Ke lohe nei ʻoe i kahi leo ʻē i loko o kou puʻuwai? He "Heart Murmur" anei ia? E kamaʻilio kākou e pili ana i kēia!

Inā e kau ke kauka i kahi stethoscope i kou puʻuwai a ʻōlelo, 'Lohe wau i kahi leo liʻiliʻi i loko o kou puʻuwai, he rumors ia,' ʻaʻole anei ʻoe e makaʻu iki? A i ʻole inā e hōʻike ʻoe i kāu keiki liʻiliʻi i ke kauka a ʻōlelo lākou i kekahi mea e like me ia? He aha maoli kēia rumors puʻuwai, a i ʻole "Heart Murmur"? E kamaʻilio maʻalahi kākou e pili ana i kēia.

He aha ka manaʻo o ka "mumu" i loko o ka puʻuwai?

Ke kuʻi ko kākou puʻuwai, ʻo ia hoʻi, ke kaomi ʻana i ke koko, wehe a pani nā kiwikā o ka puʻuwai. E like me nā puka. Ke pani ʻia kēia mau kiwikā, lohe ʻoe i ʻelua leo i kapa ʻia ʻo 'lub-dub' . Ua ʻike anei ʻoe i ke kauka e kau ana i kahi stethoscope ma kou umauma a hoʻolohe? ʻO ia kāu e lohe ai. Akā, i kekahi manawa, ma waho aʻe o kēia leo 'lub-dub', lohe ʻoe i kahi leo e like me 'whoosh' a i ʻole 'swish' me he mea lā e hoʻopiha ana i ka ea. ʻO ia ka mea a mākou e kapa nei he `(Heart Murmur)`, ma Sinhala, he ʻōhumu o ka puʻuwai. ʻO ke ʻano o kēia, aia kekahi ʻano ʻē iki i ke ʻano o ke kahe ʻana o ke koko ma o nā kiwikā o kou puʻuwai.

He mea anei kēia "Heart Murmur" i hana ʻia e nā kānaka he nui?

ʻAe, he mea maʻamau loa kēia. ʻAʻole paha ʻoe e noʻonoʻo e pili ana i ia mea, ua loaʻa i ka hapa nui o mākou kahi 'pōʻino' ʻole '(Heart Murmur)' i kekahi manawa i ko mākou wā kamaliʻi, ʻo ia hoʻi kahi murmur e kū mai ana me ka ʻole o kahi maʻi kumu. No laila, ʻaʻohe pono e hopohopo ke lohe ʻoe i kēia inoa.

Aia kekahi mau ʻano o ka `(Heart Murmur)`?

Aia. Ua hoʻokaʻawale ʻia kēia mau mea e like me ka wā e lohe ʻia ai kēia leo i loko o ke kaʻina hana kuʻi o ka puʻuwai.

I ka ʻōlelo maʻalahi:

• ʻŌmumu Systolic: Lohe ʻia kēia i ka wā e ʻaelike ai kou ʻiʻo puʻuwai, ʻo ia hoʻi ke kipaku nei i ke koko i waho.
• ʻŌhumu "Diastolic": Lohe ʻia kēia i ka wā e hoʻomaha ai ka ʻiʻo o ka puʻuwai, ʻo ia hoʻi, i ka wā e piha hou ana i ke koko.
• ʻŌmumu hoʻomau: Lohe ʻia kēia i ka wā e ʻūlū ai a hoʻomaha ai ka puʻuwai, ʻo ia hoʻi, lohe ʻia ia i loko o ke kaʻina hana.

Ma keʻano laulā, ʻoi aku ka nui o ka pili ʻana o nā murmurs "Diastolic" a me "Continuous" me ka maʻi puʻuwai. Eia nō naʻe, he mea nui loa ka nānā ʻana i kekahi "Heart Murmur" e ke kauka.

Pehea ka leo o ka "Heart Murmur"?

ʻAʻole mākou e lohe i kēia me ko mākou mau pepeiao. ʻO ka manawa wale nō e hoʻolohe ai ke kauka me ka stethoscope hiki iā mākou ke ʻike maopopo i kēia leo. No ka mea, hoʻonui ka stethoscope i kēia leo.

