Yu de yɛri wan strenj "soo... soo..." sawnd de kɔmɔt na yu at? I kin bi wan Systolic At Murmur!

We dɔktɔ de lisin to yu chɛst wit stetɔskɔp, sɔntɛnde yu kin yɛri smɔl ‘swoosh’ ɔ ‘whistle’ sawnd apat frɔm di nɔmal ‘lub-dub’ sawnd na yu at. Dis na wetin wi de kɔl ‘at murmur’. Sɔm pipul dɛn kin fred we dɛn yɛri dis, bɔt nɔto ɔl di grɔmbul kin denja. Tide wi go tɔk bɔt wan pan dɛn kayn grɔmbul dɛn de we na di Systolic Murmur .

Wetin na dis Systolic Murmur?

Fɔ tɔk am simpul wan, sistolik at grɔmbul na abnɔmal sawnd we yu kin yɛri we yu at kɔntrakt, dat na we i de pɔmp blɔd rawnd yu bɔdi. Dɔktɔ dɛn kɔl dis di sistole na di at. We yu luk yu blɔd prɛshɔn, di nɔmba we de ɔp na di sistolik prɛshɔn.

Aw di at sawnd de mek?

Wi at gɛt 4 valv dɛn. Dɛn tin ya tan lɛk domɔt dɛn we de mek blɔd go na wan say nɔmɔ. we di at de bit, dεn de yεri di ‘lub-dub’ sawnd we dεn valv dεm ya de kכloz.

• fכs sawnd ('lab'): dis kin apin we di mitral εn trikuspid valv dεm (dεn kכl dεm bak di atrioventricular valv dεm ) klos. Dis na we di at bigin fɔ kɔntrakt (systole).
• sεkכn sawnd (‘dub’): dis kin apin we di aorta εn pulmonik valv dεm (dεn kכl dεm bak semilunar valv dεm ) kכloz. Dis tɛm ya, di at de rɛdi fɔ ful-ɔp wit blɔd bak.

sistolik mכrmur na adishכnal ‘swoosh’ כ ‘whoosh’ sawnd we dεn kin yεri wit כ afta di fכs ‘lub’ sawnd. Di men tin we kin mek dis apin na we di blɔd de flɔ insay di at we nɔ de chenj. I tan lɛk di sawnd we wata paip we dɔn lɔk de mek.

Pan ɔl we dɛn grɔmbul ya nɔ kin denja, sɔntɛnde dɛn kin bi sayn fɔ wan ɔndalayn at sik. So if yu dɔktɔ tɛl yu se yu gɛt sɔntin we de grɔmbul, i impɔtant fɔ mek dɛn chɛk am.

Wetin na di men kayn sistolik murmur?

Dɔktɔ dɛn kin sheb dɛn grɔmbul ya to tu kayn:

• Functional Murmurs: Dɛn pipul ya nɔ gɛt ɛni strɔkchɔral difrɛns na di at, we min se nɔ prɔblɛm nɔ de wit di shep we di at ɔ di valv dɛn gɛt. Bɔku tɛm, dɛn tin ya na grɔmbul we nɔ gɛt wan bɔt .
• Ɔrganik Murmur: Dɛn pipul ya kin gɛt murmur bikɔs ɔf wan strɔkchɔral prɔblɛm na dɛn at. Dis min se i kin gɛt prɔblɛm na wan valv ɔ na di at wɔl.

dis sistolik mכrmur dεm dεn kin klas dεm bak insay כda we:

• Ejekshɔn Murmur:Dɛn wan ya kin bigin wit di sɛmilunar valv dɛn we wi bin dɔn tɔk bɔt bifo tɛm. dis valv dεm na dεn kin kכri bכdi frכm di at to di aorta εn di pulmonary atεri to di lכng. Ejection murmur na sawnd we de mek we di at push blɔd kɔmɔt, ɔ ‘eject’ am. Dɛn tin ya kin bi tin dɛn we de wok ɔ we gɛt ɔrganik.
• Rigurgitant Murmurs: Dɛn kin apin we di at valv dɛn nɔ kin lɔk fayn, we kin mek di blɔd lik bak. I tan lɛk se wata pɔt nɔ de lɔk fayn. dεn kin stat na di atrioventricular valv dεm. כl di rεgurgitant sistolik mכrmur dεm na כgan , we min se sכm strכkchכral dεfekt de.

Wetin na di difrɛns bitwin sistolik ɛn dayastolik murmur?

Dɛn tu tin ya na abnɔmal at sawnd.

