Yu de yɛri wan strenj sawnd frɔm yu at? Mek wi lan bɔt Diastolic Murmur!

Yu go mɔs dɔn yɛri dɔktɔ se, "Hmm... a yɛri smɔl nɔys, wan grɔmbul," we dɛn put stetɔskɔp na yu chɛst. Na nɔmal tin fɔ fil fɔ fred smɔl we dɛn yɛri dat. Bɔt nɔto ɔl di grɔmbul dɛn kin denja. Tide wi go tɔk bɔt wan spɛshal kayn at sawnd we dɛn kɔl diastolic murmur . Lɛ wi si wetin i bi, wetin mek i kin apin, ɛn if na sɔntin we wi fɔ fred.

Wetin na Dayastolic Murmur?

Okay, fɔs lɛ wi luk wetin na diastolic murmur. Fɔ tɔk am simpul wan, na abnɔmal sawnd we yu kin yɛri we yu at de bit, dat na we yu at de rɛst fɔ sɔm tɛm (diastole) . Yu no, we yu luk yu blɔd prɛshɔn, di nɔmba we de dɔŋ na di dayastolik prɛshɔn. Na so i bi, dis na we yu at de ful-ɔp wit blɔd ɛn rɛdi fɔ di nɛks bit.

Dis grɔmbul kin sawnd lɛk ‘swish’ ɔ ‘whoosh’ sawnd, we fiba sawnd we de whirring. dis sawnd de kכmכt frכm di tכbulεns we de apin we bכdi de fכlכ tru di valv dεm na di at.

Bɔku tɛm, fɔ grɔmbul lɛk dis nɔ kin denja. Bɔt sɔntɛnde, i kin bi sayn fɔ se yu gɛt at prɔblɛm. If yu dɔktɔ se yu gɛt diastolic murmur, i go mɔs ɔda sɔm ɔda tɛst dɛn fɔ no ɔda at sik dɛn.

Wetin na di difrɛns bitwin di diastolic ɛn systolic murmurs?

Naw yu go de wɔnda se, ‘Dayastolik grɔmbul ɛn sistolik grɔmbul kin kɔnt as tu?’ Yɛs, na tru.

• Dɛn kin yɛri wan dayastolik grɔmbul we di at rilaks bitwin di bit dɛn. dis sawnd kin at fכ no sכmtεm pas wan sistolik mכrmur.
• di at mכsul dεn kin yεri we di at mכsul kכntrakt , dat na we di at de pכmp bכdi (di tεm we di sistole de kכntrakt).

Fɔ tɔk am simpul wan, dɛn tu kayn grɔmbul ya kin apin difrɛn tɛm dɛn na di at saykl.

Wetin na ‘inosɛnt’ ɛn ‘abnɔmal’ grɔmbul? Yu tink se dɛn ɔl denja?

Okay, wan ɔda impɔtant tin na aw dɛn kin klas dɛn mabul ya.

Dɔktɔ dɛn kin kɔl sɔm grɔmbul dɛn ‘inosɛnt grɔmbul’ . Dis min se di at sawnd nɔr de kɔmɔt frɔm ɛni ɔndalayn at sik. Dis na jɔs nɔmal, grɔmbul dɛn we nɔ gɛt wan bad tin. Bɔku tɛm, dɛn kin si dɛn tin ya pan yɔŋ pikin dɛn, ɛn dɛn kin go we dɛn de ol.

Bɔt ‘abnɔmal grɔmbul’ min se na wan ɔndalayn at kɔndishɔn de mek di grɔmbul. Dis na di tɛm we dɔktɔ dɛn go du ɔda tɛst fɔ tray fɔ no di rayt tin we mek i apin.

Bɔku tɛm, fɔ grɔmbul we inosɛnt nɔ nid ɛni tritmɛnt. Bɔt di tritmɛnt fɔ wan abnɔmal grɔmbul kin difrɛn difrɛn wan bay di ɔndalayn at kɔndishɔn we mek i gɛt am.

Mɛmba se: Nɔto ɔl di grɔmbul dɛn kin denja. Bɔt if dɔktɔ se yu gɛt grɔmbul, i impɔtant fɔ mek dɛn chɛk am.

Wetin na di tin dɛm we kin mek pɔsin gɛt diastolic murmur?

Naw lɛ wi luk di men tin dɛn we kin mek dis dayastolik grɔmbul. Bɔrku tɛm, dis kin kam bikɔs ɔf prɔblɛm wit di at valv dɛm.

