I thinlungah thawm mak tak mai i hre em? Heart Murmur'' a ni em? Hemi chungchang hi han sawi ila!

Doctor pakhatin i thinlungah stethoscope dahin, ‘I thinlungah thawm tlem ka hre thei a, murmur a ni,’ ti ta se, tlem chuan i hlauthawng lo maw? A nih loh leh i fa te chu doctor hnenah i entir a, chutiang thil chu an sawi a nih chuan? He thinlung murmur, a nih loh leh ``Heart Murmur'' hi eng nge ni tak tak? Hemi chungchang hi awlsam takin han sawi ila.

Thinlung chhunga "murmur" tih hian eng nge a awmzia?

Kan thinlung a na a, chu chu thisen a pump chhuah hian thinlung chhunga valve te chu a inhawng a, a khar a ni. Kawngkhar ang maiin. Heng valve te hi an khar chuan ‘lub-dub’ tih ri pahnih i hre thin. Doctor-in i rilruah stethoscope a dah a, a ngaithla i hmu ngai em? Chu chu i hriat chu a ni. Mahse, a chang chuan he ‘lub-dub’ ri bakah hian boruak a khat ang maiin ‘whoosh’ emaw ‘swish’ emaw tih ri i hre thin. Chu chu `(Heart Murmur)` kan tih chu a ni a, Sinhala tawngin thinlung murmur hi a ni. Chumi awmzia chu i thinlung valve-a thisen kal danah hian thil danglam tenau engemaw zat a awm tihna a ni.

Hei hi ``Heart Murmur'' hi mi tam tak chunga thleng thin a ni em?

Ni e, hei hi a takah chuan a awm fo thin. I ngaihtuah pawh i ngaihtuah lo mai thei, a tam zawk chuan kan naupan lai hian engtik lai pawhin ‘harmless’ `(Heart Murmur)` kan nei tawh a, chu chu natna hnuaia awm lo murmur tihna a ni. Chuvangin he hming hi i hriat hian hlauthawng a ngai lo.

`(Heart Murmur)` chi hrang hrang a awm em?

An awm. Chungte chu thinlung thawk cycle-ah engtikah nge he aw hi hriat a nih dan azirin an thliar hrang a ni.

A awlsam zawngin:

• Systolic murmur: Hei hi i thinlung ruh a inzawm khawm hian hriat a ni a, chu chu thisen a chhuah tir tihna a ni.
• ``Diastolic`` murmur: Hei hi thinlung ruh a relax lai, chu chu thisen a khat leh hunah hriat a ni.
• ``Continuous`` Murmur: Hei hi thinlung a inzawm leh a relax hian hriat a ni a, chu chu cycle chhung zawnga hriat a ni tihna a ni.

A tlangpuiin ``Diastolic`` leh ``Continuous`` murmur hi thinlung natna nen a inzawm tam zawk. Mahse, eng ``Heart Murmur`` pawh doctor-in a enfiah a pawimawh hle.

``Heart Murmur'' tih hi engtiang chiahin nge a ri?

He thu hi kan bengin kan hre lo. Doctor-in stethoscope hmanga a ngaihthlak chauhvin he aw hi chiang takin kan hre thei a ni. A chhan chu stethoscope hian he aw hi a ti lian a ni.

Doctor-te chuan he murmur nasatzia hi an classified a, chu chu a ri a nasat zia hi a ni. Chumi atan chuan scale a awm a, 1 atanga 6 thleng.

• Grade 1: Stethoscope hmang pawha hriat theih loh.
• Pawl 6: Stethoscope hi vunah a hmet lo a nih pawhin chiang taka hriat theih turin a ri nasa hle.

He `(Heart Murmur)` lo awm chhan hi eng nge ni?

Ka sawi tawh ang khan murmur hi lungphun atanga thisen luang chhuak turbulent emaw, thisen kal dan pangngai lo emaw avanga lo awm a ni.

