Yu de yɛri wan strenj sawnd na yu at? Na Hat Murmur'' na? Lɛ wi tɔk bɔt dis!

If dɔktɔ put stetɔskɔp na yu at ɛn se, ‘A de yɛri smɔl sawnd na yu at, na grɔmbul,’ yu nɔ tink se yu go fred smɔl? Ɔ if yu fɔ sho yu smɔl pikin to di dɔktɔ ɛn dɛn tɔk sɔntin lɛk dat? Wetin na dis at murmur, ɔ ``Hat Murmur''? Lɛ wi tɔk bɔt dis simpul wan.

Wetin "murmur" na di at min?

We wi at de bit, dat min se we i de pɔmp blɔd, di valv dɛn na di at kin opin ɛn lɔk. Lɛk domɔt dɛn. we dεn valv dεm ya kכloz, yu de yεri tu sawnd dεm we dεn kכl ‘lub-dub’ . Yu dɔn ɛva si dɔktɔ put stetɔskɔp na yu chɛst ɛn lisin? Na dat yu de yɛri. Bɔt, sɔm tɛm, apat frɔm dis ‘lub-dub’ sawnd, yu kin yɛri sawnd lɛk ‘whoosh’ ɔ ‘swish’ lɛk se i de ful-ɔp wit briz. Na dat wi kin kɔl `(Heart Murmur)`, insay Sinhala, na murmur fɔ di at. Dis min se sɔm smɔl tin de we nɔ fayn na di we aw blɔd de pas na di valv dɛn na yu at.

Dis ``Heart Murmur'' na somtin we de hapun to plenti pipul?

Yɛs, dis kin rili kɔmɔn. Yu nɔ go ivin tink bɔt am, bɔku pan wi dɔn gɛt ‘harmless’ `(Heart Murmur)` sɔm tɛm na wi pikin tɛm, we min se na murmur we kin apin we nɔ gɛt ɛni ɔndalayn sik. So nid nɔ de fɔ panik we yu yɛri dis nem.

Yu tink se kayn `(Hat Murmur)` de?

Na dɛn de. Dɛn kin sheb dɛn tin ya akɔdin to we insay di at in bit saykl we dɛn kin yɛri dis sawnd.

Fɔ tɔk am simpul wan:

• Systolic murmur: Dɛn kin yɛri dis we yu at mɔsul kɔntrakt, we min se i de push blɔd kɔmɔt.
• ``Diastolic`` murmur: dis dεn kin yεri we di at mכsul rilaks, dat na we i de fulכp wit bכdi bak.
• ``Kכntinyu`` Murmur: dis dεn de yεri we di at kכntrakt εn rilaks, we min se dεn de yεri am כlsay na di saykl.

jεnarali, di ``Diastolic`` εn ``Continuous`` murmur dεm kin bכku fכ kכl hat sik. Bɔt i rili impɔtant fɔ mek dɔktɔ chɛk ɛni ``Hat Murmur``.

Aw lawd wan ``Hat Murmur'' de?

Wi nɔ de yɛri dis wit wi yes. Na we dɔktɔ lisin wit stetɔskɔp nɔmɔ wi kin no dis sawnd klia wan. Na bikɔs di stetɔskɔp de mek dis sawnd big.

Dɔktɔ dɛn kin klas aw dis grɔmbul kin tranga, dat na aw di sawnd lawd. Skel de fɔ dat, frɔm 1 to 6.

• Gret 1: I nɔ kin izi fɔ yɛri ivin wit stetɔskɔp.
• Gret 6: Di stetɔskɔp lawd fɔ mek pɔsin yɛri am klia wan ivin if dɛn nɔ prɛs am pan di skin.

Wetin na di tin dɛm we de mek dis `(Heart Murmur)`?

As a bin dɔn tɔk bifo tɛm, pɔsin kin grɔmbul bikɔs i nɔ de flɔ ɔ blɔd we nɔ de flɔ tru di at valv dɛn.