Prɔblɛm dɛn we gɛt fɔ du wit di at Valv

Wi at gɛt 4 men valv dɛn. Dɛn valv dɛn ya tan lɛk domɔt dɛn, we de mek blɔd go na wan say nɔmɔ. If prɔblɛm de wit dɛn valv ya, da murmur sawnd de kin apin.

• Aortic Regurgitation: Dis kin apin we di aorta valv we de kɛr blɔd frɔm di at to di aorta nɔ de lɔk fayn fayn wan. Dis kin mek blɔd lik bak. Tink bɔt am lɛk wata tap we nɔ lɔk fayn ɛn wata de lik.
• Pulmonic Regurgitation: insay dis, di pulmonary valv we de kכri bכdi frכm di at to di lכng dεm nכ de kכloz fayn fayn wan. Ivin da tɛm de, blɔd kin lik bak.
• Mitral Stenosis: dis na we di mitral valv we de kכri bכdi frכm di lεft atria to di lεft vεntrikl de sכm. I tan lɛk paip we dɛn dɔn blok. I at fɔ mek blɔd flɔ.
• Tricuspid Stenosis: insay dis, di tricuspid valv we de kכri bכdi frכm di rayt atria to di rayt vεntrikl na di at de sכm.

di valv prכblεm dεm lεk dis kin mek di bכdi fכ fכlכ chenj, na dat de mek da ‘whoosh’ ‘swish’ sawnd de, dat na di murmur.

Ɔda rizin dɛn

apat frכm di valv prכblεm, diastolik mכrmur kin apin fכ sεvεra כda rizin dεm:

• Sɔm at sik dɛn we pɔsin kin gɛt we i bɔn na at sik dɛn we kin de we dɛn bɔn am.
• εndokadaytis: Dis na infεkshכn na di insay layn na di at εn/כ in valv dεm.
• Di tin dɛm we rεumatik fiva kin du fɔ lɔng tɛm : If dɛn nɔ trit am fayn we i smɔl, rεumatik fiva kin pwɛl di at valv dɛm.

Wetin na di sayn dɛm fɔ diastolic murmur?

Di simptom dɛm fɔ diastolic murmur dipen pan di ɔndalayn kɔz. dat min se di simptom dεm kin difrεn dipכnt if di valv sכmtεm (stenotic) כ lik (regurgitant). Sɔm pipul dɛn nɔ kin gɛt ɛni sayn atɔl. Bɔt di sayn dɛm wae kin kam pan pɔrsin na:

• I nɔ izi fɔ yu fɔ blo , mɔ we yu taya ɔ yu bɛn.
• Swel na di bɛlɛ ɔ di leg dɛn.
• Palpitations , ɔ fil se yu at de bit kwik kwik wan.
• Fɔ taya ɔltɛm .
• Diziz we pɔsin kin gɛt.
• Sɔntɛnde yu kin ivin pas .
• Kɔf we de kɔntinyu fɔ kɔf .

If yu gɛt wan ɔr mɔr pan dɛn sik ya, i rili impɔtant fɔ go to dɔktɔ.

Aw dɔktɔ dɛn kin no if pɔsin gɛt diastolic murmur? (Diagnosis) .

Bɔku tɛm, dɔktɔ go fɔs no if yu de grɔmbul bay we i de lisin to yu chɛst wit stetɔskɔp. We di dɔktɔ de lisin, i go tink bɔt sɔm tin dɛn:

Tin dɛn we yu kin yɛri wit stetɔskɔp

• We yu chenj di we aw yu de tinap ɔ we yu de du ɛksɛsayz, dat kin afɛkt dis sawnd?
• Aw lawd di sawnd?
• Wetin na di pitch we di sawnd de mek? I gɛt ay pitch ɔ i gɛt lɔw pitch?
• Us tɛm insay di at bit dɛn kin yɛri di sawnd, ɛn aw lɔng i kin las?
• Usay na di at dɛn kin yɛri dis grɔmbul?

Frɔm tin dɛn lɛk dis, di dɔktɔ kin gɛt sɔm aidia bɔt di kayn we aw di pɔsin de grɔmbul.

Us tɛst dɛn dɛn kin du?

