Yu pikin gɛt at we de grɔmbul? Nɔ wɔri, lɛ wi kam fɔ no bɔt am!

We yu kɛr yu smɔl pikin ɔ pikin we yu jɔs bɔn go to dɔktɔ, di fɔs tin we dɔktɔ go du na fɔ put stetɔskɔp na in chɛst ɛn lisin to di at. yu go yeri di nכmal "lub-dub" hat bit sawnd dεm we de kam we di at valv dεm klos. Bɔt sɔm tɛm, apat frɔm dis sawnd, yu go yɛri ɔda sawnd, lɛk smɔl "s...s...", lɛk sawnd lɛk ɛya we de pas. Di dɔktɔ go kɔl dis "at murmur," ɔ murmur na di at. Na nɔmal tin fɔ lɛ ɛni mama ɔ papa fred we i yɛri dɛn wɔd ya. Bɔt yu tink se ɔl dɛn grɔmbul ya rili denja? Lɛ wi tɔk bɔt dis ditayli, simpul wan.

Wetin na ‘Hat Murmur’?

Imajin se wi at na fayn fayn pɔmp we gɛt 4 chɛmba dɛn. Dis na wetin de pɔmp blɔd ɔlsay na di bɔdi. I gɛt 4 get (valv) dɛn we de wok lɛk pɔt fɔ mek dis blɔd kɔntinyu fɔ flɔ na wan say nɔmɔ. we dεn get dεm ya opin εn klos di rayt tεm, wi de yεri di nכmal "lub-dub" sawnd fכ di at.

So aw dis ekstra sawnd we dɛn kɔl ‘murmur’ kin kam? Fɔ tɔk am simpul wan, dis sawnd kin mek we sɔm tin we de ambɔg ɔ we blɔd nɔ de pas na di at. I tan lɛk we wata de flɔ fri wan tru wata paip, nɔ sawnd de, bɔt if di paip klos ɔ gɛt smɔl ol, "s...s..." sawnd de.

Bɔku rizin dɛn kin de fɔ dis:

• Blɔd flɔ kwik kwik wan bikɔs wan at valv de smɔl.
• Valv we nɔ de lɔk fayn ɛn blɔd de lik bak (valv we de lik).
• sכmכl ol bitwin di chεmba dεm na di at we nכ de nכmal wan.
• abnכmal kכnεkshכn bitwin di men bכdi vεsul dεm we de kכmכt na di at.
• di at wכl dεm we nכ de tik.

Tayp dɛm fɔ grɔmbul dɛm we nɔ de du bad (Innocent) ɛn we dɛn fɔ tink bɔt (Pathological) .

We yu pikin yɛri at de grɔmbul, di dɔktɔ go tray fɔ no if na inosɛnt grɔmbul ɔ na patɔlɔjik grɔmbul we gɛt at sik. Si di tebul we de dɔŋ fɔ ɔndastand dis difrɛns.

Wetin na di tin dɛn we de mɔna di dɔktɔ?

We dɔktɔ yɛri pɔsin de grɔmbul, dɛn kin wɔri mɔ bɔt dɛn tin ya:

• Laud: Aw lawd di murmur de? (Dɛn rayt dɛn wan ya frɔm 1 to 6).
• Pitch fɔ di sawnd: Na ay pitch ɔ low pitch?
• Usay dɛn kin yɛri am: Usay na di chɛst dɛn kin yɛri am mɔ?
• Radieshɔn: Dis sawnd de rayt to ɔda pat dɛn na di chɛst ɔ bak?
• Taym: Ustɛm dɛn kin yɛri dis sawnd bitwin tu nɔmal at bit? we di at kכntrakt (`Systole`) כ rilaks (`Diastole`)?

Na afta we di dɔktɔ tek tɛm luk dis infɔmeshɔn go disayd if dis nɔ bad ɔ if dɛn fɔ sɛn di pɔsin to dɔktɔ we de mɛn pikin dɛn we de mɛn dɛn at.

