Cabanga ukuthi uthathe ingane yakho wayiyisa kudokotela ukuze iyohlolwa njalo. Uma udokotela efaka i-stethoscope bese ethi, "Kunomsindo omncane ophuma enhliziyweni yengane yakho, 'ukububula'," inhliziyo yakho ngeke yini inyakaze njengomzali? Kujwayelekile ngathi ukuzizwa sesaba lapho sizwa umsindo wenhliziyo. Kodwa ungakhathazeki. Akuzona zonke izinhliziyo ezizwakalayo, zonke 'izibubula' ziyingozi. Namuhla sikhuluma ngesimo esivamile kakhulu nesingenangozi ngokuphelele esibizwa ngokuthi 'Still's Murmur.'
Kalula nje, kuyini i-Still's Murmur?
I-Murmur ka-Still iwumsindo womculo ongenangozi, ovame ukuzwakala ezinhliziyweni zezingane ezinempilo eziphakathi kweminyaka engu-3 nengu-6. Yaqala ukuchazwa ngo-1909 nguDkt. George Frederick Still, udokotela wezingane. Wayichaza ngokuthi "umsindo 'wokukhala', njengentambo ensimbini yomculo ecindezelwayo." Okubalulekile, lo msindo awubangelwa yisifo senhliziyo, ubuthakathaka, noma ukukhubazeka kokuzalwa .
Yingakho odokotela bebiza lokhu ngokuthi 'ukububula okungenacala'. Lokho kusho ukuthi akulimazi ingane. Ezimweni eziningi, lo msindo uyaphela lapho ingane ifinyelela ekuthombeni.
Kungani kukhona umsindo ongaka? Iyini imbangela?
Uma ngikhuluma iqiniso, odokotela abakayitholi imbangela eqinisekile engu-100% yalokhu, kodwa kunemibono embalwa eyinhloko.
- Isakhiwo senhliziyo: Inhliziyo nemithambo yegazi yezingane ezincane ziguquguquka kakhulu futhi ziyanwebeka. Njengoba inhliziyo ishaya futhi igazi ligeleza ngokushesha, ukudlidliza okubucayi kulezi zicubu eziguquguqukayo kungadala lo msindo womculo. Kufana nomsindo esiwenzayo lapho siphefumula umoya phezu kwebhodlela elingenalutho.
- Ama-Tendon Angamanga: Ezinye izingane zingase zibe nezicubu ezengeziwe, ezincane, ezine-fibrous (ama-tendon angemanga) ngaphakathi kwe-ventricle yesobunxele yenhliziyo. Abanye bakholelwa ukuthi lokhu kuyavevezela njengoba igazi ligeleza kuwo, okubangela umsindo.
- Ukudlidliza kwe-Chordae: Lo msindo ungabangelwa futhi ukudlidliza kwemicu emincane efana nentambo (chordae) enamathele kuma-valve enhliziyo njengoba igazi ligeleza kuwo.
- Ukwanda kokugeleza kwegazi: Uma ingane inomkhuhlane, noma lapho igijima futhi idlala futhi ifudumala, ukushaya kwenhliziyo yayo kuyanda. Futhi, kunezinguquko ezithile ekugelezeni kwegazi ezinganeni ezine-anemia. Ngezikhathi ezinjalo, lokhu 'kukhononda' kungazwakala ngokucacile njengoba igazi ligeleza ngokushesha enhliziyweni.
Into ebalulekile ukuthi akukho neyodwa yalezi zimbangela ewukungasebenzi kahle noma isifo senhliziyo. Lezi yizinguquko ezivamile ezingabonakala enhliziyweni enempilo.
Yiziphi izici zalokhu kukhononda? Udokotela ukuqaphela kanjani?
Ukuphela kwesibonakaliso salokhu umsindo ohlukile udokotela awuzwa nge-stethoscope. Njengomzali, awukuzwa lokhu. Ingane ayizizwa ingakhululekile, izinhlungu, isicanucanu, noma ubuhlungu besifuba. Ingane idlala kahle, igijima, igxuma, idla, futhi iphuza njengezinye izingane ezinempilo.
Udokotela uzohlukanisa i-Still's Murmur kwezinye izinkulumo eziyingozi ngokusekelwe kulezi zici.
| Isici | Incazelo |
|---|---|
| Ikhwalithi yomsindo | Umsindo womculo, odlidlizayo, njengo-'twang' othambile. |
| Ukuqina komsindo | Umsindo othambile kakhulu. Udokotela kuphela ongawuzwa nge-stethoscope. |
| Shintsha ngesimo | Lesi yisici esibaluleke kakhulu. Umsindo uzwakala kahle uma umntwana elele ngomhlane. Lapho umntwana ehleli noma emi, umsindo awube usazwakala kahle, noma unyamalale ngokuphelele. |
| Indawo | Umsindo uzwakala kakhulu maphakathi nesifuba, ngakwesobunxele sethambo lesifuba (sternum). Lo msindo awukhiphi emakhwapheni noma emhlane (akukho misebe). |
| Isikhathi | Lokhu kuzwakala lapho inhliziyo ifinyela (ipompa igazi). Lokhu kusho ukuthi kungukukhononda okuphakathi kwe-systolic. |
Ingabe ingane idinga ukwelashwa?
Ngamafuphi, cha . Ukukhononda kukaStill akusona isifo, kumane kuwumsindo ozwakala yinhliziyo enempilo. Ngakho-ke, akudingi noma yiluphi uhlobo lomuthi, ukuhlinzwa, noma olunye ukwelashwa .
Udokotela ulalela lo msindo kuphela ngesikhathi sokuhlolwa kwengane okuvamile. Bheka ukuthi uyashintsha yini. Ngaphandle kwalokho, asikho isidingo sokubeka noma yimiphi imingcele enganeni. Akukho sithiyo kumntwana sokudlala noma yimuphi umdlalo awuthandayo, ukugijima, ukugxuma, noma ukuhlanganyela emidlalweni yesikole. Angaphila impilo evamile nenempilo .
Ngokuvamile, njengoba ingane ikhula, isakhiwo senhliziyo yayo siyashintsha. Ngesikhathi esifanayo, lokhu kukhononda kuncipha kancane kancane futhi kunyamalale ngokuphelele ngesikhathi ifika ebudaleni. Akuvamile kakhulu, uma umuntu eqhubeka nokuba nalokhu kukhononda aze abe mdala, akubanga yingozi.
Umlayezo Wokuya Nawe Ekhaya
- I-Murmur ka-Still ayisona isifo. Ingumsindo nje ongenangozi, womculo ozwakala yizinhliziyo ezinempilo zezingane ezincane.
- Lesi yisimo esivame kakhulu ezinganeni ezineminyaka ephakathi kuka-3-6.
- Akukho ukwelashwa okudingekayo kulokhu. Asikho isidingo sokuvimbela ingane yakho ekudlaleni, ekugijimeni, noma ekwenzeni noma yini.
- Esikhathini esiningi, lo msindo uyanyamalala wodwa njengoba ingane ikhula.
- Uma udokotela wengane yakho ekutshela ngokukhala kwenhliziyo, ungesabi futhi ulalele ngokucophelela. Uma usenokungabaza noma ukwesaba, khuluma nodokotela wakho ngakho ngokukhululekile.
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