We yu go to dɔktɔ, i kin put stetɔskɔp na yu chɛst ɛn tek tɛm lisin, nɔto so? Wetin yu go tink if i se, "Hmm... A kin yɛri smɔl at de grɔmbul"? I rili de mek pɔsin fred, nɔto so? Bɔt bifo wi fred, lɛ wi ɔndastand gud gud wan wetin dis ɛkstra sawnd we dɛn kin yɛri na di at, ɔ wetin dɔktɔ dɛn kin kɔl ‘at murmur’.
Fɔ tɔk am simpul wan, wetin na dis At Murmur?
Tink bɔt am lɛk wata pɔmp. Insay dis pɔmp, 4 pat dɛn de we de wok lɛk domɔt. Wi kin kɔl dɛn at valv ya. We di at de bit, dat min se we i de pɔmp blɔd, dɛn valv dɛn ya kin opin ɛn lɔk ɔdasay. we di valv dεm fכ wan hat we hεlty fayn fayn wan kכloz, yu de yεri tu difrεn sawnd dεm we dεn kכl ‘lub-dub’.
Bɔt sɔm tɛm, apat frɔm dis ‘lub-dub’ sawnd, yu kin yɛri ‘whoosh’ ɔ ‘swish’ sawnd, lɛk tiub we ful-ɔp wit briz. Dat ekstra sawnd na wetin wi de kol Hat Murmur. Dis min se sɔm smɔl tin de we nɔr de apin na di we aw blɔd de flɔ insay di at.
De impɔtant tin na dat wae yu gɛt hat de grɔmbul nɔr min se yu gɛt siriɔs at sik. Bɔrku tɛm, dɛn tin ya nɔr kin du bad ɛn yu kin si dɛn pan pipul dɛm wae gɛt wɛl bɔdi.
Sɔm kayn At Murmur de?
Yɛs, dɔktɔ dɛn kin klas dis sawnd akɔdin to di tɛm we dɛn yɛri am. Dis kin tan lɛk se na mɛrɛsin smɔl, bɔt lɛ wi kip am simpul.
- Systolic Murmur: Dɛn kin yɛri dis we yu at mɔsul kɔntrakt ɛn pɔmp blɔd kɔmɔt.
- Diastolic Murmur: Dɛn kin yɛri dis we di at mɔsul rilaks ɛn di at ful-ɔp wit blɔd.
- Kɔntinyu fɔ grɔmbul: Dɛn kin yɛri dis sawnd as di at de kɔntrakt ɛn rilaks, dat na, ɔlsay na di at bit.
in jεnarכl, diastolik εn kכntinyu fכ grכn na di tu tכp dεm we kin kכl fכ sכm kayn at sik. Bɔt ilɛk uskayn pɔsin de grɔmbul, i impɔtant fɔ mek dɔktɔ chɛk am fayn fayn wan.
Wetin kin mek pɔsin gɛt at grɔmbul?
Dɛn kin sheb di tin dɛn we kin mek pɔsin sik to tu kayn tin. Wan na tin dɛn we nɔ bad, ɛn di ɔda wan na tin dɛn we pɔsin kin gɛt we i sik.
"Inosɛnt Murmurs" we nɔ gɛt wan prɔblɛm.
Dɛn kɔl dɛn tin ya "innocent murmurs." Dɛn kin apin bikɔs blɔd de flɔ na di at kwik kwik wan pas aw i kin flɔ. Dis nɔto sik we pɔsin kin gɛt we i de mɛn pipul dɛn. I kin kam bikɔs ɔf tin dɛn lɛk:
- We dɛn smɔl: Bɔku smɔl pikin dɛn kin yɛri dɛn grɔmbul ya we nɔ bad. Dɛn tin ya kin dɔnawe as dɛn de ol.
- We uman gɛt bɛlɛ:We uman gɛt bɛlɛ, di blɔd we de na di bɔdi kin bɔku, ɛn dis kin mek di at wok tranga wan. Dis na di rizin we mek yu kin yɛri sawnd dɛn lɛk dis. Dɛn tin ya go go afta dɛn dɔn bɔn di pikin.
- We wi de du ɛksasaiz: We wi de du ɛksɛsayz, wi at kin bit kwik kwik wan, so di blɔd we de go bak kin go ɔp.