Hoʻokaʻawale nā ​​kauka i ka ikaika o kēia ʻōhumu, ʻo ia hoʻi, pehea ka nui o ke kani. Aia kahi unahi no kēlā, mai ka 1 a i ka 6.

• Papa 1: ʻAʻole hiki ke lohe ʻia me ka stethoscope.
• Papa 6: Ua lawa ka leo o ka stethoscope e lohe maopopo ʻia ai ʻoiai inā ʻaʻole i kaomi ʻia i ka ʻili.

He aha nā kumu o kēia `(Heart Murmur)`?

E like me kaʻu i ʻōlelo ai ma mua, hoʻokumu ʻia ka ʻōhumu e ke kahe kūpilikiʻi a i ʻole ke kahe koko kūpono ʻole ma o nā kiwikā o ka puʻuwai.

Pehea e hana ʻia ai nā "Innocent Heart Murmurs" hala ʻole, ʻo ia hoʻi, nā "Innocent Heart Murmurs" olakino?

I kekahi manawa, ke kahe wikiwiki ke koko ma mua o ka maʻamau, hiki ke loaʻa kahi murmur puʻuwai "hala ʻole". Ua kapa ʻia hoʻi kēia he murmur "maʻamau" a i ʻole "physiologic". ʻAʻole i hoʻokumu ʻia kēia e kekahi maʻi. He mea maʻamau ia i nā hihia e like me kēia:

• I koʻu wā kamaliʻi: He mea maʻamau kēia i nā keiki ʻōpio.
• I ka hoʻoikaika kino ʻana: Ke holo a lele mākou, e paʻi wikiwiki ana ko mākou puʻuwai, ʻo ia ka manawa.
• I nā wā e ulu wikiwiki ai nā keiki (growth spurts).
• I ka wā hāpai: Hiki ke hana ʻia kēia i ka wā e lilo ai ʻoe i makuahine e hiki mai ana.
• I nā lā mua ma hope o ka hānau ʻana o ke pēpē.

Hiki i kēia mau ʻōhumu maʻemaʻe ke hele mai a hele aku, a laila hoʻi mai. Hiki iā lākou ke piʻi aʻe ka leo nui ke paʻi wikiwiki kou puʻuwai. ʻO ka hapa nui o ka manawa, nalo lākou iā lākou iho i ka hala ʻana o ka manawa. Akā no kekahi poʻe, hiki iā lākou ke mau no ke ola holoʻokoʻa. ʻO ka mea nui, ʻaʻole manaʻo kēia mau ʻōhumu maʻemaʻe he hewa kekahi mea me kou puʻuwai.

ʻO nā Murmurs o ka naʻau, i hiki ke hana ʻia e ka maʻi puʻuwai a i ʻole kekahi ʻano ʻē aʻe

Hiki ke hana ʻia kekahi mau "Heart Murmurs" e kahi maʻi puʻuwai a i ʻole kekahi pilikia olakino ʻē aʻe. E nānā kākou i ke ʻano o lākou:

• Anemia: ʻO ke ʻano kēia o ka emi ʻana o ka nui o nā hunaola koko ʻulaʻula i loko o ke koko. Hoʻopilikia kēia i ka mānoanoa o ke koko, hiki ke alakaʻi i kahi murmur puʻuwai. ʻO nā hōʻailona e komo pū me ka nāwaliwali a me ka luhi. E noʻonoʻo, ua luhi mau ʻo Nimali a ʻaʻole hiki ke hana i kekahi mea. ʻIke wale ʻo ia he haʻahaʻa kona koko ke hele ʻo ia i ke kauka. Loaʻa iā ia kahi murmur puʻuwai.

• ʻO ka maʻi Carcinoid a i ʻole ka maʻi puʻuwai carcinoid: He maʻi kanesa lohi kēia. Hoʻokumu ʻia e nā hormones keu, hiki ke hoʻopilikia i ka puʻuwai. Hiki iā ʻoe ke ʻike i ka pohō kaumaha, ka ʻeha o ka ʻōpū, ka maʻi kahe, a me ke koko haʻahaʻa.

