Imajin se yu kɛr yu smɔl pikin go to dɔktɔ fɔ mek dɛn chɛk yu ɔltɛm. If di dɔktɔ put stetɔskɔp ɛn se, "Smɔl sawnd de kɔmɔt na yu pikin in at, na 'murmur'," yu at nɔ go flɔt as mama ɔ papa? Na nɔmal tin fɔ mek wi fil fred we wi yɛri at sawnd. Bɔt nɔ wɔri. Nɔto ɔl at sawnd, ɛvri ‘murmur’ na denja. Tide wi de tɔk bɔt wan sik we rili kɔmɔn ɛn we nɔ de du bad atɔl we dɛn kɔl ‘Still’s Murmur.’
Fɔ tɔk am simpul wan, wetin na Still’s Murmur?
Still’s Murmur na wan sawnd we nɔ bad, we de mek myuzik, we dɛn kin yɛri na di at fɔ pikin dɛn we gɛt wɛlbɔdi we ol bitwin 3 ɛn 6 ia. Na Dɔktɔ Jɔj Frɛdrik Still, we na dɔktɔ we de mɛn pikin dɛn, bin tɔk bɔt am fɔ di fɔstɛm insay 1909. I bin diskraib am as "a 'ting' sawnd, lɛk string pan myuzik inschrumɛnt we dɛn de pres." Impɔtant tin na dat, dis sawnd nɔ de kɔmɔt frɔm ɛni at sik, wikɛdnɛs, ɔ difεkt we dɛn bɔn wit .
Na dat mek dɔktɔ dɛn kin kɔl dis ‘innocent murmur’. Dat min se i nɔ de kɔz ɛni bad tin to di pikin. Bɔku tɛm, dis sawnd kin go bay di tɛm we di pikin dɔn rich di tɛm we i de bɔn.
Wetin mek dis kayn nɔys de? Wetin na di rizin?
Fɔ tɔk tru, dɔktɔ dɛn stil nɔ dɔn fɛn 100% difinitiv kɔz fɔ dis, bɔt sɔm men tiori dɛn de.
- di hat strכkchכ: di at εn blכd vesel dεm fכ yכŋ pikin dεm kin rili fleksibul εn i kin elastik. As di at de bit ɛn di blɔd de flɔ kwik kwik wan, di fayn fayn vaybreshɔn dɛn we de na dɛn fleksibul tisu dɛn ya kin mek dis myuzik sawnd. I tan lɛk di sawnd we wi kin mek we wi de blo di briz oba di ɛmti bɔtul.
- Falz tεndon dεm: sכm pikin dεm kin gεt εkstra, tכn, fayv tisu (fal tεndon) insay di lεft vεntrikl na di at. Sɔm pipul dɛn biliv se dɛn tin ya kin shek shek we blɔd de pas na dɛn, ɛn dis kin mek di sawnd.
- Chordae vibration: Dis sawnd kin bi bak we di tin we tan lɛk trɛd (chordae) we de tay pan di at valv dɛn de shek we di blɔd de flɔ tru dɛn.
- Blɔd we de flɔ mɔ: We pikin gɛt fiva, ɔ we i de rɔn ɛn ple ɛn wam, in at kin rit mɔ ɛn mɔ. Dɔn bak, sɔm chenj dɛn de na di blɔd we de flɔ pan pikin dɛn we gɛt anemia. Na dɛn kayn tɛm ya, dɛn kin yɛri dis ‘murmur’ klia wan as blɔd de flɔ fast fast na di at.
Di impɔtant tin na dat nɔr pan dɛn tin ya we kin mek pɔsin nɔ wok fayn ɔr sik na di at. Dis na jɔs nɔmal chenj dɛm wae yu kin si pan wɛl bɔdi hat.
Wetin na di kwaliti dɛn we dis grɔmbul kin gɛt? Aw di dɔktɔ no am?
