Ke lohe nei ʻoe i kahi leo ʻē "soo... soo..." e puka mai ana mai kou puʻuwai? He ʻōhū puʻuwai systolic paha ia!

Ke hoʻolohe ke kauka i kou umauma me ka stethoscope, i kekahi manawa lohe paha ʻoe i kahi leo liʻiliʻi 'swoosh' a i ʻole 'whistle' ma waho aʻe o ke kani maʻamau 'lub-dub' o kou puʻuwai. ʻO kēia ka mea a mākou e kapa nei he 'heart murmur'. Makaʻu kekahi poʻe ke lohe lākou i kēia, akā ʻaʻole nā ​​​​murmurs āpau he mea weliweli. I kēia lā e kamaʻilio mākou e pili ana i kekahi o ia ʻano murmur , ʻo ka Systolic Murmur .

He aha kēia Murmur Systolic?

I ka ʻōlelo maʻalahi, ʻo ka murmur puʻuwai systolic he leo ʻē aʻe āu e lohe ai i ka wā e ʻū ai kou puʻuwai, ʻo ia hoʻi, i ka wā e pamu ai i ke koko a puni kou kino. Kāhea nā kauka i kēia ʻo ka systole o ka puʻuwai. Ke nānā ʻoe i kou koko , ʻo ka helu kiʻekiʻe loa ʻo ia ke kaomi systolic.

Pehea e hana ʻia ai ke kani o ka puʻuwai?

ʻEhā mau kiwikā o ko kākou puʻuwai. Ua like kēia me nā puka e ʻae ai i ke koko e kahe wale ma kekahi ʻaoʻao. Ke kuʻi ka puʻuwai, lohe ʻia ke kani 'lub-dub' i ka wā e pani ai kēia mau kiwikā.

• Ke kani mua ('lab'): Hana ʻia kēia i ka wā e pani ʻia ai nā valves mitral a me tricuspid (i kapa ʻia hoʻi nā valves atrioventricular ). ʻO kēia ka manawa e hoʻomaka ai ka puʻuwai e ʻūlū (systole).
• Leo ʻelua ('dub'): Hana ʻia kēia i ka wā e pani ʻia ai nā valves aortic a me pulmonic (i kapa ʻia hoʻi he semilunar valves ). I kēia manawa, ke mākaukau nei ka puʻuwai e hoʻopiha hou me ke koko.

ʻO ka systolic murmur he leo 'swoosh' a 'whoosh' hou aʻe i lohe ʻia me a ma hope paha o ke kani 'lub' mua. ʻO ke kumu nui o kēia, ʻo ia ke kahe koko haunaele i loko o ka puʻuwai. Ua like ia me ke kani o kahi paipu wai i paʻa.

ʻOiai ʻaʻole ia he mea weliweli kēia mau ʻōhumu, hiki iā lākou ke lilo i hōʻailona o kahi maʻi puʻuwai. No laila, inā haʻi aku kāu kauka iā ʻoe he ʻōhumu kou, he mea nui e nānā ʻia.

He aha nā ʻano nui o ka systolic murmur?

Ua hoʻokaʻawale nā ​​kauka i kēia mau ʻōhumu i ʻelua ʻano:

• Nā ʻŌhūhū Hana: ʻAʻohe kīnā kūkulu o kēia poʻe i loko o ka puʻuwai, ʻo ia hoʻi, ʻaʻohe pilikia me ke ʻano o ka puʻuwai a i ʻole nā ​​​​kīwae. He mau ʻōhūhū maʻemaʻe pinepine kēia.
• ʻŌmūmū Organic: Loaʻa i kēia poʻe kahi ʻōmūmū ma muli o kahi pilikia kūkulu i loko o ka puʻuwai. ʻO ke ʻano kēia he kīnā paha i loko o kahi valve a i ʻole ma ka paia o ka puʻuwai.

