Mwana wenyu mudiki ari kunzwa ruzha rusinganzwisisike kubva mumoyo make here? Kunogona kunge kuri kunyunyuta kwaStill's Gurmur!

Paunoenda nemwana wako kuna chiremba, zvakajairika kuti unzwe kunetseka kana chiremba akati, "Pane kakunyunyuta mumoyo memwana wako." Zvisinei, hazvisi zvese kunyunyuta pamoyo zvine njodzi. Nhasi tichataura nezve Still's Murmur , kunyunyuta pamoyo kusina njodzi, kana kuti "kusina mhosva" kunowanzoitika muvana vadiki. Saka, ngatidzidzei zvakawanda nezvazvo tisingatyi.

Chii chaizvo chinonzi Still's Murmur?

Zvichitaurwa zviri nyore, Still's Murmur inzwi rekuwedzera rinonzwiwa nemoyo une hutano husina chekuita nechirwere chemwoyo kana chero chimwe chirwere. Rakafanana nerwiyo rudiki rwunobva mukati memoyo. Runonyanya kuitika kuvana vadiki. Ruzha urwu runogadzirwa kana ropa richiyerera nepakati pemoyo.

Fungidzira, mvura painoyerera nemupombi yemvura, dzimwe nguva unonzwa ruzha rudiki, handiti? Ndizvo zvazviri. Muchiitiko ichi, ruzha urwu runonzwika zvakajeka chete kana chiremba achishandisa stethoscope uye achiteerera chipfuva chemwana. Ruzha urwu runonyanya kunzwika kana mwana akarara pasi, kureva kuti, akatarisa mudenga, akarara .

Chinhu chakakosha ndechekuti Still's Murmur haina njodzi kuhutano hwemwana wako, uye haidi kurapwa.

Ndiani anonzwa ruzha urwu? Rwakajairika zvakadii?

Kutaura zvazviri, ruzha urwu rwemwoyo runonzi Still's Murmur runogona kuitika kune chero munhu wezera ripi zvaro. Zvisinei, runonyanya kuonekwa muvana vari pakati pemakore matatu nematanhatu. Mashoko akanaka ndeekuti kana mwana akura zvishoma, kureva kuti , panguva yekuyaruka, ruzha urwu runowanzonyangarika rwega.

Izvi zvakajairika zvekuti ongororo dzakaratidza kuti vana vanosvika 72% vakambonzwa kugomera kwemwoyo kusina mhosva pane imwe nguva muhupenyu hwavo. Panyaya idzi, Still's Murmur ndiyo inonyanya kugomera kwemwoyo kusina mhosva muvana vadiki.

Sei ndichinzwa ruzha urwu? Ndezvipi zvikonzero?

Takaudzwa kuti Still's Murmur inokonzerwa neropa rinoyerera mumoyo wemwana. Zvisinei, vanachiremba havasati vawana chikonzero chaicho cheruzha urwu. Zvisinei, kune zvinhu zvakawanda zvinofungidzirwa nevatsvakurudzi kuti zvinogona kukonzera izvi:

• Mamwe mabhande efalse (false tendons) ari mu ventricle yekuruboshwe , iyo huru kuruboshwe rwemoyo, anogona kukonzera kudedera uye ruzha kana ropa richiyerera nepakati payo.
• Dzimwe nguva, chirwere chakadai seanemia (kudzikira kwemasero matsvuku eropa mumuviri) chinogona kukonzera kuti ropa rifambe mumoyo, izvo zvinogona kukonzerawo ruzha rwakadai.
• Vharuvhu ine mativi matatu iri kurudyi rwemoyo (vharuvhu yeTricuspid)Ruzha urwu runogonawo kukonzerwa nezvimwe zvikamu zvakatetepa, zvakasimba zvakaita setambo (chordae) zvinobuda mu ventricle yekurudyi yemoyo , zvakabatana nenzira yekuyerera kweropa.
• Ruzha urwu runogonawo kunzwika nekuda kwekudengenyeka kunokonzerwa neropa rinoyerera mumakamuri emwoyo sezvarinowanzoita.

