Doctor hnenah routine checkup nei turin i kal tih han ngaihtuah teh. Doctor chuan i rilruah stethoscope a dah a, rei vak lo uluk takin a ngaithla a, "Hmm... thinlung murmur te tak te ka hre thin," a ti a. I thinlung hian beat a skip nghal vek a ni lawm ni? "A murmur? Eng nge ni? Natna khirh tak a ni em?" Zawhna tam tak rilruah a lo lang hi thil pangngai tak a ni. He thu hi mi tam takin hlau mah se, thinlung phunnawi zawng zawng hi a hlauhawm vek lo. Chuvangin, sawi belh ngai lovin, chipchiar takin, awlsam takin, he ‘Heart Murmur’ hi eng nge a nih, engvangin nge a lo awm tih leh a chungchang kan hriat tur te hi han sawi ila.
‘Heart Murmur’ tih hi eng nge ni tak tak?
Hei hi hrethiam tur chuan kan thinlung hnathawh dan hi han thlir hmasa ila. Thinlung hi machine mak tak a ni a, kan taksa pum puiah thisen a pump chhuak thin. He thinlung chhungah hian chamber pali leh ‘valve’ pali a awm a, chungte chu an inkarah kawngkhar ang maia thawk a ni. Thinlung a na apiangin heng valve te hi a hnungzuiin an inhawng a, an khar thin. Chutiang chuan thisen chu kawng khatah chauh a luang chhuak a ni.
Doctor chuan stethoscope hmanga a ngaihthlak chuan thinlung hrisel tak chuan "lub-dub" ri hrang hrang pahnih a siam ang. Hei hi ka sawi tawh ang khan valve khar ri chu a ni.
Amaherawhchu, a chang chuan he "lub-dub" ri bakah hian "whooshing" emaw "swishing" emaw ri a awm bawk. Lui luang chhuak zawi zawia lung i paih chuan tui chu a buai deuh a, thawm a chhuah ang mai a ni. Chu extra sound chu damdawi lama "Heart Murmur" kan tih chu a ni.
A awlsam zawngin, heart murmur chu thinlung chhunga thisen a kal laiin thisen kal dan pangngai lo, buaithlak tak avanga extra sound hriat theih a ni.
He thawm i hriat vang mai mai hian hlauthawng suh. Murmur hi chi hnih a awm. Pakhat chu "innocent murmur" a ni a, a hlauhawm lo va, natna avanga lo awm lo a ni. A dang chu "abnormal murmur" a ni a, chu chu thinlunga harsatna awm vang a ni.
Murmur chi hrang hrang leh a awmzia
Doctor-in mur ri a hriat hian cardiac cycle-a engtikah nge a lo awm tih an ngaihven hle. Hei hian a nasat zia chu a rough idea a pe a ni.
| Murmur type a ni | Hriatna hun | Eng nge a awmzia tlangpui? |
|---|---|---|
| Systolic Murmur a ni | Heart muscle a inzawm khawm chuan (thinlung thisen a pump lai) . | Hengte hi a tam ber a ni. A tam zawkah chuan sual nei lo an ni thei. Mahse a chang chuan, heart valve problem avanga lo awm thei an ni. |
| Diastolic Murmur a ni | Heart muscle chawlh lai (thinlung thisen a khat lai) . | Hetiang murmur hi thinlung natna chhinchhiahna a nih a rinawm zawk a, chuvangin hengte hi chhui chian belh a pawimawh hle. |
| Murmur chhunzawm zel | Thinlung chu a inzawm khawm lai leh a hahdam lai pawhin a ri chhunzawm zel a ni. | Hengte hi pianpui thinlung natna (congenital heart defect) ang chi harsatna avanga lo awm thei a ni bawk. |
Hetiang classification bakah hian doctor chuan murmur ri nasa lutuk pawh a ngaihtuah bawk. Level 1 atanga 6 thlenga grade a ni a, Level 1 hi stethoscope hmanga harsatna nasa tak nen chauh hriat theih a ni a, ngun taka i ngaihven phawt chuan hriat theih a ni. Level 6 hi a ri ring tak a ni a, stethoscope chu a rilruah hmet lo mah se, vun chungah tlem a dah a nih pawhin hriat theih khawpa ri a ni.
