Ingaba umntwana wakho omncinci uva isandi esingaqhelekanga esiphuma entliziyweni yakhe? Isenokuba yi-Still's Murmur!

Xa usisa umntwana wakho kugqirha, kuyinto eqhelekileyo ukuba uzive ukhathazekile kancinci ukuba ugqirha uthi, "Kukho ukumbombozela okuncinci entliziyweni yomntwana wakho." Nangona kunjalo, ayizizo zonke ukumbombozela kwentliziyo eziyingozi. Namhlanje siza kuthetha nge- Still's Murmur , ukumbombozela kwentliziyo okungenabungozi, okanye "okungenatyala" okuhlala kwenzeka ebantwaneni abancinci. Ngoko ke, masifunde okungakumbi ngayo ngaphandle koloyiko.

Yintoni kanye kanye le Still's Murmur?

Ngamafutshane, i-Still's Murmur sisandi esongezelelweyo esiviwa yintliziyo ephilileyo esinganxulumananga nesifo sentliziyo okanye nayiphi na enye imeko yempilo. Sifana nesandi somculo esincinci esivela ngaphakathi entliziyweni. Siqheleke kakhulu ebantwaneni abancinci. Esi sandi senziwa xa igazi lihamba entliziyweni.

Khawucinge nje, xa amanzi edlula kumbhobho wamanzi, ngamanye amaxesha uva isandi esincinci, akunjalo? Yiyo loo nto kunjalo. Kule meko, esi sandi sivakala ngokucacileyo kuphela xa ugqirha esebenzisa i-stethoscope aze amamele esifubeni somntwana. Esi sandi sivakala ngakumbi xa umntwana elele phantsi, oko kukuthi, ejonge phezulu, elele phantsi .

Into ebalulekileyo kukuba i-Still's Murmur ayibeki mngcipheko kwimpilo yomntwana wakho, kwaye ayifuni unyango.

Ngubani ova esi sandi? Siqheleke kangakanani?

Enyanisweni, esi sandi sentliziyo esibizwa ngokuba yi -Still's Murmur sinokwenzeka nakubani na wanoma yiphi na iminyaka. Nangona kunjalo, sibonakala kakhulu kubantwana abaneminyaka ephakathi kwemi-3 nemi-6 ubudala. Iindaba ezimnandi zezokuba xa umntwana ekhula kancinci, oko kukuthi , ngexesha lokufikisa, esi sandi sidla ngokunyamalala sodwa.

Oku kuqheleke kakhulu kangangokuba uphando lufumanise ukuba malunga nama-72% abantwana bakhe beva ukumbombozela kwentliziyo engenatyala ngaxa lithile ebomini babo. Kwezi, i-Still's Murmur yeyona ixhaphakileyo yokumbombozela kwentliziyo engenatyala kubantwana abancinci.

Kutheni ndisiva esi sandi? Zithini izizathu?

Sixelelwe ukuba i-Still's Murmur ibangelwa ligazi elihamba entliziyweni yomntwana. Nangona kunjalo, oogqirha abakafumani unobangela ochanekileyo wale sandi. Nangona kunjalo, kukho izinto ezininzi abaphandi abacinga ukuba zinokuba negalelo kuyo:

• Ezinye iintambo ze-fibrous (iitendo zobuxoki) ngaphakathi kwe-ventricle yasekhohlo , igumbi eliphambili kwicala lasekhohlo lentliziyo, zinokubangela ukungcangcazela kunye nesandi xa igazi lidlula kuyo.
• Ngamanye amaxesha, imeko efana ne -anemia (ukuncipha kweeseli ezibomvu zegazi emzimbeni) inokubangela ukuba ukuhamba kwegazi entliziyweni kwande, nto leyo enokubangela olu hlobo lwengxolo.
• Ivalvu engunxantathu kwicala lasekunene lentliziyo (ivalvu yeTricuspid)Esi sandi sinokubangelwa ziindawo ezincinci neziqinileyo ezifana nentambo (i-chordae) eziphuma kwi-ventricle yasekunene yentliziyo , ezidibene nendlela yokuhamba kwegazi.
• Esi sandi sinokuviwa ngenxa yokungcangcazela okubangelwa ligazi elihamba kwiigumbi zentliziyo njengoko liqhele ukwenza.