Izvi ndizvo zvinogona kukonzera matambudziko aripo iye zvino. Asi, yeuka, chero chikonzero chacho chiri chipi, Still's Murmur haina njodzi.

Ndezvipi zviratidzo zveStill's Murmur?

Hunhu hukuru hweStill 's Murmur ruzha rwakapfava, runodedera mumhanzi . Vamwe vanhu vanoti rwakafanana nerwiyo rweAeolian harp . Ungasakwanisa kunzwa ruzha urwu nekungoruteerera chete. Zvisinei, runogona kuonekwa nachiremba achishandisa stethoscope.

Sezvatakambotaura, ruzha urwu runonzwika zvakanyanya kana mwana akarara nemusana wake , uye runonzwika zvishoma nezvishoma kana akagara kana akamira. Zvakare, ruzha urwu harugari ruchienderera mberi. Dzimwe nguva runogona kuuya nekuenda. Ruzha urwu runogona kunzwika zvakanyanya kana mwana achirwara kana achifara zvikuru kana achifara .

Chinhu chinonyanya kukosha ndechekuti Still's Murmur haikonzeri zvimwe zviratidzo zvemuviri kana mamwe matambudziko ehutano.

Chiremba, unoziva sei kuti iyi iStill's Murmur?

Kana mukaenda nemwana wenyu kuna chiremba, vachatanga nekumubvunza nezvenhoroondo yezveutano hwemwana wenyu vobva vamuongorora muviri wake wese . Ongororo iyi ichatarisa zvinotevera:

• Kubata dumbu kunoitwa kuti kuonekwe kana chiropa chakura uye zviratidzo zvekushaya simba kwemoyo.
• Kumanikidzwa kweropa kuri kuyerwa.
• Kubata pachipfuva kunoitwa kuti vaone kana mwoyo wakakura (cardiomegaly).
• Mwero weokisijeni muropa unoongororwa (Pulse oximetry).
• Makumbo emwana anoongororwa kuti pulse (distal pulse palpation) here kuti vaone kana kufamba kweropa kwakanaka.

Zvadaro, chiremba anoshandisa stethoscope kuteerera manzwi anobva mumuviri wemwana. Panguva iyoyo:

• Ruzha rusina kujairika
• Ruzha rwekudzvanya
• Manzwi emwoyo akawandisa (kunyunyuta)

Kuteerera zvinhu zvakadaro.

Kana chiremba akanzwa ruzha rwemwoyo rwakawedzerwa, achanyatsoongorora zvinotevera kuti aone kana chiri Still's Murmur :

• Ruzha runochinja here kana mwana achifamba-famba? Ruzha rwunonzwika zvakanyanya kana mwana akarara nerutivi.
• Ruzha rwunonzwika here kana moyo wagundika (Systolic murmur), kana moyo wazorora (Diastolic murmur), kana kuti nguva dzose? Kugunun'una kwaStill kunonzwika kana moyo wagundika, kureva kuti, pakati (Mid-systolic).
• Ruzha rwunonzwika kubva panzvimbo imwe chete here, kana kuti rwunopararira kunzvimbo dzakasiyana dzechipfuva (radiation)? Hakuna kupararira kwakadaro mukurira kwemukati.
• Nzvimbo yeruzha. Kurira kweStill kunonyanya kunzwika muchikamu chezasi chechipfuva, kuruboshwe rwesternum , pfupa riri pakati pechipfuva.
• Ruzha rwacho rwakanyanya/runyoro zvakadii? `(Kusimba)`? Kurira kwakadzikama kunoita ruzha rwakapfava.
• Hunhu hweruzha uye kukwirira kwaro (kwakakwirira, kwepakati, kwakaderera). Mutinhiro usinganyarari irwiyo rwemimhanzi, runovhuvhuta, uye rwunonzwika pasi.

Kana chiremba akaongorora zvese izvi obva aona kuti iStill's Murmur , mwana wenyu haazodi kuongororwazve.

Zvisinei, kana chiremba asina chokwadi nezveruzha urwu, kana kuti achifunga kuti kungave kurira kwemoyo kusingakuvadzi, vanogona kutumira mwana kuna chiremba wemwoyo uyo anogona kuita mimwe miedzo. Miedzo iyi inosanganisira:

• Electrocardiogram (EKG): Iyi inorekodha mashandiro emagetsi emwoyo.
• Echocardiogram (echo): Izvi zvinoshandisa mafungu ane mafrequency akawanda kutora mifananidzo yemakamuri emwoyo nemavharuvhu.