Engtin nge sual lo, chu chu hrisel ``Innocent Heart Murmurs'' hi a lo awm?

A châng chuan thisen chu a tlangpui aia chak zawka a luang chuan thinlung ``sual lo'' tak a awm thei bawk. Hei hi ``normal'' emaw ``physiologic'' murmur emaw an ti bawk. Hengte hi natna engmah avanga lo awm a ni lo. Hetiang ang case-ah hian an awm fo thin:

• Naupang têah: Hei hi naupang tê tête tân a hluar hle.
• Exercise kan tih hian: Kan tlan leh kan zuang hian kan thinlung a na zual a, chu chu a ni.
• Naupangte an lo thang chak em em lai (growth spurts).
• Naupai lai: Hei hi nu ni tur i nih lai pawhin a thleng thei bawk.
• Naute a pian hnu ni hmasa berah.

Heng sual nei lo phunnawina te hi a chang chuan a lo kal thei a, a lo kal leh thei bawk. I thinlung a na deuh lai pawhin an ri nasa thei bawk. A tam zawkah chuan hun kal zelah anmahni chauhin an kal bo thin. Mahse mi thenkhat tan chuan damchhung an daih thei. A pawimawh ber chu heng sual nei lo phunnawina hian i thinlungah thil dik lo a awm tihna a ni lo.

Heart Murmurs, lung natna emaw, natna dang emaw avanga lo awm thei a ni

``Heart Murmurs'' thenkhat chu thinlung natna emaw hriselna lama harsatna dang emaw avanga lo awm thei a ni. Eng nge an nih hi han thlir ila:

• Anemia: Hei hian thisenah thisen sen (red blood cells) a tlahniam tihna a ni. Hei hian thisen viscosity a nghawng a, chu chuan heart murmur a thlen thei a ni. A lan chhuah danah chuan chak lo leh chau tih hriat a ni. Ngaihtuah teh, Nimali hi a chau reng a, engmah a ti thei lo. Doctor hnena a kal chuan thisen sang a tlahniam tih a hre chauh a ni. Thinlung mur a nei bawk.

• Carcinoid syndrome emaw carcinoid heart disease emaw: Hei hi cancer lian tham tak a ni. Hormone tam lutuk vang a ni a, chu chuan thinlung a nghawng thei bawk. Tin, i taksa rihna tlahniam te, pum na te, luak chhuak te, thisen sang hniam te pawh i hmu thei bawk.

• Congenital heart defect: I thinlung insiam dan, a nih loh leh a pian danah harsatna i pianpui. Entirnan, thinlunga khur (a `septal defect`) emaw, `Tetralogy of Fallot` ang chi dinhmun emaw.

• Endocarditis: Hei hi thinlung natna a ni. Bacteria emaw hrik dang emaw thisenah lutin heart valve te chu a bei thei a ni. Hei hian natna lan chhuahna dang a thlen thei a, chu chu khawsik, khawsik, vun natna, leh rilru na te a ni.

• `Thinlung valve natna`: 1.1.Chumi awmzia chu heart valve pakhat emaw a aia tam emaw a thawk tha lo tihna a ni. Tichuan thisen chu a luang tha lo. Entirnan, valve pakhat chu a nghet thei (`valve stenosis`). A nih loh leh a inhawng leh khar tha lo thei bawk. Thisen hi kawng dik lo lamah a leak thei (`valve regurgitation`). Hetiang hun lai hian ke ruh leh ke ruh a hring, thinlung a na chak zawk tih hriat (`palpitations`), thawk harsa, leh rilru a tight ang chi thil a awm thei.

• Hyperthyroidism: Hei hi thyroid gland-in thyroid hormone a siam tam lutuk hi a ni. Hetiang dinhmun hian rilru hahdam lohna, ei duhna a tipung thei a, thinlung a na rang thei a, taksa rihna a ti tlahniam thei bawk.