If yu tink se yu de grɔmbul, yu dɔktɔ kin sɛn yu to dɔktɔ we de mɛn yu at fɔ mek dɛn du ɔda tɛst dɛn. Dɛn tɛst ya kin ɛp fɔ no aw yu at de rit ɛn aw i tan lɛk aw i tan. Di tɛst dɛn we dɛn kin du mɔ na:

• Echocardiogram (Echo): Dis na di men tɛst we dɛn kin yuz fɔ no if pɔsin in at de grɔmbul. Iko de yuz ɔltra saund wev fɔ tek pikchɔ fɔ di at. I kin sho di at mɔsul ɛn di valv dɛn ditayli. I nɔ de mek pɔsin fil pen, jɔs lɛk aw dɛn kin skan pikin we de na in bɛlɛ.
• Chɛst X-ray: Dis kin tek pikchɔ fɔ di at, bon, ɛn lɔng. I kin sho if di at dɔn big ɔ if wata de na di lɔng dɛn.
• Ilektrokardiogram (EKG/ECG): Dis de rikodɔ di ilɛktrik aktiviti we di at de du. I kin chɛk fɔ ɛni tin we nɔ rayt na di at bit.

Wi go lan bak bɔt di gredin we dɛn gi dɛn mabul ya?

Dɔktɔ dɛn kin stɔdi di at we pɔsin de grɔmbul bay aw i de grɔmbul, we na aw di sawnd lawd, aw di sawnd shap, ɛn aw lɔng i de las.

• Diastolic Murmurs dεn de rayt am pan wan skel we de fכ wan to fכ (1 to 4) . Wan (1) na sawnd we pɔsin nɔ kin yɛri, ɛn 4 (4) na sawnd we rili lawd.
• Systolic Murmurs dεn rayt frכm wan to siks (1 to 6). Wan (1) nɔ kin izi fɔ yɛri, ɛn siks (6) lawd fɔ yɛri if dɛn nɔ put stetɔskɔp na di chɛst.

Dis gred kin gi yu sɔm aidia bɔt aw di grɔmbul kin tranga.

Aw dɛn kin trit pɔsin we gɛt diastolic murmur?

Di tritmɛnt dipen pan di ɔndalayn kɔz fɔ di grɔmbul. Fɔ ɛgzampul, if di grɔmbul na bikɔs ɔf prɔblɛm wit di valv, yu dɔktɔ kin tɛl yu fɔ tek mɛrɛsin, fɔ mek di valv, ɔ fɔ chenj di valv.

Mɛrɛsin dɛn we dɛn kin yuz

Sɔm pan di mɛrɛsin dɛm wae dɛn kin yuse fɔ tritmɛnt na:

• di angiotensin-kכnvεrt εnzym (ACE) inhibito dεm: fכ egzampl, benazepril (Lotensin®) כ kaptopril (Capoten®). Dɛn tin ya kin wok bay we dɛn kin mek yu blɔd prɛshɔn go dɔŋ.
• Beta-blɔka: Lɛk bisoprolol (Cardicor®) ɔ metoprolol (Lopressor®). Dɛn tin ya kin mek di blɔd prɛshɔn ɛn at rit dɔŋ.
• Di tin dɛn we de mek blɔd tan: warfarin (Coumadin®) ɔ aspirin (Bayer®, Zorprin®) na ɔl tu mɛrɛsin dɛn we de mek di blɔd nɔ ebul fɔ klɔt.
• Diuretik (wata pils): Lɛk furosemide (Lasix®) ɔ torsemide (Demadex®). Dɛn tin ya kin ɛp fɔ ridyus di ɛkstra wata we de na di bɔdi.

Impɔtant: I rili impɔtant fɔ tek dɛn mɛrɛsin ya jɔs lɛk aw yu dɔktɔ tɛl yu, insay di doz we dɛn tɛl yu fɔ tek ɛn fɔ di tɛm we yu tɛl yu fɔ tek.

Ɔpreshɔn (Valv Ripa/Riplɛsmɛnt) .

If wan pan yu at valv dɛn dɔn pwɛl ɔ i de lik, yu go nid fɔ du ɔpreshɔn pan yu at valv.

• Valv Ripa: Dis ɔpreshɔn kin mek di valv we dɔn smɔl big ɔ tayt valv we de lik. Ɛnitɛm we i pɔsibul, dɔktɔ dɛn kin tray fɔ mek yu yon valv ɛn kip am.
• Valv Riplesmɛnt: If di valv rili smɔl (siviɔs valv stenɔsis) ɔ i dɔn pwɛl bad bad wan, di dɔktɔ go pul di valv ɛn riples am wit mɛkanikal valv ɔ valv frɔm pɔsin we gi am.