Di wangren sayn fɔ dis na da difrɛn sawnd de we di dɔktɔ kin yɛri wit stetɔskɔp. As mama ɔ papa, yu nɔ de yɛri dis. Di pikin nɔ de fil ɛni prɔblɛm, pen, nɔs, ɔ pen na in chɛst. Di pikin kin ple fayn, rɔn, jomp, it, ɛn drink lɛk ɔda pikin dɛn we gɛt wɛlbɔdi.
Dɔktɔ go difrɛns wan Still’s Murmur frɔm ɔda denja murmur bays pan dɛn kwaliti ya.
| Di kwaliti we pɔsin gɛt | Tɔk bɔt |
|---|---|
| Kwaliti fɔ sawnd | Wan myusikal, vaybret sawnd, lɛk wan dilik ‘twang’. |
| Intɛnsity fɔ sawnd | Wan sawnd we rili saf. Na dɔktɔ nɔmɔ kin yɛri am wit stetɔskɔp. |
| Chenj wit di we aw yu de tinap | Dis na tin we rili impɔtant. Yu kin yɛri di sawnd klia wan we di pikin de ledɔm na in bak. We di pikin sidɔm ɔ tinap, di sawnd nɔ kin klia, ɔ i kin dɔnawe wit am kpatakpata. |
| Ples | di sawnd de yεri mכtalman na di sεntrכm pan di chεst, jכs na di lεft pat pan di stεn. Dis sawnd nɔ de rayt to di armpit ɔ bak (nɔ de rayt). |
| Di tɛm we dɛn fɔ du am | dis kin yεri we di at kכntrakt (pכmp bכdi). Dis min se na mid-systolic murmur. |
Yu tink se di pikin nid tritmɛnt?
Fɔ tɔk smɔl, nɔto . Still’s Murmur nɔto sik, na jɔs sawnd we pɔsin we gɛt wɛlbɔdi at kin yɛri. So, i nɔ nid ɛni kayn mɛrɛsin, ɔpreshɔn, ɔ ɔda tritmɛnt .
Di dɔktɔ kin jɔs lisin to dis sawnd we di pikin de chɛk am ɔltɛm. Si if i chenj. Apat frɔm dat, nid nɔ de fɔ put ɛni lɔ pan di pikin. No tin nɔ de we go ambɔg di pikin fɔ ple ɛni gem we i lɛk, fɔ rɔn, jomp, ɔ tek pat pan skul spɔt. I kin liv in layf we nɔmal ɛn we gɛt wɛlbɔdi .
Bɔku tɛm, as pikin de ol, di we aw dɛn at kin chenj kin chenj. Na di sem tɛm, dis grɔmbul kin stɔp smɔl smɔl ɛn i kin dɔn kpatakpata we dɛn rich yɔŋ. Na smɔl tɛm nɔmɔ, if pɔsin kɔntinyu fɔ gɛt dis grɔmbul te i big, i nɔ kin du ɛni bad tin.
Mɛsej we dɛn kin kɛr go na os
- Still’s Murmur nɔto sik. Na jɔs wan sawnd we nɔ bad, we gɛt myuzik we pɔsin we gɛt wɛlbɔdi at kin yɛri pan yɔŋ pikin dɛn.
- Dis na wan sik we kin apin to pikin dɛn we ol bitwin 3-6 ia.
- Nɔ tritmɛnt nɔ de we dɛn nid fɔ du fɔ dis. No nid nɔ de fɔ protɛkt yu pikin fɔ ple, rɔn, ɔ du ɛnitin.
- Bɔku tɛm, dis sawnd kin dɔn fɔ insɛf as di pikin de big.
- If yu pikin in dɔktɔ tɛl yu bɔt aw at de grɔmbul, nɔ panik ɛn tek tɛm lisin. If yu stil gɛt ɛni dawt ɔ fred, tɔk to yu dɔktɔ bɔt am opin wan.
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