I fa te emaw, naute piang thar emaw doctor hnena i hruai hian doctor-in a tih hmasak ber tur chu a rilruah stethoscope dahin thinlung lam a ngaithla ang. Heart valve khar huna "lub-dub" heartbeat sound pangngai lo chhuak chu i hre ang. Mahse, a chang chuan, he aw bakah hian thawm dang, "s...s..." te tak te ang chi, boruak kal tlang ang maia ri i hre thin. Doctor chuan hei hi "thinlung murmur," a nih loh leh thinlunga murmur a ti ang. Nu leh pa tu pawhin heng thu an hriat hian hlauhna an nei hi thil pangngai tak a ni. Mahse, heng phunnawi zawng zawng hi a hlauhawm tak tak em? Hemi chungchang hi chipchiar takin sawi ila, awlsam takin.
‘Thinlung Murmur’ tih hi eng nge ni?
Kan thinlung hi pump mak tak, chamber pali nei a ni tih han ngaihtuah teh. Hei hi taksa pum puiah thisen pump chhuaktu a ni. Gate (valve) pali a nei a, chu chuan he thisen hi kawng khat chauh a luang chhuak zel turin faucet ang maiin hna a thawk a ni. Heng kawngkharte hi a hun takah hawn leh khar a nih chuan thinlung "lub-dub" ri pangngai kan hre thin.
Chuti a nih chuan engtin nge he extra sound ‘murmur’ tih hi a lo awm theih? A awlsam zawngin, he aw hi thinlung chhunga thisen kal dan tur tihkhawtlai emaw, a pangngai lo emaw a awm chuan a lo chhuak thin. Tui pipe atanga tui zalen taka a luang chhuah chuan thawm a awm lo, mahse pipe chu a inkhar emaw, khur te tak te a awm chuan "s...s..." ri a awm ang.
Hei hi chhan hrang hrang a awm thei:
- Heart valve a tawi avangin thisen a kal chak hle.
- Valve khar tha lo leh thisen hnunglam hawia leak (leaky valve).
- Thinlung chamber inkara khur te tak te, a tlangpuiin a awm lo.
- Thisen kalna kawng lian ber berte inkara inzawmna pangngai lo, thinlung atanga chhuak.
- Thinlung bang a thim dan pangngai lo.
A pawimawh ber chu, phunnawi zawng zawng hi natna chhinchhiahna a ni vek lo. Dik tak chuan, naupang hrisel hmun thuma ṭhena hmun hnih vêl leh nau piang thar hmun thuma ṭhena hmun thum vêl chuan an nunah engtik lai pawhin sual nei lo phunnawi an hre ang.
Murmur chi hrang hrang, hlauhawm lo (Innocent) leh ngaihtuah tur (Pathological) .
I fain thinlung mur mur a hriat chuan doctor chuan innocent murmur nge heart condition avanga pathological murmur a nih tih hriat a tum ang. He inthliarna hi hrethiam turin a hnuaia table hi en la.
| Mihring ziarang | Innocent Murmur a ni | Murmur ngaihtuah tur (Pathological Murmur) . |
|---|---|---|
| I hriat thawm chu | A ri nêm, tawi. Thlipui tleh ang maiin. | Thawm khauh tak, khauh tak, chhunzawm zel. |
| Taksa dinhmun a zirin inthlak danglam thin | Naupang a thut emaw, a ding emaw hian a ri chakna chu a danglam thin. A châng chuan hriat theih loh a lo ni ta a ni. | Taksa dinhmun thlak danglam pawh nise a thawm chu a ri chhunzawm zel a ni. |
| Symptom dang a awm bawk | Symptom dang a awm lo. Naupang chu a khel tha a, a ei leh in a, a thau chho zel bawk. | A lan chhuah dan dangte chu thawk harsa, hmui leh kut zungtang sen, nau hnute pek harsa, leh taksa rihna tihpun loh te a ni thei. |
| Final result a ni | He aw hi naupang a lo puitlin chuan a bo vek a ni. Enkawl a ngai lo. | Lung natna hnuaia awm chhinchhiahna. Test leh enkawl belh a ngai a ni. |
Doctor ngaihtuahna engte nge ni?
Doctor-in phunnawi ri a hriat hian heng thilte hi an ngaihtuah ber a ni:
- Loudness: Engtiang chiahin nge murmur chu a ri? (Hengte hi 1 atanga 6 thlenga rate an ni).
- Pitch of the sound: A ri sang em, a ri hniam em?
- Khawiah nge a hriat: Khawiah nge a rilruah a hriat tam ber?