• Systolic murmur: Dɛn kin yɛri dis we di at mɔsul kɔntrakt (we di at de bigin ɔ we di at de bit).
• diastolic murmur: dis dεn kin yεri we di at mכ sul de rεst (bitwin tu at bit).

Fɔ tɔk am simpul wan, sistolik na di sawnd we dɛn kin mek we di at de ‘wok’, ɛn dayastolik na di sawnd we dɛn kin mek we di at de ‘rɛst’.

Wetin na di difrɛns bitwin inosɛnt ɛn abnɔmal at grɔmbul?

Dis na tin bak we rili impɔtant.

• Inosɛnt At de grɔmbul: Sɔntɛnde dis grɔmbul nɔr kin bi sayn fɔ hat sik. Dis na wetin dɔktɔ dɛn kɔl ‘inosɛnt at grɔmbul.’ Dɛn kin si dɛn tin ya pan yɔŋ pikin dɛn, uman dɛn we gɛt bɛlɛ, ɔ we dɛn gɛt tin dɛn lɛk fiva ɔ afta dɛn dɔn du bɔku ɛksesaiz. Bɔrku tɛm, dis nɔr kin nid tritmɛnt ɛn i go dɔn as tɛm de go.
• Abnɔmal Hat Murmurs: Bɔt sɔm murmur na sayn fɔ wan ɔndalayn at kɔndishɔn. Dɛn kɔl dɛn tin ya ‘abnɔmal at grɔmbul.’ If yu gɛt abnɔmal murmur, yu go nid fɔ fɛn di kɔz ɛn trit am.

Nɔ panik! Yu nɔ nid fɔ panik we dɔktɔ tɛl yu se yu gɛt grɔmbul. Yu kin no if i nɔ bad ɔ nɔ bad, ɔ if sɔntin nɔ fayn wit am.

Wetin na di sayn dɛm wae de sho se yu gɛt systolic murmur?

Bɔrku pipul wae gɛt hat de grɔmbul nɔr kin gɛt ɛni sayn. Bɔt dipen pan wetin mek yu de grɔmbul, yu kin gɛt sɔm sayn dɛn lɛk:

• Wan blu tin na di skin (especially di lip ɛn finga nel).
• Wan kɔf we de kɔntinyu fɔ kɔf.
• Fɔ mek yu nɔ fil fayn wantɛm wantɛm (syncope) .
• Fɔ fil taya kwik kwik wan.
• di leg dεm de swεla, di wata we de rεtεn (εdima) .
• Fɔ fil se yu gɛt diziz (vertigo).
• I nɔ izi fɔ blo (dyspnea) , mɔ we yu de du ɛksɛsayz ɔ ledɔm.

If yu gɛt dɛn sik ya, i rili impɔtant fɔ go to dɔktɔ.

Wetin kin mek wan sistolik at de grɔmbul?

Bɔku rizin dɛn kin de. Di ejection murmur ɛn regurgitant murmurs we wi bin tɔk bɔt bifo tɛm gɛt difrɛn kɔz.

Di tin dɛn we kin mek pɔsin gɛt mɔr fɔ di ejekshɔn:

• di aortic stenosis: Dis na we di men valv we de kכri bכdi frכm di at to di כl bכdi (aortic valve), lεk di doa we nכ kin opin fayn fayn wan. Dis kin mek di blɔd we de flɔ blok.
• atrial septal defect (ASD): na sכmכl ol na di wכl bitwin di tu כp chεmba dεm (atria) na di at.
• Hypertrophic obstructive cardiomyopathy (HOCM): Dis na jεnεtik at sik we di wכl (septum) bitwin di tu lכw chεmba dεm (chamba dεm) na di at kin tik abnכmal.
• di pulmonik stenosis: di valv we de kכri bכdi frכm di at to di lכng (pulmonic valv) de sכmtεm sכmtεm.

Di tin dɛn we kin mek pɔsin de grɔmbul ɔltɛm:

• di mitral valv rigεtεshכn: nכmal wan, di mitral valv fכ kכloz we di at kכntrakt (di tεm we di sistכl de). כltu, insay dis kכndishכn, di valv nכ de kכloz fayn, we de mek sכm bכdi lik bak insay di lεft atrium.
• trikuspid valv rigεtεshכn: dis lεk mitral rεgεshכn, bכt i de apin na di trikuspid valv we de na di rayt say na di at. di bכdi de lik bak frכm di rayt vεntrikl go insay di rayt atria.
• vεntrikul septal dεfekt (VSD): Na ol na di wכl bitwin di tu lכw chεmba dεm (vεntrikul dεm) na di at. Dis na tin we kin apin we dɛn bɔn smɔl pikin dɛn.

