I naupang tê hian an thinlung aṭangin thawm mak tak mai a hre em? Still’s Murmur a ni thei!

I fa te chu doctor hnena i hruai hian doctor-in, "I naute thinlungah hian phunnawi tlem a awm" a tih chuan lungkham deuh hi thil awmdan pangngai a ni. Mahse, thinlung phunnawi zawng zawng hi a hlauhawm vek lo. Vawiin hian Still's Murmur , naupang tê tête chunga lo awm fo thin, harsatna nei lo, emaw, "sual nei lo" thinlung murmur chungchang kan sawi dawn a ni. Chuvangin, hlauhna awm lovin i zir belh zel ang u.

Still’s Murmur hi eng nge ni tak tak?

A awlsam zawngin sawi ila, Still’s Murmur hi thinlung hrisel takin a hriat extra sound a ni a, chu chu thinlung natna emaw, hriselna lama harsatna dang emaw nena inzawm lo a ni. Thinlung chhungril atanga musical sound te tak te lo chhuak ang mai a ni. A bik takin naupang tê têah a tam hle. He thawm hi thinlung chhunga thisen a luang chhuah hian a lo chhuak thin.

Ngaihtuah teh, tui pipe atanga tui a luang chhuah hian a chang chuan thawm te te i hre thin a ni lawm ni? Chutiang chu a ni. Hetiang a nih chuan he thawm hi doctor-in stethoscope a hman a, naupang rilru a ngaithla chauhvin chiang takin a hriat theih. He aw hi naupang chu a muhil lai, chu chu chunglam hawia, supine position-a a awm lai hian a ri nasa hle a ni .

A pawimawh ber chu Still’s Murmur hian i naute hriselna atan engmah a tichhe lo a, enkawl a ngai lo bawk.

He thawm hi tuin nge hria? Engtiang chiahin nge a hluar?

Dik tak chuan he thinlung ri Still’s Murmur an tih hi kum eng pawhah a awm thei. Mahse, naupang kum 3 leh 6 inkar ah hmuh tur a tam ber a, thu lawmawm tak chu naupang a lo upa deuh deuh chuan, chu chu , tleirawl lai hian he aw hi a bo fo thin.

Hei hi a tam em em a, survey-ah chuan naupang 72% vel chuan an dam chhungin engtik lai pawhin sual nei lo thinlung phum ri an hre tawh tih hmuhchhuah a ni. Chung zingah chuan Still’s Murmur hi naupang tê tête thinlung murmur sual nei lo ber a ni.

Engvangin nge he thawm hi ka hriat? A chhan engte nge ni?

Still’s Murmur hi naute thinlunga thisen luang chhuak vang a ni tih kan hrilh tawh a. Amaherawhchu, he aw hi a chhan dik tak hi doctor-te chuan an la hmuchhuak lo. Mahse, zirchiangtute chuan a thlen thei nia an ngaih thil engemaw zat a awm a:

• Left ventricle , thinlung veilam sir a main chamber chhunga fibrous bands (false tendons) thenkhat chuan thisen a kal chuan vibration leh sound a siam thei a ni.
• A chang chuan, thisen tlakchham (anemia ) (taksa chhunga thisen sen tlahniam) ang chi natna hian thinlung kal tlanga thisen kal a tipung thei a, chu chuan he thawm hi a siam thei bawk.
• Thinlung dinglamah triangular valve (Tricuspid valve) .He aw hi thinlung ventricle dinglam atanga chhuak, thisen kalna kawng nena inzawm , cord ang chi (chordae) te tak te, chak tak tak thenkhat atanga lo chhuak a ni thei bawk.
• He thawm hi a tlangpuiin thinlung pindan chhunga thisen luang chhuak avanga vibration awm vang pawh a ni thei.

Hengte hi tuna a chhan awm thei te chu an ni. Mahse, hre reng ang che, a chhan chu eng pawh ni se, Still-a Murmur hi a hlauhawm lo.

