Xav txog koj mus ntsib kws kho mob kom kuaj xyuas koj lub cev tas li. Tus kws kho mob muab lub stethoscope tso rau ntawm koj lub hauv siab, mloog zoo ib pliag, thiab hais tias, "Hmm ... Kuv hnov lub plawv me me." Koj lub plawv dhia tsis tu ncua, puas yog? "Lub suab nrov? Nws yog dab tsi? Puas yog nws yog ib qho mob hnyav?" Nws yog ib txwm muaj ntau cov lus nug los rau hauv siab. Txawm hais tias ntau tus neeg ntshai lo lus no, tsis yog txhua lub plawv nrov yog qhov txaus ntshai. Yog li, tsis muaj ado ntxiv, cia peb tham kom meej, yooj yim heev, txog qhov 'Lub Plawv Nrov' no yog dab tsi, vim li cas nws tshwm sim, thiab peb xav paub dab tsi txog nws.
Lub 'Heart Murmur' yog dab tsi tiag?
Yuav kom nkag siab qhov no, cia peb xub saib seb peb lub plawv ua haujlwm li cas. Lub plawv yog ib lub tshuab zoo kawg nkaus uas tso ntshav thoob plaws peb lub cev. Hauv lub plawv no, muaj plaub lub qhov (chav) thiab plaub lub 'valves' uas ua haujlwm zoo li lub qhov rooj ntawm lawv. Txhua zaus lub plawv dhia, cov qhov no qhib thiab kaw ua ib qho zuj zus. Ua li no, cov ntshav ntws mus rau ib qho kev taw qhia xwb.
Thaum tus kws kho mob mloog nrog lub stethoscope, lub plawv noj qab nyob zoo yuav ua ob lub suab "lub-dub" sib txawv. Nov yog lub suab ntawm lub valve kaw uas kuv tau hais.
Txawm li cas los xij, qee zaum, ntxiv rau lub suab "lub-dub" no, muaj lub suab "whooshing" lossis "swishing" . Zoo li thaum koj pov pob zeb rau hauv tus dej ntws qeeb qeeb, cov dej yuav co me ntsis thiab ua suab. Lub suab ntxiv ntawd yog qhov peb hu ua "Lub Plawv Murmur" hauv kev kho mob.
Hais yooj yim xwb, lub suab nrov ntawm lub plawv yog lub suab ntxiv uas hnov los ntawm cov ntshav ntws tsis zoo thiab tsis ruaj khov thaum cov ntshav ntws hla lub plawv.
Tsis txhob ntshai tsuas yog vim koj hnov lub suab no xwb. Muaj ob hom kev hais lus tsis meej. Ib hom yog "kev hais lus tsis meej uas tsis muaj teeb meem thiab tsis yog los ntawm kab mob. Lwm hom yog "kev hais lus tsis meej uas tsis zoo li qub" uas yog los ntawm teeb meem hauv lub plawv.
Hom Murmur thiab lawv qhov tseem ceeb
Thaum tus kws kho mob hnov lub suab nrov nrov, lawv yuav tsum tau ua tib zoo saib xyuas thaum twg nws tshwm sim hauv lub plawv dhia. Qhov no ua rau lawv paub txog qhov hnyav ntawm nws.
| Hom kev hais lus tsis meej | Lub sijhawm hnov lus | Feem ntau nws txhais li cas? |
|---|---|---|
| Systolic Murmur | Thaum cov leeg nqaij plawv sib zog (thaum lub plawv tso cov ntshav) | Cov no yog cov uas tshwm sim ntau tshaj plaws. Feem ntau, lawv tuaj yeem tsis muaj teeb meem dab tsi. Tab sis qee zaum, lawv tuaj yeem tshwm sim los ntawm teeb meem ntawm lub plawv. |
| Diastolic Murmur | Thaum cov leeg nqaij plawv so (thaum lub plawv puv nrog ntshav) | Hom kev hais lus tsis meej no feem ntau yog ib qho cim qhia txog mob plawv, yog li nws yog ib qho tseem ceeb uas yuav tsum tshawb xyuas cov no ntxiv. |
| Kev Nyuaj Siab Tsis Tu Ncua | Lub plawv tseem ua suab thaum nws qaug zog thiab thaum nws so. | Cov no feem ntau kuj tuaj yeem tshwm sim los ntawm teeb meem xws li muaj teeb meem plawv txij thaum yug los. |
Ntxiv rau qhov kev faib tawm no, tus kws kho mob kuj xav txog qhov nrov ntawm lub suab tsis meej. Nws raug muab qib los ntawm theem 1 txog 6. Qib 1 yog lub suab uas tsuas yog hnov tau nrog lub stethoscope nrog qhov nyuaj heev thiab tsuas yog tias koj ua tib zoo mloog xwb. Qib 6 yog lub suab uas nrov txaus kom hnov txawm tias lub stethoscope tsis raug nias rau ntawm lub hauv siab, tab sis muab tso rau saum daim tawv nqaij me ntsis.