Aw yu go no se yu gɛt sistolik grɔmbul?

Bɔku tɛm, dɛn kin yɛri dis grɔmbul fɔs we yu dɔktɔ de lisin to yu at wit stetɔskɔp. We dɔktɔ de luk fɔ dis sawnd, dɛn go luk fɔ dɛn tin ya:

• Aw lɔng yu kin yɛri di sawnd?
• Usay ɛksaktɔli na di at di sawnd kɔmɔt?
• Aw di sawnd in pitch ɛn volyum de ? (I de sawnd saf ɔ lawd?)
• di sawnd de chenj we yu chenj posishכn (e.g., lay dכn, tinap)?

Yu tink se dɛn go nid fɔ du ɔda tɛst dɛn?

Yɛs, if yu dɔktɔ want fɔ no mɔ bɔt di grɔmbul, i kin sɛn yu to dɔktɔ we de mɛn yu at, ɛn i kin du tɛst dɛn lɛk:

• di kadyak kateshכn: insay dis prכsidכm, dεn kin put wan sכm sכm tכb (kateta) insay di groin כ di an, we dεn de gayd tru di at dεm na di at, εn dεn de egzamin di kכndishכn fכ di at dεm bay we dεn de yuz εks-ray εn wan spεshal likwid (kכntrast day).
• X-ray na di chɛst:Dis kin tek pikchɔ fɔ di bon dɛn, di at, ɛn di lɔng dɛn.
• Echocardiogram (Echo): Dis tan lɛk ɔltra saund skan fɔ pikin we de na di bɛlɛ. I de yuz sawnd wev fɔ si tin dɛn lɛk aw di at de bit, aw di valv dɛn de wok, ɛn di sayz we di at gɛt. Dis na tɛst we rili impɔtant fɔ no wetin mek pɔsin de grɔmbul.
• Ilektrokardiogram (EKG/ECG): Dis de rikodɔ di ilɛktrik aktiviti we di at de du. I kin chɛk fɔ gɛt prɔblɛm wit di at ritm.

Yu tink se wan skel de fɔ gred di sistolik murmur?

Yɛs, dɔktɔ dɛn kin gred wan grɔmbul bay di kayn we aw i de grɔmbul. Skel de fɔ dis frɔm 1 to 6.

• Gret 1: Na wan rili kwayɛt, we nɔ kin izi fɔ yɛri fɔ grɔmbul. Na dɔktɔ we gɛt ɛkspiriɛns nɔmɔ go ebul fɔ no am.
• Gret 2: Na saful saful grɔmbul, bɔt yu kin yɛri am wit stetɔskɔp.
• Gret 3: I kin lawd smɔl.
• Gret 4: I kin rili lawd, ɛn yu kin fil fayn if yu prɛs yu an pan yu chɛst.
• Gret 5: I rili lawd. Yu kin yɛri am ilɛksɛf yu jɔs put di stetɔskɔp na yu chɛst ɛn lisin. Yu kin fil bak se yu de shek shek.
• Gret 6: Na wan rili lawd grɔmbul. Lawd fɔ yɛri ivin wit di stetɔskɔp we dɛn nɔ put na di chɛst, ɔ ivin nia am smɔl.

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

Aw dɛn kin trit wan sistolik at grɔmbul?

Di tritmɛnt dipen pan if di grɔmbul nɔ du natin ɔ nɔrmal bikɔs ɔf wan ɔndalayn at kɔndishɔn.

Fɔ di inosɛnt Marmer:

Bɔku tɛm, dɛn tin ya kin go we dɛn nɔ gɛt tritmɛnt. Di dɔktɔ go tɛl yu fɔ jɔs wet ɛn si, ɛn sɔntɛm yu go chɛk bak afta sɔm tɛm.

Fɔ grɔmbul dɛn we nɔ kɔmɔn:

Dis kin nid tritmɛnt fɔ di ɔndalayn at sik, we kin nid fɔ tek mɛrɛsin, ɔpreshɔn, ɔ ɔl tu.

Di mɛrɛsin dɛn we dɛn kin yuz:

• di angiotensin-kכnvεrt εnzym (ACE) inhibito dεm: fכ egzampl, Captopril εn Benazepril. Dɛn tin ya kin mek di blɔd prɛshɔn go dɔŋ.
• Beta-blɔk: Fɔ ɛgzampul, Mɛtoprolɔl, Bisoprolɔl. Dɛn tin ya kin mek di at de bit ɛn di blɔd prɛshɔn.
• Di tin dɛn we de mek blɔd tan: Fɔ ɛgzampul, Warfarin, Aspirin. Dɛn tin ya kin mek blɔd nɔ klɔt insay di at.
• Diuretics: Fɔ ɛgzampul, Furosemide, Torsemide. Dɛn tin ya de ridyus di wata we pasmak na di bɔdi. Dis kin ɛp fɔ sɔm kayn at sik.