Ua hoʻokaʻawale ʻia kēia mau murmurs systolic ma kekahi ʻano ʻē aʻe:

• ʻŌhumu hoʻokuʻu:Hoʻomaka pinepine kēia me nā valves semilunar a mākou i kamaʻilio ai ma mua. ʻO kēia mau valves ka mea e lawe i ke koko mai ka puʻuwai i ka aorta a me ke aʻa pulmonary i nā māmā. ʻO ka ejection murmur kahi leo i hana ʻia i ka wā e hoʻokuke ai ka puʻuwai i ke koko i waho, a i ʻole 'ejects' iā ia. Hiki i kēia ke hana a i ʻole organik.
• Nā Murmurs Regurgitant: Hana ʻia kēia i ka wā e pani pono ʻole ai nā valves o ka puʻuwai, e hoʻoheheʻe ana i ke koko i hope. Ua like ia me kahi faucet wai i pani pono ʻole ʻia. Hoʻomaka pinepine lākou i loko o nā valves atrioventricular. ʻO nā murmurs systolic regurgitant a pau he organik , ʻo ia hoʻi aia kekahi kīnā kūkulu.

He aha ka ʻokoʻa ma waena o ka systolic a me ka diastolic murmur?

He mau leo ​​puʻuwai kūpono ʻole kēia mau mea ʻelua.

• ʻŌmumu systolic: Lohe ʻia kēia i ka wā e ʻuʻuku ai ka ʻiʻo o ka puʻuwai (i ka hoʻomaka a i ka wā o ka puʻuwai ʻana).
• ʻŌmumu diastolic: Lohe ʻia kēia i ka wā e hoʻomaha ai ka ʻiʻo o ka puʻuwai (ma waena o ʻelua mau puʻuwai).

I ka ʻōlelo maʻalahi, ʻo systolic ke kani i hana ʻia i ka wā e "hana" ana ka puʻuwai, a ʻo diastolic ke kani i hana ʻia i ka wā e "hoʻomaha" ana ka puʻuwai.

He aha ka ʻokoʻa ma waena o ka murmur puʻuwai hala ʻole a me ka murmur puʻuwai maʻamau ʻole?

He mea nui loa hoʻi kēia.

• Nā ʻŌhūhū Puʻuwai Hala ʻole: I kekahi manawa, ʻaʻole kēia ʻōhūhū he hōʻailona o ka maʻi puʻuwai. ʻO kēia ka mea a nā kauka e kapa nei he 'ʻŌhūhū puʻuwai hala ʻole.' ʻIke pinepine ʻia kēia mau mea i nā kamaliʻi ʻōpio, nā wahine hāpai, a i ʻole i ka wā e like me ke kuni a ma hope o ka hoʻoikaika kino nui. ʻO ka hapa nui o ka manawa, ʻaʻole pono kēia i ka lāʻau lapaʻau a e nalo aku i ka hala ʻana o ka manawa.
• Nā ʻŌhūhū Puʻuwai ʻAno ʻĒ: Ma ka ʻaoʻao ʻē aʻe, ʻo kekahi mau ʻōhūhū he hōʻailona ia o kahi maʻi puʻuwai. Ua kapa ʻia kēia mau mea ʻo 'nā ʻōhūhū puʻuwai ʻano ʻē.' Inā loaʻa iā ʻoe kahi ʻōhūhū ʻano ʻē, pono e ʻimi ʻia ke kumu a mālama ʻia.

Mai hopohopo! ʻAʻole pono ʻoe e hopohopo ke haʻi aku ke kauka iā ʻoe he murmur kou. Hiki iā ʻoe ke ʻike inā he mea ʻino ʻole ia a ʻaʻole paha, a inā he hewa kekahi mea me ia.

He aha nā hōʻailona o ka systolic murmur?

ʻAʻole paha e ʻike ka nui o ka poʻe me ka murmur puʻuwai i kekahi mau hōʻailona. Eia nō naʻe, ma muli o ke kumu o ka murmur, hiki iā ʻoe ke ʻike i nā hōʻailona e like me:

• He ʻulaʻula polū i ka ʻili (ʻoi aku hoʻi nā lehelehe a me nā kui).
• ʻO ka ʻū mau.
• Ka hiolo koke ʻana (syncope) .
• Ka luhi koke.
• Ka pehu ʻana o nā wāwae, ka paʻa ʻana o ka wai (edema) .
• Manaʻo poniuniu (vertigo).
• Ka paʻakikī o ka hanu ʻana (dyspnea) , ʻoiai i ka wā e hoʻoikaika kino ai a moe paha.

Inā loaʻa iā ʻoe kēia mau hōʻailona, ​​​​he mea nui loa e ʻike i ke kauka.