• ʻO ke kīnā puʻuwai hānau: He pilikia me ke ʻano o kou puʻuwai, a i ʻole ke ʻano o kona hoʻokumu ʻia ʻana, i hānau ʻia me ʻoe. No ka laʻana, he lua i loko o ka puʻuwai (he `septal defect`) a i ʻole nā ​​kūlana e like me `Tetralogy of Fallot`.

• Endocarditis: He maʻi kēia o ka puʻuwai. Hiki i nā bacteria a i ʻole nā ​​​​​​huakino ʻē aʻe ke komo i ke kahe koko a hoʻouka i nā valves o ka puʻuwai. Hiki i kēia ke hana i nā hōʻailona hou aʻe e like me ke kuni, nā anu, nā ʻulaʻula ʻili, a me ka ʻāʻī ʻeha.

• ʻO ka maʻi valve puʻuwai:ʻO ke ʻano kēia, ʻaʻole hana pono kekahi a ʻoi aku paha o nā kiwikā o ka puʻuwai. A laila, ʻaʻole kahe pono ke koko. No ka laʻana, hiki ke paʻakikī kahi kiwikā (`valve stenosis`). A i ʻole ʻaʻole paha e wehe a pani pono. Hiki ke kahe ke koko i ke ala hewa (`valve regurgitation`). I nā manawa e like me kēia, hiki ke loaʻa nā mea e like me ka pehu ʻana ma nā kuʻekuʻe wāwae a me nā wāwae, ka manaʻo ʻana i ka puʻuwai e kuʻi wikiwiki ana (`palpitations`), ka paʻakikī o ka hanu ʻana, a me ka paʻa o ka umauma.

• Hyperthyroidism: ʻO kēia ka manawa e hana nui ai ka thyroid gland i ka hormone thyroid. Hiki i kēia kūlana ke hoʻomaha ʻole, hoʻonui i ka makemake, puʻuwai wikiwiki, a me ka pohō kaumaha.

• ʻO ka cardiomyopathy hypertrophic: He ʻano maʻi puʻuwai kēia e hoʻonui ai, mānoanoa, a ʻoʻoleʻa paha ka ʻiʻo puʻuwai. Hiki ke hoʻoilina ʻia, a i ʻole hiki ke ulu me ka ʻelemakule a i ʻole ma muli o ke koko kiʻekiʻe. ʻO nā hōʻailona ʻē aʻe e komo pū me ka nāwaliwali (syncope), ka ʻeha o ka umauma, nā palpitations, ka luhi, a me ka pōkole o ka hanu.

He aha nā hōʻailona o ka `(Heart Murmur)`?

ʻAʻole hōʻike kekahi mau "Heart Murmurs" i kekahi mau hōʻailona. ʻIke ʻia lākou i ka wā o kahi hoʻokolokolo lapaʻau maʻamau.

Eia nō naʻe, ma muli o ke kumu o ka rummar, hiki iā ʻoe ke ʻike i nā hōʻailona e like me:

• ʻIli polū (ʻoiai nā lehelehe a me nā manamana lima)
• ʻO ka ʻū mau
• Ke manaʻo nei i kou puʻuwai e kuʻi wikiwiki ana (palpitations)
• ʻEha a ʻeha paha ka umauma
• Paʻakikī ka hanu ʻana
• Ka nalowale koke o ka ʻike (syncope) a i ʻole ka manaʻo o ka nāwaliwali

Pehea e ʻike ai ke kauka i ka "Heart Murmur"?

E hoʻolohe ke kauka i kou puʻuwai e nānā i kahi "Heart Murmur". Inā he murmur, e lohe ʻoe i kahi leo ʻē, e like me ka 'whoosh' a i ʻole 'swish' aʻu i ʻōlelo ai.

