Ingabe ingane yakho encane izwa umsindo ongajwayelekile enhliziyweni yayo? Kungaba ukukhononda okusalindile!

Uma uyisa ingane yakho kudokotela, kuvamile ukuzizwa ukhathazekile kancane uma udokotela ethi, "Kukhona ukububula okuncane enhliziyweni yengane yakho." Kodwa-ke, akuwona wonke ukububula kwenhliziyo okuyingozi. Namuhla sizokhuluma nge- Still's Murmur , ukububula kwenhliziyo okungenangozi, noma "okungenacala" okuvame ukwenzeka ezinganeni ezincane. Ngakho-ke, ake sifunde kabanzi ngakho ngaphandle kokwesaba.

Kuyini ngempela i-Still's Murmur?

Kalula nje, i-Still's Murmur umsindo owengeziwe ozwakala yinhliziyo enempilo ongahlobene nesifo senhliziyo noma esinye isimo sempilo. Ufana nomsindo omncane womculo ovela ngaphakathi kwenhliziyo. Uvame kakhulu ezinganeni ezincane. Lo msindo wenziwa lapho igazi ligeleza enhliziyweni.

Cabanga nje, lapho amanzi egeleza ngepayipi lamanzi, ngezinye izikhathi uzwa umsindo omncane, akunjalo? Kunjalo-ke. Kulesi simo, lo msindo uzwakala ngokucacile kuphela uma udokotela esebenzisa i-stethoscope futhi elalele isifuba sengane. Lo msindo uzwakala ikakhulukazi lapho ingane ilele phansi, okungukuthi, ibheke phezulu, isesimweni sokulala phansi .

Into ebalulekile ukuthi i-Still's Murmur ayibeki usongo empilweni yengane yakho, futhi ayidingi ukwelashwa.

Ubani ozwa lo msindo? Uvame kangakanani?

Empeleni, lo msindo wenhliziyo obizwa ngokuthi i-Still's Murmur ungenzeka kunoma ubani wanoma yimuphi ubudala. Kodwa-ke, uvame ukubonakala ezinganeni eziphakathi kweminyaka emi-3 nengu-6. Izindaba ezinhle ukuthi lapho ingane ikhula kancane, okungukuthi , ngesikhathi sokuthomba, lo msindo uvame ukunyamalala wodwa.

Lokhu kuvame kakhulu kangangokuthi ucwaningo luthole ukuthi cishe izingane ezingama-72% sezike zezwa ukububula kwenhliziyo engenacala ngesikhathi esithile empilweni yazo. Kulokhu, i-Still's Murmur iwukububula kwenhliziyo engenacala okuvame kakhulu ezinganeni ezincane.

Kungani ngizwa lo msindo? Ziyini izizathu?

Sitshelwe ukuthi i-Still's Murmur ibangelwa igazi eligeleza enhliziyweni yomntwana. Kodwa-ke, odokotela abakayitholi imbangela eqondile yalo msindo. Kodwa-ke, kunezici eziningana abacwaningi abacabanga ukuthi zingaba nomthelela kuwo:

• Amanye ama-fibrous bands (ama-false tendons) ngaphakathi kwe-ventricle yesobunxele , igumbi eliyinhloko ohlangothini lwesobunxele lwenhliziyo, angabangela ukudlidliza nomsindo lapho igazi ligeleza kuyo.
• Ngezinye izikhathi, isimo esifana ne -anemia (ukwehla kwamangqamuzana abomvu egazi emzimbeni) singabangela ukugeleza kwegazi enhliziyweni kukhuphuke, okungase kubangele lolu hlobo lomsindo.
• Ivalvu engunxantathu ohlangothini lwesokudla lwenhliziyo (ivalvu yeTricuspid)Lo msindo ungabangelwa futhi ezinye izingxenye ezincane neziqinile ezifana nentambo (i-chordae) eziphuma e-ventricle yesokudla yenhliziyo , ezixhunywe endleleni yokugeleza kwegazi.
• Lo msindo ungase uzwakale ngenxa yokudlidliza okubangelwa igazi eligeleza emakamelweni enhliziyo njengoba kuvame ukwenzeka.

Lezi yizimbangela ezingaba khona njengamanje. Kodwa, khumbula, kungakhathaliseki ukuthi imbangela iyini, i-Still's Murmur ayiyona ingozi.