• Hypertrophic cardiomyopathy: Hei hi thinlung natna chi khat a ni a, chu chuan thinlung ruh a ti lian a, a ti thim a, a tikhauh a, a tichak lo bawk. Rochun a ni thei a, kum upat rualin emaw, thisen sang vangin emaw a lo thang lian thei bawk. A lan chhuah dan dangte chu muhil (syncope), rilru na, rilru na, hah, leh thawk hah te a ni thei.

`(Heart Murmur)` tih lanchhuahna chu engte nge ni?

``Heart Murmurs'' thenkhatah chuan symptoms a lang lo. Damdawi lam enfiahna pangngai (routine medical examination) neih laiin hriatchhuah an ni.

Mahse, murmur chhan a zirin, hetiang hian symptoms i nei thei a ni:

• Blue skin (a bik takin hmui leh kut zungtang) .
• A khuh chhunzawm zel
• I thinlung a na hle tih hriat (palpitations) .
• Chest na emaw tightness emaw a awm
• Thâwk harsa
• Thil hriatna hloh nghal (syncope) emaw, rilru hah lutuk emaw

Engtin nge doctor chuan ``Heart Murmur'' chu a hriat theih ang?

Doctor chuan i thinlung chu a ngaithla ang a, ``Heart Murmur'' a awm leh awm loh a enfiah ang. Murmur a awm chuan thawm danglam tak, ka sawi ‘whoosh’ emaw ‘swish’ emaw ang kha i hre mai ang.

Doctor chuan i rilru leh i hnungzang hmun hrang hrangah stethoscope chu a dah ang a, i thinlung thawk chu a ngaithla ang. Heng thilte hi a bik takin an ngaihven ang:

• ‘lub-dub’ tih bak chu aw dang i hre em?
• A ri chu eng ang nge ni? (`Pitch`) tih a ni.
• Lungphun ri (`Rhythm`) .
• Thinlung thawk lai hian engtik laiin nge thawm chu hriat a nih? (`Timing`) tih a ni.
• Engtiang chiahin nge a ri chu a ri? (`Volume`) tih a ni.

Doctor-in a chang chuan stethoscope hmanga ngaihthlak laiin thil ti turin a hrilh che tih i hre reng em? Chumi atan chuan a ni. Entir nan:

• Kut inthlak turin an ti a.
• Thu turin min ti a.
• Thut atanga ding turin min ti a.
• Leia mu turin min ti a.

Doctor hian ``Heart Murmur'' a hriat chuan eng test nge a tih ang?

I doctor-in murmur a hriat chuan hriselna lama harsatna avanga lo awm a nih leh nih loh hriat nan test tam zawk an neih a ngai dawn a ni. Cardiologist hnenah refer i ni mai thei.

``Heart Murmur`` awm chhan hriat nan a hnuaia test te hi tih theih a ni:

• Chest X-ray hmanga lak chhuah:Hei hian rilru chhung lam thlalak a la a, thinlung emaw lung emaw-a structural problem awm leh awm loh a enfiah thin.
• Echocardiogram (or echo): Hei hi thinlung ultrasound scan ang a ni. Sound wave hmangin thinlung valve leh chamber thlalak a siam thin. Tin, thinlung hian thisen a pump tha em tih enfiah nan a pui bawk. Hei hi vun hmanga scan tih a ni thei a, transesophageal echocardiogram pawh a ni thei a, chu chu ka leh kawr hmanga hmanraw bik hmanga tih a ni. Hei hian thinlung thlalak chiang zawk a siam thei a ni.
• Electrocardiogram (ECG or EKG): Hei hi natna nei lo test a ni a, i thinlung electrical activity tehna a ni. I heart rhythm lama harsatna leh heart attack chhinchhiahna te a hmuchhuak thei a ni.

`(Heart Murmur)` hi engtin nge kan enkawl ang?