He aha ke kumu o ka murmur puʻuwai systolic?

Hiki ke nui nā kumu. He ʻokoʻa nā kumu o ka ejection murmur a me ka regurgitant murmurs a mākou i kūkākūkā ai ma mua.

Nā kumu o nā Murmurs Ejection:

• ʻO ka stenosis aortic: He ʻūmiʻi kēia o ka valve nui e lawe ana i ke koko mai ka puʻuwai a i ke kino holoʻokoʻa (valve aortic), e like me ka puka hiki ʻole ke wehe pono. Hoʻopilikia kēia i ke kahe ʻana o ke koko.
• ʻO ke kīnā septal atrial (ASD): He lua liʻiliʻi ma ka paia ma waena o nā keʻena ʻelua o luna (atria) o ka puʻuwai.
• ʻO ka hypertrophic obstructive cardiomyopathy (HOCM): He maʻi puʻuwai genetic kēia kahi e mānoanoa ai ka paia (septum) ma waena o nā keʻena haʻahaʻa ʻelua o ka puʻuwai.
• ʻO ka stenosis pulmonic: Ka hoʻohaiki ʻana o ka valve e lawe ana i ke koko mai ka puʻuwai i nā māmā (valve pulmonic).

Nā kumu o nā murmurs regurgitant:

• Ka hoʻihoʻi ʻana o ka valve mitral: ʻO ka maʻamau, pono e pani ʻia ka valve mitral ke ʻūlū ka puʻuwai (i ka wā systole). Eia nō naʻe, ma kēia kūlana, ʻaʻole pani pono ka valve, e ʻae ana i kekahi koko e kahe i hope i loko o ka atrium hema.
• ʻO ka regurgitation o ka valve tricuspid: Ua like kēia me ka mitral regurgitation, akā hana ia ma ka valve tricuspid ma ka ʻaoʻao ʻākau o ka puʻuwai. Hoʻokahe ke koko i hope mai ka ventricle ʻākau i loko o ka atrium ʻākau.
• ʻO ke kīnā septal ventricular (VSD): He lua ma ka paia ma waena o nā keʻena haʻahaʻa ʻelua (ventricles) o ka puʻuwai. He kīnā hānau maʻamau kēia i nā keiki ʻōpio.

Pehea e ʻike ai i kahi murmur systolic?

Hoʻolohe pinepine ʻia kēia ʻōhumu i ka wā e hoʻolohe ai kāu kauka i kou puʻuwai me kahi stethoscope. Ke ʻimi nei ke kauka i kēia kani, e ʻimi lākou i kēia mau mea:

• Pehea ka lōʻihi e hiki ai iā ʻoe ke lohe i ke kani?
• Ma hea pololei i loko o ka puʻuwai i puka mai ai ke kani?
• Pehea ke kiʻekiʻe a me ka leo o ke kani ? (Ke kani mālie nei a leo nui paha?)
• Ke loli nei ke kani ke hoʻololi ʻoe i kou kūlana (e.g., moe ʻana, kū ʻana i luna)?

E pono anei nā hoʻokolohua hou aʻe?

ʻAe, inā makemake kāu kauka e ʻike hou aʻe e pili ana i ka murmur, hiki iā ia ke kuhikuhi iā ʻoe i kahi cardiologist, nāna e hana i nā hoʻokolohua e like me:

• Catheterization Cardiac: Ma kēia kaʻina hana, hoʻokomo ʻia kahi paipu liʻiliʻi a palupalu (catheter) ma o ka ʻūhā a i ʻole ka lima, e alakaʻi ʻia ana ma o nā aʻa o ka puʻuwai, a nānā ʻia ke kūlana o nā aʻa me ka hoʻohana ʻana i nā X-ray a me kahi wai kūikawā (contrast dye).
• X-ray umauma:Lawe kēia i nā kiʻi o nā iwi, ka puʻuwai, a me nā māmā.
• ʻEchocardiogram (Echo): Ua like kēia me ke kiʻi ultrasound o kahi pēpē i loko o ka ʻōpū. Hoʻohana ia i nā nalu kani e ʻike i nā mea e like me ke ʻano o ka puʻuwai e kuʻi ana, pehea e hana ai nā valves, a me ka nui o ka puʻuwai. He hoʻāʻo koʻikoʻi loa kēia e ʻike ai i ke kumu o ka murmur.
• Electrocardiogram (EKG/ECG): Hoʻopaʻa kēia i ka hana uila o ka puʻuwai. Hiki iā ia ke nānā i nā pilikia o ka puʻuwai.

