baraye PDA closure az tarighe device Key hole surgery amma PDA ro nabastan va goftan ke Coarctation hamchenan hast va device yek sare bar amade dare ke tarsidan kar bezaran va jariane khoon ro tang tar kone.
Mitunam nazare shoma ro bedunam? Midunam bedune didan e tasavir va signal haye ECG va ECHO kare sakhtie. Faghat age mishe behemun rahnamayee konin va nazaretuno rajebe ghalbe dokhtaram begin va aya ina inja daran dorost kar mikonan ya na. age iran bodim chetor pish miraft?
Kheili mamnoonam.
Best Regards
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