Tangoganizani kuti mwatengera mwana wanu kwa dokotala kuti akamuyezetse nthawi zonse. Ngati dokotalayo ayika stethoscope nati, "Pali phokoso laling'ono lochokera mumtima mwa mwana wanu, 'kudandaula'," kodi mtima wanu sungagwedezeke ngati kholo? Ndizachibadwa kuti timve mantha tikamva phokoso la mtima. Koma musadandaule. Sikuti phokoso lililonse la mtima, 'kudandaula' kulikonse ndi koopsa. Lero tikulankhula za vuto lofala kwambiri komanso lopanda vuto lililonse lotchedwa 'Still's Murmur.'
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Mwachidule, kodi Still's Murmur ndi chiyani?
Murmur wa Still ndi mawu osavulaza, anyimbo omwe nthawi zambiri amamveka m'mitima ya ana athanzi azaka zapakati pa 3 ndi 6. Anafotokozedwa koyamba mu 1909 ndi Dr. George Frederick Still, dokotala wa ana. Anafotokoza kuti ndi "mawu oti 'ting', ngati chingwe pa chida choimbira chomwe chikukanikizidwa." Chofunika kwambiri, mawu awa samachitika chifukwa cha matenda a mtima, kufooka, kapena vuto lobadwa nalo .
Ndicho chifukwa chake madokotala amatcha izi kuti 'kung'ung'udza kopanda vuto'. Izi zikutanthauza kuti sizimavulaza mwana. Nthawi zambiri, phokosoli limatha mwana akafika msinkhu wokhwima.
N’chifukwa chiyani phokoso lotereli lilipo? Chifukwa chake n’chiyani?
Kunena zoona, madokotala sanapezebe chifukwa chenicheni cha izi 100%, koma pali mfundo zazikulu zingapo.
- Kapangidwe ka mtima: Mtima ndi mitsempha ya magazi ya ana aang'ono zimakhala zosinthasintha komanso zotanuka. Pamene mtima ukugunda ndipo magazi akuyenda mofulumira, kugwedezeka kosavuta m'minofu yosinthasintha iyi kungapangitse phokoso la nyimbo. Lili ngati phokoso lomwe timapanga tikamapumira mpweya pamwamba pa botolo lopanda kanthu.
- Minofu Yabodza: Ana ena akhoza kukhala ndi minofu yowonjezereka, yopyapyala, komanso yopyapyala (minofu yabodza) mkati mwa ventricle yakumanzere ya mtima. Ena amakhulupirira kuti imanjenjemera pamene magazi akuyenda kudzera mwa iyo, zomwe zimayambitsa phokoso.
- Kugwedezeka kwa Chordae: Phokosoli lingayambitsidwenso ndi kugwedezeka kwa ulusi woonda, wonga ulusi (chordae) womwe umalumikizidwa ku ma valve a mtima pamene magazi akuyenda kudzera mwa iwo.
- Kuchuluka kwa magazi m'thupi: Mwana akamadwala malungo, kapena akamathamanga, akusewera, mtima wake umathamanga kwambiri. Komanso, pali kusintha kwa magazi m'thupi mwa ana omwe ali ndi vuto la kuchepa kwa magazi m'thupi. Nthawi ngati zimenezi, 'kudandaula' kumeneku kumamveka bwino pamene magazi akuyenda mofulumira mumtima.
Chofunika kwambiri ndichakuti palibe chilichonse mwa izi chomwe ndi vuto la mtima. Izi ndi kusintha kwachibadwa komwe kungaonekere mu mtima wathanzi.
Kodi zizindikiro za kulira kumeneku ndi ziti? Kodi dokotala amazindikira bwanji?
Chizindikiro chokha cha izi ndi phokoso losiyana lomwe dokotala amamva ndi stethoscope. Monga kholo, simumva izi. Mwanayo samva kupweteka kulikonse, kupweteka, nseru, kapena kupweteka pachifuwa. Mwanayo amasewera bwino, amathamanga, amadumphadumpha, amadya, ndipo amamwa ngati ana ena athanzi.
Dokotala adzasiyanitsa Still's Murmur ndi ma nong'ona ena oopsa kutengera makhalidwe amenewa.
| Khalidwe | Kufotokozera |
|---|---|
| Ubwino wa mawu | Phokoso la nyimbo, logwedezeka, ngati 'twang' yofewa. |
| Mphamvu ya mawu | Phokoso lofewa kwambiri. Dokotala yekha ndi amene angalimve ndi stethoscope. |
| Sinthani ndi Kaimidwe | Ichi ndi chinthu chofunikira kwambiri. Phokoso limamveka bwino mwana akagona chagada. Mwana akakhala pansi kapena kuyimirira, phokoso silimamveka bwino, kapena limasowa kotheratu. |
| Malo | Phokosoli limamveka makamaka pakati pa chifuwa, kumanzere kwa fupa la pachifuwa (sternum). Phokosoli silimamveka mpaka m'khwapa kapena kumbuyo (palibe kuwala). |
| Nthawi | Izi zimamveka mtima ukagundana (pompa magazi). Izi zikutanthauza kuti ndi phokoso la pakatikati pa systolic. |
Kodi mwanayo akufunika chithandizo?
Mwachidule, ayi . Kudandaula kwa Still si matenda, ndi mawu okhawo omwe mtima wathanzi umamva. Chifukwa chake, sikufuna mankhwala amtundu uliwonse, opaleshoni, kapena chithandizo china chilichonse .
Dokotala amangomvetsera phokosoli panthawi yoyezetsa mwanayo nthawi zonse. Awone ngati likusintha. Kupatula apo, palibe chifukwa chomuikira malamulo aliwonse. Palibe choletsa mwana kusewera masewera aliwonse omwe amakonda, kuthamanga, kulumpha, kapena kutenga nawo mbali pamasewera akusukulu. Akhoza kukhala moyo wabwinobwino komanso wathanzi .
Kawirikawiri, mwana akamakula, kapangidwe ka mtima wake kamasintha. Nthawi yomweyo, kung'ung'udza kumeneku kumachepa pang'onopang'ono ndikutha kwathunthu akafika msinkhu waunyamata. Nthawi zambiri, ngati munthu apitiriza kukhala ndi kung'ung'udza kumeneku mpaka atakula, sikubweretsa vuto lililonse.
Uthenga Wopita Nawo Kunyumba
- Kudandaula kwa Still si matenda. Ndi nyimbo yopanda vuto lililonse, yomwe imamveka ndi mtima wathanzi mwa ana aang'ono.
- Izi ndi vuto lofala kwambiri pakati pa ana azaka zapakati pa 3-6.
- Palibe chithandizo chofunikira pa izi. Palibe chifukwa choletsera mwana wanu kusewera, kuthamanga, kapena kuchita chilichonse.
- Nthawi zambiri, phokosoli limadzisowa lokha mwana akamakula.
- Ngati dokotala wa mwana wanu akukuuzani za kugunda kwa mtima, musachite mantha ndipo mvetserani mosamala. Ngati mukukayikirabe kapena mantha, lankhulani ndi dokotala wanu za vutoli momasuka.
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