A tam zawk `(Heart Murmur)` hi enkawl ngai an awm lo. Tin, an ngaihtuah tur pawh a awm lo. A bik takin chutiang `innocent' murmur te chu.

Mahse, murmur hi natna khirh tak avanga lo awm a nih chuan hetiang hian enkawl i mamawh mai thei:

• Damdawi: Entirnan, thisen tlakchhamna atana iron pill, emaw, thyroid hnathawh tihziaawmna damdawi te.
• Surgery: A chang chuan heart valve siamthat nan emaw, a thara thlak nan emaw surgery neih a ngai thin.

A pawimawh ber chu doctor-in damlo chu uluk taka enfiah a, a mur chhan leh enkawl a ngai leh mamawh loh a hriat chian a ngai a ni.

Heart Murmur hi a veng thei ang em?

``Heart Murmur'' a awm loh nan kawng a awm tak tak lo. A chhan chu ṭhenkhat chu pianpui an ni a, ṭhenkhat erawh chu natna dang avanga lo awm an nih vang a ni.

Amaherawhchu, i thinlung hriselna i enkawl thei a ni. Checkup neih fo leh nun hrisel tak neih (ei leh in tha, exercise lak, leh zu in loh) hian thinlung natna avanga harsatna lian tham lo thleng thei tur tihziaawmna kawngah kawng thui tak a zawh thei a ni.

`(Heart Murmur)` nei mi pakhat hriselna dinhmun chu eng nge ni?

Hei hi murmur chhan ah a innghat vek a ni. Naupang tê tête ‘Innocent’ murmur hi an lo upat deuh deuh chuan a bo fo ṭhin. Naupai laiin murmur lo awm thin chu nau neih hnuah a bo tlangpui.

Mahse, thinlung natna nena inzawm murmur hian damdawi lam pan a ngai ngei ang. Chuvangin doctor in murmur i nei tih a hrilh che chuan ngun takin i chhui tur a ni.

Engtikah nge Doctor ka hmuh ang?

Heng symptoms te hi thinlung natna nena inzawm nia i hriat i neih chuan doctor rawn nghal tur a ni :

• Vun a rawn sen chuan (a bik takin hmui leh nail vel) .
• I rilru natna emaw pressure emaw i hriat chuan
• I thinlung a na lutuk (palpitations) i hriat chuan .
• Thâwk harsa i neih chuan
• I muhil nghal (syncope) emaw, i lu a hlim lo emaw a nih chuan

Heng symptoms te hi i neih chuan ngaihthah suh. A rang thei ang bera doctor pan a, inenkawl a tha ber.

Heng thute hi i hre reng ang u (Take-Home Message) .

Okay, chuvangin, kan sawi tawh kha khaikhawm ila, thinlung murmur hi i thinlung valve-a thisen a luang chhuak dik lo a nih chuan ‘whoosh’ emaw ‘swish’ emaw ri a ni.

A tam zawkah chuan hengte hi ‘innocent’ murmur a ni a, chu chu eng natna avanga lo awm lo leh hlauh tur a ni lo tihna a ni. Naupang tê têah an tam hle.

Mahse, phunnawi \henkhat chu thinlung natna emaw, hriselna lama harsatna dang emaw avanga lo awm thei a ni. Chuvangin, eng ``Heart Murmur`` pawh hi a chhan dik tak hriat theih nan doctor-in a enfiah a pawimawh hle.

Doctorin nangmah emaw i fa emaw chu ``Heart Murmur'' an nei tih a hrilh chuan hlau suh la, an thusawi chu ngun takin ngaithla rawh. Test tul tak tak neih a, a chhan (a tul chuan) enkawlna dik tak i neih chuan i hrisel thei a ni.

I thinlung hi i ta a ni tih hre reng ang che! I enkawl that hi i mawhphurhna a ni.

` Thinlung mur, thinlung mur, thinlung ri, sual nei lo mur, thinlung natna, thinlung valve, thisen kal dan