Imajin se yu bin go to dɔktɔ fɔ mek dɛn chɛk yu ɔltɛm. Di dɔktɔ put stetɔskɔp na yu chɛst, lisin gud gud wan fɔ sɔm tɛm, ɛn se, "Hmm... A yɛri smɔl at de grɔmbul." Yu at kin skip wan bit wantɛm wantɛm, nɔto so? "A murmur? Wetin na am? Na siriɔs sik?" Na nɔmal tin fɔ mek bɔku kwɛstyɔn dɛn kam na mi maynd. Pan ɔl we bɔku pipul dɛn kin fred dis wɔd, nɔto ɔl di at grɔmbul dɛn kin denja. So, witout further ado, mek wi tok in ditail, very simple, abaut wetin dis ‘Heart Murmur’ bi, wai e de apin, en wetin wi nid for no abaut am.
Wetin rili bi ‘Hat Murmur’?
Fɔ ɔndastand dis, lɛ wi fɔs luk aw wi at de wok. Di at na wɔndaful mashin we de pɔmp blɔd ɔlsay na wi bɔdi. insay dis at, fכ chεmba dεm de εn fכ ‘valv dεm’ we de wok lεk doa bitwin dεm. Ɛnitɛm we di at bit, dɛn valv dɛn ya kin opin ɛn lɔk wan afta di ɔda. Dis we ya, na wan say nɔmɔ blɔd de flɔ.
we dכkta de lisin wit stεtoskop, hεlty hat go mek tu difrεnt "lub-dub" sawnd dεm. Dis na di sawnd we di valv de klos we a bin tɔk bɔt.
Bɔt sɔm tɛm, apat frɔm dis "lub-dub" sawnd, dɛn kin yɛri "whooshing" ɔ "swishing" sawnd . I tan lɛk se we yu trowe ston na wata we de muf sloslo, di wata kin rɔtin smɔl ɛn mek sawnd. Dat ekstra saon na wetin wi de kol "Heart Murmur" fo medisin.
Fɔ tɔk am simpul wan, at grɔmbul na ɛkstra sawnd we dɛn kin yɛri bikɔs ɔf di abnɔmal, trɔbul blɔd flɔ as blɔd de flɔ tru di at.
Nɔ panik jɔs bikɔs yu yɛri dis sawnd. Tu kayn we de fɔ grɔmbul. Wan na "innocent murmur" wae nɔr de du bad ɛn nɔr kin kam wit sik. di כda wan na "abnormal murmur" we de kכz fכ prכblεm na di at.
Tayp dɛm fɔ Murmur ɛn dɛn minin
We dɔktɔ yɛri pɔsin de grɔmbul, dɛn kin pe spɛshal atɛnshɔn to we i de insay di kadyak saykl i kin apin. Dis kin gi dɛn wan rough aidia bɔt aw i siriɔs.
| Murmur tayp | Di tɛm fɔ yɛri | Wetin i kin min bɔku tɛm? |
|---|---|---|
| Sistolik Murmur we dɛn kin kɔl | We di at mɔsul kɔntrakt (we di at de pɔmp blɔd) . | Dɛn tin ya na di wan dɛn we bɔku pipul dɛn kin du. Bɔku tɛm, dɛn kin bi pɔsin we nɔ du natin. Bɔt sɔntɛnde, dɛn kin gɛt prɔblɛm wit di at valv. |
| Diastolik Murmur we dɛn kin kɔl | We di at mɔsul de rɛst (we di at de ful-ɔp wit blɔd) . | Dis kayn grɔmbul kin bi sayn fɔ at sik, so i impɔtant fɔ chɛk dɛn tin ya mɔ. |
| Kɔntinyu fɔ de grɔmbul | Di at kin kɔntinyu fɔ sawnd we i kɔntrakt ɛn we i rilaks. | Dɛn kin kam bak wit prɔblɛm lɛk we dɛn bɔn am wit at prɔblɛm. |
Apat frɔm dis klasification, di dɔktɔ kin tink bak bɔt aw di lawd we di grɔmbul de grɔmbul. Dɛn kin gred am frɔm lɛvul 1 to 6. Lɛvul 1 na sawnd we yu kin jɔs yɛri wit stetɔskɔp wit big prɔblɛm ɛn na if yu pe atɛnshɔn gud wan. Lεvεl 6 na sawnd we lawd fכ yεri ivin if dεn nכ prεs di stεtoskop pan di chεst, bכt dεn put am sכmtεm oba di skin.
Wetin kin mek pɔsin gɛt at grɔmbul?
Bɔku difrɛn rizin dɛn de we mek pɔsin kin grɔmbul. Lɛ wi sheb dɛn to tu kategori.
