 I feel very, very, very good. I don't know. I think I feel like what I assume a Gormaya fan is feeling right now. Congratulations on your win if Silepa is going to be okay. Don't worry. Don't panic. Things are going to get better. You're watching Why In The Morning and you can find us on Why In The Morning Facebook at Y254Channel on Twitter. Hashtag is Why In The Morning. We are trying to inject some health this Monday, thus health Monday. And there was a run yesterday, the Beyond Zero Marathon. And one of the causes that I saw was I will run for better access to health care. I think so. Better health care access. I'm not too sure which one is which. But I liked it very, very much. And we are going to not be talking about that in particular, but maybe we can use that and slide in real nice. In case you have any question, you know what to do. Now, you know I'm never alone in the studio. Let me introduce to you my very, very able guests. Good morning. Good morning. How are you? Fine. Good morning. How are you? I'm fine. Don't worry. You'll get with the rhythm. Maybe tell us who you are. What's your name? My name is Pitambu Gonjuraga. I am an emergency medical technician and an emergency medical instructor. I found out of Casper Rescue Services. I'm glad to be here. I found out of Casper Rescue Services. Where, where, where, where, where? I really like that. If in case you've never seen me before, I don't know how to help you. You can just go to our YouTube channel. He comes usually with the dummy that I like to call Ian. But now we have very, very beautiful lady in the house. It's the first time so be nice. What's your name? My name is Suzy. Suzy Rimo. Yeah. Where can we find you, make your social media? You can find me on Facebook at Pendo Gishui and on Instagram at Pendo Gishui. Can we also find you on social media but you don't do that? You can find me on social media and Facebook. Kafa kafa. I Instagram Luisi Kafa. Wow. Okay, we'll not comment on the handle. What we're going to is a straight end. Did you go for the marathon? Nope. Did you go? No. But for those who went, congratulations. Okay honestly, when I hear a marathon all I know is it's a race and there's going to be money to be won basically. So this whole beyond zero campaign and all the causes have come to learn recently. I'll run for, what is it? Acceptability for kids who are able differently. There's another one. Oh better screening of cancer. I've seen one for curbing early marriages for young girls. FGM, female genital mutilation. So there's a whole lot that's going on. So how can we tie that into what we're doing today? So today's topic is about kujinetal heart diseases, especially in children. And these diseases occur in the first six weeks when the mother has started now. That's the one and a half months after the mother is pregnant. So some of these diseases start early enough because of some genetic issues. Inside the womb? Yes. Inside the womb. So how can we link back with beyond zero? Beyond zero aim is to limit less maternal or low or nothing. No maternal deaths. No child birth deaths. And also it stops FGM, early marriages. So some of these genital heart issues we have the serious ones and the less serious. The less serious after a child has developed. Oh. Yes. I would have assumed it's the other way round but okay. But now the serious one is now during birth because the six weeks the heart has started developing. So some of these muscles of the heart have started growing in the baby during this gestation period. And this, the horror is called the defects of course because of whatever the mother is taking, some medication. Number two, if the mother is an alcoholic or a smoker can cause heart defects and also German disease which is known as Ribera which is a itagawa koa, the missiles can cause the baby to have the heart defects. So if he or she realises that he or she has a German disease so she should go to the hospital and if she doesn't have anyone she should go to see a doctor immediately and the doctor will give her some immunisation as early as possible to prevent these defects. Something else if the mother is a smoker she should go to the hospital and she should go to the hospital and she should go to the hospital if the mother is a smoker and a drunkard the high chance is definitely during pregnancy especially during pregnancy and also some diseases such as diabetes so if a woman knows she is diabetic maybe hyper or hyper hyper means high blood sugar so when she realises that she has diabetes should go to a doctor and start should be guided on what to do so if she doesn't that may lead to the defects. Peter said that there are a couple of things that maybe a lady can be taken to now create the kind of hostile environment that would cause heart disease or things like that from mihadarati Is there food or lifestyle that someone might be living and they don't know that they are in danger The ladies that do the hard gym workout that can also harm their child and being in a hostile environment and also the the type of clothes they wear Are you serious? Yes If you are pregnant and you are wearing tight clothes there is a story someone told me I was busy getting my head on one random day a while back and they were telling me now she is a mum she went to the hospital and she thought she had delivered things so I think she came to me and told me you can't be just like this she wasn't told that nicely but in some areas it's not like that it's not like that so it's a thing Yes Okay So there is also something that scared me a bit say prenatal care is important It's very important because if you don't take care of pregnant woman most probably it's just a direct indication that both her and the child will be in danger So prenatal care is very important So now what happened say the baby now has developed a heart condition one of the womb and then the baby is out How can you even tell defects there are some types of defects that develop number one you've heard about holes in the heart as in a literal hole in the heart Yes abnormal blood vessels and then there were some of the signs discoloration of the skin So what's the