Aia kekahi pālākiō helu systolic murmur?

ʻAe, helu nā kauka i kahi murmur ma muli o kona ikaika. Aia kahi pālākiō no kēia mai ka 1 a i ka 6.

• Papa 1: He hāwanawana mālie loa, aneane hiki ʻole ke lohe ʻia. ʻO ke kauka akamai wale nō ke ʻike.
• Papa 2: He hāwanawana palupalu, akā hiki ke lohe ʻia me ka stethoscope.
• Papa 3: Leo nui iki.
• Papa 4: He leo nui ia, a e pīhoihoi paha ʻoe inā e kaomi ʻoe i kou lima i kou umauma.
• Papa 5: Leo nui loa. Hiki iā ʻoe ke lohe iā ia inā ʻoe e kau wale i ka stethoscope ma kou umauma a hoʻolohe. Hiki nō hoʻi iā ʻoe ke manaʻo i kahi haʻalulu.
• Papa 6: He ʻōhumu leo ​​nui loa. Leo nui e lohe ʻia ʻoiai ʻaʻole i kau ʻia ka stethoscope ma ka umauma, a kokoke iki paha.

Hiki i kēia helu ke hāʻawi iā ʻoe i kekahi manaʻo no ke koʻikoʻi o ka ʻōhumu.

Pehea e mālama ʻia ai ka murmur puʻuwai systolic?

Hoʻokumu ʻia ka lāʻau lapaʻau inā he hala ʻole a he ʻano ʻē paha ka murmur ma muli o kahi maʻi puʻuwai.

No ka Marmer hala ʻole:

Nalo pinepine kēia me ka ʻole o ka lāʻau lapaʻau. E haʻi aku ke kauka iā ʻoe e kali wale a ʻike, a e nānā hou paha i kekahi manawa.

No nā ʻōhumu maʻamau ʻole:

Pono kēia i ka mālama ʻana no ke kūlana puʻuwai ma lalo, ka mea e pono ai ka lāʻau lapaʻau, ke ʻoki ʻana, a i ʻole nā ​​​​mea ʻelua.

Nā lāʻau lapaʻau:

• Nā mea hoʻopaʻa i ka enzyme hoʻololi-angiotensin (ACE): No ka laʻana, ʻo Captopril lāua ʻo Benazepril. Hoʻohaʻahaʻa kēia i ke koko.
• Nā mea pale Beta: No ka laʻana, ʻo Metoprolol, Bisoprolol. Hoʻemi kēia i ka helu o ka puʻuwai a me ke koko.
• Nā lāʻau hoʻokahe koko: No ka laʻana, Warfarin, Aspirin. Pale kēia i nā ʻūpā koko mai ka hana ʻana i loko o ka puʻuwai.
• Nā lāʻau Diuretics: No ka laʻana, Furosemide, Torsemide. Hoʻemi kēia i ka nui o ka wai keu i loko o ke kino. Hiki i kēia ke kōkua i kekahi mau maʻi puʻuwai.

ʻO ke ʻoki kino:

Inā koʻikoʻi ke kūlana o ka puʻuwai, pono paha e hoʻoponopono i ka valve, e hoʻokomo i kahi valve hou, a i ʻole e hana i kekahi ʻoki kino ʻē aʻe.

• Hoʻoponopono valve: Hiki ke hoʻohana ʻia kēia e hoʻonui (wehe) i kahi valve i haiki a hoʻopaʻa paha i kahi valve e liki ana ʻaʻole e pani pono ana.
• Hoʻololi Valve: Inā haiki loa a hōʻino ʻia paha kahi valve, hiki i ke kauka ke pani iā ​​ia me kahi valve ʻiʻo a i ʻole kahi valve mechanical.
• ʻO ke ʻoki puʻuwai hāmama: I kekahi manawa, pono ke ʻoki puʻuwai hāmama e pani i nā lua, e like me ka atrial septal defect (ASD) a i ʻole ventricular septal defect (VSD) a mākou i kamaʻilio ai.