At Murmurs in Nyu Bɔn Bebi dɛn

I rili kɔmɔn fɔ mek pikin dɛn we dɛn jɔs bɔn yɛri at de grɔmbul. sכmtεm, dεn sawnd dεm ya kin apin di tεm we dεn de kכloz sכm pan di at in valv dεm we dεn bכn am. So, ivin if di dɔktɔ se pɔsin de grɔmbul we dɛn de chɛk di fɔs tɛm, nɔ fred. Bɔku tɛm, i kin dɔn we dɛn de chɛk di nɛks tɛm, we dɛn kin du insay sɔm wiks.

Bɔt if di grɔmbul kɔntinyu ɔ if di dɔktɔ ivin tink smɔl bɔt am, i go mɔs rifer yu fɔ mek dɛn du ɔda tɛst dɛn.

Sayn dɛn we de wɔn pipul dɛn fɔ wach

If yu no se yu pikin gɛt grɔmbul, kip yu yay fɔ di sik dɛn we de kam biɛn ya. If yu notis ɛni wan pan dɛn tin ya, go to yu dɔktɔ wantɛm wantɛm.

• Short brith: If yu fil se yu de gɛt prɔblɛm fɔ blo, mɔ we yu de gi yu mama in bɛlɛ ɔ du layt aktiviti.
• If yu gɛt infɛkshɔn na yu chɛst bɔku tɛm.
• I nɔ izi fɔ drink ɔ it milk: I kin fil taya, i kin swet, ɛn i kin stɔp fɔ drink milk afta i dɔn drink smɔl milk.
• Grɔw failure: If yu weit nɔ fayn fɔ di ej.
• Blu kכla na di lip, tכng, כ skin (Cyanosis): If dis de sho we yu de kray כ we yu de gi pikin in bεlε, i kin bi sayn fכ di bכdi we de fכm di bכdi we de fכm na di at to di bכdi nכ gεt כksijεn.

Simptom dɛm lɛk dis kin min se de grɔmbul kin gɛt fɔ du wit sɔm kayn at sik.

Tritmɛnt ɛn di nɛks tin dɛn we yu fɔ du

Wan inosɛnt grɔmbul nɔ nid ɛni tritmɛnt. I nɔ nid fɔ tek mɛrɛsin, ɔpreshɔn, ɔ stɔp di pikin fɔ du tin. I go go insɛf as di pikin de big. Dis sawnd kin lawd pasmak wae yu gɛt fiva ɔr strɛs.

Bɔt if di grɔmbul na pathological, dɛn nid fɔ no di kɔz. Di dɔktɔ kin tɛl yu fɔ du sɔm tɛst dɛn, lɛk:

• Echocardiography (Echo): Dis tan lɛk ɔltra saund skan fɔ di at. I kin si klia wan aw di at in chɛmba dɛn, di valv dɛn, di wɔl dɛn de wok, ɛn if ɛni ol ɔ lik de na di valv dɛn.
• Chɛst ɛkstrem rayt: Dis kin ɛp fɔ mek yu no di sayz ɛn shep we di at gɛt ɛn di blɔd vesel dɛn we de go na di lɔng dɛn.

Di tritmɛnt dipen pan di ɔndalayn at kɔndishɔn we de mek di grɔmbul. Sɔm at sik dɛn we dɛn kin bɔn wit kin dɔn fɔ dɛnsɛf as tɛm de go. Ɔda wan dɛn kin nid fɔ tek mɛrɛsin ɔ ɔpreshɔn.

Wan ɔda impɔtant tin fɔ no na dat sɔm at sik dɛn kin put yu pikin pan ay risk fɔ gɛt at infɛkshɔn (infective endocarditis). If na so i bi, yu dɔktɔ kin tɛl yu fɔ gi yu antibayɔtiks fɔ mek yu nɔ gɛt di sik bifo yu pul yu tut ɔ ɔda ɔpreshɔn.