Dab tsi ua rau lub plawv nrov nrov?
Muaj ntau yam ua rau muaj kev hais lus tsis meej. Cia peb muab lawv faib ua ob pawg.
1. Cov Lus Qhuas Tsis Muaj Txim
Cov no tsis yog los ntawm kab mob plawv. Qhov tshwm sim ntawm no yog tias txawm hais tias lub plawv noj qab nyob zoo, tab sis muaj lub suab ntxiv vim yog qhov ceev ntawm cov ntshav ntws los ntawm nws. Cov mob no feem ntau yog:
- Thaum yau: Muaj ntau tus menyuam yaus ua cov lus tsis muaj kev txhaum no. Cov no yuav ploj mus thaum lawv loj hlob tuaj.
- Thaum cev xeeb tub: Thaum cev xeeb tub, leej niam cov ntshav ntws ntau ntxiv, ua rau lub plawv ua haujlwm hnyav dua. Qhov no tuaj yeem ua rau cov ntshav ntws ntau ntxiv thiab hnov lub suab nrov nrov. Qhov no feem ntau ploj mus tom qab tus menyuam yug los.
- Thaum peb tawm dag zog: Thaum peb tawm dag zog, peb lub plawv dhia ceev zuj zus, yog li peb yuav hnov lub suab qis qis.
- Cov mob xws li kub taub hau lossis ntshav tsis txaus: Thaum lub sijhawm no, yuav hnov lub suab nrov ib ntus vim tias lub plawv ua haujlwm sai dua.
2. Tej yam ua rau yuav tsum tau ceev faj (Kev hais lus tsis zoo)
Cov hom kev hais lus tsis meej no tshwm sim los ntawm mob plawv lossis lwm yam mob. Cia peb nkag siab meej meej los ntawm lub rooj hauv qab no.
| Mob | Piav qhia yooj yim | Lwm cov tsos mob uas ua tau |
|---|---|---|
| Kab mob plawv | Kev thaiv cov ntshav ntws vim yog lub plawv lub qhov (valve stenosis) lossis tsis kaw kom zoo (valve regurgitation). | Ua pa nyuaj, mob hauv siab, o pob luj taws, tsaus muag. |
| Cov Kev Mob Plawv Uas Muaj Txij Thaum Yug Los | Muaj cov teeb meem ntawm cov qauv xws li cov qhov hauv phab ntsa ntawm lub plawv (septal defects) thaum yug los. | Rau cov menyuam yaus me, daim tawv nqaij xiav, kev loj hlob qeeb, thiab ua pa sai dua. |
| Kab mob plawv hypertrophic | Cov leeg nqaij plawv tuab tsis zoo li qub. Qhov no tuaj yeem tshwm sim los ntawm noob caj noob ces, ntshav siab, lossis kev txhaj tshuaj tiv thaiv kab mob. | Mob hauv siab (tshwj xeeb tshaj yog thaum lub sijhawm ua si nawv), ua pa luv luv, tsaus muag, hauv siab nruj. |
| Kab mob Endocarditis | Cov kab mob xws li cov kab mob nkag mus rau hauv cov ntshav thiab kis kab mob rau sab hauv lossis cov qhov ntawm lub plawv. | Kub taub hau tas li, mob khaub thuas, qaug zog heev, thiab ua pob khaus ntawm daim tawv nqaij. |
| Kev mob hyperthyroidism | Lub plawv dhia ceev dua vim yog cov tshuaj hormones ntau dhau los ntawm cov thyroid caj pas. | Lub plawv dhia ceev ceev, poob phaus, tawm hws ntau dhau, thiab tsis so. |
Yuav kuaj mob murmur li cas? Yuav kuaj li cas?
Txoj kev tseem ceeb tshaj plaws los txheeb xyuas qhov murmur yog kom koj tus kws kho mob mloog koj lub plawv nrog lub stethoscope. Lub sijhawm ntawd, nws yuav ua tib zoo tshuaj xyuas tej yam xws li lub suab ntawm murmur, qhov twg nws hnov, thiab thaum twg.
Yuav kom nkag siab zoo dua txog qhov xwm txheej ntawm lub suab nrov nrov, koj tus kws kho mob yuav hais kom koj ua ntau yam.
- Nws qhia koj kom zaum, sawv ntsug, lossis nyo hau rau pem hauv ntej.
- Nws hais kom kuv ua pa ib pliag.
- Nws hais kom lawv tuav lawv lub nrig thiab ua kom nruj.
Txoj kev uas lub suab ntawm lub suab qis hloov pauv thaum koj ua tej yam no tuaj yeem muab qee cov lus qhia rau koj txog qhov ua rau.
Yog tias tus kws kho mob muaj kev tsis ntseeg txog qhov murmur lossis xav tias nws txawv txawv, nws yuav pom zoo kom kuaj ntxiv kom paub qhov ua rau tseeb.