- di growth spurts: Dis kכndyushכn kin apin di tεm we pikin dεn de gro kwik kwik wan we dεn gεt ayt wan wan εn divεlכp bכdi.
No nid fɔ wɔri bɔt dɛn Inosɛnt Mɔmur ya atɔl. Dɛn kin kam ɛn go. Sɔm pipul dɛn kin gɛt dɛn wan ol layf ɛn dɛn nɔ kin du ɛni bad tin.
Murmurs we pɔsin kin gɛt bikɔs ɔf wan mɛrɛsin
Sɔntɛnde, we pɔsin in at de grɔmbul kin bi sayn fɔ gɛt wɛlbɔdi prɔblɛm. Lɛ wi tek tɛm luk wetin kin mek i apin.
| Mek | Na jɔs wan ɛksplen |
|---|---|
| Di sik we de mek pɔsin gɛt at valv | wan valv we nɔ de opin fayn ɛn we de blok (Stenosis) ɔ we nɔ de lɔk fayn ɛn blɔd de lik bak (Regurgitation). Dis na di men tin we kin mek big pipul dɛn gɛt Murmur. |
| Difrɛn we dɛn bɔn wit di at | wan strכkchכral difεkt, lεk wan ol na di at wכl (Septal Defect), de de we dεn bכn am. Bɔku tɛm, dɛn kin no dɛn tin ya we dɛn smɔl. |
| Hypertrophic Cardiomyopathy (we di at mɔsul de tik) . | Di at mɔsul kin tik lɛk aw i nɔmal, ɛn dis kin mek di blɔd nɔ ebul fɔ flɔ. Dis kin bi frɔm in mama ɛn papa ɔ na bikɔs ɔf ay blɔd prɛshɔn. |
| Ɛndokarditis we gɛt di sik | Wan jem, lɛk baktri, we kin go insay di blɔd ɛn pwɛl di at valv dɛn, we kin mek pɔsin gɛt infekshɔn. Dis kin kam wit sɔm sayn dɛm lɛk fiva ɛn bɔdi pen. |
| Anemia we nɔ gɛt bɛtɛ blɔd | We di bɔdi lɔs blɔd, di blɔd in viskɔsiti kin go dɔŋ. Dɔn, dɛn kin yɛri pɔsin we de grɔmbul bikɔs di blɔd de flɔ fast fast. Taya ɛn paleness na sayn dɛm bak fɔ dis. |
| Di sik we dɛn kɔl haypa tayroyd | di bכdi in כmon prכsεs dεm de aksεlεrayt εn di at rεt de inkrεs. Dis kin mek bak pɔsin de grɔmbul. |
Us sayn dɛn pɔsin we gɛt at de grɔmbul kin gɛt?
Pɔsin we gɛt inosɛnt grɔmbul nɔ kin gɛt ɛni sayn. Bɔku tɛm, dɛn kin no am bay we dɛn de go to dɔktɔ fɔ ɔda sik.
Bɔt if na at sik mek pɔsin de grɔmbul, ɔda sayn dɛn we gɛt fɔ du wit am kin apin bak.
- Shot brith/difikulti fɔ brith: Shot brith ivin if yu tray smɔl.
- Chɛst pen ɔ tayt: Na filin fɔ tayt na yu chɛst.
- Palpitations: Fɔ fil se yu at de bit fast fast, sɔm tɛm dɛn kin tan lɛk thud.
- Syncope: Na we yu nɔ de no natin wantɛm wantɛm.
- Swel na di leg, ankles, ɔ bɛlɛ: Na bikɔs wata de gɛda na di bɔdi.
- Bluish skin: Ɛspɛshali di lip ɛn finga dɛn. Dis min se di blɔd nɔ de gɛt inof ɔksijɛn.
- Kɔf we de kɔntinyu fɔ kɔf.
If yu gɛt ɛni wan pan dɛn sik ya, nɔ ignore dɛn. Si yu dɔktɔ wantɛm wantɛm.
Aw ɛksaktɔli di dɔktɔ kin fɛn dis?
Di fɔs tin we yu fɔ du na fɔ tek tɛm lisin to yu at wit stetɔskɔp. Di dɔktɔ go pe atɛnshɔn to bɔku tin dɛn, lɛk aw di sawnd de, aw i de lawd, ɛn di tɛm we i de mek.