color of the skin grayish rapid breathing the baby gets tired when he or she is eating or breastfeeding those are some of the signs Yes How do you guys deal with these things Baby having heart condition so why she don't take care of it So that's why it's always very important for when our lady is pregnant or expecting he or she he or she is so she should go to for the antinato clinic as early as possible so for example she is pregnant this month so from next month nafako ameaza kuna clinic and when should that stop because I hear you are supposed to stop it years after you've given birth so remember some of the heart diseases are hereditary for example if I have a heart disease there are high chances that my children or the children of my children have heart disease so let's have a situation whether the baby is okay everything is fine prenatal care check then sanjay gives birth and then suddenly they have heart defects first of all how do you tell that the baby is now suffering from a heart condition again I like to target new mothers because that's what people freak out about you don't know what's wrong you barely know how to breathe now something looks like it's wrong what do you do when the baby starts looking tired how would you advise someone to that's so obvious when you notice there's something wrong with your child immediately take them to the hospital because if you take time the more time you take the more serious the child gets so it is very important to take the child direct to hospital then you find out it has a heart disease how don't you move on from that after that they will start having the drinks but before then it's very good for the expector ladies at least to be taught the negatives if I see my child is like this what should I do because most of the first aid skill I am not sure and if that happens they panic a lot most of the times they are alone so she will forget that I am supposed to call for an ambulance at a sour up he will freeze that instant panic so it's very good for young mothers to know the basic life saving skills so if you see your child starting having sinosis which is a great blood discoloration of the skin call for an ambulance and rush that person rush the baby to hospital from their hands forth the baby will be done the tests which will determine what is the problem and some of the cases they can be controlled at situational levels if for example a mother knows here that she is a drinker or a smoker so and diabetes asipo jangali amas ko fatama gizwa daktari especially when it comes to the diet it will affect the child remember also stress is an issue that may cause ya but life hainaga break hainaga break but especially the first three months are very delicate because remember the babies when we call it the first time so pressure and stress affecting the growth of the baby remember I said as I said earlier they have to take the first six weeks the baby is hotter started developing so any trigger you you have may actually affect the baby so the young mothers we encourage them to have chills to have shock absorbers but most of them don't have and you have to understand them at the end of the day and also encourage them to go for prenatal care which in most the public hospitals is not costly you have NHIR which will cover for that because that was my next question yes so as you link back to beyond zero that's the importance of the run that was yesterday there are a lot of children that die because of maternity maternity issues arising defects because of their mother does not know how to take care of herself or what to eat during pregnancy and what not to eat what not to do during pregnancy so if they don't have this knowledge remember they know the time the baby will be affected I feel like adding aunty first lady can we add zero makasiruko into one of those causes because it seems like it's important to have zero makasiruko guys yes I want to imagine your doctor pendo and let's say I'm expecting and I come and tell you okay perhaps maybe my husband's family has the history of heart disease that in turn means maybe my baby has heart disease how would you advise me first of all I'll just tell you to continue with the clinics and if you take care of yourself you're taking care of the baby so if you follow the instructions that I will be giving you take care of the baby eat well avoid stress and yeah just be safe I think that will work if I was a diabetic and I'm expecting how would you advise me to play with my diet there is a way before you're diagnosed you're given the diet you should be taking the type of medicine you should be taking and the time you should be taking the medicine so if you're diabetic you obviously know that you're not supposed to take your medicine if you're hungry or before you've eaten yeah most of most of the time when you're hungry so if you take your medication and it affects you obviously it will affect the baby and there's no forgoing off the medication until you get there that is not advisable don't do it at home we have a friend who is diabetic and I've seen some of this talk I didn't understand at first how akura food is a food item and I imagine it must be almost twice as hard for someone who is pregnant because now you're hungry for two so it's a lot it's a lot na saka kevongi ame pati leki tu na me budoka how would you advise someone to get emotional support you can go for counselling if you can if you have friends yeah you can also have you can have a friend that you can always talk to avoid thinking of the kevo just be positive and remember you live your life good for the baby not for kevo and now it's not about you it's not about kevo so when you're okay the baby is okay we are championing awareness here and I'm seeing that we're focusing a lot when the baby is still in the womb what would your punchline be if you had come up with a headline just to shock people into paying attention you know there are sige sige have funny pictures what would your punchline be for creating awareness for this type of situation for heart disease wow look at him go I did congratulations and why child heartbeat child heartbeat because it's good