1. Inosɛnt Gɔmbul
Nɔto ɛni at sik kin kam wit dɛn tin ya. Wetin kin apin ya na dat pan ɔl we di at gɛt wɛlbɔdi, dɛn kin yɛri ɛkstra sawnd bikɔs ɔf di spid we blɔd de flɔ tru am. Dɛn tin ya kin apin:
- We dɛn smɔl: Bɔku smɔl pikin dɛn kin mek dɛn inosɛnt grɔmbul ya. Dɛn tin ya go dɔnawe pan dɛnsɛf as dɛn de ol.
- We uman bεlε: We di bεlε de, di mama in bכdi de bכku, we de mek di at wok tranga wan. Dis kin mek di blɔd flɔ mɔ ɛn mɔ ɛn yɛri pɔsin we de grɔmbul. dis kin kכmכt afta dεn bכn di pikin.
- We wi de du ɛksasaiz: We wi de du ɛksasaiz, wi at kin bit mɔ ɛn mɔ, so wi kin yɛri pɔsin we de grɔmbul.
- Kɔndishɔn lɛk fiva ɔ anemia: Insay dɛn tɛm ya, dɛn kin yɛri pɔsin we de grɔmbul fɔ sɔm tɛm bikɔs di at de wok kwik kwik wan.
2. I de mek yu wach fɔ (Abnormal Murmurs) .
Dɛn kayn grɔmbul ya kin apin bikɔs ɔf wan at sik ɔ ɔda mɛrɛsin. Lɛ wi ɔndastand am klia wan frɔm di tebul we de dɔŋ ya.
| Kɔndishɔn | Simpul ɛksplen | Ɔda sayn dɛn we kin apin |
|---|---|---|
| Di sik we de mek pɔsin gɛt at valv | wan tin we de ambɔg di bכdi fכ fכlכ biכs fכ wan at valv we nכ de opin fayn (valv stεnosis) כ we nכ de kכloz fayn (valv rεgurjiteshכn). | I nɔ izi fɔ blo, yu chɛst de pen, yu anklɛ de swel, yu de fɔdɔm. |
| Di Dɛfɛkt dɛn we dɛn kin gɛt we dɛn bɔn wit di at | di prεsεns fכ strכkchכral difεkt dεm lεk ol dεm na di wכl dεm na di at (septal difεkt) we dεn bכn am. | Insay yɔŋ pikin dɛn, dɛn kin gɛt blu skin, dɛn nɔ kin gro fayn, ɛn dɛn kin blo mɔ ɛn mɔ. |
| Hypertrophic Kadiomayopati we pɔsin kin gɛt | Di at mɔsul we nɔ de tik. Dis kin bi bikɔs ɔf di jɛnɛtiks, ay blɔd prɛshɔn, ɔ vaksin. | Chɛst pen (especially we yu de du ɛksɛsayz), yu nɔ de blo shɔt, yu de fɔdɔm, yu chɛst tayt. |
| Ɛndokarditis we gɛt di sik | jεm dεm lεk baktri dεm de go insay di bכdi εn infεkt di insay layn כ valv dεm na di at. | Fiva we nɔ de dɔn, kol, taya pasmak, ɛn skin rash. |
| Di sik we dɛn kɔl haypa tayroyd | di at rit we de go כp biכs fכ di εksyכs כmon we di tayroyd gland de prodyuz. | At rit we de go ɔp, we yu de lɔs yu wet, we yu de swet pasmak, we yu nɔ de rɛst. |
Aw dɛn kin no if pɔsin de grɔmbul? Us tɛst dɛn dɛn kin du?
Di men we fɔ no if yu de grɔmbul na fɔ mek yu dɔktɔ lisin to yu at wit stetɔskɔp. Da tɛm de, i go tek tɛm chɛk tin dɛn lɛk di sawnd we di pɔsin de grɔmbul, usay i de yɛri am, ɛn ustɛm.
Fɔ ɔndastand gud gud wan aw di pɔsin de grɔmbul, yu dɔktɔ kin aks yu fɔ du difrɛn tin dɛn.
- I de tɛl yu fɔ sidɔm, tinap, ɔ ledɔm bifo.
- I tɛl mi fɔ ol mi briz fɔ sɔm tɛm.
- I tɛl dɛn fɔ klem dɛn fist ɛn tayt dɛn.
Di we aw di sawnd fɔ di grɔmbul kin chenj we yu de du dɛn tin ya kin gi yu sɔm tin dɛn fɔ no bɔt di tin we mek yu de grɔmbul.
If di dɔktɔ gɛt ɛni dawt bɔt di grɔmbul ɔ i tink se i nɔ kɔmɔn, i go tɛl am fɔ du ɔda tɛst fɔ no di rayt tin we mek i de grɔmbul.