- Radiation: He aw hi rilru emaw hnungzang emaw hmun dangah a radiate em?
- Timing: He aw hi engtikah nge thinlung thawk pangngai pahnih inkarah hian hriat a nih? Thinlung a inzawm (`Systole`) emaw, a hahdam (`Diastole`) emaw hian?
He thu hi uluk taka a zirchian hnuah chauh doctor chuan hei hi a hlauhawm lo em tih emaw, damlo chu pediatric cardiologist hnena hruai tur nge tih emaw a rel ang.
Naute piang tharte Heart Murmurs
Nau piang tharte tan chuan thinlung mur ri hriat hi a awm fo thin. A châng chuan, pian tirh laia thinlung valve ṭhenkhat khar lai hian heng thawmte hi a lo awm thei a ni. Chuvangin, doctor-in checkup hmasa berah murmur a awm a ti a nih pawhin, hlauthawng suh. Checkup neih leh hunah a bo tlangpui a, kar tlemte hnuah tih a ni.
Mahse, murmur chu a awm reng a nih chuan emaw, doctor chuan rinhlelhna tlemte pawh a neih chuan test dang neih belh turin a refer ngei ang che.
Vaukhânna chhinchhiahna fimkhur tûr
I fain murmur a nei tih i hriat chuan a hnuaia symptoms te hi lo thlir reng ang che. Chung zinga pakhat tal i hriat chuan doctor rawn nghal rawh.
- Thâwk lak tawi: Thâwk harsa i tih chuan, a bik takin naupai lai emaw, light activity i tih laiin.
- I rilru natna i neih fo chuan.
- Bawnghnute in emaw ei harsat: Hnute tlem in hnua hah, thawk hah, leh bawnghnute in chawlhsan.
- Growth failure: Kum lama taksa rihna tihpun hi a inhmeh lo a nih chuan.
- Ka hmui, lei emaw vun rawng blue discoloration (Cyanosis): Hei hi tap emaw, nau hnute pek emaw a nih chuan thinlung atanga taksa lama thisen luang chhuak oxygen tling lo tihna a ni thei.
Hetiang symptoms hian murmur hi thinlung natna chi khat nen a inzawm thei tihna a ni.
Enkawl dan leh a hnuaia hmalakna tur
Thil sual nei lo murmur chuan engmah enkawl a ngai lo. Damdawi, zai leh naupang thiltih dan khapna a ngai lo. Naupang a lo puitlin chuan a mah chauhin a bo ang. He aw hi khawsik emaw, stress emaw lai hian a ri nasa zawk thei.
Mahse, murmur chu pathological a nih chuan a chhan hriat chian a ngai a ni. Doctor chuan test thenkhat chu a rawt thei a, chungte chu:
- Echocardiography (Echo): Hei hi thinlung ultrasound scan ang a ni. Thinlung pindan te, valve te, bang te hnathawh dan te, valve chhunga khur emaw, leak emaw a awm leh awm loh chiang takin a hmu thei a ni.
- Chest X-ray: Hei hian thinlung leh lung lam panna thisen kalna kawng lian leh te, a pianzia hriat theihna a siam a ni.
Enkawlna chu murmur thlentu thinlung dinhmun (underlying heart condition)-ah a innghat a ni. Pianpui thinlung natna thenkhat chu hun kal zelah anmahniin an reh thin. Mi dangte chuan damdawi emaw, zai emaw an mamawh thei bawk.
Thil pawimawh dang hriat tur chu thinlung natna thenkhat hian i fa chu thinlung natna (infective endocarditis) vei theihna a tipung zawk a ni. Chutiang hunah chuan i doctor chuan ha lak chhuah emaw, operation dang emaw tih hmain natna kai loh nan antibiotics a rawt thei ang.
Take-Home Thuchah a ni
- Naupangte thinlung murmur hriat zawng zawng hi a hlauhawm vek lo. A tam zawk hi chu harsatna nei lo an ni.
- Murmur hi natna a ni lo va, natna chhinchhiahna ni thei tur thawm mai a ni.
- I fa hian thawk harsa, hmui sen, hnute ei/in harsatna, emaw, a rihna a tipung lo tih ang chi symptoms a neih chuan doctor thurawn la nghal rawh.
- Doctor thupek dik takin zawm rawh. Check-up turin lo haw leh turin a ngen che a nih chuan ni ruat saah kal ngei ngei tur a ni.
- I ngaihtuahna emaw hlauhna emaw i neih apiang chu i doctor nen tlang taka sawiho chu i dikna a ni.
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