to see a child grow and it's painful to see a child personally when it comes to me if I see my worst cases for children they put me off I really break because I feel like the baby does not deserve what happened so the baby is very I will say child heartbeat because I don't know what child will beat for because I've grown so I've seen the beauty of life I would like that child to see the beauty of life have fun enjoy life take life simple so it will be very heartbreaking that child dies because of something that could have been done something that could have been stopped you see heart heart surgeries are very expensive and most of these kids don't have the money to cater for themselves other parents don't have money to cater for the child's survival so at the end of the day it's a loss to us because the baby is now gone so that's why I will choose child heartbeat that no child deserves to die but the child deserves to have child heartbeat every day I feel like putting some money right where that was I know how he feels about child cases how do you feel have you encountered well as an EMT in the line of duty have you encountered severe cases of children yes I have and apart from being an EMT personally it has I have come across it wow can you give us an example just a family member of mine lost the baby when she was due I'm so sorry so it really broke me so bad and when I see someone when I see a mother losing a baby I always see her and it really breaks so I always tell her if I have if I meet a pregnant woman who is giving up I always tell that person to take care take care of herself because take care of the baby because there's another mother who wanted the baby and couldn't get the baby but this other one doesn't want to have the baby so it really breaks when you see a baby passes on and maybe the mother had a lot of expectations for the baby and all that yeah it breaks a lot okay now I guess I'll explain it to you a little bit we come this way and I ask you a very random question now I saw this in a series but I have to ask because it sounds so scientific and almost true so apparently there's this syndrome called broken heart syndrome where something happens and then you're legit so heart broken you heart literally beats faster and then the muscles see at home is it true remember taking some news is very difficult remember if you get good news the baby is so excited and the pressure becomes too much blood pressure increases the same way people who are like that people are different the people who even we tell them anything but they'll be cool but when we say we don't say that's sudden so that anger or somebody has disappointed you totally some people do collapse people do collapse so you come back to our then start CPR wow okay this is very interesting can I ask you a question because yesterday was International Women's Day happy International Women's Day happy International Women's Day so how would you I want to phrase this because I want to talk about the guys who are in this now pregnancy situation because so how do you balance all these hormones but we live my mum always tells me everything is in your mind if you start saying that is in your mind because you see not everyone will react the same way atia rufejua or atji na takakulai no that is in your mind if you think of it that is when you'll want it oh so the pregnancy you're not controlling me it's me who's controlling I don't want to say people maybe we're serious so maybe as we wrap this up what would you like the audience to take home if they missed most of the interview and this is the part that they're getting what would you like them to take home young mothers should take care of themselves because they young mothers should take care of themselves because at this point that baby needs your support mentally, physically and also emotionally and also encourage young mothers to go for pre-natal care go to that doctor go see the guide and understand how your baby is praying because all that will be good to go and remember the end of the day that child needs a heartbeat so keep beating for that child na ni we're going to give you a prize after this I want no wait it has fascinated me over the years to realize a lot of things are very very intensely linked to mental health so how important would you say mental health is in this whole process of being pregnant, of taking care of yourself taking care of the baby how would you advise the young mothers out there how would you tell them to guard their heart and their mind first of all you have to accept if you accept everything goes on and once you accept you have to focus on the months the nine months you have ahead of you and the life of the baby and how to take care of the baby just be positive if you're positive everything goes well and remember remember that if you have the baby love when the baby grows you'll always be proud of the baby no matter what happens before we conclude it's a it's something that the government should take about this about having this health care while you are talking about you forget we are talking about more mothers around here but what about those who don't have access to health care facilities even basic so I really encourage the government and the EMT recognition if EMT is recognized at least we'll have access to emergency vehicles which will be able to move this this mother the facility because some of the mothers die because of they have no to evacuate them so we really encourage in this a bill we are proposing to the parliament that we hope the parliament guys will see some sense in it and the common ones out there never will have access but what about those who go in the interior sections kumashamba maybe the nearest health health center at least health centers they can be able to at least help a lady to give birth now you can imagine the pain that mother will be going through so it's something the government should take into consideration as much as we say it's BM0 let's make this universal health care a reality yes peace on the shelf of health Monday next is Hilary and he's going to do his magical things in the political arena so don't go away