Congenital heart disease and hearing impairment are two key diseases with high incidence and heavy disease burden that affect the health of newborns.

The health of children is the top priority of many families, and once there is illness, parents are very distressed

On August 25, under the guidance of the Department of Maternal and Child Health of the National Health Commission, Tencent released the "Red Umbrella Plan", which will systematically improve the ability of medical institutions to screen, diagnose and treat major diseases of women and children through the construction and implementation of the innovative model of "screening diagnosis and treatment of one network", and help improve

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Congenital heart disease: two early screening points to know!

"The incidence of congenital heart disease in China is 7 ‰ to 8 ‰, and there is still a trend

What are the causes of congenital heart disease?

Professor Zhang Hui said that the occurrence of congenital heart disease may be related to a series of genetic factors, environmental factors and so on

How to detect congenital heart disease early?

Professor Zhang Hui suggested that at 18 weeks to 24 weeks of pregnancy, pregnant mothers should do a fetal echocardiogram examination, which is a special examination for the fetal heart, which can observe the shape of the heart and be used to check the organic lesions of the heart, mainly malformations, such as ventricular septal defects, atrial septal defects, etc

What are the treatment methods for congenital heart disease?

The current treatment of congenital heart disease mainly includes two categories, one is traditional surgical open surgery, and the other is interventional occlusion surgery

"The vast majority of patients with congenital heart disease are no different from normal people after treatment, the same work, life, study, normal marriage and childbirth

Newborn deaf children: Early detection is key!

"The incidence of neonatal deafness is 1‰ to 3 ‰, and at present, there are 20,000 to 30,000 newborn deaf children in China every year

What are the causes of new children with deafness?

"50% to 60% of children's deafness is inherited, which is caused by genetic mutations

How to detect children with deafness early?

Judging whether a newborn has a hearing impairment requires careful observation by parents, for example, children have reactions to very subtle sounds, are very sensitive, and most of them have no major problems; But if the child is not sensitive to sound, pay special attention, repeated tests, test with a variety of sounds, if the child is found to be insensitive to a variety of sounds, you need to find a doctor to identify and diagnose

Some children are 3 or 5 years old and are not found deaf by their parents until they start seeing a doctor

What are the treatment options for neonatal deafness?

If the child is suspected of being deaf, further clarify the extent of deafness and determine whether it is conductive deafness, mixed deafness, or sensorineural deafness

To prevent birth defects, these points are important!

Prevention of birth defects, in addition to the more familiar active marriage tests, pregnancy tests, regular obstetric examinations, folic acid supplementation, according to the "Birth Defects Prevention and Health Education Core Information" issued by the National Health Commission, the prevention of birth defects should also pay attention to the following aspects (2).

1.

Pregnancy in women over 35 years of age is an advanced pregnancy, which increases the risk

2.

Before and during pregnancy, contact with lead, mercury, benzene, formaldehyde, pesticides and other toxic and harmful substances should be avoided, and exposure to radiation
should be avoided.

3.
Actively treat your own diseases

Women who plan to become pregnant, such as cardiovascular disease, diabetes, thyroid disease, lung disease, mental disorder, autoimmune disease, etc.
, should be actively treated and prepared to become pregnant
after the disease is cured or the condition is stable.

4.
Use medication with caution during pregnancy

Illness during pregnancy may have adverse effects
on maternal and fetal health.
Pregnant women should seek medical treatment in time, use drugs rationally under the guidance of doctors, and do not use drugs without authorization, nor refuse to take necessary drugs because of excessive concern about the impact of drugs
on the fetus.

5.
Timely screening of newborns after birth

Newborns should be screened for diseases such as phenylketonuria, congenital hypothyroidism and hearing impairment after birth, so as to promote early detection, early diagnosis and early treatment of congenital diseases; Children aged 0 to 6 years shall receive regular child health services
.

"Red Umbrella Plan", screening and treatment of a net

"There is a real gap between different regions in the current level of screening for birth defects
.
" Both experts mentioned the gap in the level of diagnosis and treatment in different regions
.
Professor Zhang Hui believes that in order to improve the level of screening and diagnosis and treatment of congenital heart disease in areas with relatively backward medical standards, it is first necessary to strengthen the professional training of grass-roots doctors and improve the diagnosis and treatment technology of grass-roots doctors; Second, it is recommended that echocardiography be included in pregnancy tests or newborn screening as a mandatory item; Finally, social welfare organizations actively participate in science popularization
.

Professor Dai Pu said that "screening a net for diagnosis and treatment" is a good concept, and the screening is for discovery; A specific diagnosis is then made, whether it is mild or moderate deafness, or severe or very severe deafness; Finally, for children with deafness, the best rehabilitation and intervention are provided
.
The ultimate goal is to bring these children back into society
.

The "Red Umbrella Plan" will be gradually implemented in low-resource areas in the central and
western regions.
On the basis of the accumulation and effective management of provincial big data by the pilot regional health commissions, Tencent will make full use of the advantages of technology and platform to build a benchmarking model of "screening diagnosis and treatment of major diseases in infants and young children", to achieve the whole chain management from screening, diagnosis, treatment to rehabilitation, as well as full coverage of infants and young children aged 0-6 years, and promote the full popularization
of early screening and early diagnosis and treatment 。 It is understood that the plan starts from the two birth defects of congenital heart disease and hearing impairment, and ultimately hopes to promote the screening rate of newborn congenital heart disease, the positive recall rate of congenital heart disease and hearing impairment to increase significantly, and the children are not treated due to family difficulties or return to poverty
due to illness.

According to reports, the "Red Umbrella Plan" starts from the pilot projects of Guyuan and Wuzhong in the Ningxia Hui Autonomous Region, starts from the screening and treatment of congenital heart disease, and hopes to explore a model suitable for the actual situation of low-resource areas in the central and western regions, and then promote it to more regions; In the future, the plan will also be extended to more areas of
high incidence of women and children.