Still’s Murmur natna lan chhuah dan chu engte nge ni?

Still’s Murmur ziarang ber chu sound nem tak, musical vibrating sound a ni . Mi thenkhat chuan Aeolian harp ri ang mai a ni an ti . He aw hi ngaihthlak mai mai hian i hre thei lo mai thei. Mahse, Stethoscope hmang chauhin doctor-in a hriat theih a ni.

Kan sawi tawh ang khan he aw hi naute chu a hnungzang chunga a mut laiin a ri nasa zawk a , a thut emaw, a ding emaw chuan a reh zawk bawk. Tin, he aw hi a kal chhunzawm zel lo. A châng chuan a lo kal leh mai thei bawk. He aw hi naute damlo emaw a hlim em em emaw a phur emaw chuan a ri nasa zawk thei .

A pawimawh ber chu Still’s Murmur hian taksa lam natna dang leh hriselna lama harsatna dang a thlen lo.

Doctor, engtin nge hei hi Still’s Murmur a ni tih chiang taka i hriat theih ang?

I fa chu doctor hnena i hruai hunah chuan i fate damdawi lam chanchin an zawt hmasa ang a, taksa enfiahna kimchang an nei ang . He exam hian a bik takin a hnuaia mite hi a zawng ang:

• Abdominal palpation hmangin liver a lian em tih leh heart failure chhinchhiahna a awm leh awm loh enfiah thin a ni.
• Thisen sang a teh mek a ni.
• Chest palpation hmangin thinlung a lian (cardiomegaly) a awm leh awm loh enfiah thin a ni.
• Thisen a oxygen awm zat an enfiah thin (Pulse oximetry).
• Naupang ke chu a pulse (distal pulse palpation) enfiahin thisen kal dan a tha em tih an enfiah thin.

Tichuan, Doctor chuan Stethoscope hmangin naupang taksa chhung lam atanga thawm lo chhuak chu a ngaithla a. Chutih lai chuan:

• Thawm danglam tak a ni
• Click ri a awm
• Thinlung ri extra (murmur) te chu .

Chutiang thil ngaihven.

Doctor chuan extra heart sound a hriat chuan Still’s Murmur a nih leh nih loh hriat nan a hnuaia mi hi ngun takin an en ang :

• Naute a che vel hian a ri a danglam em? Naute chu a sir lama a mut lai hian a ri a ri nasa zawk.
• Chu thawm chu thinlung a inzawm khawm (Systolic murmur), thinlung a chawlh lai (Diastolic murmur), a nih loh leh a hun zawng zawnga hriat a ni em? The Still-a murmur hi thinlung a inzawm hnuah, chu chu a laiah (Mid-systolic) a ni.
• Chu thawm chu hmun khat a\ang chauha hriat a ni em, a nih loh leh rilru hmun hrang hrangah a darh (radiation)? Still murmurs-ah chuan chutiang darh chu a awm lo.
• A ri awmna hmun. The Still-a murmur hi a rilru hnuai lam, sternum veilam , rilru lai takah ruh awmah hriat a ni ber.
• Engtiang chiahin nge a ri hi a ring/soft? `(Intensity)`? Stills murmur chuan thawm nêm tak a siam a.
• A ri quality leh a ri (high, medium, low) a ni. Stills murmur hi musical, blowing, low-pitched sound a ni.

Doctor chuan heng zawng zawng hi a en a , Still’s Murmur , a nih thu a rel chuan i fa chu test dang neih belh a ngai tawh lo vang.

Mahse, doctor chuan a ri chungchangah rinhlelhna a neih chuan, emaw, sual nei lo thinlung murmur a nih theih a rin chuan, naupang chu cardiologist hnenah an refer thei a, chu chuan test engemaw zat a ti leh thei a ni. Heng test hrang hrangte hi:

• Electrocardiogram (EKG): Hei hian thinlunga electric hnathawh dan a record a.
• Echocardiogram (echo): Hei hian high-frequency wave hmangin thinlung chamber leh valve te thlalak a la thin.