Ezi zezona zizathu zinokwenzeka ngoku. Kodwa, khumbula, nokuba yintoni na imbangela, i-Still's Murmur ayiyongozi.

Zithini iimpawu zeStill's Murmur?

Uphawu oluphambili lwe- Still's Murmur sisandi esithambileyo nesishukumayo somculo . Abanye abantu bathi sinjengesandi se-Aeolian harp . Usenokungakwazi ukusiva esi sandi ngokusimamela nje. Nangona kunjalo, sinokufunyanwa kuphela ngugqirha esebenzisa i-stethoscope.

Njengoko besitshilo ngaphambili, esi sandi sivakala kakhulu xa umntwana elele ngomqolo , kwaye sivakala kancinci xa ehleli okanye emi. Kwakhona, esi sandi asihlali siqhubeka. Ngamanye amaxesha sinokufika sihambe. Esi sandi sinokuba sikhulu xa umntwana egula okanye evuya kakhulu okanye evuya kakhulu .

Eyona nto ibalulekileyo kukuba i-Still's Murmur ayibangeli naziphi na ezinye iimpawu zomzimba okanye ezinye iingxaki zempilo.

Gqirha, wazi njani ngokuqinisekileyo ukuba le yi-Still's Murmur?

Xa usisa umntwana wakho kugqirha, uza kuqala akubuze ngembali yempilo yomntwana wakho aze enze uvavanyo olupheleleyo lomzimba . Olu vavanyo luza kujonga oku kulandelayo ngokukodwa:

• Ukupeyinta isisu kwenziwa ukujonga ukuba isibindi sikhulile na kunye neempawu zokungasebenzi kakuhle kwentliziyo.
• Uxinzelelo lwegazi luyalinganiswa.
• Ukupeta isifuba kwenziwa ukujonga ukuba intliziyo ikhulisiwe na (i-cardiomegaly).
• Amanqanaba eoksijini egazini ayajongwa (i-Pulse oximetry).
• Imilenze yomntwana iyajongwa ukuba ayishukumi na (distal pulse palpation) ukuze kubonwe ukuba ukujikeleza kwegazi kulungile na.

Emva koko, ugqirha usebenzisa i-stethoscope ukumamela izandi ezivela ngaphakathi emzimbeni womntwana. Ngelo xesha:

• Ingxolo engaqhelekanga
• Isandi sokucofa
• Izandi zentliziyo ezongezelelweyo (ukumbombozela)

Ukunikel’ ingqalelo kwizinto ezinjalo.

Ukuba ugqirha uva isandi sentliziyo esongezelelweyo, uza kujonga ngokusondeleyo oku kulandelayo ukuze abone ukuba ngaba yi-Still's Murmur :

• Ingaba isandi siyatshintsha xa umntwana eshukuma? Isandi siyavakala xa umntwana elele ngecala.
• Ingaba isandi siyavakala xa intliziyo iqina (Systolic murmur), xa intliziyo iphumle (Diastolic murmur), okanye ngalo lonke ixesha? I-Still's murmur ivakala emva kokuba intliziyo iqina, oko kukuthi, phakathi (Mid-systolic).
• Ingaba isandi sivakala sivela kwindawo enye kuphela, okanye sisasazeka kwiindawo ezahlukeneyo zesifuba (imitha)? Akukho kusasazeka okunjalo kwimikhwazo ethuleyo.
• Indawo yesandi. Isandi sikaStill sivakala kakhulu kwinxalenye esezantsi yesifuba, ngasekhohlo kwe-sternum , ithambo eliphakathi kwesifuba.
• Isandi sikhulu/sithambile kangakanani? `(Ubukhulu)`? Isandi esithuleyo senza isandi esithambileyo.
• Umgangatho wesandi kunye nesandi (esiphezulu, esiphakathi, esisezantsi). Isandi esingashukumiyo sisandi somculo, esivuthelayo, esiphantsi.

Ukuba ugqirha ujonga konke oku aze agqibe kwelokuba yi -Still's Murmur , umntwana wakho akayi kufuna olunye uvavanyo.

Nangona kunjalo, ukuba ugqirha unamathandabuzo malunga nesandi, okanye ucinga ukuba kukungaxokozeli kwentliziyo okungengonakaliyo, angathumela umntwana kugqirha wentliziyo onokuthi enze ezinye iimvavanyo. Ezi mvavanyo ziquka:

• I-Electrocardiogram (EKG): Le irekhoda umsebenzi wombane wentliziyo.
• I-Echocardiogram (i-echo): Le nkqubo isebenzisa amaza asebenza rhoqo ukuze ithathe imifanekiso yamagumbi entliziyo kunye neevalvu.

