yu don yehri dokta se, "A kin yeri likl hat murmur" we dem put stetoskop na yu chest? I go mɔs bi se yusɛf dɔn yɛri am. Bɔku pipul dɛn kin fred we dɛn yɛri dis "murmur." Na nɔmal tin fɔ tink se, "Sɔmtin de we nɔ rayt na mi at?" Bɔt nɔ fred. Tide, wi go tɔk bɔt wetin na Holosystolic Murmur , wetin mek i kin apin, ɛn wetin dɛn kin du bɔt am.
Fɔ tɔk am simpul wan, wetin na dis Holosistolic Murmur?
Imajin se wata de flɔ fayn fayn wan tru wata paip we nɔ gɛt ɛnitin fɔ ambɔg am. Dɔn yu nɔ de yɛri ɛni sawnd. Bɔt if smɔl blok ɔ ol de sɔmsay na di paip, we di wata de flɔ, i de mek wan strenj sawnd lɛk ‘s...’. Na so i bi.
Holosistolic Murmur nɔto sik. Na sayn . We yu dɔktɔ lisin to yu at wit stetɔskɔp, na ɔda sawnd we dɛn kin yɛri apat frɔm di ‘lub-dub’ sawnd we yu at de bit, bikɔs di blɔd nɔ de flɔ fayn fayn wan. fכ bi prεsis, dεn de yεri dis sawnd kכntinyu we di at de kכntrikshכn (systole) εn dat mek dεn kכl am Holosystolic (we dεn yεri כlsay di כl kכntrikshכn) Murmur.
Di tin we impɔtant pas ɔl na dat nɔto di prɛzɛns fɔ dis grɔmbul na in denja, na di ɔndalayn kɔndishɔn we de mek i de mek wi nid fɔ fɛn ɛn trit.
Yu dɔktɔ go mɔs tɛl yu fɔ gi dis sawnd wan nɔmba (frɔm 1 to 6). Dis kin jɔs tɛl yu aw di sawnd lawd. If di nɔmba bɔku, dat nɔ min se i denja mɔ. Sɔntɛnde we di dɔktɔ put in an pan yu chɛst, dis sawnd kin fil lɛk se yu shɔk. Dɛn kin kɔl am bak ‘thrill’.
Wetin na di men rizin dɛn we mek dis nɔys de?
Yu no se wi at gɛt 4 rum dɛn. Bitwin dɛn chɛmba dɛn ya tin dɛn de lɛk domɔt dɛn we de ɛp blɔd fɔ flɔ na wan say nɔmɔ. Wi kin kɔl dɛn ‘valv’. If dɛn valv ya nɔ lɔk fayn, di blɔd kin bigin fɔ lik bak. Na da tɛm de dɛn kin yɛri dis grɔmbul mɔ.
| Men rizin | Fɔ ɛksplen am simpul wan |
|---|---|
| Mitral Rigrɔjiteshɔn | dis na we di mitral valv we de na di lεft say na di at nכ de kכloz fayn, we de mek di bכdi lik bak. Dis valv kin pwɛl bikɔs ɔf tin dɛn lɛk rεumatik fiva. |
| Trikuspid Rigrɔjiteshɔn | dis kin apin we di trikuspid valv we de na di rayt say na di at nɔ kin lɔk fayn, we kin mek di blɔd lik bak. |
| Ventrikulכr Sεptal Dεfεkt (VSD) . | dis na ol na di wכl bitwin di tu men chεmba dεm (vεntrikul dεm) we de na di bכtכm pat pan di at. Bɔku tɛm, dis na tin we pɔsin kin bɔn wit. Dɛn kin yɛri wan grɔmbul as blɔd de pas na dis ol. |
Wetin kin apin wit dis?
Imajin, pan pɔsin we gɛt Mitral Regurgitation, di mitral valv nɔ de lɔk fayn, we de mek di blɔd flɔ bak na di say we i kɔmɔt na di lכng. dis kin mek di prεshכn na di vein dεm we de go na di lכng dεm go כp, εn if i tranga, di lכng dεm kin fulכp wit wata. As tɛm de go, dis kin mek yu at pwɛl.
Aw dɛn kin trit am?
As a bin dɔn tɔk bifo tɛm, wi nɔ de trit di grɔmbul, bɔt wi de trit di ɔndalayn kɔndishɔn we de mek i de grɔmbul . Yu dɔktɔ go du tɛst fɔs (fɔ ɛgzampul, ɛkokadiogram , we na fɔ skan di at) fɔ si wetin de mek i gɛt am.