Aw inosɛnt, dat na, wɛlbɔdi ``Inosɛnt At Mɔr'' kin apin?

sכmtεm, we bכdi de fכlכ fast pas nכmal, wan ``inosεnt'' at grכm kin apin. dis dεn kכl am bak ``nכmal'' כ ``fysiolojikal'' mכrmur. Nɔto ɛni sik kin kam wit dɛn tin ya. Dɛn kin kɔmɔn pan kes dɛm lɛk dis:

• As pikin: Dis kin rili kɔmɔn fɔ yɔŋ pikin dɛn.
• We wi de du ɛksɛsayz: We wi de rɔn ɛn jomp, wi at de bit fast fast, na da tɛm de.
• di tεm dεm we pikin dεn de gro kwik kwik wan (dεn de gro spurt).
• We yu gɛt bɛlɛ: Dis kin apin bak we yu na mama we go bi mama.
• insay di fכs de dεm afta dεn bכn pikin.

Sɔntɛnde, dɛn inosɛnt grɔmbul dɛn ya kin kam ɛn go, dɔn dɛn kin kam bak. Dɛn kin lawd bak we yu at de bit fast fast. Bɔku tɛm, dɛn kin go fɔ dɛnsɛf as tɛm de go. Bɔt fɔ sɔm pipul dɛn, dɛn kin las fɔ ɔl dɛn layf. Di impɔtant tin na dat, dɛn inosɛnt grɔmbul ya nɔ min se natin nɔ rayt na yu at.

At Murmurs, wae kin kam wit hat sik ɔr ɔda kayn sik

Sɔm ``Hat Murmurs'' kin kam bikɔs ɔf at sik ɔr ɔda wɛl bɔdi prɔblɛm. Lɛ wi tek wan luk pan wetin dɛn bi:

• Anemia: Dis min se di nɔmba fɔ di rɛd blɔd sɛl dɛn we de na di blɔd go go dɔŋ. Dis kin afɛkt di viskɔsiti na di blɔd, we kin mek pɔsin in at grɔmbul. Di sayn dɛm na fɔ fil wik ɛn taya. Imajin, Nimali de taya ɔltɛm ɛn i nɔ ebul fɔ du ɛnitin. Na we i go to dɔktɔ nɔmɔ i kin no se in blɔd prɛshɔn smɔl. I bin gɛt at grɔmbul bak.

• Carcinoid syndrome ɔ carcinoid hat sik: Dis na kansa we de gro sloslo. Na bikɔs ɔf di ɔmon dɛn we pasmak, we kin afɛkt di at bak. Yu kin si bak se yu de lɔs yu wet, yu bɛlɛ de pen, yu gɛt dayarɛa, ɛn yu blɔd prɛshɔn de dɔŋ.

• Congenital hat defect: Na prɔblɛm wit di strɔkchɔ na yu at, ɔ di we aw i fɔm, we dɛn bɔn yu wit. fכ egzampl, wan ol na di at (a `septal defect`) כ kכndishכn dεm lεk `Tetralogy of Fallot`.

• Endocarditis: Dis na infεkshכn na di at. Baktri ɔ ɔda jem kin go insay di blɔd ɛn atak di at valv dɛn. Dis kin mek yu gɛt ɔda sayn dɛm lɛk fiva, kol, skin rash, ɛn trot we de at.

• `Hat valv sik`: .Dis min se wan ɔ mɔ pan di at valv dɛn nɔ de wok fayn. Dɔn di blɔd nɔ de flɔ fayn. fכ egzampl, wan valv kin stiff (`valv stenosis`). Ɔ i nɔ kin opin ɛn lɔk fayn. di bכdi kin lik na di rכng dairekshכn (`valv regurgitation`). tεm lεk dis, tin dεm lεk fכ swel na di ankכl dεm εn di lεg dεm, fכ fil di at de bit fast fast (`palpitations`), i at fכ brith, εn di chεst tayt kin apin.

• Hyperthyroidism: Dis na we di tayroyd gland de mek tumɔs tayroyd ɔmon. Dis sik kin mek yu nɔr de rɛst, yu nɔr want fɔ it mɔr, yu at kin bit kwik kwik wan, ɛn yu nɔr gɛt bɔrku bɔrku bɔrku bɔdi.

• Hypertrophic cardiomyopathy: Dis na wan kayn at sik wae de mek di hat mɔsul big, tik, ɔr stif. I kin kɔmɔt frɔm ɔda pɔsin, ɔ i kin kam wit di ej ɔ bikɔs ɔf di ay blɔd prɛshɔn. Ɔda sayn dɛm kin bi fɔ lɛ yu nɔr de fil fayn (syncope), yu chɛst de pen, yu at de blo, yu taya, ɛn yu nɔ de blo fayn.