Hemi atan hian damdawi a awm em? Engtin nge naute chu a nghawng ang?

Hetah hian a pawimawh ber. Naupang Still's Murmur nei chuan enkawlna engmah a mamawh lo . Hun kal zelah a mah chauhin a bo ang.

I fa Still’s Murmur hian engti kawng mahin an nitin thiltih te, inkhelhna te, sikul thiltih te a tibuai lo vang. Nun pangngai tak, hrisel tak an hmang thei a ni .

Still’s Murmur hi ven theih dan a awm em?

No. Still’s Murmur lo thleng tur venna tur hian engmah kan tih theih a awm lo. A chhan chu natna a nih loh vang a ni.

Kan naute hian Still’s Murmur a neih chuan nu leh pa angin eng nge kan hriat tur?

I fain Still’s Murmur a nei tih i hriat chuan heng thilte hi hre reng ang che:

• Hei hi naupangin a puitlin hmain a mah chauhin a bo fo thin .
• Puitling thenkhat pawhin he aw hi an nei ve thei a, mahse natna lanchhuahna engmah an lantir lo thei bawk.
• Still's Murmur hi thinlung natna emaw hriselna lama harsatna dang emaw a ni lo .
• Naupang chu a inkhel thei a, exercise a la thei a, sikul a kal thei a, thil dang zawng zawng chu a pangngai angin a thawk thei bawk.
• A pawimawh ber chu i fate a hun taka checkup neih reng hi a ni.Tichuan doctor chuan naupang hriselna zawng zawng a ngaihven thei ang.

Engtikah nge Doctor kan hmuh ang?

Still’s Murmur hi enkawl ngai lo mah se, i fain heng symptom thar zinga pakhat tal a neih chuan doctor pan nghal a pawimawh:

• I rilru natna, i rilru hahna, emaw, i tightness emaw i hriat chuan .
• I chau lutuk (chau lutuk) i tih chuan.
• Fainting ang chi thil a awm chuan.
• Thâwk harsa (Dyspnea) emaw, thawk hah ang maia i hriat emaw chuan.

Heng symptoms te hi i neih chuan a rang thei ang bera doctor rawn la a tha ber a, Still’s Murmur nen a inzawm lo mai thei.

Chuvangin, take-home message hnuhnung ber chu:

Okay, chuvang chuan Still’s Murmur chungchang hi kan sawi nasa hle a ni. A tawp berah chuan i hriat reng tur pawimawh ber berte chu hetiang hi a ni:

• Still’s Murmur hi thinlung ri sual lo tak a ni a, naupang tê (a bik takin kum 3-6 inkar) zingah a tam hle .
• Hei hi thinlung natna emaw hriselna lama harsatna dang emaw nen a inzawm lo .
• Hei hian enkawlna engmah a mamawh lo , naupang a lo puitlin chuan a mah chauhin a bo fo bawk.
• Doctor-te chuan taksa enfiahna hmangin leh stethoscope hmanga thinlung thu ngaihthlak hmangin an hre thei a ni.
• Hetianga thinlung mur ri hriat hi a hlauhawm deuh thei a, mahse Still’s Murmur hian naute hriselna a tichhe lo .
• I fain he natna hi nei mah se, nun hlim tak, hrisel takin a nung thei a ni .

Chuvangin, i fa doctor-in hetiang thil hi a hrilh che a nih chuan a tul lovah hlauthawng suh la, doctor nen uluk takin inbia la, a chipchiar zawng zawng chu zawng chhuak rawh. Damdawi lam thurawn hmanga i fa hriselna chungchanga thutlukna siam hi a pawimawh ber tih hre reng ang che.

` Still-a Murmur, Thinlung Ri, Innocent Murmur, Pediatrics, Thinlung hriselna, Innocent Murmur, Still-a Murmur