Fɔ no mɔ bɔt di sawnd, yu dɔktɔ kin aks yu fɔ du difrɛn tin dɛn:
- Sidɔm, tinap.
- Stand op wantɛm wantɛm frɔm sidɔm.
- Skwat smɔl.
- Klin yu fist dɛn tayt tayt wan.
We dɛn du dɛn tin ya, di we aw blɔd de flɔ to di at kin chenj. Na di sem tɛm, di sawnd we di grɔmbul kin mek bak kin chenj. Bay dɛn chenj ya, di dɔktɔ kin gɛt gud aidia bɔt di kayn we aw di pɔsin de grɔmbul.
Yu tink se dɛn go nid fɔ du ɔda tɛst dɛn?
Nɔto ɔlman dɛn kin tɛst fɔ si if i de grɔmbul. Bɔt if yu dɔktɔ tink se yu gɛt at prɔblɛm, i kin sɛn yu to dɔktɔ we de mɛn yu at ɛn tɛl yu fɔ du sɔm tɛst dɛn lɛk:
1. Ilektrokardiogram (ECG/EKG): Na tɛst we nɔ de mek pɔsin fil pen ɛn we de rayt di ilɛktrik wok we di at de du.
2. Chɛst X-ray: Chɛk di saiz, shep fɔ di at, ɛn di kɔndishɔn fɔ di lɔng dɛn.
3. Echocardiogram (Echo): Dis na di tɛst we impɔtant pas ɔl. I tan lɛk se dɛn de skan bebi. I de yuz sawnd wev fɔ mek layf pikchɔ dɛn bɔt di at ɛn in valv dɛn. I kin sho ɔltin klia wan frɔm aw di valv dɛn de wok, usay di blɔd de flɔ, ɛn aw di at mɔsul tik.
Wetin na di tritmɛnt fɔ wan At Murmur?
Dis dipen ɔl pan di tin we mek di pɔsin de grɔmbul.
Wan Inosent Murmur nɔ nid ɛni tritmɛnt. Yu kin liv nɔmal layf.
Bɔt if pɔsin we de grɔmbul na bikɔs ɔf wan mɛrɛsin, di tritmɛnt na fɔ da sik de we de ɔnda am.
- If na bikɔs ɔf anemia , dɛn go gi am mɛrɛsin lɛk ayɛn tablɛt.
- If na bikɔs ɔf ay blɔd prɛshɔn , dɛn go gi yu mɛrɛsin fɔ am.
- If di at valv dɛn dɔn pwɛl , sɔntɛnde dɛn kin kɔntrol dɛn wit mɛrɛsin. Bɔt if di damej bad bad wan, dɛn kin nid fɔ du ɔpreshɔn fɔ mek di valv (valv ripa) ɔ riples am wit nyu valv (valv riplesmɛnt).
- If na sɔntin lɛk we dɛn bɔn pikin , dɛn kin trit am bak wit ɔpreshɔn ɔ ɔda we.
Yu dɔktɔ ɛn dɔktɔ we de mɛn yu at go disayd us tritmɛnt yu nid.
Mɛsej we dɛn kin kɛr go na os
- At grɔmbul na ɛkstra sawnd we dɔktɔ kin yɛri wit stetɔskɔp, ɛn nɔto ɔltɛm na sik.
- Bɔku grɔmbul, mɔ di wan dɛn we dɛn kin si pan pikin ɛn mama we gɛt bɛlɛ, kin bi kɔmplit wan we nɔ bad "Innocent Murmurs".
- If yu dɔktɔ tɛl yu se yu de grɔmbul, nɔ panik. Mek i disayd if i siriɔs ɔ i nɔ siriɔs.
- If yu gɛt ɔda sayn dɛn lɛk we yu de fil pen na yu chɛst, yu nɔ de blo fayn, ɔ yu de tɔn diziz, mek shɔ se yu tɛl yu dɔktɔ bɔt dɛn.
- Tritmɛnt na if mɛrɛsin de we de mek di pɔsin de grɔmbul, so i rili impɔtant fɔ fala di advays we di dɔktɔ gi yu.
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