I thinlung atangin thawm mak tak mai i hre em? Diastolic Murmur chungchang hi i zir dawn nia!

Doctor pakhatin i rilruah stethoscope an dah lai khan, "Hmm... thawm tlem ka hria, murmur," a tih i hre tawh ngei ang. Chu thu an hriat chuan hlauhna tlem an neih chu thil pangngai a ni. Mahse, phunnawi zawng zawng hi a hlauhawm vek lo. Vawiin hian thinlung ri chi khat bik diastolic murmur tih kan sawi dawn a ni. Eng nge a nih, engvanga thleng nge a nih, hlauh tur a nih leh nih loh i en ang u.

Diastolic Murmur tih hi eng nge ni?

Okay, a hmasa berin diastolic murmur tih hi eng nge ni tih hi han en ila. A awlsam zawngin, i thinlung a na lai, chu chu i thinlung hun engemaw chen a chawlh lai (diastole) laia i hriat thin thawm danglam tak a ni. I hria em, i thisen sang i en chuan a hnuai lam number chu diastolic pressure a ni. Chu chu a dik a ni, hei hi i thinlung thisenin a khat a, a beat leh tur atana i inbuatsaih lai a ni.

He murmur hi ‘swish’ emaw ‘whoosh’ emaw angin a ri thei a, whirring sound nen a inang. He aw hi thinlung chhunga valve hrang hranga thisen a luang chhuah avanga turbulence awm vang a ni.

A tam zawkah chuan hetiang murmur hi a hlauhawm lo. Mahse a chang chuan, thinlung natna chhinchhiahna a ni thei. I doctor chuan diastolic murmur i nei tih a sawi chuan thinlung natna dang awm lo turin test engemaw zat a ti leh mai thei.

Diastolic leh systolic murmur hi eng nge a danglamna?

Tunah chuan, ‘Diastolic murmur leh systolic murmur hi pahnih anga chhiar a ni em?’ tiin i ngaihtuah mai thei. Ni e, chu chu a dik a ni.

• Diastolic murmur hi thinlung chu beat inkar a relax chuan a ri thin. He aw hi systolic murmur aiin hriat a harsa deuh.
• Systolic murmur hi heart muscle a contract , chu chu heart in thisen a pump (systole laiin) a ni.

A awlsam zawngin sawi ila, heng murmur chi hnih hi cardiac cycle-ah hian hun hrang hrangah a thleng thin.

‘Innocent’ leh ‘abnormal’ murmur hi eng nge ni? An hlauhawm vek em?

Okay, thil pawimawh dang chu heng marble te hi engtin nge an classified tih hi a ni.

Doctor-te chuan murmur thenkhat chu ‘innocent murmurs’ an ti a. Chumi awmzia chu thinlung ri te hi thinlung natna hnuaia awm engmah avanga lo awm a ni lo tihna a ni. Hengte hi murmur pangngai, hlauhawm lo mai mai a ni. Chûngte chu naupang tê têah hmuh tur a awm fo a, an lo upat deuh deuh chuan a bo mai ṭhin.

Mahse, ‘abnormal murmur’ tih hian murmur chu thinlung natna hnuaia awm vang a ni tihna a ni. Hei hi doctor-te chuan a chhan dik tak zawn chhuah tumin test dang an tih hun tur a ni.

Innocent murmur hi a tlangpuiin engmah enkawl a ngai lo. Mahse, murmur pangngai lo enkawl dan chu a thlentu thinlung natna hnuaia awm dan azirin a inang lo.

Hriat reng tur: Murmur zawng zawng hi a hlauhawm vek lo. Mahse doctor in murmur i nei tih a sawi chuan check out tir a pawimawh.

Diastolic murmur awm chhan hi engte nge ni?

Tunah chuan he diastolic murmur thlentu ber berte hi han thlir ila. A tam zawkah chuan hengte hi heart valve-a harsatna awm vang a ni.

Heart Valve nena inzawm harsatna awm thei

Kan thinlung hian valve lian pali a nei a. Heng valve te hi kawngkhar ang an ni a, thisen chu kawng khatah chauh a luang thei a ni. Heng valve te hi harsatna a awm chuan chu murmur sound chu a lo awm thei a ni.

• Aortic Regurgitation: Hei hi thinlung atanga aorta thlenga thisen phurtu aortic valve a khar tha lo a nih chuan a thleng thin. Hei hian thisen chu hnunglam hawiin a leak tir thin. Tui tap khar tha lo leh tui leak ang maiin han ngaihtuah teh.
• Pulmonic Regurgitation: Hemiah hian thinlung atanga lung thlenga thisen phurtu pulmonary valve chu a khar tha lo. Chuti chung pawh chuan thisen chu hnunglam hawiin a leak thin.
• Mitral Stenosis: Hei hi mitral valve, veilam atrium atanga veilam ventricle thlenga thisen phurtu mitral valve a zim lai a ni. Pipe block ang mai a ni. Thisen luang a har khawp mai.
• Tricuspid Stenosis: Hei hian thisen atrium dinglam atanga thinlung ventricle dinglam thlenga thisen phurtu tricuspid valve chu a zim ta hle a ni.