E kau ke kauka i ka stethoscope ma nā ʻāpana like ʻole o kou umauma a me kou kua e hoʻolohe i kou puʻuwai. E nānā pono lākou i kēia mau mea:

• Ke lohe nei ʻoe i kekahi mau leo ​​ʻē aʻe ma waho aʻe o ke kani 'lub-dub'?
• Pehea ke ʻano o ke kani? (`Pitch`)
• Ka ʻano o ka puʻuwai (`Rhythm`)
• I ka manawa hea o ka puʻuwai e lohe ʻia ai ke kani? (`Manawa`)
• Pehea ka nui o ke kani? (`Leo nui`)

Ke hoʻomanaʻo nei ʻoe i ke ʻano o ka haʻi ʻana a ke kauka iā ʻoe e hana i nā mea i ka wā e hoʻolohe ana me ka stethoscope? ʻO ia ke kumu o ia mea. Eia kekahi laʻana:

• ʻŌlelo lākou e lulu lima.
• ʻŌlelo mai ʻo ia iaʻu e noho i lalo.
• ʻŌlelo mai ʻo ia iaʻu e kū aʻe mai ka noho ʻana i lalo.
• ʻŌlelo mai ʻo ia iaʻu e moe i lalo ma ka honua.

He aha nā hoʻokolohua a ke kauka e hana ai inā lohe ʻo ia i ka "Heart Murmur"?

Inā lohe kāu kauka i kahi ʻōhumu, pono lākou e hana i nā hoʻokolohua hou aʻe e hoʻoholo ai inā he pilikia olakino ke kumu. Hiki ke kuhikuhi ʻia ʻoe i kahi kauka puʻuwai.

Hiki ke hana ʻia nā hoʻokolohua ma lalo nei e ʻike ai i ke kumu o ka "Heart Murmur":

• X-ray umauma:Lawe kēia i nā kiʻi o loko o ka umauma e nānā i nā pilikia kūkulu i loko o ka puʻuwai a i ʻole nā ​​​​māmā.
• ʻEchocardiogram (a i ʻole echo): Ua like kēia me kahi scan ultrasound o ka puʻuwai. Hoʻohana ia i nā nalu kani e hana i nā kiʻi o nā valves a me nā keʻena o ka puʻuwai. Kōkua nō hoʻi ia i ka nānā ʻana i ka maikaʻi o ka puʻuwai e pamu ana i ke koko. Hiki i kēia ke lilo i scan i hana ʻia ma o ka ʻili, a i ʻole he echocardiogram transesophageal, kahi e hoʻohana ai i kahi mea hana kūikawā ma o ka waha a me ka puʻu. Hiki i kēia ke hana i nā kiʻi maopopo o ka puʻuwai.
• Electrocardiogram (ECG a i ʻole EKG): He hoʻāʻo ʻeha ʻole kēia e ana i ka hana uila o kou puʻuwai. Hiki iā ia ke ʻike i nā pilikia me ka puʻuwai o kou puʻuwai a me nā hōʻailona o ka hōʻeha puʻuwai.

Pehea e mālama ai i ka `(Heart Murmur)`?

ʻAʻole pono ka hapa nui o nā `(Heart Murmur)` i kekahi lāʻau lapaʻau. ʻAʻohe mea e hopohopo ai no lākou. ʻOi aku hoʻi kēlā mau ʻōhumu `hala ʻole'.

Eia nō naʻe, inā i hoʻokumu ʻia kahi ʻōhumu e kahi maʻi koʻikoʻi, pono paha ʻoe i ka lāʻau lapaʻau e like me kēia:

• Nā lāʻau lapaʻau: No ka laʻana, nā pila hao no ka anemia, a i ʻole nā ​​​​lāʻau lapaʻau e hōʻemi i ka hana thyroid.
• ʻOki kino: I kekahi manawa pono ke ʻoki kino e hoʻoponopono i ka valve puʻuwai a i ʻole e pani iā ​​ia me kahi mea hou.

ʻO ka mea nui loa, ʻo ia ke nānā pono ʻana o ke kauka i ka mea maʻi a hoʻoholo i ke kumu o ka murmur a inā pono ia e mālama ʻia.

Hiki ke pale ʻia ka Heart Murmur?

ʻAʻohe ala maoli e pale aku ai i ka "Heart Murmur". No ka mea, he hānau ʻia kekahi, a ʻo kekahi ua hoʻokumu ʻia e nā maʻi ʻē aʻe.

