Fungidzirai maenda nemwana wenyu kuna chiremba kuti anoongororwa nguva dzose. Kana chiremba akaisa stethoscope obva ati, "Pane ruzha rudiki rwunobva mumoyo wemwana wenyu, 'kunyunyuta'," moyo wenyu haungadedere here semubereki? Zvakajairika kuti tinzwe kutya patinonzwa ruzha rwemoyo. Asi musazvidya mwoyo. Haisi kurira kwemoyo wese, 'kunyunyuta' kwese kune njodzi. Nhasi tiri kutaura nezvechirwere chinowanzoitika uye chisina njodzi chinonzi 'Still's Murmur.'
Zvichitaurwa zviri nyore, chii chinonzi Still's Murmur?
Murmur waStill ruzha rusina njodzi, rwemimhanzi runowanzonzwika mumoyo yevana vane hutano vari pakati pemakore matatu nematanhatu. Rwakatanga kutsanangurwa muna 1909 naDr. George Frederick Still, chiremba wevana. Akarutsanangura se "kurira 'kwekurira', setambo iri pachiridzwa chemimhanzi chiri kudzvanywa." Chinokosha ndechekuti, ruzha urwu harukonzerwi nechirwere chemwoyo, kushaya simba, kana kuremara kwekuzvarwa nako .
Ndosaka vanachiremba vachiti izvi 'kunyunyuta kusina mhosva'. Izvi zvinoreva kuti hazvikuvadzi mwana. Kazhinji, ruzha urwu runopera mwana paanosvika pazera rekuyaruka.
Sei paine ruzha rwakadai? Chikonzero chacho ndechei?
Kutaura chokwadi, vanachiremba havasati vawana chikonzero chaicho cheizvi, asi kune dzidziso shoma huru.
- Maumbirwo emwoyo: Mwoyo netsinga dzeropa dzevana vadiki zvinochinjika uye zvinochinjika. Sezvo mwoyo uchirova uye ropa richiyerera nekukurumidza, kudedera kwakasimba munyama idzi dzinochinjika kunogona kugadzira ruzha urwu rwemimhanzi. Zvakafanana neruzha rwatinoita patinofemera mhepo pamusoro pebhodhoro risina chinhu.
- Matendoni Enhema: Vamwe vana vanogona kunge vaine tsinga dzakatetepa, dzakatetepa, dziri mukati me ventricle yekuruboshwe yemoyo. Vamwe vanotenda kuti idzi dzinodedera ropa parinoyerera nepakati padzo, zvichikonzera ruzha.
- Kudengenyeka kweChordae: Ruzha urwu runogonawo kukonzerwa nekudengenyeka kweshinda dzakatetepa, dzakaita seshinda (chordae) dzakanamirwa pamavharuvhu emwoyo apo ropa rinoyerera nepakati padzo.
- Kuyerera kweropa kwakawedzera: Kana mwana aine fivha, kana kuti paanenge achimhanya, achitamba uye achidziya, kurova kwemoyo wake kunowedzera. Uyewo, pane shanduko mukuyerera kweropa muvana vane anemia. Panguva dzakadaro, 'kunyunyuta' uku kunogona kunzwika zvakajeka sezvo ropa richiyerera nekukurumidza mumoyo.
Chinhu chakakosha ndechekuti hapana chimwe chezvikonzero izvi chinokanganisa moyo kana chirwere. Izvi zvinongova shanduko dzakajairika dzinogona kuonekwa mumoyo une hutano.
Ndezvipi zviratidzo zvemubvumo uyu? Chiremba anozviziva sei?
Chiratidzo chega cheizvi ndechekuti ruzha rwakasiyana rwunonzwiwa nachiremba ne stethoscope. Semubereki, haunzwi izvi. Mwana haanzwi kusagadzikana, kurwadziwa, kuda kurutsa, kana kurwadziwa pachipfuva. Mwana anotamba zvakanaka, anomhanya, anosvetuka, anodya, uye anonwa sevamwe vana vane hutano.
Chiremba achasiyanisa Still's Murmur nedzimwe nhunzvi dzine njodzi zvichibva pane izvi.
| Hunhu | Tsananguro |
|---|---|
| Hunhu hweruzha | Ruzha rwemimhanzi, runodedera, rwakaita se'twang' inonaka. |
| Kusimba kweruzha | Ruzha rwakapfava zvikuru. Chiremba chete ndiye anogona kurwunzwa ne stethoscope. |
| Chinja neMamiriro Emuviri | Ichi chinhu chakakosha zvikuru. Ruzha rwunonzwika zvakanaka kana mwana akarara nemusana. Kana mwana akagara kana kumira, ruzha runobva rwaderera, kana kuti rwanyangarika zvachose. |
| Nzvimbo | Ruzha urwu runonzwika zvikuru pakati pechipfuva, kuruboshwe rwepfupa rechipfuva (sternum). Ruzha urwu harubudire muhapwa kana kumusana (hapana mwaranzi). |
| Nguva | Izvi zvinonzwika kana moyo uchigunun'una (unopomba ropa). Izvi zvinoreva kuti kurira kwepakati pesystolic. |
Mwana anoda kurapwa here?
Muchidimbu, kwete . Kunyunyuta kwaStill hakusi chirwere, ingori ruzha runonzwiwa nemoyo une hutano. Saka, hazvidi chero rudzi rwemushonga, kuvhiyiwa, kana kumwe kurapwa .
Chiremba anongoteerera ruzha urwu panguva yekuongororwa kwemwana nguva dzose. Ona kana zvichichinja. Kunze kweizvozvo, hapana chikonzero chekuisa chero zvirambidzo pamwana. Hapana chipingamupinyi kumwana kutamba chero mutambo waanoda, kumhanya, kusvetuka, kana kutora chikamu mumitambo yechikoro. Anogona kurarama hupenyu hwakajairika, hune hutano .
Kazhinji, mwana paanokura, chimiro chemwoyo wake chinochinja. Panguva imwe chete, kunyunyuta uku kunoderera zvishoma nezvishoma uye kunonyangarika zvachose pavanosvika pakukura. Kashoma, kana munhu akaramba aine kunyunyuta uku kusvika akura, hazvikuvadzi.
Mharidzo Yekuenda Nayo Kumba
- Murmur waStill hausi chirwere. Ingori ruzha rusina njodzi, rwemimhanzi runonzwiwa nemoyo une hutano muvana vadiki.
- Ichi chirwere chinowanzoitika pakati pevana vari pakati pemakore 3-6.
- Hapana mushonga unodiwa pakuita izvi. Hapana chikonzero chekurambidza mwana wako kutamba, kumhanya, kana kuita chero chinhu.
- Kazhinji, ruzha urwu runonyangarika rwega mwana paanokura.
- Kana chiremba wemwana wako akakuudza nezvekugunun'una kwemoyo, usavhunduka uye nyatsoteerera. Kana uchiri kusava nechokwadi kana kutya, taura nachiremba wako nezvazvo pachena.
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