Medical road ahead

"Pediatric Burr-Williard syndrome?" Qiao Tan asked immediately.

Tan Xi nodded, "Nine times out of ten it is this disease, but I have to go and see it myself to be sure."

After finishing speaking, she looked at the nurse and asked, "Has the baby been sent to the nursery?"

"Well. Because the tongue is too big, we are worried about affecting his normal breathing, so we put him on a ventilator temporarily." The nurse said.

"Go and have a look."

Tanxi took the lead and strode towards the nursery, while the nurse trotted to follow.

"Doctor Qiao, can you take the two of us over there?" Zhou Mo asked immediately.

"Will it be inconvenient!" Zhou Mo's husband said.

"It's okay, just don't make any noise."

Qiao Tan nodded with a smile, and then brought the couple to the nursery.

"What about..."

Because the tongue is too big, it hinders the baby's vocalization. He can't cry loudly like other babies. He can only moan intermittently from his throat, which makes the adults around him feel very distressed.

Especially the mother-to-be, Zhou Mo, looked at the baby's huge tongue protruding from her mouth, frowning, touched her pregnant belly, and asked softly, "How can you breastfeed the baby with such a big tongue?"

Tan Xi said: "He can't eat by mouth now, and can only deliver nutrients to him through a gastric tube."

"Stomach feeding?" Zhou Mo was surprised.

Tan Xi nodded heavily, and carefully probed towards the baby's navel, "The navel is protruding, and the width of the base has exceeded 6cm."

Then, she took a step back, glanced at the baby on the bed next to her, and then turned her head to look the baby up and down, "The body is obviously larger than the average newborn, in the shape of a giant."

"Have you tested his blood sugar yet?" she asked the nurse.

"not yet."

The nurse shook her head and asked doubtfully, "What's wrong with this baby?"

Tanxi didn't answer right away, but greeted the nurses present, and after they all gathered around, he said in a soft voice: "Although I haven't given this baby X-ray, B-ultrasound, echocardiography, contrast imaging, etc. Diagnosed, but according to his physical characteristics, it can be determined that the baby is suffering from Beau-Way syndrome, that is, protruding navel, macroglossia, macrophysia syndrome, also known as EMG syndrome, Wiedemann type II syndrome, Wilm tumor and hemihypertrophy syndrome , Beckwith syndrome, neonatal hypoglycemia giant viscera giant tongue syndrome, etc."

Seeing that everyone was confused, Tanxi elaborated: "This is a rare congenital deformity, the main features are omphalocele, megaglossia and macrophysis, and it can also be accompanied by other deformities and abnormalities, such as hypoglycemia, visceral hypertrophy, Half body hypertrophy, small head, abnormal umbilicus, facial erythema, cryptorchidism, yin pedicle hypertrophy, cardiac malformation, megakidney, megaureter, megaphthalmia, etc. It is also related to some tumors, and it is an autosomal dominant inheritance. It may also be polygenic."

"I've taken care of so many babies, and it's not like I haven't encountered deformed babies, but this is the first time I've met a giant tongue baby." Someone said.

"At first glance, it looked like he was making faces at us," another said.

Hearing this, everyone realized that although the baby was showing his big tongue outside, he couldn't cry normally, but his expression was not in pain, and there seemed to be a smile on his face, especially with the big tongue sticking out, It's really like making faces.

"Can this disease be cured?" Someone asked.

The rest of the people were also very concerned about this issue, and they all looked at Tanxi.

Tan Xi nodded and said, "It can be cured naturally, but it needs a slow process."

"Then what should be done to get the baby's tongue back?" Someone asked again.

"Cut off part of the tongue." Tan Xi said.

"Huh? Excision?"

Hearing this, everyone looked at each other in astonishment.

"No way, if it is not removed, the child is likely to choke on his own tongue and suffocate, and as he grows older, the big tongue will also hinder his speech and affect his appearance. However, it is not removed now, we have to wait for him The front wedge resection of the tongue can only be performed after 6 months of age," Tanxi explained.

"If the tongue is cut, will the baby be cured?" Zhou Mo asked.

"That's just one of them, because it's not just a big tongue problem."

Tanxi pointed to the child's protruding navel, and further explained: "Omphallocele is the second most serious disease that threatens the life of children, and plastic surgery should be performed in time. In addition to the problems of omphalocele and macroglossia, the baby's hypoglycemia must also be corrected in time. .Although the baby has not been tested for blood sugar yet, I speculate that nine out of ten he suffers from hypoglycemia, and hypoglycemia is the main disease that threatens the life of newborns, and it should be the first concern in treatment."

Later, she arranged for a nurse to do a blood sugar test on the baby. As she expected, the baby did suffer from hypoglycemia.

She immediately ordered: "Supplement him with 10% glucose solution quickly, and if necessary, add adrenal cortex hormone, which can not only increase blood sugar, but also keep it stable. After that, feed him with sugar, milk, etc. for many times, It can reduce the episodes of hypoglycemia."

After the baby started to treat hypoglycemia, Tan Xi pulled the nurse over and asked, "How is the baby's mother?"

"Being stimulated, coupled with excessive blood loss, people are very weak." The nurse said.

Tan Xi understood, and said: "Take me to her ward to see. This baby must stay in the hospital for about 3 months before his blood sugar returns to normal. I need to tell them about this."

Seeing that everyone was busy with their own business, Qiao Tan took Zhou Mo and his wife out of the nursery and sent them downstairs.

"My baby won't have any genetic disease?"

Zhou Mo caressed her pregnant belly, and stared at Qiao Tan.

"Don't worry, there are still a small number of deformed babies. When you are about 20 to 24 weeks pregnant, you can come to check for deformities."

Qiao Tan embraced her lightly, and after comforting her, he said: "When I return to the office, I will write you a new nutritional diet list and send it to you on WeChat. You must follow the diet above for three meals and two meals." Small meal, you must not be like before, otherwise, if your belly continues to grow, you will only be hospitalized for treatment."

"I understand, I will listen to you this time." Zhou Mo solemnly promised.

After saying goodbye to Qiao Tan, Zhou Mo turned to look at her husband, and said sternly, "Have you heard what the doctor said?"

"Yeah, I took it all down carefully." Her husband nodded obediently.

"Then what if your mother forces me to eat again?" Zhou Mo asked.

"I'll talk to her about it when I go back. Don't worry, I know what's going on."

Zhou Mo's husband took her into his arms lightly, and said softly, "You can rest easy and raise your baby. If you really can't stand listening to her nagging, we'll move out and temporarily rent a house near the community."

"That's what you said!"

Zhou Mo smiled and snuggled into his arms, slowly relaxing.

There are still six months to go, and I must return to a healthy pregnant woman!
"Sister Tu, I want to pursue Xiao Ceramics, you won't object, will you?"

When Qiao Tan went to visit Qiao Jia with afternoon tea, he heard her say this, and immediately rushed in with a pale face, "Qiao Jia, don't go too far!"