Eia nō naʻe, hiki iā ʻoe ke mālama i ke olakino o kou puʻuwai. ʻO ka loaʻa ʻana o nā nānā maʻamau a me ke ola ʻana i kahi nohona olakino (ʻai maikaʻi, hoʻoikaika kino, a me ka puhi ʻole ʻana) hiki ke hele i kahi ala lōʻihi i ka hōʻemi ʻana i ka pilikia o nā pilikia koʻikoʻi i hoʻokumu ʻia e ka maʻi puʻuwai.

He aha ke kūlana olakino o kekahi me ka `(Heart Murmur)`?

Aia wale nō kēia ma ke kumu o ka ʻōhumu. ʻO nā ʻōhumu 'hala ʻole' i nā keiki liʻiliʻi e nalo pinepine i ko lākou wā ʻelemakule. ʻO nā ʻōhumu e kū mai ana i ka wā hāpai e nalo pinepine ma hope o ka hānau ʻana.

Eia nō naʻe, ʻo nā ʻōhumu e pili ana i nā maʻi puʻuwai e pono ai ke nānā ʻia e ke kauka. ʻO ia ke kumu inā haʻi aku ke kauka iā ʻoe he ʻōhumu kou, pono ʻoe e noiʻi pono iā ia.

Āhea wau e ʻike ai i ke kauka?

Inā loaʻa iā ʻoe kekahi o kēia mau hōʻailona āu e manaʻo nei e pili ana i ka maʻi puʻuwai, pono ʻoe e ʻimi koke i ke kōkua lapaʻau :

• Inā polū ka ʻili (ʻoi aku hoʻi a puni nā lehelehe a me nā kui)
• Inā ʻoe e manaʻo i ka ʻeha o ka umauma a i ʻole ke kaomi
• Inā ʻoe e manaʻo nei i kou puʻuwai e kuʻi ana i ke ʻano ʻē (palpitations)
• Inā pilikia ʻoe i ka hanu ʻana
• Inā ʻoe e palupalu koke (syncope) a i ʻole e māmā ke poʻo

Inā loaʻa iā ʻoe kekahi o kēia mau hōʻailona, ​​mai hoʻowahāwahā iā lākou. ʻOi aku ka maikaʻi o ka ʻike ʻana i ke kauka i ka wā hikiwawe loa a hoʻāʻo ʻia.

E hoʻomanaʻo kākou i kēia mau mea (Leka Lawe-Home)

ʻAe, no laila, e hōʻuluʻulu i ka mea a mākou i kamaʻilio ai, ʻo ka murmur puʻuwai he leo 'whoosh' a i ʻole 'swish' āu e lohe ai i ka wā e kahe ana ke koko ma ke ʻano kūpono ʻole ma o nā kiwikā o kou puʻuwai.

ʻO ka hapa nui o ka manawa, he mau ʻōhumu 'hala ʻole' kēia, ʻo ia hoʻi, ʻaʻole ia i hoʻokumu ʻia e kekahi maʻi a ʻaʻohe mea e makaʻu ai. He mea maʻamau loa ia i nā keiki ʻōpio.

Eia nō naʻe, hiki ke hana ʻia kekahi mau murmur e kahi maʻi puʻuwai a i ʻole kekahi pilikia olakino ʻē aʻe. No laila, he mea nui loa ka nānā ʻana i kekahi "Heart Murmur" e ke kauka e ʻike ai i ke kumu pololei.

Inā haʻi aku ke kauka iā ʻoe a i kāu keiki paha he "Heart Murmur" ko lākou, mai hopohopo, akā e hoʻolohe pono i kā lākou e ʻōlelo ai. Ma ka loaʻa ʻana o nā hoʻokolohua e pono ai a me ka loaʻa ʻana o ka lāʻau kūpono no ke kumu (inā pono), hiki iā ʻoe ke noho olakino.

E hoʻomanaʻo, ʻo kou puʻuwai kou waiwai! ʻO kou kuleana ke mālama pono iā ia.

ʻŌhumu puʻuwai , ʻōhumu puʻuwai, kani puʻuwai, ʻōhumu hala ʻole, maʻi puʻuwai, nā kiwikā puʻuwai, ke kahe koko