Ziyini izimpawu ze-Still's Murmur?

Isici esiyinhloko se- Still's Murmur umsindo othambile, odlidlizayo womculo . Abanye abantu bathi ufana nomsindo wehabhu le-Aeolian . Ungase ungakwazi ukuzwa lo msindo ngokuwulalela nje. Kodwa-ke, ungatholwa udokotela kuphela esebenzisa i-stethoscope.

Njengoba sishilo ekuqaleni, lo msindo uzwakala kakhulu uma ingane ilele ngomhlane , futhi uzwakala uthule kakhulu uma ihleli noma imile. Futhi, lo msindo awuhlali uqhubeka njalo. Ngezinye izikhathi ungase ubuye udlule. Lo msindo ungaba mkhulu kakhulu uma ingane igula noma ijabule kakhulu noma ijabule kakhulu .

Into ebaluleke kakhulu ukuthi i-Still's Murmur ayibangeli ezinye izimpawu zomzimba noma izinkinga zempilo.

Dokotela, wazi kanjani ukuthi lokhu kuyi-Still's Murmur?

Uma uyisa ingane yakho kudokotela, bazoqala ngokubuza ngomlando wezokwelapha wengane yakho bese benza ukuhlolwa okuphelele ngokomzimba . Lokhu kuhlolwa kuzobheka okulandelayo ngqo:

• Ukushaya isisu kwenziwa ukuze kuhlolwe isibindi esikhulu kanye nezimpawu zokwehluleka kwenhliziyo.
• Umfutho wegazi uyalinganiswa.
• Ukushaya isifuba kwenziwa ukuze kuhlolwe ukuthi inhliziyo ikhuphukile yini (i-cardiomegaly).
• Amazinga e-oxygen egazini ayahlolwa (i-Pulse oximetry).
• Imilenze yengane iyahlolwa ukuthi i-pulse iyasebenza yini (distal pulse palpation) ukuze kubonakale ukuthi ukujikeleza kwegazi kuhamba kahle yini.

Ngemuva kwalokho, udokotela usebenzisa i-stethoscope ukulalela imisindo evela ngaphakathi emzimbeni wengane. Ngaleso sikhathi:

• Umsindo ongavamile
• Umsindo wokuchofoza
• Imisindo eyengeziwe yenhliziyo (ukububula)

Ukunaka izinto ezinjalo.

Uma udokotela ezwa umsindo wenhliziyo owengeziwe, uzobheka ngokucophelela okulandelayo ukuze anqume ukuthi ngabe yi -Still's Murmur :

• Ingabe umsindo uyashintsha lapho umntwana ehambahamba? Umsindo uba mkhulu uma umntwana elele ngohlangothi.
• Ingabe umsindo uzwakala lapho inhliziyo incipha (Systolic murmur), lapho inhliziyo iphumule (Diastolic murmur), noma ngaso sonke isikhathi? Ukuncenga kukaStill kuzwakala ngemva kokuba inhliziyo incipha, okungukuthi, phakathi (Mid-systolic).
• Ingabe umsindo uzwakala endaweni eyodwa kuphela, noma usakazeka ezingxenyeni ezahlukene zesifuba (imisebe)? Akukho ukusabalala okunjalo ekukhaleni okuthule.
• Indawo yomsindo. Ukububula kwe-Still kuzwakala kakhulu engxenyeni engezansi yesifuba, ngakwesobunxele se-sternum , ithambo eliphakathi kwesifuba.
• Umsindo uphakeme/uthambile kangakanani? `(Ukuqina)`? Ukungakhulumi kahle kwenza umsindo ophansi.
• Ikhwalithi yomsindo kanye nephimbo (eliphezulu, eliphakathi, eliphansi). I-murmur ethule ingumsindo womculo, ovunguzayo, ophansi.

Uma udokotela ebheka konke lokhu bese enquma ukuthi kuyi- Still's Murmur , ingane yakho ngeke idinge ukuhlolwa okwengeziwe.

Kodwa-ke, uma udokotela enokungabaza ngomsindo, noma ecabanga ukuthi kungaba ukububula kwenhliziyo okungesilo iqiniso, angathumela ingane kudokotela wenhliziyo ongenza ezinye izivivinyo. Lezi zivivinyo zifaka:

• I-Electrocardiogram (EKG): Lokhu kurekhoda umsebenzi kagesi wenhliziyo.
• I-Echocardiogram (i-echo): Lokhu kusebenzisa amaza avame kakhulu ukuthatha izithombe zamagumbi nama-valve enhliziyo.