Eng thilin nge Heart Murmur a thlen theih?
Murmur a awm theih chhan hrang hrang a awm. Tin, chi hnih ah then ila.
1. Thil sual lo tak tak Murmurs
Hengte hi thinlung natna engmah avanga lo awm a ni lo. Heta thil thleng chu thinlung hi hrisel mahse, a chhunga thisen a luang chak lutuk avangin extra sound a ri a ni. Heng dinhmunte hi a awm fo thin:
- Naupan laiah: Naupang tê tam tak chuan heng sual nei lo phunnawina hi an siam ṭhin. Chungte chu an lo upat deuh deuh chuan anmahniin an bo vek ang.
- Naupai lai: Naupai lai hian nu thisen a tipung a, chu chuan thinlung chu a thawkrim zawk thin. Hei hian thisen kalna a tipung thei a, phunnawi ri a awm thei bawk. Hei hi naute pian hnuah a bo tlangpui.
- Exercise kan tih hian: Exercise kan tih hian kan heart rate a sang a, chuvangin mur ri kan hre mai thei.
- Khawsik emaw thisen tlakchhamna emaw ang chi dinhmun: Heng hun lai hian thinlung hian hna a thawk chak zawk avangin hun eng emaw chen atan mur ri a awm thei.
2. Fimkhur tur (Abnormal Murmurs) .
Heng murmur chi hrang hrangte hi thinlung lam natna emaw, damdawi lam natna dang emaw avanga lo awm a ni. A hnuaia table atang hian chiang takin i hrethiam ang u.
| Dinhmun | Hrilhfiahna awlsam tak | Symptom dang awm thei te |
|---|---|---|
| Lung Valve Natna | Heart valve a inhawng tha lo (valve stenosis) emaw, a khar tha lo (valve regurgitation) avanga thisen kal tikhawtlai. | Thâwk harsa, rilru na, ke ruh hring, muhil. |
| Congenital Heart Defects a awm thin | Pian tirh atanga thinlung bang (septal defects) ang chi structural defects awm. | Naupang tê têah chuan vun dum, an ṭhan chak lohna, leh thawk chakna a sang. |
| Hypertrophic Cardiomyopathy natna a ni | Heart muscle a thick dan pangngai lo. Hei hi genetics vang emaw, thisen sang vang emaw, vaccine pek vang emaw a ni thei. | Chhung na (a bik takin exercise lak laiin), thawk hah, muhil, rilru a na. |
| Endocarditis natna (Endocarditis) a ni | Bacteria ang chi hrik chu thisenah lutin thinlung chhungril lining emaw valve emaw a kai a ni. | Khawsik reng reng, khawsik, hahna nasa tak, leh vun rawng chhuak. |
| Hyperthyroidism natna (Hyperthyroidism) a awm | Thyroid gland-in hormone a siam tam lutuk avangin heart rate a sang. | Heart rate sang, taksa rihna tlahniam, thawk hah lutuk, hahdam loh. |
Engtin nge murmur chu hriat chhuah a nih? Eng test nge tih thin?
Murmur hriat theih dan ber chu i doctor-in i thinlung chu stethoscope hmanga a ngaihthlaksak hi a ni. Chutih hunah chuan mur ri, khawiah nge a hriat leh engtikah nge a hriat tih ang chi thilte chu uluk takin a enfiah ang.
Murmur awmzia hre chiang zawk tur chuan i doctor chuan thil chi hrang hrang tih turin a ti thei che a ni.
- Thut tur, ding tur emaw, hmalam pan turin a hrilh che a ni.
- Ka thaw chu rei vak lo vawn turin min ti a.