Hiki ke pale ʻia ka murmur puʻuwai systolic?

ʻAʻohe ala kikoʻī e pale aku ai i ka systolic murmur. He hānau ʻia kekahi, aʻo kekahi e nā maʻi ʻē aʻe. Eia nō naʻe, he mea nui e mālama i ke olakino holoʻokoʻa o kou puʻuwai. Eia kekahi mau mea hiki iā ʻoe ke hana e kōkua:

• E hana ma ka liʻiliʻi he 150 mau minuke o ka hoʻoikaika kino aerobic i kēlā me kēia pule (e like me ka hele wāwae, ka holo ʻana, a i ʻole ke kaʻa paikikala).
• E ʻai i ka meaʻai olakino e waiwai ana i nā palaoa, nā huaʻai, a me nā mea kanu.
• E hōʻemi i ka caffeine (kī, kofe) a me ka waiʻona.
• Inā ʻoe e puhipaka, pono ʻoe e hoʻōki .
• E hōʻemi i ke kaumaha ma o nā hana e like me ka noʻonoʻo ʻana.
• E hiamoe maikaʻi ma ka liʻiliʻi he 7-8 mau hola i ka pō.

He aha ka manaʻolana no kekahi me ka systolic murmur?

ʻAʻole pono ka lāʻau lapaʻau i ka murmur systolic hala ʻole, a hiki iā ʻoe ke ola i ke ola maʻamau me ia.

Inā he ʻōhumu ʻē kou, pono ʻoe e mālama i ke kūlana puʻuwai. Eia nō naʻe , me nā lāʻau lapaʻau holomua i loaʻa i kēia lā, hiki iā ʻoe ke kāohi i nā kūlana puʻuwai he nui a ola i kahi ola olakino. Eia kekahi, ʻo ka hahai ʻana i kahi nohona olakino hiki ke kōkua i ka hoʻomaikaʻi ʻana i ke olakino o kou puʻuwai.

Mai poina e nīnau i ke kauka e pili ana i kēia mau mea, ʻeā?

Inā haʻi aku kāu kauka iā ʻoe he systolic murmur kou, he mea maikaʻi ke nīnau i kēia mau nīnau:

• He aha ke kumu kūpono loa o kēia systolic murmur i loko oʻu?
• He aha nā hoʻokolohua hou aʻe e pono ai iaʻu e hana?
• Pono anei au i ka lāʻau lapaʻau no kēia systolic murmur?
• He aha ka lāʻau lapaʻau e pono ai iaʻu no koʻu maʻi puʻuwai?
• He mea maikaʻi anei iaʻu ke ʻike i kahi cardiologist ?
• He aha nā hoʻololi o ke ʻano o ka nohona e hiki iaʻu ke hana e hoʻomaikaʻi ai i ke olakino o koʻu puʻuwai?

Leka Lawe-Home

ʻO ka murmur puʻuwai systolic he leo ʻē i lohe ʻia i ka wā e ʻū ai ka puʻuwai. I ka hapa nui o ka manawa, ʻaʻohe mea ʻino kēia, ʻo ia hoʻi, ʻaʻohe maʻi puʻuwai ma lalo. Akā i kekahi manawa, hiki iā lākou ke lilo i hōʻailona o kahi maʻi puʻuwai.

ʻO ka mea nui loa, ʻaʻole ia e hopohopo. Inā haʻi aku ke kauka iā ʻoe he murmur kou, hiki iā ʻoe ke ʻike i ke ʻano o ia mea, ke kumu o ia mea, a inā paha e pono ai ka lāʻau lapaʻau. Ma ka hahai ʻana i nā ʻōlelo aʻoaʻo lapaʻau kūpono a me ke ola ʻana i kahi nohona olakino, hiki iā ʻoe ke ola i kahi ola hana. E hoʻomanaʻo, he mea nui loa ka mālama ʻana i kou puʻuwai!

ʻŌhumu puʻuwai systolic , ʻōhumu puʻuwai, maʻi puʻuwai, nā leo puʻuwai, nā kiwikā puʻuwai, olakino puʻuwai, nā kūlana puʻuwai, ka helu o ka puʻuwai, ʻōhumu hala ʻole