Hetiang ang valve harsatna hian thisen kal dan a tidanglam a, chu chu chu ‘whoosh’ ‘swish’ sound, chu chu murmur tihna a ni.

Chhan dang

Valve harsatna bakah hian diastolic murmurs hi chhan dang engemaw zat avangin a awm thei bawk:

• Congenital heart disease thenkhat chu pian tirh atanga lo awm thin heart condition te an ni.
• Endocarditis: Hei hi thinlung chhungril leh/ emaw a valve-a infection a ni.
• Reumatic fever hian hun rei tak chhung nghawng a neih dan : Naupan laia enkawl that loh chuan Rheumatic fever hian heart valve a tichhe thei a ni.

Diastolic murmur natna lan chhuah dan chu engte nge ni?

Diastolic murmur symptoms hi a chhan bulpuiah a innghat a ni. Chu chu, valve a tawi (stenotic) emaw, a leak (regurgitant) emaw a zirin symptoms a inang lo thei tihna a ni. Mi thenkhat chuan symptom engmah an nei lo mai thei. Mahse, a lan chhuah dan tlangpui chu:

• Thâwk harsa , a bik takin i chau emaw, i ben emaw lai hian.
• Pum emaw ke emaw a hring chhuak .
• Palpitations , emaw, thinlung na chak tak hriatna emaw.
• Chauhna reng reng .
• Luak chhuak thei.
• A chang chuan i pass out thei bawk .
• Cough awm reng .

Heng symptoms pakhat emaw a aia tam emaw i neih chuan doctor pan a pawimawh hle.

Engtin nge doctor-te chuan diastolic murmur hi an hriat theih? (Diagnosis) tih a ni.

A tlangpuiin, doctor chuan i rilru lam chu stethoscope hmanga ngaihthlakin i phunnawi leh neih loh a hre hmasa ang. Doctor chuan a ngaihthlak hunah thil engemaw zat a ngaihtuah ang:

Stethoscope hmanga i hriat thilte

• I dinhmun thlak danglam emaw, exercise i tih hian he aw hi a nghawng em?
• Engtiang chiahin nge a ri chu a ri?
• A aw ri chu engzat nge ni? High pitched nge low pitched?
• Lungphunah engtik laiin nge chu thawm chu hriat a nih a, eng chen nge a awm?
• Khawiah nge thinlungah hian he phunnawi hi hriat a nih?

Hetiang thil atang hian doctor chuan murmur awm dan tur chu a hre thei a ni.

Eng test nge tih thin?

Murmur i neih i rinhlelh chuan i doctor chuan cardiologist hnenah test dang neih belh turin a refer thei che a ni. Heng test te hian i thinlung rhythm leh structure hriat theih nan a pui thei a ni. Test hman tlanglawn ber berte chu:

• Echocardiogram (Echo): Hei hi thinlung murmur tehna atana hman thin test ber a ni. Echo hian ultrasound wave hmangin thinlung thlalak a la thin. Heart muscle leh valve te chipchiar takin a entir thei a ni. Naute awm lo, naute pum chhunga scan ang mai a ni.
• Chest X-ray: Hei hian thinlung, ruh leh lungte thlalak a la a. Thinlung a lian emaw, lungah tui a awm leh awm loh emaw a lantir thei.
• Electrocardiogram (EKG/ECG): Hei hian thinlunga electric hnathawh dan a record a. Heartbeat-a thil dik lo awm leh awm loh a enfiah thei.

Heng marble-te hi grading pek dan pawh kan zir dawn em ni?

Doctor-te chuan thinlung murmur chu a nasat dan a zirin an zirchiang a, chu chu a ri a nasat dan te, a ri a nasat dan te, a rei zawng te a ni.

• Diastolic Murmurs hi scale pakhat atanga pali (1 atanga 4) atanga teh a ni. Pakhat (1) hi hriat theih loh khawpa ri a ni a, pali (4) hi ri nasa tak a ni.
• Systolic Murmurs hi pakhat atanga paruk (1 atanga 6) thlenga rate a ni. Pakhat (1) chu hriat theih loh khawpin a ri a, paruk (6) chu a rilruah stethoscope dah loh chuan a ri nasa hle.

He grade hian murmur nasat dan tur ngaihtuahna engemaw zat a pe thei che a ni.

Diastolic murmur hi engtin nge enkawl a nih?

Enkawlna chu phunnawi chhan bulpuiah a innghat a ni. Entirnan, murmur hi valve harsatna avanga lo awm a nih chuan i doctor chuan damdawi ei tur te, valve siamthat te, valve thlak te emaw a rawt thei ang.

