"선생님, 심장에서 소리가 난다고 해서 왔어요. 심잡음이 들린다고요, 우리 아기 괜찮은 건가요? "  이렇게 아기 낳은 후 아직 몸조리 중인 산모가 헐레벌떡 불안한 숨을 몰아 쉬며 또 눈물을 글썽이며 갓 태어난 아기 걱정을 합니다. 우선 심잡음이라는 게 무언지도 의아한데, 내 소중한 아기에게서 심잡음이 들린다는 사실이 너무도 충격적이어서 도대체 일초도 견딜 수 없이 불안해지는 거지요.

다행히 아기는 천사와 같이 편안한 얼굴을 하고 쌔근쌔근 잠들어 있다가 그 조그만 입을 잠시 오물거리더니 이제 배가 고픈지 맘마를 달라고 작은 싸인을 보내는가 봅니다. 엄마는 본능적으로 얼른 젖을 물려 주는데, 잘 관찰해 보니 아기 얼굴과 입술과 몸은 모두 분홍빛 살색을 띠고 숨 소리도 아주 편안합니다. 과연 이렇게 평화로워 보이는 아기에게 무슨 일이 있는 걸까요?

심장이 하는 가장 중요한 역할은, 지고지순하게 우리가 살아 있는 동안 평생 우리를 사랑하는 일입니다. 다시 말하면, 잠시도 쉬지 않고, 비가 오나 눈이 오나, 겨울이 오나 여름이 오나, 우리 인생이 즐거울 때나 우울하고 힘들 때나, 언제나 우리 몸에 산소를 실어 나르고 산소가 부족해진 피를 다시 산소로 채워서 온 몸에 공급해 주는 중요한 심장 본연의 역할을 충실히 함으로써 우리 자신에 대한 사랑을 실천하고 있는 것입니다. 정말 심장은 우리 자신의 삶을 가능하게 해 주는 고마운 기관입니다.
이러한 심장이 피를 짜내고 다시 피를 받아들이고 하는 각각의 단계 마다 고유한 심장 소리를 가지고 있는데, 이를 정상 심음이라고 합니다.

한편, 심잡음은 심장에서 정상적으로는 들리지 않는 소리를 모두 말합니다. 피가 흐르지 않도록 막혀 있어야 할 곳이 열려 있다거나, 피가 흘러가야 하는 곳인데 막혀져 있다거나, 등등 정상적인 피의 흐름을 방해하는 상태에서 만들어지는 소리가 바로 심잡음인 것입니다. 대부분, 심장 구조의 문제가 있거나, 심장 혈류 흐름 기능의 이상이 있을 때 심잡음이 나타나게 됩니다.

꽃을 예쁘게 심어 둔 화단에 누군가 몰래 발자욱을 남기고 지나갔습니다. 그 곳은 분명 길이 아닌데, 그 발자욱을 보고 자꾸 다른 사람들이 또 지나가고 또 지나가게 되면, 화단의 꽃은 사람들 발길에 채여 시들어 죽게 되고, 길이 아닌데도 길인 것처럼 화단은 사라지게 되는 것입니다.
심장도 일생 동안 정상적인 기능을 하기 위해서는 정상적인 구조가 갖추어져 태어나게 되어 있고, 그렇지 않은 경우에는 심잡음을 들리게 하여 어떠한 문제가 원인이든 발견되어져 치료 받게 되기를 원하는 것입니다. 심잡음이 들려 심장병이 있을지 모르니 검사해서 살펴달라고 심장이 싸인을 주었는데도 그냥 내버려 두고 세월이 흐르게 되면, 이미 심장은 자기 해야 할 일을 잘 할 수 없게 아픔에 괴루워하며 망가져 갈 수도 있는 것입니다.

그럼 심잡음이 들리는 경우 모두 심장병을 갖고 있는 것일까요?  반드시 그렇지는 않습니다.
심잡음에도 다양한 종류가 있는데, 심장 수축기 잡음, 혹은 이완기 잡음, 또 강도가 얼마나 센 잡음이냐에 따라 예측되는 심장 질환 상태가 모두 달라지며, 간혹 심장은 정상적으로 건강하지만 빈혈, 폐질환, 혹은 면역 저하 상태 등, 기타 전신 상태에 의해 심장 혈류 흐름이 일시적으로 변화하는 경우에도 심잡음을 나타낼 수 있습니다.

아주 드물지만 안타까운 경우는, 반대로 심장 질환이 있음에도 불구하고, 심잡음도 들리지 않고, 겉으로 드러나는 증상 등이 없어서, 오랜 세월 건강한 줄 알고 살아가다가 뒤늦게 너무 많이 힘들어진 채로 진단을 받게 되는 심장 질환도 있습니다.  그러나 이런 경우는 흔치 않은 경우이고, 여러 다른 증상들로 병원을 가게 되는 경우 우연히 의심하게 되어 심장 전문 진료를 받도록 권유 받게 되기도 합니다.

그러므로 심잡음이 들리는 경우에는, 반드시 심장 전문의 진료를 통하여, 왜 이러한 잡음이 있었는지 원인을 찾아주고, 치료가 필요한 심장병인 경우에는 적절한 치료를 계획하는 것이, 우리를 위해 평생 지고지순한 사랑을 보내주는 심장에 대한 고마움 표현이 되고, 건강한 심장으로 건강하게 살아갈 수 있는 바른 길이 되겠습니다.

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2011/10/15 14:08 2011/10/15 14:08

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