Ingaba likho na iyeza loku? Liza kumchaphazela njani umntwana?

Nantsi eyona nto ibalulekileyo. Umntwana one- Still's Murmur akadingi naluphi na unyango . Uza kuziphelela ngokuhamba kwexesha.

I-Still's Murmur yomntwana wakho ayizukuphazamisana nemisebenzi yakhe yemihla ngemihla, umdlalo, okanye imisebenzi yesikolo nangayiphi na indlela. Banokuphila ubomi obuqhelekileyo nobunempilo .

Ngaba ikho indlela yokuthintela ukuMurmur kukaStill?

Hayi. Akukho nto sinokuyenza ukuthintela ukuba u-Still's Murmur angabikho. Kuba ayisosifo.

Yintoni esifanele siyazi njengabazali ukuba umntwana wethu une-Still's Murmur?

Xa ufumanisa ukuba umntwana wakho une- Still's Murmur , khumbula ezi zinto zilandelayo:

• Oku kudla ngokuziphelela ngaphambi kokuba umntwana afikelele kwinqanaba lokufikisa .
• Abanye abantu abadala banokuba nalo mkhwa, kodwa basenokungabonakalisi zimpawu.
• I-Still's Murmur ayilophawu lwesifo sentliziyo okanye nayiphi na enye imeko yempilo .
• Umntwana angadlala, aqeqeshe umzimba, aye esikolweni, aze enze neminye imisebenzi njengesiqhelo.
• Eyona nto ibalulekileyo kukujonga umntwana wakho rhoqo ngexesha.Emva koko ugqirha angaqwalasela impilo yomntwana iyonke.

Sifanele siye kugqirha nini?

Nangona i-Still's Murmur ingadingi nyango, kubalulekile ukubona ugqirha ngoko nangoko ukuba umntwana wakho ufumana naziphi na kwezi mpawu zintsha:

• Ukuba uziva iintlungu esifubeni, ukungakhululeki, okanye ukuxinana .
• Ukuba uziva udiniwe kakhulu (udiniwe kakhulu).
• Ukuba kukho into efana nokuquleka .
• Ukuba unengxaki yokuphefumla (i-Dyspnea) okanye uzive ngathi uyafuthaniseka.

Ukuba unale mpawu, kungcono ukufuna ingcebiso kagqirha ngokukhawuleza, kuba zisenokunganxulumani ne -Still's Murmur .

Ngoko ke, umyalezo wokugqibela wokubuyela ekhaya ngulo:

Kulungile, ngoko ke sithethe kakhulu nge- Still's Murmur . Okokugqibela, nazi izinto ezibalulekileyo ekufuneka uzikhumbule:

• UStill's Murmur sisandi sentliziyo esingenatyala esixhaphakileyo kubantwana abancinci (ingakumbi abaneminyaka emi-3-6 ubudala).
• Oku akunanto yakwenza nesifo sentliziyo okanye ezinye iingxaki zempilo .
• Oku akudingi nyango , kwaye kudla ngokuziphelela njengoko umntwana ekhula.
• Oogqirha baxilonga oku ngokuhlolwa ngokwasemzimbeni nangokumamela intliziyo besebenzisa i-stethoscope.
• Nangona ukuva intliziyo ikhala ngolu hlobo kunokubangela uloyiko, i-Still's Murmur ayibangeli monakalo kwimpilo yomntwana.
• Nokuba umntwana wakho unale meko, angaphila ubomi obusempilweni nobusebenza ngokupheleleyo .

Ngoko ke, ukuba ugqirha womntwana wakho ukuxelela into efana nale, musa ukoyika ngokungeyomfuneko, thetha nogqirha ngokupheleleyo uze ufumane iinkcukacha. Hlala ukhumbula, kubaluleke kakhulu ukwenza izigqibo malunga nempilo yomntwana wakho ngokusekelwe kwingcebiso kagqirha.

Ukumbombozela kukaStill 's, Isandi sentliziyo, Ukumbombozela okumsulwa, IiPediatrics, Impilo yentliziyo, Ukumbombozela okumsulwa, Ukumbombozela okusisigxina