Iyo ujyanye umwana wawe kwa muganga, ni ibisanzwe kumva ufite impungenge nkeya iyo muganga avuze ati: "Hari akantu gato ko mu mutima w'umwana wawe." Ariko, si ko akantu kose ko mu mutima gateye akaga. Uyu munsi tugiye kuvuga kuri Still's Murmur , akantu ko mu mutima katagira ingaruka mbi, cyangwa "keretse" gakunze kugaragara mu bana bato. Reka tumenye byinshi kuri byo nta bwoba.

Mu by'ukuri, Still's Murmur ni iki?

Mu magambo make, ijwi rya Still's Murmur ni ijwi ry'inyongera ryumvwa n'umutima muzima ridafite aho rihuriye n'indwara z'umutima cyangwa izindi ndwara. Ni nk'ijwi rito ry'umuziki rituruka imbere mu mutima. Rikunze kugaragara cyane ku bana bato. Iri jwi rivuzwa iyo amaraso atemba mu mutima.

Tekereza, iyo amazi atemba mu muyoboro w'amazi, rimwe na rimwe wumva ijwi rito, si byo se? Uko ni ko biba bimeze. Muri iki gihe, iri jwi ryumvikana neza gusa iyo muganga akoresha stethoscope kandi akumva igituza cy'umwana. Iri jwi ryumvikana cyane cyane iyo umwana aryamye, ni ukuvuga, areba hejuru, aryamye .

Icy'ingenzi ni uko Still's Murmur idashyira mu kaga ubuzima bw'umwana wawe, kandi ntikeneye kuvurwa.

Ni nde wumva iri jwi? Rikunze kugaragara gute?

Mu by’ukuri, iri jwi ry’umutima ryitwa Still's Murmur rishobora kugaragara ku muntu uwo ari we wese w’imyaka iyo ari yo yose. Ariko, rikunze kugaragara cyane ku bana bari hagati y’imyaka 3 na 6. Inkuru nziza ni uko iyo umwana akuze gato, ni ukuvuga mu gihe cy’ubwangavu, iri jwi rikunze kuzimira ryonyine.

Ibi ni ibisanzwe cyane ku buryo ubushakashatsi bwagaragaje ko abana bagera kuri 72% bagiye bumva umutima utagira inenge mu gihe runaka mu buzima bwabo. Muri ibi, Still's Murmur ni wo mutima utagira inenge ukunze kugaragara cyane mu bana bato.

Kuki numva iri jwi? Impamvu ni izihe?

Twabwiwe ko gucuranga no gucuranga biterwa n'amaraso atemba mu mutima w'umwana. Nyamara, abaganga ntibaramenya impamvu nyayo y'iri jwi. Ariko hari ibintu byinshi abashakashatsi babona ko bishobora kugira uruhare muri iryo jwi:

• Imitsi imwe n'imwe y'imitsi (imitsi y'ibinyoma) iri mu gice cy'ibumoso cy'umutima , icyumba kinini kiri ibumoso bw'umutima, ishobora gutera gutigita no kumva ijwi iyo amaraso atemba muri wo.
• Hari igihe indwara nka anemia (kugabanuka kw'uturemangingo dutukura mu mubiri) ishobora gutuma amaraso atembera mu mutima yiyongera, ibyo bikaba byanatera urusaku nk'urwo.
• Umugozi w'impandeshatu uri iburyo bw'umutima (valve ya Tricuspid)Iri jwi rishobora kandi guterwa n'ibice bimwe na bimwe byoroheje kandi bikomeye bisa n'umugozi (chordae) bisohoka mu gice cy'iburyo cy'umutima , bifitanye isano n'inzira y'amaraso atemberamo.
• Iri jwi rishobora kandi kumvikana bitewe n'imitingito iterwa n'amaraso atemba mu byumba by'umutima nk'uko bisanzwe bigenda.

Izi nizo mpamvu zishobora kubaho ubu. Ariko, ibuka ko impamvu yaba iri kose, Still's Murmur ntabwo ari ikibazo gikomeye.

Ni ibihe bimenyetso bya Still's Murmur?