- An kut zungtang chu nghet takin khih turin a hrilh a, tikhauh turin a hrilh bawk.
Heng thilte i tih hian phunnawi ri a inthlak dan hian a chhan hriat theihna tur clues engemaw zat a pe thei che a ni.
Doctor chuan murmur chungchangah rinhlelhna a neih emaw, thil mak a tih chuan a chhan dik tak hriat theih nan test dang neih belh a rawt ang.
- Electrocardiogram (ECG): He test hian thinlung electrical activity a check a, heart rhythm-a harsatna awm apiang hriat theih nan a pui a ni.
- Chest X-ray: Hei hi thinlung lian leh lung chhunga tui awm zat te enfiah nan hman theih a ni.
- Echocardiogram (Echo): Hei hi murmur chhan hriat theihna atana test pawimawh leh dik ber a ni. He scan hian sound wave hmangin thinlung live image a la a, heart valve hnathawh dan atanga heart muscle thickness thlengin heart pumping tha zawng zawng thlengin a hmu thei a ni.
Murmur pakhat hian enkawl a ngai em?
He zawhna chhanna hi murmur chhanah a innghat a ni.
In most cases , innocent murmurs hian engmah enkawl a ngai lo. Hun kal zelah anmahni chauhin an bo emaw, dam chhung zawngin harsatna nei lovin an awm reng emaw a ni.
Mahse, murmur hi heart valve natna emaw, natna khirh tak dang emaw avanga lo awm a nih chuan enkawl a ngai tak zet a ni.
- Damdawi: Damdawi hi a chhan a zirin an pe thin. Entirnan, thisen sang control nan te, heart rate control nan te, thisen zam ven nan te, endocarditis ang chi infection a awm chuan antibiotics pek thin a ni.
- Inzai:Heart valve a chhiat nasat chuan a siamthat (valve siamthat) emaw, valve thar (valve thlak) emaw hmanga thlak a ngai mai thei. Congenital heart defects siamthat nan surgery an nei bawk.
A pawimawh ber chu i enkawltu doctor-in i tana inenkawlna tha ber a ruat ang. Chuvangin a thupekte dik taka zawm a pawimawh hle.
Damdawi lam thurawn lak nghal tur
Thinlung mur i nei tih i hriat emaw hriat loh emaw pawh nise, a hnuaia symptoms te hi ngaihthah suh.
- A rilru a na hle thut mai
- Thâwk harsa na tak
- Fainting/Syncope tih hi a ni
- Hmui emaw vun emaw rawng blue a inthlak (Cyanosis) .
- Palpitations (i thinlung a thawk chak emaw, a thawk mumal lo emaw ang maia hriat) .
Heng symptoms te hi i neih chuan emergency a ni thei. Chuvangin damdawi in hnai ber Emergency Department (ETU) ah kal nghal rawh. Hun khawhral hian buaina a tizual thei a ni.
Take-Home Thuchah a ni
- ‘Heart Murmur’ tih hi a extra sound a ni a, chu chu thinlungin thisen a pump lai a hriat theih a ni. He thu hi i hriat chuan hlauhthawn a ngai lo.
- Murmur tam tak, a bik takin naupang hriatte hi ‘sual nei lo’ chi a ni a, harsatna a thlen lo.
- Doctor-in murmur i nei tih a sawi chuan hlau suh la, a chhan dik tak hriat theih nan a tul anga test (a bik takin echo test) ti rawh.
- Thil sual nei lo phunnawi chu enkawl ngai a nih loh laiin, damdawi lam dinhmun avanga phunnawi chu a chhan ang zelin enkawl tur a ni.
- I rilru natna, thawk harsa, emaw muhil emaw ang chi symptom na tak tak i neih chuan doctor thurawn zawng nghal rawh.
- I thinlung kha enkawl rawh. Damdawi lam enfiah fo hian thinlung natna tam tak a hmuchhuak hmasa thei a ni.
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