- Ilɛktrokardiogram (ECG): Dis tɛst de chɛk aw di at de wok wit ilɛktrik ɛn i de ɛp fɔ no ɛni prɔblɛm we de wit di at in ritm.
- Chɛst X-ray: Dɛn kin yuz dis fɔ chɛk fɔ tin dɛn lɛk at we dɔn big ɛn wata we de bɔku na di lɔng.
- Echocardiogram (Echo): Dis na di tɛst we impɔtant pas ɔl ɛn we kɔrɛkt pas ɔl fɔ no wetin mek pɔsin de grɔmbul. dis skan de yuz sawnd wev fכ tek layf imej fכ di at, we de mek yu si כltin frכm aw di at valv dεm de wok, to di tik we di at mכsul tik, to aw di at de pכmp fayn fayn wan.
Yu tink se Murmur nid tritmɛnt?
Di ansa to dis kwɛstyɔn dipen pan wetin mek di pɔsin de grɔmbul.
Bɔku tɛm , fɔ grɔmbul we inosɛnt nɔ nid ɛni tritmɛnt. Dɛn kin dɔnawe pan dɛnsɛf as tɛm de go ɔ dɛn nɔ kin du ɛni bad tin ɔlsay na dɛn layf.
Bɔt if di grɔmbul na bikɔs ɔf at valv sik ɔ ɔda siriɔs sik, i rili nid fɔ gɛt tritmɛnt.
- Mɛrɛsin: Dɛn kin gi yu mɛrɛsin dipen pan di tin we mek yu gɛt am. Fɔ ɛgzampul, fɔ kɔntrol di ay blɔd prɛshɔn, fɔ kɔntrol di at rit, fɔ mek blɔd nɔ klɔt, ɔ if pɔsin gɛt infekshɔn lɛk ɛndokadaytis, dɛn kin gi am antibayɔtik.
- Ɔpreshɔn:If di at valv dɔn pwɛl bad bad wan, dɛn kin nid fɔ du ɔpreshɔn fɔ mek am fayn (fɔ ripɛnt di valv) ɔ fɔ chenj am wit nyu valv (dɛn fɔ chenj di valv). Dɛn kin du ɔpreshɔn bak fɔ kɔrɛkt di at we dɛn bɔn wit.
Di tin we impɔtant pas ɔl na dat di dɔktɔ we de chɛk yu go no di tritmɛnt we go fayn fɔ yu. So, i rili impɔtant fɔ du wetin i tɛl wi fɔ du di rayt tin.
Ustɛm fɔ go to dɔktɔ wantɛm wantɛm
Ilɛksɛf yu no se yu gɛt at grɔmbul ɔ yu nɔ no, nɔ ignore ɛni wan pan dɛn sayn ya.
- Wan bad bad pen na in chɛst wantɛm wantɛm
- I nɔ kin izi fɔ yu fɔ blo bad bad wan
- Faint/Synkɔp we pɔsin kin gɛt
- Blu we di lip ɔ di skin kin chenj (Cyanosis) .
- Palpitations (fɔ fil lɛk se yu at de bit fast ɔr nɔr de bit ɔltɛm) .
If yu gɛt ɛni wan pan dɛn sik ya, i kin bi imejensi. So go na di ɔspitul we de nia yu in Imejɛnsi Dipatmɛnt (ETU) wantɛm wantɛm. We yu west tɛm, dat kin mek di prɔblɛm wɔs.
Mɛsej we dɛn kin kɛr go na os
- ‘Hat Murmur’ na ekstra sawnd we yu kin yɛri we di at de pɔmp blɔd. No nid fɔ mek yu fred if yu yɛri dis.
- Bɔku grɔmbul, mɔ di wan dɛn we pikin dɛn kin yɛri, na di kayn ‘inosɛnt’, we nɔ kin du ɛni bad tin.
- If dɔktɔ se yu gɛt grɔmbul, nɔ panik, ɛn du di tɛst dɛn we yu nid (espɛshali wan ɛko tɛst) fɔ no di rayt tin we mek yu de grɔmbul.
- Pan ɔl we inosɛnt grɔmbul nɔ nid tritmɛnt, grɔmbul we pɔsin gɛt bikɔs ɔf mɛrɛsin, dɛn fɔ trit am akɔdin to di kɔz.
- If yu gɛt siriɔs sik lɛk aw yu de fil pen na yu chɛst, i nɔ izi fɔ blo, ɔ yu de fɔdɔm, go to dɔktɔ wantɛm wantɛm.
- Tek kia ɔf yu at. We yu de chɛk yu dɔktɔ ɔltɛm, yu kin no bɔku at sik dɛn kwik kwik wan.
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