Ikintu nyamukuru kiranga Still's Murmur ni ijwi ryoroshye kandi rihindagurika ry'umuziki . Hari abantu bavuga ko ari nk'ijwi ry'inanga ya Aeolian . Ushobora kutabasha kumva iri jwi uryumvise gusa. Ariko, rishobora kumenyekana gusa na muganga akoresheje stethoscope.

Nkuko twabivuze mbere, iri jwi rirangurura cyane iyo umwana aryamye agaramye , kandi rigatuza cyane iyo yicaye cyangwa ahagaze. Nanone, iri jwi ntirihora rihoraho. Hari igihe rishobora kuza rigahita rigenda. Iri jwi rishobora kuba ryumvikana cyane iyo umwana arwaye cyangwa yishimye cyane cyangwa yishimye .

Igikuru ni uko Still's Murmur idatera ibindi bimenyetso by'umubiri cyangwa izindi ngorane z'ubuzima.

Muganga, wamenya ute ko iyi ari inyikirizo ya Still's Murmur?

Iyo ujyanye umwana wawe kwa muganga, abanza kukubaza amateka y'ubuzima bw'umwana wawe kandi akore isuzuma ryuzuye ry'umubiri . Iri suzuma rizareba by'umwihariko ibi bikurikira:

• Gukubita igifu mu buryo bworoshye bikorerwa kugira ngo harebwe niba umwijima wariyongereye n'ibimenyetso by'umutima unaniwe.
• Umuvuduko w'amaraso uri gupimwa.
• Gukubita mu gituza bikorwa kugira ngo harebwe niba umutima wariyongereye (cardiomagaly).
• Igipimo cya ogisijeni mu maraso kiragenzurwa (Pulse oximetry).
• Amaguru y'umwana asuzumwa niba umuvuduko w'amaraso uhagaze neza (distal pulse palpation) kugira ngo harebwe niba amaraso atembera neza.

Hanyuma, muganga akoresha stethoscope kugira ngo yumve amajwi aturuka mu mubiri w'umwana. Muri icyo gihe:

• Urusaku rudasanzwe
• Ijwi ryo gukanda
• Amajwi y'umutima arenze urugero (imiborogo)

Kwita ku bintu nk'ibyo.

Muganga aramutse yumvise ijwi ry'umutima ryiyongereye, azasuzuma neza ibi bikurikira kugira ngo amenye niba ari ukwinubira kwa Still's Murmur :

• Ese ijwi rirahinduka iyo umwana agenda? Ijwi rirarenga iyo umwana aryamye ku ruhande.
• Ese ijwi ryumvikana iyo umutima uhagaze (Systolic murmur), iyo umutima uhagaze (Diastolic murmur), cyangwa igihe cyose? Ijwi rya Still ryumvikana nyuma y'uko umutima uhagaze, ni ukuvuga hagati (Mid-systolic).
• Ese ijwi ryumvikana ahantu hamwe gusa, cyangwa rikwirakwira mu bice bitandukanye by'igituza (imirasire)? Nta gukwirakwira nk'uku mu mivurungano idashira.
• Aho ijwi riherereye. Ijwi rya Still ryumvikana cyane cyane mu gice cyo hasi cy'igituza, ibumoso bw'ikibuno , igufwa riri hagati mu gituza.
• Ijwi riranguruye/ryoroshye gute? `(Uburemere)`? Ijwi rituje ritanga ijwi ryoroshye.
• Ubwiza bw'ijwi n'ijwi (ryo hejuru, riri hagati, riri hasi). Ijwi rituje ni ijwi ry'umuziki, riturika, kandi riturika hasi.

Niba muganga arebye ibi byose agasanga ari ukwinubira kwa Still's Murmur , umwana wawe ntazakenera ikindi gipimo.

Ariko, niba umuganga afite gushidikanya ku ijwi, cyangwa agatekereza ko ari ukuvuza k'umutima atari ukubura icyo abikoraho, ashobora kohereza umwana kwa muganga w'indwara z'umutima ushobora gukora ibindi bipimo. Ibi bipimo birimo:

• Electrocardiogram (EKG): Iyi niyo isuzuma imikorere y'amashanyarazi y'umutima.
• Echocardiogram (echo): Iyi mashini ikoresha imiraba ikoresha frequency nyinshi kugira ngo ifate amafoto y'ibyumba by'umutima n'imitsi.