Damdawi chi hrang hrang

Enkawlna atana hman tur damdawi thenkhat chu:

• Angiotensin-converting enzyme (ACE) inhibitor: Entirnan, benazepril (Lotensin®) emaw captopril (Capoten®) emaw a ni thei. Chungte chuan i thisen sang tihhniamna hmangin hna an thawk a ni.
• Beta-blockers: Bisoprolol (Cardicor®) emaw metoprolol (Lopressor®) emaw ang chi te hi a ni. Hengte hian thisen sang leh heart rate a tihniam a ni.
• Thisen tithianghlimtu: warfarin (Coumadin®) emaw aspirin (Bayer®, Zorprin®) emaw hi thisen zam theihna ti tlemtu damdawi pahnih an ni .
• Diuretics (tui pill): Furosemide (Lasix®) emaw torsemide (Demadex®) emaw ang chi. Hengte hian taksaa extra fluid awm zat tihtlem nan a pui thin.

Pawimawh: Heng damdawi te hi doctor-in a tih ang chiah, a zat tur leh hun bituk chhunga ei a pawimawh hle.

Surgery (Valve siamthat/ thlak danglam) 1.1.

I heart valve pakhat a chhiat emaw, a leak emaw chuan heart valve surgery i neih a ngai mai thei.

• Valve Repair: He surgery hian valve tihtlem chu a tizau thei a, valve leak chu a tikhauh thei bawk. A theih phawt chuan doctor-te chuan nangmah ngeiin i valve siam that leh vawn that an tum thin.
• Valve thlak dan: Valve hi a zim lutuk (valve stenosis na tak) emaw, a chhe nasa hle emaw a nih chuan doctor chuan a valve chu a la chhuak ang a, mechanical valve emaw, donor atanga valve emaw hmangin a thlak ang.

Diastolic murmur hi a veng thei ang em?

Diastolic murmur hi damdawi lam thil dang nen a inzawm fo avangin ven dan tur chiang tak a awm lo . Mahse, i doctor-in diastolic murmur a neih thu a hriat hnuah, a chhan bulpui (valve problem ang chi) chu paih chhuah a, a thupek zawm turin i doctor pan fo a pawimawh hle.

Tin, i thinlung hrisel taka awmtir thei nunphung hrisel zawm hian heng natna te hi eng emaw chen chu a tihziaawm thei bawk.

• Thei, thlai leh buh chi hrang hrang tamna ei tur ei rawh.
• Kar khatah minute 150 tal aerobic exercise (e.g., chak taka kal, tlan, tui chawi) ti thin ang che.
• Zu leh caffeine hman tlem.
• Meizial i zu a nih chuan chawlhsan ngei ang .
• Meditation ang chi thil hmangin stress tihziaawm rawh.
• Zan tin darkar sarih atanga darkar riat tal mut tha rawh.

Diastolic murmur nei tan chuan eng nge a hmalam hun? (Hmuh dan tur) .

Outlook chu a hnuaia dinhmun (underlying condition)-ah a innghat a ni. Vanneihthlak takin tunah hian valve harsatna enkawlna tha tak tak a awm ta . Tin, nun hrisel zawm hian thinlung phuhrukna nei pawhin nun tha zawk, famkim zawk i neih theih nan a pui thei bawk. Chuvangin hlau suh, i doctor thupek zawm mai rawh.

Doctor hnena zawh tur pawimawhte chu engte nge ni?

Diastolic murmur i nei tih i hriat hnu chuan i doctor hnenah hetiang zawhna hi zawh a tha ang:

• Ka rilruah hian eng nge he diastolic murmur hi a thlen theih ber ?
• Eng test chi hrang hrang nge ka tih ngai?
• Eng enkawlna kawng nge ka neih?
• Damdawi lam dinhmun hnuaia awmte enkawl dan tur chungchangah eng nge ka hriat tur?
• Specialist ka hmuh a ngai em ?
• Ka thinlung hriselna tihchangtlun nan nunphung tihdanglam a ngai em?

Heng zawhnate bakah hian i neih apiang, eng ang pawhin te pawh ni se, i doctor hnenah zawt thin ang che.

A tawp berah chuan thil hriat reng tur (Take-Home Message) .

Okay, chuvang chuan vawiin hian Diastolic Heart Murmur chungchang kan sawi nasa hle. A tawi zawngin hriat reng tur tlemte chu hetiang hi a ni:

• Diastolic murmur chu thinlung chawlh lai (diastole neih laiin) ri danglam tak hriat a ni.
• Murmur tam zawk hi chu hlauhawm lo mah se, a chang chuan thinlung natna chhinchhiahna a ni thei. Chuvangin doctor chuan murmur i nei tih a hrilh che a nih chuan check out tir a phu ngei ang .
• A chhan azirin damdawi emaw, zai emaw hmanga enkawl theih a ni.
• Nun hrisel taka nun hian hetiang dinhmunah pawh hian nun tha tak a pe ang che.
• Zawhna emaw rinhlelhna emaw i neih chuan i doctor nen inbiakna neih hlau suh .

I thinlung enkawl hi a pawimawh hle tih hre reng ang che. He thu hi i tan a tangkai ngei ka beisei!

` Diastolic Murmur, Lung natna, Lung Valve, Thâwk tawi, Lungphu, Echocardiogram, ECG, Lung ri, Lungphu