- Electrocardiogram (ECG): Qhov kev kuaj no xyuas seb lub plawv ua haujlwm li cas thiab pab nrhiav pom tej teeb meem nrog lub plawv dhia.
- X-ray hauv siab: Qhov no siv tau los xyuas seb puas muaj tej yam xws li lub plawv loj thiab cov kua dej hauv lub ntsws.
- Echocardiogram (Echo): Qhov no yog qhov kev kuaj mob tseem ceeb thiab raug tshaj plaws los nrhiav qhov ua rau muaj lub suab nrov. Daim scan no siv cov suab nthwv dej los thaij cov duab ntawm lub plawv, uas cia koj pom txhua yam txij li qhov ua haujlwm ntawm lub plawv li cas, mus rau qhov tuab ntawm cov leeg plawv, mus rau qhov ua haujlwm ntawm lub plawv.
Puas yog Murmur xav tau kev kho mob?
Cov lus teb rau lo lus nug no nyob ntawm qhov ua rau muaj kev hais lus tsis meej.
Feem ntau , cov lus tsis muaj txim tsis tas yuav kho. Lawv ploj mus lawv tus kheej raws sijhawm lossis tseem tsis muaj teeb meem thoob plaws lub neej.
Txawm li cas los xij, yog tias qhov murmur yog los ntawm kab mob plawv lossis lwm yam mob hnyav, kev kho mob yeej xav tau.
- Cov Tshuaj: Cov tshuaj raug sau tseg nyob ntawm seb ua rau mob li cas. Piv txwv li, kom tswj tau ntshav siab, tswj lub plawv dhia, tiv thaiv kom tsis txhob muaj ntshav txhaws, lossis yog muaj kab mob xws li mob endocarditis, yuav muab cov tshuaj tua kab mob rau.
- Kev phais:Yog tias lub plawv lub qhov (valve) puas tsuaj loj heev, tej zaum yuav tau phais kom kho nws (valve repair) lossis hloov nws nrog lub qhov tshiab (valve replacement). Kuj tseem muaj kev phais kom kho cov teeb meem plawv uas muaj txij thaum yug los.
Qhov tseem ceeb tshaj plaws yog tus kws kho mob uas kuaj koj yuav txiav txim siab seb yuav kho qhov twg zoo tshaj plaws rau koj. Yog li ntawd, nws yog ib qho tseem ceeb uas yuav tsum ua raws li nws cov lus qhia kom meej.
Thaum twg yuav tsum nrhiav kev pab kho mob tam sim ntawd
Txawm koj paub tias koj muaj lub plawv dhia tsis meej los yog tsis paub, tsis txhob tsis quav ntsej ib qho ntawm cov tsos mob hauv qab no.
- Mob hauv siab hnyav tam sim ntawd
- Ua pa nyuaj heev
- Tsaus muag/Xiam oob qhab
- Xim xiav ntawm daim di ncauj lossis daim tawv nqaij (Cyanosis)
- Lub plawv dhia ceev (zoo li koj lub plawv dhia ceev lossis tsis xwm yeem)
Yog koj muaj ib qho ntawm cov tsos mob no, tej zaum yuav yog xwm txheej ceev. Yog li ntawd, mus rau chav kho mob ceev (ETU) ze tshaj plaws tam sim ntawd. Kev nkim sijhawm tuaj yeem ua rau qhov teeb meem hnyav dua.
Cov Lus Qhia Txog Kev Coj Mus Tsev
- Lub suab 'Lub Plawv Nrov' yog ib lub suab ntxiv uas hnov thaum lub plawv tab tom tso cov ntshav. Tsis tas yuav ntshai yog tias koj hnov qhov no.
- Muaj ntau lub suab hais qis qis, tshwj xeeb yog cov uas cov menyuam yaus hnov, yog hom 'tsis muaj txim', tsis ua rau muaj kev phom sij.
- Yog tias tus kws kho mob hais tias koj muaj lub suab tsis meej, tsis txhob ntshai, thiab mus kuaj mob (tshwj xeeb yog kuaj echo) kom paub qhov ua rau mob.
- Txawm hais tias cov lus tsis muaj teeb meem tsis tas yuav kho, cov lus tsis muaj teeb meem uas tshwm sim los ntawm ib qho mob yuav tsum tau kho raws li qhov ua rau.
- Yog koj muaj cov tsos mob hnyav xws li mob hauv siab, ua pa nyuaj, lossis tsaus muag, nrhiav kev pab kho mob tam sim ntawd.
- Saib xyuas koj lub plawv. Kev kuaj mob tsis tu ncua tuaj yeem kuaj pom ntau yam kab mob plawv thaum ntxov.
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Tsis muaj lus teb tau muab tso tawm. Ntxiv koj cov lus tawm ntawm no thawj zaug.
Ntxiv koj cov lus