Ese hari umuti uvura ibi? Bizagira izihe ngaruka ku mwana?

Dore ikintu cy'ingenzi cyane. Umwana ufite ikibazo cyo kwitotomba ntakeneye kuvurwa . Bizashira ubwabyo uko igihe kigenda.

Imvugo ya Still's Murmur y'umwana wawe ntabwo izabangamira ibikorwa bye bya buri munsi, imikinire, cyangwa ibikorwa byo ku ishuri mu buryo ubwo aribwo bwose. Bashobora kubaho ubuzima busanzwe kandi bufite ubuzima bwiza .

Ese hari uburyo bwo gukumira Still's Murmur?

Oya. Nta kintu na kimwe twakora ngo wirinde ko Still's Murmur ibaho. Kuko atari indwara.

Ni iki ababyeyi bagomba kumenya niba umwana wacu afite Still's Murmur?

Iyo umenye ko umwana wawe afite Still's Murmur , zirikana ibi bintu:

• Ibi akenshi bishira ubwabyo mbere y'uko umwana agera mu bwangavu .
• Bamwe mu bantu bakuru bashobora kugira iri jwi, ariko bashobora kutagira ibimenyetso na bimwe bagaragaza.
• Murmur ya Still si ikimenyetso cy'indwara y'umutima cyangwa indi ndwara iyo ari yo yose .
• Umwana ashobora gukina, gukora imyitozo ngororamubiri, kujya ku ishuri, no gukora indi mirimo yose nk'uko bisanzwe.
• Igikuru ni ukujya kwisuzumisha umwana wawe ku gihe.Hanyuma muganga ashobora kwita ku buzima bw'umwana muri rusange.

Ni ryari twagombye kubonana na muganga?

Nubwo Still's Murmur idasaba kuvurwa, ni ngombwa kujya kwa muganga ako kanya mu gihe umwana wawe agaragaje kimwe muri ibi bimenyetso bishya:

• Niba wumva ububabare mu gituza, kumererwa nabi, cyangwa gufungana .
• Niba wumva unaniwe cyane (unaniwe cyane).
• Iyo habayeho ikintu nko gucika intege .
• Niba ufite ikibazo cyo guhumeka (dyspnea) cyangwa wumva urimo guhumeka.

Niba ufite ibi bimenyetso, ni byiza gushaka inama kwa muganga vuba bishoboka, kuko bishobora kuba bitafitanye isano na Still's Murmur .

Rero, ubutumwa bwa nyuma bwo kujyana mu rugo ni ubu:

Sawa, twaganiriye cyane kuri Still's Murmur . Hanyuma, dore ibintu by'ingenzi ugomba kwibuka:

• Murmur ya Still ni ijwi ry'umutima ritagira inenge rikunze kugaragara mu bana bato (cyane cyane hagati y'imyaka 3-6).
• Ibi ntibifitanye isano n'indwara iyo ari yo yose y'umutima cyangwa izindi ngorane z'ubuzima .
• Ibi ntibisaba ubuvuzi ubwo aribwo bwose , kandi akenshi bishira ubwabyo uko umwana agenda akura.
• Abaganga basuzuma ibi binyuze mu gusuzuma umubiri no gutega amatwi umutima hakoreshejwe stethoscope.
• Nubwo kumva umutima uvuza induru nk'iyi bishobora gutera ubwoba, Still's Murmur ntabwo yangiza ubuzima bw'umwana.
• Nubwo umwana wawe yaba afite iyi ndwara, ashobora kubaho ubuzima bwiza kandi agakora cyane .

Niba rero muganga w'umwana wawe akubwira ikintu nk'iki, ntugatinye bitari ngombwa, vugana na muganga witonze kandi umenye amakuru arambuye. Buri gihe wibuke ko ari ingenzi cyane gufata ibyemezo ku buzima bw'umwana wawe hashingiwe ku nama za muganga.

" Still's Murmur," "Heart Sound", "Innocent Murmur", "Pediatrics", "Umutima Udakora", "Innocent Murmur", "Still's Murmur"