I fa te chu doctor hnenah routine checkup turin i hruai ta ang u. Doctor chuan stethoscope dahin, "I naute thinlung atang hian thawm te tak te a lo chhuak a, 'murmur'" a tih chuan nu leh pa angin i thinlung a thlawk chhuak dawn lo em ni? Thinlung thawm kan hriat hian hlauhna kan nei hi thil pangngai tak a ni. Mahse, lungngai suh. Thinlung ri zawng zawng ni lovin, ‘murmur’ zawng zawng hi a hlauhawm vek. Vawiin hian natna tlanglawn tak leh hlauhawm lo tak tak ‘Still’s Murmur’ tih kan sawi dawn a ni.
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A awlsam zawngin, Still’s Murmur hi eng nge ni?
Still-a Murmur hi a hlauhawm lo, musical sound a ni a , naupang hrisel kum 3 leh 6 inkar thinlungah hriat a ni tlangpui a, kum 1909 khan naupang enkawltu Dr. George Frederick Still-a’n a sawi hmasak ber a ni. "'ting' ri, musical instrument-a hrui hrui hmet ang mai" tiin a sawi. Pawimawh tak chu, he aw hi thinlung natna, chak lohna, emaw, pianpui chhiatna emaw avanga lo awm a ni lo .
Chuvangin doctor-te chuan hei hi ‘innocent murmur’ an ti a ni. Chu chu naupang tan harsatna a thlen lo tihna a ni. A tam zawkah chuan naupangin puitlin hun a thlen meuh chuan he aw hi a bo vek thin .
Engvangin nge chutiang thawm chu a awm? Eng nge a chhan?
Dik tak chuan doctor-te chuan hei hi 100% definitive cause an la hmu lo a, mahse main theory tlemte a awm.
- Heart structure: Naupang tête thinlung leh thisen kalna kawngte hi a flexible hle a, a elastic hle bawk. Thinlung a na a, thisen a luang chak em em a, heng tissue flexible-a vibration nalh tak takte hian he musical sound hi a siam thei a ni. Bottle hrui hring chungah boruak kan vawrh chhuah hian kan thawm ri ang mai a ni.
- False Tendons: Naupang thenkhat chuan thinlung veilam ventricle chhungah extra, thin, fibrous tissue (false tendons) an nei thei. Ṭhenkhat chuan hengte hi thisen a luang chhuah rualin an vibrate a, chu chuan thawm a siam niin an ngai.
- Chordae vibration: He thawm hi heart valve-a thisen a kal laiin thread ang maia fiber (chordae) te tak te, a vibration vang pawh a ni thei.
- Thisen kal tam: Naupangin khawsik a neih chuan, emaw, an tlan leh inkhelh leh an lum lai hian an heart rate a sang hle. Tin, thisen tlakchhamna nei naupangte thisen kal danah pawh danglamna engemaw zat a awm bawk. Chutiang hunah chuan thinlunga thisen a luang chak zawk avangin he ‘murmur’ hi chiang zawkin a hriat theih a ni.
A pawimawh ber chu heng chhan zinga pakhat mah hi thinlung hnathawh that loh emaw, thinlung natna emaw a ni lo. Hengte hi thinlung hrisel takah hmuh theih, inthlak danglamna pangngai mai a ni.
He murmurna hi eng mizia nge ni? Engtin nge doctor hian a hriat chian?
Chumi chhinchhiahna awm chhun chu chu doctor-in stethoscope hmanga a hriat thin aw danglam tak chu a ni. Nu leh pa i nih angin he thu hi i hre lo. Naupang chuan hrehawmna, natna, rilru hahna, rilru natna emaw a nei lo. Naupang chu naupang hrisel dang ang bawkin a khel tha a, a tlan a, a zuang a, a ei a, a in bawk.
Doctor chuan heng mizia a\ang hian Still’s Murmur chu murmur hlauhawm dang a\angin a thliar hrang ang.
| Mihring ziarang | Hrilhfiahna |
|---|---|
| Sound quality tha tak a ni | Musical, vibrating sound, ‘twang’ nalh tak ang mai. |
| Aw chakna (intensity of sound) a ni | A ri nêm hle mai. Doctor chauhin stethoscope hmangin a hre thei. |
| Posture nen inthlak danglam rawh | Hei hi feature pawimawh tak a ni. Naute chu a hnungzang chunga a mut lai hian a thawm chu chiang takin a hriat theih. Naute a ṭhut emaw, a ding emaw chuan a ri chu a lang lo deuh a, a nih loh leh a bo vek a ni. |
| Hmun | A thawm hi rilru lai takah a ri ber a, chu chu hnute ruh (sternum) veilam chauh a ni. He aw hi armpit emaw hnungzang emaw thlengin a radiate lo (radiation a awm lo). |
| Hun hman dan tur | Hei hi thinlungin a inzawm (thisen a pump) hian a hriat a ni. Hei hian mid-systolic murmur a ni tihna a ni. |
Naupangin enkawlna a mamawh em?
A tawi zawngin, ni lo . Still’s Murmur hi natna a ni lo va, thinlung hrisel hriat theih thawm mai a ni. Chuvângin, damdawi chi hrang hrang, operation, a nih loh leh enkawlna dang eng pawh a ngai lo .
Doctor hian naupang check-up dan pangngaiah chauh he thawm hi a ngaithla thin. A danglam em tih en rawh. Chumi piah lamah chuan naupang chungah khapna engmah siam a ngai lo. Naupangin a duh ang game a khelh theih nan te, tlan tur te, zuang tur te, sikul infiamna a tel theih nan emaw daltu a awm lo. Nun pangngai tak, hrisel tak a hmang thei a ni .
Vawi tam tak chu naupang a lo puitlin chuan an thinlung insiam dan a danglam thin. Chutih rual chuan he murmur hi a tlahniam zauh zauh a, tleirawl an nih meuh chuan a bo vek bawk. A tlem hle a, mi pakhatin puitlin thlenga he phunnawi hi a neih chhunzawm zel chuan harsatna a thlen lo.
Take-Home Thuchah a ni
- Still's Murmur hi natna a ni lo. Naupang tê tête thinlung hrisel takin a hriat, hlauhawm lo, musical sound mai a ni.
- Hei hi naupang kum 3-6 inkar zingah a awm fo thin .
- Hemi atan hian enkawl ngai a awm lo. I fa chu inkhelh te, tlan te, engmah tih khap a ngai lo.
- A tam zawkah chuan he aw hi naupang a lo puitlin chuan a mah chauhin a bo thin .
- I fa doctor-in heart murmur chungchang a hrilh che chuan hlauthawng suh la, ngun takin ngaithla rawh. Ringhlelna emaw hlauhna emaw i la neih chuan i doctor nen inhawng takin sawi rawh .
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