Ɔpreshɔn:

If di at sik bad, i kin nid fɔ mek di valv fayn, put nyu valv, ɔ du ɔda ɔpreshɔn.

• Valv ripa: Dɛn kin yuz dis fɔ mek di valv we dɔn smɔl big (opin) ɔ tayt valv we de lik we nɔ de lɔk fayn.
• Valv riplesmɛnt: If valv tu smɔl ɔ pwɛl, di dɔktɔ kin riples am wit tisu valv ɔ mɛkanikal valv.
• Opin at ɔpreshɔn: Sɔntɛnde, dɛn kin nid fɔ du opin at ɔpreshɔn fɔ lɔk ol dɛn, lɛk di atrial septal defect (ASD) ɔ ventricular septal defect (VSD) we wi bin tɔk bɔt.

Yu tink se dɛn kin mek pɔsin nɔ gɛt sistolik at grɔmbul?

No patikyula we nɔ de fɔ mek pɔsin nɔ gɛt sistolik grɔmbul. Sɔm na tin dɛn we pɔsin kin bɔn wit, ɛn ɔda wan dɛn kin apin bikɔs ɔf ɔda tin dɛn. Bɔt i impɔtant fɔ mek yu kɔntinyu fɔ gɛt wɛlbɔdi na yu at. Na sɔm tin dɛn we yu kin du fɔ ɛp:

• Du at le 150 minit aerobic eksasaiz insay di wik (lɛk fɔ waka, rɔn, ɔ bayk).
• It fayn it we gɛt bɔku tin dɛn fɔ it, frut, ɛn vɛjitebul.
• Limit kafin (ti, kɔfi) ɛn rɔm.
• If yu de smok, yu nid fɔ stɔp .
• Ridyus strɛs tru tin dɛn lɛk fɔ tink gud wan.
• Gɛt at least 7-8 awa gud slip wan nɛt.

Wetin na de luk fɔ pɔrsin wae gɛt systolic murmur?

Bɔrku tɛm, wan inosɛnt sistolik grɔmbul nɔr kin nid tritmɛnt, ɛn yu kin liv nɔrmal layf wit am.

If yu gɛt abnɔmal grɔmbul, yu go nid fɔ trit di ɔndalayn at sik. Bɔt , wit advans tritmɛnt dɛn we de tide, yu kin kɔntrol bɔku at prɔblɛm dɛn ɛn liv fayn layf. Dɔn bak, fɔ fala wɛlbɔdi layf kin ɛp fɔ mek yu at gɛt wɛlbɔdi.

Nɔ fɔgɛt fɔ aks di dɔktɔ bɔt dɛn tin ya, okay?

If yu dɔktɔ tɛl yu se yu gɛt sistolic murmur, i fayn fɔ aks dɛn kwɛstyɔn ya:

• Wetin na di mכst kכz fכ dis systolic murmur in mi?
• Us ɔda tɛst dɛn a nid fɔ du?
• A nid tritmɛnt fɔ dis sistolik grɔmbul?
• Us tritmɛnt a nid fɔ mi at sik we de ɔnda mi?
• Yu tink se i go fayn fɔ mek a go to dɔktɔ we de mɛn mi at ?
• Us chenj dɛn a kin chenj mi layf fɔ mek mi at gɛt wɛlbɔdi?

Mɛsej we dɛn kin kɛr go na os

Sistolic hat murmur na abnכmal sawnd we dεn kin yεri we di at kכntrakt. Bɔrku tɛm, dɛn tin ya nɔr de du bad, dat min se nɔr de ɔndalayn at sik. Bɔt sɔntɛnde, dɛn kin bi sayn fɔ wan at sik.

Di tin we impɔtant pas ɔl na fɔ lɛ wi nɔ fred. If dɔktɔ tɛl yu se yu de grɔmbul, yu kin no uskayn pɔsin de grɔmbul, wetin de mek yu grɔmbul, ɛn if yu nid tritmɛnt ɔ yu nɔ nid fɔ gɛt am. If yu fala di rayt advays we dɔktɔ gi yu ɛn liv fayn layf, yu go ebul fɔ liv yu layf we yu de du tin. Mɛmba se fɔ kia fɔ yu at rili impɔtant!

` sistolik hat murmur, hat murmur, hat sik, hat sawnd, hat valv, hat hεlth, at kכndishכn, hat rεt, inosεnt murmur