Ingabe ikhona imithi yalokhu? Izomthinta kanjani umntwana?

Nansi into ebaluleke kakhulu. Ingane ene -Still's Murmur ayidingi ukwelashwa . Izophela ngokwayo ngokuhamba kwesikhathi.

I-Still's Murmur yengane yakho ngeke iphazamise imisebenzi yayo yansuku zonke, ukudlala, noma imisebenzi yesikole nganoma iyiphi indlela. Bangaphila impilo evamile nenempilo .

Ingabe ikhona indlela yokuvimbela i-Still's Murmur?

Cha. Akukho esingakwenza ukuvimbela ukuthi i-Still's Murmur ingenzeki. Ngoba akusona isifo.

Yini okufanele thina njengabazali siyazi uma ingane yethu ine-Still's Murmur?

Uma uthola ukuthi ingane yakho ine -Still's Murmur , khumbula lezi zinto:

• Lokhu kuvame ukuziphelela ngaphambi kokuba ingane ifinyelele ekuthombeni .
• Abanye abantu abadala nabo bangase babe nalo msindo, kodwa bangase bangakhombisi zimpawu.
• Ukuthi uStill's Murmur akulona uphawu lwesifo senhliziyo noma esinye isimo sempilo .
• Ingane ingadlala, ivivinye umzimba, iye esikoleni, futhi yenze yonke eminye imisebenzi njengokujwayelekile.
• Into ebaluleke kakhulu ukuthi ingane yakho ihlolwe njalo ngesikhathi.Ngemuva kwalokho udokotela anganaka impilo yengane iyonke.

Kufanele simbone nini udokotela?

Nakuba i-Still's Murmur ingadingi ukwelashwa, kubalulekile ukubona udokotela ngokushesha uma ingane yakho ithola noma yiziphi zalezi zimpawu ezintsha:

• Uma uzwa ubuhlungu esifubeni, ukungakhululeki, noma ukuqina .
• Uma uzizwa ukhathele kakhulu (ukhathele kakhulu).
• Uma kwenzeka into efana nokuquleka .
• Uma unenkinga yokuphefumula (i-Dyspnea) noma uzizwa sengathi uyacinana.

Uma unalezi zimpawu, kungcono ukufuna iseluleko sezokwelapha ngokushesha okukhulu, ngoba kungenzeka ukuthi azihlobene ne -Still's Murmur .

Ngakho-ke, umyalezo wokugcina okufanele uwuthathe ekhaya uthi:

Kulungile, ngakho-ke sesikhulume kakhulu nge- Still's Murmur . Okokugcina, nazi izinto ezibaluleke kakhulu okudingeka uzikhumbule:

• I-Murmur ka-Still iwumsindo wenhliziyo ongenacala ovame kakhulu ezinganeni ezincane (ikakhulukazi ezineminyaka engu-3-6 ubudala).
• Lokhu akuhlobene nanoma yisiphi isifo senhliziyo noma ezinye izinkinga zempilo .
• Lokhu akudingi ukwelashwa , futhi kuvame ukunyamalala kodwa njengoba ingane ikhula.
• Odokotela baxilonga lokhu ngokuhlolwa ngokomzimba nangokulalela inhliziyo besebenzisa i-stethoscope.
• Nakuba ukuzwa inhliziyo ikhala kanjena kungase kwesabise kancane, i-Still's Murmur ayibangeli monakalo empilweni yengane.
• Ngisho noma ingane yakho inalesi simo, ingaphila impilo esebenzayo nenempilo .

Ngakho-ke, uma udokotela wengane yakho ekutshela into efana nale, ungesabi ngokungadingekile, khuluma nodokotela ngokugcwele bese uthola imininingwane. Khumbula njalo, kubaluleke kakhulu ukwenza izinqumo ngempilo yengane yakho ngokusekelwe eseluleko sezokwelapha.

Ukukhononda kukaStill , Umsindo Wenhliziyo, Ukukhononda Okungenacala, Udokotela Wezingane, Impilo Yenhliziyo, Ukukhononda Okungenacala, Ukukhononda kukaStill