Wetin na di sayn dɛm fɔ wan `(Heart Murmur)`?

Sɔm ``Hat Murmurs'' nɔ de sho ɛni simptom. Dɛn kin no dɛn we dɛn de du mɛdikal ɛgzam we dɛn kin du ɔltɛm.

Bɔt dipen pan wetin mek yu de grɔmbul, yu kin gɛt sɔm sayn dɛn lɛk:

• Blu skin (especially di lip ɛn di finga dɛn) .
• Wan kɔf we de kɔntinyu fɔ kɔf
• Fɔ fil se yu at de bit fast (palpitations) .
• Chɛst de pen ɔ tayt
• I nɔ kin izi fɔ yu fɔ blo
• Wae yu nɔr de no natin wantɛm wantɛm (syncope) ɔr yu kin fil lɛk yu nɔr de fil fayn

Aw dɔktɔ kin no ``Hat Murmur''?

Dɔktɔ go lisin to yu at fɔ chɛk fɔ ``Hat Murmur''. If murmur de, yu go hie wan unusual sound, laik di ‘whoosh’ or ‘swish’ we a menshon.

Di dɔktɔ go put di stetɔskɔp na difrɛn pat dɛn na yu chɛst ɛn bak fɔ lisin to aw yu at de bit. Dɛn go pe atɛnshɔn mɔ to dɛn tin ya:

• Yu de yɛri ɛni ɔda sawnd apat frɔm di ‘lub-dub’ sawnd?
• Aw di sawnd tan lɛk? (`Pitch`) .
• Ritm we di at bit (`Rhythm`) .
• Us tɛm insay di at bit dɛn kin yɛri di sawnd? (`Tɛm`)
• Aw lawd di sawnd? (`Vɔlyum`) .

Yu mɛmba aw sɔntɛnde di dɔktɔ kin tɛl yu fɔ du tin dɛn we yu de lisin wit stetɔskɔp? Na dat i de fɔ. Fɔ ɛgzampul:

• Dɛn se fɔ shek an.
• I tɛl mi fɔ sidɔm.
• I tɛl mi fɔ tinap fɔ mek a nɔ sidɔm.
• I tɛl mi fɔ ledɔm na grɔn.

Us tɛst di dɔktɔ go du if i yɛri ``Hat Murmur''?

If yu dɔktɔ yɛri pɔsin de grɔmbul, dɛn go nid fɔ du mɔ tɛst fɔ no if na wɛlbɔdi prɔblɛm de mek i grɔmbul. Dɛn kin sɛn yu to dɔktɔ we de mɛn yu at.

Dɛn kin du dɛn tɛst ya fɔ no wetin mek pɔsin gɛt ``Hat Murmur``:

• X-ray na di chɛst:dis de tek pikchכ dεm insay di chεst fכ chεk fכ strכkchכral prכblεm dεm na di at כ di lכng dεm.
• Echocardiogram (ɔ echo): Dis tan lɛk ɔltra saund skan fɔ di at. I de yuz sawnd wev fɔ mek pikchɔ dɛn bɔt di at in valv ɛn chɛmba dɛn. I kin ɛp bak fɔ chɛk aw di at de pɔmp blɔd fayn fayn wan. Dis kin bi skan we dɛn kin du tru di skin, ɔ transɛsophageal echocardiogram, we dɛn kin yuz spɛshal inschrumɛnt tru di mɔt ɛn trot. Dis kin mek wi gɛt klia pikchɔ dɛn bɔt di at.
• Ilɛktrokardiogram (ECG ɔ EKG): Dis na tɛst we nɔ de mek yu fil pen we de sho aw yu at de wok wit ilɛktrik. I kin no prɔblɛm wit yu at ritm ɛn sayn dɛm fɔ hat atak.

Aw fɔ trit wan `(Hat Murmur)`?

Mɔs pan di `(Heart Murmur)` nɔ nid ɛni tritmɛnt. Ɛn natin nɔ de fɔ wɔri bɔt dɛn. Ɛspɛshali dɛn `inosɛnt' grɔmbul dɛn de.