Pane mushonga weizvi here? Zvichakanganisa sei mwana?

Heino chinhu chinonyanya kukosha. Mwana ane Still's Murmur haadi kurapwa . Anozopera ega nekufamba kwenguva.

Kunyunyuta kwemwana wako hakuzokanganisa mabasa ake ezuva nezuva, mitambo, kana mabasa echikoro chero nenzira ipi zvayo. Vanogona kurarama hupenyu hwakanaka uye hwakajairika .

Pane nzira yekudzivirira Still's Murmur here?

Kwete. Hapana chatingaita kudzivirira Still's Murmur kuti isaitike. Nekuti hachisi chirwere.

Chii chatinofanira kuziva isu sevabereki kana mwana wedu aine Still's Murmur?

Kana ukaona kuti mwana wako ane Still's Murmur , yeuka zvinhu izvi:

• Izvi zvinowanzopera zvega mwana asati asvika pazera rekuyaruka .
• Vamwe vakuru vanogonawo kuva neruzha urwu, asi vanogona kusaratidza zviratidzo.
• Kunyunyuta kwaStill hakusi chiratidzo chechirwere chemwoyo kana chimwe chirwere chipi zvacho .
• Mwana anogona kutamba, kurovedza muviri, kuenda kuchikoro, uye kuita zvimwe zvinhu zvese sezvaagara achiita.
• Chinhu chinonyanya kukosha ndechekuongorora mwana wako nguva nenguva.Zvadaro chiremba anogona kunyatsoongorora hutano hwemwana.

Tinofanira kuona chiremba rini?

Kunyange hazvo chirwere cheStill's Murmur chisingadi kurapwa, zvakakosha kuona chiremba nekukasika kana mwana wako aratidza chimwe chezviratidzo zvitsva izvi:

• Kana uchinzwa kurwadziwa muchipfuva, kusagadzikana, kana kubatwa .
• Kana uchinzwa kuneta zvakanyanya (kuneta zvakanyanya).
• Kana paine chimwe chinhu chakadai sekufenda .
• Kana uchinetseka kufema (Dyspnea) kana kuti uchinzwa sekunge uri kudzipwa.

Kana uine zviratidzo izvi, zvakanaka kutsvaga rubatsiro rwechiremba nekukurumidza sezvinobvira, sezvo zvingave zvisina chekuita neStill 's Murmur .

Saka, meseji yekupedzisira yekuenda nayo kumba ndeiyi:

Zvakanaka, saka tataura zvakawanda nezve Still's Murmur . Chekupedzisira, hezvino zvinhu zvakakosha zvaunofanira kurangarira:

• Murmur waStill inzwi remwoyo risina mhosva rinowanzoonekwa nevana vadiki (kunyanya vane makore 3-6).
• Izvi hazvina chekuita nechirwere chemwoyo kana zvimwe zvinetso zvehutano .
• Izvi hazvidi kurapwa , uye zvinowanzopera zvega mwana paanokura.
• Vanachiremba vanoongorora izvi kuburikidza nekuongororwa kwemuviri uye nekuteerera mwoyo vachishandisa stethoscope.
• Kunyangwe kunzwa kugomera kwemoyo kwakadai kungave kunotyisa zvishoma, Still's Murmur haikanganisi hutano hwemwana.
• Kunyangwe mwana wako aine chirwere ichi, anogona kurarama hupenyu hune hutano uye hune simba .

Saka, kana chiremba wemwana wako akakuudza chimwe chinhu chakadai, usavhunduke zvisina kufanira, taura nachiremba zvakakwana uye uwane ruzivo rwakadzama. Nguva dzose yeuka, zvakakosha kuita sarudzo pamusoro pehutano hwemwana wako zvichibva pamazano echiremba.

" Still's Gurmur, Heart Sound, Innocent Gurmur, Pediatrics, Heart Health, Innocent Gurmur, Still's Gurmur"