Khawuthelekelele ukuba umse umntwana wakho kugqirha ukuze ahlolwe rhoqo. Ukuba ugqirha ubeka i-stethoscope aze athi, "Kukho isandi esincinci esivela entliziyweni yomntwana wakho, 'ukumbombozela'," intliziyo yakho ibingayi kushukuma njengomzali? Kuqhelekile ukuba sizive soyika xa sisiva isandi sentliziyo. Kodwa ungakhathazeki. Asikuko konke ukumbombozela kwentliziyo, konke ukumbombozela kuyingozi. Namhlanje sithetha ngemeko eqhelekileyo nengenabungozi ngokupheleleyo ebizwa ngokuba yi-'Still's Murmur.'
Kalula nje, yintoni uStill's Murmur?
I-Still's Murmur sisandi somculo esingenabungozi nesihlala siviwa ezintliziyweni zabantwana abasempilweni abaneminyaka ephakathi kwemi-3 nemi-6 ubudala. Saqala ukuchazwa ngo-1909 nguGqr. George Frederick Still, ugqirha wezingane. Wasichaza njengesandi "esingathi 'sitsho', njengentambo kwisixhobo somculo esicinezelwayo." Okubalulekileyo kukuba, esi sandi asibangelwa sisifo sentliziyo, ubuthathaka, okanye isiphene sokuzalwa .
Yiyo loo nto oogqirha bebiza oku ngokuthi 'yingxolo engenatyala'. Oko kuthetha ukuba akumlimazi umntwana. Kwiimeko ezininzi, esi sandi siyaphela xa umntwana efikelela ekufikiseni.
Kutheni kukho ingxolo engaka? Yintoni unobangela?
Inyaniso kukuba, oogqirha abakafumani sizathu siqinisekileyo soku, kodwa kukho iingcamango ezimbalwa eziphambili.
- Ulwakhiwo lwentliziyo: Intliziyo kunye nemithambo yegazi yabantwana abancinci iguquguquka kakhulu kwaye iyanwebeka. Njengoko intliziyo ibetha kwaye igazi lihamba ngokukhawuleza, ukungcangcazela okuthambileyo kwezi zicubu ziguquguqukayo kunokudala esi sandi somculo. Kufana nesandi esisenzayo xa sivuthela umoya ngaphezulu kwebhotile engenanto.
- IiTendons Ezingeyonyani: Abanye abantwana banokuba nezicubu ezingaphezulu, ezibhityileyo, ezineefayibha (ii-false tendons) ngaphakathi kwe-ventricle yasekhohlo yentliziyo. Abanye bakholelwa ukuba ezi zingcangcazela njengoko igazi lihamba kuzo, nto leyo ebangela isandi.
- Ukungcangcazela kweChordae: Esi sandi sinokubangelwa kukungcangcazela kweefayibha ezibhityileyo, ezifana nomsonto (chordae) ezinamathele kwiivalvu zentliziyo njengoko igazi lihamba kuzo.
- Ukwanda kokuhamba kwegazi: Xa umntwana enomkhuhlane, okanye xa ebaleka edlala kwaye efudumala, isantya sentliziyo yakhe siyanda. Kwakhona, kukho utshintsho oluthile ekuhambeni kwegazi kubantwana abane-anemia. Ngamaxesha anjalo, oku 'kumbombozela' kunokuvakala ngokucacileyo njengoko igazi lihamba ngokukhawuleza entliziyweni.
Into ebalulekileyo kukuba akukho nanye kwezi zinto ebangela ukungasebenzi kakuhle okanye isifo sentliziyo. Ezi ziinguqu nje eziqhelekileyo ezinokubonwa entliziyweni ephilileyo.
Zithini iimpawu zale ngxolo? Ugqirha uyayibona njani?
Uphawu olulodwa lwale nto kukuba isandi esahlukileyo esiviwa ngugqirha nge-stethoscope. Njengomzali, awuva oku. Umntwana akaziva engonwabanga, ebuhlungu, enesicaphucaphu, okanye ebuhlungu esifubeni. Umntwana udlala kakuhle, ubaleka, uyatsiba, uyatya, kwaye usela njengabanye abantwana abasempilweni.
Ugqirha uya kwahlula i-Still's Murmur kwezinye iingxolo eziyingozi ngokusekelwe kwezi mpawu.
| Uphawu | Inkcazo |
|---|---|
| Umgangatho wesandi | Isandi somculo, esingcangcazelayo, esifana nesandi esithambileyo 'se-twang'. |
| Ubungakanani besandi | Isandi esithambileyo kakhulu. Ngugqirha kuphela onokusiva nge-stethoscope. |
| Tshintsha ngeMeko | Olu luphawu olubaluleke kakhulu. Isandi sivakala kakuhle xa umntwana elele ngomqolo. Xa umntwana ehleli okanye emi, isandi asibi sikhulu, okanye sinyamalale ngokupheleleyo. |
| Indawo | Isandi sivakala kakhulu embindini wesifuba, ngasekhohlo kwethambo lesifuba (sternum). Esi sandi asiphumi emakhwapheni okanye emqolo (akukho mitha). |
| Ixesha | Oku kuvakala xa intliziyo ifinyela (ipompa igazi). Oku kuthetha ukuba yingxolo ephakathi kwe-systolic. |
Ingaba umntwana udinga unyango?
Ngamafutshane, hayi . Ukumbombozela kukaStill akusosifo, sisandi nje esiviwa yintliziyo ephilileyo. Ke ngoko, akudingi naluphi na uhlobo lwamayeza, utyando, okanye olunye unyango .
Ugqirha uphulaphula esi sandi kuphela ngexesha lokuhlolwa komntwana rhoqo. Jonga ukuba siyatshintsha na. Ngaphandle koko, akukho mfuneko yokumisela nayiphi na imiqathango kumntwana. Akukho mqobo kumntwana wokudlala nawuphi na umdlalo awuthandayo, ukubaleka, ukutsiba, okanye ukuthatha inxaxheba kwimidlalo yesikolo. Angaphila ubomi obuqhelekileyo nobusempilweni .
Amaxesha amaninzi, njengoko umntwana ekhula, ulwakhiwo lwentliziyo yakhe luyatshintsha. Kwangaxeshanye, olu ncukuthu luyancipha kancinci kancinci luze luphele ngokupheleleyo xa efika kwiminyaka yokufikisa. Amaxesha amaninzi, ukuba umntu uqhubeka enalo olu ncukuthu aze abe ngumntu omdala, alubangeli monakalo.
Umyalezo Wokuya Ekhaya
- I-Still's Murmur ayisosifo. Yisandi nje somculo esingenabungozi, esiviwa yintliziyo ephilileyo ebantwaneni abancinci.
- Le yimeko eqhelekileyo kakhulu phakathi kwabantwana abaneminyaka emi-3 ukuya kwemi-6 ubudala.
- Akukho nyango lufunekayo koku. Akukho mfuneko yokuthintela umntwana wakho ekudlaleni, ekubalekeni, okanye ekwenzeni nantoni na.
- Uninzi lwexesha, esi sandi siyanyamalala ngokwaso njengoko umntwana ekhula.
- Ukuba ugqirha womntwana wakho ukuxelela ngokukhala kwentliziyo, musa ukoyika kwaye mamela ngononophelo. Ukuba usenamathandabuzo okanye uloyiko, thetha nogqirha wakho ngayo loo nto ngokukhululekileyo.
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