- If blɔd lik frɔm di valv dɛn (Regurgitation):
- Mɛrɛsin: Dɛn kin gi am mɛrɛsin lɛk antikɔagulant ɔ diuretik .
- Ɔpreshɔn: If di mɛrɛsin nɔmɔ nɔ go du, dɛn kin nid fɔ du ɔpreshɔn fɔ mek di valv we dɔn pwɛl ɔ fɔ mek dɛn yuz nyu valv fɔ chenj am.
- If ol de na di at (VSD):
- Dɛn kin gi mɛrɛsin fɔ kɔntrol di sayn dɛm.
- Bɔku tɛm, dɛn kin du ɔpreshɔn fɔ lɔk dis ol.
- If di valv dɔn smɔl (Stenosis):
- Sɔntɛnde, pɔsin kin grɔmbul bak bikɔs di valv kin smɔl. If na so i bi, dɛn kin yuz wan tin we dɛn kɔl Balloon Valvuloplasty . dεn de pas wan balכn tru wan vein tru wan prכsidכm we dεn kכl kadyak kateshכn εn dεn de inflate am insay di valv we sכm, we de mek di valv big.
Wetin fɔ du if dɛn put nyu at valv?
Tu kayn nyu valv dɛn de.
| Valv tayp | Wetin fɔ no |
|---|---|
| Mekanikal we dɛn de du | Dɛn mek dɛn tin ya wit mɛtal ɛn plastic. Dɛn kin las fɔ lɔng tɛm. Bɔt yu fɔ tek antikɔagulant fɔ di res ɔf yu layf. |
| Bayoprostɛtik (bayolojikal) . | Dɛn kin mek dɛn tin ya wit pig ɔ kaw at tisu. Dɛn kin las fɔ lɛk 10-15 ia so. Bɔt yu nɔ nid fɔ tek antikɔagulant fɔ di res ɔf yu layf. |
| Tin dɛn we yu fɔ mɛmba we yu de instɔl ɛni wan pan dɛn tu kayn valv ya: | |
| |
Wetin na di sayn dɛm wae kin mek yu nid fɔ go to dɔktɔ?
Sɔm pipul dɛn kin gɛt wan grɔmbul bɔt dɛn nɔ kin gɛt ɛni sayn. Sɔntɛm dɛn nɔ kin ivin no se dɛn gɛt am. Bɔt fɔ sɔm pipul dɛn, di men tin we kin mek dɛn gɛt dis sik kin mek dɛn gɛt sayn dɛn we de mɔna dɛn. If yu gɛt ɛni wan pan dɛn sayn ya, go to dɔktɔ wantɛm wantɛm.
- I nɔ kin izi fɔ yu fɔ blo
- Chɛst de pen ɔ yu fil se yu tayt
- Fɔ fil lɛk se yu at de bit fast (palpitations) .
- Fɔ blo shɔt (dyspnea) .
- Swel, mɔ na di leg, anklɛ, ɛn fut
If yu go fɔ chɛk yu dɔktɔ ɔltɛm, yu dɔktɔ kin no dis sik kwik kwik wan. I bɛtɛ fɔ no ɛni sik bifo i wɔs.
Mɛsej we dɛn kin kɛr go na os
- Holosystolic Murmur nɔto sik, na jɔs sayn fɔ sho se sɔntin nɔr de na yu at.
- di men tin dεm we kin mek dis apin na di bכdi we de lik bak frכm di at valv dεm (regurgitation) כ wan ol na di at wכl (VSD).
- Di tritmɛnt nɔto fɔ di grɔmbul, bɔt na fɔ di ɔndalayn mɛdikal kɔndishɔn we de mek i de grɔmbul.
- If yu gɛt sɔm sayn dɛn lɛk fɔ mek yu nɔ ebul fɔ blo fayn, yu chɛst de pen, ɔ yu leg dɛn de swel, nɔ ignore dɛn ɛn go to yu dɔktɔ wantɛm wantɛm .
- We dɛn du mɛdikal ɛgzamɛn di rayt tɛm, dɛn kin no bɔt dɛn kayn tin ya kwik kwik wan ɛn dɛn kin bigin fɔ trit dɛn bifo dɛn bad.
💬 Comments (0)
No kɔmɛnt nɔ de yet. Ad yu kɔmɛnt ya fɔ di fɔs tɛm.
Ad yu kɔmɛnt