Yu tink se dɛn kin mek pɔsin nɔ gɛt dayastolik grɔmbul?

Nɔr patikyula we nɔr de fɔ mek yu nɔr gɛt diastolic murmur, bikɔs bɔrku tɛm i kin gɛt fɔ du wit ɔda mɛrɛsin sik dɛm. Bɔt we yu dɔktɔ dɔn no se yu gɛt dayastolik grɔmbul, i impɔtant fɔ go to yu dɔktɔ ɔltɛm fɔ no wetin mek yu gɛt prɔblɛm (lɛk valv prɔblɛm) ɛn fala wetin i tɛl yu fɔ du.

Dɔn bak, fɔ fala di fayn fayn abit dɛn we go mek yu at gɛt wɛlbɔdi , dat kin mek yu nɔ gɛt dɛn kayn sik ya te to sɔm mak.

• It it we gɛt bɔku frut, vɛjitebul, ɛn ɔl gren.
• Du at le 150 minit aerobic eksasaiz insay wan wik (e.g., waka kwik kwik wan, rɔn, swim).
• Nɔ yuz rɔm ɛn kafinɛ.
• If yu de smok, yu fɔ stɔp fɔ smok .
• Ridyus strɛs tru tin dɛn lɛk fɔ tink gud wan.
• Gɛt at le sɛvin to et awa fɔ slip fayn ɛvri nɛt.

Wetin na de luk fɔ pɔrsin wae gɛt diastolic murmur? (Autluk) .

Di lukin-grɔn dipen pan di ɔndalayn kɔndishɔn. Laki, naw, bכku gud tritmεnt dεm de fכ valv prכblεm. Dɔn bak, fɔ fala wɛlbɔdi layf kin ɛp yu fɔ liv bɛtɛ layf ɛn ful-ɔp, ivin if yu at de grɔmbul. So nɔ fred, jɔs fala wetin yu dɔktɔ tɛl yu fɔ du.

Wetin na di impɔtant kwɛstyɔn dɛn we wi fɔ aks di dɔktɔ?

Wae yu no se yu gɛt diastolic murmur, i fayn fɔ aks yu dɔktɔ kwɛstyɔn dɛn lɛk dis:

• Wetin na di tin we kin mek a gɛt dis dayastolik grɔmbul insay mi?
• Us kayn tɛst dɛn a nid fɔ du?
• Us tritmɛnt opshɔn dɛn a gɛt?
• Wetin a nid fɔ no bɔt aw fɔ manej di ɔndalayn mɛdikal kɔndishɔn dɛn?
• A nid fɔ go to spɛshal pɔsin ?
• A nid fɔ chenj di we aw a de liv mi layf fɔ mek mi at gɛt wɛlbɔdi?

Apat frɔm dɛn kwɛstyɔn ya, aks yu dɔktɔ bɔt ɛnitin we yu gɛt, ilɛksɛf i smɔl.

Fɔ dɔn, tin dɛn fɔ mɛmba (Take-Home Message) .

Okay, so wi don tok plenti boht Diastolic Heart Murmur tide. Na sɔm tin dɛn we yu fɔ mɛmba fɔ shɔt tɛm:

• diastolic murmur na abnכmal sawnd we dεn kin yεri we di at de rεst (di tεm we dεn de du diastole).
• Pan ɔl we bɔku pan di grɔmbul nɔ kin denja, sɔntɛnde i kin bi sayn fɔ se pɔsin gɛt at prɔblɛm. So if dɔktɔ tɛl yu se yu de grɔmbul, i rili fayn fɔ mek dɛn chɛk am .
• Dipen pan di tin we mek i kam, dɛn kin trit am wit mɛrɛsin ɔ ɔpreshɔn.
• If yu liv fayn layf, dat go ɛp yu fɔ liv fayn ivin wit tin dɛn lɛk dis.
• If yu gɛt ɛni kwɛstyɔn ɔ dawt, nɔ fred fɔ tɔk to yu dɔktɔ .

Mɛmba se fɔ kia fɔ yu at rili impɔtant. A op se dis infɔmeshɔn go yusful to yu!

` Dayastolik Murmur, At sik, At Valv, Shot Breath, At bit, Echocardiogram, ECG, At Saund, At bit