Bɔt if na siriɔs sik mek yu grɔmbul, yu go nid fɔ gɛt tritmɛnt lɛk dis:

• Mɛrɛsin: Fɔ ɛgzampul, ayɔn pils fɔ anemia, ɔ mɛrɛsin fɔ mek di tayroyd nɔ wok fayn.
• Ɔpreshɔn: Sɔntɛnde, dɛn kin nid fɔ du ɔpreshɔn fɔ mek di at valv fayn ɔ fɔ mek dɛn put nyu wan.

Di tin we impɔtant pas ɔl na fɔ mek di dɔktɔ chɛk di pɔsin gud gud wan ɛn no wetin mek di pɔsin de grɔmbul ɛn if i nid fɔ gɛt tritmɛnt ɔ i nɔ nid fɔ gɛt tritmɛnt.

Yu tink se dɛn kin mek dɛn nɔ gɛt At Murmur?

Rili no we nɔ de fɔ mek ``Hat Murmur'' nɔ apin. Na bikɔs sɔm kin bɔn pikin dɛn, ɛn ɔda wan dɛn kin kam wit ɔda sik dɛn.

Bɔt, yu kin tek kia ɔf yu at wɛlbɔdi. If yu de chɛk yu ɔltɛm ɛn liv fayn layf (fɔ it fayn, du ɛksɛsayz, ɛn nɔ smok) kin ɛp fɔ mek yu nɔ gɛt siriɔs prɔblɛm dɛn we at sik kin kam wit.

Wetin na di wɛlbɔdi stet fɔ pɔsin we gɛt `(Heart Murmur)`?

Dis dipen ɔl pan di tin we mek di pɔsin de grɔmbul. Bɔku tɛm, di ‘inosɛnt’ we dɛn kin grɔmbul pan yɔŋ pikin dɛn kin go as dɛn de ol. di grכm we kin apin we uman bεlε kin kכmכt afta dεn bכn.

Bɔt fɔ grɔmbul we gɛt fɔ du wit at prɔblɛm, i rili nid fɔ go to dɔktɔ. Na dat mek if dɔktɔ tɛl yu se yu gɛt grɔmbul, yu fɔ chɛk am gud gud wan.

Ustɛm a fɔ go to dɔktɔ?

If yu gɛt ɛni wan pan dɛn sayn ya we yu tink se kin gɛt fɔ du wit at sik, yu fɔ go to dɔktɔ wantɛm wantɛm :

• If di skin tɔn blu (espɛshali rawnd di lip ɛn nel) .
• If yu fil pen na yu chɛst ɔ yu de prɛs
• If yu fil se yu at de bit abnɔmal wan (palpitations) .
• If yu gɛt prɔblɛm fɔ blo
• If yu fɔdɔm wantɛm wantɛm (syncope) ɔ fil lɛk yu ed layt

If yu gɛt ɛni wan pan dɛn sik ya, nɔ ignore dɛn. I bɛtɛ fɔ go to dɔktɔ kwik kwik wan ɛn mek dɛn chɛk yu.

Lɛ wi mɛmba dɛn pɔynt ya (Take-Home Message) .

Okay, so, fɔ sɔma wetin wi dɔn de tɔk bɔt, at grɔmbul na ‘whoosh’ ɔ ‘swish’ sawnd we yu kin yɛri we blɔd de flɔ abnɔmal wan tru di valv dɛm na yu at.

Bɔrku tɛm, dɛn tin ya na ‘inosɛnt’ grɔmbul, we min se nɔto ɛni sik kin kam wit am ɛn nɔto natin fɔ fred. Dɛn kin rili kɔmɔn pan yɔŋ pikin dɛn.

Bɔt sɔm grɔmbul kin kam bikɔs ɔf at sik ɔ ɔda wɛlbɔdi prɔblɛm. So, i rili impɔtant fɔ mek dɔktɔ chɛk ɛni ``Hat Murmur`` fɔ no di rayt kɔz.

If dɔktɔ tɛl yu ɔ yu pikin se dɛn gɛt ``Hat Murmur,'' nɔ panik, bɔt tek tɛm lisin to wetin dɛn gɛt fɔ tɔk. If yu du di tɛst dɛm wae yu nid ɛn gɛt di rayt tritmɛnt fɔ di kɔz (if nid de), yu kin gɛt wɛl bɔdi.

Mɛmba se yu at na yu prɔpati! Na yu wok fɔ kia fɔ am gud gud wan.

` At grɔmbul, at grɔmbul, at sawnd, inosɛnt grɔmbul, at sik, at valv, blɔd sirkuleshɔn